WO2005094723A1 - Implant management device and information presentation device - Google Patents

Implant management device and information presentation device Download PDF

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Publication number
WO2005094723A1
WO2005094723A1 PCT/JP2005/006363 JP2005006363W WO2005094723A1 WO 2005094723 A1 WO2005094723 A1 WO 2005094723A1 JP 2005006363 W JP2005006363 W JP 2005006363W WO 2005094723 A1 WO2005094723 A1 WO 2005094723A1
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WO
WIPO (PCT)
Prior art keywords
implant
memory
information
management device
product information
Prior art date
Application number
PCT/JP2005/006363
Other languages
French (fr)
Japanese (ja)
Inventor
Shinichi Sugiura
Original Assignee
Shinichi Sugiura
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Shinichi Sugiura filed Critical Shinichi Sugiura
Publication of WO2005094723A1 publication Critical patent/WO2005094723A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0001Means for transferring electromagnetic energy to implants
    • A61F2250/0002Means for transferring electromagnetic energy to implants for data transfer

Definitions

  • Implant management device and information presentation device are Implant management device and information presentation device
  • the present invention relates to an implant management device, which includes a force such as a non-contact IC chip and an RFID (wireless IC tag), and is used for managing product information of an implant to be implanted in a body, and a medical device including an implant.
  • the present invention relates to an information presenting device having a function of presenting effect disclosure information indicating an effect on the information.
  • the implant embedded in the body is The effect on the device may not be as strong as the medical device may not be able to be diagnosed.
  • MRI nuclear magnetic resonance
  • CT computer tomography
  • the non-contact type IC chip has a memory for storing patient's personal data and a memory for storing the data. It is equipped with a communication device for transmitting the stored personal data, and a non-contact type IC chip is formed in the shape of a finger or a finger.
  • Patent Document 1 Japanese Patent Application Laid-Open No. 2000-311194 (paragraph numbers [0010] to [0025], FIG. 3)
  • Patent Document 1 Japanese Patent Application Laid-Open No. 2000-311194 (paragraph numbers [0010] to [0025], FIG. 3)
  • the surface of the non-contact type IC chip has not been devised to withstand sterilization or taken into consideration of safety to the living body (for example, measures against allergic reactions caused by the non-contact type IC chip being embedded in the body). Therefore, it cannot be attached to implants implanted in the patient's body, and cannot be used to manage implant product information.
  • the present invention has been made to solve the above problems, and has as its object to obtain an implant management device that can be used for managing product information of an implant. Another object of the present invention is to provide an information presenting device capable of presenting the effect of an implant on a medical device.
  • An implant management device includes a memory for storing product information of an implant, and a communicator for transmitting radio waves indicating the product information stored in the memory, and is attached to the implant.
  • the exterior material is coated with a biocompatible material.
  • a plurality of implant management members are simultaneously stored or affixed together with a seal member for sealing the entire memory or communication device.
  • the implant management member can be used by being attached to the surface of a body that can be used by being implanted in the body such as subcutaneously. In this case, it can be used to prevent patients from getting mixed up during examinations and operations, and can also be used for examinations that are affected by body movements and, conversely, examinations or monitoring for body movements. For example, it can be used to monitor a bathing patient falling down in the bathroom or to grasp the behavior of a solitary elderly person.
  • the information presentation device receives the transmitted information of the implant management device, collates the information with the product information of the implant, and transmits or displays information on the effect of the implant on the medical device. It is like that.
  • FIG. 1 is a configuration diagram showing an implant management device according to a first embodiment of the present invention.
  • FIG. 2 is a perspective view showing an implant management device according to Embodiment 1 of the present invention.
  • FIG. 3 is a configuration diagram showing an information presentation device applied to the implant management device according to the first embodiment of the present invention.
  • FIG. 4 is a flowchart showing the processing contents of the implant management device according to the first embodiment of the present invention.
  • FIG. 5 is an explanatory view showing an example of mounting an implant management device.
  • FIG. 6 is a perspective view showing an implant management device according to a third embodiment of the present invention.
  • FIG. 7 is an explanatory view showing a coating procedure.
  • FIG. 8 is an explanatory view showing an implant management device after coating.
  • FIG. 9 is a configuration diagram showing an information presentation device according to Embodiment 9 of the present invention.
  • FIG. 1 is a configuration diagram showing an implant management device according to Embodiment 1 of the present invention
  • FIG. 2 is a perspective view showing an implant management device according to Embodiment 1 of the present invention.
  • the implant management device is also configured with a force such as a non-contact IC chip or RFID (wireless IC tag), and is used for managing product information of implants implanted in the body.
  • a force such as a non-contact IC chip or RFID (wireless IC tag)
  • the memory 1 is an implant to be implanted in the patient's body (an implant is a substance to be implanted in the body as a joint, spine, skull, jaw, artificial dental root, artificial heart valve, artificial blood vessel, etc., Stores product information (for example, UCC / EAN128) of plates, bolts, nuts made of synthetic resin, and materials composed of a combination of these.
  • product information for example, UCC / EAN128, of plates, bolts, nuts made of synthetic resin, and materials composed of a combination of these.
  • ROM Read Only Memory
  • RAM Random Access Memory
  • the antenna 2 When the antenna 2 receives the modulation signal (radio wave) from the information presenting device, which is an external device, the antenna 2 outputs the modulation signal to the power supply circuit 3 and the demodulation circuit 4, and receives the modulation signal from the modulation circuit 6, The modulated signal is transmitted to an external information presentation device.
  • the modulation signal radio wave
  • the power supply circuit 3 incorporates, for example, a coil, and upon receiving a modulation signal from the antenna 2, converts the modulation signal into driving power and supplies the driving power to the demodulation circuit 4, the control circuit 5, and the modulation circuit 6. I do.
  • the demodulation circuit 4 shifts to a drivable state when supplied with driving power from the power supply circuit 3, demodulates the modulated signal received by the antenna 2, and outputs the demodulated signal to the control circuit 5. .
  • the control circuit 5 shifts to a drivable state when the drive power is supplied from the power supply circuit 3, and reads the demodulated signal output from the demodulation circuit 4 into the implant product information stored in the memory 1, for example. If it is a read request signal requesting, the product information of the implant stored in the memory 1 is output to the modulation circuit 6. If the demodulated signal output from the demodulation circuit 4 is, for example, a write request signal requesting writing of medical information of a patient, a write permission signal (for example, an Ack signal) for medical information is output to the modulation circuit 6. Then, when receiving the patient's medical information from the demodulation circuit 4, the medical information is stored in the memory 1.
  • the modulation circuit 6 shifts to a drivable state when supplied with driving power from the power supply circuit 3, and modulates the information when receiving implant product information or a write enable signal from the control circuit 5. Then, the modulated signal is transmitted to an external information presentation device via the antenna 2.
  • a communication device includes the antenna 2, the power supply circuit 3, the demodulation circuit 4, the control circuit 5, and the modulation circuit 6.
  • the exterior material 7 includes a memory 1, an antenna 2, a power supply circuit 3, a demodulation circuit 4, a control circuit 5, and a modulation circuit 6, and the exterior material 7 is buried or attached to the implant, Attached to the implant.
  • implants are implanted in the patient's body, they need to be sterilized when implanted in the patient, and must also avoid adverse effects on the living body (allergic and other side effects of the implant management device on the living body). . Also, if the patient It can be thought of as a place where you can take an inspection ((MMRRII inspection)) using a co-resonance ringing device. .
  • the pipe management equipment of the Imppra Lantoto has compatibility with living organisms, and the high-pressure and high-pressure steam
  • sterilizing bacteria such as sterilized bacteria and sterilized sterilized gagas, Aantante tenana 22
  • the circuit 55 and the modulation / modulation circuit 66 are not damaged or damaged, and the impingement of pipes and pipes affects the MMRRII inspection and inspection.
  • the exterior material 77 has compatibility with living organisms and resistance to sterilizing bacteria.
  • the component parts hereafter referred to as the biocompatible, sterile, sterilized bacterial component parts 88) are placed here. Ruru. .
  • the member material 88 for the sterile sterile bacterium that is suitable for living organisms is made of a material that can withstand the sterile germ treatment as described above. Because it is necessary to use safe and secure materials for the living organisms, it is necessary to use Who is suitable. .
  • ((Carbon carbon)) There are urethane tannins such as titanium titanate, magunenesaito, and shirikurikaka, etc. The best thing is to mix and mix the mixed mixed face pigment material that is mixed and mixed with polypolyurethan tan, etc. It is necessary to coat the surface with a charge. .
  • Gogo-Tatex, or continuous polyporous polyporite, and the fibers used in suture sutures are Suitable for textile fibers (for example, for example, polypolypropropypyrylene)! ! //, ruru. .
  • FIG. 33 is a perspective view of an embodiment of the invention according to the embodiment 11 of the present invention.
  • FIG. 3 is a structural diagram showing an information information presentation display device. In the drawing, an operation operation unit 1111 is used by a user. Motherboard
  • the control unit 12 outputs these request signals to the modulation unit 13 when the user operates the operation unit 11 to input a read request signal for implant product information and a write request signal for patient medical information.
  • processing such as outputting the product information of the implant demodulated by the demodulation unit 15 to the display unit 16 is performed.
  • the modulator 13 modulates a request signal or the like output from the controller 12, and transmits the modulated signal to the implant management device via the antenna 14.
  • the antenna 14 transmits and receives the modulation signal to and from the implant management device.
  • the demodulation unit 15 demodulates the modulated signal received by the antenna 14 and outputs a write permission signal of the product information and medical information of the implant, which is the demodulated signal, to the control unit 12.
  • the display unit 16 also includes a power source such as a liquid crystal display, and displays product information of the implant and the like.
  • the memory 17 stores implant product information and the like.
  • FIG. 4 is a flowchart showing processing contents of the implant management device according to the first embodiment of the present invention. It is one chart.
  • various implants such as metal plates, bolts, and nuts, may be implanted in a living body.
  • Some implants are used semi-permanently, and it is important to control the product information (e.g., material, date of manufacture, manufacturer name, etc.) of the implant. Unless recorded in medical records, there is no easy way to confirm the product information of implants implanted in the body.
  • the implant management device can be used in close contact with the patient's body surface, it can be used for a relatively short period of time. Information can be provided to the device. As a result, the accuracy of diagnosis and treatment is improved. Also, if it is necessary to ensure the privacy of the patient, adjust the length of the antenna to adjust the readable distance. It is possible to take
  • the product information of the implant is recorded in advance, and the exterior material 7 of the implant management device is coated with the biocompatible sterilizing member 8, and then the implant management device is used. I try to attach it.
  • This case is suitable when the number of materials of the implant is small, such as a prosthetic valve or an artificial blood vessel.
  • FIG. 5 shows an example in which an implant management device is attached to the artificial blood vessel and the bolt.
  • the implant with the implant management device is sterilized and implanted in the patient's body!
  • the product information of the implant recorded in the implant management device is confirmed as follows.
  • the operating unit 11 of the information presenting device is operated to read the implant product information. Input the request signal.
  • control unit 12 of the information presenting device When the control unit 12 of the information presenting device inputs a read request signal for the product information of the user force S implant, the control unit 12 outputs the read request signal to the modulation unit 13.
  • the modulation unit 13 of the information presentation device Upon receiving the read request signal from the control unit 12, the modulation unit 13 of the information presentation device modulates the read request signal into a radio wave of a frequency (for example, a frequency of 2.45 GHz) that can be received by the implant management device, and modulates the modulated signal. Is output to the antenna 14.
  • a frequency for example, a frequency of 2.45 GHz
  • the frequency band may be any region as long as the implant management device can receive the read request signal, and the frequency of 2.45 GHz is a general RFID. It is just a frequency increase, just a concrete example.
  • the modulated signal is transmitted from the antenna 14 to the implant management device.
  • the antenna 2 of the implant management device When receiving the modulation signal from the information presentation device, the antenna 2 of the implant management device outputs the modulation signal to the power supply circuit 3 and the demodulation circuit 4 (step ST1).
