JPH0972917A - Emergency examination method using automatic analyser - Google Patents

Abstract

PROBLEM TO BE SOLVED: To instantly obtain the analytical results of a doctor in charge by sampling blood from a patient and bonding a label wherein examination item and the ID of a patient enter to an examination container and transmitting a result obtained by automatically analyzing a specimen at a separate place to the original place and receiving the analytical result to display the same. SOLUTION: A specimen 5 such as blood or urine is sampled from the emergency patient 1 brought in a treatment chamber 100 and a label wherein an examination item and the ID number of a patient enter is bonded to a container and this container is carried to an examaination chamber 200 by an inspector 3 or a nurse. Then, the specimen is applied to an automatic analyser 201 to be examined and the analytical result is transmitted to the communication device 220 of the treatment chamber 100 or the portable communication device 120 possessed by a doctor 2 in charge through a communication device 220. The data directly related to life among transmission data is preferentially transmitted to biochemically related data. As a result, the data directly related to life is preferentially displayed on the display device 101 in the treatment chamber 100.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an automatic analyzer for analyzing and examining a sample such as blood or urine, and particularly to notify a doctor in charge of a test result of a sample collected from an emergency patient in a short time. It relates to an emergency inspection method.

[0002]

2. Description of the Related Art Conventionally, it takes 30 minutes or more for an attending doctor to obtain a test result for an urgent patient, even if the doctor requires the minimum test.

As an example of such a conventional inspection method,
Patent application filed by the same applicant on April 13, 1992
There is a method described in No. 288756 (published on November 2, 1993).

[0004]

As described above, since the conventional examination method requires a lot of time, there is a big problem that appropriate treatment for an emergency patient may be delayed in some cases. .

This is due to the following reasons. Due to various factors such as equipment installation space and workability, the automatic analyzer will be installed in another room far away from the treatment room, so the analysis result will be output and then obtained by the doctor in charge. This is because a large hospital needs 10 minutes or more to complete.

[0006] It is an object of the present invention to provide an emergency test method in which a doctor in charge can obtain the results of automatic analysis of a sample collected from an emergency patient substantially immediately.

[0007]

In order to achieve the above object, in an emergency inspection method according to one aspect of the present invention, a sample such as blood or urine is collected from a patient in a treatment room and the sample container is collected. Is labeled with a predetermined inspection item and an ID (for example, a patient identification number). The collected sample is sent to the examination room manually or through a commonly used transportation device such as an air shooter, where it is manually transferred by a transportation means such as a robot arm. Can be applied to an automatic analyzer. After performing a predetermined analytical test, the test result is transmitted to a predetermined output device such as a display. The test results received in the treatment room are basically output in the order of reception. This output is performed in the form of necessary information such as a display or print output.

In another preferred example of the present invention, the inspection result is transmitted to a predetermined device at the end of each inspection item. This allows the medical doctor in charge to know the patient's condition earlier without waiting for the completion of all the examination items.

In still another preferred embodiment of the present invention,
The test result is transmitted to both the output device provided in the treatment room and the portable output device. The portable output device is a small-sized liquid crystal display device, and is capable of collecting and displaying information. By outputting the test results of a specific patient not only to the output device installed in the treatment room where a specific emergency patient has been brought in, but also to the portable output device carried by the doctor in charge Even when a large number of patients are brought into the hospital, it is possible for a few doctors to perform more appropriate treatments on a large number of patients.

[0010]

In the treatment room, a specimen taken from an emergency patient is labeled by a doctor in charge with a predetermined test item and an ID label.

After that, the above-mentioned sample is brought into the examination room,
Can be applied to an automatic analyzer. When the CPU in the automatic analyzer determines the end of the analysis, the analysis result is output to the transmitting unit. The transmitting unit transmits the analysis result together with the destination code. The transmitted analysis result is received by the receiver designated by the destination code and is displayed and output.

The structure and the function of the automatic analyzer are almost the same as those of the above-mentioned conventional example. Note that the communication is normally performed wirelessly, but it may be used in combination with a wire between the automatic analyzer and the treatment room to enhance reliability.

[0013]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT A preferred embodiment of the present invention will be described below with reference to the drawings.

