WO2016039298A1 - Dispositif d'aspiration de médicament liquide, système d'injection de médicament liquide et système d'imagerie radioscopique - Google Patents

Dispositif d'aspiration de médicament liquide, système d'injection de médicament liquide et système d'imagerie radioscopique Download PDF

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Publication number
WO2016039298A1
WO2016039298A1 PCT/JP2015/075365 JP2015075365W WO2016039298A1 WO 2016039298 A1 WO2016039298 A1 WO 2016039298A1 JP 2015075365 W JP2015075365 W JP 2015075365W WO 2016039298 A1 WO2016039298 A1 WO 2016039298A1
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WIPO (PCT)
Prior art keywords
data
chemical
suction
syringe
injection
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PCT/JP2015/075365
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English (en)
Japanese (ja)
Inventor
根本　茂
Original Assignee
株式会社根本杏林堂
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Application filed by 株式会社根本杏林堂 filed Critical 株式会社根本杏林堂
Priority to JP2016547434A priority Critical patent/JP6804977B2/ja
Publication of WO2016039298A1 publication Critical patent/WO2016039298A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J3/00—Devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142—Pressure infusion, e.g. using pumps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178—Syringes

Definitions

  • the present invention relates to a chemical solution suction device that sucks a chemical solution from a chemical solution container into a syringe, a chemical solution injection system that uses the chemical solution sucked into the syringe by the chemical solution suction device, and a fluoroscopic imaging system.
  • Examples of medical image diagnostic apparatuses include CT apparatus, MRI apparatus, PET apparatus, angio apparatus, MRA apparatus, and ultrasonic image diagnostic apparatus.
  • CT apparatus CT apparatus
  • MRI apparatus magnetic resonance imaging apparatus
  • PET apparatus PET apparatus
  • angio apparatus angio apparatus
  • MRA apparatus ultrasonic image diagnostic apparatus.
  • a medical solution such as a contrast medium or physiological saline is often injected into the subject.
  • syringe This type of syringe is roughly classified into a syringe (also referred to as “pre-filled type”) filled with a chemical solution in advance by a pharmaceutical manufacturer and a syringe (also referred to as “on-site filling type”) filled at a medical site.
  • pre-filled type a syringe filled with a chemical solution in advance by a pharmaceutical manufacturer
  • on-site filling type also referred to as “on-site filling type
  • Patent Document 1 discloses an amount of chemical solution sucked into a syringe based on the test conditions of a subject using the chemical solution, and sucks the chemical solution by the calculated suction amount. Further, there is disclosed a chemical liquid suction device configured to transmit the obtained suction amount data together with a syringe unique identification number to an external device.
  • Patent Document 1 International Publication No. 2008/004670
  • an object of the present invention is to provide a chemical solution suction device, a chemical solution injection system, and a fluoroscopic imaging system that can prevent erroneous input of data when a chemical solution is sucked from a chemical solution container into a syringe.
  • the chemical liquid suction device of the present invention is a chemical liquid suction device that sucks a chemical liquid stored in a chemical liquid container into a syringe including a cylinder and a piston, A piston drive mechanism for moving the piston forward and backward with respect to the cylinder; A chemical data reader or reader / writer for obtaining the chemical data from a chemical data carrier in which chemical data related to the chemical contained in the chemical container is recorded, provided in the chemical container; A suction data writer or reader / writer for recording data on a syringe data carrier provided in the syringe; Control the operation of the writer or reader / writer for the suction data so that the liquid data acquired from the liquid chemical data carrier and the amount of suction according to the operation of the piston drive mechanism are recorded as the data on the syringe data carrier.
  • a suction control unit Have
  • the chemical liquid suction device of the present invention further includes a suction amount setting unit configured to allow a user to set a suction amount of the chemical solution, and the suction control unit further includes a piston according to the suction amount set by the suction amount setting unit. It may control the operation of the drive mechanism.
  • a communication module for transmitting and receiving data to and from an external device can be further included. In this case, it is preferable that data regarding the suction amount is obtained through the communication module, and the suction control unit sets the obtained data as the suction amount.
  • the chemical solution injection system of the present invention is a chemical solution injection system that sucks a chemical solution from a chemical solution container into a syringe and injects the chemical solution from the syringe
  • the chemical container includes a chemical data carrier in which chemical data related to the stored chemical is recorded
  • the syringe comprises a cylinder, a piston and a syringe data carrier,
  • a chemical liquid suction device that sucks the chemical liquid stored in the chemical liquid container into the syringe, and obtains the chemical liquid data from the aspiration piston drive mechanism that moves the piston forward and backward with respect to the cylinder and the chemical liquid data carrier.
  • a chemical liquid suction device having a reader or reader / writer for chemical data and a writer or reader / writer for suction data for recording data on the syringe data carrier;
  • a chemical liquid injection device for injecting a chemical liquid filled in the syringe, an injection piston drive mechanism for moving the piston forward and backward with respect to the cylinder, and an injection data reader for acquiring data from the syringe data carrier Or a chemical injection device having a reader / writer,
  • the operation of the piston driving mechanism for suction is controlled so that the chemical liquid is sucked from the chemical liquid container into the syringe by a predetermined suction amount, and the chemical liquid data acquired from the chemical liquid data carrier and the suction piston driving mechanism of the suction piston driving mechanism are controlled.
  • a suction control unit that controls the operation of the writer or reader / writer for suction data so as to record the suction amount according to the operation on the syringe data carrier as part of the data;
  • An injection control unit that determines the injection condition of the drug solution using data acquired from the syringe data carrier, and controls the operation of the injection piston drive mechanism according to the determined injection condition;
  • the injection control unit is preferably connected to another system through a network and configured to transmit data acquired from the syringe data carrier to the other system through the network.
  • the fluoroscopic imaging system of the present invention includes the above-described chemical liquid injection system of the present invention, A fluoroscopic imaging device that performs an imaging operation of a tomographic image of a subject into which the drug solution has been injected, and Have
  • the chemical solution injection device and the fluoroscopic imaging device of the chemical solution injection system are connected to each other so that data can be transmitted and received between them.
  • FIG. 1 It is a perspective view which shows the external appearance of the chemical
  • FIG. 2 is a layout diagram of an example of a fluoroscopic imaging system that can use a syringe in which a chemical liquid is sucked by the chemical liquid suction device shown in FIG. It is a block diagram which shows the main functions of the control system in the fluoroscopic imaging system shown in FIG.
  • FIG. 9 is a cross-sectional view showing the positional relationship between the RFID tag and the antenna of the RFID module in a state where the cylinder is normally held by the cylinder holding mechanism in the chemical liquid injector shown in FIG. 8.
  • 1 is a block diagram of a fluoroscopic imaging system according to an embodiment of the present invention.
  • FIG. 1 and FIG. 2 a perspective view showing an appearance of a chemical liquid suction device 30 according to an embodiment of the present invention for sucking a chemical liquid stored in a chemical liquid container 20 into the syringe 10 and a flow of electric signals.
  • a block diagram is shown respectively.
  • the chemical liquid suction device 30 of the present embodiment will be described with reference mainly to FIGS. 1 and 2 and other drawings as necessary.
  • the syringe 10 has a cylinder member 501 and a piston member 502 as shown in FIGS.
  • a cylinder flange 501 a is formed at the end of the cylinder member 501, and a piston flange is formed at the end of the piston member 502.
  • An RFID tag 503 is attached to the outer peripheral surface of the cylinder member 501 as a syringe data carrier.
  • the cylinder flange 501a can have a contour shape called an I-cut, in which opposite portions are cut in parallel. Further, two notches 505 (only one is shown) may be formed at positions on the outer peripheral edge of the cylinder flange 501a that are opposite to each other in the circumferential direction.
  • the conduit 501b at the tip of the cylinder member 501 may be for luer lock connection having two cylindrical portions of an inner cylinder and an outer cylinder arranged concentrically.
  • a ring-shaped protrusion 501c and a plurality of ribs 501d extending outward from the protrusion 501c may be formed on the rear surface of the cylinder flange 501a.
  • Both the notch 505 and the rib 501d need not be formed, and only one of them may be formed. Further, regarding the rib 501d, only the upper and lower ribs may be formed among the plurality of ribs 501d arranged in the vertical direction in the figure. Such a rib group may be formed on only one of the left and right sides of the cylinder flange 501a.
  • the RFID tag 503 includes a unique ID area and a user memory area as data areas.
