WO2006006432A1 - Medical payment calculation device - Google Patents

Abstract

A medical payment calculation device includes: recognition means (8a) for recognizing an identifier provided for at least one of the medical material and medical device used for a predetermined medical treatment; first recording means (12) for recording the use history data correlating the identifier with the predetermined medical treatment; second recording means (12) for recording cost information concerning the medical material and the medical device corresponding to the identifier; extraction means for extracting the identifier information correlated to a desired medical treatment from the use history data recorded in the first recording means (12); and first cost calculation means (12) for calculating the cost associated with the medical material and the medical device from the identifier information extracted by the extraction means and the cost information recorded on the second recording means (12).

Description

 Specification

 Medical cost calculation device

 Technical field

 TECHNICAL FIELD [0001] The present invention relates to a medical cost calculation apparatus for calculating medical costs, and in particular, medical cost calculation for calculating costs related to medical materials and medical devices used in medical practice and costs related to medical workers. Relates to the device.

 Background art

 Conventionally, many medical materials and medical equipment are used in hospitals. When a medical material or medical device is used, the usage history is recorded as a usage history. For example, when a disposable product, medicine, gauze, etc. is used during an operation in the operating room, the nurse takes notes using his / her own hands, medical charts or simple checklists. It is often asked to leave a usage history based on However, this method of leaving a use history is preferable from the viewpoint of leaving an accurate use history with a heavy workload on the nurse.

 Therefore, as a solution to this problem, there is a method using RFID (Radio Frequency Identification). For example, in Patent Document 1, an RF—ID tag is provided in a medical device, and when the medical device is used, a usage history (total usage time, etc.) is written in the memory in the RF—ID tag. And a medical device system device that reads it during maintenance.

[0004] However, since the main purpose of this medical device system apparatus is to obtain medical device maintenance information, it is possible to obtain the total use time and the total use count of medical devices as the usage history. Although it is proposed, a history of the date and time when the medical device was used, and a history of the place where the medical device was used that indicates in which room the medical device was used (for example, operating room or examination room) Nothing has been proposed about that. In addition, nothing has been proposed regarding the use history of medical materials. For this reason, the usage history of medical materials and medical devices cannot be managed, for example, in units of medical practice or in units of rooms used, and it is impossible to calculate medical costs for each unit. Ivy [0005] In view of the above circumstances, the present invention can manage the usage history of medical materials and medical devices in units of medical practice or in units of rooms used, and to reduce the medical costs for each unit. It is an object of the present invention to provide a medical cost calculation apparatus that enables calculation. Patent Document 1: Japanese Patent Laid-Open No. 2003-52717

 Disclosure of the invention

 [0006] The medical cost calculation apparatus according to the first aspect of the present invention comprises a recognition means for recognizing an identifier provided in at least one of a medical material and a medical device used for a predetermined medical practice, the identifier, A first recording unit that records usage history data associated with the predetermined medical practice; a second recording unit that records cost information related to the medical material and the medical device corresponding to the identifier; and the first recording unit. Extraction means for extracting identifier information associated with a desired medical practice from the usage history data recorded in the above, identifier information extracted by the extraction means, and cost information recorded in the second recording means And a first cost calculating means for calculating a cost related to the medical material and the medical device.

 [0007] In the medical cost calculation apparatus according to the second aspect of the present invention, in the first aspect described above, the recognition means further recognizes an identifier for identifying a medical worker, and A third recording means for recording in association with the predetermined medical practice; and a second cost calculating means for calculating the cost of the medical staff recorded in the third recording means. Features.

[0008] A medical cost calculation apparatus according to a third aspect of the present invention further includes a medical information collection apparatus that collects medical information in the first aspect described above, and the medical information collection apparatus includes one or more medical information collection apparatuses. Communication means for communicating with a plurality of medical devices, a first recording medium on which history information of the medical devices obtained by the communication means is temporarily recorded, and the medical devices obtained by the communication means The history information of the same type as the history information has already been acquired, or the history information of the medical device obtained by the communication means and the history information of the same type as the history information have already been acquired. Determination means for determining whether or not there is a change in the content of information between the latest history information and the determination means, and And a second recording medium on which the history information of the medical device obtained by the communication means is recorded in a predetermined format as a record in accordance with the determination result.

 [0009] Further, in the medical cost calculation apparatus according to the fourth aspect of the present invention, in the third aspect described above, the medical information collection apparatus is configured such that a third recording medium is detachable, and A part or all of history information recorded in a predetermined format as a record on the second recording medium is transferred to the third recording medium at a constant period.

 [0010] Further, in the medical cost calculation apparatus according to the fifth aspect of the present invention, in the third aspect described above, the medical information collection apparatus is connected to an external server via a communication network. A part or all of history information recorded in a predetermined format as a record in the second recording medium is transferred to the external server at a constant cycle.

 [0011] Further, the medical cost calculation apparatus according to the sixth aspect of the present invention includes a first cost table describing a correspondence relationship between an identifier assigned to a medical device and a cost unit price of the medical device, Assigned to each of the first recognition means for recognizing the identifier assigned to the medical equipment used and the medical equipment used in the prescribed medical practice recognized by the first recognition means. Based on the first file generation means for generating the use list file including the identifier information, the first cost table and the use list file, the cost of the medical equipment used in the predetermined medical practice is described above. And calculating means for calculating.

[0012] In addition, the medical cost calculation apparatus according to the seventh aspect of the present invention includes, in the above-described sixth aspect, information on a medical equipment list used for the medical action before the predetermined medical action. A second file generating means for generating a checklist file, a second recognizing means for recognizing an identifier given to a medical device that has entered or exited the room, and the second recognizing means. A third file generating means for generating an entry list file including identifier information assigned to each of the medical equipment related to the predetermined medical practice, and the check list file and the entry list file. And a determination means for determining whether or not all the medical equipment used for the predetermined medical practice has entered the room. [0013] In addition, the medical cost calculation apparatus according to the eighth aspect of the present invention relates to the predetermined medical practice that has been recognized by the second recognition means and has left the room in the seventh aspect. A fourth file generating means for generating an exit list file including information of an identifier assigned to each of the medical devices to be used, and the medical equipment used based on the use list file and the exit list file. And determining means for determining whether or not the medical device that has left the room is different.

 [0014] Further, the medical cost calculation apparatus according to the ninth aspect of the present invention describes, in the above-described sixth aspect, a correspondence relationship between a procedure performed in the predetermined medical practice and a unit price of the procedure. The check list file further includes a second cost table, the check list file further includes information on a procedure flow performed in the predetermined medical practice, and the calculation means includes information on the procedure flow included in the check list file. And the procedure performed in the predetermined medical procedure identified based on the information of the used medical equipment included in the usage list file, and the predetermined cost based on the second cost table. The cost for the procedure performed in the medical practice is further calculated.

 Brief Description of Drawings

 [0015] The present invention will become more apparent when the following detailed description is described with reference to the accompanying drawings.

 FIG. 1 is a diagram showing a configuration example of an in-hospital system to which a medical cost calculation apparatus is applied.

 FIG. 2 is a diagram showing an example of adding RF-ID tags.

 FIG. 3 is a diagram schematically illustrating a part of the operation of the in-hospital system, taking an operating room as an example.

 FIG. 4A is a flowchart according to the initial setting.

 [FIG. 4B] A flow chart for carrying equipment into the operating room.

 FIG. 5A is a flowchart relating to the reading process performed in S14.

 FIG. 5B is a flowchart relating to processing performed in S 15.

 FIG. 6A is a flowchart relating to treatment performed in the operating room.

 FIG. 6B is a flowchart relating to the appliance notification process performed in S44.

 FIG. 7A is a flowchart relating to a use history generation process performed in S45.

FIG. 7B is a flowchart relating to a matching process with a use list performed in S49. FIG. 8A is a flowchart relating to a cost calculation process for used medical equipment.

 FIG. 8B is a diagram showing an example of a display screen of the work terminal device on which the processing result is displayed.

 FIG. 9 is a diagram showing an example of a processing result displayed on the display screen of the work terminal device after a check process related to a specific medical practice is performed.

 FIG. 10 is a flowchart relating to a process for calculating costs related to used medical equipment (including running costs) and costs related to medical practice.

 FIG. 11 is a diagram illustrating an example of the operation of a hospital system.

 FIG. 12 is a diagram for explaining an example of the operation of the hospital system.

 FIG. 13 is a diagram showing an overall configuration of an endoscopic surgical system.

