JP7197111B2 - Equipment monitoring system and equipment monitoring device - Google Patents

Description

The present disclosure relates to techniques for monitoring medical and non-medical devices.

The medical device management system including non-medical devices described in Patent Document 1 transmits biological information, operation information, and monitor signals including alarms of devices to medical personnel such as doctors and nurses in remote locations in real time. It has realized the efficiency and safety improvement of medical work.

Japanese Patent Application Laid-Open No. 2006-167400

The medical device management system, including non-medical devices used in medical care, can monitor the operating status of multiple medical devices, including non-medical devices, in real time. cannot be monitored. Therefore, in the medical device system including the above non-medical devices, it is necessary to monitor whether the medical practice is being performed according to the doctor's instructions by an artificial method such as double-checking or continuous confirmation. . However, artificial methods may lead to human errors such as misconceptions and insufficient confirmation, and the occurrence of medical accidents may not be suppressed.

The present disclosure has been made in view of the above circumstances, and provides a device monitoring system and device monitoring device for medical devices and/or non-medical devices that can improve the efficiency of medical work and suppress the occurrence of medical accidents. intended to provide

One aspect of the present disclosure is a device monitoring system, which includes at least an instruction device into which instruction information for instructing medical treatment is input by a doctor, and a medical device and/or non-medical device operated based on the instruction information. It comprises one monitored device, and a monitoring device connected to the pointing device and at least one monitored device. The monitoring device includes an instruction information acquisition section, a motion information acquisition section, a determination section, and an output section. The instruction information acquisition unit acquires instruction information from the instruction device. The motion information acquisition unit acquires motion information corresponding to the instruction information from the monitored device. The determination unit determines whether or not the instruction information acquired by the instruction information acquisition unit matches the motion information acquired by the motion information acquisition unit. The output unit performs an output action based on the mismatch when the determining unit determines that the characters do not match.

According to one aspect of the present disclosure, a monitoring device acquires instruction information from a doctor and operation information of a medical device and/or a non-medical device, and determines whether or not the instruction information and the operation information match. That is, the monitoring device monitors whether or not the medical practice is being performed according to the doctor's instructions. Then, if the instruction information and the action information do not match, the monitoring device performs an output action based on the mismatch. Therefore, continuation of medical practice that does not match the doctor's instructions is suppressed. As a result, the occurrence of medical accidents can be suppressed.

Another aspect of the present disclosure is a device monitoring device that includes an instruction information acquisition unit, an operation information acquisition unit, a determination unit, and an output unit. The instruction information acquisition unit acquires instruction information on medical practice by a doctor. The motion information acquisition unit acquires motion information corresponding to the instruction information from at least one monitored device that is a medical device and/or a non-medical device operated based on the instruction information. The determination unit determines whether or not the instruction information acquired by the instruction information acquisition unit matches the motion information acquired by the motion information acquisition unit. The output unit performs an output action based on the mismatch when the determining unit determines that the characters do not match.

According to another aspect of the present disclosure, effects similar to those of the device monitoring system described above are exhibited.
It should be noted that the symbols in parentheses described in this column and the scope of claims indicate the correspondence with specific means described in the embodiment described later as one mode, and the technical scope of the present disclosure is It is not limited.

It is a figure which shows the whole apparatus monitoring system structure. 1 is a block diagram showing the configuration of a device and a heterogeneous integrated information management system; FIG. 6 is a flow chart showing a processing procedure of monitoring processing according to the first embodiment; 10 is a flowchart showing a processing procedure of monitoring processing according to the second embodiment;

BEST MODE FOR CARRYING OUT THE INVENTION Hereinafter, embodiments for carrying out the invention will be described with reference to the drawings.
(First embodiment)
<1. System configuration>
First, the configuration of a device monitoring system 200 according to this embodiment will be described with reference to FIGS. 1 and 2. FIG.