  • the data recorded in the unique ID area is a code (also referred to as a unique ID) unique to each RFID tag 503 set by the chip manufacturer of the RFID tag 503 at the time of factory shipment, and cannot be changed after the factory shipment.
  • the user memory area is an area where data is written by the user of the RFID tag 503, and the syringe data and data such as a chemical solution described later are written in the user memory area.
  • FIG. 3 illustrates a syringe in which the piston member 502 has a rod portion on the end side, and a piston flange is formed at the end of the rod portion.
  • the form of the syringe is not limited to this, and in the present invention, a so-called rodless syringe that does not have a rod portion can also be used.
  • the piston member is generally formed integrally with a substantially cylindrical portion that slides in the longitudinal direction of the cylinder member 501 while liquid-tightly sealing the inner peripheral surface of the cylinder member 501, and an end surface thereof.
  • the structure has a protruding portion.
  • the piston member can be moved while being held by an appropriate chuck means that engages with the protruding portion.
  • the piston member is sometimes called a plunger.
  • the chemical solution container 20 includes a container body 21, a fluid connector 22 connected to the syringe 10 (see FIG. 1) via the connection tube 12 (see FIG. 1), and an outer surface of the container body 21. And a barcode 23 serving as a chemical liquid data carrier.
  • the container body 21 may be a rigid container such as a bottle, or may be a soft package such as a bag.
  • the fluid connector 22 may be any connector as long as it has a structure capable of fluidly communicating the container body 21 and the connection tube 12 by being connected to the connection tube 12, for example, with a spike needle.
  • a rubber stopper that is opened by piercing the connecting tube 12 or a cap with a valve that has a valve that is opened when the connecting tube 12 is connected can be used.
  • the inside of the container main body 21 preferably contains a chemical solution that is a contrast medium.
  • the chemical liquid accommodated in the chemical liquid container 21 is configured to be led out by connecting a connecting tube to the fluid connector 22.
  • the chemical solution container 20 may be provided with a suspension band 24 as necessary so that the container main body 21 can be suspended with the fluid connector 22 facing downward.
  • the bar code 23 includes, for example, chemical liquid manufacturer, chemical liquid type, product number, product number, lot number, and contained components as chemical liquid data relating to the stored chemical liquid (in particular, the iodine-containing concentration when the chemical liquid is a contrast medium). Etc.), expiration date, etc. are recorded.
  • a data format for example, a data format compliant with NDC (National Drag Code) can be used.
  • the chemical suction device 30 is provided with a main body 31 configured as a housing, a cylinder holder 32 provided integrally with the main body 31, and movable relative to the cylinder holder 32. And a piston holder 33.
  • the cylinder holder 32 may have an arcuate recess 32a that receives a cylinder flange 501a (see FIG. 3) from the side.
  • the cylinder member is held in the recess 32a by placing the cylinder flange 501a with the conduit 501b (see FIG. 3) facing upward.
  • the recess 32a is formed in a stepped shape so that cylinder flanges of a plurality of types of syringes (cylinder members) having different capacities (sizes, particularly diameters) such as for 100 ml and for 200 ml can be placed. Has been.
  • the piston holder 33 can have a drawer member 33a as shown in FIG.
  • the piston pull-out member 33a can be a member having a bifurcated tip, for example, a U-shape, so that the piston member 502 (see FIG. 3) can be received from the side.
  • the distance between the branched portions is smaller than the diameter of the piston flange.
  • the drawer member 33a is disposed at a position facing the cylinder holder 32, and is provided so as to be capable of reciprocating in a direction away from the cylinder holder 32 (downward direction) and an approaching direction (upward direction).
  • the piston holder 33 is not limited to the above-described form, and can have any structure suitable for it depending on the form of the syringe from which the chemical liquid is sucked.
  • the piston holder 33 has an appropriate structure that can retract the piston member of the rodless syringe.
  • the suction of the chemical solution into the syringe 10 can be performed by holding the cylinder member 501 of the syringe 10 in which the piston member 502 is most pushed into the cylinder member 501 in the cylinder holder 32 and pulling out the piston 502 from the cylinder in this state. it can. Therefore, when the cylinder member 501 is held by the cylinder holder 32 when the initial position, which is the position of the drawer member 33a before the chemical suction device 30 starts the suction operation, the piston holder 33 and the piston holder 33 It is designed to be positioned between the flange and preferably in contact with the piston flange.
  • the chemical liquid suction device 30 includes a barcode reader 51, an RFID module 52, a piston drive mechanism 53, an attachment / detachment detection sensor 54, a suction amount setting unit 55, a display 56, a communication module 57, A suction controller 58 and a start / stop button 59 are provided.
  • the barcode reader 51 is a device for reading data by scanning the barcode 23 provided in the chemical container 20, and any reader for reading barcodes can be used.
  • a bar code reader 51 that includes a handy type scanner head and reads a bar code by a user holding the scanner head over the chemical solution container 20 suspended from the hanger 34 is shown.
  • a scanner head may be built in a position facing the barcode of the lowered chemical solution container 20 in advance, and the barcode may be automatically read when the chemical solution container 20 is suspended.
  • the RFID module 52 is a device for writing data to or writing / reading data to the RFID tag 503 (see FIG. 3) attached to the syringe 10 using RFID technology. That is, the RFID module 52 functions as an RFID writer or a reader / writer. Similarly to the barcode reader 51, the RFID module 52 may be built in a position where data can be read from the RFID tag 503 by mounting the syringe 10 at a fixed position, or the chemical suction device 30. It may be a handy type having a head portion that can be held over a position where the user can read data from the RFID tag 503 before or after the syringe 10 is attached to the head.
  • the RFID module 52 includes an RFID control circuit 52a and an antenna 52b connected to the RFID control circuit 52a.
  • the antenna 52 b is disposed at a position facing the RFID tag 503 when the cylinder member 501 is held by the cylinder holder 32.
  • the RFID control circuit 52a controls the data writing operation to the RFID tag 503 and the data reading operation from the RFID tag 503 via the antenna 52b.
  • the piston drive mechanism 53 can have a motor driven by electric power and a linear motion mechanism that converts rotation of the motor into linear motion.
  • a linear motion mechanism any mechanism that converts rotational motion into linear motion, such as a lead screw mechanism, a belt mechanism, and a rack and pinion mechanism, can be used.
  • the linear motion mechanism is connected to the piston holder 33, and the piston holder 33 can be operated by driving the motor.
  • the piston drive mechanism 53 uses a motor as a drive source will be described.
  • a mechanism using a spring as a power source or a mechanism using the elastic force of a spring It is also possible to use a drive source that does not use power.
  • the attachment / detachment detection sensor 54 is a sensor that detects that the cylinder 501 is held by the cylinder holder 32.
  • the attachment / detachment detection sensor 54 for example, a contact-type sensor having a switch that is turned on by contacting the outer surface of the cylinder 501 when the cylinder 501 is held, or the optical path is blocked when the cylinder 501 is held.
  • Arbitrary sensors such as an optical non-contact sensor provided with the light emitting element and light receiving element which are arrange
  • the RFID module 52 uses an RFID. By reading data from the tag 503, it can be determined that the syringe 10 is mounted at a fixed position. Therefore, in the present invention, the attachment / detachment detection sensor 54 is not an essential configuration.
  • the suction amount setting unit 55 sets the suction amount of the chemical solution into the syringe 10.
  • the suction amount of the chemical solution is proportional to the pulling amount of the piston member 502 from the cylinder member 501. Therefore, the amount of chemical liquid sucked can be set by setting the amount of piston member 502 to be pulled out.
  • the configuration for setting the pull-out amount of the piston member 502 may be arbitrary.
  • a stopper provided with a limit switch that detects the position of the piston holder 33 by contacting the piston holder 33 as the piston holder 33 moves is provided in a direction parallel to the moving direction of the piston holder 32 below the piston holder 33.
  • the limit switch may have any configuration such as an optical sensor such as a photocoupler or a magnet limit switch. According to this configuration, if the operation of the piston drive mechanism 53 is stopped when the limit switch comes into contact with the piston holder 33 and is turned on, the chemical solution is filled in a desired amount corresponding to the position of the stopper. The Therefore, this method can be called a movement amount limiting method.
  • the suction amount can be set numerically, and the rotation of the motor can be stopped when the rotation speed of the motor of the piston drive mechanism 53 reaches the rotation speed corresponding to the set suction amount ( Numeric setting method).
