KR102311005B1 - Endoscopy data processing system and method for endoscopic scope management - Google Patents

Abstract

The present invention relates to a system and method for processing endoscope data for managing an endoscope scope, wherein the system links the information between the endoscope scope and a subject and allows disinfection management of the large intestine to be computerized by systematically monitoring leakage inspection, cleaning, disinfection, storage, AS, and the like after using the endoscope scope; facilitates a tracking management of exogenous sensitization that can be spread by the endoscope; allows a risk of infection due to contamination of the endoscope to be fundamentally reduced by implementing a systematic cleaning procedure; and provides usage statistics for each disinfectant solution or endoscope and specifically provides a malfunction repair history management for the endoscope scope, a record management of the endoscope scope (pre)cleaning step, and a generation/management of intuitive/objective data for checking a real-time status (effective concentration) of the endoscope scope disinfectant solution.

Description

Endoscopy data processing system and method for endoscopic scope management

The present invention relates to a technology for managing an endoscopic scope, and more particularly, by interlocking information between an endoscopic scope and a subject, and systematically monitoring leak inspection, washing, disinfection, storage, AS, etc. can be computerized, facilitates the tracking management of exogenous infectious disease that can be transmitted by endoscopes, and implements systematic cleaning procedures to fundamentally reduce the risk of infection due to endoscope contamination, However, in particular, it is possible to provide intuitive/objective data generation/management for the management of troubleshooting history for the endoscopic scope, record management of the (pre)cleaning stage of the endoscopic scope, and real-time status (effective concentration) of the endoscopic scope disinfectant solution. It relates to an endoscopic data processing system and method for endoscopic scope management.

In general, an endoscope is a medical device that can examine the inside of the human body or perform a procedure at the same time as the examination. It is largely divided into an operation part and an insertion part. During the pre-washing-washing-disinfecting-rinsing-drying-storage stages, contamination prevention and infection control should be carried out according to accurate standards and methods.

In general, in the case of surgery, etc., sterilization is performed under pressure and heat, and in the case of outpatient treatment, immersion disinfection is performed by immersing it in a disinfectant solution for a certain period of time.

Therefore, in the case of improper cleaning of the endoscope, selection of an inappropriate disinfectant, and failure to comply with cleaning and disinfection standards, contamination or infection of the endoscope may occur.

In particular, when washing/disinfecting/drying the endoscope scope, it is common to inject one type of disinfectant once and use it about 50 times for convenience. There is a problem in that the concentration of the disinfectant solution is low and the disinfection is not performed properly.

Domestic medical institutions prepare guidelines for endoscopic infection control and comply with them, and the Korean Gastrointestinal Endoscopy Research Foundation and the Korean Gastrointestinal Endoscopy Society are conducting an endoscopy room evaluation (excellent endoscopy room certification system) that includes evaluation items in the field of infection and disinfection.

To this end, the endoscope use department of a medical institution records and stores endoscope use information by hand as one of the endoscope management methods. Some of the records may be omitted, and there is a problem in that management work increases because it cannot be rewritten and printed out according to the standards of the disinfection management ledger of the endoscopy society. Failure to do so is increasing the possibility of leading to poor cleaning and disinfection of the endoscope scope.

That is, the infection can be spread using the endoscope used by the infected patient, and there is a problem that it is insufficient to identify the cause and establish countermeasures by using it to trace the source of infection even after infection.

In addition, the disinfectant settling time is not observed because the disinfection start time and end time are not recorded accurately, disinfection management is omitted, whether the endoscope is being used in the examination room, whether the disinfection room is being disinfected properly, and how many can be used in the storage room? You can identify, check and systematically manage the endoscopic scope at a glance, such as whether it is in a state of There is no problem.

Recently, in the case of the UCLA Medical Center in the United States, several deaths have been reported due to the use of endoscopes contaminated with super bacteria. There is a problem in that mutual trust with respect to actions and procedures is low, and patients cannot trust the hospital and receive examinations and procedures.

Registered Patent Publication No. 10-1488786 (2015.01.27.)

The present invention was created to solve the problems of the prior art, and its purpose is to record and store the endoscope, medical staff, subject, and sterilizer information in the server by automatically interlocking it through tags or scans, so that the endoscope used by the infected patient is special. When performing a series of investigation procedures to block the spread of infection by managing the It ensures compliance with settling time, enables disinfection management without omission, and allows you to grasp at a glance the series of processes from the use of the endoscope in the examination room to the disinfection in the disinfection room and storage in the storage room at a glance. and systematic management, and also check the overuse of each endoscope scope that can cause corrosion deterioration to prevent overuse of each scope to prevent A/S in advance, and prevent overuse by scope, such as patient-hospital-doctor-cleaner, etc. Establish mutually reliable objective standards for all actions and procedures related to endoscopy to improve the hospital's recognition externally, and to form a mutual trust relationship where patients can trust the hospital and receive tests and procedures; In particular, it is designed to provide intuitive/objective data generation/management for troubleshooting history management of the endoscope scope, record management of the (pre)cleaning stage of the endoscope scope, and checking the real-time status (effective concentration) of the endoscope scope disinfectant solution. , to provide an endoscopic data processing system and method for endoscopic scope management.

Hereinafter, the terms 'tag' or 'scan' used throughout the present invention will be collectively referred to as 'tag' for convenience of description.