The device monitoring system 200 includes a plurality of monitored devices 10 , an instruction device 20 , and a monitoring device 80 connected to the plurality of monitored devices 10 and the instruction device 20 .
The instruction device 20 is a device in which instruction information for instructing medical practice is input by a doctor and the input instruction information is held as digital data. The instruction device 20 is, for example, a non-medical device such as an electronic medical chart or a departmental system. The instruction device 20 also outputs instruction information to the monitoring device 80 .

The plurality of monitored devices 10 may be medical or non-medical devices connected to the patient. That is, the device monitoring system 200 is a monitoring system for devices including both medical devices and non-medical devices. As shown in FIG. 2, the plurality of monitored devices 10 include, for example, a biological information monitor 10A, a respiratory function monitor 10B, a hemodynamic monitor 10C, a sedation monitor 10D, an anesthesia machine 10E, one or more infusion pumps 10F, 1 One or more syringes 10G, blood purification device 10H, heart-lung machine 10I, intra-aortic balloon pumping (hereinafter, IABP) 10J, percutaneous cardiopulmonary support (hereinafter, PCPS) 10K, medical imaging management system (hereinafter, PACS) 10L, IP camera 10M, medical gas system 10N, air conditioning system 10P, isolation system 10Q. Among these multiple monitoring target devices 10, the PACS 10L, the IP camera 10M and the air conditioning system 10P are non-medical devices, and the others are medical devices.

The biological information monitor 10</b>A measures biological information such as the patient's blood pressure, pulse wave, and heart rate, and outputs the measurement information to the monitoring device 80 . The respiratory function monitor 10B measures information about the respiratory function such as the patient's respiratory rate and outputs the measurement information to the monitoring device 80 . The circulatory dynamics monitor 10</b>C measures information about circulatory dynamics such as arterial pressure and systemic vascular resistance coefficient, and outputs the measurement information to the monitoring device 80 . The sedation monitor 10</b>D measures information related to sedation such as electroencephalograms and outputs the measurement information to the monitoring device 80 .

The anesthesia machine 10E is operated based on instruction information input to the instruction device 20 by medical personnel such as nurses. That is, the anesthesia machine 10E is provided with the type of anesthetic designated by the doctor, and the dosage and the like designated by the doctor are set. Then, the anesthesia machine 10E outputs setting information such as the type and dosage of the anesthetic to the monitoring device 80. FIG. In addition, the infusion pump 10F and the syringe 10G are operated based on instruction information input to the instruction device 20 by medical personnel. That is, in the infusion pump 10F and the syringe 10G, the type of medicine instructed by the doctor is installed, and the dosage etc. instructed by the doctor are set. Then, the infusion pump 10F and the syringe 10G output setting information such as the type of drug and the dose to the monitoring device 80 .

The blood purification apparatus 10H and the heart-lung machine 10I are set to operate based on the instruction information input to the instruction device 20 by the medical personnel, and output the respective setting information to the monitoring device 80 . The IABP 10J and the PCPS 10K are circulatory assist devices, and operations are set based on instruction information input to the instruction device 20 by medical personnel, and output to the monitoring device 80, respectively. PACS 10L outputs medical images to monitoring device 80 . IP camera 10M outputs the camera image to monitoring device 80 .

The medical gas system 10N, the air conditioning system 10P, and the isolation system 10Q are medical facilities, and their operations are set based on the instruction information input to the instruction device 20 by medical personnel, and the respective setting information is monitored by the monitoring device. 80.

The monitoring device 80 is a device that integrates, centrally manages, and displays information on different types of monitoring target devices 10 . The monitoring device 80 is a computer including a CPU, RAM, hard disk drive (hereinafter referred to as HDD), and display. The monitoring device 80 has various functions by loading and executing programs installed in the HDD.

Specifically, the monitoring device 80 functionally includes the middleware 30 and various applications (hereinafter referred to as apps) 61 to 70 . In this embodiment, the monitoring device 80 corresponds to a device monitoring device.

The middleware 30 is an Open Resource interface for the Network (hereinafter ORiN). ORiN is a communication interface that provides a unified access means and expression method in an environment where heterogeneous information coexists. The middleware 30 includes a plurality of providers 31, information integration management software 32, data management software 33, and clients 41-50.