FIG. 1 is a schematic explanatory view of an emergency inspection method according to the present invention. In FIG. 1, 1 is a patient, 2 is a doctor in charge, 3 is an inspector, and 4 is a lab manager. Also, 100
Is a treatment room, 200 is an examination room, and 110 and 220.
Are communication devices provided in the treatment room 100 and the examination room 200, respectively. The communication device 110 is connected to the display device 101, and the communication device 220 is connected to the central processing unit (CPU) of the automatic analyzer 201. Since FIG. 1 schematically shows the processing performed in the CPU of the automatic analyzer 201, the actual connection relationship will be described later with reference to FIG.
Please refer to. The display device 101 in the treatment room 100 and the automatic analyzer 201 in the examination room 200 are electrically connected via the communication devices 110 and 220.

In FIG. 1, the communication devices are electrically connected by a wireless system, but in reality, they are also connected by wire. Further, in the present embodiment, the sample 5 collected from the patient 2 in the treatment room is manually carried from the treatment room 100 to the examination room 200, but a commonly used air shooter or the like is used. It is also possible to send it to the examination room via the carrier device and to apply it to the automatic analyzer using a carrier means such as a robot arm.

Next, an emergency inspection method according to the present invention which is performed in the above inspection system will be described. Samples 5 such as blood and urine collected from the emergency patient 1 carried into the treatment room 100 are carried to the examination room 200 by the nurse or the inspector 3 or via an air shooter (not shown). Then, it is applied to the automatic analyzer 201 and inspected.

When an air shooter is used, a table for receiving a sample is provided at the exit on the inspection room side, and when the sample reaches the table, a photoelectric tube, a pressure sensitive sensor, or a television set is provided. Detected by a sample detection means using a camera,
Upon receiving the detection output, the robot arm is operated. Since these are well-known techniques widely used in general automatic production lines, detailed description thereof will be omitted here.

The analysis result of the automatic analyzer 201 installed in the examination room 200 is transferred to the treatment room 10 via the communication device 220.
No. 0 communication device 110 and the portable communication device 120 carried by the doctor 2 in charge. The data transmitted is similar to the data obtained by conventional automatic analyzers. The analysis data is sent to the treatment room as soon as the analysis data is obtained for each item without waiting for the completion of all the analysis items. Data directly related to life, that is, data related to blood analysis results and partial pressures of oxygen and carbon dioxide are transmitted with priority over data related to biochemistry. As a result, data directly related to life is preferentially displayed on the display device in the treatment room.

FIG. 2 is a schematic configuration diagram showing an example of an automatic analyzer used in the emergency method of the present invention, and FIG. 3 is an external view of the device of FIG.

2 and 3, the automatic analyzer is
CPU 11 which is a central processing unit for control, and this CP
A LOG amplifier and A / D converter 12 connected to U11 via the CPU bus 10, a memory 13, a floppy disk drive 14, a keyboard 16, a mechanism control unit 15, a measurement result, an operation screen, etc. are displayed. CRT
36 and a printer 37 for printing the measurement result and the like. As described above, this automatic analyzer is placed in a special examination room which is considerably separated from the treatment room due to various reasons.

The automatic analyzer comprises a sample disk 29 in which a sample container 41 for containing a sample, that is, a sample to be further analyzed is arranged, a reaction disk 22, and a sample container 41.
The reaction container 3 in which the sample inside is placed on the reaction disk 22.
5, a sample pipetting mechanism 30 for dispensing, a reagent disk 27 in which a reagent container 26 is arranged, and a reagent container 2
And a reagent pipetting mechanism 24 for dispensing the reagent in 6 into the reaction vessel 35.

The automatic analyzer further includes a sample dispensing mechanism 19 for sucking a sample, that is, a sample into the sample pipetting mechanism 30 and discharging the sample into the reaction container 35, and a reagent aspirating and discharging the reagent into the reaction container 35. The reagent dispensing mechanism 17 of FIG. In addition, the automatic analyzer is the reaction container 3
Agitating mechanism 23 for agitating the sample and the reagent accommodated in 5
A photometer 20 and a light source 25 for measuring the change in absorbance of the reacted reagent and sample, a high temperature tank 28 for keeping the reaction container 35 at a constant temperature, and a cleaning mechanism 21 for cleaning the reaction container 35 after the analysis. A cleaning water supply / drainage mechanism 18 for supplying cleaning water to the cleaning mechanism 21 and sucking waste liquid is provided.

This automatic analyzer is operated from the CPU 11 to the CP.
It has a communicator 220 for transmitting the analysis results supplied via the U-bus 10 to a treatment room, which is typically far away.
Here, the data communication is carried out by a wireless system and is sent to the portable display device carried by the doctor in charge at the same time as the display device 101 (FIG. 1) installed in the treatment room. The sample of the emergency patient placed in the sample container 41 is
It is set on the sample disk 29. Then, the sample in the sample container 41 is sucked by the sample pipetting mechanism 30 and the sample dispensing mechanism 19 and discharged into the reaction container 35. Next, the necessary reagents are dispensed from the reagent container 26 on the reagent disk 27 into the reaction container 35 by the reagent pipetting mechanism 24 and the reagent dispensing mechanism 17. Then, the sample and the reagent in the reaction container 35 are stirred and reacted by the stirring mechanism 23.