In order to achieve the above object, an endoscope data processing system for managing an endoscope scope according to an aspect of the present invention includes: an endoscope management server for integrated management of the endoscope in conjunction with information of an endoscope subject stored in a hospital server; Transmitting and receiving endoscope management information together with the endoscope identification data from the endoscope management server through a specific reader that reads the identification data of the endoscope scope in the endoscope scope having a specific tag storing the identification data and performing an endoscopy endoscopy device; It communicates with the endoscope management server through a specific reader and transmits and receives endoscope management information together with identification data of a specific tag of the endoscope scope, but identification data on whether protein removal and brushing as a pre-cleaning process for the endoscope scope is performed (hereinafter referred to as prior washing identification data) is stored, and when the pre-cleaning process is completed, the pre-cleaning identification data of the specific tag for pre-washing identification and the identification data of the specific tag of the corresponding endoscope are transmitted through a specific reader. an endoscope scope pre-cleaning device for reading and transmitting to the endoscope management server for recording; It communicates with the endoscope management server through a specific reader and transmits and receives endoscope management information together with identification data of a specific tag of the endoscope scope, and uses a disinfectant of a certain concentration and type that meets the preset objective criteria of the endoscope scope for a predetermined number of times and for a period of time. an endoscope cleaning/disinfecting/drying device for cleaning, disinfecting, and drying the endoscope; The endoscope management information is communicated with the endoscope management server through a specific reader along with the identification data of the endoscope scope that has been cleaned, disinfected, and dried according to the preset objective criteria from the endoscope scope cleaning/disinfecting/drying device. an endoscopic scope storage device for storing the endoscopic scope until it is used again; and an endoscope integrated management DB for receiving and storing endoscope management information for the corresponding endoscope scope from the endoscope management server, wherein the endoscope management server records the cleaning and disinfection log and date and time, the number of executions, and the amount of disinfectant solution for the endoscope scope. An overuse check unit for each scope that records, stores, and manages and checks whether the endoscope scope is overused, and the corresponding endoscope scope is selected from the endoscope inspection device, the endoscope scope cleaning/disinfecting/drying device, and the endoscope scope storage device. It includes an information sharing unit for providing through an endoscope safe use display device that displays in a simplified picture where it is, whether the endoscopic scope has been infected from a previous patient, and whether washing/disinfection/drying has been performed according to preset objective standards. Disinfection management ledger management computerized module; an endoscopic infection control data analysis module for basic data management of which patient was tested after the patient was identified as a pathogen with risk of infection; and a management indicator analysis module for building data such as disinfectant usage statistics, usage statistics for each endoscope, and other statistical data, wherein the endoscope scope cleaning/disinfecting/drying device includes a disinfectant solution concentration measuring unit that measures the disinfectant concentration in the disinfection tank; , a disinfectant concentration display/alarm unit for displaying the current concentration of the disinfectant solution and warning to additionally supply or replace the disinfectant solution if the current concentration is less than or equal to a predetermined concentration, and photo data of the test paper on which the effective concentration of the disinfectant solution was measured to the endoscope management server and a storage start time check unit for checking the storage start time to start storage in the endoscope cabinet after cleaning/disinfection/drying of the endoscope scope is completed; A storage completion time check unit for checking the time until the endoscope scope is taken out from the endoscope cabinet and used in the endoscope inspection device, and the endoscope cabinet informs the storage time of the endoscope scope, and the storage time is longer than a predetermined time. A storage time warning unit to warn of the possibility of infection by and an endoscope scope failure repair history management unit for reading identification data and AS shipment data of the specific tag for AS shipment and transmitting it to the endoscope management server for recording, wherein the specific tag is one selected from a QR code, a barcode, and an RFID tag and the specific reader is a reader capable of reading the selected one.

In order to achieve the above object, in an endoscope data processing method for managing an endoscope scope according to another aspect of the present invention, a list of subjects or patients for endoscopic examination is transmitted to the endoscope management server from a hospital server in which information of the subject is input and stored. automatically stored in the management DB; obtaining identification information from a specific tag of the endoscope subject and a specific tag of the endoscope scope taken out from the endoscope scope storage device through a specific tag reader in the endoscope inspection device connected to the endoscope management server by wire or wireless; determining, by the endoscope management server, whether the identification information of the doctor in charge, the nurse in charge, the examination equipment, and the endoscope scope is identical by comparing the identification information of the endoscope subject and the endoscope scope obtained from the endoscopy apparatus with the endoscope management DB; When the endoscope management server matches the tag information of the endoscope subject and the endoscope scope obtained from the endoscopy device and the list of doctors in charge, nurses in charge, examination equipment, and scopes on the endoscope management DB, it determines whether or not the endoscope scope is overused. Check, where the endoscope scope is among the endoscope inspection device, the endoscope scope cleaning/disinfection/drying device, and the endoscope scope storage device, whether the previous patient of the endoscope scope has been infected, and cleaning/disinfection/drying is done according to objective standards Displaying through the endoscope safe use display unit as a simplified figure to see whether the endoscopy proceeds with the endoscopy; The endoscopic scope cleaning/disinfecting/drying device uses a specific reader, a specific tag of the person in charge of washing/drying, a specific tag of the endoscopic scope cleaning/disinfecting/drying device, and an endoscope to be cleaned/disinfected/dried after endoscopy. obtaining identification information of a specific tag; The specific tag of the washing/drying person in charge, the specific tag of the washing/disinfecting/drying device, the washing/drying person in charge received through the specific tag of the endoscope scope, the washing/disinfecting/drying device, and the identification information of the endoscope scope are Checking a list to see if the endoscope scope to be cleaned/disinfected/dryed and the washing/disinfection/drying device according to the patient using the endoscope scope match, and if they match, cleaning/drying/disinfecting the endoscope scope; When the cleaning/drying/disinfection of the endoscope scope is completed, the endoscope management server sets the cleaning start time, end time, name of washing machine, scope name, person in charge, status, number of times of disinfectant use, patient name, patient management number, age, gender, disease name automatically creating a scope usage statistics list that organizes information; Checks the time at which the endoscope scope storage device starts storage of the endoscope scope that has been cleaned/disinfected/dried, checks the time the endoscope scope is taken out from the endoscope scope storage device, and the endoscope scope is stored in the endoscope scope storage device It is determined whether the storage time is greater than a predetermined time, and when the storage time is greater than a predetermined time, the possibility of infection due to time according to atmospheric exposure is warned, and the AS shipment data is stored with a specific tag for AS shipment. In the case of shipping the malfunctioning endoscope scope from the endoscopy store, reading the identification data of the broken endoscope scope and the AS shipment data of the specific tag for AS shipment through a specific reader, transmitting the data to the endoscope management server for recording; determining whether the endoscope cleaning/disinfecting/drying device is a general washing/disinfecting/drying manual by comparing the endoscope management device and the patient using the endoscope scope with the endoscope management list stored in the endoscope management DB; The endoscope scope washing/disinfecting/drying device supplies a disinfectant solution to the disinfection tank, measures the concentration of the disinfectant solution in the disinfection tank through the disinfectant solution concentration measuring unit, and the disinfectant solution concentration measured by the disinfecting solution concentration measurement unit is a schedule stored in the endoscope management DB When the concentration is determined, disinfection is performed, and when the concentration of the disinfectant measured by the disinfectant concentration measuring unit is determined to be below a certain concentration, the concentration display/alarm unit displays an alarm, automatically supplies the disinfectant solution to the disinfection tank, and the effectiveness of the disinfectant solution transmitting and managing the photo data of the test paper on which the concentration is measured to the endoscope management server; and the endoscope scope pre-cleaning device communicates with the endoscope management server through a specific reader and transmits and receives endoscope management information along with identification data of a specific tag of the endoscope scope, but determines whether protein removal and brushing as a pre-cleaning process for the endoscope scope is performed When the pre-cleaning process is completed in the endoscopic scope pre-cleaning device having a specific tag for pre-cleaning identification in which identification data (hereinafter, pre-cleaning identification data) is stored, the pre-cleaning is identified through a specific reader in the endoscopic scope pre-cleaning device reading the identification data of the specific tag for the specific tag for use and the identification data of the specific tag of the corresponding endoscope scope and transmitting it to the endoscope management server for recording; one, and the specific reader is characterized by using a reader capable of reading the selected one.