  • the suction amount setting unit 55 can include an input device such as an operation button for setting the suction amount. The set value can be displayed on the display 56.
  • the suction amount setting unit 55 is not necessary.
  • the display 56 can display at least a part of the data read from the barcode 23 of the chemical solution container 20. In addition, the amount of chemical liquid sucked into the syringe 10 can be displayed.
  • the suction amount of the chemical solution may be a set value, or may be an actual suction amount calculated from the rotational speed of the motor of the piston drive mechanism 53 or the movement amount of the piston holder 33, or both of them. May be.
  • the communication module 57 transmits data acquired by the barcode reader 51 to other external devices (including not only an independent device but also a system or a device constituting the system), and data from other devices. It is a module for receiving.
  • the communication method may be wireless communication or wired communication.
  • the suction control unit 58 controls the operation of the piston drive mechanism 53 according to the suction amount set by the suction amount setting unit 55, controls the data reading operation of the barcode reader 51, and performs the data writing operation by the RFID module 52.
  • the operation of each component provided in the chemical liquid suction device 30 is controlled, such as control.
  • the suction control unit 58 can be configured as a so-called microcomputer, and can have an interface with a CPU, ROM, RAM, and other devices.
  • a computer program for controlling the chemical suction device 30 is mounted in the ROM.
  • the computer program can be configured to cause a system including the chemical liquid suction device 30 to execute processing related to the operation of the chemical liquid suction device 30, for example, processing performed by the suction control unit 58.
  • the CPU controls the operation of each part of the chemical liquid suction device 30 by executing each function corresponding to this computer program.
  • the RAM temporarily stores data acquired by the barcode reader 151, data acquired by the RFID module 52, suction amount (set value, calculated actual suction amount, or both), and the like.
  • the suction control unit 58 has a clock function using a clock possessed by the CPU, and can include the current date and time (current time) in the data. It is recommended that the drug solution, particularly the contrast agent, be used within a predetermined time after the drug solution container 20 is transferred from the drug solution container 20 to the syringe 10, and preferably after the drug solution container 20 is opened. Also referred to as “recommended expiration date after aspiration”). Therefore, if one of the data to be written in the RFID tag 503 includes the date and time when the chemical solution is sucked, when the chemical solution is injected using a chemical solution injection device capable of reading the data recorded in the RFID tag 503, the suction is performed. The chemical injection device can determine how much time has passed since the end date and time.
  • the suction control unit 58 can communicate with the NTP server via the communication module 57, the current date and time can also be acquired from the NTP server.
  • the current time and date can be acquired from the radio timepiece by incorporating the radio timepiece in the chemical suction device 30 or being connected to the radio timepiece.
  • the recommended expiration date after inhalation may be the expiration date recommended by the drug manufacturer, or the expiration date determined at the medical site where this drug solution is used. Further, the recommended expiration date itself after suction may be recorded in the RFID tag 503.
  • the start / stop button 59 is a button operated when starting the suction operation by the chemical solution suction device 30 or when stopping the suction operation when an abnormality occurs.
  • the suction controller 58 operates and stops the piston drive mechanism 53 using the operation of the start / stop button 59 as a trigger.
  • the user holds the cylinder member 501 in the cylinder holder 32 with the empty syringe 10 in a state where the chemical member is not stored and the piston member 502 is most pushed into the cylinder member 501.
  • the piston holder 33 is located at the initial position described above, the piston member 502 is also held by the piston holder 33.
  • the syringe 10 is set in the chemical solution suction device 30.
  • the user sets the chemical solution container 20 by suspending it from the hanger 34. Either of these may be performed first. After completing the setting of the syringe 10 and the chemical solution container 20, the user connects both of them by the connecting tube 12.
  • the chemical solution container 20 is heated by a dedicated heater (not shown) so that the temperature of the contained chemical solution becomes a predetermined temperature suitable for injection.
  • the chemical solution may be heated to a predetermined temperature by attaching the heater to the chemical solution container 20, or the heater is incorporated in the portion where the syringe 10 of the main body 31 of the chemical solution suction device 30 is mounted. It is also possible to heat the chemical solution sucked into the inside to a predetermined temperature.
  • the attachment / detachment detection sensor 54 detects the holding of the cylinder member 501, in other words, the attachment of the syringe 10 to the chemical liquid suction device 30.
  • the suction control unit 58 sets the barcode reader 51 in a state where data can be read. Therefore, when the user holds the scanner head over the barcode 23 of the chemical solution container 20, the barcode reader 51 reads the barcode 23 and the chemical solution data is acquired from the barcode 23.
  • the suction control unit 58 controls the operation of the piston drive mechanism 53, whereby the piston member 502 is pushed most into the cylinder member 501.
  • the piston member 502 may be reciprocated a plurality of times within a predetermined range including the most advanced position, which is the position at which it is located. Thereby, the air bleeding which sends the air in the connection tube 12 and the syringe 10 into the chemical
  • the suction control unit 58 temporarily stores the acquired data in the RAM. At this time, the suction control unit 58 may cause the display 56 to display at least a part of the data stored in the RAM. By displaying the data on the display 56, the user can collate the data displayed on the display 56 with the data displayed on the label of the drug solution container 20 to confirm whether or not the data is correctly read. .
  • the user sets the suction amount of the chemical solution using the suction amount setting unit 55. After setting the suction amount, the user subsequently operates the start / stop button 59.
  • the syringe capacity 30 may further include a selection button for selecting the syringe volume.
  • the suction control unit 58 When the start / stop button 59 is operated, the suction control unit 58 operates the piston drive mechanism 53 so as to move the piston holder 33 downward in accordance with the setting in the suction amount setting unit 55. For example, when the suction amount setting unit 55 is based on the numerical value setting method described above, the suction control unit 58 stops after the motor of the piston drive mechanism 53 rotates by the number of rotations corresponding to the set numerical value. In this manner, the operation of the piston drive mechanism 53 is controlled. Alternatively, when the suction amount setting unit 55 is the movement amount limiting method described above, the suction control unit 58 rotates the motor until the limit switch is turned on.
  • the piston holder 33 By moving the piston holder 33 downward by the piston drive mechanism 53 in this way, the piston member 502 is pulled out from the cylinder member 501, whereby the drug solution in the drug solution container 20 is set in the syringe 10 to a predetermined set value. Is sucked in the amount of. If an abnormality occurs during the suction operation, the user can stop the suction operation by operating the start / stop button 59.
  • the suction control unit 58 calculates the amount of the chemical liquid sucked from the amount of movement of the piston holder 33, that is, the rotational speed of the motor of the piston drive mechanism 53.
  • the calculated suction amount is temporarily stored in the RAM as data.
  • the suction control unit 58 transmits the data temporarily stored in the RAM, that is, the chemical liquid data and the suction amount data described above to the RFID module 52, and performs the data writing operation to the RFID tag 503 by the RFID module 152. Let it be done.
  • the chemical liquid data sucked into the syringe 10 and the suction amount data are additionally written in the RFID tag 503.
  • the suction amount data means the amount of the chemical solution filled in the syringe 10.
  • the data to be added to the RFID tag 503 further includes data on the date and time when the suction of the chemical liquid is completed.
  • the suction control unit 58 displays the suction amount on the display 56 as the recording data to the RFID tag 503. By displaying the suction amount, the user can confirm that the suction of the chemical liquid has ended and whether the suction has been performed as set.
  • the user can remove the syringe 10 from the chemical liquid suction device 30.
  • the attachment / detachment detection sensor 54 detects that the cylinder member 501 is removed from the cylinder holder 32.
  • the suction controller 58 raises the piston holder 33 to the initial position by operating the piston drive mechanism 53.
  • the chemical liquid data and the chemical liquid suction amount data read by the barcode reader 51 can be transmitted to an external device such as a medical information system such as RIS, PACS, HIS, etc. through the communication module 57.
  • a medical information system such as RIS, PACS, HIS, etc.
  • the RFID module 52 that can write data to the RFID tag 503 provided in the syringe 10 is provided. Can be easily recorded.
  • the chemical solution suction device 30 further includes a means for reading the barcode 23 in which the chemical solution data is recorded, provided in the chemical solution container 20, the data of the chemical solution itself is recorded in the barcode 23. Data can be used as it is.
  • the suction amount the suction amount based on the actual operation according to the suction amount set by the user in the chemical suction device 30 can be recorded in the RFID tag 503. Therefore, the user simply sets the amount of suction in the chemical solution suction device 30, and all data is automatically recorded in the RFID tag 503, and as a result, a user's input error to the RFID tag 503 is prevented. be able to.
