TW201828239A - A testing instrument with determining quality controlling performance and a method thereof - Google Patents

A testing instrument with determining quality controlling performance and a method thereof Download PDF

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TW201828239A
TW201828239A TW106102411A TW106102411A TW201828239A TW 201828239 A TW201828239 A TW 201828239A TW 106102411 A TW106102411 A TW 106102411A TW 106102411 A TW106102411 A TW 106102411A TW 201828239 A TW201828239 A TW 201828239A
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Taiwan
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quality control
test
instrument
inspection instrument
inspection
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TW106102411A
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Chinese (zh)
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謝明辰
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長庚醫學科技股份有限公司
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Publication of TW201828239A publication Critical patent/TW201828239A/en

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Abstract

This disclosure is related to a testing instrument with determining quality controlling performance and a method thereof. The testing instrument includes a housing, a monitor, a scanning key, a scanning area, a strip slot and a control circuit. The test instrument has a nursing staff ID table, a strip corresponding table and a quality control testing performance table which all embedded in the control circuit. These three tables correspond with a step of determining the operator is same as one of the nursing staff ID table and a step of performing the quality control testing to achieve the automatically determining whether or not a quality control test has been performed and the automatically determining whether or not the quality control performed by the user has been passed. This disclosure is not only to improve the quality of inspection testing instrument and the quality control efficiency, but also enhance the quality of medical caring. Furthermore this disclosure can effectively apply to the current market a variety of testing instrument models, such as a variety of blood glucose instrument devices.

Description

具有品質管控判斷的檢驗儀器及其檢測方法  Inspection instrument with quality control judgment and detection method thereof  

本發明涉及一種具有品質管控判斷之檢驗儀器及其檢測方法,特別是一種機動性高、方便臨床使用及自動執行品質管控的床邊檢驗儀器。 The invention relates to an inspection instrument with quality control judgment and a detection method thereof, in particular to a bedside inspection instrument with high maneuverability, convenient clinical use and automatic execution quality control.

現有技術中關於床邊檢驗儀器(Point-of-Care Testing;POCT),具機動性高方便醫護人員的臨床使用,但主要的缺點是難以監控儀器的檢驗品質,常常會有檢驗不準確的情事發生。故,常常需要醫護人員進行品質管控的檢測。然而,時間一久或工作上的忙碌,使得醫護人員會容易忘記要進行品質管控檢測,或是忘了是否做過品質管控的檢測,亦或者是先前的使用者有做過品質管控檢測,但不知道前次的品質管控檢測是否有通過檢測標準。因此,常會發生床邊檢驗儀器不準確的情形,嚴重者,甚至有發生因測量不準確,使病人之病情被誤判,導致病人傷亡的情形發生,有待且必要加以改善。 The prior art relates to Point-of-Care Testing (POCT), which has high mobility and is convenient for medical personnel to use clinically, but the main disadvantage is that it is difficult to monitor the inspection quality of the instrument, and often there is an inaccurate test. occur. Therefore, medical personnel are often required to conduct quality control tests. However, for a long time or busy work, the medical staff will easily forget to conduct quality control testing, or forget whether to do quality control testing, or the previous users have done quality control testing, but not Know if the previous quality control test has passed the test standard. Therefore, it is often the case that the bedside inspection instrument is inaccurate. In severe cases, even the measurement is inaccurate, the patient's condition is misjudged, and the patient's casualties occur, which needs to be improved.

本發明公開一種具有品質管控判斷的檢驗儀器及其檢測方法,透過在品質管控的流程步驟中執行自動判斷與比對的功能,螢幕會自動接續地導入至下一畫面,操作人員無需自己測試判斷是否已經完成了品質管控檢測,更無需在各種模式中選擇切換模式(如要切換為品管模式或要進入測量病患的模式),有效改善現 有技術的缺失,提升醫療檢測的品質管控的效率及品質,並且能夠運用於現有市面上的各種床邊檢驗儀器(POCT)之中。 The invention discloses an inspection instrument with quality control judgment and a detection method thereof. By performing an automatic judgment and comparison function in the process step of quality control, the screen is automatically imported to the next screen, and the operator does not need to test and judge by himself. Has the quality control test been completed, and there is no need to select the switching mode in various modes (such as switching to quality control mode or entering the mode of measuring patients), effectively improving the lack of existing technology and improving the efficiency of quality control of medical testing. And quality, and can be used in various bedside inspection instruments (POCT) available on the market.

本發明所述的一種具有品質管控判斷的檢驗儀器,應用配合於一試片罐及至少一品管液,並執行品質管控檢測的操作,所述的檢驗儀器包括:一殼體;一螢幕,設於該殼體上表面;一掃描鍵,設於該螢幕的下方;一掃描區,設於該殼體的下側面,用於掃描條碼;及一試片槽,設於該殼體的一側面上;其中,在該殼體內設置有一控制電路,該控制電路與該螢幕、該掃描鍵、該掃描區及該試片槽相耦接,用於控制該檢驗儀器的操作以及執行各種品質管控檢測的比對,且判斷品質管控檢測是否有通過;該控制電路中儲存有一護理人員ID表、一試片對應表以及一品質管控測試結果表,個別作為該執行各種品質管控檢測的比對的依據。 The invention relates to an inspection instrument with quality control judgment, which is applied to a test strip tank and at least one quality control liquid, and performs an operation of quality control detection, the inspection apparatus comprises: a casing; a screen; a scan button disposed under the screen; a scan area disposed on a lower side of the case for scanning a bar code; and a test strip slot disposed on a side of the case A control circuit is disposed in the housing, the control circuit is coupled to the screen, the scan key, the scanning area and the test strip slot for controlling the operation of the inspection apparatus and performing various quality control tests. Alignment, and judge whether the quality control test passes; the control circuit stores a caregiver ID table, a test piece correspondence table, and a quality control test result table, and individually serves as a basis for performing comparison of various quality control tests. .

其中所述的檢驗儀器包括設有一進入鍵及一返回鍵於該殼體的上表面,用於提供一操作者方便操作該檢驗儀器;該檢驗儀器設有一開關,該開關設於該殼體的一側面上,用於執行開啟或關閉該檢驗儀器。 The inspection apparatus includes an access key and a return key disposed on an upper surface of the housing for providing an operator to conveniently operate the inspection instrument; the inspection apparatus is provided with a switch, the switch is disposed on the housing On one side, it is used to perform the inspection instrument on or off.