 FIG. 14 is a block diagram relating to the main configuration of the endoscopic surgical system.

 FIG. 15 is a block diagram relating to the main configuration of the first system controller.

 FIG. 16A is a flowchart showing an example of a log recording operation performed by the first system controller.

 FIG. 16B is a flowchart showing an example of a log recording operation performed by the first system controller.

 FIG. 17 is a diagram showing an example of a format of a record recorded as a log by the first system controller.

 FIG. 18 is a diagram for explaining a specific example when a record is recorded as a log in a memory block assigned to a second memory in the first system controller.

 FIG. 19 is a flowchart showing an example of a log recording operation performed by the relay unit.

 FIG. 20 is a flowchart showing an example of a memory monitoring operation performed by the first system controller.

 BEST MODE FOR CARRYING OUT THE INVENTION

Hereinafter, embodiments of the present invention will be described with reference to the drawings.

 Example 1

FIG. 1 is a diagram illustrating a configuration example of an in-hospital system to which a medical cost calculation apparatus according to Embodiment 1 of the present invention is applied. In the figure, the operating room in the hospital (also called OR) 1 (la, lb), examination room 2, reprocessing room (sterilization room) 3, recovery room 4, etc. are controlled via network 5. It is connected to the room (medical office) 6 and the control room 6 can manage the information obtained in each room.

 [0018] The operating room 1 (la, lb) is provided with a work terminal device 7a for performing various operations in the operating room and a predetermined position for reading RF (Radio Frequency) -ID tag force information described later. The first reading terminal device 8a, the second reading terminal device 9a provided at the entrance / exit of the operating room for reading RF-ID tag force information, and the connected devices (first and second terminal devices) 8a, 9a, etc.) is provided. Here, the information read out by the first reading terminal device 8a is used as a use history of medical equipment (medical materials such as drugs and medical equipment) used in the operating room, and is read as the second reading. The information read out by the sampling terminal device 9a is used as an entry / exit history of the operating room. The information obtained in the operating room is transmitted to the information management server 11 in the control room 6 via the network 5 and is recorded in the DB (database) 12! /.

 [0019] The inspection room 2 includes a work terminal device 7b for performing various operations in the inspection room, and a first reading terminal provided for each small room in the inspection room for reading information on RF-ID tag power. The device 8 (8b, 8c, 8d) and the controller 10 (10b, 1 Oc, 10d) that controls the connected device are also installed in the vicinity of the entrance / exit of the relevant laboratory that reads RF-ID tag force information. The second reading terminal device 9b is provided. Here, the information read by the first reading terminal device 8 (8b, 8c, 8d) is used as a use history of the medical equipment used in the small room in the examination room, and is read by the second reading device. The information read by the terminal device 9b is used as an entry / exit history for the examination room. Then, the information obtained in the examination room is transmitted to the information management server 11 in the control room 6 via the network 5 and recorded in the DB 12.

[0020] The reprocessing room 3 includes a scrubber 13 such as a scope reprocessor, a first reading terminal device 8e that reads information from the RF-ID tag, and the reprocessing room that also reads RF-ID tag power information. Second reading terminal at the entrance of the room 9 c etc. are provided. Here, the information read by the first reading terminal device 8e is used as a use history of the medical equipment used in the reprocessing room, and the information read by the second reading terminal device 9c is It is used as the entry / exit history of the re-processed room. The information obtained by the reprocessing room is transmitted to the information management server 11 in the control room 6 via the network 5 and is recorded in the DB 12! /.

 [0021] The liqueory room 4 is provided with a PDA 14 and the like having a function of reading information on RF-ID tag power. Here, the information from which the RF-ID tag power is also read out by the PDA 14 is used as a use history of medical equipment used in the liqueurry room. The information obtained in the recovery room is transmitted to the information management server 11 in the control room 6 via the network 5 and recorded in the DB 12.

 [0022] The control room 6 includes a work terminal device 7c for performing various operations in the control room, information obtained in each room such as the operating room 1 and the examination room 2, and other predetermined information. A DB 12 to be recorded and an information management server 11 for managing information recorded in the DB 12 are provided.

 [0023] In addition, the network 5 is connected to the Internet 16 through a firewall 15, and if necessary, for example, accesses a website provided by the service center 17 of each medical equipment manufacturer to specify a specific site. The price information of medical equipment can be obtained. The network 5 is also connected to the system of another hospital 19 via the gateway server 18, and can send and receive information to and from other hospitals as necessary.

 [0024] The RF-ID tag described above is a micro IC chip having a memory, a radio communication antenna, an IC, etc. therein, and can read and write information Z by external force radio. .

 [0025] In this system, this RF-ID tag power is assigned to each medical device, each medical worker (doctor, nurse, etc.), each patient, etc. An ID (identifier) is stored.

FIG. 2 is a diagram showing an example of attaching an RF-ID tag. As shown in the figure, the RF-ID tag used in this system is classified into a card type, a coin type, and a seal type according to the recipient.

The card type RF—ID tag is carried by a person such as a doctor, a nurse, or a patient, and an ID corresponding to the person who carries the card is stored in the memory of the RF—ID tag.

 Coin-type RF—ID tags are embedded in non-sterile devices such as endoscope scopes and peripheral devices, and medical devices such as sterilization instruments such as probes and forceps, and are stored in the memory of this RF—ID tag. Stores the ID corresponding to the implanted medical device.

[0028] The seal type RF—ID tag is affixed to medical materials such as syringes, drugs, and gauze, and the ID corresponding to the affixed medical material is stored in the memory of this RF—ID tag. Is memorized. However, in the case of chemicals such as capsules and tablets, they are attached to the bottles containing the capsules and tablets.

Next, the operation of this system will be described.

 FIG. 3 is a diagram schematically illustrating a part of the operation of the present system, taking the operating room la as an example. In the figure, the first reading terminal 8a is connected to an RF-ID tag in an area where medical equipment is delivered between a sterilization area 21 where surgery is performed by a doctor and other non-sterile areas. The force has a reading area 22 from which information can be read, and the RF-ID tag force existing in the reading area 22 can also read information.

 [0030] Further, the second reading terminal device 9a has a reading area 23 capable of reading information with RF-ID tag power at the entrance and exit of the operating room, and exists in the reading area 23. RF—ID tag power can also read information.

[0031] With this, when medical equipment, a medical worker, a patient, etc. enter the operating room via the reading area 23, the second reading terminal device 9a uses an ID (for example, from the RF-ID tag). 24) in the figure is read and the ID is sent to the controller 10a. Then, the controller 10a further adds the unit ID of the controller 10a to the ID as information on the date and time when the ID was read and the location where the ID was read (for example, 25 in the figure). This is sent to the information management server 11 in the control room 6 as an entry history and recorded in the data file area 12a of the DB12. However, data When it is recorded in the aisle area 12a, it is recorded as an entry log file (for example, 26 in the figure) in which each ID is specified based on the ID table recorded in the ID table area 12b of the DB 12. The ID table shows the correspondence between IDs and medical equipment, medical workers, patients, etc., the correspondence between IDs and other information, and the correspondence between unit IDs and locations (rooms). is described.

 [0032] When the medical device is delivered via the reading area 22, the first reading terminal device 8a reads the ID (for example, 27 in the figure) from the RF-ID tag. ID is sent to the controller 10a. Further, the controller 10a further includes, for the ID, the date and time when the ID was read, the unit ID of the controller 10a as information on the location where the ID was read, and information indicating that the ID was used. It is added (for example, 28 in the figure), which is transmitted to the information management server 11 in the control room 6 as a use history and recorded in the data file area 12a of the DB 12.

 [0033] However, when a capsule or tablet type medicine is delivered through the reading area 22, as described above, the capsule or tablet itself is not attached with an RF ID tag. Each time a capsule or tablet is delivered, a nurse or the like puts a bottle containing the capsule or tablet into the reading area 22 and is attached to the bottle. Read the ID from the tag.

 [0034] In the operating room la, the ID read as the usage history is, in principle, the power read by the first reading terminal device 8a. For example, an RF ID tag possessed by a nurse or the like The power can also be read by a PDA that has a function to read information.

[0035] On the other hand, when a medical device, a medical worker, a patient, or the like leaves the operating room via the reading area 23, the RF — ID tag is used by the second reading terminal device 9a in the same manner as when entering the room. The controller 10a adds the unit ID of the controller 10a as the information of the date and time when the ID was read and the location where the ID was read. It is sent to the information management server 11 in the control room 6 and recorded in the data file area 12a of DB12. However, when recorded in the data file area 12a, the ID tape recorded in the ID table area 12b of DB 12 It is recorded as an exit log file (for example, 29 in the figure) in which each ID is specified based on the log.