  • the power supply circuit 3 of the implant management device Upon receiving the modulation signal from the antenna 2, the power supply circuit 3 of the implant management device converts the modulation signal into driving power, and supplies the driving power to the demodulation circuit 4, the control circuit 5, and the modulation circuit 6 ( Step ST2).
  • the demodulation circuit 4 of the implant management apparatus shifts to a drivable state when supplied with driving power from the power supply circuit 3, demodulates the modulated signal received by the antenna 2, and controls the demodulated signal. Output to circuit 5 (step ST3).
  • the control circuit 5 of the implant management device shifts to a drivable state when the driving power is supplied from the power supply circuit 3, and receives the demodulation signal power output from the demodulation circuit 4 in response to the read request signal for the product information of the implant. It is identified whether the information is a medical information write request signal or a patient's medical information (step ST4).
  • the read request signal, the write request signal, and the header of the medical information contain information indicating the contents of the request. If the contents of the header are checked, the power of the read request signal and the written It is possible to identify whether the received signal is an input request signal or medical information.
  • the control circuit 5 of the implant management device controls the demodulated signal power S-in output from the demodulation circuit 4.
  • the signal is a request signal for reading the product information of the plant
  • the product information of the implant stored in the memory 1 is read in advance, and the product information is output to the modulation circuit 6 (step ST5).
  • the modulation circuit 6 of the implant management device shifts to a drivable state when the driving power is supplied from the power supply circuit 3, and receives the product information of the implant from the control circuit 5, and the information presentation device receives the product information.
  • the signal is modulated to a frequency of a possible frequency (for example, a frequency of 2.45 GHz), and the modulated signal is output to antenna 2 (step ST6).
  • the modulated signal is transmitted from antenna 2 to the information presentation device (step ST7).
  • the antenna 14 of the information presentation device outputs the modulated signal to the demodulation unit 15 when the implant management device receives the modulated signal.
  • the demodulation unit 15 of the information presentation device Upon receiving the modulation signal from the antenna 14, the demodulation unit 15 of the information presentation device demodulates the modulation signal and outputs the demodulated signal, which is the product information of the implant, to the control unit 12.
  • the control unit 12 of the information presentation device Upon receiving the implant product information from the demodulation unit 15, the control unit 12 of the information presentation device stores the product information in the memory 17 and displays the product information on the display unit 16. You can check product information of implants implanted in the body.
  • the user operates the operation unit 11 of the information presentation device to input a signal for requesting writing of medical information of a patient.
  • control unit 12 of the information presentation device When the user inputs a medical information write request signal, the control unit 12 of the information presentation device outputs the write request signal to the modulation unit 13.
  • the modulation unit 13 of the information presentation device Upon receiving the write request signal from the control unit 12, the modulation unit 13 of the information presentation device modulates the write request signal into a radio wave of a frequency that can be received by the implant management device, and outputs the modulated signal to the antenna 14. .
  • the modulated signal is transmitted from the antenna 14 to the implant management device. It is.
  • the antenna 2 of the implant management device Upon receiving the modulation signal from the information presentation device, the antenna 2 of the implant management device outputs the modulation signal to the power supply circuit 3 and the demodulation circuit 4 (step ST1).
  • the power supply circuit 3 of the implant management device Upon receiving the modulation signal from the antenna 2, the power supply circuit 3 of the implant management device converts the modulation signal into driving power, and supplies the driving power to the demodulation circuit 4, the control circuit 5, and the modulation circuit 6 ( Step ST2).
  • the demodulation circuit 4 of the implant management device shifts to a drivable state when supplied with driving power from the power supply circuit 3, demodulates the modulated signal received by the antenna 2, and controls the demodulated signal. Output to circuit 5 (step ST3).
  • the control circuit 5 of the implant management device shifts to a drivable state when the driving power is supplied from the power supply circuit 3, and receives the demodulation signal power output from the demodulation circuit 4 in response to the read request signal for the product information of the implant. It is identified whether the information is a medical information write request signal or a patient's medical information (step ST4).
  • control circuit 5 of the implant management device confirms that the demodulated signal output from the demodulation circuit 4 is a medical information write request signal
  • the control circuit 5 outputs the medical information write enable signal to the modulation circuit 6 Yes (step ST8).
  • the modulation circuit 6 of the implant management device shifts to a drivable state when the driving power is supplied from the power supply circuit 3, and receives a medical information write enable signal from the control circuit 5, and outputs the write enable signal.
  • the signal is modulated into radio waves of a frequency that can be received by the information presentation device, and the modulated signal is output to antenna 2 (step ST9).
  • the modulated signal is transmitted from the antenna 2 to the information presentation device (step ST10).
  • the antenna 14 of the information presentation device When the antenna 14 of the information presentation device receives the modulation signal from the implant management device, the antenna 14 outputs the modulation signal to the demodulation unit 15.
  • the demodulation unit 15 of the information presentation device When receiving the modulation signal from the antenna 14, the demodulation unit 15 of the information presentation device demodulates the modulation signal and outputs a write permission signal of the demodulated medical information to the control unit 12.
  • the control unit 12 of the information presentation device Upon receiving the write permission signal for medical information from the demodulation unit 15, the control unit 12 of the information presentation device receives the medical information of the patient input from the operation unit 11 or the patient information stored in the memory 17. It outputs the medical information of the patient to the modulator 13.
  • the modulation unit 13 of the information presentation device Upon receiving the patient's medical information from the control unit 12, the modulation unit 13 of the information presentation device modulates the patient's medical information into radio waves of a frequency that can be received by the implant management device, and outputs the modulated signal to the antenna 14. I do.
  • the modulated signal is transmitted from the antenna 14 to the implant management device.
  • the antenna 2 of the implant management device When receiving the modulation signal from the information presenting device, the antenna 2 of the implant management device outputs the modulation signal to the power supply circuit 3 and the demodulation circuit 4 (step ST1).
  • the power supply circuit 3 of the implant management device Upon receiving the modulation signal from the antenna 2, the power supply circuit 3 of the implant management device converts the modulation signal into driving power, and supplies the driving power to the demodulation circuit 4, the control circuit 5, and the modulation circuit 6 ( Step ST2).
  • the demodulation circuit 4 of the implant management device shifts to a drivable state when supplied with driving power from the power supply circuit 3, demodulates the modulated signal received by the antenna 2, and controls the demodulated signal. Output to circuit 5 (step ST3).
  • the control circuit 5 of the implant management device shifts to a drivable state when the driving power is supplied from the power supply circuit 3, and receives the demodulation signal power output from the demodulation circuit 4 in response to the read request signal for the product information of the implant. It is identified whether the information is a medical information write request signal or a patient's medical information (step ST4).
  • the control circuit 5 of the implant management device stores the medical information of the patient in the memory 1 (step ST11).
  • the outer material 7 attached to the implant is coated with a biocompatible sterilizing member 8, so that it can be used for managing the product information of the implant. And nurses can check product information of implants embedded in the patient's body as needed.
  • the radio wave transmitted from the information presenting device is received and transmitted. Since the information indicated by the radio wave is stored in the memory 1, for example, the medical information of the patient can be appropriately recorded.
  • the information presenting device when the information presenting device records the medical information of the patient in the implant management device, the information presenting device transmits a write request signal of the medical information to the implant management device, and the medical information is transmitted from the implant management device.
  • the write permission signal when the write permission signal is received, the medical information of the patient is transmitted to the implant management apparatus.
  • the information presenting apparatus transmits a write request signal to which the medical information is added to the implant management apparatus. You may do it.
  • the information may be encrypted, and the information presenting device may decrypt the information and convert it to character information.
  • the control circuit 5 of the implant management device when the control circuit 5 of the implant management device confirms that the demodulated signal output from the demodulation circuit 4 is a write request signal to which medical information is added, the control circuit 5 retrieve medical information and store it in memory 1.
  • the number of times of communication is only one, so that the medical information of the patient can be recorded in the implant management device more quickly than in the first embodiment.
  • FIG. 6 is a perspective view showing an implant management device according to Embodiment 3 of the present invention.
  • an exterior material 7 includes a memory 1, an antenna 2, a power supply circuit 3, and a demodulation circuit 4 similarly to the implant management device of FIG.
  • the control circuit 5 and the modulation circuit 6 are included, the control circuit 5 and the modulation circuit 6 are attached to the implant while being sealed in a container 9 made of a biocompatible sterilizing member.
  • the container 9 for storing the implant management device provided with the exterior material 7 is created. Then, the implant management device may be housed in the container 9, and the container 9 may be embedded in the implant or attached to the implant.
  • the container 9 may be made of any material, for example, continuous porous polytetrafluoroethylene or a fiber used for a suture, as long as it can store the implant management device in a sealed manner. It may be a bag. Further, the container may be a capsule-shaped soft material such as a resin material which also has a strong force, or a hard metal material which is safe for a living body.
  • the exterior material 7 is configured to be attached to the implant in a state where the exterior material 7 is hermetically sealed in the container 9 that can be used as a biocompatible sterilizing member, so that it can be used for management of implant product information.
  • it has the effect that doctors and nurses can check the product information of implants embedded in the patient's body as necessary.
  • the information presenting apparatus is attached to, for example, an MRI apparatus.
  • a doctor or the like may operate the operation unit 11 of the information presentation device to confirm implant product information.
  • the information presentation device is attached to a metal detector at the airport and the inspector checks the metal of the airplane user, he operates the operation unit 11 of the information presentation device to check the product information of the metal implant. You may make it.
  • the information presenting device is changed to a no-and-need type, and a doctor, a paramedic, etc. operates the operating unit 11 of the information presenting device during general outpatient medical care or emergency medical treatment, and obtains product information of the implant. You can check it.
  • the force shown in the case where the exterior material 7 of the implant management device is coated with the biocompatible sterilizing member 8 is performed as follows. Done.
  • FIG. 7 is an explanatory diagram showing a coating procedure.
  • a seal member 9 for example, a biocompatible polymer (for example, a biocompatible polymer (eg, , Sulfone and sulfoxide functional groups and aliphatic chains 1) Seal with a member that also has force.
  • a biocompatible polymer for example, a biocompatible polymer (eg, , Sulfone and sulfoxide functional groups and aliphatic chains 1) Seal with a member that also has force.
  • the whole of the sealed implant management member is coated with a biocompatible sterilizing member 8 made of the same or different biocompatible polymer from the sealing member 9.
  • the force shown for the one coated with a biocompatible polymer is not limited to a member having biocompatibility and sterilization resistance! / ⁇ Needless to say! / ⁇ .
  • the implant management member is sealed with a biocompatible polymer, and then the force is shown for coating with the biocompatible sterilizing member 8.
  • a biocompatible sterilizing member such as polypropylene is used.
  • the force shown for attaching the implant management member to the implant implanted in the patient's body may be attached to the implant attached to the patient's body surface.
  • the seal may be sealed so as to cover the entire implant management member on the surface of the implant using the seal member 9 as described in the fifth embodiment. At this time, a plurality of implant management members may be sealed!
  • the present invention can be used for preventing a patient from being mistaken at the time of an examination or an operation, and can be used for an examination affected by a body movement, and conversely, an examination or monitor for examining a body movement. For example, it can be used to monitor whether a bathing patient has fallen in the bathroom or to grasp the behavior of a solitary elderly.
  • implant product information for example, material, The date and time, the name of the manufacturer, etc.
  • implant product information for example, material, The date and time, the name of the manufacturer, etc.
  • the implant ID unique code that identifies the implant
  • Is stored in the memory 1 and the radio wave indicating the ID of the implant is transmitted and the same effect as in the first to seventh embodiments described above can be obtained.
  • the information presentation device receives a radio wave indicating the ID of the implant from the implant management device.
  • the key is to get implant product information from the database.
  • FIG. 9 is a configuration diagram showing an information presentation apparatus according to Embodiment 9 of the present invention.
  • the same reference numerals as in FIG. 3 denote the same or corresponding parts, and a description thereof will be omitted.
  • the database 18 is a memory for recording impact disclosure information indicating the effects of various implants on medical devices.