  • medical solution suction device 30 can transmit / receive data with another apparatus through the communication module 57, for example, when the test subject who uses a chemical
  • the data carrier provided in the chemical solution container 20 is the barcode 23
  • an RFID tag capable of additionally writing and rewriting data
  • the current internal volume (remaining amount) obtained by subtracting the suction amount from the internal volume before suction stored in the chemical solution container 20 can be written in the RFID tag.
  • the calculation of the remaining amount can be performed by the suction control unit 58 of the chemical liquid suction device 30.
  • the contrast agent can be used for image diagnosis.
  • a fluoroscopic imaging system that injects a contrast agent into a subject and captures a fluoroscopic image of the subject will be described.
  • FIG. 7 an example of a fluoroscopic imaging system having a fluoroscopic imaging device 200 and a chemical solution injection device 100 is shown.
  • the fluoroscopic imaging device 200 and the chemical liquid injector 100 can be connected to each other so that data can be transmitted and received between them.
  • the connection between the fluoroscopic imaging device 200 and the chemical liquid injector 100 can be a wired connection or a wireless connection.
  • the fluoroscopic imaging apparatus 200 includes a scanner 201 that executes an imaging operation and an imaging control unit (not shown) that controls the operation of the scanner 201, and a tomographic image of a subject into which a chemical solution is injected by the chemical injection device 100. Can be obtained.
  • the imaging control unit can include a display device such as a liquid crystal display capable of displaying imaging conditions and acquired tomographic images, and an input device such as a keyboard and / or mouse for inputting imaging conditions and the like.
  • the display device may have a touch screen that also serves as an input device.
  • the chemical injection device 100 includes, for example, an injection head 110 that is rotatably attached to the upper portion of the stand 121 via a turning arm 122 and various functions for controlling the operation of the chemical injection device 100 as a whole.
  • Console 101 Although the injection head 110 and the console 101 can be configured in one housing, in this embodiment, the injection head 110 and the console 101 are configured as separate units. In this case, the injection head 110 can be arranged in the examination room together with the scanner 201, and the console 101 can be arranged in the operation room together with the imaging control unit of the fluoroscopic imaging apparatus 200.
  • the stand 121 can be a stand with casters to facilitate the movement of the injection head 110.
  • the console 101 has a built-in AC / DC converter, and power converted from AC to DC is supplied to the console 101.
  • the console 101 includes a stop button for forcibly stopping injection, a button group including a home button for displaying a home screen and a power button for power on / off, and a touch panel that also serves as an input device and a display device. Have.
  • the injection head 110 can detachably mount two syringes.
  • one of the syringes may be a contrast medium syringe and the other may be a physiological saline syringe.
  • the syringe may be, for example, a syringe filled with a contrast medium and / or physiological saline by the chemical solution suction device 30 shown in FIG. 1, and the specific configuration of the syringe is as described with reference to FIG. It may be. Therefore, a system including the chemical liquid suction device 30 and the chemical liquid injection device 100 can also be referred to as a chemical liquid injection system, and a system including the fluoroscopic imaging device 200 can also be referred to as a fluoroscopic imaging system.
  • symbol shown in FIG. 1 and FIG. 3 is used about a syringe and its structural member.
  • the injection head 110 operates a cylinder holding mechanism that holds the cylinder member 501 of the syringe 10 and a piston member 502 of the syringe 10 that holds the cylinder member 501 in the cylinder holding mechanism (for example, pushes into the cylinder). And two pressers that are moved in the axial direction of the syringe 10.
  • the injection head 110 can also be configured such that multiple types of syringes 10 having different capacities are mounted.
  • capacitance of the syringe 10 is prepared, and it can be set as the structure by which a syringe is mounted via an adapter.
  • the presser is fixed to the tip of the rod that is moved forward and backward by an appropriate rotational motion conversion mechanism such as a lead screw mechanism or a rack and pinion mechanism that converts the rotational motion of the motor into a linear motion.
  • a mechanism having these motor, rotational motion conversion mechanism, rod and presser for moving the piston forward and backward is called a piston drive mechanism.
  • the injection head 110 includes two piston drive mechanisms.
  • a direct current motor can be used as a motor serving as a drive source of the piston drive mechanism, and a direct current brushless motor can be preferably used among them. Since a brushless motor does not have a brush, it is excellent in silence and durability. In addition, brushless motors can rotate at higher speeds. Therefore, if the external gear ratio is increased to reduce the torque applied to the motor, the current required for injecting the chemical solution at a desired injection pressure is higher than that of the brush motor. Can be made smaller.
  • the injection head 110 is entirely covered with a synthetic resin casing except for a part of the piston drive mechanism (for example, a presser).
  • a part of the piston drive mechanism for example, a presser.
  • Several operation buttons are arranged on the upper surface of the housing so that the piston drive mechanism can be operated by a user operation.
  • the syringe 10 may be a prefilled type syringe provided from a pharmaceutical manufacturer in a state of being filled with a chemical solution, or an on-site filling type syringe filled with a chemical solution at a medical site.
  • the scanner 201 and the injection head 110 in the above-described configuration are installed in an examination room, and the imaging control unit of the fluoroscopic imaging device 200 and the console 101 of the drug solution injection apparatus 100 are connected to the examination room.
  • the console 101 and the injection head 110 can each include a wireless communication unit (not shown).
  • FIG. 8 shows only main functions of the control system in the fluoroscopic imaging system of the present embodiment, and the present invention is not limited to this.
  • the imaging control unit 152 can be incorporated in, for example, the imaging control unit of the fluoroscopic imaging device 200, and is configured to generally control operations of the fluoroscopic imaging device 200 such as a scanner 201 and a display device of the imaging control unit. .
  • the imaging control unit 152 can be configured as a so-called microcomputer, and can have an interface with a CPU, ROM, RAM, and other devices.
  • a computer program for controlling the fluoroscopic imaging apparatus 200 is installed in the ROM.
  • the CPU controls the operation of each part of the fluoroscopic imaging device 200 by executing various functions corresponding to the computer program.
  • the imaging control unit 152 can receive data and signals from the injection control unit 150, and uses the data and signals received from the injection control unit 150 for controlling the operation of each unit of the fluoroscopic imaging device 200. You can also.
  • the injection control unit 150 can be incorporated into the console 101, for example, and is configured to generally control the operations of the console 101 and the injection head 110. More specifically, the injection control unit 150 controls the screen and data displayed on the display unit 154 in accordance with the input of data and information from the input unit 156 and the input of data and information from the RFID module 166. Or a liquid injection condition can be created based on the data and information input from the input unit 156 and the data and information input from the input unit 156, and the operation of the piston drive mechanism 140 can be controlled. .
  • the injection control unit 150 can transmit and receive data to and from other external devices (including not only independent devices but also the system or devices constituting the system) via the communication module 158. It can also be configured.
  • the injection control unit 150 can be configured as a so-called microcomputer, and can have an interface with a CPU, ROM, RAM, and other devices.
  • a computer program for controlling the chemical liquid injector 100 is mounted on the ROM.
  • the CPU controls the operation of each part of the chemical solution injector 100 by executing various functions corresponding to the computer program.
  • pouring control part 150 has a time measuring function using the clock which CPU has, for example, can count the present time and the elapsed time after starting injection
  • the injection control unit 150 can also receive data and signals from the imaging control unit 152, and can use the data and signals received from the imaging control unit 152 to control the operation of each unit of the injection imaging apparatus 100. it can.
  • the display unit 154 can be a touch panel of the console 101.
  • the input unit 156 can include not only the touch panel but also the buttons of the console 101 and the buttons of the injection head 110.
  • the touch panel is usually a module in which a display that functions as the display unit 154, a touch screen that functions as an input unit, and control circuits thereof are modularized.
  • any display including a liquid crystal display and an organic EL display can be used.
  • any touch screen such as a capacitance type and a pressure-sensitive type can be used.
  • the control circuit of the touch panel displays a predetermined screen and data based on the signal transmitted from the injection control unit 150 on the display, and is based on a signal generated from the touch screen when the user or the like touches the touch screen. The input information is transmitted to the injection control unit 150.
  • the system of this embodiment can have a plurality of display units 154 for injecting a chemical solution.
  • an additional display unit 154 can be arranged in an examination room in which the injection head 110 is installed.