 [0036] When the second reading terminal device 9a reads the ID from the RF-ID tag, the second reading terminal device 9a also reads the information indicating that the room has been entered. The information indicating that the user has entered the room is written in the RF-ID tag, and when the information indicating that the user has entered the room is read, the information indicating that the person has entered the room is deleted. In this way, the second reading terminal device 9a can also determine whether the ID force is read when the RF tag ID is read or not when entering the room. RU

 [0037] In the configuration shown in FIG. 3, the unit ID realized by the controller 10a and the control of the reading terminal device are controlled on a PC having an input means such as a touch panel and a keyboard of the work terminal device 7a. It can also be realized with the created application software.

 [0038] Further, the controller 10a has RS-232C serial communication (for example, for 8ch) that can be performed only by communication control of the reading terminal device (generally RS-232C), and bidirectional communication with the endoscope peripheral device. This is a device that can acquire the status. In other words, the controller 10a includes the reading terminal device, the device information from the serial communication, the RF-ID tag reading terminal device power and the medical material information, and the plurality of reading terminal devices. Work information can be acquired. In the figure, some endoscope peripheral devices are omitted, but in reality, an endoscope that reflects the inside of the patient, a monitor that displays the endoscopic image, and an endoscope image that is used as a monitor. A camera device that converts a captured video signal to be imaged, a light source that supplies light to an endoscope, an electric scalpel device for performing treatment with an electric knife, an ultrasonic surgical device for performing ultrasonic surgery with a probe, In order to secure a visual field within the abdominal cavity, an insufflation apparatus that supplies gas such as carbon dioxide and carbon dioxide into the abdominal cavity is connected to be controlled by the controller 10a.

 [0039] Further, in the configuration shown in the figure, when the configuration includes a PC terminal and a controller, the reading terminal device may be under either control, and the controller 10a has a network communication function. If so, the PC terminal is not necessary as a configuration requirement.

 [0040] Next, the operation of the present system will be described in detail using the operating room la as an example.

The operation of this system, which will be described by taking the operating room la as an example, is the operation terminal device 7a and controller 10a in the operating room la, the operation terminal device 7c in the control room 6, and the information management server 1 This is the process performed by 1.

 In this operation, first, initial setting is performed.

 FIG. 4A is a flowchart showing the initial setting.

 In Fig. A, first, when an operator inputs the place (same unit ID), date, and patient name of the operation to the work terminal device 7c in the control room 6, the corresponding operation information is obtained from DB12. (Sl). The surgery information is recorded in advance in the DB 12 in association with the place where surgery is performed, the date and time, and the patient name, and includes information on the medical staff in charge of the surgery.

 [0042] Subsequently, when the operator inputs the name of the operation to be performed in the operating room (OR) la from the acquired operation information (S2), the corresponding default equipment list and medication list and the default procedure flow are entered. Are generated (S3 and S4).

 [0043] Subsequently, the operator changes the list and flow generated in S3 and S4 as necessary, and adds a customized input to add the equipment list, medication list, and procedure flow that reflect the contents of the customized input. Based on this, a checklist file is generated (S5), and the checklist file is recorded (registered) in DB12 in association with the location, date, and patient name where surgery is performed (S6). finish.

 [0044] Next, equipment is carried into the operating room la.

 FIG. 4B is a diagram showing a flow chart for carrying equipment into the operating room la.

 In Fig. B, first, nurses prepare necessary medical equipment such as preparation of reuse items (S11) and preparation of disposable items (S12), and carry them into operating room la (S13). As described above with reference to FIG. 3, the reading terminal device 9a reads the ID from the RF-ID tag of the importer or the medical equipment carried in (S14, described later using FIG. 5A). At this time, as a trigger condition for judging entry / exit, reading is performed by inputting a front panel SW operation force (not shown) of the controller 10a, a device having a PC or keyboard having a GUI such as the work terminal device 7a communicating with the controller 10a. This can be realized by switching the reading mode of the terminal device 9a. However, the reading mode may be switched automatically by linking the entrance and exit in conjunction with the start and end buttons for endoscopy and endoscopic surgery.

[0045] Then, the read ID, the date and time when the ID was read, and the unit ID, etc. As a file, it is transferred to the information management server 11 in the control room 6 and recorded in DB12. The information management server 11 collates with the checklist file registered in S6 described above (S15, using FIG. 6A). Later). Then, it is determined whether or not the collation result information transmitted from the information management server 11 is related to an error notification (S16), and if it is related to an error notification (S16 Yes), a nurse or other importer carries in the shortage (S17), and if it is not related to error notification (S16 is No), this flow ends.

FIG. 5A is a diagram showing a flowchart relating to the reading process performed in S14 described above.

 In Fig. A, first, it is determined whether or not there is an RF—ID tag that has not read an ID in the reading area 23 (S21). If the determination result is Yes, the process proceeds to S26. If No, [Proceed to S22 or S22]. If there is an RF—ID tag that does not read the ID (S21 is No), one of the RF—ID tags is searched. Then, a communication request command is transmitted to the searched RF—ID tag (S22), and communication with the RF—ID tag is established (S23). Subsequently, the ID is read from the RF-ID tag (ID acquisition) (S24), the read ID is buffered to prevent double reading (S25), and the process returns to S21.

 [0047] As described above, a series of processing from S22 to S25 is performed on all RF ID tags in the reading area 23, whereby IDs are obtained from all RF ID tags in the reading area 23. Is done. Then, when there is no RF-ID tag that has not read the ID in the reading area 23 (Yes in S21), the process proceeds to S26, and the ID reading is completed (S26).

 [0048] Subsequently, a determination is made as to whether or not the force detected by pressing the completion button provided near the entrance of the operating room is detected (S27). If the pressing of the completion button is detected (Yes in S27) ), Buffered to prohibit double reading in S 25! /, And the ID is cleared (S28), and the process returns. On the other hand, if the completion button is not detected (S27 is No), this determination is repeated. Although not shown, the completion button is connected to the controller 10a, and the controller 10a detects that the completion button has been pressed.

FIG. 5B is a diagram showing a flowchart relating to the processing performed in S15 described above. In Fig. B, first, each ID acquired by the above-mentioned reading process (see Fig. A) is given the date and time when the ID was acquired, the ID of the importer, and the unit ID of the controller 10a (S31). A room entry list file is generated (S32). The room entry list file is transferred to the information management server 11 in the control room 6 (S33).

[0050] The transferred entry list file is recorded in the DB 12 by the information management server 11, and the corresponding check list file is read from the DB 12 from the date and time when the ID was acquired and the unit ID in the entry list file. . The read check list file and the room entry list file are collated (S34), and there is a difference in registration contents regarding the medical equipment between the check list file and the room entry list file. A determination is made as to whether or not the force is present (S35). In other words, whether all necessary medical equipment has been carried into the operating room la is judged. Here, when there is a difference in the registered contents (Yes in S35), error information is transferred as verification result information to the work terminal device 7a in the operating room (OR) la (S36), and the process returns. On the other hand, if there is a difference in the registered contents (No in S35), a preparation completion notification is transferred as collation result information to the operating terminal 7a in the operating room (OR) la (S37), and the process returns.

[0051] Next, treatment is performed in the operating room la.

 FIG. 6A is a diagram showing a flowchart relating to the treatment performed in the operating room la. In Fig. A, according to the instructions of the doctor in the sterilization area 21 when the operation is started, for example, light guide (LG), camera head, scope, tube of insufflation apparatus, oscillation probe, scalpel, etc. When the medical device is delivered to the doctor via the reading area 22 (S41 to 43), the first reading terminal device 8a receives the ID from the RF—ID tag of the medical device that has passed the reading area 22. It is read and sent to the controller 10a. Based on the ID, equipment information notification processing (S44, described later using FIG. 6B) and usage history generation processing (S45, described later using FIG. 7A) are performed. When the operation of S45 is completed, if the operation is not completed (S46 is No), the process returns to S41 again, and if the operation is completed (S46 is Yes), the nurse or the like can control the controller 10a. Press the end button provided in (S47).

[0052] When the pressing of the end button is detected, the use list file generated in S45 Unused list file and power are transferred to the information management server 11 in the control room 6 and recorded in DB12.