As described above, according to various aspects of the present invention, the endoscope, medical staff, subject, and sterilizer information are automatically linked through tags and recorded and stored on the server. If a series of investigation processes to trace the source of infection are carried out after being confirmed after infection, the stored records can be used to identify the cause and establish countermeasures. It is possible to check and systematically manage the endoscope because the series of processes from the use of the endoscope in the examination room to the disinfection in the disinfection room and storage room storage can be grasped at a glance and stored and recorded in the server. In addition, it checks for overuse of each endoscope scope that can cause corrosion deterioration to prevent overuse of each scope to prevent A/S in advance. By providing mutually reliable objective standards for procedures, there will be an increase in the awareness of the hospital externally, and the patient can trust the hospital and form a mutual trust relationship where they can receive tests and procedures, and operate using tags By achieving the convenience of endoscopic examination and managing the endoscopy data with tags, it eliminates the hassle of handwriting, and can be written and printed according to the standards of the endoscopy society disinfection management ledger, various tag interfaces can be applied, and scope cleaning management It has an infection prevention effect, and can effectively manage the receipt and usage of disinfectant with tags. In particular, it is possible to manage the repair history of the endoscope scope, record management of the (pre)cleaning stage of the endoscope scope, and the real-time status (effectiveness) of the endoscope scope disinfectant. concentration) has the effect of providing the generation/management of intuitive/objective data for confirmation.

1 is a block diagram of an endoscopic data processing system for managing an endoscopic scope according to an exemplary embodiment of the present invention;
2 is a detailed configuration diagram of an endoscope management server of an endoscope data processing system for managing an endoscope scope according to an exemplary embodiment of the present invention;
3A to 3F are exemplary views of a screen provided through a display unit of an endoscope management server of an endoscope data processing system for endoscopy scope management according to an exemplary embodiment of the present invention;
4 is a detailed configuration diagram of an endoscope data processing system endoscope inspection device, an endoscope scope cleaning/disinfecting/drying device, and an endoscope scope storage device for managing an endoscope scope according to an exemplary embodiment of the present invention;
5 is a flowchart of an endoscopic data processing method for managing an endoscopic scope according to an embodiment of the present invention;
6 is a flowchart of an endoscope data processing method for managing an endoscope scope according to an exposure time while waiting for an endoscope scope according to an embodiment of the present invention;
7 is a flowchart illustrating a method for disinfecting an endoscope scope using a tag according to an embodiment of the present invention;
8 is a flowchart for explaining a pre-cleaning management method of an endoscope scope using a tag according to an embodiment of the present invention;
9 is a flowchart for explaining an effective concentration measurement and management method of an endoscope scope disinfectant solution according to an embodiment of the present invention;
10 is a flowchart illustrating a method for managing a failure/repair history of an endoscope scope using a tag according to an embodiment of the present invention.

Hereinafter, embodiments of the present invention will be described in detail with reference to the accompanying drawings. In adding reference numerals to the components of each drawing, the same components are to have the same reference numerals as much as possible even though they are indicated in different drawings. In addition, when it is determined that a detailed description of a known configuration or function related to the embodiment of the present invention may obscure the gist of the present invention, the detailed description thereof will be omitted. Hereinafter, each embodiment according to the present invention is merely an example for helping the understanding of the present invention, and the present invention is not limited to these embodiments. In particular, the present invention may be composed of a combination of at least any one of individual components or individual functions included in each embodiment.

An endoscopic data processing system for endoscopic scope management according to an exemplary embodiment of the present invention will be described with reference to FIGS. 1 to 4 .

As shown in Fig. 1, the endoscope data processing system 1 for managing the endoscope scope according to an exemplary embodiment of the present invention includes an endoscope management server 100, an endoscope inspection device 210, an endoscope scope pre-cleaning device ( 220), an endoscope scope washing/disinfecting/drying device 230 , an endoscope scope storage device 250 , and an endoscope integrated management DB 101 .

The endoscope management server 100 determines whether the washing/disinfection/drying of the endoscope scope (digestive system, respiratory system, etc.) 10 used for health diagnosis and treatment of the subject is made in accordance with objective standards, what is the current position and status, It is a server device for integrated management of leaks and A/S by linking with the information of the endoscope target stored in the hospital server 200 .

Endoscopy apparatus 210 is installed in a number of endoscopy rooms, the endoscope scope identification (ID) data in the endoscope scope 10 having a specific tag (10a) storing the identification (ID) data of the endoscope scope (10) It is a device for transmitting and receiving endoscope management information together with endoscope scope identification (ID) data to and from the endoscope management server 100 through the read tag reader 30 , and to view internal organs or body cavities.