本發明提出一種具有品質管控判斷的檢驗儀器的檢測方法,應用於如先前所述具有品質管控判斷的檢驗儀器之中,亦為配合該試片罐及該至少一品管液,所述的檢測方法包括:開機並掃描人員條碼;判斷是否為醫院的護理人員;當日是否已經做過品質管控檢測;執行品質管控檢測;判斷品質管控檢測試是否有通過;若品質管控檢測試有通過,則執行病患量測。 The invention provides a detection method for an inspection instrument with quality control judgment, which is applied to an inspection instrument with quality control judgment as described above, and also for matching the test strip tank and the at least one quality control liquid, the detection method Including: booting and scanning the staff barcode; judging whether it is the hospital's nursing staff; whether the quality control test has been done on the day; performing the quality control test; judging whether the quality control test has passed; if the quality control test passes, the disease is executed The measurement is measured.

其中所述的判斷是否為醫院的護理人員的步驟,是將所掃描人員條碼後所獲得的資料,比對於所述的具有品質管控判斷的檢驗儀器的該控制電路中所儲存的該護理人員ID表,若相符合,則判斷為醫院內的護理人員。 The step of determining whether the patient is a nursing staff in the hospital is the information obtained after the barcode of the scanned person is compared with the nursing staff ID stored in the control circuit of the inspection instrument having the quality control judgment. If the table matches, it is judged as a nursing staff in the hospital.

其中所述的當日是否已經做過品質管控檢測的步驟之後,若是已經做過,則執行判斷品質管控檢測是否有通過;若是通過, 則執行病患量測;若沒通過,則執行品質管控檢測。 After the step of quality control test has been performed on the day, if it has been done, it is judged whether the quality control test has passed; if it is passed, the patient measurement is performed; if not, the quality control test is performed. .

其中所述的判斷品質管控檢測是否有通過的步驟,是將該執行品質管控檢測所獲得的一試片資料,比對於所述的具有品質管控判斷的檢驗儀器的該控制電路中所儲存的該試片對應表,若相符合,則該試片為檢測通過。 The step of determining whether the quality control detection has passed is a test piece data obtained by performing the quality control test, which is stored in the control circuit of the inspection instrument having the quality control judgment. The test piece correspondence table, if it matches, the test piece passes the test.

其中所述的判斷品質管控檢測是否有通過的步驟,是將該執行品質管控檢測所獲得的一品管液資料,比對於所述的具有品質管控判斷的檢驗儀器的該控制電路中所儲存的該品質管控測試結果表,若相符合,則該品管液為檢測通過。 The step of determining whether the quality control detection has passed is the product liquid data obtained by performing the quality control detection, which is stored in the control circuit of the inspection instrument having the quality control judgment. The quality control test result table, if it is consistent, the quality control liquid is tested and passed.

其中所述的執行品質管控檢測步驟,包括:掃描一試片罐條碼;掃描一品管液條碼;取一試片插入該檢驗儀器;將該試片滴上該品管液;及取得一檢驗值,比對該品質管控測試結果表,並顯示是否通過檢測。 The performing quality control detection step includes: scanning a test strip barcode; scanning a product liquid barcode; taking a test strip into the inspection instrument; dropping the test piece onto the quality control liquid; and obtaining a test value , compare the quality control test results table, and show whether it passes the test.

其中所述的執行品質管控檢測步驟,包括:掃描一試片罐條碼;掃描一第一品管液條碼;取一第一試片插入該檢驗儀器;將該第一試片滴上該第一品管液;取得該第一試片的檢驗值,比對品質管控測試結果表,顯示是否通過檢測;掃描一第二品管液條碼;取一第二試片插入該檢驗儀器;將該第二試片滴上該第二品管液;及取得該第二試片的檢驗值,比對品質管控測試結果表,顯示是否通過檢測;其中,該第一品管液為品質管控檢測的一上限值,該第二品管液為品質管控檢測的一下限值。 The performing quality control detection step includes: scanning a test strip barcode; scanning a first product liquid bar code; taking a first test piece and inserting the test instrument; and dropping the first test piece onto the first test piece The quality control liquid; obtaining the inspection value of the first test piece, comparing the quality control test result table, indicating whether the test is passed; scanning a second product liquid bar code; taking a second test piece and inserting the test instrument; The second test piece is dropped onto the second product tube liquid; and the test value of the second test piece is obtained, and the quality control test result table is compared to show whether the test is passed; wherein the first product liquid is a quality control test The upper limit value, the second product liquid is the lower limit of the quality control test.

其中所述的檢驗儀器為使用於檢測血糖的一床邊檢驗儀器。 The test instrument described therein is a bedside test instrument for detecting blood sugar.