 [0053] Subsequently, when the medical equipment is carried out from the operating room la, the RF-ID tag of the medical equipment etc. carried out is read by the reading terminal device 9a in the same manner as described in FIGS. 5A and 5B above. The ID is also read, and the date and time when the ID was read, the unit ID, etc. are given to the ID, and the exit log file is created (S48).

 Subsequently, the exit log file is transferred to the information management server 11 in the control room 6 and collated with the use list file (S49, described later using FIG. 7B). Then, it is determined whether or not the collation result information transmitted from the information management server 11 is related to an error notification (S50), and if it is related to an error notification (S50 is Yes), or if a nurse or other exporter searches for a shortage (S51), and if it is not related to an error notification (S50 is No), this flow ends.

 FIG. 6B is a view showing a flowchart relating to the appliance notification process performed in S44 described above.

 In FIG. B, first, the ID read by the first reading terminal device 8a is transferred to the information management server 11 in the control room 6. Then, the information management server 11 acquires the corresponding usage and usage history from the ID table recorded in the ID table area 12b of the DB 12 based on the transferred ID (S61, S62). The work of la is transferred to the terminal device 7a (S63). The transferred usage and usage history are notified, for example, by being displayed on the display of the work terminal device 7a (S64), and the process returns.

FIG. 7A is a diagram showing a flowchart relating to the use history generation process performed in S45 described above.

 In Fig. A, first, the ID read by the first reading terminal device 8a is checked against the room entry list file generated in S32 (see Fig. 5B) (S71). Then, a used list file and an unused list file are generated (S72, S73), and the process returns.

In S72 and S73, when the use list file and the unused list file have already been generated, the use list file and the unused list file are updated. Ma In the usage list file, for the ID read by the first reading terminal device 8a, the date and time when the ID was read, the unit ID of the controller 10a, information indicating that it was used, etc. Added.

[0058] FIG. 7B is a diagram showing a flow chart relating to the matching process with the use list file performed in S49 described above.

 In Fig. B, first, when the exit log file is transferred to the information management server 11 in the control room 6 and recorded in the DB 12 (S81), the exit log file is terminated by the information management server 11 and the above-mentioned S47. The usage list file transferred when the button is pressed is checked (S82), and it is determined whether there is a difference between the medical equipment that has left the room and the medical equipment that was used ( S83). Here, if there is a difference (Yes in S83), error information is transferred as verification result information to the work terminal device 7a in the operating room (OR) la (S84), and the process returns. On the other hand, if the difference is ineffective (No in S83), a preparation completion notification is transferred as collation result information to the operating terminal device 7a in the operating room (OR) la (S85), and the process returns.

[0059] It should be noted that whether or not there is a difference between the medical equipment that has left the room and the medical equipment that has been used is determined based on the unused list file that was transferred when the end button was pressed in S47 described above. It is also possible to do so.

[0060] Once the usage list file is recorded in DB12 in this way, the cost of the medical equipment used in the operation can be calculated as needed based on the usage list file. Monkey.

 FIG. 8A is a diagram showing a flowchart relating to the cost calculation processing of the used medical equipment.

In the figure, first, when an operator performs a predetermined operation on the work terminal device 7c by inputting the date, time, place, etc. of the operation for which the cost is to be calculated, a corresponding use list file is stored from the DB12. The ID of the used medical device (item in the category column) is acquired from the usage list file (S91). Each ID is recorded in the ID table area 12b of the DB 12, and the medical device and model number corresponding to the ID are specified based on the ID table, and the cost table recorded in the ID table area 12b is also used. The cost unit price corresponding to the ID is specified based on the bull. The cost table describes the correspondence between IDs and cost unit prices.

[0062] For example, the cost unit price corresponding to the light guide is specified by the cost table (S92)

In addition, when multiple identical medical devices such as gauze are used, the cost unit price corresponding to the gauze is specified by the cost table, and then the cost related to the gauze is specified by the cost unit price X the number of pieces used. (S93).

[0063] Then, by calculating the total unit price of each medical device identified in this way, the cost related to the medical device used in the operation is calculated (S94). The processing result is displayed on the display screen of the work terminal device 7c.

FIG. 8B is a diagram showing an example of a display screen of the work terminal device 7c on which the processing result is displayed.

 The example in Fig. B is based on the use list file related to the operating room la described above, the date and place of use, the patient, procedure, surgeon, and the use of reused items, disposable items, medical materials, and drug administration. A list of categories, model numbers, cost unit prices, and total costs for each predetermined medical equipment is displayed, and the total cost of the medical equipment is displayed.

 [0065] In the operation so far, for example, the checklist file generated in S5 (see Fig. 4A) also includes information on the procedure flow. Based on the file and the above-mentioned use list file, it is also possible to check whether or not necessary procedures have been performed. For example, if it is difficult to use a predetermined drug in a specific procedure, it may be considered that if the drug is used, the corresponding procedure was performed. It is possible to check whether or not the corresponding procedure has been performed from the medical equipment used. As described above, in this system, a checklist file related to an action flow performed in a specific medical practice is generated, and a necessary action is performed based on the checklist file and the usage list file. It is also possible to check whether or not power has been applied. Accordingly, similarly to the cost calculation for the medical device described above, it is possible to calculate the cost for the performed action, that is, the cost for the medical worker.

[0066] FIG. 9 shows, for example, work after the check process related to such a specific medical practice is performed. It is a figure which shows an example of the processing result displayed on the display screen of the terminal device 7c.

 In the example in the figure, the results of the actions performed by the surgeon, nurse, ME (Medical Engineer) and anesthesiologist before, during, and after the operation performed in the operating room la described above are shown. Shows what is displayed. Here, in each action, the action marked “re” indicates the action that was performed. For example, connection of camera head to camera device, connection of LG to light source device, connection of therapeutic knife to peripheral device, connection of electric knife to electric knife device and connection of probe to ultrasonic device This indicates that the act was performed.

 [0067] In addition, in this example, for example, the "female output time" of the electric scalpel device, the "air supply time" and "total amount of air supply" of the insufflation device, the "lamp lighting time" of the light source device, etc. The operation time of the medical device acquired separately is also displayed, and if an action that is not in the check list file prepared in advance is performed, the action is added and displayed. It is also a thing. In addition, the running cost in which the usage time and the like of each medical device is calculated, and the cost related to the medical action in which each action force is also calculated are displayed.

 [0068] Here, as an example of the process for calculating the running cost and the medical practice cost, a process for calculating the cost related to the used medical equipment (including the running cost) and the cost related to the medical practice will be described. .

 FIG. 10 is a diagram showing a flowchart relating to the processing.

 In the figure, first, when an operator performs a predetermined operation on the work terminal device 7c by inputting the date, time, place, etc. of the operation for which the cost is to be calculated, a corresponding use list file is stored from the DB12. For example, the contents of the use list file are displayed on the screen (S101). Subsequently, when the operator inputs a technique name, the corresponding checklist file is read from DB12 (S102).

[0070] Subsequently, the ID of the used medical device is acquired from the use list file read in S101, and the cost unit price of the corresponding medical device is specified for each ID based on the unit price table. The unit price table related to medical equipment is obtained from the website provided by the service center 17 of each medical equipment manufacturer, and is, for example, a table related to equipment unit price or chemical unit price. In addition, the checklist file acquired in S102 The medical action performed is acquired from the list, and for each action, the cost unit price of the corresponding action is specified based on the unit price table related to the action recorded in DB12 (S103).

 Next, the cost is calculated for each used medical device using the use list file and the cost unit price related to the medical device (S104). For example, the cost of disposable goods or chemicals is calculated based on the number of disposable goods or chemicals used (number of usage histories) X cost unit price.

 Subsequently, the cost is calculated for each action performed using the check list file and the cost unit price related to the action (S105). The cost associated with this action is calculated based on the history of actions taken x cost unit price.

 [0073] Next, based on the checklist file, the running cost is calculated for the usage time and the like of each medical device (S106).

 Next, the cost of each medical device calculated in S104, the cost of each action calculated in S105, and the medical cost such as the running cost of each medical device calculated in S106 are It is attached to the chart (S107), and this flow ends.

By such processing, the cost (including the running cost) related to the used medical equipment and the cost related to the medical practice are calculated.

 As described above, according to the present embodiment, the use list file includes information on the date and time of use and the location (room) of the medical equipment used in the specific medical practice. It can be managed by medical practice unit or room unit used. It is also possible to calculate the medical cost for each unit from the cost table recorded in DB12.