  • the control unit 19 has the same function as the control unit 12 in FIG. 3, and when receiving the implant product information or ID from the demodulation unit 15 constituting the receiver, the control unit 19 discloses the effect corresponding to the implant from the database 18. The information is searched, and the effect disclosure information is displayed on the display unit 16. Note that the control unit 19 constitutes information presentation means.
  • the information presentation device of FIG. 9 has a function to read out the product information or ID of the implant recorded in the implant management device, and has the function of reading the implant product information or ID to the implant management device. It has a function of writing an ID.
  • the information presentation device of FIG. 9 has a function of presenting effect disclosure information indicating the effect of the implant on the medical device!
  • effect disclosure information indicating the effect of various implants on the medical device is recorded in advance.
  • the impact disclosure information recorded in database 18 can be It is associated with D, for example, information that product A (implant) does not affect the accuracy of MRI inspection by reducing the inspection accuracy of CT by 30%.
  • the demodulation unit 15 of the information presenting device demodulates the modulated signal in the same manner as in the first embodiment and outputs the product information or ID of the implant, which is the demodulated signal. Output to control unit 19.
  • the control unit 19 of the information presentation device searches the database 18 for the effect disclosure information corresponding to the implant using the product information or ID as a key.
  • control unit 19 displays the effect disclosure information corresponding to the implant on the display unit 16.
  • the display unit 16 displays information indicating that, for example, the implant embedded in the patient's body does not affect the MRI examination accuracy by deteriorating the CT examination accuracy by 30%.
  • the effect disclosure information corresponding to the implant is searched from the database 18, and the effect disclosure information is retrieved. Since the display is configured, it is possible for a doctor or the like to determine whether or not to perform an examination using a medical device such as a CT or MRI.
  • the product information or ID of the implant is transferred to the information presenting device in advance, it is possible to remove the influence on the image resolution, and it is possible to improve the reliability of the image diagnosis.
  • control unit 19 of the information presentation device displays the effect disclosure information corresponding to the implant on the display unit 16, but the modulation unit 13 and the antenna 14
  • the effect disclosure information corresponding to the implant may be transmitted to another device via the.
  • the implant management device allows a doctor or the like to give a patient a diagnosis when receiving a diagnosis using a medical device such as a nuclear magnetic resonance inspection device (MRI) or a computer tomography device (CT). It is suitable for confirming the product information of the implant being implanted.
  • a medical device such as a nuclear magnetic resonance inspection device (MRI) or a computer tomography device (CT). It is suitable for confirming the product information of the implant being implanted.
  • MRI nuclear magnetic resonance inspection device
  • CT computer tomography device

Abstract

An implant management device includes a memory (1) for storing production information on an implant, a communication device transmitting an electric wave indicating the product information stored in the memory (1), and an external member (7) containing the memory (1) and the communication device and mounted on the implant. The external member (7) is coated by a sterilized member (8) appropriate for a living body. Thus, doctors and nurses can check the product information on the implant embedded in the living body of a patient when necessary.

Description

インプラント管理装置及び情報提示装置  Implant management device and information presentation device
技術分野  Technical field
[0001] この発明は、例えば、非接触型 ICチップや RFID (無線 ICタグ)など力も構成され、 体内に埋め込まれるインプラントの製品情報の管理に利用されるインプラント管理装 置と、インプラントが医療機器に与える影響を示す影響開示情報の提示機能を有す る情報提示装置とに関するものである。  [0001] The present invention relates to an implant management device, which includes a force such as a non-contact IC chip and an RFID (wireless IC tag), and is used for managing product information of an implant to be implanted in a body, and a medical device including an implant. The present invention relates to an information presenting device having a function of presenting effect disclosure information indicating an effect on the information.
背景技術  Background art
[0002] 患者の体内に埋め込まれたインプラントの製品情報は、そのインプラントの埋め込 み処理が行われた医療施設に保管されて!、るカルテに記載されて 、るので、その力 ルテを見れば、インプラントの製品情報を確認することができる。ただし、インプラント のロット番号など、詳細な製品情報はカルテに記載する義務が力されて 、な 、。 したがって、インプラントの埋め込み処理が行われた医療施設に問い合わせない限 り、患者自身力 Sインプラントの製品情報を把握することが困難な状況にある。  [0002] Product information of implants implanted in the patient's body is stored in the medical facility where the implants have been implanted! If so, the product information of the implant can be confirmed. However, detailed product information such as the lot number of the implant is obliged to be included in the medical chart. Therefore, it is difficult to grasp the product information of the patient's own S implants without contacting the medical facility where the implant was implanted.
このため、患者が例えば他の医療施設などで、核磁気共鳴検査装置 (MRI)ゃコン ピュータ断層撮影装置 (CT)などの医療機器による診断を受ける場合、体内に埋め 込まれているインプラントが医療機器に与える影響が分力 ず、医療機器による診断 を受けられないことがある。  For this reason, when a patient undergoes a diagnosis with a medical device such as a nuclear magnetic resonance (MRI) device x a computer tomography device (CT) at another medical facility, for example, the implant embedded in the body is The effect on the device may not be as strong as the medical device may not be able to be diagnosed.
[0003] また、患者が繰り返し検査装置及び治療装置を用いて、検査あるいは治療を受ける 場合であって、検査の正確性、確実性及び安全性の観点カゝら患者と機器の位置関 係を同一にする必要がある場合、現在では体表面に比較的落ちにくい塗料にて印を 付け、機器との位置関係を、機器操作に従事するものにより調整されている。しかし、 患者の呼吸あるいは患者の体動により位置が変わり、検査あるいは治療中に対応す ることができなかった。  [0003] Further, when a patient repeatedly undergoes an examination or treatment using an examination apparatus and a treatment apparatus, the positional relationship between the patient and the apparatus should be determined in view of the accuracy, reliability, and safety of the examination. If they need to be the same, they are now marked on the body surface with paint that is relatively resistant to falling, and their positional relationship with the equipment is adjusted by those engaged in equipment operation. However, the position changed due to the patient's breathing or the patient's body movement, and it was not possible to respond during examination or treatment.
[0004] インプラントの製品情報を管理するものではないが、患者の個人データを管理する 非接触型 ICチップが開発されて ヽる。  [0004] Non-contact IC chips that do not manage implant product information but manage patient personal data have been developed.
即ち、非接触型 ICチップは、患者の個人データを記憶するメモリと、そのメモリに記 憶されている個人データを送信する通信器を備えており、非接触型 ICチップが手や 足の爪状に形成されている。 That is, the non-contact type IC chip has a memory for storing patient's personal data and a memory for storing the data. It is equipped with a communication device for transmitting the stored personal data, and a non-contact type IC chip is formed in the shape of a finger or a finger.
これにより、患者の手や足の爪に非接触型 ICチップを貼り付けることが可能になり、 非接触型 ICチップのメモリに記憶されている個人データを読み取ることにより、患者 の取り違え事故の防止などを図ることができる(例えば、特許文献 1参照)。  This makes it possible to attach the non-contact IC chip to the patient's hands and toenails, and by reading personal data stored in the memory of the non-contact IC chip, it is possible to prevent patients from accidentally mixing up. (For example, see Patent Document 1).
[0005] 特許文献 1 :特開 2000— 311194号公報(段落番号 [0010]から [0025]、図 3) [0006] 従来のバーコード管理では、体内に埋め込まれたインプラントの情報は埋め込まれ た施設のカルテからし力確認することができず、また、インプラントのロット番号等の情 報をカルテに記載する義務がな 、ため、生体に埋め込まれたインプラントの材料の 詳細情報を患者自身が把握することは困難な状況がある。その結果、インプラントの 材料に使用されて ヽる金属や部品の情報が判らな ヽため、核磁気共鳴検査 (MRI) などの医療機器による診断を受けられる力否かの判断ができな 、状況が続 、て 、る 。これらに対処する方法として、患者の個人データを管理する非接触型 ICチップを患 者の手や足の爪に貼り付ける方法が考えられる。 [0005] Patent Document 1: Japanese Patent Application Laid-Open No. 2000-311194 (paragraph numbers [0010] to [0025], FIG. 3) [0006] In conventional barcode management, information on implants embedded in the body is embedded. The patient's own medical information cannot be checked from the medical record, and there is no obligation to write information such as the lot number of the implant in the medical record. There are difficult situations to do. As a result, the information on the metals and parts used for the implant material cannot be known, so it is not possible to judge whether or not the patient can be diagnosed with medical equipment such as nuclear magnetic resonance (MRI). Continuation, te, ru. One way to deal with these problems is to attach a non-contact IC chip that manages the patient's personal data to the patient's hands and toenails.
しかし、非接触型 ICチップが患者の体内に埋め込まれた場合、あるいは、患者の 体表面に貼り付けられた場合、非接触型 ICチップから発信される電波が生体の水分 によって吸収されるため、外部機器が非接触型 ICチップに記憶されている情報を取 り出すことができな 、課題があった。  However, when a non-contact type IC chip is embedded in a patient's body or affixed to the patient's body surface, radio waves transmitted from the non-contact type IC chip are absorbed by the moisture of a living body. There was a problem that the external device could not retrieve the information stored in the non-contact type IC chip.
また、非接触型 ICチップの表面には、滅菌に耐える工夫や、生体に対する安全性 の配慮 (例えば、非接触型 ICチップが体内に埋め込まれることによるアレルギー反応 への対処)が施されていないため、患者の体内に埋め込まれるインプラントには取り 付けることができず、インプラントの製品情報の管理には利用することができないなど の課題があった。  In addition, the surface of the non-contact type IC chip has not been devised to withstand sterilization or taken into consideration of safety to the living body (for example, measures against allergic reactions caused by the non-contact type IC chip being embedded in the body). Therefore, it cannot be attached to implants implanted in the patient's body, and cannot be used to manage implant product information.
[0007] この発明は上記のような課題を解決するためになされたもので、インプラントの製品 情報の管理に利用することができるインプラント管理装置を得ることを目的とする。 また、この発明は、インプラントが医療機器に与える影響を提示することができる情 報提示装置を得ることを目的とする。  [0007] The present invention has been made to solve the above problems, and has as its object to obtain an implant management device that can be used for managing product information of an implant. Another object of the present invention is to provide an information presenting device capable of presenting the effect of an implant on a medical device.
発明の開示 [0008] この発明に係るインプラント管理装置は、インプラントの製品情報を格納するメモリと 、そのメモリに格納されている製品情報を示す電波を発信する通信器とを内包し、そ のインプラントに取り付けられる外装材が生体適合性部材でコーティングされているも のである。 Disclosure of the invention [0008] An implant management device according to the present invention includes a memory for storing product information of an implant, and a communicator for transmitting radio waves indicating the product information stored in the memory, and is attached to the implant. The exterior material is coated with a biocompatible material.
また、メモリや通信器の全体をシールするシール部材と備えて 、るインプラント管理 部材が複数同時に収納又は貼付されているものである。  In addition, a plurality of implant management members are simultaneously stored or affixed together with a seal member for sealing the entire memory or communication device.
[0009] このことによって、インプラントの製品情報の管理に利用することができるようになり、 医師や看護師などが必要に応じて患者の体内に埋め込まれているインプラントの製 品情報を確認することができる効果がある。さらに、インプラント材料に使用されてい るコード体系と UCCZEAN128とを対応させたデータベースを構築することで体内 に埋め込まれている製品を特定することができる。その結果、コンピュータ断層撮影( CT)や核磁気共鳴撮影 (MRI)などの検査の可否が判断できるため、これらの検査 診断が必要であるにも拘わらず、受けられないなどの問題が解消される。また、製品 情報を事前にこれらの機器に転送することで、画像解像への影響を除去することが 可能となり、画像診断の信頼性が著しく向上することが予測される。 [0009] This makes it possible to use the product information for management of implant products, so that doctors and nurses can check the product information of implants embedded in patients as necessary. There is an effect that can be. Furthermore, by constructing a database that associates UCCZEAN128 with the code system used for implant materials, it is possible to identify products embedded in the body. As a result, it is possible to determine whether or not examinations such as computed tomography (CT) and nuclear magnetic resonance imaging (MRI) can be performed. . In addition, by transferring product information to these devices in advance, it is possible to eliminate the effect on image resolution, and it is expected that the reliability of image diagnosis will be significantly improved.