In this embodiment, the specific tag 10a may be a selected one of a QR code, a barcode, and an RFID tag, and the tag reader 30 may be a reader or a scanner capable of reading a selected one of a QR code, a barcode, and an RFID tag. For example, when the specific tag 10a is a QR code, the tag reader 30 may be a scanner that can scan and read the corresponding QR code, and when the specific tag 10a is an RFID tag, the tag reader ( 30) may be a reader capable of reading by tagging an RFID tag.

The endoscope scope pre-cleaning device 220 enables to perform the pre-cleaning step of the endoscope scope performed in the pre-cleaning room before washing/disinfecting/drying in the endoscope scope washing/disinfecting/drying device 230, and the pre-cleaning step It is to transmit and record information on whether or not to perform the endoscope management server 100 through the tag reader 30, communicate with the endoscope management server 100 and endoscope management information together with identification data of a specific tag of the endoscope scope However, when the pre-cleaning process is completed, the tag reader has a specific tag for pre-wash identification that stores identification data (hereinafter, pre-wash identification data) on whether protein removal and brushing as a pre-cleaning process for the endoscope scope is performed. Through (30), the pre-wash identification data of a specific tag for pre-wash identification and the identification data of the tag 10a of the corresponding endoscope scope 10 can be read and transmitted to the endoscope management server 100 for recording.

The endoscope scope washing/disinfecting/drying device 230 is installed in a plurality of endoscope scope washing/disinfecting/drying rooms, and the endoscope scope having a QR code tag 10a storing identification (ID) data of the endoscope scope 10 . In (10), the endoscope management information is transmitted and received together with the endoscope identification (ID) data to the endoscope management server 100 through the tag reader 30 that reads the endoscope scope identification (ID) data, and the endoscope scope (10) It is a device for washing/disinfecting/drying for a predetermined number of times and time with a disinfectant of a kind and sufficient concentration that meets the objective standards.

The endoscope scope storage device 250 reads the identification (ID) data of the endoscope scope 10 that has been cleaned/disinfected/dried on an objective basis from the endoscope scope cleaning/disinfection/drying device 230 with the tag reader 30 and reads the endoscope It is a device for transmitting and receiving endoscope management information to the management server 100 and storing the endoscope scope 10 until it is used again.

The endoscope integrated management DB 101 is a database for receiving and storing endoscope management information for each endoscope scope 10 from the endoscope management server 100 .

According to the endoscopic data processing system 1 of FIG. 1, by systematically monitoring all processes such as leak inspection, cleaning, disinfection, and storage after using the endoscope, it facilitates tracking and management of exogenous infections that can be transmitted by the endoscope. However, it is possible to fundamentally reduce the risk of infection due to contamination of the endoscope by implementing a systematic cleaning procedure.

Figure 2 is a detailed configuration diagram of the endoscope management server 100 of Figure 1, as shown in the figure, the endoscope management server 100 computerized the existing manual work to clean the endoscope scope, disinfection log and date, number of times, Endoscopic infection control data for basic data management of the disinfection management ledger management computerized module 110 that records, stores, and manages the amount of disinfectant used by computer, and which patient has been tested after the patient has been tested for pathogens with a risk of infection It may include an analysis module 130 and a management indicator analysis module 150 for constructing data such as disinfectant usage statistics, endoscope usage statistics, and other statistical data.

The disinfection management log computerization module 110 may include an endoscope scope management log creation unit 111 , an overuse check unit 113 for each scope, and an information sharing unit 115 .

The endoscope scope management register creation unit 111 is an endoscope inspection device 210, an endoscope scope cleaning/disinfection/drying device 230, and/or an endoscope scope storage device 250 with identification data of the endoscope scope (10). This is to receive management data and automatically create an endoscopy disinfection management log according to the standards of the Endoscopy Society.

The overuse check unit 113 for each scope is to prevent A/S in advance by checking whether or not overuse of the endoscope scope 10, which is corroded and deteriorated by frequent disinfection, is overused, which may cause corrosion degradation.

The information sharing unit 115 determines where the endoscope scope 10 is among the endoscope inspection device 210, the endoscope scope cleaning/disinfection/drying device 230, and the endoscope scope storage device 250, the patient of the previous endoscope scope. This is to provide the integrated endoscope information through the endoscope safe use display device 70 so that the patient or a third party can check whether the infection, washing/disinfection/drying, etc. have been made according to objective standards.

The endoscope infection control data analysis module 130 may include a scope-specific usage statistics management unit 131 , an endoscope patient information management unit 133 , and an endoscope infection management data analysis unit 135 .

The scope-specific usage statistics management unit 131 may manage usage statistics for each endoscope scope 10 by interworking with the hospital server 200 .

The endoscopy patient information management unit 133 may manage endoscopy subjects such as names, genders, patient serial numbers, contact information, and disease names of endoscopy patients.

The endoscopy infection control data analysis unit 135 interworks with the scope-specific usage statistics management unit 131 and the endoscopy patient information management unit 133 to collect basic data on which patients were tested after the patient was determined to be a pathogen with a risk of infection. endoscopic infection control data can be analyzed.

The management indicator analysis module 150 is configured to include a disinfectant usage statistics unit 151 and an endoscope usage statistics unit 153, and can prepare the disinfectant solution by identifying the amount of disinfectant required in advance in advance, and Replacement, A/S, etc. are available.

To this end, the endoscopic scope 10 is in the form of a tube inserted into an organ of the human body, and the endoscopic scope identification (ID) data is included in, for example, a QR code and attached in the form of a sticker, or in the form of an RFID chip. It may be built-in, may be attached or detached in the form of a band-type RFID tag, and may include an ID, model name, date of manufacture of the endoscope, serial number of the endoscope, and the like.

1 again, the tag reader 30 can read the tag 10a included in the endoscope 10 or the patient tag 50 for identifying the patient so that the patient information can be automatically entered. As there is, it may be configured independently or included in each of the endoscope inspection device 210 , the endoscope scope washing/disinfection/drying device 230 , and the endoscope scope storage device 250 .