Each provider 31 is connected to each monitoring target device 10 and has a communication interface that connects the monitoring target device 10 and the monitoring device 80 . By absorbing differences in communication specifications that differ among the plurality of monitoring target devices 10, a unified access means is provided to the information integration management software 32, which is a high-level application.

The information integration management software 32 makes the operation information output from each monitored device 10 into a unified data representation. The data management software 33 saves the operation information of each monitoring target device 10 that has been represented as unified data by the information integration management software 32, and distributes necessary operation information to each of the clients 41-50. The operation information includes measurement information, setting information, medical images, and camera images output from each monitored device 10 .

The client 41 acquires the motion information output from the biological information monitor 10A, the respiratory function monitor 10B, the circulatory monitor 10C, and the sedation monitor 10D, and executes the application 61 related to the biological information. is displayed in the form of a graph. The client 42 acquires the motion information output from the anesthesia machine 10E, executes the application 62 related to the anesthesia machine, and displays the acquired motion information in an appropriate display format, for example. The client 43 acquires the operation information output from the infusion pump 10F and the syringe, executes the application 63 related to the infusion and the syringe pump, and displays the acquired operation information in an appropriate display format, for example.

The client 44 acquires the operation information output from the blood purification apparatus 10H, executes the application 64 related to the blood purification apparatus, and displays the acquired operation information in an appropriate display format, for example. The client 45 acquires the motion information output from the heart-lung machine 10I, executes the application 65 related to the heart-lung machine, and displays the acquired motion information in an appropriate display form, for example. The client 46 acquires the motion information output from the IABP 10J and the PCPS 10K, executes the application 66 related to the auxiliary circulation device, and displays the acquired motion information in an appropriate display form, for example.

The client 47 acquires the operation information output from the PACS 10L and the IP camera 10M, executes the application 67 related to the image, and displays the image in an appropriate display form, for example. The client 48 acquires the operation information output from the medical gas system 10N, the air conditioning system 10P, and the isolation system 10Q, executes the application 48 related to medical equipment, and displays the acquired operation information in an appropriate display format. to display. The client 49 executes an application 69 related to heterogeneous integrated information monitoring.

The client 50 acquires operation information from each monitoring target device 10, executes an application 70 related to monitoring of medical devices and non-medical devices, and determines whether each monitoring target device 10 is operating according to information instructed by a doctor. Monitor. That is, the client 50 monitors whether or not the medical practice is being performed according to the information instructed by the doctor. Details of the monitoring process will be described later.

<2. Monitoring process>
Next, the monitoring process executed by the monitoring device 80 in this embodiment will be described with reference to the flowchart of FIG. The monitoring device 80 repeatedly executes this process at predetermined intervals.

First, in S10, the monitoring device 80 requests the instruction device 20 for instruction information. Subsequently, in S20, the monitoring device 80 requests operation information from each of the monitoring target devices 10 in operation.
Subsequently, in S40, the monitoring device 80 acquires the instruction information A, B, . . . Examples of the instruction information A, B, . . . include, for example, the following cases (i) to (iii). In case (i), instruction information A=type of drug ◯◯, instruction information B=dosage amount per unit time xx mg/hr. In case (ii), instruction information A = target blood pressure value of 120 to 160 mmHg, lower threshold value ΔΔ mmHg, and upper threshold value XX mmHg, instruction information B = drug type: pressor drug, instruction information C = blood pressure per unit time Dosage is 5-10 mg/hr. In case (iii), instruction information A = target blood pressure value 120 to 160 mmHg, lower threshold value ΔΔ mmHg, and upper threshold value XX mmHg, instruction information B = target systemic vascular resistance coefficient 1500-2500 dynes-sm ² /cm ⁵ , Instruction information C=type of drug: vasopressor drug, instruction information D=dosage per unit time of 5 to 10 mg/hr.

In cases (ii) and (iii), the lower threshold is the lower limit that the adjustable blood pressure value can take in the range of 90-120 mmHg, and the upper threshold is the lower limit that the adjustable blood pressure value can take in the range of 160-200 mmHg. The upper limit is 0.5 mg per unit time.