インプラント管理部材は、皮下などの体内に埋め込んで使用することもできる力 体 表面に貼付して使用することも可能である。この場合、検査や手術時の患者の取り違 い防止に利用することができるとともに、体動により影響を受ける検査や、逆に体動を 調査する検査あるいはモニターすることに利用することができる。例えば、入浴中の 患者が浴室で倒れて ヽな ヽかのモニターや、独居老人の行動を把握することに利用 することができる。  The implant management member can be used by being attached to the surface of a body that can be used by being implanted in the body such as subcutaneously. In this case, it can be used to prevent patients from getting mixed up during examinations and operations, and can also be used for examinations that are affected by body movements and, conversely, examinations or monitoring for body movements. For example, it can be used to monitor a bathing patient falling down in the bathroom or to grasp the behavior of a solitary elderly person.
[0010] この発明に係る情報提示装置は、インプラント管理装置力 発信された情報を受信 し、その情報とインプラントの製品情報を照合して、インプラントが医療機器に与える 影響に関する情報を発信若しくは表示するようにしたものである。  [0010] The information presentation device according to the present invention receives the transmitted information of the implant management device, collates the information with the product information of the implant, and transmits or displays information on the effect of the implant on the medical device. It is like that.
このこと〖こよって、医師等が CTや MRIなどの医療機器による検査の是非を判断す ることができる効果がある。  This has the effect of enabling doctors and others to judge the necessity of examination using medical equipment such as CT and MRI.
図面の簡単な説明  Brief Description of Drawings
[0011] [図 1]この発明の実施の形態 1によるインプラント管理装置を示す構成図である。 [図 2]この発明の実施の形態 1によるインプラント管理装置を示す斜視図である。 FIG. 1 is a configuration diagram showing an implant management device according to a first embodiment of the present invention. FIG. 2 is a perspective view showing an implant management device according to Embodiment 1 of the present invention.
[図 3]この発明の実施の形態 1によるインプラント管理装置に適用する情報提示装置 を示す構成図である。  FIG. 3 is a configuration diagram showing an information presentation device applied to the implant management device according to the first embodiment of the present invention.
[図 4]この発明の実施の形態 1によるインプラント管理装置の処理内容を示すフロー チャートである。  FIG. 4 is a flowchart showing the processing contents of the implant management device according to the first embodiment of the present invention.
[図 5]インプラント管理装置の取付例を示す説明図である。  FIG. 5 is an explanatory view showing an example of mounting an implant management device.
[図 6]この発明の実施の形態 3によるインプラント管理装置を示す斜視図である。  FIG. 6 is a perspective view showing an implant management device according to a third embodiment of the present invention.
[図 7]コーティング手順を示す説明図である。  FIG. 7 is an explanatory view showing a coating procedure.
[図 8]コーティング後のインプラント管理装置を示す説明図である。  FIG. 8 is an explanatory view showing an implant management device after coating.
[図 9]この発明の実施の形態 9による情報提示装置を示す構成図である。  FIG. 9 is a configuration diagram showing an information presentation device according to Embodiment 9 of the present invention.
発明を実施するための最良の形態  BEST MODE FOR CARRYING OUT THE INVENTION
[0012] 以下、この発明をより詳細に説明するために、この発明を実施するための最良の形 態について、添付の図面に従って説明する。 Hereinafter, in order to explain this invention in greater detail, the preferred embodiments of the present invention will be described with reference to the accompanying drawings.
実施の形態 1.  Embodiment 1.
図 1はこの発明の実施の形態 1によるインプラント管理装置を示す構成図であり、図 2はこの発明の実施の形態 1によるインプラント管理装置を示す斜視図である。  FIG. 1 is a configuration diagram showing an implant management device according to Embodiment 1 of the present invention, and FIG. 2 is a perspective view showing an implant management device according to Embodiment 1 of the present invention.
図において、インプラント管理装置は、例えば、非接触型 ICチップや RFID (無線 I Cタグ)など力も構成され、体内に埋め込まれるインプラントの製品情報の管理に利用 されるちのである。  In the figure, the implant management device is also configured with a force such as a non-contact IC chip or RFID (wireless IC tag), and is used for managing product information of implants implanted in the body.
[0013] メモリ 1は患者の体内に埋め込まれるインプラント (インプラントは、例えば、関節、脊 椎、頭蓋、顎、人工歯根、人口心臓弁、人工血管などとして体内に埋め込まれる物質 であり、金属製、合成樹脂からなるプレート、ボルト、ナット及びこれらを複合的に組 み合わされた材料カゝら構成される)の製品情報 (例えば、 UCC/EAN128)などを 格納する。  [0013] The memory 1 is an implant to be implanted in the patient's body (an implant is a substance to be implanted in the body as a joint, spine, skull, jaw, artificial dental root, artificial heart valve, artificial blood vessel, etc., Stores product information (for example, UCC / EAN128) of plates, bolts, nuts made of synthetic resin, and materials composed of a combination of these.
[0014] なお、メモリ 1に格納するインプラントの製品情報の改竄を防止する観点力もは、メ モリ 1として ROM (Read Only Memory)を使用することが望ましいが、例えば、患 者の医療情報 (基礎疾患、服用薬、既往症など)を適宜記録できるようにするには、メ モリ 1として RAM (Random Access Memory)を使用することが望ましい。 この実施の形態 1では、説明の便宜上、メモリ 1として RAMを使用するものとする。 [0014] From the viewpoint of preventing tampering of the product information of the implant stored in the memory 1, it is preferable to use a ROM (Read Only Memory) as the memory 1. It is desirable to use RAM (Random Access Memory) as the memory 1 so that it can appropriately record diseases, medications, and past illnesses. In the first embodiment, a RAM is used as the memory 1 for convenience of explanation.
[0015] アンテナ 2は外部機器である情報提示装置力も変調信号 (電波)を受信すると、そ の変調信号を電源回路 3及び復調回路 4に出力し、変調回路 6から変調信号を受け ると、その変調信号を外部の情報提示装置に向けて発信する。 [0015] When the antenna 2 receives the modulation signal (radio wave) from the information presenting device, which is an external device, the antenna 2 outputs the modulation signal to the power supply circuit 3 and the demodulation circuit 4, and receives the modulation signal from the modulation circuit 6, The modulated signal is transmitted to an external information presentation device.
電源回路 3は例えばコイルなどを内蔵し、アンテナ 2から変調信号を受けると、その 変調信号を駆動用電力に変換し、その駆動用電力を復調回路 4、制御回路 5及び変 調回路 6に供給する。  The power supply circuit 3 incorporates, for example, a coil, and upon receiving a modulation signal from the antenna 2, converts the modulation signal into driving power and supplies the driving power to the demodulation circuit 4, the control circuit 5, and the modulation circuit 6. I do.
[0016] 復調回路 4は電源回路 3から駆動用電力の供給を受けると駆動可能な状態に移行 し、アンテナ 2により受信された変調信号を復調して、その復調信号を制御回路 5に 出力する。  [0016] The demodulation circuit 4 shifts to a drivable state when supplied with driving power from the power supply circuit 3, demodulates the modulated signal received by the antenna 2, and outputs the demodulated signal to the control circuit 5. .
制御回路 5は電源回路 3から駆動用電力の供給を受けると駆動可能な状態に移行 し、復調回路 4から出力された復調信号が例えばメモリ 1に格納されているインプラン トの製品情報の読み取りを要求する読取要求信号であれば、メモリ 1に格納されてい るインプラントの製品情報を変調回路 6に出力する。また、復調回路 4から出力された 復調信号が例えば患者の医療情報の書き込みを要求する書込要求信号であれば、 医療情報の書込許可信号 (例えば、 Ack信号)を変調回路 6に出力し、その後、復調 回路 4から患者の医療情報を受けると、その医療情報をメモリ 1に格納する。  The control circuit 5 shifts to a drivable state when the drive power is supplied from the power supply circuit 3, and reads the demodulated signal output from the demodulation circuit 4 into the implant product information stored in the memory 1, for example. If it is a read request signal requesting, the product information of the implant stored in the memory 1 is output to the modulation circuit 6. If the demodulated signal output from the demodulation circuit 4 is, for example, a write request signal requesting writing of medical information of a patient, a write permission signal (for example, an Ack signal) for medical information is output to the modulation circuit 6. Then, when receiving the patient's medical information from the demodulation circuit 4, the medical information is stored in the memory 1.
[0017] 変調回路 6は電源回路 3から駆動用電力の供給を受けると駆動可能な状態に移行 し、制御回路 5からインプラントの製品情報又は書込許可信号を受けると、これらの情 報を変調し、アンテナ 2を介して、その変調信号を外部の情報提示装置に発信する。 なお、アンテナ 2、電源回路 3、復調回路 4、制御回路 5及び変調回路 6から通信器 が構成されている。 [0017] The modulation circuit 6 shifts to a drivable state when supplied with driving power from the power supply circuit 3, and modulates the information when receiving implant product information or a write enable signal from the control circuit 5. Then, the modulated signal is transmitted to an external information presentation device via the antenna 2. Note that a communication device includes the antenna 2, the power supply circuit 3, the demodulation circuit 4, the control circuit 5, and the modulation circuit 6.
[0018] 外装材 7はメモリ 1、アンテナ 2、電源回路 3、復調回路 4、制御回路 5及び変調回路 6を内包しており、外装材 7はインプラントに埋没、あるいは、貼り付けられることにより 、インプラントに取り付けられる。  [0018] The exterior material 7 includes a memory 1, an antenna 2, a power supply circuit 3, a demodulation circuit 4, a control circuit 5, and a modulation circuit 6, and the exterior material 7 is buried or attached to the implant, Attached to the implant.
ただし、インプラントは患者の体内に埋め込まれるものであるため、患者に埋め込む 際に滅菌する必要があるとともに、生体に対する悪影響 (インプラント管理装置が生 体に及ぼすアレルギーなどの副作用)を回避する必要がある。また、患者が核磁気 共共鳴鳴装装置置をを用用いいたた検検査査 ((MMRRII検検査査))をを受受けけるるこことともも考考ええらられれるる。。そそののたためめ、、イインンププラランントト 管管理理装装置置がが生生体体適適合合性性をを有有すするるととととももにに、、高高圧圧蒸蒸気気滅滅菌菌ややガガスス滅滅菌菌ななどどのの滅滅菌菌処処理理 にによよっってて、、アアンンテテナナ 22、、電電源源回回路路 33、、復復調調回回路路 44、、制制御御回回路路 55及及びび変変調調回回路路 66がが損損傷傷せせ ずず、、しし力力もも、、イインンププラランントト管管理理装装置置がが MMRRII検検査査にに影影響響ししなないいよよううににすするるたためめにに、、外外装装材材 77ににはは生生体体適適合合性性とと滅滅菌菌耐耐性性をを有有すするる部部材材 ((以以下下、、生生体体適適合合滅滅菌菌部部材材 88とといいうう))ががココ 一一テティィンンググさされれるる。。 However, since implants are implanted in the patient's body, they need to be sterilized when implanted in the patient, and must also avoid adverse effects on the living body (allergic and other side effects of the implant management device on the living body). . Also, if the patient It can be thought of as a place where you can take an inspection ((MMRRII inspection)) using a co-resonance ringing device. . As a result, the pipe management equipment of the Imppra Lantoto has compatibility with living organisms, and the high-pressure and high-pressure steam Depending on the treatment of sterilizing bacteria such as sterilized bacteria and sterilized sterilized gagas, Aantante tenana 22, the power supply circuit 33, the demodulation circuit 44, and the control The circuit 55 and the modulation / modulation circuit 66 are not damaged or damaged, and the impingement of pipes and pipes affects the MMRRII inspection and inspection. In order to avoid any influence, the exterior material 77 has compatibility with living organisms and resistance to sterilizing bacteria. The component parts (hereafter referred to as the biocompatible, sterile, sterilized bacterial component parts 88) are placed here. Ruru. .