10‧‧‧檢驗儀器 10‧‧‧Testing instruments

10a‧‧‧殼體 10a‧‧‧shell

11‧‧‧螢幕 11‧‧‧ screen

12‧‧‧掃描鍵 12‧‧‧ scan key

13‧‧‧掃描區 13‧‧‧Scanning area

14‧‧‧進入鍵 14‧‧‧Enter key

15‧‧‧返回鍵 15‧‧‧ Back button

16‧‧‧開關 16‧‧‧ switch

17‧‧‧試片槽 17‧‧‧Test slot

18‧‧‧數字鍵 18‧‧‧number keys

20‧‧‧試片罐 20‧‧‧Test cans

20a‧‧‧試片罐條碼 20a‧‧‧Test strip barcode

21‧‧‧第一品管液 21‧‧‧First product tube

21a‧‧‧第一品管液條碼 21a‧‧‧The first product liquid bar code

22‧‧‧第二品管液 22‧‧‧Second product tube fluid

22a‧‧‧第二品管液條碼 22a‧‧‧Second product pipe bar code

30‧‧‧控制電路 30‧‧‧Control circuit

31‧‧‧中央運算單元 31‧‧‧Central Computing Unit

32‧‧‧週邊介面控制電路 32‧‧‧ Peripheral interface control circuit

33‧‧‧記憶體 33‧‧‧ memory

S10~S39‧‧‧步驟 S10~S39‧‧‧Steps

圖1為本發明實施例的立體示意圖;圖2為本發明實施例的另一立體視圖;圖3為本發明實施例的控制電路耦接示意方塊圖;圖4A為本發明實施例的護理人員ID表的示意圖; 圖4B為本發明實施例的試片對應表的示意圖;圖4C為本發明實施例的品質管控測試結果表的示意圖;圖5為本發明方法實施例的步驟流程圖;圖6為本發明執行品質管控檢測方法實施例的步驟流程圖;圖7為本發明執行品質管控檢測另一方法實施例的步驟流程圖;圖8A為本發明操作檢驗儀器的螢幕畫面示意圖;圖8B為本發明操作檢驗儀器的另一螢幕畫面示意圖;圖8C為本發明操作檢驗儀器的另一螢幕畫面示意圖;圖8D為本發明操作檢驗儀器的另一螢幕畫面示意圖;圖8E為本發明操作檢驗儀器的另一螢幕畫面示意圖;圖8F為本發明操作檢驗儀器的另一螢幕畫面示意圖;圖8G為本發明操作檢驗儀器的另一螢幕畫面示意圖;圖8H為本發明操作檢驗儀器的另一螢幕畫面示意圖。 1 is a perspective view of an embodiment of the present invention; FIG. 2 is another perspective view of a control circuit according to an embodiment of the present invention; FIG. 3 is a schematic block diagram of a control circuit according to an embodiment of the present invention; 4B is a schematic diagram of a test piece correspondence table according to an embodiment of the present invention; FIG. 4C is a schematic diagram of a quality control test result table according to an embodiment of the present invention; FIG. 5 is a flow chart of steps of an embodiment of the method according to the present invention; 6 is a flow chart of steps of an embodiment of a method for performing quality control detection according to the present invention; FIG. 7 is a flow chart of steps of another method for performing quality control detection according to the present invention; FIG. 8A is a schematic diagram of a screen of an operation inspection instrument according to the present invention; FIG. 8 is a schematic diagram of another screen of the operation inspection apparatus of the present invention; FIG. 8D is a schematic diagram of another screen of the operation inspection apparatus of the present invention; FIG. FIG. 8F is a schematic diagram of another screen of the operation inspection instrument of the present invention; FIG. 8G is an operation inspection instrument of the present invention; Another schematic screenshot; FIG. 8H is a schematic diagram of another screen of the operation screen testing equipment of the present invention.

本發明公開一種具有品質管控判斷的檢驗儀器及其檢測方法,通過在品質管控的過程中紀錄操作人員的ID資料及品質管控檢測的結果,均為檢測通過了之後才能夠操作於病患身上做檢測,故此檢測流程方法於各流程步驟中執行自動判斷與比對的功能,其中螢幕會自動地導入至下一畫面,操作人員無需自己測試判斷是否已經完成了品質管控檢測,更無需在各種模式中選擇切換模式(如切換為品管模式或為測量病患的模式)。 The invention discloses an inspection instrument with quality control judgment and a detection method thereof. By recording the ID data of the operator and the result of the quality control detection in the process of quality control, all the tests can be performed on the patient after the test is passed. Detection, so the detection process method performs automatic judgment and comparison function in each process step, wherein the screen is automatically imported to the next screen, and the operator does not need to test by himself to judge whether the quality control detection has been completed, and not in various modes. Select the switching mode (such as switching to quality control mode or mode for measuring patients).

參閱圖1及圖2所示,本發明的具有品質管控判斷的檢驗儀器10,為應用配合於一試片罐20及至少一品管液,例如有第一品管液21及/或第二品管液22,並且執行品質管控檢測的操作(操作步驟如圖4所示),所述的檢驗儀器10包括有一殼體10a、一螢幕11、一掃描鍵12、一掃描區13、一進入鍵14、一返回鍵15、一開關16、一試片槽17及一組數字鍵18。其中,螢幕11設於殼 體10a上表面;掃描鍵12設於螢幕11的下方;掃描區13設於殼體10a的下側面,用於掃描條碼;開關16設於殼體10a的一側面上,用於執行開啟或關閉檢驗儀器10;試片槽17設於殼體10a的一側面上。在殼體10a內設置有一控制電路30(如圖3所示),控制電路30是與螢幕11、掃描鍵12、掃描區13及試片槽17相耦接,用於控制檢驗儀器10的操作以及執行各種品質管控檢測的比對,且判斷品質管控檢測是否有通過;控制電路30中並且儲存有一護理人員ID表(如圖4A所示)、一試片對應表(如圖4B所示)以及一品質管控測試結果表(如圖4C所示),是個別作為執行各種品質管控檢測的比對的依據。 Referring to FIG. 1 and FIG. 2, the inspection instrument 10 having the quality control judgment of the present invention is applied to a test strip tank 20 and at least one quality control liquid, for example, the first product liquid 21 and/or the second product. The liquid tube 22, and performing the operation of the quality control detection (the operation step is as shown in FIG. 4), the inspection apparatus 10 includes a casing 10a, a screen 11, a scan key 12, a scanning area 13, and an enter key. 14. A return key 15, a switch 16, a test strip slot 17, and a set of numeric keys 18. The screen 11 is disposed on the upper surface of the casing 10a; the scan key 12 is disposed under the screen 11; the scanning area 13 is disposed on the lower side of the casing 10a for scanning the barcode; and the switch 16 is disposed on one side of the casing 10a. For performing the opening or closing of the inspection instrument 10; the test piece slot 17 is provided on one side of the casing 10a. A control circuit 30 (shown in FIG. 3) is disposed in the housing 10a. The control circuit 30 is coupled to the screen 11, the scan key 12, the scanning area 13, and the test strip slot 17 for controlling the operation of the inspection apparatus 10. And performing an alignment of various quality control tests, and determining whether the quality control test passes; the control circuit 30 stores and stores a caregiver ID table (as shown in FIG. 4A) and a test piece correspondence table (as shown in FIG. 4B). And a quality control test results table (as shown in Figure 4C), is the basis for the comparison of the implementation of various quality control tests.