  • the additional display unit 154 may be integrated with the injection head 110, may be attached to a stand or an arm that supports the injection head 110, or may be installed independently of the injection head 110.
  • any display including a liquid crystal display and an organic EL display can be used as described above.
  • the additional display unit 154 can display, for example, an injection condition setting screen and an injection graph.
  • an additional input unit 156 can be provided so that the injection conditions such as the injection speed and the injection time can be changed on the injection condition setting screen.
  • the additional input unit 156 may be a button group or a touch screen as described above.
  • the RFID module 166 has an RFID control circuit 164 and an antenna 165. If the RFID module 166 has at least a function as a reader for reading data recorded in the RFID tag, the above-described chemical liquid suction device is substantially used. 30 can be configured in the same manner as the RFID module 30 has. At least a part of the data read by the RFID module 166 can be transmitted to the fluoroscopic imaging apparatus 200.
  • the RFID control circuit 164 can be installed at an arbitrary position, but the antenna 165 is preferably installed at a position facing the RFID tag in a state where the syringe is normally held by the cylinder holding mechanism.
  • the antenna 165 of the RFID module 166 has an FPC (flexible printed circuit board) on which a predetermined pattern (for example, one or a plurality of loop patterns) made of a conductor is formed.
  • FPC flexible printed circuit board
  • a predetermined pattern for example, one or a plurality of loop patterns
  • the cylinder member 501 that is normally held is disposed at a position facing the RFID tag 503 so as to be concentric with the cylinder member 501 and bent in an arc shape. Thereby, the detection range of the RFID tag 503 affixed on the curved surface is expanded.
  • the antenna 165 has an area larger than that of the RFID tag 503 so that the RFID tag 503 can be surely opposed to the antenna 165 even if the RFID tag 503 is attached in a different position. ing. Therefore, the size of the antenna 165 is preferably designed in consideration of variations in the position where the RFID tag 503 is attached to the cylinder member 501.
  • the antenna 165 preferably includes a ferrite sheet 165a on the surface opposite to the surface facing the RFID tag 503 of the FPC.
  • the output of the RFID module 166 can be set to 200 mW, for example. With such a weak output, data can be satisfactorily read from the RFID tag 503 in a state where the syringe 500 is mounted at a normal position where the RFID tag 503 faces the antenna 165, and the syringe 500 is normal. If it is not attached to the position, it can be prevented from reading. Thereby, when data is not read from the RFID tag 503, the user can be alerted that the syringe 500 may not be normally attached.
  • the detection range (detection distance) of the RFID tag 503 is made wider, and information is read out from the RFID tag 503 through the chemical solution filled in the syringe 10. Information can also be written to the RFID tag 503. This is because, for example, even when the syringe 10 is rotated 180 degrees from the state shown in FIG. This means that it can be read out.
  • the detailed configuration of the RFID module 166 described above is the same for the RFID module of the chemical liquid suction device.
  • the injection controller 150 Based on the data read from the RFID tag 503, the injection controller 150 causes the display unit 154 to display the type of liquid filled in the syringe 10 and the filling amount as necessary, or moves the presser to the standby position. I will let you.
  • the standby position is an arbitrary position between the position where the presser contacts the end of the piston of the syringe 10 and the end position.
  • the injection control unit 150 obtains the end position of the piston based on the data read from the RFID tag 503, and determines the distance from the initial position, which is the end position of the movable range of the presser, to the end position of the piston. It can be obtained by operating the piston drive mechanism 140 so that the presser advances by the distance and an arbitrary offset value determined in advance.
  • the injection control unit 150 creates injection conditions using the injection speed, the injection amount, the injection time, and the like as parameters based on the data acquired from the RFID tag 503 and the data input from the touch panel of the console 101.
  • the created injection conditions can be displayed on the touch panel in a graphic or numerical data format. The user can arbitrarily change the displayed injection conditions. When the user presses a check button provided on the injection head 110, preparation for injection is completed.
  • the injection control unit 150 compares the suction end date and the current date and time. It is possible to determine whether or not a sufficient amount of time has elapsed, and to display the calculated elapsed time from the suction on the display unit 154. The user can determine whether or not the chemical liquid filled in the syringe 10 is suitable for use by looking at the elapsed time from the displayed suction.
  • the injection control unit 150 can perform processing for preventing injection of the chemical solution.
  • the processing for preventing the injection of the chemical liquid includes, for example, disabling the operation of the piston drive mechanism 140, causing the display unit 154 to display that the expiration date of the chemical liquid has been exceeded, and sounding such as a buzzer. For example, issuing a warning by sound or voice from a unit (not shown).
  • the set expiration date can be arbitrarily changed by the user.
  • the safety of the contrast medium to be injected can be ensured by managing the suction date and time of the drug solution.
  • the injection control unit 150 displays the read recommended expiration date after suction and the current date and time. In comparison, when the current date and time has passed the recommended use time limit after suction, the above-described processing for preventing injection can be performed.
  • the injection control unit 150 can communicate with the NTP server via the communication module 158, the injection control unit 150 can acquire the current date and time from the NTP server.
  • the current time and date can be acquired from the radio timepiece by incorporating the radio timepiece in the chemical injection device 100 or being connected to the radio timepiece.
  • the injection condition indicates what kind of chemical solution, how much and at what speed.
  • the injection rate may be constant or it may change over time.
  • information on the order of injection of these drug solutions is also included in the injection conditions. Any known injection condition can be used as the injection condition.
  • the procedure for creating the injection conditions may be any known procedure.
  • the contrast effect of the contrast medium varies among subjects.
  • the injection of the chemical solution in order to know the arrival time of the contrast agent to the imaging site prior to the injection for tomographic imaging by the fluoroscopic imaging device 200, Test injection for injecting a chemical solution with an injection amount smaller than the injection amount for imaging is performed, and the imaging timing is determined based on the result.
  • the injection operation of the chemical solution after the test injection can be started when the injection control unit 150 receives a command transmitted from the fluoroscopic imaging device 200 from the imaging control unit 152.
  • the fluoroscopic imaging device 200 takes a tomographic image displayed on the monitor of the fluoroscopic imaging device 200 with a CCD camera (not shown), monitors the brightness (whiteness) of the tomographic image in the ROI, and the brightness.
  • To start the injection operation when the signal intensity exceeds the predetermined threshold or when the signal strength from the cable connected to the monitor is measured and the measurement result exceeds the predetermined threshold Can be transmitted to the injection control unit 150.
  • the CT value and the TDC Time Density Curve
  • an injection condition may be determined according to the result, and an optimal imaging start suitable for the condition may be transmitted from the chemical injection device 100 to the fluoroscopic imaging device 200.
  • the injection control unit 150 calculates the moving speed and / or moving distance of the linear motion unit from the rotational speed and the rotational speed of the motor of the piston drive mechanism 140.
  • the injection control unit 150 controls the operation of the piston drive mechanism 140 so that the calculated moving speed and / or moving distance becomes a predetermined moving speed and / or moving distance according to the created injection condition.
  • the injection head 110 capable of mounting two syringes 10 at the same time has been described as an example.
  • the injection head may have only one syringe 10 that can be mounted at the same time, or three or more. There may be.
  • a syringe filled with a contrast agent and a syringe filled with physiological saline are attached to the injection head 110, and the physiological saline is injected after the injection of the contrast agent. It is preferable because water can be injected and the contrast medium can be boosted with physiological saline, or the contrast medium can be diluted with physiological saline to a desired concentration and injected.
  • the present invention is a stationary type such as a syringe pump. It can also be applied to devices.
  • the imaging control unit 152 is incorporated in the imaging control unit, and the injection control unit 150 is incorporated in the console 101 of the chemical solution injector 100.
  • both the imaging control unit 152 and the injection control unit 150 may be incorporated in the imaging control unit, the imaging control unit 152 and the injection control unit 150 may be both incorporated in the console 101, or imaging may be performed.
  • Both the control unit 152 and the injection control unit 150 may be incorporated in a programmable computer device (not shown). By doing so, the console 101 of the chemical liquid injector 100 or the console of the fluoroscopic imaging device 200 is not necessary, and the entire system can be simplified.
  • an injection condition determination (calculation) function can be incorporated into the imaging control unit of the fluoroscopic imaging apparatus 200, and the remaining other functions can be incorporated into the console 101 of the chemical injection apparatus 100.
  • the remaining other functions can be incorporated into the console 101 of the chemical injection apparatus 100.