[[00001199]] ななおお、、生生体体適適合合滅滅菌菌部部材材 88はは、、上上記記ののよよううなな滅滅菌菌処処理理にに耐耐ええううるる材材質質ででああっってて、、生生 体体にに安安全全なな材材質質ででああるる必必要要ががああるるののでで、、榭榭脂脂素素材材ななどどがが適適ししてていいるる。。ままたた、、生生体体へへのの 電電波波吸吸収収をを抑抑ええるるたためめにに ((炭炭素素))フフェェラライイトト系系塗塗料料、、酸酸化化チチタタンン、、ママググネネササイイトト、、シシリリカカ ななどどををウウレレタタンン榭榭旨旨、、アアククリリルル榭榭脂脂、、ポポリリテテトトララフフルルォォロロエエチチレレンン榭榭脂脂ああるるいいははポポリリウウレレタタ ンン等等にに混混和和ししたた混混合合顔顔料料ををココーーテティィンンググしし、、ささららにに、、生生体体適適合合材材料料でで表表面面ココーーテティィンン ググすするる必必要要ががああるる。。ままたた、、ゴゴァァテテッッククススやや、、連連続続多多孔孔質質ポポリリテテトトララフフロロロロエエチチレレンンやや、、縫縫 合合糸糸にに使使用用さされれるる繊繊維維 ((例例ええばば、、ポポリリププロロピピレレンン))ななどどもも適適ししてて!!//、、るる。。  [[00001199]] In addition, the member material 88 for the sterile sterile bacterium that is suitable for living organisms is made of a material that can withstand the sterile germ treatment as described above. Because it is necessary to use safe and secure materials for the living organisms, it is necessary to use Who is suitable. . In addition, in order to suppress the absorption and absorption of electromagnetic waves by living organisms, ((Carbon carbon)) There are urethane tannins such as titanium titanate, mamagunenesaito, and shirikurikaka, etc. The best thing is to mix and mix the mixed mixed face pigment material that is mixed and mixed with polypolyurethan tan, etc. It is necessary to coat the surface with a charge. . In addition, Gogo-Tatex, or continuous polyporous polyporite, and the fibers used in suture sutures. Suitable for textile fibers (for example, for example, polypolypropropypyrylene)! ! //, ruru. .
[[00002200]] 図図 33ははここのの発発明明のの実実施施のの形形態態 11にによよるるイインンププラランントト管管理理装装置置にに適適用用すするる情情報報提提示示装装 置置をを示示すす構構成成図図でであありり、、図図ににおおいいてて、、操操作作部部 1111ははユユーーザザがが使使用用すするるキキーーボボーードドややママ
Figure imgf000008_0001
[[00002200]] FIG. 33 is a perspective view of an embodiment of the invention according to the embodiment 11 of the present invention. FIG. 3 is a structural diagram showing an information information presentation display device. In the drawing, an operation operation unit 1111 is used by a user. Motherboard
Figure imgf000008_0001
制御部 12はユーザが操作部 11を操作して、インプラントの製品情報の読取要求信 号や、患者の医療情報の書込要求信号を入力すると、これらの要求信号を変調部 1 3に出力する一方、復調部 15により復調されたインプラントの製品情報を表示部 16 に出力するなどの処理を実施する。  The control unit 12 outputs these request signals to the modulation unit 13 when the user operates the operation unit 11 to input a read request signal for implant product information and a write request signal for patient medical information. On the other hand, processing such as outputting the product information of the implant demodulated by the demodulation unit 15 to the display unit 16 is performed.
[0021] 変調部 13は制御部 12から出力された要求信号等を変調し、アンテナ 14を介して、 その変調信号をインプラント管理装置に向けて発信する。アンテナ 14はインプラント 管理装置と変調信号の送受信を実施する。 The modulator 13 modulates a request signal or the like output from the controller 12, and transmits the modulated signal to the implant management device via the antenna 14. The antenna 14 transmits and receives the modulation signal to and from the implant management device.
復調部 15はアンテナ 14により受信された変調信号を復調し、その復調信号である インプラントの製品情報や医療情報の書込許可信号を制御部 12に出力する。  The demodulation unit 15 demodulates the modulated signal received by the antenna 14 and outputs a write permission signal of the product information and medical information of the implant, which is the demodulated signal, to the control unit 12.
表示部 16は例えば液晶ディスプレイなど力も構成され、インプラントの製品情報な どを表示する。メモリ 17はインプラントの製品情報などを格納する。  The display unit 16 also includes a power source such as a liquid crystal display, and displays product information of the implant and the like. The memory 17 stores implant product information and the like.
図 4はこの発明の実施の形態 1によるインプラント管理装置の処理内容を示すフロ 一チャートである。 FIG. 4 is a flowchart showing processing contents of the implant management device according to the first embodiment of the present invention. It is one chart.
[0022] 次に動作について説明する。  Next, the operation will be described.
例えば、骨組織に関連する手術を実施する際には、金属のプレート、ボルト、ナット など、様々なインプラントが生体内に埋め込まれることがある。  For example, when performing surgery involving bone tissue, various implants, such as metal plates, bolts, and nuts, may be implanted in a living body.
インプラントの中には、半永久的に使用されるものもあり、そのインプラントの製品情 報 (例えば、材質、製造年月日、メーカ名など)の管理は重要であるが、現在におい ては、例えば、カルテなどに記録されていない限り、体内に埋め込まれているインプ ラントの製品情報を簡単に確認する方法が存在しない。  Some implants are used semi-permanently, and it is important to control the product information (e.g., material, date of manufacture, manufacturer name, etc.) of the implant. Unless recorded in medical records, there is no easy way to confirm the product information of implants implanted in the body.
さらに、インプラントの埋め込み手術実施施設に記録が残っていたとしても、 MRI検 查ゃ CT検査を必要とする救急患者では、患者の申告が無ければ把握することはで きな 、。このような状況は救急医療現場の問題となって 、る。  Furthermore, even if there is a record at the site where the implant implantation operation is performed, emergency patients who require MRI / CT cannot be known without a patient's declaration. Such a situation is a problem in the emergency medical field.
[0023] また、インプラント管理装置は患者の体表面に密着して使用できるため、比較的短 期間であるが、患者が医療機器による検査あるいは治療を受ける際に、患者と機器 の位置関係を医療機器に情報提供することができる。その結果、診断及び治療の正 確性が向上する。また、患者のプライバシーを確保する必要がある場合は、アンテナ 部の長さを調整することで、読み取り可能な距離を調整し、 日常生活により、これらの 情報が外部から容易に読み取りできな 、方法をとることが可能である。 [0023] In addition, since the implant management device can be used in close contact with the patient's body surface, it can be used for a relatively short period of time. Information can be provided to the device. As a result, the accuracy of diagnosis and treatment is improved. Also, if it is necessary to ensure the privacy of the patient, adjust the length of the antenna to adjust the readable distance. It is possible to take
[0024] そこで、この実施の形態 1では、予め、インプラントの製品情報を記録して 、るイン プラント管理装置の外装材 7を生体適合滅菌部材 8でコーティングしてから、そのイン プラント管理装置に取り付けるようにしている。この場合、人口弁や人工血管など、ィ ンプラントの材料数が少ない場合に適しており、図 5は人工血管とボルトにインプラン ト管理装置が取り付けられて 、る一例を示して 、る。 [0024] Therefore, in the first embodiment, the product information of the implant is recorded in advance, and the exterior material 7 of the implant management device is coated with the biocompatible sterilizing member 8, and then the implant management device is used. I try to attach it. This case is suitable when the number of materials of the implant is small, such as a prosthetic valve or an artificial blood vessel. FIG. 5 shows an example in which an implant management device is attached to the artificial blood vessel and the bolt.
その後、インプラント管理装置が取り付けられたインプラントを滅菌処理して力 患 者の体内に埋め込むようにして!/、る。  Then, the implant with the implant management device is sterilized and implanted in the patient's body!
インプラント管理装置に記録されているインプラントの製品情報は、次のようにして 確認する。  The product information of the implant recorded in the implant management device is confirmed as follows.
[0025] 例えば、医師や看護師などのユーザ力インプラントの製品情報を確認する必要が 生じると、情報提示装置の操作部 11を操作して、インプラントの製品情報の読取要 求信号を入力する。 [0025] For example, when it is necessary to confirm the product information of the user's implant such as a doctor or a nurse, the operating unit 11 of the information presenting device is operated to read the implant product information. Input the request signal.
情報提示装置の制御部 12は、ユーザ力 Sインプラントの製品情報の読取要求信号を 入力すると、その読取要求信号を変調部 13に出力する。  When the control unit 12 of the information presenting device inputs a read request signal for the product information of the user force S implant, the control unit 12 outputs the read request signal to the modulation unit 13.
情報提示装置の変調部 13は、制御部 12から読取要求信号を受けると、その読取 要求信号をインプラント管理装置が受信できる周波数 (例えば、 2. 45GHzの周波数 )の電波に変調し、その変調信号をアンテナ 14に出力する。  Upon receiving the read request signal from the control unit 12, the modulation unit 13 of the information presentation device modulates the read request signal into a radio wave of a frequency (for example, a frequency of 2.45 GHz) that can be received by the implant management device, and modulates the modulated signal. Is output to the antenna 14.
ここで、上記周波数帯領域は、その読取要求信号をインプラント管理装置が受信で きる周波数帯領域であれば、いかなる領域でもよいものであり、上記 2. 45GHzの周 波数は、一般的な RFIDの周波数をあげたものにすぎず、単なる一具体例にすぎな い。  Here, the frequency band may be any region as long as the implant management device can receive the read request signal, and the frequency of 2.45 GHz is a general RFID. It is just a frequency increase, just a concrete example.
これにより、アンテナ 14からインプラント管理装置に向けて、その変調信号が発信さ れる。  Thus, the modulated signal is transmitted from the antenna 14 to the implant management device.
[0026] インプラント管理装置のアンテナ 2は、情報提示装置から変調信号を受信すると、そ の変調信号を電源回路 3及び復調回路 4に出力する (ステップ ST1)。  When receiving the modulation signal from the information presentation device, the antenna 2 of the implant management device outputs the modulation signal to the power supply circuit 3 and the demodulation circuit 4 (step ST1).
インプラント管理装置の電源回路 3は、アンテナ 2から変調信号を受けると、その変 調信号を駆動用電力に変換し、その駆動用電力を復調回路 4、制御回路 5及び変調 回路 6に供給する (ステップ ST2)。  Upon receiving the modulation signal from the antenna 2, the power supply circuit 3 of the implant management device converts the modulation signal into driving power, and supplies the driving power to the demodulation circuit 4, the control circuit 5, and the modulation circuit 6 ( Step ST2).
[0027] インプラント管理装置の復調回路 4は、電源回路 3から駆動用電力の供給を受ける と駆動可能な状態に移行し、アンテナ 2により受信された変調信号を復調して、その 復調信号を制御回路 5に出力する (ステップ ST3)。 [0027] The demodulation circuit 4 of the implant management apparatus shifts to a drivable state when supplied with driving power from the power supply circuit 3, demodulates the modulated signal received by the antenna 2, and controls the demodulated signal. Output to circuit 5 (step ST3).
インプラント管理装置の制御回路 5は、電源回路 3から駆動用電力の供給を受ける と駆動可能な状態に移行し、復調回路 4から出力された復調信号力 Sインプラントの製 品情報の読取要求信号であるのか、医療情報の書込要求信号であるの力 患者の 医療情報であるのかを識別する (ステップ ST4)。  The control circuit 5 of the implant management device shifts to a drivable state when the driving power is supplied from the power supply circuit 3, and receives the demodulation signal power output from the demodulation circuit 4 in response to the read request signal for the product information of the implant. It is identified whether the information is a medical information write request signal or a patient's medical information (step ST4).
例えば、読取要求信号や書込要求信号や医療情報のヘッダには、要求内容を示 す情報が格納されているので、そのヘッダの内容を確認すれば、読取要求信号であ るの力、書込要求信号であるのか、医療情報であるのかを識別することができる。  For example, the read request signal, the write request signal, and the header of the medical information contain information indicating the contents of the request. If the contents of the header are checked, the power of the read request signal and the written It is possible to identify whether the received signal is an input request signal or medical information.