The endoscope safe use display device 70 interlocks with the endoscopy device 210 to allow the subject to be subjected to an endoscopy in the endoscopy device 210 to use the tag 50 and the tag 10a of the endoscope scope 10 to be used with the tag reader. If read as (30) and transmitted to the endoscope management server 100, whether the endoscopic scope 10 to be used by the subject through the information sharing unit 115 has been properly disinfected together with the identification number, the previous use patient Whether or not is subject to general examination, frequency of use/AS/leakage management, current location, when disinfection is finished and how much has been stored in the storage device 250, etc. are displayed so that the subject or operator can safely receive endoscopic treatment do.

3A to 3D are exemplary views of an endoscope disinfection management screen provided through the display unit of the endoscope management server 100 of the endoscope data processing system 1 for endoscopy scope management according to an exemplary embodiment of the present invention.

According to the present invention, as shown in Fig. 3a, the endoscope examination room, the disinfection waiting room, the endoscope disinfection room, the examination waiting room, and the endoscope scope storage room are divided through the information sharing unit 115, and the endoscope with the ID of the current endoscope scope. It is possible to display the region, doctor, nurse, patient treatment, etc. in a picture, so that the current state, location, and available endoscope scope 10 of the endoscopic scope 10 can be known at a glance.

In addition, as shown in FIGS. 3B to 3D, the hospital server 200 and the endoscope management server 100 are linked in the endoscope DB 101 to automatically computerize and store patient records. A/S can be prevented.

In addition, it is possible to reduce the task of reading the patient's tag 50 or the endoscopic scope's tag 10a through the tag reader 30 and recording the patient's or endoscopic scope's information in duplicate. can maintain the accuracy of the endoscopic scope 10, can be managed systematically through quick and accurate information sharing, can quickly grasp the position of the endoscope scope 10, and real-time monitoring is possible through mobile connection.

As shown in FIG. 3B, a disinfection management log can be created according to the disinfection management log standard of the endoscopy society by the endoscope scope management log creation unit 111. The current scope type, disinfectant solution, and disinfection treatment tool are displayed. , disinfection start time, type, washing machine name, scope name, person in charge, status, use of disinfectant, patient name, patient management number, age, gender, and disease name information may be displayed.

As shown in FIG. 3C , the information sharing unit 115 may output it to the endoscope scope cleaning and disinfection record management book.

As shown in FIG. 3D , the management indicator analysis module 150 analyzes the endoscope disinfection management colon through the disinfectant solution usage statistics unit 151 and the endoscope usage statistics unit 153 to perform the disinfectant name, disinfectant replacement cycle, and the entire endoscope. The number of cases, the number of cases performed by each disinfection stage, the quantity of disinfectant stocked/replaced (remaining quantity), and the number of cases of endoscopy for medical examination can be displayed automatically.

4 is a detailed configuration diagram of the endoscope inspection device 210, the endoscope scope cleaning/disinfecting/drying device 230, and the endoscope scope storage device 250 of FIG.

The endoscopy apparatus 210 may include an endoscope scope/subject information interworking unit 211 as shown in FIG. 4 .

The endoscope scope/subject information interworking unit 211 receives the information of the endoscope subject and the endoscope scope from the endoscope management server 100, and reads the tag 10a of the endoscope scope 10 and the subject's tag 50 to a tag reader ( 30) to check whether it matches the corresponding information received from the endoscope management server 100, and link the endoscope scope 10 and subject information to the endoscope management DB 101 through the endoscope management server 100 It can be stored in, and displayed through the endoscopy safety test display device (70).

The endoscope scope washing/disinfection/drying device 230 may perform washing/disinfection/drying according to objective standards by using the endoscope scope/subject information interlocking through the endoscope scope/subject information interworking unit 211 .

The endoscope washing/disinfecting/drying device 230 reads the tag 10a of the endoscope scope 10 through the tag reader 30 and selects the disinfectant solution according to the name of the patient using the endoscope scope 10 . In the case of 231 and the disinfectant solution, as can be seen from FIG. 3B , the disinfectant solution concentration measurement is performed to measure the concentration of the disinfectant solution in order to prevent the concentration of the disinfectant solution from changing when used several times or several days after a predetermined dose is injected The unit 233 and the disinfectant concentration display/alarm unit 235 for displaying the current concentration of the disinfectant solution of the washing/disinfecting/drying device 230 and warning to additionally input or replace the disinfectant solution when the current concentration is less than or equal to a predetermined concentration And, the disinfection solution effective concentration measurement and management unit 236 for transferring and managing the photo data of the test paper on which the effective concentration of the disinfectant is measured, to the endoscope management server, and the disinfection management ledger that can create the disinfection management book of FIGS. 3B to 3D The unit 237 and the A/S management unit 239 for managing A/S may be included because the endoscope scope may be corroded and water leakage may occur due to the number of times of disinfection of the scope.

The disinfectant solution effective concentration measurement and management unit 236 performs a test paper test for the effective concentration by the number of times and period of use of the disinfectant solution and stores it as a photograph, for example, as shown in FIG. By transferring the photo data of the conducted test strip to the endoscope management server 100, the state of the disinfectant can be managed as PASS (normal state) or FAIL (abnormal state) depending on the state of the test strip photo, and the display unit of the endoscope management server 100 Depending on the PASS or FAIL displayed on

The endoscope scope storage device 250 includes a storage start time check unit 251 , a storage completion time check unit 253 , a storage time elapse warning unit 255 , and a (endoscope scope) troubleshooting history management unit 257 can do.

The storage start time check unit 251 is for checking the storage start time for starting storage in the endoscope cabinet after washing/disinfection/drying of the endoscope scope is completed.

The storage completion time check unit 253 is to check the time until the endoscope scope 10 is taken out from the endoscope cabinet and used in the endoscopy apparatus 210 .

The storage time elapsed warning unit 255 informs the storage time in order to prevent contamination of the endoscope scope due to exposure to the air after being taken out from the endoscope cabinet, and to notify the case that additional disinfection is required because the storage time is longer than a predetermined time.