圖1中的試片罐20、第一品管液21及第二品管液22皆個別對應有一試片罐條碼20a、第一品管液條碼21a及第二品管液條碼22a。圖1及圖2的進入鍵14、返回鍵15及數字鍵18設於殼體10a的上表面,用於提供操作者或使用的護理人員能夠藉由進入鍵14、返回鍵15及數字鍵18方便操作檢驗儀器10的運作。在實際運用實施時,設計製作者能夠僅設置有進入鍵14及返回鍵15,意即省略數字鍵18的使用,能夠進一步簡化檢驗儀器10的外觀設計,且節省使用數字鍵18的成本。 The test strip tank 20, the first product liquid 21 and the second product liquid 22 in Fig. 1 each have a test strip barcode 20a, a first product liquid barcode 21a and a second product liquid barcode 22a. The access key 14, the return key 15, and the numeric keys 18 of FIGS. 1 and 2 are provided on the upper surface of the housing 10a for providing an operator or a caregiver capable of using the enter key 14, the return key 15, and the numeric keys 18 It is convenient to operate the operation of the inspection instrument 10. When the actual application is implemented, the design creator can provide only the enter key 14 and the return key 15, which means that the use of the numeric key 18 is omitted, and the design of the inspection apparatus 10 can be further simplified, and the cost of using the numeric keys 18 can be saved.

圖3說明控制電路30的組成與週邊元件耦接之示意圖。控制電路30中包括有一中央運算單元31、一週邊介面控制電路32及一記憶體33。中央運算單元31用於執行檢驗儀器10在操作檢測時所需要的各種控制動作,例如判斷操作者是否為醫院的護理人員等,如圖5~7所述的步驟流程的控制,即為由中央運算單元31執行控制。週邊介面控制電路32耦接於中央運算單元31並且與螢幕11、掃描鍵12、掃描區13、試片槽17、進入鍵14、返回鍵15、數字鍵18以及開關16相耦接,意即控制電路30的中央運算單元31透過週邊介面控制電路32與螢幕11、掃描鍵12、掃描區13、試片槽17、進入鍵14、返回鍵15、數字鍵18以及開關16 相連接用於執行檢驗儀器10的相關控制。記憶體33耦接於中央運算單元31,用於儲存圖4A中所述的護理人員ID表、圖4B的試片對應表以及圖4C的品質管控測試結果表,作為測試值比對判斷的依據。 Figure 3 illustrates a schematic diagram of the composition of control circuit 30 coupled to peripheral components. The control circuit 30 includes a central operation unit 31, a peripheral interface control circuit 32, and a memory 33. The central operation unit 31 is configured to perform various control actions required by the inspection apparatus 10 during operation detection, such as determining whether the operator is a hospital caregiver or the like, and the control of the step flow as described in FIGS. 5-7 is performed by the central The arithmetic unit 31 performs control. The peripheral interface control circuit 32 is coupled to the central operation unit 31 and coupled to the screen 11, the scan key 12, the scan area 13, the test strip slot 17, the enter key 14, the return key 15, the numeric key 18, and the switch 16, that is, The central operation unit 31 of the control circuit 30 is connected to the screen 11, the scan key 12, the scanning area 13, the test strip slot 17, the enter key 14, the return key 15, the numeric keys 18, and the switch 16 through the peripheral interface control circuit 32 for execution. The relevant control of the instrument 10 is verified. The memory 33 is coupled to the central computing unit 31 for storing the caregiver ID table described in FIG. 4A, the test strip correspondence table of FIG. 4B, and the quality control test result table of FIG. 4C as the basis for the comparison of the test values. .

圖4A中所述的護理人員ID表包括有員工編號以及姓名等欄位,然而在此僅為簡要說明護理人員ID表中能舉例有兩個欄位,但實際運用時並不限於所述的兩個欄位,例如可以增加第三個欄位,第三個欄位能夠用於標示護理人員所隸屬的部門或是科別,以作為護理人員屬性的進一步確認。圖4B中所述的試片對應表包括有試片條碼、醫療單位、QC值範圍以及品質等三個欄位,用於顯示出操作員所要取用的試片的來源識別,用於提供判斷檢測所要採用的試片來源是否為合格醫療單位所認證過的試片。當然在實際運用時,能夠增加第五個欄位用於標示保存期限等資料。圖4C中所述的品質管控測試結果表包括有日期、QC測試值、QC值範圍以及通過與否等四個欄位。其中所述的“QC”即為品質管控(Quality Control)的名稱及其意義。QC測試值,為表示所受測的品質管控測試值;QC值範圍則為事先預存好的QC檢測的標準值,為提供比對於所述的QC測試值,能夠判斷所執行的品質管控測試是否有通過。 The caregiver ID table described in FIG. 4A includes fields such as employee number and name, but here is only a brief description. The nurse ID table can be exemplified by two fields, but the actual use is not limited to the above. For the two fields, for example, a third field can be added, and the third field can be used to indicate the department or department to which the caregiver belongs, as a further confirmation of the attributes of the caregiver. The test piece correspondence table described in FIG. 4B includes three fields, such as a test strip barcode, a medical unit, a QC value range, and a quality, for displaying the source identification of the test piece to be taken by the operator, for providing a judgment. Check whether the source of the test piece to be used is a test piece certified by a qualified medical unit. Of course, in actual use, the fifth field can be added to indicate the retention period and other information. The quality control test result table described in FIG. 4C includes four fields including date, QC test value, QC value range, and pass or fail. The “QC” mentioned therein is the name of Quality Control and its meaning. The QC test value is the quality control test value to be tested; the QC value range is the standard value of the QC test stored in advance, and it is possible to judge whether the executed quality control test is performed for the QC test value. Have passed.

圖5是有關本發明所述的具有品質管控判斷的檢驗儀器的檢測方法,乃是運用於前述的檢驗儀器10的裝置中,所以也是配合使用有前述的試片罐20及至少一品管液,例如有第一品管液21及/或第二品管液22。參閱圖5所述的檢測方法包括:步驟S10:開機;接者執行步驟S11:掃描人員條碼;再進行步驟S12:判斷是否為醫院的護理人員;若否,則回到步驟S11;若是則進行步驟S13:當日是否已經做過品質管控檢測;若否,則進入步驟S14:執行品質管控檢測;若是已經做過品質管控檢測則進入步驟S17:品質管控檢測試是否有通過;若是通過,則進行步驟S16:執行病 患量測;若否,則回到步驟S14:執行品質管控檢測;另一方面,於進行步驟S14之後,是進行步驟S15:品質管控檢測是否有通過;若是通過則進行步驟S16;若否,則回到步驟S14。如此完成具有品質管控判斷的檢驗儀器的檢測方法。 Fig. 5 is a view showing a method for detecting an inspection instrument having quality control judgment according to the present invention, which is applied to the apparatus of the above-described inspection apparatus 10, so that the aforementioned test strip tank 20 and at least one quality control liquid are used in combination. For example, there is a first product liquid 21 and/or a second product liquid 22 . The detecting method described in FIG. 5 includes: step S10: booting; receiving step S11: scanning the staff barcode; and performing step S12: determining whether it is a hospital care worker; if not, returning to step S11; if yes, proceeding to step S11; Step S13: Whether the quality control test has been performed on the current day; if not, proceed to step S14: perform quality control detection; if it has already performed quality control detection, proceed to step S17: whether the quality control test has passed; if it passes, proceed Step S16: performing patient measurement; if not, returning to step S14: performing quality control detection; on the other hand, after performing step S14, performing step S15: whether quality control detection is passed; if yes, performing steps S16; if no, return to step S14. This completes the detection method of the inspection instrument with quality control judgment.