Subsequently, in S50, the monitoring device 80 acquires the operation information a, b, . . . corresponding to the instruction information A, B, . For example, in case (ii), action information a=blood pressure value, action information b=medicine type, and action information c=dosage per unit time.

Subsequently, in S60, the monitoring device 80 compares the instruction information A, B, . . . acquired in S30 with the motion information a, b, . … is calculated.

Subsequently, in S70, the monitoring device 80 determines whether or not the instruction information A, B, . . . and the motion information a, b, . That is, it is determined whether or not X1=0, X2=0, and so on. If the instruction information A, B, . . . and the motion information a, b, . , the process ends.

On the other hand, if any of the instruction information A, B, . . . and the action information a, b, . In S80, the monitoring device 80 determines that there is an abnormal state in which a medical practice different from the instruction by the doctor is being performed, and sends the instruction device 20 and itself to alert the doctor and the operator of the monitoring target device 10. Output an alarm. The warning may be voice or warning sound output from the instruction device 20 and the monitoring device 80, or may be displayed on a screen. The output of the alarm prompts the doctor to change the instruction, or the operator of the monitoring target device 10 or the doctor or medical personnel who is in charge of the patient to change the setting. This completes the processing.

<3. Effect>
According to the first embodiment described above, the following effects are obtained.
(1) The monitoring device 80 acquires the instruction information from the doctor and the operation information of the monitoring target device 10 corresponding to the instruction information, and determines whether or not the instruction information and the operation information match. That is, the monitoring device 80 monitors whether or not the medical practice is being performed according to the doctor's instructions. Then, when the instruction information and the operation information do not match, the monitoring device 80 outputs an alarm from the instruction device 20 and the monitoring device 80 . Therefore, doctors and medical personnel who operate the monitoring target device 10 can recognize that the medical practice is not performed in accordance with the doctor's instructions, and can take countermeasures.

(Second embodiment)
<1. Difference from First Embodiment>
Since the basic configuration of the second embodiment is the same as that of the first embodiment, description of common configurations will be omitted, and differences will be mainly described. Note that the same reference numerals as in the first embodiment indicate the same configurations, and refer to the preceding description.

In the first embodiment described above, the monitoring device 80 outputs an alarm when it is determined that there is an abnormality. On the other hand, the second embodiment differs from the first embodiment in that the monitoring device 80 automatically controls the monitored device 10 when it determines that an abnormal state has occurred.

<2. Monitoring process>
Next, the monitoring process executed by the monitoring device 80 in this embodiment will be described with reference to the flowchart of FIG.

First, in S100-S160, the same processing as that of S10-S70 shown in FIG. 3 is executed.
Subsequently, in S170, the monitoring device 80 determines that an abnormal state exists, and determines whether or not the monitoring target device 10 in operation can be automatically controlled so that the operation information of the monitoring target device 10 in operation matches the instruction information. determine whether That is, the monitoring device 80 determines whether or not it is possible to generate a control command for the monitoring target device 10 in operation such that the operation information of the monitoring target device 10 in operation matches the instruction information. In automatic control, the monitoring device 80 controls the monitored device 10 so that the operation information converges to the instruction information relatively gently. Therefore, if the value of the action information exceeds the threshold of the instruction information, for example, if the blood pressure value of the action information is below the lower limit threshold or above the upper threshold of the instruction information, urgent action is required. If so, it is determined that automatic control is not possible.

If it is determined in S170 that automatic control is possible, in S180 the monitoring device 80 automatically controls the monitoring target device 10 in operation. That is, the monitoring device 80 generates a control command for the monitoring target device 10 in operation and transmits the generated control command to the corresponding monitoring target device 10 .