[0028] インプラント管理装置の制御回路 5は、復調回路 4から出力された復調信号力 Sイン プラントの製品情報の読取要求信号であることを確認すると、予め、メモリ 1に格納さ れているインプラントの製品情報を読み取り、その製品情報を変調回路 6に出力する (ステップ ST5)。 [0028] The control circuit 5 of the implant management device controls the demodulated signal power S-in output from the demodulation circuit 4. When it is confirmed that the signal is a request signal for reading the product information of the plant, the product information of the implant stored in the memory 1 is read in advance, and the product information is output to the modulation circuit 6 (step ST5).
インプラント管理装置の変調回路 6は、電源回路 3から駆動用電力の供給を受ける と駆動可能な状態に移行し、制御回路 5からインプラントの製品情報を受けると、その 製品情報を情報提示装置が受信できる周波数 (例えば、 2. 45GHzの周波数)の電 波に変調し、その変調信号をアンテナ 2に出力する (ステップ ST6)。  The modulation circuit 6 of the implant management device shifts to a drivable state when the driving power is supplied from the power supply circuit 3, and receives the product information of the implant from the control circuit 5, and the information presentation device receives the product information. The signal is modulated to a frequency of a possible frequency (for example, a frequency of 2.45 GHz), and the modulated signal is output to antenna 2 (step ST6).
これにより、アンテナ 2から情報提示装置に向けて、その変調信号が発信される (ス テツプ ST7)。  As a result, the modulated signal is transmitted from antenna 2 to the information presentation device (step ST7).
[0029] 情報提示装置のアンテナ 14は、インプラント管理装置力も変調信号を受信すると、 その変調信号を復調部 15に出力する。  [0029] The antenna 14 of the information presentation device outputs the modulated signal to the demodulation unit 15 when the implant management device receives the modulated signal.
情報提示装置の復調部 15は、アンテナ 14から変調信号を受けると、その変調信号 を復調し、その復調信号であるインプラントの製品情報を制御部 12に出力する。 情報提示装置の制御部 12は、復調部 15からインプラントの製品情報を受けると、 その製品情報をメモリ 17に格納するとともに、その製品情報を表示部 16に表示する これにより、ユーザは、患者の体内に埋め込まれているインプラントの製品情報を確 認することができる。  Upon receiving the modulation signal from the antenna 14, the demodulation unit 15 of the information presentation device demodulates the modulation signal and outputs the demodulated signal, which is the product information of the implant, to the control unit 12. Upon receiving the implant product information from the demodulation unit 15, the control unit 12 of the information presentation device stores the product information in the memory 17 and displays the product information on the display unit 16. You can check product information of implants implanted in the body.
[0030] 次に、ユーザが例えば患者の医療情報 (基礎疾患、服用薬、既往症など)をインプ ラント管理装置に記録する際の動作を説明する。  Next, an operation when a user records, for example, medical information of a patient (eg, a basic disease, a medication, a past medical condition, etc.) in the implant management device will be described.
まず、ユーザが情報提示装置の操作部 11を操作して、患者の医療情報の書込要 求信号を入力する。  First, the user operates the operation unit 11 of the information presentation device to input a signal for requesting writing of medical information of a patient.
情報提示装置の制御部 12は、ユーザが医療情報の書込要求信号を入力すると、 その書込要求信号を変調部 13に出力する。  When the user inputs a medical information write request signal, the control unit 12 of the information presentation device outputs the write request signal to the modulation unit 13.
情報提示装置の変調部 13は、制御部 12から書込要求信号を受けると、その書込 要求信号をインプラント管理装置が受信できる周波数の電波に変調し、その変調信 号をアンテナ 14に出力する。  Upon receiving the write request signal from the control unit 12, the modulation unit 13 of the information presentation device modulates the write request signal into a radio wave of a frequency that can be received by the implant management device, and outputs the modulated signal to the antenna 14. .
これにより、アンテナ 14からインプラント管理装置に向けて、その変調信号が発信さ れる。 As a result, the modulated signal is transmitted from the antenna 14 to the implant management device. It is.
[0031] インプラント管理装置のアンテナ 2は、情報提示装置から変調信号を受信すると、そ の変調信号を電源回路 3及び復調回路 4に出力する (ステップ ST1)。  [0031] Upon receiving the modulation signal from the information presentation device, the antenna 2 of the implant management device outputs the modulation signal to the power supply circuit 3 and the demodulation circuit 4 (step ST1).
インプラント管理装置の電源回路 3は、アンテナ 2から変調信号を受けると、その変 調信号を駆動用電力に変換し、その駆動用電力を復調回路 4、制御回路 5及び変調 回路 6に供給する (ステップ ST2)。  Upon receiving the modulation signal from the antenna 2, the power supply circuit 3 of the implant management device converts the modulation signal into driving power, and supplies the driving power to the demodulation circuit 4, the control circuit 5, and the modulation circuit 6 ( Step ST2).
[0032] インプラント管理装置の復調回路 4は、電源回路 3から駆動用電力の供給を受ける と駆動可能な状態に移行し、アンテナ 2により受信された変調信号を復調して、その 復調信号を制御回路 5に出力する (ステップ ST3)。 [0032] The demodulation circuit 4 of the implant management device shifts to a drivable state when supplied with driving power from the power supply circuit 3, demodulates the modulated signal received by the antenna 2, and controls the demodulated signal. Output to circuit 5 (step ST3).
インプラント管理装置の制御回路 5は、電源回路 3から駆動用電力の供給を受ける と駆動可能な状態に移行し、復調回路 4から出力された復調信号力 Sインプラントの製 品情報の読取要求信号であるのか、医療情報の書込要求信号であるの力 患者の 医療情報であるのかを識別する (ステップ ST4)。  The control circuit 5 of the implant management device shifts to a drivable state when the driving power is supplied from the power supply circuit 3, and receives the demodulation signal power output from the demodulation circuit 4 in response to the read request signal for the product information of the implant. It is identified whether the information is a medical information write request signal or a patient's medical information (step ST4).
[0033] インプラント管理装置の制御回路 5は、復調回路 4から出力された復調信号が医療 情報の書込要求信号であることを確認すると、その医療情報の書込許可信号を変調 回路 6に出力する (ステップ ST8)。 When the control circuit 5 of the implant management device confirms that the demodulated signal output from the demodulation circuit 4 is a medical information write request signal, the control circuit 5 outputs the medical information write enable signal to the modulation circuit 6 Yes (step ST8).
インプラント管理装置の変調回路 6は、電源回路 3から駆動用電力の供給を受ける と駆動可能な状態に移行し、制御回路 5から医療情報の書込許可信号を受けると、 その書込許可信号を情報提示装置が受信できる周波数の電波に変調し、その変調 信号をアンテナ 2に出力する (ステップ ST9)。  The modulation circuit 6 of the implant management device shifts to a drivable state when the driving power is supplied from the power supply circuit 3, and receives a medical information write enable signal from the control circuit 5, and outputs the write enable signal. The signal is modulated into radio waves of a frequency that can be received by the information presentation device, and the modulated signal is output to antenna 2 (step ST9).
これにより、アンテナ 2から情報提示装置に向けて、その変調信号が発信される (ス テツプ ST10)。  As a result, the modulated signal is transmitted from the antenna 2 to the information presentation device (step ST10).
[0034] 情報提示装置のアンテナ 14は、インプラント管理装置力も変調信号を受信すると、 その変調信号を復調部 15に出力する。  When the antenna 14 of the information presentation device receives the modulation signal from the implant management device, the antenna 14 outputs the modulation signal to the demodulation unit 15.
情報提示装置の復調部 15は、アンテナ 14から変調信号を受けると、その変調信号 を復調し、その復調信号である医療情報の書込許可信号を制御部 12に出力する。 情報提示装置の制御部 12は、復調部 15から医療情報の書込許可信号を受けると 、操作部 11から入力された患者の医療情報、あるいは、メモリ 17に格納されている患 者の医療情報を変調部 13に出力する。 When receiving the modulation signal from the antenna 14, the demodulation unit 15 of the information presentation device demodulates the modulation signal and outputs a write permission signal of the demodulated medical information to the control unit 12. Upon receiving the write permission signal for medical information from the demodulation unit 15, the control unit 12 of the information presentation device receives the medical information of the patient input from the operation unit 11 or the patient information stored in the memory 17. It outputs the medical information of the patient to the modulator 13.
情報提示装置の変調部 13は、制御部 12から患者の医療情報を受けると、その患 者の医療情報をインプラント管理装置が受信できる周波数の電波に変調し、その変 調信号をアンテナ 14に出力する。  Upon receiving the patient's medical information from the control unit 12, the modulation unit 13 of the information presentation device modulates the patient's medical information into radio waves of a frequency that can be received by the implant management device, and outputs the modulated signal to the antenna 14. I do.
これにより、アンテナ 14からインプラント管理装置に向けて、その変調信号が発信さ れる。  Thus, the modulated signal is transmitted from the antenna 14 to the implant management device.
[0035] インプラント管理装置のアンテナ 2は、情報提示装置から変調信号を受信すると、そ の変調信号を電源回路 3及び復調回路 4に出力する (ステップ ST1)。  When receiving the modulation signal from the information presenting device, the antenna 2 of the implant management device outputs the modulation signal to the power supply circuit 3 and the demodulation circuit 4 (step ST1).
インプラント管理装置の電源回路 3は、アンテナ 2から変調信号を受けると、その変 調信号を駆動用電力に変換し、その駆動用電力を復調回路 4、制御回路 5及び変調 回路 6に供給する (ステップ ST2)。  Upon receiving the modulation signal from the antenna 2, the power supply circuit 3 of the implant management device converts the modulation signal into driving power, and supplies the driving power to the demodulation circuit 4, the control circuit 5, and the modulation circuit 6 ( Step ST2).
[0036] インプラント管理装置の復調回路 4は、電源回路 3から駆動用電力の供給を受ける と駆動可能な状態に移行し、アンテナ 2により受信された変調信号を復調して、その 復調信号を制御回路 5に出力する (ステップ ST3)。 [0036] The demodulation circuit 4 of the implant management device shifts to a drivable state when supplied with driving power from the power supply circuit 3, demodulates the modulated signal received by the antenna 2, and controls the demodulated signal. Output to circuit 5 (step ST3).
インプラント管理装置の制御回路 5は、電源回路 3から駆動用電力の供給を受ける と駆動可能な状態に移行し、復調回路 4から出力された復調信号力 Sインプラントの製 品情報の読取要求信号であるのか、医療情報の書込要求信号であるの力 患者の 医療情報であるのかを識別する (ステップ ST4)。  The control circuit 5 of the implant management device shifts to a drivable state when the driving power is supplied from the power supply circuit 3, and receives the demodulation signal power output from the demodulation circuit 4 in response to the read request signal for the product information of the implant. It is identified whether the information is a medical information write request signal or a patient's medical information (step ST4).
インプラント管理装置の制御回路 5は、復調回路 4から出力された復調信号が患者 の医療情報であることを確認すると、その患者の医療情報をメモリ 1に格納する (ステ ップ ST11)。  When confirming that the demodulated signal output from the demodulation circuit 4 is the medical information of the patient, the control circuit 5 of the implant management device stores the medical information of the patient in the memory 1 (step ST11).
[0037] 以上で明らかなように、この実施の形態 1によれば、インプラントの製品情報を格納 するメモリ 1と、そのメモリ 1に格納されて!、る製品情報を示す電波を発信する通信器 とを内包し、そのインプラントに取り付けられる外装材 7が生体適合滅菌部材 8でコー ティングされるように構成したので、インプラントの製品情報の管理に利用することが できるようになり、その結果、医師や看護師などが必要に応じて患者の体内に埋め込 まれているインプラントの製品情報を確認することができる効果を奏する。  As is clear from the above, according to the first embodiment, the memory 1 for storing the product information of the implant, and the communication device for transmitting radio waves indicating the product information stored in the memory 1 And the outer material 7 attached to the implant is coated with a biocompatible sterilizing member 8, so that it can be used for managing the product information of the implant. And nurses can check product information of implants embedded in the patient's body as needed.