  • Data that is insufficient when setting the injection conditions may be input from the imaging control unit, or may be transmitted from the console 101 of the chemical injection device 100 to the imaging control unit.
  • the function of the imaging control unit 152 and the function of the injection control unit 150 can be realized by using various hardware as required, but the main body is realized by the function of the CPU corresponding to the computer program.
  • the computer program can be configured to cause at least a system including the chemical injection device 100 to execute processing related to the operation of the chemical injection device 100, for example, processing performed by the injection control unit 150.
  • the processing that the computer program causes the system to execute can further include processing related to the operation of the fluoroscopic imaging device 200, for example, processing performed by the imaging control unit 152.
  • the computer program can be combined with the computer program for the chemical liquid suction device 30 described above.
  • the suction control unit 58 uses at least a part of these data before writing the chemical liquid data and the suction amount data to the RFID tag 503 of the syringe 500 by the RFID module 52. It is also possible to calculate at least one checksum according to a predetermined procedure and write the calculated checksum to a predetermined block in the memory area of the RFID tag 503.
  • the injection control unit 150 of the chemical injection device 100 reads out data recorded in the RFID tag 503 by the RFID module 166, and uses the read data to the RFID tag 503 according to a predetermined procedure.
  • the checksum of the read data is calculated with the same calculation formula as that for calculating the recorded checksum.
  • the injection control unit 150 compares the checksum recorded in the RFID tag 503 with the calculated checksum, and if the checksums do not match as a result of the comparison, the data is correctly recorded in the RFID tag 503. It is determined that the data recorded on the RFID tag 503 has not been read correctly, that is, an error has occurred.
  • the data used for calculating the checksum is chemical liquid data acquired by the barcode reader 51 from the barcode 23 of the chemical liquid container 20.
  • the RFID module 52 of the chemical liquid suction device 30 functions as a reader / writer, in addition to the above chemical liquid data, the syringe data recorded in advance in the RFID tag 503 and / or the uniqueness of the RFID tag 503 A unique code (unique ID) can be included in each RFID tag 503 recorded in the ID area.
  • the general calculation formula used for calculating this type of checksum can be used for calculating the checksum.
  • more complex calculation formulas that use all the data of drug solution data and syringe data as data used for calculation of checksum, and use the same data multiple times, or combine multiplication and / or division By using this, it is possible to improve the accuracy of data error detection and to identify erroneous data.
  • the number of checksums recorded in the RFID tag 503 may be plural. In this case, each checksum is recorded in a different block in the data area of the RFID tag 503.
  • the first checksum is a checksum for chemical solution data
  • the second checksum is a checksum for syringe data
  • the combination of the constituent data is changed for each checksum.
  • the calculation formula itself can be changed for each checksum, or these can be combined.
  • the injection control unit 150 of the chemical injection device 100 determines that an error has occurred
  • the injection control unit 150 is selected from the processes listed below, for example. One or more processes can be performed.
  • the data acquired from the RFID tag 503 is not automatically set in the chemical solution injector 100 for the data.
  • the injection control unit 150 determines an error in reading the allowable pressure value data of the syringe 500
  • the injection control unit 150 does not adopt the data read from the RFID tag 503 for the allowable pressure value, and the input unit by the user
  • the input from 156 is awaited, and the value input from input unit 156 is set as an allowable pressure value.
  • the injection control unit 150 controls the operation of the piston drive mechanism 140 so as not to exceed the set allowable pressure value.
  • Preliminary provisional data is set when it is possible to identify data in which a read error has occurred and to inject a chemical without any problem even if the value of the data is changed.
  • “Temporary data” is data used in place of data determined to be an error when data is read from the RFID tag 503, and is registered in advance in the memory area of the injection control unit 150 or an external storage device. I can keep it.
  • the value of the “temporary data” a value that can be adapted to any injection condition assumed in the chemical injection device 100 can be used.
  • provisional data of the allowable pressure value of the syringe 500
  • the injection control unit 150 determines that the allowable pressure value data is read out
  • the injection control unit 150 stores the registered allowable value.
  • the “temporary data” of the pressure value is read, and the injection protocol is set using the read “temporary data”.
  • provisional data the lowest allowable pressure value among all types of syringes 500 that can be used in the chemical liquid injector 100 can be used. Thereby, even if it is a case where what kind of syringe 500 is used, injection
  • the injection control unit 150 When the injection control unit 150 is configured to transmit the data read from the RFID tag 503 to another device such as a server, the injection control unit 150 sends the data to the other device when a read error occurs. Do not send. In addition, when data in which a read error has occurred can be identified, it is possible not to transmit only the data in which the read error has occurred to another device.
  • the injection control unit 150 accepts an input operation from the user for the data in which the read error has occurred on the injection condition setting screen, for example, The injection protocol can be set using data input by the user.
  • the injection head 110 and the console 101 are shown as separate bodies, but they can be configured integrally.
  • the console 101 and the injection head 110 are integrally formed, the console 101 is also arranged in the examination room. Therefore, the remote controller 102 (see FIG. 7) can be used to start and stop the injection operation.
  • the unit in which these are integrated can be mounted with a battery and driven by the battery.
  • the chemical solution injection device may further include a load cell for detecting the injection pressure.
  • the load cell can be provided in a presser, for example. In the case of having a plurality of pressers, at least one of them may have a load cell.
  • the injection pressure can also be detected by measuring the motor current. When the load acting on the presser increases, the motor current that is the drive source of the piston drive mechanism 140 increases in accordance with the magnitude of the load. This is used for detecting the injection pressure using the motor current.
  • the detection of the injection pressure may be either one of detection using a load cell and detection using a motor current, or both may be used in combination. When both are used together, the injection pressure is usually detected by the load cell, and the injection pressure can be measured using the measurement result of the motor current only when the load cell fails.
  • any fluoroscopic imaging apparatus such as a CT apparatus, an MRI apparatus, a PET apparatus, an angio apparatus, and an ultrasonic diagnostic imaging apparatus may be used as long as it can be used with the chemical injection device 100.
  • the fluoroscopic imaging apparatus is an MRI apparatus
  • various devices such as the injection head 110 installed in the examination room where the MRI apparatus is installed are not affected by the magnetic force generated by the MRI apparatus. It is composed of a non-magnetic material.
  • the fluoroscopic imaging system includes, in addition to the chemical liquid suction device 30, the chemical liquid injection device 100, and the fluoroscopic imaging device 200, a heater 900 that heats the syringe 10 before use to a predetermined temperature, and a used device. It may further include a disposal box 910 for storing the syringe 10 to be discarded.
  • the chemical solution suction device 30, the chemical solution injection device 100, the fluoroscopic imaging device 200, the warmer 900, and the disposal box 910 may be devices independent from each other, or connected to at least one of them through a network so that data communication is possible. May be.
  • the heater 900 and the disposal box 910 may also be independent from each other or may be connected via a network so that data communication is possible.
  • Each of the heater 900 and the disposal box 910 can include reader / writers 902 and 912 for reading data recorded in the RFID tag 503 and writing data in the RFID tag 503.
  • Information indicating that the RFID tag 503 of the syringe 10 is heated by the reader / writer 902 is recorded in the syringe 10 by being heated by the heater 900.
  • information indicating that the syringe 10 is discarded is recorded in the RFID tag 503 by the reader / writer 912.
  • the heater 900 is configured to measure the current date and time, acquire date and time data from the reader / writer 902, and obtain an elapsed time from the comparison between the acquired date and time data and the measured current date and time. It can also have a processor 903 and a display 904 that displays the determined elapsed time. Accordingly, the user can be alerted to how much time has passed since the syringe stored in the warmer 900 has sucked the chemical solution.
  • Each medical device constituting the fluoroscopic imaging system such as the chemical liquid suction device 30, the chemical liquid injection device 100, the fluoroscopic imaging device 200, the heater 900, and the disposal box 910, is transmitted through the medical network and / or RIS, PACS. , May be connected to other medical information systems such as HIS.
  • the fluoroscopic imaging system can be efficiently used in an unprecedented usage form.
  • a plurality of test orders including data such as subject ID, type of chemical, amount of chemical injection, scheduled test time, etc. are medically treated. It transmits to the chemical
  • the received inspection order is stored in an internal memory together with an order number for specifying the inspection order.
  • the chemical liquid suction device 30 performs a chemical liquid suction operation so that the amount of chemical liquid according to the injection amount of each inspection order is sucked into the syringe in order of the order number.