 [0075] In addition, since it is possible to specify the actions of medical workers performed in a specific medical practice from the use list file and the check list file, the unit price table related to the actions recorded in the DB is used. It is also possible to calculate the cost related to the medical staff.

 In this embodiment, the same processing is performed for each room such as the force described in the operating room la as an example, and other rooms such as the examination room 2 and the reprocessing room 3.

For example, as shown in FIG. 11, when a predetermined medical device is loaded into the reprocessing room 3, the ID is read from the RF-ID tag of the loaded medical material or the like in the same manner, Necessary information is added (for example, 31 in the figure), which is the control loop. Is sent to the information provision server 11 of the system 6 and recorded in the DB 12 as an entry log file. In this case, for example, when a medical device carried out from the operating room la is carried into the reprocessing room 3, an exit log file which is transmitted to the information providing server 11 and recorded in the DB 12 when the medical equipment is carried out from the operating room la. (For example, 32 in the figure) and the medical log transported from the operating room la by collating with the log-in log file sent to the information providing server 11 and recorded in the DB 12 when it is transported to the reprocessing room 6. It is also possible to check whether the equipment has been carried into the reprocessing room 6 without omission.

[0077] In addition, in this system, there are various methods for utilizing the RF ID assigned to each medical equipment or each medical worker.

 For example, as shown in FIG. 12, the information management server 11 uses the equipment information (36 in the figure) of each room based on the usage time (or the number of times of use) of the medical equipment recorded in the DB 12. It is also possible to send the replacement instruction information of the medical device to the room where the medical device has been used for a certain period of time and instruct the replacement of the medical device. For example, it is possible to send the probe replacement instruction information (37 in the figure) to the operating room la where the probe that has been used for a certain period of time has been used, and instruct the replacement of the probe.

 [0078] Also, from the information on doctors and nurses (38, 39 in the figure) based on the entry log file and exit log file recorded in DB12, the doctor and nurse's power room is identified and the room is identified. It is also possible to send call information and instruction information to a specific doctor or nurse to call or give instructions. For example, if it is determined that the room where a particular nurse is located is operating room lb, the nurse's caller's call blueprint and instruction information (40 in the figure) are sent to the operating room lb. It is possible to call nurses and give instructions.

 [0079] It is also possible to transmit patient information and medical chart data from each patient's information (41 in the figure) based on the entry log file recorded in DB12 to the room where a specific patient has entered. is there. For example, when a specific patient enters Laboratory 2, it is possible to send the patient's information and medical record data (42 in the figure) to Laboratory 2.

[0080] Further, for example, when the reprocessing is completed in the reprocessing room 3, the reprocessing completion notification (43 in the figure) force is sent from the reprocessing room 3 to the information management server 11. Sent and recorded in DB 12. In addition, from the Rikanoku Lee Room 4, for example, vital sign data (44 in the figure) of the patient in the recovery room 4 is transmitted to the information management server 11 and recorded in the DB 12.

 Example 2

 In the present embodiment, a medical information collection function of a controller (for example, 10a) provided in the operating room (for example, la) of the hospital system described in the first embodiment will be described.

 FIG. 13 is a diagram showing an overall configuration of an endoscopic surgical system provided in the operating room la.

 In this embodiment, the controller 10a provided in the operating room la described in the first embodiment will be described as a first system controller 64 and a second system controller 78 described later. The described network 5 will be described as a hospital communication network described later, and the information management server 11 described in the first embodiment will be described as a server 87 described later. Further, in this embodiment, since the first system controller 64 has a communication function as will be described later, it is connected to the in-hospital communication network without the work terminal device 7a described in the first embodiment.

As shown in FIG. 13, an endoscopic surgical system 51 includes a first trolley 54 and a second trolley 55 arranged on both sides of an operating table 53 on which a patient 52 lies. 54 and 55 are equipped with multiple endoscope peripherals for observation, inspection, treatment, recording, etc.

[0084] The first trolley 54 includes a first TV camera device 56, a first light source device 57, a high-frequency cautery device (hereinafter referred to as an electric knife) 58, an insufflation device 59, a VTR 60, and a first monitor 61. Display panel 62 where the surgeon is placed in the non-sterile area and the operator operates the device to check the setting status, etc., and the mouse touch panel (not shown) where the nurse concentrates the operation of the medical equipment placed in the non-sterile area A centralized operation panel 63 having a pointing device, a first individual identification reading terminal device (not shown) that reads individual identification information optically, magnetically, or wirelessly, and a first system controller 64 Each installed device is connected to the first system controller 64 via a serial interface cable (not shown) so that bidirectional communication can be performed. In addition, the first system controller 64 has A microphone 65 can be connected, and the controller 64 recognizes a voice input from the microphone 65 by a voice recognition circuit (not shown) so that each device can be controlled by the voice of the surgeon.

 The first light source device 57 is connected to the first endoscope 67 via a light guide cable 66 that transmits illumination light, and the illumination light of the first light source device 57 is transmitted to the first endoscope 67. The light guide is supplied to illuminate the affected part in the abdomen of the patient 52 into which the insertion part of the first endoscope 67 is inserted. A first camera head 68 equipped with an image sensor is attached to the eyepiece portion of the first endoscope 67, and an optical image of an affected part or the like by the observation optical system of the first endoscope 67 is displayed on the first endoscope 67. The image is picked up by the image pickup device in the camera head 68, transmitted to the first TV camera device 56 via the camera cable 69, and signal-processed by the signal processing circuit in the first TV camera device 56 to obtain the video signal. Generate and output to the first system controller 64.

 [0086] The first system controller 64 incorporates a recording medium device of an external recording medium (third external memory) such as a CD-R and FDD, and reads data from the attached external recording medium. For example, the data recorded on the external recording medium can be output and displayed on the display panel 62 or the like.

 [0087] Further, the first system controller 64 is connected to a hospital communication network (hereinafter simply referred to as "hospital network") provided in a hospital (not shown) through a cable (not shown), and an image on the hospital network is displayed. Data etc. are output to the display panel 62 etc. so that they can be displayed. In addition, data can be transferred to a server on the hospital network as needed.

 [0088] A CO gas cylinder 70 is connected to the pneumoperitoneum 59, and the gas that extends from the pneumoperitoneum 59 to the patient 52

 2

 CO gas can be supplied into the abdomen of the patient 52 through the abdominal tube 71.

 2

The second trolley 55 includes a second TV camera device 72, a second light source device 73, an ultrasonic treatment device 74, a second monitor 75, an image mixer 76, a video printer 77, optically or magnetically. Alternatively, a second individual identification reading terminal device (not shown) that reads individual identification information by wireless communication or the like and a relay unit 78 or the like as a second system controller are mounted, and each device is connected to a relay unit by a serial interface cable (not shown). Connected to 78, bidirectional communication is possible. The second light source device 73 is connected to the second endoscope 80 via a light guide cable 79 that transmits illumination light, and the illumination light from the second light source device 73 is transmitted to the second endoscope 80. The light guide is supplied to illuminate the affected part in the abdomen of the patient 52 into which the insertion part of the second endoscope 80 is inserted. A second camera head 81 equipped with an image sensor is attached to the eyepiece of the second endoscope 80, and an optical image of the affected part or the like by the observation optical system of the second endoscope 80 is displayed on the second endoscope 80. The image is picked up by the image pickup device in the camera head 81, transmitted to the second TV camera device 72 via the camera cable 82, processed by the signal processing circuit in the second TV camera device 72, and the video signal is converted. Generated and output to relay unit 78.

 [0090] Similarly to the first system controller 64, the relay unit 78 has a built-in recording medium device for an external recording medium (third external memory) such as a CD-R and FDD, and is attached to the external recording medium. Data can be read and written to media.

 The first system controller 64 and the relay unit 78 are connected by a system cable 83 that performs serial communication, for example.

 The first system controller 64 is connected to a surgeon remote controller (hereinafter referred to as a remote controller) 84 that is operated by the operator from the sterilization zone.

 FIG. 14 is a block diagram relating to the main configuration of the present system 51.

 As shown in the figure, the first TV camera device 56, the first light source device 57, the electric knife 8, the pneumoperitoneum device 59, and the first individual identification reading terminal device 85 are each connected by a serial interface cable. The system controller 64 is connected to send and receive data. The first system controller 64 is also connected to a server 87 on the in-hospital network, and transmits / receives data as required! /.