關於步驟S12所述的判斷是否為醫院的護理人員的步驟,是將所掃描人員條碼後所獲得的資料,比對於所述的具有品質管控判斷的檢驗儀器10的控制電路30中所儲存的護理人員ID表,若相符合,則判斷為醫院內的護理人員。圖5的步驟S14所述的判斷品質管控檢測是否有通過的步驟,是能夠分為兩個部分檢測,其中之一是將執行品質管控檢測所獲得的一試片(由試片罐20中所取出)的資料,比對於所述的具有品質管控判斷的檢驗儀器10的控制電路30中所儲存的試片對應表做比較,若相符合,則試片為檢測通過。另一個是將執行品質管控檢測所獲得的一品管液資料(由第一品管液21或第二品管液22中所取出),比對於所述的具有品質管控判斷的檢驗儀器10的控制電路30中所儲存的品質管控測試結果表做比較,若相符合,則品管液為檢測通過。 The step of determining whether the patient is a caregiver in the step S12 is the data obtained after the barcode of the scanned person is compared with the care stored in the control circuit 30 of the inspection instrument 10 having the quality control judgment. The personnel ID table, if it matches, is judged to be a nursing staff in the hospital. The step of determining whether the quality control detection has passed in step S14 of FIG. 5 can be divided into two partial detections, one of which is a test piece obtained by performing quality control detection (by the test canister 20) The data taken out is compared with the test piece correspondence table stored in the control circuit 30 of the inspection apparatus 10 having the quality control judgment, and if it matches, the test piece passes the test. The other is to perform the quality control test to obtain the product liquid data (taken from the first product liquid 21 or the second product liquid 22), and control the inspection instrument 10 having the quality control judgment. The quality control test result table stored in the circuit 30 is compared, and if it matches, the quality control liquid passes the test.

本發明所延伸之另一實施例,為針對在上述步驟15所述的品質管控檢測是否有通過的過程中,更包括有當操作者(即醫院的護理人員)發現有異常狀態或不符合所預先儲存的標準時,將檢測儀器10所測得的異常數值上傳至遠方的一接收端,該接收端即會自動判斷此數值為異常。之後,該接受端會發出一訊息給該操作者的上層管理者-例如是發送給操作者的主管,使得此實施例具有監控管理之作用;同時操作者繼續進行相關檢驗確認之動作。當品質管控檢測完成並且為通過檢測,則於新的數值傳送至該接收端之後,會經由該上層管理者(操作者的主管)進行同意該操作者處置的動作,藉以達到監控管理之作用與目的。 Another embodiment extended by the present invention, in the process of detecting whether the quality control detection described in the above step 15 is passed, further includes when the operator (ie, the hospital caregiver) finds an abnormal state or does not conform to the When the pre-stored standard is used, the abnormal value measured by the detecting device 10 is uploaded to a remote receiving end, and the receiving end automatically determines that the value is abnormal. Thereafter, the receiving end sends a message to the upper manager of the operator - for example, to the supervisor of the operator, so that this embodiment has the function of monitoring management; at the same time, the operator continues the action of checking the relevant checking. When the quality control test is completed and passed the detection, after the new value is transmitted to the receiving end, the action of the operator is agreed to be performed by the upper manager (the operator's supervisor), thereby achieving the function of monitoring management. purpose.

針對上述步驟S14的執行品質管控檢測的進一步說明請參閱圖6,包括步驟有S20:執行品質管控檢測;之後進行步驟S21: 掃描試片罐條碼;此處所述的掃描試片罐條碼20a,在實際操作上,操作人員先按下掃描鍵12,使掃描區13發出紅光,再將試片罐條碼20a置放於該紅光中,檢驗儀器10即讀取試片罐條碼20a並顯示於螢幕11中,如此完成步驟S21的掃描試片罐條碼。之後執行步驟S22:掃描第一品管液條碼;同樣地此步驟在實際操作上,操作人員先按下掃描鍵12,使掃描區13發出紅光,再將第一品管液條碼21a置放於該紅光中,檢驗儀器10即讀取第一品管液條碼20a並顯示於螢幕11中,如此完成步驟S22的掃描第一品管液條碼。接者進行步驟S23:取一試片插入檢驗儀器;再進行步驟S24:將該試片滴上第一品管液;之後步驟S25:取得一檢驗值,且比對該品質管控測試結果表,並顯示是否通過檢測。如此完成所述的執行品質管控檢測的方法步驟。其中,步驟S21的掃描試片罐條碼,是包括有將掃描的結果比對於檢驗儀器10的記憶體33中所儲存的試片對應表,若不相符合,則顯示未通過檢測。 For further explanation of the execution quality control detection of the above step S14, please refer to FIG. 6, including step S20: performing quality control detection; then performing step S21: scanning the test strip barcode; the scanned test strip barcode 20a, In actual operation, the operator first presses the scan key 12 to make the scanning area 13 emit red light, and then places the test strip barcode 20a in the red light, and the inspection instrument 10 reads the test strip barcode 20a and displays it. In the screen 11, the scanned test strip barcode of step S21 is thus completed. Then, step S22 is performed: scanning the first product liquid bar code; similarly, in this operation, the operator first presses the scan key 12 to make the scanning area 13 emit red light, and then places the first product liquid bar code 21a. In the red light, the inspection instrument 10 reads the first product liquid bar code 20a and displays it in the screen 11, thus completing the scanning of the first quality control liquid bar code in step S22. Step S23: taking a test piece to insert the test instrument; and then performing step S24: dropping the test piece onto the first quality control liquid; then step S25: obtaining a test value, and comparing the quality control test result table, And show whether it passed the test. The method steps of performing the quality control detection are thus completed. The scanning test strip barcode of step S21 includes a comparison table of the result of scanning compared with the test piece stored in the memory 33 of the testing apparatus 10, and if it does not match, the failing detection is displayed.