  • the chemical liquid suction device 30 including a plurality of piston drive mechanisms may be used so that the chemical liquid can be simultaneously sucked into a plurality of syringes.
  • the data related to the chemical liquid (or further to the subject) among the data recorded in the RFID tag 503. Data can use the data of the examination order transmitted from the medical information system.
  • the barcode 23 provided in the chemical solution container 20 is read by the barcode reader 51 (see FIG. 1), and the read data is compared with the data transmitted from the medical information system, thereby It is also possible to determine whether or not the chemical solution is as ordered.
  • each of the syringes 10 can suck a chemical solution from a separate chemical solution container 20, or can suck a chemical solution from a common chemical solution container 20.
  • a chemical solution is aspirated from the common chemical solution container 20, it is preferable to use a large-capacity chemical solution container 20 such as 500 ml to 2000 ml as the chemical solution container 20.
  • the syringe 10 into which the chemical solution has been injected is accommodated in the warmer 900.
  • the warmer 900 receives data related to the examination status from the medical information system, for example, the order number for which the examination has been completed, the order number currently being examined, and the like.
  • the processor 903 of the warmer 900 operates the reader / writer 902 to read data from the RFID tag 503 of the syringe 10. Since the data includes the order number, and the examination is normally performed in order number order, the processor 903 compares the order number read from the RFID tag 503 with the data regarding the examination status received from the medical information system, and It is possible to notify the user of the syringe 10 that is close in order to be used for the inspection.
  • This notification to the user can be performed by displaying on the display 904, for example. Or it can also carry out by arrange
  • the syringe 10 whose order of inspection has come is taken out from the heater 900 and attached to the chemical solution injector 100, and used for injecting the chemical solution to the subject.
  • Data recorded on the RFID tag 503 by the chemical suction device 30 is data included in the examination order transmitted from the medical information system.
  • the test order includes the subject's physical characteristics (eg, one or more of weight, height, sex, age, cardiac output), test site (imaging site), and Data regarding the fluoroscopic imaging device 200 to be used can be included, and these data can also be recorded on the RFID tag 503 by the chemical liquid suction device 30.
  • the chemical injection device 100 is connected to the medical information system and can receive a test order from the medical information system, when the syringe 10 is attached to the chemical injection device 100, reading is performed from the RFID tag 503.
  • the data error can be detected by comparing the received data with the data received from the medical information system.
  • the chemical suction device 30 does not record the data such as the physical characteristics of the subject included in the examination order on the RFID tag 503.
  • the unique ID of the RFID tag 503 in which the drug solution data is written can be transmitted to the medical information system, and the unique ID can be associated with the examination order and recorded in the medical information system.
  • the chemical injection device 100 calls an inspection order associated with the detected unique ID of the RFID tag 503 from the medical information system and is used for setting injection conditions.
  • Various data may be received from the medical information system.
  • the chemical injection device 100 that has received these data from the medical information system can calculate and set injection conditions such as the injection volume and the injection speed using the received data.
  • said process was described as a process of the chemical
  • each medical device to the medical information system as described above, it is possible to easily store and track the history of treatment for the subject, the use history of the chemical, the use history of the syringe, and the like.
  • the number of discarded syringes can be grasped by transmitting the syringe ID recorded in the used syringe stored in the disposal box 910 from the disposal box 910 to the medical system. Management can be performed.
  • data including data recorded on the RFID tag 503 (syringe ID, data including manufacturer, product number, lot, and aspiration amount about the chemical sucked into the syringe, and injected into the server of the medical system. (Including data about the test subject), the usage amount of the chemical solution can be grasped from the ID of the discarded syringe, so that the stock management of the chemical solution can be performed. Then, the medical system can automatically place an order from the syringe and / or chemical solution vendor based on the stock status of the syringe and / or chemical solution.
  • the chemical solution suction device stores the data read from the chemical solution container and the data such as the suction amount to the syringe on the medical information system server instead of recording it on the data carrier provided in the syringe, and injects the chemical solution.
  • the apparatus can read out data with reference to a server in which the data is stored. By doing this, if an identification number unique to the syringe is recorded on the data carrier provided in the syringe, the identification number is read by a reader, and the server is referred to by referring to the server for the read identification number.
  • the type of the aspirated chemical, the aspirated amount of the chemical, the suction date / time, the injection amount, the injection date / time, etc. can be grasped without recording data on the data carrier. Therefore, a data carrier that cannot change / add data such as a barcode can be used as a data carrier provided in the syringe.
  • the daily usage amount of the chemical solution at the medical facility can be statistically predicted. Therefore, for example, based on the predicted daily usage, half a day of the drug solution is sucked into the syringe in advance, and the remaining amount is sucked as necessary from the usage status of the day, A syringe filled with a chemical solution can be efficiently supplied in a necessary amount when necessary. As a result, since it is possible to eliminate the need for sucking the chemical solution more than necessary, the cost of the chemical solution can be greatly reduced.
  • At least the injection control unit 150 of the injection control unit 150 (see FIG. 8) of the chemical solution injection device 100 and the imaging control unit 150 (see FIG. 8) of the fluoroscopic imaging device 200 may be connected to a medical network.
  • the imaging device is a CT device
  • a fluoroscopic imaging device and / or other medical information systems such as RIS, PACS, HIS through a medical network
  • the stored injection data is used for management of injection history, and in particular, the injection amount can also be used for accounting processing.
  • the injection amount of the chemical solution can be grasped in units of 1 ml, for example. Therefore, compared with the conventional syringe unit unit (for example, 100 ml unit), in a finer unit corresponding to the actual usage amount. Accounting becomes possible. As a result, it is possible to reduce the financial burden on the patient (subject).
  • physical information such as the body weight of the subject, ID, name, examination site, and examination method can be acquired from RIS, PACS, HIS, etc., and displayed on the drug solution injector, and injection can be performed accordingly.
  • the amount of the chemical liquid sucked by the chemical liquid suction device 30 can be the amount of the chemical liquid injected into the subject. By doing so, the sucked chemical solution can be used without waste.
  • the injection amount can be calculated using a calculation formula that takes into account factors such as physical characteristics such as the body weight of the subject, imaging region and imaging time, or a value can be directly determined by a doctor or the like.
  • the above-mentioned factors used for calculating the injection amount, or the value of the injection amount determined by a doctor or the like can be input by the user, RIS, HIS, PACS, external server connected via a network or a direct line, It can also be obtained from an external database such as a cloud. By obtaining the factor used for calculating the injection amount from an external database, it is possible to prevent an input error by the user.
  • the injection amount calculation using the calculation formula can be executed by the injection control unit 150.
  • the function of the injection control unit 150 may be any of arbitrary computer devices such as various control circuits included in the chemical solution injection device, the fluoroscopic imaging device, and the chemical solution suction device. That is, the injection amount of the chemical liquid can be calculated by any other computer device, not the chemical liquid injection apparatus.
  • the function of the console control circuit is provided in any other computer device instead of the chemical solution injection device, so that not only the injection amount of the chemical solution but also the injection conditions using the injection speed and the injection time as parameters are the optional computer. Can be created on the device.
  • the chemical liquid is sucked from the chemical liquid container into the syringe and the chemical liquid is injected from the syringe into the subject by separate apparatuses (chemical liquid suction apparatus and chemical liquid injection apparatus).
  • the chemical liquid injection device is used to pull out the piston member from the cylinder member by the piston drive mechanism of the chemical injection device. It is also possible to suck the chemical solution from the container into the syringe. In this case, the chemical liquid suction device is not necessary.
  • the chemical solution injector includes a reader or a reader / writer for acquiring data from a data carrier provided in the chemical solution container.
  • a chemical data carrier barcode 23
  • a chemical solution injection system for sucking a chemical solution from the chemical solution container 20 into the syringe 500 and injecting the chemical solution from the syringe 500,
  • the chemical container 20 includes a chemical data carrier (barcode 23) in which chemical data related to the stored chemical is recorded.
  • the syringe 500 includes a cylinder 501, a piston 502, and a syringe data carrier (RFID tag 503).
  • the chemical liquid suction device 30 sucks the chemical liquid stored in the chemical liquid container 20 into the syringe 500, and includes a suction piston drive mechanism 53 for moving the piston 502 forward and backward relative to the cylinder 501; and the chemical liquid data carrier ( A chemical data reader or reader / writer (barcode reader 51) for acquiring the chemical data from the barcode 23) and a suction data writer or reader / writer for recording data on the syringe data carrier (RFID tag 503).