また、この実施の形態 1によれば、情報提示装置から発信された電波を受信し、そ の電波が示す情報をメモリ 1に格納するように構成したので、例えば、患者の医療情 報を適宜記録することができる効果を奏する。 Further, according to the first embodiment, the radio wave transmitted from the information presenting device is received and transmitted. Since the information indicated by the radio wave is stored in the memory 1, for example, the medical information of the patient can be appropriately recorded.
[0038] 実施の形態 2.  [0038] Embodiment 2.
上記実施の形態 1では、情報提示装置が患者の医療情報をインプラント管理装置 に記録する場合、情報提示装置が医療情報の書込要求信号をインプラント管理装置 に送信し、そのインプラント管理装置から医療情報の書込許可信号を受信すると、患 者の医療情報をインプラント管理装置に送信するものについて示したが、情報提示 装置が、医療情報が付加された書込要求信号をインプラント管理装置に送信するよ うにしてもよい。また、必要に応じて情報を暗号化し、情報提示装置側で暗号化を解 除して文字情報に変換するようにしてもょ 、。  In the first embodiment, when the information presenting device records the medical information of the patient in the implant management device, the information presenting device transmits a write request signal of the medical information to the implant management device, and the medical information is transmitted from the implant management device. In the above description, when the write permission signal is received, the medical information of the patient is transmitted to the implant management apparatus. However, the information presenting apparatus transmits a write request signal to which the medical information is added to the implant management apparatus. You may do it. If necessary, the information may be encrypted, and the information presenting device may decrypt the information and convert it to character information.
[0039] この場合、インプラント管理装置の制御回路 5は、復調回路 4から出力された復調 信号が、医療情報が付加された書込要求信号であることを確認すると、その書込要 求信号から医療情報を取り出し、その医療情報をメモリ 1に格納するようにする。 これにより、通信回数が一回で済むため、上記実施の形態 1よりも、速やかに患者 の医療情報をインプラント管理装置に記録することができる効果を奏する。  In this case, when the control circuit 5 of the implant management device confirms that the demodulated signal output from the demodulation circuit 4 is a write request signal to which medical information is added, the control circuit 5 Retrieve medical information and store it in memory 1. Thus, the number of times of communication is only one, so that the medical information of the patient can be recorded in the implant management device more quickly than in the first embodiment.
[0040] 実施の形態 3.  [0040] Embodiment 3.
図 6はこの発明の実施の形態 3によるインプラント管理装置を示す斜視図であり、図 において、外装材 7は図 1のインプラント管理装置と同様にメモリ 1、アンテナ 2、電源 回路 3、復調回路 4、制御回路 5及び変調回路 6を内包しているが、生体適合滅菌部 材カゝらなる容器 9内に密閉される状態でインプラントに取り付けられている。  FIG. 6 is a perspective view showing an implant management device according to Embodiment 3 of the present invention. In FIG. 6, an exterior material 7 includes a memory 1, an antenna 2, a power supply circuit 3, and a demodulation circuit 4 similarly to the implant management device of FIG. Although the control circuit 5 and the modulation circuit 6 are included, the control circuit 5 and the modulation circuit 6 are attached to the implant while being sealed in a container 9 made of a biocompatible sterilizing member.
[0041] 上記実施の形態 1, 2では、外装材 7が生体適合滅菌部材 8でコーティングされてい るものについて示したが、外装材 7が施されているインプラント管理装置を収納する 容器 9を作成して、その容器 9の中にインプラント管理装置を収納し、その容器 9をィ ンプラントに埋没、あるいは、貼り付けることによって、インプラントに取り付けるように してちよい。  In the first and second embodiments, the case where the exterior material 7 is coated with the biocompatible sterilizing member 8 has been described. However, the container 9 for storing the implant management device provided with the exterior material 7 is created. Then, the implant management device may be housed in the container 9, and the container 9 may be embedded in the implant or attached to the implant.
その容器 9はインプラント管理装置を密閉できるように収納できるものであれば、そ の形状は特に問わず、例えば、連続多孔質ポリテトラフロロエチレンや、縫合糸に使 用される繊維などから作られた袋状のものでもよい。 また、その容器は、榭脂素材など力もなるカプセル状の軟質なものであってもよいし 、生体に安全な金属力 なる硬質なものであってもよ 、。 The container 9 may be made of any material, for example, continuous porous polytetrafluoroethylene or a fiber used for a suture, as long as it can store the implant management device in a sealed manner. It may be a bag. Further, the container may be a capsule-shaped soft material such as a resin material which also has a strong force, or a hard metal material which is safe for a living body.
[0042] 以上で明らかなように、この実施の形態 3によれば、インプラントの製品情報を格納 するメモリ 1と、そのメモリ 1に格納されて!、る製品情報を示す電波を発信する通信器 とを内包し、外装材 7が生体適合滅菌部材力 なる容器 9内に密閉される状態でイン プラントに取り付けられるように構成したので、インプラントの製品情報の管理に利用 することができるようになり、その結果、医師や看護師などが必要に応じて患者の体 内に埋め込まれているインプラントの製品情報を確認することができる効果を奏する  As is clear from the above, according to the third embodiment, the memory 1 for storing the product information of the implant, and the communication device for transmitting the radio wave indicating the product information stored in the memory 1 And the exterior material 7 is configured to be attached to the implant in a state where the exterior material 7 is hermetically sealed in the container 9 that can be used as a biocompatible sterilizing member, so that it can be used for management of implant product information. As a result, it has the effect that doctors and nurses can check the product information of implants embedded in the patient's body as necessary.
[0043] 実施の形態 4. Embodiment 4.
上記実施の形態 1〜3では、医師などが情報提示装置の操作部 11を操作して、ィ ンプラントの製品情報を確認するものについて示したが、情報提示装置は、例えば、 MRI機器に装着されており、患者が MRI検査を受けるとき、医師などが情報提示装 置の操作部 11を操作して、インプラントの製品情報を確認するようにしてもょ 、。 あるいは、情報提示装置が空港の金属探知器に装着され、検査官が飛行機利用 者の金属チェックを行うとき、情報提示装置の操作部 11を操作して、金属製のインプ ラントの製品情報を確認するようにしてもよい。  In the first to third embodiments, the case where the doctor or the like operates the operation unit 11 of the information presenting apparatus to confirm the product information of the implant has been described, but the information presenting apparatus is attached to, for example, an MRI apparatus. When a patient undergoes an MRI examination, a doctor or the like may operate the operation unit 11 of the information presentation device to confirm implant product information. Alternatively, when the information presentation device is attached to a metal detector at the airport and the inspector checks the metal of the airplane user, he operates the operation unit 11 of the information presentation device to check the product information of the metal implant. You may make it.
あるいは、情報提示装置をノ、ンディータイプにして、一般の外来診療や緊急診療 の際に、医師や救急救命士などが情報提示装置の操作部 11を操作して、インプラン トの製品情報を確認するようにしてもょ ヽ。  Alternatively, the information presenting device is changed to a no-and-need type, and a doctor, a paramedic, etc. operates the operating unit 11 of the information presenting device during general outpatient medical care or emergency medical treatment, and obtains product information of the implant. You can check it.
[0044] 実施の形態 5. Embodiment 5.
上記実施の形態 1では、インプラント管理装置の外装材 7が生体適合滅菌部材 8で コーティングされているものについて示した力 具体的には、次のようにして、生体適 合滅菌部材 8のコーティングが行われる。  In the first embodiment, the force shown in the case where the exterior material 7 of the implant management device is coated with the biocompatible sterilizing member 8 Specifically, the coating of the biocompatible sterilizing member 8 is performed as follows. Done.
図 7はコーティング手順を示す説明図である。  FIG. 7 is an explanatory diagram showing a coating procedure.
[0045] まず、図 7 (a)に示すように、インプラント管理装置であるインプラント管理部材の全 体を包むように、生体適合性と滅菌耐性を有するシール部材 9 (例えば、生体適合性 ポリマー(例えば、スルホンやスルホキシドの官能基と脂肪族鎖力 形成されるポリマ 一)力もなる部材)でシールする。 First, as shown in FIG. 7 (a), a seal member 9 (for example, a biocompatible polymer (for example, a biocompatible polymer (eg, , Sulfone and sulfoxide functional groups and aliphatic chains 1) Seal with a member that also has force.
次に、図 7 (b)に示すように、シール部材 9と同一部材又は異なる部材の生体適合 性ポリマーからなる生体適合滅菌部材 8を、シールされたインプラント管理部材の全 体にコーティングする。  Next, as shown in FIG. 7 (b), the whole of the sealed implant management member is coated with a biocompatible sterilizing member 8 made of the same or different biocompatible polymer from the sealing member 9.
[0046] これにより、生体に影響を与えることがないインプラント管理部材をインプラントに取 り付けることができる効果を奏する。  As a result, there is an effect that the implant management member that does not affect the living body can be attached to the implant.
ここでは、生体適合滅菌部材 8として、生体適合性ポリマーをコーティングするもの について示した力 生体適合性と滅菌耐性を有する部材であれば、これに限るもの でな!/ヽことは言うまでもな!/ヽ。  Here, as the biocompatible sterilizing member 8, the force shown for the one coated with a biocompatible polymer is not limited to a member having biocompatibility and sterilization resistance! / ヽ Needless to say! / ヽ.
[0047] 実施の形態 6. Embodiment 6.
上記実施の形態 5では、インプラント管理部材を生体適合性ポリマーでシールして から、生体適合滅菌部材 8でコーティングするものについて示した力 図 8に示すよう に、例えば、ポリプロピレンなどの生体適合滅菌部材 8をインプラント管理部材の全体 に印刷することによって、生体適合滅菌部材 8をコーティングするようにしてもよぐ同 様の効果を奏することができる。  In Embodiment 5 described above, the implant management member is sealed with a biocompatible polymer, and then the force is shown for coating with the biocompatible sterilizing member 8. As shown in FIG. 8, for example, a biocompatible sterilizing member such as polypropylene is used. By printing 8 on the entire implant management member, the same effect can be obtained even if the biocompatible sterilizing member 8 is coated.
[0048] 実施の形態 7. Embodiment 7.
上記実施の形態 1〜6では、患者の体内に埋め込まれるインプラントにインプラント 管理部材を取り付けるものについて示した力 患者の体表面に貼り付けられるインプ ラントにインプラント管理部材を取り付けるようにしてもよ 、。  In the first to sixth embodiments, the force shown for attaching the implant management member to the implant implanted in the patient's body may be attached to the implant attached to the patient's body surface.
具体的には、上記実施の形態 5に示すようなシール部材 9を用いて、インプラントの 表面にインプラント管理部材の全体を包むようにシールすればよい。この際、複数の インプラント管理部材をシールするようにしてもよ!、。  Specifically, the seal may be sealed so as to cover the entire implant management member on the surface of the implant using the seal member 9 as described in the fifth embodiment. At this time, a plurality of implant management members may be sealed!
[0049] この場合、検査や手術時の患者取り違い防止に利用することができるとともに、体 動により影響を受ける検査や、逆に体動を調査する検査やモニターに利用すること ができる。例えば、入浴中の患者が浴室内で倒れていないかのモニターや、独居老 人の行動を把握することに利用することができる。 [0049] In this case, the present invention can be used for preventing a patient from being mistaken at the time of an examination or an operation, and can be used for an examination affected by a body movement, and conversely, an examination or monitor for examining a body movement. For example, it can be used to monitor whether a bathing patient has fallen in the bathroom or to grasp the behavior of a solitary elderly.
[0050] 実施の形態 8. Embodiment 8.
なお、上記実施の形態 1〜7では、インプラントの製品情報 (例えば、材質、製造年 月日、メーカ名など)をメモリ 1に格納し、メモリ 1に格納されて 、るインプラントの製品 情報を示す電波を発信するものについて示したが、インプラントの ID (インプラントを 特定するユニークなコード)をメモリ 1に格納し、メモリ 1に格納されて 、るインプラント の IDを示す電波を発信するようにしてもよぐ上記実施の形態 1〜7と同様の効果を 奏することができる。 In Embodiments 1 to 7, implant product information (for example, material, The date and time, the name of the manufacturer, etc.) are stored in memory 1 and stored in memory 1 to transmit radio waves indicating product information of the implant. The implant ID (unique code that identifies the implant) is shown. Is stored in the memory 1 and the radio wave indicating the ID of the implant is transmitted and the same effect as in the first to seventh embodiments described above can be obtained.