For example, in case (i), if the operation information b is different from the instruction information B, a control command is sent to the syringe 10G to change the setting of the syringe 10G so that the dose per unit time indicated by the instruction information B is obtained. Send. Further, in case (ii), when the value of the operation information a is equal to or higher than the lower limit threshold value of the instruction information A and is below the target blood pressure value, the syringe 10G is adjusted to increase the dose within the range indicated by the instruction information C. A control command for changing the setting is sent to the syringe 10G. In this case, the dose is increased by 0.5 mg/hr. On the other hand, in case (ii), when the value of the operation information a is equal to or less than the upper threshold value of the instruction information A and exceeds the target blood pressure value, the syringe 10G is adjusted so that the dose is reduced within the range indicated by the instruction information C. A control command for changing the setting is sent to the syringe 10G. In this case, the dose is reduced by 0.5 mg/hr.

Further, in case (iii), if the value of the action information a is equal to or greater than the lower limit threshold value of the instruction information A and is below the target blood pressure value, and the value of the action information b is within the range of the instruction information B, then the instruction information A control command is sent to the syringe 10G to change the setting of the syringe 10G so that the dose increases within the range indicated by D. On the other hand, in case (iii), when the value of the action information a is equal to or less than the upper threshold value of the instruction information A and exceeds the target blood pressure value, and the value of the action information b is within the range of the instruction information B, the instruction information A control command is sent to the syringe 10G to change the setting of the syringe 10G so that the dose increases within the range indicated by D.

Subsequently, in S190, the monitoring device 80 reports that the monitored device 10 has been automatically controlled, that is, that the setting has been changed by transmitting a control command to the monitored device 10 (for example, the changed setting). The information is output to the instruction device 20 and the automatically controlled monitored device 10 . The report may be a voice output from the instruction device 20 and the monitoring target device 10, or may be a screen display. By outputting the report, the doctor and the operator of the monitoring target device 10 can recognize that the monitoring target device 10 has been automatically controlled so that the medical practice is performed according to the doctor's instructions.

On the other hand, if it is determined in S170 that the automatic control cannot be performed, in S200 the monitoring device 80 outputs an alarm in the same manner as in the processing of S80 shown in FIG. For example, in case (i), the monitoring device 80 cannot automatically change the type of drug, so if the type of drug in the operation information a and the type of drug in the instruction information A are different, it determines that automatic control is not possible. . In cases (ii) and (iii), the monitoring device 80 determines that automatic control is not possible when the value of the motion information a is below the lower limit threshold value of the instruction information A or above the upper limit threshold value. In addition, in case (iii), the monitoring device 80 cannot adjust the systemic vascular resistance coefficient even if the dose of the vasopressor is changed. It is determined that automatic control cannot be performed. This completes the processing.

<3. Effect>
According to the second embodiment described above, the following effects are obtained.
(2) The monitoring device 80 acquires the instruction information from the doctor and the operation information of the monitoring target device 10 corresponding to the instruction information, and determines whether or not the instruction information and the operation information match. That is, the monitoring device 80 monitors whether or not the medical practice is being performed according to the doctor's instructions. Then, when the instruction information and the operation information do not match, the monitoring device 80 outputs a control command to the corresponding monitored device 10 so that the operation information matches the instruction information. Therefore, the device 10 to be monitored can be automatically controlled so that medical treatment is performed according to the doctor's instructions.

(3) When the monitoring target device 10 is automatically controlled, the monitoring device 80 outputs a report to the effect that the monitoring target device 10 has been automatically controlled to the instruction device 20 and the monitoring target device 10 in operation. be. Therefore, doctors and medical personnel can recognize that the monitored device 10 has been automatically controlled because the instruction information and the operation information do not match.

(4) When the monitored device 10 cannot be automatically controlled, an alarm is output from the instruction device 20 and the monitoring device 80 . Therefore, doctors and medical personnel can recognize that medical practice is not performed in accordance with the doctor's instructions, and can take countermeasures.

(Other embodiments)
Although the embodiments for implementing the present disclosure have been described above, the present disclosure is not limited to the above-described embodiments, and can be implemented with various modifications.