  • a chemical injection device 100 for injecting a chemical solution filled in the syringe 500 the injection piston drive mechanism 140 for moving the piston 502 forward and backward relative to the cylinder 501, and the syringe data carrier (RFID tag 503).
  • a suction data writer or reader / writer (RFID module 52) so as to record the suction amount according to the operation of the suction piston drive mechanism 53 as a part of the data on the syringe data carrier (RFID tag 503).
  • An injection controller 150 for controlling the operation of the drive mechanism 140; Having a chemical injection system.
  • the suction device 30 includes a suction piston drive mechanism 53 that moves the piston 502 forward and backward with respect to the cylinder 501 and a chemical data reader that acquires the chemical data from the chemical data carrier (barcode 23).
  • a chemical suction device 30 having a reader / writer (barcode reader 51) and a suction data writer or reader / writer (RFID module 52) for recording data on the syringe data carrier (RFID tag 503);
  • a chemical injection device 100 for injecting a chemical solution filled in the syringe 500, the injection piston drive mechanism 140 for moving the piston 502 forward and backward relative to the cylinder 501, and the syringe data carrier (RFID tag 503).
  • a chemical injection device 100 having a reader or reader / writer (RFID module 166) for injection data for acquiring data from The chemical liquid data acquired from the chemical liquid data carrier (barcode 23) is controlled while controlling the operation of the piston drive mechanism 53 for suction so that the chemical liquid is sucked from the chemical liquid container 20 into the syringe 500 by a predetermined suction amount. And a suction data writer or reader / writer (RFID module 52) so as to record the suction amount according to the operation of the suction piston drive mechanism 53 as a part of the data on the syringe data carrier (RFID tag 503).
  • a fluoroscopic imaging apparatus 200 that performs an imaging operation of a tomographic image of a subject into which the chemical solution has been injected;
  • a fluoroscopic imaging system for controlling the operation of An injection control unit 150 that determines the injection condition of the chemical using the data acquired from the syringe data carrier (RFID tag 503), and controls the operation of the injection piston drive mechanism 140 according to the determined injection condition;
  • a fluoroscopic imaging apparatus 200 that performs an imaging operation of a tomographic image of a subject into which the chemical solution has been injected;
  • a fluoroscopic imaging system A fluoroscopic imaging system.
  • Syringe data carrier (recording on RFID tag 503; Having a method.
  • a syringe 500 comprising a cylinder 501, a piston 502 and a syringe data carrier (RFID tag 503);
  • a piston drive mechanism 53 for moving the piston 502 forward and backward with respect to the cylinder 501;
  • a chemical data reader or reader / writer (barcode reader 51) for acquiring the chemical data from the chemical data carrier (barcode 23);
  • a chemical liquid suction device 30 comprising a suction data writer or reader / writer (RFID module 52) for recording data on the syringe data carrier (RFID tag 503);
  • a method of operating a system comprising: Obtaining the chemical data from the chemical data carrier (barcode 23) by the chemical data reader or reader / writer (barcode reader 51); Operating the piston drive mechanism 53 so that the chemical solution is sucked from the chemical solution container 20 into the syringe 500 by a predetermined suction amount;
  • the system includes an injection piston drive mechanism 140 that moves the piston 502 forward and backward relative to the cylinder 501 and an injection data reader or reader / writer (RFID) that obtains data from the syringe data carrier (RFID tag 503).
  • RFID injection data reader or reader / writer
  • a liquid injector 100 having a module 166);
  • the method of operating the system is as follows: Acquiring data from the syringe data carrier (RFID tag 503) by the reader or reader / writer (RFID module 166) for the injection data; Operating the injection piston drive mechanism 140 in accordance with conditions obtained using data obtained from the syringe data carrier (RFID tag 503); 6.
  • a syringe 500 comprising a cylinder 501, a piston 502 and a syringe data carrier (RFID tag 503);
  • a piston drive mechanism 53 for moving the piston 502 forward and backward with respect to the cylinder 501;
  • a chemical data reader or reader / writer (barcode reader 51) for acquiring the chemical data from the chemical data carrier (barcode 23);
  • a chemical liquid suction device 30 comprising a suction data writer or reader / writer (RFID module 52) for recording data on the syringe data carrier (RFID tag 503);
  • a computer program for a system comprising: Obtaining the chemical data from the chemical data carrier (barcode 23) by the chemical data reader or reader / writer (barcode reader 51); Operating the piston drive mechanism 53 so that the chemical solution is sucked from the chemical solution container 20 into the syringe 500 by a predetermined suction amount;
  • the system includes an injection piston drive mechanism 140 that moves the piston 502 forward and backward relative to the cylinder 501 and an injection data reader or reader / writer (RFID) that obtains data from the syringe data carrier (RFID tag 503).
  • RFID injection data reader or reader / writer
  • a liquid injector 100 having a module 166);
  • the computer program is Acquiring data from the syringe data carrier (RFID tag 503) by the reader or reader / writer (RFID module 166) for the injection data; Operating the injection piston drive mechanism 140 in accordance with conditions obtained using data obtained from the syringe data carrier (RFID tag 503); 8.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Anesthesiology (AREA)
  • Engineering & Computer Science (AREA)
  • Vascular Medicine (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)

Abstract

La présente invention a pour but d'empêcher des erreurs d'entrée de données lors de l'aspiration d'un médicament liquide d'un récipient de médicament liquide dans une seringue. Un dispositif d'aspiration de médicament liquide (30) aspire un médicament liquide, stocké dans un récipient de médicament liquide, dans une seringue et comporte : un mécanisme d'entraînement de piston (53) ; un lecteur de code à barres (51), qui obtient des données de médicament liquide d'un code à barres situé sur le récipient de médicament liquide ; un module d'identification par radiofréquence (RFID) (52), qui enregistre des données sur une étiquette RFID située sur la seringue ; une unité de commande d'aspiration (58). L'unité de commande d'aspiration (58) commande le fonctionnement du module RFID (52) de telle sorte que les données de médicament liquide, obtenues du code à barres, et un volume d'aspiration selon le fonctionnement du mécanisme d'entraînement de piston (53), sont enregistrés sur l'étiquette RFID sous forme de données.
PCT/JP2015/075365 2014-09-08 2015-09-07 Dispositif d'aspiration de médicament liquide, système d'injection de médicament liquide et système d'imagerie radioscopique WO2016039298A1 (fr)

Priority Applications (1)

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JP2016547434A JP6804977B2 (ja) 2014-09-08 2015-09-07 薬液吸引装置、薬液注入システムおよび透視撮像システム

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JP2014-182722 2014-09-08
JP2014182722 2014-09-08

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CN109843360A (zh) * 2016-08-17 2019-06-04 尼莎·沙惠尼 注射监测设备和系统
CN110812066A (zh) * 2019-10-31 2020-02-21 上海长海医院 一种电子计时系统
CN111307998A (zh) * 2018-12-06 2020-06-19 株式会社岛津制作所 试样注入装置
CN111386136A (zh) * 2017-10-31 2020-07-07 益首药物治疗股份公司 一次性注射装置的监测
CN113855562A (zh) * 2021-09-16 2021-12-31 武汉大学 一种药物抽吸设备及方法
WO2023106631A1 (fr) * 2021-12-07 2023-06-15 사회복지법인 삼성생명공익재단 Dispositif d'administration de médicament
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JP2018000428A (ja) * 2016-06-30 2018-01-11 東芝メディカルシステムズ株式会社 造影剤管理装置
CN109843360A (zh) * 2016-08-17 2019-06-04 尼莎·沙惠尼 注射监测设备和系统
CN111386136A (zh) * 2017-10-31 2020-07-07 益首药物治疗股份公司 一次性注射装置的监测
US12017048B2 (en) 2017-10-31 2024-06-25 Ypsomed Ag Monitoring of disposable injection devices
CN111307998A (zh) * 2018-12-06 2020-06-19 株式会社岛津制作所 试样注入装置
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CN110812066B (zh) * 2019-10-31 2023-09-22 上海长海医院 一种电子计时系统
CN113855562A (zh) * 2021-09-16 2021-12-31 武汉大学 一种药物抽吸设备及方法
WO2023106631A1 (fr) * 2021-12-07 2023-06-15 사회복지법인 삼성생명공익재단 Dispositif d'administration de médicament

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