The troubleshooting history management unit 257 is for managing the failure repair history status of the endoscope scope 10, and when shipping the malfunctioning endoscope scope from an endoscope having a specific tag for AS shipment in which AS shipment data is stored, a tag reader ( 30), the identification data of the broken endoscope scope and the AS shipment data of a specific tag for AS shipment can be read and transmitted to the endoscope management server 100 for recording.

The endoscope management server 100 communicates with the failure repair history management unit 257, and as shown in FIG. 3(f), details of the date of arrival and departure of the endoscope scope in the failure repair history status menu, breakdown details, repair details, repair costs, etc. You can enter, search, and display information.

According to the present invention, endoscopic infection control using tags to achieve operational convenience, eliminate the hassle of handwriting by managing endoscopic examination data with tags, and write and print out according to the standards of the endoscopy society disinfection management register. Various tag interfaces are applicable, there is an effect of preventing infection by cleaning the scope, and it is possible to effectively manage the receipt and usage of disinfectant with tags. It is possible to provide the creation/management of intuitive/objective data for record management of the endoscopic scope and real-time status (effective concentration) confirmation of the endoscopic scope disinfectant solution.

5 is a flowchart of an endoscopic data processing method for managing an endoscopic scope according to an embodiment of the present invention.

As shown in FIG. 5 , in the endoscopic data processing method for endoscopic scope management according to an embodiment of the present invention, a list of endoscopic examination subjects or patients from the hospital server 200 in which the information of the subject is input and stored is endoscopic management It is transmitted to the server 100 (S10).

In the endoscope inspection device 210 connected to the endoscope management server 100 by wire or wireless, the tag 50 of the endoscope subject using the tag reader 30 and the corresponding endoscope scope 10 taken out from the endoscope scope storage device 250 Receives the tag 10a of (S30).

The endoscope scope/subject information interworking unit 211 of the endoscopy apparatus 210 includes tag information of the subject and the endoscope scope 10 received from the endoscopy apparatus 210, and an endoscope management DB that interworks with the hospital server 200 By comparing with each other (101), the identification information of the doctor in charge, the nurse in charge, the examination equipment, and the endoscope scope is confirmed (S40).

The endoscope scope / subject information interworking unit 211 of the endoscopy apparatus 210 matches the tag information of the subject and the endoscope scope with the doctor in charge, the nurse in charge, the examination equipment, and the list of the scope on the endoscope management DB 101. It is displayed through the use display unit 70, and the subject or operator proceeds with an endoscopy (S50).

In the washing/disinfecting/drying device 230, a tag of a washing/drying person in charge, a tag of the washing/disinfecting/drying device 230, and endoscopy are performed using the RFID tag reader 30 to be washed/disinfected/dried. The tag 10a of the endoscope scope 10 is read (S60).

The tag of the cleaning/drying person, the tag of the cleaning/disinfecting/drying unit 230, the cleaning/drying person received via the tag of the endoscopic scope, the cleaning/disinfecting/drying unit, the endoscopic scope to be cleaned/disinfected/drying by the endoscopic scope Checks the list of whether is correct and whether the washing/disinfecting/drying device according to the patient using the endoscopic scope is correct (S70).

Cleaning/disinfecting/drying person, device, endoscopic scope received through cleaning/drying person tag, equipment tag, endoscopic scope tag is correct and cleaning/disinfecting/drying according to the patient who uses the scope to clean/dry If the device 230 is correct, the person in charge of washing/drying proceeds with washing/drying/sterilizing the endoscope scope (S80).

When cleaning/drying/disinfection of the used endoscope scope is completed, the cleaning start time, end time, name of the washer, scope name, person in charge, status, number of times disinfectant is used, patient name, patient management number, age, gender, disease name information, etc. The scope usage statistics list is automatically created (S90).

6 is a flowchart of an endoscopic data processing method for managing an endoscopic scope according to an exposure time in standby of the endoscopic scope according to an embodiment of the present invention.

When the cleaning and disinfection of the used endoscope scope is completed (S81), the endoscope storage device 250 is opened and storage is started in the endoscope cabinet (S82).

The storage start time check unit 251 checks the storage start time of the endoscope cabinet in step S82 by an internal timer (S83), and the storage completion time check unit 251 determines when the endoscope scope 10 is taken out from the endoscope cabinet. Check the delivery time of the endoscope scope from the internal timer again (S84).

The storage time elapsed warning unit 255 determines whether the storage time during which the endoscope scope 10 has been stored in the endoscope cabinet is greater than a predetermined time (S85).

If the storage time elapsed warning unit 255 does not determine that the endoscope storage time is greater than a predetermined time, the storage time is displayed, and when it is determined that the endoscope storage time is greater than the predetermined time, the time according to atmospheric exposure The possibility of infection is displayed through an alarm (S86).

7 is a flowchart illustrating a method for disinfecting and managing an endoscope scope using a tag according to an embodiment of the present invention.

The endoscopic scope cleaning/disinfecting/drying device 240 reads the tag 10a of the endoscopic scope 10 that has completed the endoscopic examination through the tag reader 30 (S801).

The disinfection solution selection unit 231 of the endoscope cleaning/disinfecting/drying device 240 checks the endoscope management list stored in the endoscope management DB 101 for the patient who uses the endoscope scope 10 and the endoscope inspection device 210. It is determined whether the general washing/disinfection/drying manual is subject (S802).

If the endoscope scope 10 is not used by the patient or the general cleaning/disinfection/drying manual through the list of the endoscopy device 210, the endoscope scope is cleaned/disinfected/drying according to the special management manual (S803) .

On the other hand, if the disinfectant selection unit 231 determines that the general washing/disinfecting/drying manual is the target, the disinfecting solution is supplied to the disinfection tank of the washing/disinfecting/drying device 230 (S804), and the endoscope scope 10 is cleaned and disinfected (S805), the concentration of the disinfectant solution in the disinfection tank is measured through the disinfectant solution concentration measuring unit 233 (S806).