圖7是揭露有關步驟S14的執行品質管控檢測的另一實施例,與圖6實施例的差異在於圖7中所使用的品管液包括有第一品管液21以及第二品管液22。在實際運用上,第一品管液21的測試值可以作為品管檢測的一個上限值,而第二品管液22則作為品管檢測的一個下限值,如此能夠形成為測試值的一個範圍,用於檢驗儀器10所使用。圖7所述的步驟包括S30:執行品質管控檢測;再進行步驟S31:掃描試片罐條碼;之後步驟S32:掃描第一品管液條碼;接者步驟S33:取一第一試片插入檢驗儀器中;再進行步驟S34:將第一試片滴上第一品管液;進入步驟S35:取得第一試片的檢驗值,比對品質管控測試結果表,顯示是否通過;再進行步驟S36:掃描第二品管液條碼;接者步驟S37:取一第二試片插入檢驗儀器中;再進行步驟S38:將第二試片滴上第二品管液;進入步驟S39:取得第二試片的檢驗值,比對品質管控測試結果表,顯示是否通過。如此完成所述的執行品質管控檢測的方法 步驟的另一實施例。其中,步驟S31的掃描試片罐條碼,是包括有將掃描的結果比對於檢驗儀器10的記憶體33中所儲存的試片對應表,若不相符合,則顯示未通過檢測。 FIG. 7 is another embodiment of the execution quality control detection related to step S14. The difference from the embodiment of FIG. 6 is that the quality control liquid used in FIG. 7 includes the first quality liquid 21 and the second quality liquid 22 . In practical application, the test value of the first product liquid 21 can be used as an upper limit value of the quality inspection, and the second product liquid 22 is used as a lower limit of the quality inspection, so that it can be formed as a test value. A range for testing the instrument 10 used. The step of FIG. 7 includes S30: performing quality control detection; and then performing step S31: scanning the test strip barcode; then step S32: scanning the first quality liquid barcode; then step S33: taking a first test insert insertion test In the instrument, step S34 is performed: the first test piece is dropped onto the first product liquid; the process proceeds to step S35: the test value of the first test piece is obtained, and the quality control test result table is compared to show whether the process is passed; and then step S36 is performed. : scanning the second product liquid bar code; receiving step S37: taking a second test piece into the inspection instrument; and performing step S38: dropping the second test piece onto the second product liquid; proceeding to step S39: obtaining the second The test value of the test piece is compared with the quality control test result table to show whether it passes. Another embodiment of the method steps of performing quality control detection is thus completed. The scanning test strip barcode of step S31 includes a comparison table of the result of scanning compared with the test piece stored in the memory 33 of the testing apparatus 10, and if it does not match, the failing detection is displayed.

圖8A~圖8H所示的內容,為配合前述圖5、圖6及圖7所述的步驟螢幕11所呈現的畫面。圖8A是執行步驟S10開機後螢幕的顯示畫面,為提示要進行掃描操作人員的ID,故,操作者按壓掃描鍵12,將掃描區13對準操作者的員工識別證的條碼掃描,檢驗儀器10的控制電路30會自動的進行比對護理人員ID表,若判斷是為表中的護理人員,則螢幕11上會對應顯示該護理人員的員工編號及姓名。 The contents shown in FIGS. 8A to 8H are the screens presented by the step screen 11 described in the above-described FIGS. 5, 6, and 7. FIG. 8A is a display screen of the screen after the step S10 is turned on. In order to prompt the ID of the scanning operator, the operator presses the scan key 12 to align the scanning area 13 with the barcode of the operator's employee identification card, and the inspection instrument. The control circuit 30 of 10 automatically compares the caregiver ID table. If it is determined that the caregiver is in the table, the employee number and name of the caregiver are displayed on the screen 11.

圖8B是對應於步驟S13的執行判斷當日是否已經做過品質管控檢測?若是當日還沒有做過,則螢幕11會顯示如圖8B的畫面,並接者進入下一個畫面如圖8C所示。圖8C是對應於步驟S14、S20或S30所述的執行品質管控檢測的畫面,意即螢幕11顯示出1-試片批號:2-品管液批號:等字樣,此時,操作者需按壓掃描鍵12,將掃描區13對準試片罐條碼20a執行掃描,對應於步驟S21,檢驗儀器10的控制電路30會自動的進行比對試片對應表,若判斷是屬於表中的合格的試片罐,表示這些試片來源沒有問題,則檢測通過,則螢幕11上會對應顯示該試片罐所對應的一個批號,及如圖8D所示。同時圖8D也作為提示使用者進行品管液的品管測試,為對應於步驟S22,接者操作者需按壓掃描鍵12,將掃描區13對準第一品管液條碼21a執行掃描,檢驗儀器10的控制電路30會自動的進行比對品質管控測試結果表,若判斷是屬於表中的合格的QC測試值或QC值範圍,表示這些品管液沒有問題,則檢測通過,則螢幕11上會對應顯示第一品管液條碼21a所對應的一個批號,及如圖8E所示。 FIG. 8B is a comparison of the execution of step S13 to determine whether the quality control test has been performed on the current day? If it has not been done on the same day, the screen 11 will display the screen as shown in Fig. 8B, and the receiver will enter the next screen as shown in Fig. 8C. FIG. 8C is a screen corresponding to the execution quality control detection described in step S14, S20 or S30, that is, the screen 11 displays the 1-test piece number: 2, the product batch number: and the like, at this time, the operator needs to press The scan key 12 scans the scan area 13 to the test strip barcode 20a to perform scanning. Corresponding to step S21, the control circuit 30 of the inspection apparatus 10 automatically performs the comparison test piece correspondence table, and if it is judged to be qualified in the table. The test strips indicate that there is no problem with the source of the test strips, and if the test passes, the batch number corresponding to the test strip can be correspondingly displayed on the screen 11, and as shown in FIG. 8D. At the same time, FIG. 8D also serves as a quality test for the user to perform the quality control liquid. In response to step S22, the operator needs to press the scan key 12 to align the scan area 13 with the first product liquid bar code 21a to perform scanning. The control circuit 30 of the instrument 10 automatically performs the comparison quality control test result table. If it is judged that it belongs to the qualified QC test value or the QC value range in the table, indicating that there is no problem with the quality control liquid, the test passes, and the screen 11 is displayed. A batch number corresponding to the first product liquid bar code 21a is displayed correspondingly, as shown in FIG. 8E.