この場合、情報提示装置は、インプラント管理装置からインプラントの IDを示す電波 を受信することになるが、例えば、図示せぬデータベース力 Sインプラントの製品情報 を管理している場合には、インプラントの IDをキーにして、そのデータベースからイン プラントの製品情報を取得するようにすればょ 、。  In this case, the information presentation device receives a radio wave indicating the ID of the implant from the implant management device. For example, when managing the database information (not shown) The key is to get implant product information from the database.
[0051] 実施の形態 9. Embodiment 9.
図 9はこの発明の実施の形態 9による情報提示装置を示す構成図であり、図におい て、図 3と同一符号は同一または相当部分を示すので説明を省略する。  FIG. 9 is a configuration diagram showing an information presentation apparatus according to Embodiment 9 of the present invention. In the figure, the same reference numerals as in FIG. 3 denote the same or corresponding parts, and a description thereof will be omitted.
データベース 18は各種のインプラントが医療機器に与える影響を示す影響開示情 報を記録して 、るメモリである。  The database 18 is a memory for recording impact disclosure information indicating the effects of various implants on medical devices.
制御部 19は図 3の制御部 12と同様の機能を有する他、受信器を構成する復調部 1 5からインプラントの製品情報又は IDを受けると、データベース 18から当該インプラン トに対応する影響開示情報を検索し、その影響開示情報を表示部 16に表示する。な お、制御部 19は情報提示手段を構成している。  The control unit 19 has the same function as the control unit 12 in FIG. 3, and when receiving the implant product information or ID from the demodulation unit 15 constituting the receiver, the control unit 19 discloses the effect corresponding to the implant from the database 18. The information is searched, and the effect disclosure information is displayed on the display unit 16. Note that the control unit 19 constitutes information presentation means.
[0052] 次に動作について説明する。 Next, the operation will be described.
図 9の情報提示装置は、図 3の情報提示装置と同様に、インプラント管理装置に記 録されているインプラントの製品情報又は IDを読み出す機能と、インプラント管理装 置に対してインプラントの製品情報又は IDを書き込む機能とを有している。  Like the information presentation device of FIG. 3, the information presentation device of FIG. 9 has a function to read out the product information or ID of the implant recorded in the implant management device, and has the function of reading the implant product information or ID to the implant management device. It has a function of writing an ID.
また、図 9の情報提示装置は、インプラントが医療機器に与える影響を示す影響開 示情報を提示する機能を有して!/ヽる。  Further, the information presentation device of FIG. 9 has a function of presenting effect disclosure information indicating the effect of the implant on the medical device!
具体的には次の通りである。  Specifically, it is as follows.
[0053] 情報提示装置のデータベース 18には、予め、各種のインプラントが医療機器に与 える影響を示す影響開示情報が記録されて 、る。 [0053] In the database 18 of the information presentation device, effect disclosure information indicating the effect of various implants on the medical device is recorded in advance.
データベース 18に記録されている影響開示情報は、インプラントの製品情報又は I Dと対応付けられており、例えば、製品 A (インプラント)は CTの検査精度を 30%劣 化させる力 MRIの検査精度には影響しないなどの情報が含まれている。 The impact disclosure information recorded in database 18 can be It is associated with D, for example, information that product A (implant) does not affect the accuracy of MRI inspection by reducing the inspection accuracy of CT by 30%.
[0054] 情報提示装置の復調部 15は、アンテナ 14から変調信号を受けると、上記実施の形 態 1と同様に、その変調信号を復調し、その復調信号であるインプラントの製品情報 又は IDを制御部 19に出力する。 When receiving the modulated signal from the antenna 14, the demodulation unit 15 of the information presenting device demodulates the modulated signal in the same manner as in the first embodiment and outputs the product information or ID of the implant, which is the demodulated signal. Output to control unit 19.
情報提示装置の制御部 19は、復調部 15からインプラントの製品情報又は IDを受 けると、その製品情報又は IDをキーにして、データベース 18から当該インプラントに 対応する影響開示情報を検索する。  When receiving the product information or ID of the implant from the demodulation unit 15, the control unit 19 of the information presentation device searches the database 18 for the effect disclosure information corresponding to the implant using the product information or ID as a key.
そして、制御部 19は、そのインプラントに対応する影響開示情報を表示部 16に表 示する。  Then, the control unit 19 displays the effect disclosure information corresponding to the implant on the display unit 16.
これにより、表示部 16には、例えば、患者の体内に埋め込まれているインプラントは CTの検査精度を 30%劣化させる力 MRIの検査精度には影響しな 、などの情報が 表示される。  As a result, the display unit 16 displays information indicating that, for example, the implant embedded in the patient's body does not affect the MRI examination accuracy by deteriorating the CT examination accuracy by 30%.
[0055] 以上で明らかなように、この実施の形態 9によれば、インプラントの製品情報又は ID を受信すると、データベース 18から当該インプラントに対応する影響開示情報を検 索し、その影響開示情報を表示するように構成したので、医師等が CTや MRIなどの 医療機器による検査の是非を判断することができる効果を奏する。  As is clear from the above, according to the ninth embodiment, when the product information or the ID of the implant is received, the effect disclosure information corresponding to the implant is searched from the database 18, and the effect disclosure information is retrieved. Since the display is configured, it is possible for a doctor or the like to determine whether or not to perform an examination using a medical device such as a CT or MRI.
また、インプラントの製品情報又は IDを事前に情報提示装置に転送すれば、画像 解像度への影響を除去することも可能になり、画像診断の信頼性を高めることができ る効果を奏する。  Further, if the product information or ID of the implant is transferred to the information presenting device in advance, it is possible to remove the influence on the image resolution, and it is possible to improve the reliability of the image diagnosis.
[0056] なお、この実施の形態 9では、情報提示装置の制御部 19がインプラントに対応する 影響開示情報を表示部 16に表示するものにっ 、て示したが、変調部 13及びアンテ ナ 14を介して、インプラントに対応する影響開示情報を他の機器に向けて発信する ようにしてもよい。  In the ninth embodiment, the control unit 19 of the information presentation device displays the effect disclosure information corresponding to the implant on the display unit 16, but the modulation unit 13 and the antenna 14 The effect disclosure information corresponding to the implant may be transmitted to another device via the.
産業上の利用可能性  Industrial applicability
[0057] 以上のように、この発明に係るインプラント管理装置は、核磁気共鳴検査装置 (MR I)やコンピュータ断層撮影装置 (CT)などの医療機器による診断を受ける際に、医師 等が患者に埋め込まれているインプラントの製品情報を確認するのに適している。 [0057] As described above, the implant management device according to the present invention allows a doctor or the like to give a patient a diagnosis when receiving a diagnosis using a medical device such as a nuclear magnetic resonance inspection device (MRI) or a computer tomography device (CT). It is suitable for confirming the product information of the implant being implanted.

Claims

請求の範囲 The scope of the claims
[1] 患者の体内に埋め込まれるインプラントの製品情報又は IDを格納するメモリと、上 記メモリに格納されて ヽる製品情報又は IDを示す電波を発信する通信器と、上記ィ ンプラントに取り付けられ、上記メモリ及び上記通信器を内包する外装材とを備えたィ ンプラント管理装置にぉ 、て、上記外装材が生体適合性部材でコーティングされて V、ることを特徴とするインプラント管理装置。  [1] A memory for storing the product information or ID of the implant to be implanted in the patient's body, a communicator for transmitting radio waves indicating the product information or ID stored in the memory, and a memory attached to the implant. An implant management device, comprising: an implant management device including the memory and an exterior material including the communication device, wherein the exterior material is coated with a biocompatible member.
[2] 患者の体内に埋め込まれるインプラントの製品情報又は IDを格納するメモリと、上 記メモリに格納されて ヽる製品情報又は IDを示す電波を発信する通信器と、上記ィ ンプラントに取り付けられ、上記メモリ及び上記通信器を内包する外装材とを備えたィ ンプラント管理装置において、上記外装材が生体適合性部材カもなる容器内に密閉 される状態でインプラントに取り付けられていることを特徴とするインプラント管理装置  [2] A memory that stores the product information or ID of the implant to be implanted in the patient's body, a communicator that transmits a radio wave indicating the product information or ID stored in the memory, and a memory that is attached to the implant. An implant management device including the memory and the exterior material including the communication device, wherein the exterior material is attached to the implant in a state where the exterior material is hermetically sealed in a container including the biocompatible member. Implant management device
[3] 患者の体内に埋め込まれるインプラントの製品情報又は IDを格納するメモリと、上 記メモリに格納されて ヽる製品情報又は IDを示す電波を発信する通信器と、上記ィ ンプラントに取り付けられ、上記メモリ及び上記通信器を内包する外装材とを備えたィ ンプラント管理装置にぉ 、て、上記外装材が滅菌耐性部材でコーティングされて!/、る ことを特徴とするインプラント管理装置。 [3] A memory for storing the product information or ID of the implant to be implanted in the patient's body, a communicator for transmitting a radio wave indicating the product information or ID stored in the memory, and a memory attached to the implant. An implant management device, comprising: an implant management device including the memory and an exterior material including the communication device; wherein the exterior material is coated with a sterilization resistant member.
[4] 患者の体内に埋め込まれるインプラントの製品情報又は IDを格納するメモリと、上 記メモリに格納されて ヽる製品情報又は IDを示す電波を発信する通信器と、上記ィ ンプラントに取り付けられ、上記メモリ及び上記通信器を内包する外装材とを備えたィ ンプラント管理装置において、上記外装材が滅菌耐性部材カもなる容器内に密閉さ れる状態でインプラントに取り付けられていることを特徴とするインプラント管理装置。  [4] A memory for storing the product information or ID of the implant to be implanted in the patient's body, a communicator for transmitting radio waves indicating the product information or ID stored in the memory, and a memory attached to the implant. An implant management apparatus comprising the memory and an exterior material including the communication device, wherein the exterior material is attached to the implant in a state where the exterior material is sealed in a container including a sterilization-resistant member. Implant management device.
[5] 通信器は、外部機器から発信された電波を受信し、その電波が示す情報をメモリに 格納することを特徴とする請求項 1から請求項 4のうちのいずれか 1項記載のインブラ ント管理装置。  [5] The implanter according to any one of [1] to [4], wherein the communication device receives a radio wave transmitted from an external device and stores information indicated by the radio wave in a memory. Management device.
[6] 患者の体内に埋め込まれるインプラントの製品情報を格納するメモリと、上記メモリ に格納されて ヽる製品情報を示す電波を発信する通信器と、上記メモリ及び上記通 信器の全体をシールするシール部材とを備えたインプラント管理部材力 なるインプ ラント管理装置において、上記インプラント管理部材が複数同時に収納若しくは貼付 されて 、ることを特徴とするインプラント管理装置。 [6] A memory for storing the product information of the implant to be implanted in the patient's body, a communicator for transmitting radio waves indicating the product information stored in the memory, and a seal for the entire memory and the communicator Implant management member with sealing member An implant management device, wherein a plurality of the implant management members are simultaneously stored or affixed in the runt management device.
インプラント管理装置力 発信された情報を受信し、その情報とインプラントの製品 情報を照合して、インプラントが医療機器に与える影響に関する情報を発信若しくは 表示する情報提示装置。  Implant management device capability An information presentation device that receives transmitted information, compares the information with implant product information, and transmits or displays information on the impact of implants on medical devices.
PCT/JP2005/006363 2004-03-31 2005-03-31 Implant management device and information presentation device WO2005094723A1 (en)

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US8875714B2 (en) * 2007-02-22 2014-11-04 The Invention Science Fund I, Llc Coded-sequence activation of surgical implants
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JP2004024868A (en) * 2002-06-10 2004-01-29 Kazuo Yasaka Artificial joint with joint capsule

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JP2002248081A (en) * 2001-02-26 2002-09-03 Olympus Optical Co Ltd Medical equipment
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