When the concentration of the disinfectant measured by the disinfectant concentration measurement unit 233 is determined to be a predetermined concentration stored in the endoscope management DB 101, disinfection is performed, and the concentration of the disinfectant solution measured by the disinfectant concentration measurement unit 233 is determined to be less than or equal to a predetermined concentration When the concentration display/alarm unit 235 displays an alarm (S808), the amount of disinfectant is supplied to the disinfection tank of the washing/disinfecting/conditioning device 230 (S804).

As described above, a decrease in the intrinsic effect of the disinfectant solution due to concentration dilution due to repeated use of the disinfectant solution in the washing/disinfection/drying device 230 and the change of components over the period of use is detected through the disinfectant solution concentration measuring unit 233 as described above. Thus, it is possible to increase the disinfection effect of the disinfectant solution by displaying and storing the endoscope management server 100 .

8 is a flowchart for explaining a method for pre-cleaning an endoscope scope using a tag according to an embodiment of the present invention. When the pre-cleaning process including protein removal and brushing of the scope is completed (S812-S813), the endoscopic scope pre-cleaning device 220 is the tag 10a of the corresponding endoscope 10 through the tag reader 30. Identification data and pre-cleaning identification data of a specific tag for pre-washing identification stored identification data (ie, pre-washing identification data) on whether protein removal and brushing is performed as a pre-cleaning process are read and transmitted to the endoscope management server 100 and recorded do.

9 is a flowchart for explaining a method for measuring and managing an effective concentration of an endoscope scope disinfectant according to an embodiment of the present invention. Considering that, when the effective concentration measurement time arrives, it is notified (S911), and when the test strip test is performed on the disinfectant solution (S912), the photographic data taken for the test strip is acquired (S912), and the obtained photograph data is used with the endoscope The state of the disinfectant solution is PASS (normal state) or FAIL (abnormal state) according to the state of the test paper photograph in which the effective concentration of the disinfectant solution was measured as shown in FIG. 3e by the endoscope management server 100 by passing it to the management server 100 , so that the replacement time of the disinfectant solution can be grasped according to the PASS or FAIL displayed on the display unit of the endoscope management server 100 (S914).

10 is a flowchart for explaining a method for managing a failure/repair history of an endoscope scope using a tag according to an embodiment of the present invention. The history management unit 257 releases the broken endoscope scope from the endoscope store having a specific tag for AS shipment in which the AS shipment data is stored (S1011), the identification data of the broken endoscope scope tag through the tag reader 30 and AS shipment The AS shipment data of a specific tag is tagged and read (S1012), and the read data is transmitted to the endoscope management server 100 so that the endoscope management server 100 displays the endoscope in the breakdown repair history status menu as shown in FIG. 3(f). It enables the input, search and display of detailed information such as the date of arrival and departure of the scope, the breakdown of the scope, the details of the repair, and the repair cost (S1013).

The above description is merely illustrative of the technical spirit of the present invention, and various modifications and variations will be possible without departing from the essential characteristics of the present invention by those skilled in the art to which the present invention pertains. Accordingly, the embodiments disclosed in the present invention are not intended to limit the technical spirit of the present invention, but to explain, and the scope of the technical spirit of the present invention is not limited by these embodiments. The protection scope of the present invention should be construed by the following claims, and all technical ideas within the equivalent range should be construed as being included in the scope of the present invention.

10: endoscope scope
10a: Endoscope Scope Tag
30: tag reader
50 : patient tag
100: endoscope management server
110: disinfection management module
130: endoscopy infection control module
150: management indicator module
200 : hospital server
210: endoscopy device
220: endoscope pre-cleaning device
230: endoscope cleaning/disinfecting/drying device
250: endoscope scope storage device

Claims (2)