 [0093] The second TV camera device 72, the second light source device 73, the ultrasonic treatment device 74, and the second individual identification reading terminal device 86 are each connected to the relay unit 78 by a serial interface cable, I started to send and receive data!

The first system controller 64 and the relay unit 78 are connected via a system cable 83 to transmit and receive data. Also, external memories (third external memories) 88 and 89 are attached to the first system controller 64 and the middle unit 78 as necessary. FIG. 15 is a block diagram according to the main configuration of the first system controller 64. The relay unit 78 has the same configuration as this.

 As shown in the figure, the first system controller 64 includes the control unit 90 that controls the overall operation of the controller 64 and the external memory 88, which is the third external memory. Write data to memory 88 Z Memory IZ F91 for reading and each connector 92 (In this case, only 92a, 92b, 92c are shown, but the number of connectors actually connected is at least For communication with various devices such as the first TV camera device 56 connected through the IZF93 and the temporary storage and control of data obtained by the communication IZF93. A first memory 94 composed of RAM used as a work area of the unit 90, a second memory 95 composed of non-volatile memory such as flash memory, and the server 87 on the in-hospital network. Communication with etc. A network IZF96 etc. Me song, each of which is connected via a bus 97, which enables transmission and reception of data with each other.

 Note that the control unit 90 includes a memory in which a CPU and a control program are stored, and the CPU reads and executes the control program so that the overall operation of the controller 41 is controlled. Become.

 FIG. 16A and FIG. 16B are flowcharts showing an example of a log recording operation performed by the first system controller 64 of the present system 51 in the endoscopic surgical operation. As shown in FIG. 16A, the first system controller 64 first acquires device data as medical information from a device (excluding the relay unit 78) connected to the connector 92 by the communication I / F 93. Temporarily store in the first memory 94 (SI 11).

[0098] Note that the device data is acquired when the device data sent by the device connected to the connector 92 is acquired, and when the controller 64 is connected to the connector 92 by periodic polling. There are two cases where device data is acquired from a device. In addition, device data that is independently transmitted by the device is voluntarily transmitted by the device when the device changes, such as when the state of the device changes or when the settings of the device change. Is. The device data is at least the identification information used to identify the source device, and the device status, device settings, and devices related to the device. This includes data related to operations, device errors, etc., data read by the device, etc., and also data related to the usage history of the device (history information).

 Subsequently, it is determined whether or not the acquired device data force is initial data (S112).

 Specifically, it is determined whether device data of the same type as the device data acquired in S112 is still acquired.

 [0100] Note that the same type of device data means data transmitted from the same device cover and having the same device data type. For example, when the device data related to the device status has already been acquired and the device data acquired in S111 is the device data related to the device status, both types of device data are the same. The device data has the same type of content. Alternatively, if the device data related to the device status has already been acquired and the device data force acquired in S111 is related to the device settings, both device data have the same type of device data content. Must not.

 [0101] In the determination of S112, if the determination result is Yes, the acquired device data is stored as a lip in the second memory 95 (S113), the device data is set as the latest device data, Return to S111.

 [0102] On the other hand, if the determination result in S112 is No, the device data acquired in S111 and the device data of the same type as the acquired device data and set as the latest device data Are compared to determine whether or not there is a change in the data contents (S114). The process of S114 will be described later with reference to FIG. 16B.

 [0103] In the determination of S114, if the determination result is No, the process returns to S111. If the determination result is Yes, the device data acquired in S111 is then used as a log for the second measurement. Save to memory 95 (S115), and set the device data as the latest device data.

 [0104] Subsequently, as necessary, for example, at a certain period, a part or all of the log stored in the second memory 95 is transferred to the external memory 88 that is the third external memory. The log is transferred to and stored in the server 87 on the hospital network (S116). Then, after the log is stored in the external memory 88 or the server 87, the log is deleted from the second memory 95.

[0105] In the flow shown in the figure, the force that ends this flow after the processing of S115 or S116 is completed if necessary. When this is acquired, this flow is started again.

 FIG. 16B is a flowchart showing the determination process of S114.

 As shown in the figure, in this process, first, the device data of the same type as the device data acquired in S111 and set as the latest device data is stored (S117).

 [0107] Subsequently, it is determined whether the device data acquired in S111 is a force acquired by periodic polling by the controller 64 (S118).

 In this determination of S118, if the determination result is Yes, the acquired device data is compared with the device data held in S117 (S119), and there is a change in the data contents. If the determination result is Yes, S114 is Yes, and if the determination result is No, the S114 force No is described.

 [0108] On the other hand, if the determination result in S118 is No, then it is determined whether the device data acquired in S111 is voluntarily transmitted by the device. If the determination result is Yes, S114 is Yes, and if the determination result is No, S114 is No.

 [0109] Note that after determining that it is not obtained by periodic polling at S118, it is temporarily polled that it is determined whether or not the device is voluntarily transmitted by the device at S121. If the processing shifts to Yes in S114 when it is determined that it is not acquired by the above, there is a possibility that the noise may be stored in the second memory 95 when the noise is acquired instead of the device data. It is. Therefore, in order to prevent this, the determination process of S121 is performed after the determination result of S118 becomes No.

[0110] Thus, according to the flow shown in Fig. 16A and Fig. 16B, when device data is acquired, if the same type of device data as the device data has not been acquired yet, or the device data The acquired device data as a log only when there is a change in the data content between the device data and the device data of the same type as the device data and set as the latest device data. Thus, logs related to device data having the same contents are not saved, and the total data capacity of saved logs can be reduced. Note that such a log recording operation is also performed by the relay unit 78 that is the second system controller. However, in the relay unit 78, the saved log cannot be transferred directly to the server 87 on the hospital network. In this case, the relay unit 78 sends it to the server 87 via the first system controller 64. To be transferred.

 FIG. 17 is a diagram showing an example of a record format related to a log recorded by the first system controller 64.

 As shown in the figure, the basic format of the record is the start flag (lByte, Ox **: fixed) that represents the beginning of the record, and time information (hour: 1 Byte) that represents the recording time in hours, minutes, and seconds. , Minutes: 1 Byte, seconds: 1 Byte in total 3 Bytes), identification information (2 Bytes) indicating which type of information the corresponding record is, and data (N Byte).

 [0113] For example, in the case of a record related to date information, year-month-day information (year: 2 Byte, month: 1 Byte, day: 1 Byte) is included as data representing detailed data. In the case of a record related to device data related to the device status, the data representing the detailed data includes information specifying the device that is the transmission source of the device data and information related to the device status of the device. In addition, in the case of a record related to device data related to device settings, data specifying detailed data includes information specifying a device that is a transmission source of the device data and information related to device settings of the device.

 FIG. 18 is a diagram for explaining a specific example when a record relating to a log is recorded in the memory block allocated on the second memory 95 of the first system controller 64 force.

 As shown in the figure, Example 1 is an example in which a record (status record) relating to a log (device data related to a device state) is recorded in a memory block on the second memory 95 for the first time.

 [0115] In this case, first, 1. Record the header record (header record) in the memory block, then 2. Record the date record (date / time record), and 3. Record the status record. Record.

Thus, when a log is recorded for the first time in a memory block, a header record is always recorded first, followed by a date / time record. Concrete example 2 is another example of recording logs, in the order of device data to be recorded, records related to device data related to device connection (connection records), records related to device data related to device settings (status records) ), Record the device data related to the device status (status record), and then record the time record (time record).

) Is recorded.

[0117] Specific example 3 is an example when the date changes during the log recording operation.

 In this case, when device data to be recorded as a log is generated for the first time after the date is changed, a record relating to the changed date is recorded first, and then a record relating to the device data is recorded.

 [0118] In this example, after recording a record related to the device data (status record) related to the state of the device, it changed to a tapping force 2005. 01. 01 force et al. Since device data related to the state of the device to be recorded is generated, a record related to the date of 2 005. 01.02 is first recorded, and then a record (status record) related to the device data is recorded. In this embodiment, the date and time information is periodically saved, and the time memory is given and saved for each record block at a cycle that is finer than the date and time information, thereby reducing the overall memory usage capacity. Date and time information requires a data volume for the year, month, and day, and saving it in a short cycle is useless. In other words, all time information can be managed by counting time records with a relatively short cycle based on date information stored in a long cycle.

 [0119] As described above, according to the present embodiment, only the device data whose data content has changed among the acquired device data is stored as a log, so that medical information is efficiently collected and stored. And can be forwarded as needed. In addition, since the total data capacity of the stored logs can be reduced, the capacity of the memory storing the logs can be reduced, and the system can be configured at a lower cost and accordingly. Example 3

 [0120] The overall configuration diagram of the endoscopic surgery system according to the present embodiment and the block diagram showing the main configuration thereof are the same as those shown in Figs.