另一方面,圖8E所示除了顯示第一品管液的批號之外,也提示操作者插入試片,此時對應於步驟S23的取一試片插入檢驗儀 器中,以及步驟S24的將該試片滴上第一品管液,之後會出現如圖8F的畫面,其中所標示的mg/dL之前的空格會對應顯示出數值,能作為判斷是否檢測通過的依據。此外,圖8G所示為對應於圖8E,但為用於表達對應步驟S36的掃描第二品管液條碼22a後所顯示的第二品管液22的一對應批號;而同樣地圖8G也同時是提示操作者插入第二試片,此時對應於步驟S37的取一第二試片插入檢驗儀器中,以及步驟S38的將第二試片滴上第二品管液,之後會出現如圖8H的畫面,其中所標示的mg/dL之前的空格會對應顯示出數值,能作為判斷是否檢測通過的依據。 On the other hand, in addition to displaying the lot number of the first quality control liquid, the operator is also prompted to insert the test piece, and the test piece corresponding to the step S23 is inserted into the test instrument, and the step S24 is The test piece is dripped on the first product tube liquid, and then the screen shown in Fig. 8F will appear. The space before the indicated mg/dL will display the corresponding value, which can be used as a basis for judging whether or not the test is passed. In addition, FIG. 8G is a corresponding batch number corresponding to FIG. 8E, but is used to express the second product liquid 22 displayed after scanning the second product liquid bar code 22a corresponding to step S36; The operator is prompted to insert the second test piece, and the second test piece corresponding to the step S37 is inserted into the test instrument, and the second test piece is dropped with the second test tube liquid of step S38, and then the figure appears as shown in the figure. In the 8H screen, the space before the mg/dL indicated in the screen will display the corresponding value, which can be used as a basis for judging whether or not the detection is passed.

上述中的具有品質管控判斷的檢驗儀器10或是具有品質管控判斷的檢測方法皆能夠運用於檢測血糖的一床邊檢驗儀器(POCT)之中,故,本發明當能夠應用於現有市面上的一般用或醫療用的血糖儀器之中,且適用於各種廠商廠牌的測血糖儀器之中。再者,針對用於測試醫療體液、滴液體的檢測儀器或裝置,皆能運用或使用本發明所提出的具有品質管控判斷的檢驗儀器10或是具有品質管控判斷的檢測方法於檢測儀器之中,藉以提升醫療檢測的準確度並提升醫療品質。 The above-mentioned inspection instrument 10 having the quality control judgment or the detection method having the quality control judgment can be applied to a bedside inspection instrument (POCT) for detecting blood sugar, and therefore, the present invention can be applied to the existing market. It is used in blood glucose instruments for general use or medical use, and is suitable for blood glucose measuring instruments of various manufacturers. Furthermore, for the testing instrument or device for testing medical body fluids and dripping liquids, the testing instrument 10 with quality control judgment proposed by the present invention or the detecting method with quality control judgment can be used in the detecting instrument. In order to improve the accuracy of medical testing and improve medical quality.

綜上所述,本發明提出一種具有品質管控判斷的檢驗儀器及其檢測方法,通過在檢驗儀器10中設有控制電路30,控制電路30中儲存有護理人員ID表、試片對應表及品質管控測試結果表,並且搭配判斷是否為醫院的護理人員以及執行品質管控檢測的檢測步驟作用,能夠有效達成自動判斷是否已經有執行過品質管控的測試,以及判斷所執行的品質管控的檢測是否有通過。能夠減少操作人員必須人工的執行品質管控的設定步驟與調整,本發明不僅能提升床邊檢驗儀器的自動判斷品質管控能力,並能有效地提升醫療品質管控的效率及品質。顯見本發明案具備申請專利之要件。然,本發明說明內容所述,僅為較佳實施例之舉例說明,當不能以之限定本發明所保護之範圍,任何局部變動、修正或增 加之技術,仍不脫離本發明所保護之範圍中。 In summary, the present invention provides an inspection instrument with quality control judgment and a detection method thereof. By providing a control circuit 30 in the inspection instrument 10, the control circuit 30 stores a caregiver ID table, a test piece correspondence table, and a quality. Control the test result table, and use it to determine whether it is the nursing staff of the hospital and the detection step of performing the quality control test. It can effectively achieve the test of whether or not the quality control has been performed, and whether the quality control test performed is judged. by. The invention can reduce the setting steps and adjustments of the operator's manual execution quality control, and the invention can not only improve the automatic quality control ability of the bedside inspection instrument, but also effectively improve the efficiency and quality of the medical quality control. It is obvious that the present invention has the requirements for patent application. However, the description of the present invention is merely illustrative of the preferred embodiments, and the scope of the present invention is not limited thereto, and any local variation, modification, or addition is not deviated from the scope of the present invention. in.

Claims (10)