(a) In the above-described embodiment, when there are operation information a, b, c, d, e, . It may contain instruction information that indicates a calculated value f(a, b, c, d, e...) calculated from c, d, e... and the calculation formula f(x). The doctor may input instruction information for instructing the calculated value f (a, b, c, d, e . . . ) to the instruction device 20 . The calculation formula f(x) is a formula set using motion information a, b, c, d, e, . . . as input values according to a specific algorithm.

In this case, the motion information includes the calculated value f(a, b, c, d, e...) as integrated motion information. The calculated value f (a, b, c, d, e . . . ) may be calculated by the monitoring device 80 or may be calculated by a computing device connected to the monitoring device 80 . Then, in the first embodiment, the monitoring device 80 may output an alarm when the calculated value f (a, b, c, d, e . . . ) does not match the instruction information. Further, in the second embodiment, when the calculated value f (a, b, c, d, e . . . ) does not match the instruction information, the monitoring device 80 performs A control command for changing the set value may be generated and output so as to exhibit the maximum effect based on the expression f(x).

As a case in which the instruction information is issued for the calculated value f (a, b, c, d, e, . There is a case (iv) in which the arterial blood oxygen saturation, which is a basic management index for arterial blood, is appropriately managed. In case (iv), the plurality of pieces of operation information are the arterial carbon gas partial pressure a and the minute alveolar ventilation b obtained from the biological information monitor, the inhaled carbon gas partial pressure c and the inhaled oxygen content obtained from the inhaled gas monitor. pressure d, oxygen storage capacity e and carbonic acid storage capacity f obtained from the oxygen monitor. Also, the instruction information A=90%<f(a, b, c, d, e, f). According to the instruction information A, the ventilator is set with a minute ventilation volume and/or an inhaled oxygen concentration. A biological information monitor, an inhalation gas monitor, and an oxygen monitor are each one of the monitoring target devices 10 .

The monitoring device 80 obtains the arterial blood oxygen saturation f (a, b, c, d, e, f) (%) calculated by inputting the operation information a to f into the calculation formula f(x). Then, it is determined whether or not the arterial blood oxygen saturation f (a, b, c, d, e, f) (%) is greater than 90 (%). In the first embodiment, the monitoring device 80 outputs an alarm when the arterial blood oxygen saturation f (a, b, c, d, e, f) (%) is 90 (%) or less. good. In the second embodiment, the monitoring device 80 uses the calculation formula f(x ), a control command for changing the set value of the minute ventilation and/or the inspired oxygen concentration is generated so as to exhibit the maximum effect, and the generated control command is transmitted to the respirator.

(b) In the device monitoring system 200 according to the above embodiment, a plurality of monitored devices 10 are connected to the monitoring device 80, but at least one monitored device 10 may be connected to the monitoring device 80. . Also, in the above embodiment, a plurality of pieces of instruction information are input to the instruction device 20, but at least one piece of instruction information may be input to the instruction device 20. FIG.

(c) A plurality of functions possessed by one component in the above embodiment may be realized by a plurality of components, or a function possessed by one component may be realized by a plurality of components. . Also, a plurality of functions possessed by a plurality of components may be realized by a single component, or a function realized by a plurality of components may be realized by a single component. Also, part of the configuration of the above embodiment may be omitted. Moreover, at least part of the configuration of the above embodiment may be added or replaced with respect to the configuration of the other above embodiment. It should be noted that all aspects included in the technical idea specified only by the wording described in the claims are embodiments of the present disclosure.

(d) In addition to the device monitoring system and device monitoring device described above, a program for causing a computer to function as the device monitoring device, a non-transitional actual recording medium such as a semiconductor memory recording this program, a device monitoring method, etc. The present disclosure can also be implemented in various forms.

10... Equipment to be monitored, 20... Instructing device, 80... Monitoring device, 200... Equipment monitoring system.