The reacted sample in the reaction container 35 is measured by the photometer 20, digitized by the LOG amplifier and the A / D converter 12, and taken into the memory 13 via the CPU bus 10. All of these operations are controlled by the control CPU 11, and the analyzed results are arithmetically processed and stored in the floppy disk 14 and at the same time displayed on the CRT display 36.
It is printed on 7. At the same time, this analysis result shows that the CPU 11
Is transmitted from the communication device 220 to the outside, for example, to the treatment room under the control of.

In the above-mentioned embodiment, the examination results received in the treatment room are basically output in the order of reception. However, the inspection items may be given priorities in advance and the inspection items may be displayed in order of priority. Further, basically, the items may be displayed in the order of reception, and an interrupt may be given when an inspection result having a higher priority is received while a certain item is being displayed.

[0026]

According to the present invention, the result of automatic analysis of a sample collected from an emergency patient is instantaneously transmitted by electric communication from the examination room in which the automatic analyzer is placed to the treatment room where the patient is being treated. Therefore, the doctor in charge can give more appropriate treatment to the emergency patient.

[Brief description of drawings]

FIG. 1 is a schematic explanatory diagram of an emergency inspection method according to the present invention.

FIG. 2 is an overall schematic configuration diagram of an automatic analyzer used in the present invention.

FIG. 3 is an external view of the automatic analyzer shown in FIG.

[Explanation of symbols]

 1 Patient 2 Doctor in Charge 10 CPU Bus 11 Control CPU 12 LOG Amplifier and A / D Converter 13 Memory 14 Floppy Disk Drive 15 Mechanism Control Section 16 Keyboard 17 Reagent Dispensing Mechanism 18 Wash Water Supply / Drain Mechanism 19 Sample Dispensing Mechanism 20 Photometer 21 Cleaning mechanism 22 Reaction disk 23 Stirring mechanism 24 Reagent pipetting mechanism 25 Light source 26 Reagent container 27 Reagent disk 28 Constant temperature bath 29 Sample disk 30 Sample pipetting mechanism 35 Reaction container 36 CRT 37 Printer 100 Treatment room 101 Display device 120 Portable display device 200 inspection room 201 automatic analyzer 220 communication device

 ─────────────────────────────────────────────────── ─── Continuation of the front page (72) Inventor Yasushi Nomura 882 Ichige, Ichima, Hitachinaka City, Ibaraki Prefecture Hitachi Ltd. Measuring Instruments Division (72) Inventor, Koji Hiroki 1040, Ige, Hitachinaka City, Ibaraki Stock Company Within Hitachi Science Systems

Claims (6)

[Claims] 1. An emergency test method for testing a sample of blood, urine, etc. using an automatic analyzer and transmitting the test result to a specific device, wherein a sample is collected from a patient at a first position. A predetermined test item and a label indicating the patient's ID are attached to the sample container, the sample is put on an automatic analyzer at a second position apart from the first position to perform a predetermined test, An emergency inspection method comprising: transmitting to a predetermined device at the first position, receiving the transmitted inspection result, and displaying and outputting. 2. The emergency inspection method according to claim 1, wherein the inspection result is transmitted to a predetermined device at each completion of each inspection item. 3. The method according to claim 1 or 2, wherein the predetermined device is a display device provided in a treatment room and at least a portable display device carried by a doctor in charge. Emergency inspection method. 4. An emergency test method for testing a sample of blood, urine, etc. using an automatic analyzer and transmitting the test result to a specific device, wherein a sample is collected from a patient at a first position. At the first position, a bar code label indicating a predetermined test item and a patient ID is prepared, the label is applied to the sample container, and the sample container is separated from the first position by a second label. The sample transported to the second position and arriving at the second position is subjected to a predetermined test by a fully automatic analyzer, the test result is transmitted to a predetermined device at the first position, and the transmitted test is performed. An emergency inspection method comprising receiving the result at the first position and outputting the display. 5. The method according to claim 4, wherein the transport of the sample container is performed via an air shooter installed between the first position and the second position. An emergency inspection method characterized by. 6. The emergency inspection method according to claim 4 or 5, wherein the inspection result is transmitted to a predetermined device at each completion of each inspection item.