一種具有品質管控判斷的檢驗儀器,應用配合於一試片罐及至少一品管液,並執行品質管控檢測的操作,所述的檢驗儀器包括:一殼體;一螢幕,設於該殼體上表面;一掃描鍵,設於該螢幕的下方;一掃描區,設於該殼體的下側面,用於掃描條碼;及一試片槽,設於該殼體的一側面上;其中,在該殼體內設置有一控制電路,該控制電路與該螢幕、該掃描鍵、該掃描區及該試片槽相耦接,用於控制該檢驗儀器的操作以及執行各種品質管控檢測的比對,且判斷品質管控檢測是否有通過;該控制電路中儲存有一護理人員ID表、一試片對應表以及一品質管控測試結果表,個別作為該執行各種品質管控檢測的比對的依據。  An inspection instrument having a quality control judgment, which is applied to a test strip tank and at least one quality control liquid, and performs an operation of quality control detection, the inspection apparatus comprising: a casing; a screen disposed on the casing a scanning button disposed under the screen; a scanning area disposed on a lower side of the housing for scanning a barcode; and a test strip slot disposed on one side of the housing; wherein, A control circuit is disposed in the housing, the control circuit is coupled to the screen, the scan key, the scanning area and the test strip slot for controlling the operation of the inspection apparatus and performing comparison of various quality control tests, and The quality control test is judged to be passed; the control circuit stores a caregiver ID table, a test piece correspondence table, and a quality control test result table, and individually serves as a basis for performing the comparison of the various quality control tests.   如請求項第1項所述之具有品質管控判斷的檢驗儀器,其中所述的檢驗儀器包括設有一進入鍵及一返回鍵於該殼體的上表面,用於提供一操作者方便操作該檢驗儀器;該檢驗儀器設有一開關,該開關設於該殼體的一側面上,用於執行開啟或關閉該檢驗儀器。  The inspection instrument of claim 1, wherein the inspection apparatus comprises an access key and a return key on an upper surface of the housing for providing an operator to conveniently operate the inspection. The instrument is provided with a switch disposed on one side of the housing for performing the opening or closing of the inspection instrument.   一種具有品質管控判斷的檢驗儀器的檢測方法,應用於如請求項1所述具有品質管控判斷的檢驗儀器之中,亦為配合該試片罐及該至少一品管液,所述的檢測方法包括:開機並掃描人員條碼;判斷是否為醫院的護理人員;當日是否已經做過品質管控檢測;執行品質管控檢測;判斷品質管控檢測試是否有通過;及 若品質管控檢測試有通過,則執行病患量測。  A detection method for an inspection instrument having a quality control judgment, which is applied to an inspection instrument having quality control judgment as claimed in claim 1, and also for matching the test strip tank and the at least one quality control liquid, wherein the detection method includes : Turn on and scan the staff bar code; determine whether it is the hospital's nursing staff; whether it has done quality control testing on the day; perform quality control test; judge whether the quality control test has passed; and if the quality control test passes, execute the disease The measurement is measured.   如請求項第3項所述之具有品質管控判斷的檢驗儀器的檢測方法,其中所述的判斷是否為醫院的護理人員的步驟,是將所掃描人員條碼後所獲得的資料,比對於所述的具有品質管控判斷的檢驗儀器的該控制電路中所儲存的該護理人員ID表,若相符合,則判斷為醫院內的護理人員。  The method for detecting an inspection instrument having quality control judgment according to item 3 of claim 3, wherein the step of determining whether the hospital is a nursing staff is the information obtained after the barcode of the scanned person is compared with The caregiver ID table stored in the control circuit of the inspection instrument having the quality control judgment is judged to be a nursing staff in the hospital if they match.   如請求項第3項所述之具有品質管控判斷的檢驗儀器的檢測方法,其中所述的當日是否已經做過品質管控檢測的步驟之後,若是已經做過,則執行判斷品質管控檢測是否有通過;若是通過,則執行病患量測;若沒通過,則執行品質管控檢測。  The method for detecting an inspection instrument having quality control judgment according to item 3 of the claim, wherein, after the step of quality control detection has been performed on the day, if it has been done, the quality control test is performed to determine whether the quality control test has passed. If it is passed, the patient's measurement is performed; if it is not passed, the quality control test is performed.   如請求項第3項所述之具有品質管控判斷的檢驗儀器的檢測方法,其中所述的判斷品質管控檢測是否有通過的步驟,是將該執行品質管控檢測所獲得的一試片資料,比對於所述的具有品質管控判斷的檢驗儀器的該控制電路中所儲存的該試片對應表,若相符合,則該試片為檢測通過。  The method for detecting an inspection instrument having a quality control judgment according to Item 3 of the claim, wherein the step of determining whether the quality control detection has passed is a test piece data obtained by performing the quality control detection. The test piece correspondence table stored in the control circuit of the inspection instrument having the quality control judgment, if it matches, the test piece passes the test.   如請求項第3項所述之具有品質管控判斷的檢驗儀器的檢測方法,其中所述的判斷品質管控檢測是否有通過的步驟,是將該執行品質管控檢測所獲得的一品管液資料,比對於所述的具有品質管控判斷的檢驗儀器的該控制電路中所儲存的該品質管控測試結果表,若相符合,則該品管液為檢測通過。  The method for detecting a test instrument having a quality control judgment according to item 3 of the claim, wherein the step of determining whether the quality control test has passed is a product liquid material obtained by performing the quality control test, If the quality control test result table stored in the control circuit of the inspection instrument having the quality control judgment is consistent, the quality control liquid passes the test.   如請求項第3項所述之具有品質管控判斷的檢驗儀器的檢測方法,其中所述的執行品質管控檢測步驟,包括:掃描一試片罐條碼;掃描一品管液條碼;取一試片插入該檢驗儀器;將該試片滴上該品管液;及取得一檢驗值,比對該品質管控測試結果表,並顯示是否通過檢測。  The method for detecting an inspection instrument having quality control judgment according to Item 3 of the claim, wherein the performing quality control detection step comprises: scanning a test strip barcode; scanning a product liquid barcode; taking a test strip insertion The test instrument; the test piece is dropped onto the quality control liquid; and a test value is obtained, compared with the quality control test result table, and whether the test is passed.   如請求項第8項所述之具有品質管控判斷的檢驗儀器的檢測方法,其中所述的執行品質管控檢測步驟,包括:掃描一試片罐條碼;掃描一第一品管液條碼;取一第一試片插入該檢驗儀器;將該第一試片滴上該第一品管液;取得該第一試片的檢驗值,比對品質管控測試結果表,顯示是否通過檢測;掃描一第二品管液條碼;取一第二試片插入該檢驗儀器;將該第二試片滴上該第二品管液;及取得該第二試片的檢驗值,比對品質管控測試結果表,顯示是否通過檢測;其中,該第一品管液為品質管控檢測的一上限值,該第二品管液為品質管控檢測的一下限值。  The method for detecting an inspection instrument having quality control judgment according to Item 8 of the claim, wherein the performing the quality control detection step comprises: scanning a test strip barcode; scanning a first product liquid barcode; Inserting the first test piece into the test instrument; dropping the first test piece onto the first product liquid; obtaining the test value of the first test piece, comparing the quality control test result table, indicating whether the test is passed; a second product liquid bar code; a second test piece is inserted into the test instrument; the second test piece is dropped onto the second product liquid; and the test value of the second test piece is obtained, and the quality control test result table is compared Whether the passing test is performed; wherein the first product liquid is an upper limit value of the quality control test, and the second product liquid is a lower limit of the quality control test.   如請求項第8或9項所述之具有品質管控判斷的檢驗儀器的檢測方法,其中所述的檢驗儀器為使用於檢測血糖的一床邊檢驗儀器。  The method for detecting an inspection instrument having quality control judgment according to claim 8 or 9, wherein the inspection instrument is a bedside inspection instrument for detecting blood sugar.  
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