Claims (14)

an instruction device (20) into which instruction information for instructing medical practice is input by a doctor;
at least one monitored device (10), which is a medical device (10) operated by medical personnel based on the instruction information input to the instruction device ;
a monitoring device (80) connected to the pointing device and the at least one device to be monitored, wherein the monitoring device
an instruction information acquisition unit that acquires the instruction information from the instruction device;
a motion information acquisition unit that acquires motion information according to the operation by the medical personnel from the monitoring target device;
a determination unit that determines whether the instruction information acquired by the instruction information acquisition unit and the motion information acquired by the operation information acquisition unit match;
and an output unit that performs an output action based on the mismatch when the determination unit determines that there is no match,
Equipment monitoring system. The output unit outputs an alarm from at least one of the instruction device and the monitoring device as the output action when the judgment unit judges that they do not match.
The equipment monitoring system according to claim 1. When the determination unit determines that they do not match, the output unit issues, as the output action, a control command for controlling the operation of the device to be monitored so that the operation information matches the instruction information. generate and output
The equipment monitoring system according to claim 1. When outputting the control command, the output unit outputs a report to the effect that the operation of the monitored device has been controlled to at least one of the instruction device and the monitored device.
The equipment monitoring system according to claim 3. The output unit outputs an alarm from at least one of the instruction device and the monitoring device as the output action when a control command for matching the operation information with the instruction information cannot be generated.
The equipment monitoring system according to claim 3 or 4. the monitored device includes a plurality of monitored devices,
The instruction information includes instruction information for instructing a calculated value calculated from operation information of each of the plurality of monitored devices and a set calculation formula,
The motion information acquisition unit acquires the calculated values as integrated motion information,
The determining unit determines whether or not instruction information indicating the calculated value and the integrated motion information match,
The output unit outputs the warning when the determination unit determines that the values do not match.
The equipment monitoring system according to claim 2. the at least one monitored device comprises a plurality of monitored devices;
The instruction information includes instruction information for instructing a calculated value calculated from operation information of each of the plurality of monitored devices and a set calculation formula,
The motion information acquisition unit acquires the calculated values as integrated motion information,
The determining unit determines whether or not instruction information indicating the calculated value and the integrated motion information match,
The output unit generates and outputs the control command to the monitoring target device based on the calculation formula when the determination unit determines that they do not match.
The equipment monitoring system according to any one of claims 3-5. an instruction information acquisition unit that acquires instruction information for medical practice input by a doctor to the instruction device ;
Obtaining operation information according to the operation by the medical personnel from at least one monitored device, which is a medical device (10) operated by the medical personnel based on the instruction information input to the instruction device . a motion information acquisition unit;
a determination unit that determines whether the instruction information acquired by the instruction information acquisition unit and the motion information acquired by the operation information acquisition unit match;
and an output unit that performs an output action based on the mismatch when the determination unit determines that there is no match,
Equipment monitoring device. The output unit outputs an alarm as the output action when the determination unit determines that there is no match.
The device monitoring device according to claim 8. When the determination unit determines that they do not match, the output unit issues, as the output action, a control command for controlling the operation of the device to be monitored so that the operation information matches the instruction information. generate and output
The device monitoring device according to claim 8. The output unit outputs a report to the effect that the operation of the monitored device is controlled when the control command is output.
The device monitoring device according to claim 10. The output unit outputs an alarm as the output action when a control command for matching the instruction information and the operation information cannot be generated.
The device monitoring device according to claim 10 or 11. the at least one monitored device comprises a plurality of monitored devices;
The instruction information includes instruction information for instructing a calculated value calculated from operation information of each of the plurality of monitored devices and a set calculation formula,
The motion information acquisition unit acquires the calculated values as integrated motion information,
The determining unit determines whether or not instruction information indicating the calculated value and the integrated motion information match,
The output unit outputs the warning when the determination unit determines that the values do not match.
The equipment monitoring device according to claim 9 . the at least one monitored device comprises a plurality of monitored devices;
The instruction information includes instruction information for instructing a calculated value calculated from operation information of each of the plurality of monitored devices and a set calculation formula,
The motion information acquisition unit acquires the calculated values as integrated motion information,
The determining unit determines whether or not instruction information indicating the calculated value and the integrated motion information match,
The output unit generates and outputs the control command to the monitoring target device based on the calculation formula when the determination unit determines that they do not match.
The equipment monitoring device according to any one of claims 10-12.

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