The first system controller 64 and the second system controller The block diagram relating to the main configuration of 78 is almost the same as that shown in FIG. 15. In this embodiment, each of the first system controller 64 and the relay unit 78 is a master Z slave setting means. In this example, the first system controller 64 is set as a master, and the relay unit 78 is set as a slave.

 In this embodiment, the log recording operation performed by the first system controller 64 is the same as that shown in FIGS. 16A and 16B, but the log recording operation performed by the relay unit 78 is the same as that shown in FIG. Different.

 FIG. 19 is a flowchart showing an example of a log recording operation performed by the relay unit 78 in the present embodiment.

 As shown in the figure, the relay unit 78 starts with a device connected to the connector by the communication IZF (except for the first system controller 64), similar to S111 to S2 shown in FIG. 16A. The device data is acquired as medical information, temporarily stored in the first memory (S131), and it is determined whether or not the acquired device data is initial data (S132).

 [0123] In the determination at S132, if the determination result is Yes, the acquired device data is stored in the second memory (S133), and the device data is set as the latest device data. Then, the device data is transferred to the first system controller 64 (S134), and the process returns to S131.

 [0124] On the other hand, if the determination result in S132 is No, the acquired device data and the device data of the same type as the device data are set as the latest device data, as in S114 shown in Fig. 16A. It is compared with the device data that has been changed, and it is determined whether or not the content of the data has changed (S135).

 [0125] In the determination of S135, if the determination result is No, the process returns to S131. If the determination result is Yes, the acquired device data is subsequently stored in the second memory (S 13 6) Set the device data as the latest device data. Then, the device data is transferred to the first system controller 64 (S137).

[0126] Subsequently, it is determined whether or not the communication related to the transfer has ended (S138). If the determination result is Yes, then in S135, it is compared with the device data transferred in S137. Delete the device data set as the latest device data from the second memory (S139) This flow ends.

 [0127] In the flow shown in the figure, this flow ends after the processing of S139 ends. However, when the relay unit 78 acquires device data, the flow starts again. It is what is done.

In addition, the device data transferred from the relay unit 78 to the first system controller 64 in this way is stored as a log in the second memory 95 according to the processing shown in FIGS. 16A and 16B described above. The

 As described above, according to the present embodiment, when device data to be recorded as a log is generated in the device data that has also acquired the device power connected to the relay unit 78, the device data is immediately stored. Since it is transferred to the first system controller 64, the time information given by the first system controller 64 and the time information given by the relay unit 78 are distorted due to, for example, an environmental change in the ambient temperature. Even if this occurs, the time information is added only by the first system controller 64, so the log related to the device data acquired by the first system controller 64 and the relay unit 78 It is possible to prevent the time information from deviating from the log related to the acquired device data, and to improve the reliability of the log. It can be. This also eliminates the need to interpolate logs between the first system controller 64 and the relay unit 78, so that the communication load between the two can be reduced and at a low rate. Because communication is possible, noise reduction and drastic effect can be obtained.

 [0130] In the system according to the present embodiment, if communication between the relay unit 78 and the first system controller 64 becomes impossible due to the disconnection of the system cable 83 or the like, the middle Each of the system controllers 64 of 1 detects a communication error and records a record relating to the communication error as a log. In such a case, since the relay unit 78 cannot transfer the device data to the first system controller 64, the device data is used as a log for the second unit 78 of the unit 78, as with the first system controller 64. To be stored in the memory.

[0131] In this case, each of the first system controller 64 and the relay unit 78 records a record relating to a communication error due to disconnection as a log. After the record related to the communication error is recorded, the record related to the device data is recorded as a mouth. At this time, the time information of the relay unit 78 is the reference.

[0132] Here, it is considered that the record related to the communication error recorded in the first system controller 64 and the record related to the communication error recorded in the relay unit 78 were recorded at almost the same time. . The time information of the record related to the communication error recorded by the first system controller 64 is given by the controller 64, and the time information of each of the record related to the communication error recorded by the relay unit 78 and the record related to the device data is recorded. Information was given by unit 78. Therefore, even if there is a discrepancy between the time information given by the first system controller 64 and the time information given by the relay unit 78, the relay unit can use the time information of these records. The time information of the record related to the device data recorded by 78 can be corrected to the time information given by the first system controller. It is possible to merge with the record recorded by the relay unit 78.

 Further, in the system according to the present embodiment, between the first system controller 64 and a device other than the relay unit 78 connected thereto, or between the relay unit 78 and the first system controller connected thereto. Even if a communication error occurs with a device other than 64 due to disconnection, etc., device data can be recorded in each device so that device data can be merged later. It is.

 Example 4

 [0134] The overall configuration diagram of the endoscopic surgery system according to the present embodiment and the block diagram showing the main configuration thereof are the same as those shown in Figs.

 The block diagram for the main configuration of the first system controller 64 is almost the same as that shown in FIG. 15, but in this embodiment, the memory capacity is monitored in addition to the first system controller 64. However, if necessary, it has a memory monitoring unit that notifies Z warnings.

FIG. 20 shows the memory performed by the first system controller 64 in the present embodiment. It is a flowchart which shows an example of monitoring operation | movement, for example, is started when the power supply of the said controller 64 is turned ON.

 [0136] As shown in the figure, the first system controller 64 first checks the connection state of the device connected to the connector 92 by the communication I / F 93 (S141). The memory I / F (not shown), the memory IZF 91, and the network I / F 96 of the memory 94 and the second memory 95 are checked (S142), and the results of these checks are notified (S143). This notification is made, for example, by displaying the check result on the display panel 62.

[0137] Next, when device data to be recorded as a log is generated (S 144), the free memory capacity of the second memory 95 and the third external memory 88 installed is checked (S 145). If the free memory capacity of the second memory 95 is greater than or equal to the first predetermined capacity, the free memory capacity of the second memory 95 or the free memory capacity of the second memory 95 is less than the first predetermined capacity. third free memory capacity of the external memory 8 ₈ a is that if the second predetermined volume or more, the third external memory 88, and records the record relating to the device data as a log (S 146) .

 On the other hand, when the free memory capacity of the second memory 95 is less than the first predetermined capacity and the free memory capacity of the third external memory 88 is less than the second predetermined capacity Subsequently, the free memory capacity of the recording medium possessed by the server 87 on the hospital network is checked (S147), and if the free memory capacity of the recording medium possessed by the server 87 is equal to or greater than the third predetermined capacity, Record the record related to the device data as a log on the recording medium of server 87 (S146), and if it is less than the third specified capacity, note that the free memory capacity is insufficient Z An error notification is issued as a warning (S148). This notification is also made by displaying it on the display panel 62, for example.

In this memory monitoring operation, when the free memory capacity of the second memory 95 is less than the first predetermined capacity, the free memory capacity of the second memory 95 is insufficient. It is also possible to make an error notification that is a warning / warning. Also note that there is not enough free memory capacity in the third external memory 88 when the free memory capacity in the third external memory 88 is less than the second predetermined capacity. It is also possible to make an announcement. Alternatively, when the free recording capacity of one or a plurality of recording media included in the second memory 95, the third external memory 88, or the server 87 is less than a certain value, It is also possible to make an error notification that becomes a Z warning.

 In this memory monitoring operation, when device data is saved in the second memory 95 as a log, if a log saved in the past remains in the second memory 95, the device data is saved. Before storing the device data as a log, transfer part or all of the log stored in the second memory 95 to the recording medium of the third external memory 88 or the server 87 on the hospital network. It is also possible to make it.

 [0141] As described above, according to the present embodiment, when the free memory capacity of the memory in which logs are recorded decreases, an error notification to that effect is given. By transferring the data to another memory, it is possible to prevent the device data from being recorded as a log because there is no free memory capacity.

 [0142] While the present invention has been described in detail above, the present invention is not limited to the above-described embodiments, and various improvements and modifications may be made without departing from the scope of the present invention. is there.

 [0143] As described above, according to the present invention, the usage history of medical materials and medical devices can be managed in units of medical practice or in units of used rooms, and the medical costs for each unit can be calculated. It becomes possible to put out. In addition, medical information can be efficiently collected and stored with an inexpensive and small configuration, and can be transferred as necessary.