an endoscope management server for integrally managing the endoscope in conjunction with the endoscope target information stored in the hospital server;
Transmitting and receiving endoscope management information together with the endoscope identification data from the endoscope management server through a specific reader that reads the identification data of the endoscope scope in the endoscope scope having a specific tag storing the identification data and performing an endoscopy endoscopy device;
It communicates with the endoscope management server through a specific reader and transmits and receives endoscope management information together with identification data of a specific tag of the endoscope scope, but identification data on whether protein removal and brushing as a pre-cleaning process for the endoscope scope is performed (hereinafter referred to as prior washing identification data) is stored, and when the pre-cleaning process is completed, the pre-cleaning identification data of the specific tag for pre-washing identification and the identification data of the specific tag of the corresponding endoscope are transmitted through a specific reader. an endoscope scope pre-cleaning device for reading and transmitting to the endoscope management server for recording;
It communicates with the endoscope management server through a specific reader and transmits and receives endoscope management information together with identification data of a specific tag of the endoscope scope, and uses a disinfectant of a certain concentration and type that meets the preset objective criteria of the endoscope scope for a predetermined number of times and for a period of time. an endoscope cleaning/disinfecting/drying device for cleaning, disinfecting, and drying the endoscope;
The endoscope management information is communicated with the endoscope management server through a specific reader along with the identification data of the endoscope scope that has been cleaned, disinfected, and dried according to the preset objective criteria from the endoscope scope cleaning/disinfecting/drying device. an endoscopic scope storage device for storing the endoscopic scope until it is used again; and
and an endoscope integrated management DB for receiving and storing endoscope management information for the corresponding endoscope scope from the endoscope management server,
The endoscope management server records, stores, and manages the cleaning, disinfection log and date and time, the number of times, and the amount of disinfectant used for the endoscope scope, and an overuse check unit for each scope that checks whether the endoscope scope is overused, and the corresponding Where is the endoscope scope among the endoscope inspection device, the endoscope scope cleaning/disinfecting/drying device, and the endoscope scope storage device, whether the endoscope scope has been infected from a previous patient, and cleaning/disinfecting/drying according to preset objective criteria Disinfection management ledger management computerized module including an information sharing unit for providing through an endoscope safe use display device that displays whether it has been made in a simplified picture; an endoscopic infection control data analysis module for basic data management of which patient was tested after the patient was identified as a pathogen with risk of infection; and a management indicator analysis module for building data such as disinfectant usage statistics, endoscope usage statistics, and other statistical data;
The endoscope scope washing/disinfecting/drying device includes a disinfectant solution concentration measuring unit for measuring the disinfectant solution concentration in the disinfection tank, and a disinfectant solution concentration display for displaying the current concentration of the disinfectant solution and warning to additionally supply or replace the disinfectant solution if the current concentration is less than or equal to a predetermined concentration / An alarm unit, and a disinfectant effective concentration measurement and management unit for transferring and managing the photo data of the test paper on which the effective concentration of the disinfectant is measured to the endoscope management server,
The endoscope scope storage device includes a storage start time check unit that checks the storage start time for starting storage in the endoscope cabinet after washing/disinfection/drying of the endoscope scope is completed, and taking out the endoscope scope from the endoscope cabinet in the endoscope inspection device A storage completion time check unit for checking the time before use, and a storage time lapse warning for notifying the storage time of the endoscope scope in the endoscope cabinet and warning when there is a risk of infection due to time because the storage time is longer than a predetermined time In the case of releasing a malfunctioning endoscope scope from the endoscope store having a specific tag for AS shipment in which the AS shipment data is stored, the identification data of the broken endoscope scope and the AS shipment data of the specific tag for AS shipment are retrieved through a specific reader. It includes an endoscope scope failure repair history management unit for reading and transmitting to the endoscope management server for recording,
The specific tag is one selected from a QR code, a barcode, and an RFID tag, and the specific reader is a reader capable of reading the selected one. a step of transmitting a list of subjects or patients for endoscopic examination from a hospital server in which the information of the subject is input and stored to the endoscopy management server and automatically storing the list in the endoscopy management DB;
obtaining identification information from a specific tag of the endoscope subject and a specific tag of the endoscope scope taken out from the endoscope scope storage device through a specific tag reader in the endoscope inspection device connected to the endoscope management server by wire or wireless;
determining, by the endoscope management server, whether the identification information of the doctor in charge, the nurse in charge, the examination equipment, and the endoscope scope is identical by comparing the identification information of the endoscope subject and the endoscope scope obtained from the endoscopy apparatus with the endoscope management DB;
When the endoscope management server matches the tag information of the endoscope subject and the endoscope scope obtained from the endoscopy device and the list of doctors in charge, nurses in charge, examination equipment, and scopes on the endoscope management DB, it determines whether or not the endoscope scope is overused. Check, where the endoscope scope is among the endoscope inspection device, the endoscope scope cleaning/disinfection/drying device, and the endoscope scope storage device, whether the previous patient of the endoscope scope has been infected, and cleaning/disinfection/drying is done according to objective standards Displaying through the endoscope safe use display unit with a simplified picture of whether or not it is lost and proceeding with the endoscopy;
The endoscopic scope cleaning/disinfecting/drying device uses a specific reader, a specific tag of the person in charge of washing/drying, a specific tag of the endoscopic scope cleaning/disinfecting/drying device, and an endoscope to be cleaned/disinfected/dried after endoscopy. obtaining identification information of a specific tag;
The specific tag of the washing/drying person in charge, the specific tag of the washing/disinfecting/drying device, the washing/drying person in charge received through the specific tag of the endoscope scope, the washing/disinfecting/drying device, and the identification information of the endoscope scope are Checking a list to see if the endoscope scope to be cleaned/disinfected/dryed and the washing/disinfection/drying device according to the patient using the endoscope scope match, and if they match, cleaning/drying/disinfecting the endoscope scope;
When the cleaning/drying/disinfection of the endoscope scope is completed, the endoscope management server sets the cleaning start time, end time, name of washing machine, scope name, person in charge, status, number of times of disinfectant use, patient name, patient management number, age, gender, disease name automatically creating a scope usage statistics list in which information is organized;
Checks the time at which the endoscope scope storage device starts storage of the endoscope scope that has been cleaned/disinfected/dried, checks the time the endoscope scope is taken out from the endoscope scope storage device, and the endoscope scope is stored in the endoscope scope storage device It is determined whether the storage time is greater than a predetermined time, and if the storage time is greater than a predetermined time, warns of the possibility of infection due to time due to atmospheric exposure, and an endoscope having a specific tag for AS shipment in which AS shipment data is stored In case of shipping the broken endoscope scope from the intestine, reading the identification data of the broken endoscope scope and the AS shipment data of the specific tag for AS shipment through a specific reader, sending to the endoscope management server for recording;
determining whether the endoscope cleaning/disinfecting/drying device is a general washing/disinfecting/drying manual by comparing the endoscope management device and the patient using the endoscope scope with the endoscope management list stored in the endoscope management DB;
The endoscope scope washing/disinfecting/drying device supplies a disinfectant solution to the disinfection tank, measures the concentration of the disinfectant solution in the disinfection tank through the disinfectant solution concentration measuring unit, and the disinfectant solution concentration measured by the disinfecting solution concentration measurement unit is a schedule stored in the endoscope management DB When the concentration is determined, disinfection is performed, and when the concentration of the disinfectant measured by the disinfectant concentration measuring unit is determined to be below a certain concentration, the concentration display/alarm unit displays an alarm, automatically supplies the disinfectant solution to the disinfection tank, and determines whether the disinfectant solution is effective transmitting and managing the photo data of the test strip on which the concentration was measured to the endoscope management server; and
The endoscope scope pre-cleaning device communicates with the endoscope management server through a specific reader to transmit and receive endoscope management information along with identification data of a specific tag of the endoscope scope, but whether to remove protein and brush as a pre-cleaning process for the endoscope scope When the pre-cleaning process is completed in the endoscopic scope pre-cleaning device having a specific tag for pre-cleaning identification in which identification data (hereinafter, pre-cleaning identification data) is stored, the pre-cleaning identification is performed through a specific reader in the endoscopic scope pre-cleaning device Reading the pre-cleaning identification data of the specific tag and the identification data of the specific tag of the corresponding endoscope scope, transmitting the data to the endoscope management server for recording;
The specific tag is one selected from a QR code, a barcode, and an RFID tag, and the specific reader is an endoscope data processing method for managing an endoscopic scope, characterized in that using a reader that can read the selected one.

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