Claims

The scope of the claims

 [1] A recognition means for recognizing an identifier provided on at least one of a medical material and a medical device used for a predetermined medical practice;

 A first recording means for recording usage history data in which the identifier is associated with the predetermined medical practice;

 A cost information for medical material and medical device corresponding to the identifier is recorded.

2 recording means;

 Extraction means for extracting identifier information associated with a desired medical practice from use history data recorded in the first recording means;

 First cost calculating means for calculating costs related to the medical material and the medical device from the identifier information extracted by the extracting means and the cost information recorded in the second recording means;

 A medical cost calculation apparatus comprising:

[2] The recognizing means further recognizes an identifier for identifying a medical worker,

 A third recording means for recording the medical worker in association with the predetermined medical practice; a second cost calculating means for calculating the cost of the medical worker recorded in the third recording means;

 The medical cost calculation apparatus according to claim 1, further comprising:

[3] A medical information collecting device for collecting medical information is further provided.

 The medical information collection device includes:

 Communication means for communicating with one or more medical devices;

 A first recording medium on which history information of the medical device obtained by the communication means is temporarily recorded;

The history information of the same type as the history information of the medical device obtained by the communication means has already been acquired, or the history information of the medical device obtained by the communication means is the same as the history information. Judgment method for determining whether or not there is a change in the information content between the latest history information of the types of history information already acquired. Step and

 2. A second recording medium in which history information of the medical device obtained by the communication unit is recorded as a record in a predetermined format according to a determination result by the determination unit. The medical cost calculation apparatus according to 1.

[4] The medical information collection device is configured to be detachable from a third recording medium,

 Transferring a part or all of history information recorded in a predetermined format as a record in the second recording medium to the third recording medium at a constant period;

 The medical cost calculation apparatus according to claim 3, wherein:

[5] The medical information collection device is connected to an external server via a communication network, and a part or all of history information recorded in a predetermined format as a record in the second recording medium is recorded at a predetermined cycle. Transfer to server,

 The medical cost calculation apparatus according to claim 3, wherein:

[6] The medical information collection device is configured to be detachable from a third recording medium and connected to an external server via a communication network.

 Transferring a part or all of history information recorded in a predetermined format as a record in the second recording medium to the third recording medium or the external server at a fixed period;

 The medical cost calculation apparatus according to claim 3, wherein:

[7] One or more recording media of the second recording medium, the third recording medium, or the external server have a free recording capacity that is less than a certain level. A warning means for performing

 The medical cost calculation apparatus according to claim 6, wherein:

[8] Before recording the history information of the medical device as a record on the second recording medium in a predetermined format, a part of the history information recorded as a record on the second recording medium or All of the data is transferred to a third recording medium attached to the medical information device or a recording medium of an external server connected to the medical information device via a communication network.

The medical cost calculation apparatus according to claim 3, wherein: A medical information collection system including a first medical information collection device on the master side and a second medical information collection device on the slave side;

 The first medical information collection device includes:

 Communication means for communicating with one or more medical devices connected to the device and with the second medical information collection device;

 A first recording medium on which the history information of the medical device obtained by the communication means or the history information of the second medical information collection device obtained is temporarily recorded;

 The history information of the same type as the history information of the medical device obtained by the communication means has already been acquired, or the history information of the medical device obtained by the communication means is the same as the history information. A determination means for determining whether or not there is a change in the information content between the latest history information of the types of history information that has already been acquired,

 The historical information from the second medical information collection device obtained by the communication means is recorded as a record in a predetermined format, and obtained by the communication means according to the determination result by the determination means. A second recording medium in which history information of the medical device is recorded as a record in a predetermined format;

 Have

 The second medical information collection device includes:

 A communication means for communicating with one or a plurality of medical devices connected to the device and with the first medical information collection device;

 A first recording medium on which history information of the medical device obtained by the communication means is temporarily recorded;

 The history information of the same type as the history information of the medical device obtained by the communication means has already been acquired, or the history information of the medical device obtained by the communication means is the same as the history information. A determination means for determining whether or not there is a change in the information content between the latest history information of the types of history information that has already been acquired,

Have The communication means of the second medical information collection device uses the first medical information on the history information of the medical device obtained by the communication means of the device according to the determination result by the determination means of the device. Transfer to the information collection device,

 The medical cost calculation apparatus according to claim 1, wherein:

[10] When communication between the first medical information collection device and the second medical information collection device is disabled,

 The first medical information collection device records communication error information as a record in a predetermined format on the second recording medium of the device,

 The second medical information collection device records communication error information as a record in a predetermined format on the second recording medium of the device.

 The medical cost calculation apparatus according to claim 9, wherein:

[11] When communication with the first medical information collection device is impossible when the second medical information collection device transfers the history information of the medical device to the first medical information collection device. The second medical information collection device records history information to be transferred to the first medical information collection device in a predetermined format as a record in a second recording medium of the device,

 The medical cost calculation apparatus according to claim 10, wherein:

[12] a first cost table that describes the correspondence between the identifier assigned to the medical device and the cost unit price of the medical device;

 A first recognition means for recognizing an identifier assigned to a used medical device; and an identifier assigned to each of the medical equipment used in a predetermined medical practice recognized by the first recognition means. A first file generation means for generating a use list file including the information of:

 Calculation means for calculating the cost of the medical equipment used in the predetermined medical practice based on the first cost table and the use list file;

 A medical cost calculation apparatus comprising:

[13] a second file generation means for generating a checklist file including information on a medical equipment list used for the medical practice before the predetermined medical practice; A second recognizing means for recognizing an identifier assigned to a medical device that has entered or exited the room, and a second recognizing means recognized by the second recognizing means and assigned to each of the medical equipment related to the predetermined medical practice that has entered the room A third file generation means for generating an entry list file including information on the identifiers

 And a determination means for determining whether or not all medical equipment used for the predetermined medical treatment has entered the room based on the checklist file and the room entry list file. The medical cost calculation apparatus according to claim 12.

[14] Generating a fourth file that generates an exit list file that includes information on an identifier assigned to each medical device related to the predetermined medical practice that has been recognized, recognized by the second recognition unit. Means,

 Determining means for determining whether the used medical equipment and the medical equipment that has left the room are different based on the use list file and the leaving list file;

 The medical cost calculation apparatus according to claim 13, further comprising:

[15] The apparatus further comprises a second cost table describing a correspondence relationship between a procedure performed in the predetermined medical practice and a unit price of the procedure,

 The checklist file further includes information on a procedure flow performed in the predetermined medical practice,

 The calculating means performs the predetermined medical action specified based on the procedure flow information included in the check list file and the information of the used medical equipment included in the use list file. 14. The medical cost according to claim 13, further comprising: calculating a cost related to the procedure performed in the predetermined medical procedure based on the received procedure and the second cost table! Calculation device.

[16] Recognize the identifier given to each medical device used in the prescribed medical practice,

 Generating a usage list file containing information of the recognized identifier;

Based on the first cost table describing the correspondence between the identifier assigned to the medical device and the cost unit price of the medical device, and the use list file, the predetermined medical device is used. Calculate the cost of medical equipment used in the treatment,

 A medical cost calculation method characterized by the above.

[17] In addition,

 Before the predetermined medical practice, a checklist file including information on a medical equipment list used for the medical practice

 Recognizing the identifier given to each medical equipment related to the prescribed medical practice that entered the room,

 Generating an entry list file including information on the recognized identifier assigned to each of the recognized medical equipment related to the predetermined medical practice that has entered the room;

 Based on the checklist file and the room entry list file, it is determined whether or not all the medical equipment used for the predetermined medical practice has entered the room,

 The medical cost calculation method according to claim 16, wherein:

[18] In addition,

 Recognizing the identifier assigned to each medical device related to the predetermined medical practice that has left the room,

 Generating an exit list file including information on the recognized identifiers given to each of the medical equipment related to the predetermined medical action that has been left;

 Based on the use list file and the leaving list file, it is determined whether the used medical equipment is different from the medical equipment that has left the room,

 The medical cost calculation method according to claim 17, wherein:

[19] The checklist file further includes information on a procedure flow performed in the predetermined medical practice,

 The procedure performed in the predetermined medical procedure identified based on the information of the procedure flow included in the checklist file and the information of the used medical equipment included in the use list file; and Further calculating the cost of the procedure performed in the predetermined medical procedure based on the second cost table describing the correspondence between the procedure performed in the medical procedure and the unit price of the procedure;

 The medical cost calculation method according to claim 16, wherein: