Surgical instrument intelligent management system based on patient sensing control safety

Abstract

The invention relates to a surgical instrument intelligent management system based on patient sensing control safety, and aims to improve instrument management efficiency and safety in an operating room. The system comprises four main modules: an instrument kit application module allows a circulating nurse to apply for an instrument kit according to operation requirements; the instrument transportation module is responsible for safely transporting an instrument set to an operation room; the instrument handover module is used for coordinating recovery and checking of instruments after the operation is finished; the sensing control traceability module traces the use condition of the instrument through the patient ID, and supports the analysis of the postoperative infection source. According to the system, the Internet of Things technology and the transportation robot are utilized, the instrument circulation process in the operating room is optimized, information integration of the disinfection supply room, the operating room and the clinical surgery department is achieved through the data interface technology, and a comprehensive sensing control safety tracing system is constructed. The method has the main advantages that the accuracy and transparency of surgical instrument management are improved, the surgical infection risk is reduced, the operating efficiency of an operating room is improved, and the use of medical resources is optimized.

Description

Technical Field

[0001] The present invention relates to the field of medical device management, and in particular to an intelligent management system for surgical instruments used in hospital operating rooms. The system integrates modern information technology and Internet of Things technology, and aims to improve the efficiency and safety of surgical instrument management, especially in providing full-process infection control safety management. Background Art

[0002] In the operation room management of modern hospitals, the management of surgical instruments is a critical and complex task. Traditional surgical instrument management methods have many defects, especially in the aspects of intraoperative instrument inventory, preoperative instrument package application management, sterile and safe transportation, and postoperative instrument responsibility traceability. At present, surgical instrument management often relies on a discontinuous management process and lacks an effective information integration and data traceability system. This not only increases the burden on operating room staff, but also may lead to errors in the use of surgical instruments and increase the risk of postoperative infection in patients.

[0003] Although some highly integrated information systems have begun to be applied to the management of operating room instruments, such as the automatic identification and quantity counting of instruments through instrument package labels (such as barcodes), these systems are usually limited to intraoperative inventory applications and have not formed a closed-loop management covering the entire surgical process. There are still obvious management blind spots in terms of preoperative instrument package application, postoperative instrument recovery, and postoperative infection risk tracing.

[0004] In addition, the transportation of instruments in the operating room often relies on manual operation, which is not only inefficient, but also easily leads to the destruction of the sterility of the instruments, thereby increasing the risk of postoperative infection. Therefore, there is an urgent need for a system that can achieve full-process, efficient and safe management of surgical instruments. Summary of the invention

[0005] The present invention provides a comprehensive intelligent management system for surgical instruments, aiming to solve the fault problem existing in traditional surgical instrument management and effectively improve the safety and efficiency of the surgical process. The system optimizes the entire life cycle management of surgical instruments through integrated information technology, from application, transportation, handover to traceability.

[0006] The purpose of the present invention can be achieved through the following technical solutions: A surgical instrument intelligent management system based on patient infection control safety, comprising the following modules:

[0007] The instrument package application module allows the person responsible for the operating room to apply for and approve instruments according to the surgical plan, and achieves seamless connection with logistics and secondary warehouses through data interfaces.

[0008] The equipment transportation module uses a transportation robot equipped with Internet of Things technology to automatically complete the safe transportation of equipment, ensuring the accuracy and integrity of the equipment.

[0009] The instrument handover module automatically initiates the instrument recovery and handover process after the operation, and ensures the responsibility and accuracy of instrument handover through an electronic authentication mechanism.

[0010] The infection control traceability module records the complete use history of the instrument from the sterilization supply room to the operating room, providing the necessary instrument use history when a postoperative infection occurs.

[0011] Furthermore, the instrument package application module includes three sub-functional modules: instrument application, instrument approval, and instrument receipt. It realizes data interface communication between the operating room, logistics, and secondary warehouse to improve the efficiency and fluency of application in each scenario, and allows the person in charge of the operating room to make single or batch instrument applications according to the scheduled surgical units.

[0012] Furthermore, the main workflow of the instrument package application module is: taking the surgical patient as the unit, it provides three sub-functional modules including instrument application, instrument approval and instrument receipt. The system channel between the operating room, logistics and secondary warehouse is opened up through the data interface to break the scene application barrier. The person in charge of the operating room makes a single / batch instrument application according to the scheduled surgical unit (patient list), and the data is transmitted to the secondary instrument warehouse. The person in charge of the secondary warehouse completes the approval and feedback operations according to the application, and carries out the equipment out of the warehouse and transportation according to the surgical unit according to the approval result. Finally, the person in charge of the operating room scans the code to receive the transported equipment, and the system automatically checks whether the equipment code, name and quantity are correct in the four stages of application-approval-out of the warehouse-receiving.

[0013] Furthermore, the instrument package application module creates exclusive instrument package templates based on surgical specialty / surgery name, etc., to reduce the tedious workload of instrument application and increase standardized management of instruments. When conditions permit, the instrument package template (instrument type and quantity) can be further improved in combination with the actual use of instruments after surgery to achieve refined management.

[0014] Furthermore, the instrument package application module can automatically supervise the instrument packages in the secondary warehouse by setting the validity period of the relevant instrument packages during the static period from the packaging and packaging of the instruments after disinfection to the unpacking. The person in charge of the secondary warehouse can automatically monitor whether the instruments are expired / nearly expired during the inventory count and outbound nodes. The system will give priority to the outbound delivery of near-expiry instruments and restrict the outbound delivery of expired instruments to ensure the safe use of instruments and reduce the risk of surgical infection caused by instruments. When the person in charge of the operating room receives the instrument, the scanning receiving system will automatically prompt whether the instrument is near-expiry / expired. The person in charge of the operating room will use / replace the instrument based on the surgical risk assessment to ensure the safety of the patient's surgery.

[0015] Furthermore, the main working process of the equipment transportation module is as follows: the application issued by the surgical unit is used as the signal source. After confirming the information of the outbound equipment to the operating room, the outbound person selects the signal source (operating room and equipment information) on the logistics robot, and then scans the relevant equipment barcode to check and match the equipment information, and closes the warehouse by CA signature or face recognition; the equipment transportation is started by selecting the logistics instruction. After the transportation robot arrives at the instruction location, it will remind the operating room of the delivery through the system data, and the recipient will similarly mark the opening of the warehouse by CA signature or face recognition; after completing the equipment collection, the robot will be started to return by selecting the logistics instruction. The receiver selects the signal source (patient-intraoperative inventory) on the operating room system to scan the relevant equipment barcode to check and match the equipment information and complete the association and binding with the patient, completing the closed loop of the equipment transportation operation.

[0016] Furthermore, the equipment transportation module, when scanning the relevant equipment barcodes at the two nodes of outbound transportation and receiving in the operating room, performs multi-data verification and matching of application, operating room, equipment, and patient through the relevant detailed information provided by the background, so as to achieve precise transportation management and reduce the risk of transportation errors.

[0017] Furthermore, the equipment transportation module simulates / draws the transportation trajectory according to the location distance between the secondary warehouse and the operating room, and sets up a linkage reminder mechanism with the operating room system at the transportation node, including departure reminder, upcoming delivery reminder, delivery reminder, etc., where the data includes time, countdown, equipment details, robot number, simulated route, travel route, etc.

[0018] Furthermore, the instrument transport module, with the help of the maturity of current logistics technology and Internet of Things technology, transforms the transport robot into a form and built-in space that is more suitable for medical environments, and transports equipment in a clean and sealed form, thereby minimizing the risk of instrument infection caused by human contact, environmental exposure, and damage to the outer packaging during transportation.

[0019] Furthermore, the main working process of the instrument handover module is as follows: with the operation completion node (end of the operation) as a signal, the system starts the call function, sends the handover information to the disinfection supply room through an electronic call, and the disinfection supply room assigns the instrument recipient to the operating room that sends the call signal to conduct the handover work with the inventory person. The instrument verification data (instrument name, instrument quantity) is provided by the intraoperative inventory record of the patient's operation. The verification work is completed by the inventory person / receiver together, and the responsibility is marked by the CA signature. After the verification work is completed, the instrument status is updated to contaminated instrument, and the instrument process is updated from verification to reception. At this point, the instrument management in the operating room is completed; the contaminated instruments after reception are transported to the disinfection supply room for re-entry, disinfection and cleaning, packaging and packaging to form a complete closed-loop management of the instrument life cycle.

[0020] Furthermore, in the instrument handover module, during the instrument handover process, the system automatically marks the instrument for infection control based on the infectious screening results of the surgical patient if the infectious screening has positive data. Based on the original normal process, the instrument is forced to be marked for one cycle and the patient records for the next cycle are tracked.

[0021] Furthermore, the infection control traceability module has a main workflow: taking instruments / instrument packages as units, according to the scenario process from the disinfection supply room-the secondary warehouse of the operating room-the operating room-the disinfection supply room, the life cycle process of packaging-supply-application-outbound-transportation-use-recycling-disinfection-packaging integrates and records the status, attributes, responsible persons, validity periods, etc. of each node of the instrument in the business process.

[0022] Furthermore, the infection control tracing module can provide clinicians with medical record data for infection control tracing of surgical instruments. When a patient has a postoperative infection, the scenario can be completely restored by tracing the surgical instrument cycle, providing clinical support for the source of infection of the patient. BRIEF DESCRIPTION OF THE DRAWINGS

[0023] The present invention will be further described below in conjunction with the accompanying drawings.

[0024] Figure 1 A functional module workflow diagram of a surgical instrument intelligent management system based on patient infection control safety of the present invention is shown;

[0025] Figure 2 The working flow chart of the device application module of the present invention is shown;

[0026] Figure 3 The working flow chart of the equipment transport module of the present invention is shown;

[0027] Figure 4 The working flow chart of the instrument handover module of the present invention is shown;

[0028] Figure 5 The flowchart of the sensory control traceability module of the present invention is shown. DETAILED DESCRIPTION

[0029] In the embodiments of the present invention, the technical scheme will be described in detail and accompanied with drawings to facilitate the understanding and implementation of the present invention by professionals in the technical field. The description of the embodiments of the present invention will be based on specific configurations and technical selections, but these only represent partial implementations of the present invention and do not limit the overall scope of the present invention.

[0030] The specific implementation plan includes the following key modules:

[0031] The device application module is characterized by:

[0032] Realize the application of instruments for specific surgeries in the operating room, including the selection of preset instrument package templates; the system automatically generates a list of recommended instruments based on the type of surgery for review and modification by the person in charge of the operating room; the approval process is executed by the person in charge of the secondary library, including the review and approval of the application; the system monitors the expiration date of instruments to ensure that all instruments provided to the operating room are within the validity period.

[0033] The equipment transport module is characterized by:

[0034] It includes the scanning code entry link to ensure that the correct equipment is loaded; the signature closing and opening mechanism of the transport robot to ensure the safety of the equipment during transportation; the logistics robot automatically transports the equipment to the operating room according to the preset trajectory; the receiving reminder function to ensure that the operating room receives the equipment in time; the scanning code receiving link to ensure that the operating room receives the correct equipment; realize the equipment application, the creation and use of equipment template packages, the approval process and the monitoring of the equipment validity period.

[0035] The device handover module is characterized by:

[0036] The system automatically calls the sterilization supply room to recycle the equipment; verification function, including matching equipment usage records and actual equipment; infection item marking, identifying the infection risks that may arise during use; and the recycling process of contaminated equipment to ensure safe handling and disinfection.

[0037] The sensor control traceability module is characterized by:

[0038] Instrument tracing details, recording the usage history and status of each instrument; infection control medical records, recording patient information related to instrument use, to facilitate tracing of postoperative infection sources.

[0039] Example 1

[0040] On a certain working day, the person in charge of the operating room submitted an application for an instrument package to the secondary warehouse according to the surgical plan for the next day. The expected surgeries were all secondary orthopedic surgeries involving leg operations. Based on these conditions, the person in charge selected specific orthopedic instrument packages and applied for a total of 5 sets. After approving the application, the secondary warehouse conducted an inventory check and found that there were a total of 8 sets of instrument packages of this type, of which 3 sets were close to their expiration date and 1 set had expired. The system automatically marked the expired instrument packages for subsequent processing, and gave priority to the shipment of 3 sets of instrument packages that were close to their expiration date and 2 sets of instrument packages with normal expiration dates. After the transportation link, the recipient in the operating room received the instruments by scanning the barcode of the instrument package. When the system scans the packages that are close to their expiration date, it will issue a prompt asking the recipient whether these instrument packages need to be replaced to ensure the safety of the operation and the effectiveness of the instruments.

[0041] Example 2

[0042] At the end of a typical surgery day, the person in charge of the operating room uses this system to send a request for equipment recovery to the disinfection supply room. The recipient in the disinfection supply room quickly arrives at the designated operating room and checks with the person in charge of the operating room with reference to the equipment inventory details during the operation. Both parties confirm the quantity and status of all instruments through electronic signatures, completing the verification and acceptance and handover of the instruments. At the same time as the system completes the handover data entry, the system automatically detects that the patient's hepatitis B infection screening result is positive. Based on this information, the system automatically attaches infection control tags to all relevant instruments, and transmits this key information to the disinfection supply system in a timely manner through the interface to ensure that the subsequent processing process can take into account the requirements of infection control.

[0043] Example 3

[0044] A surgical patient developed an incision infection 3 days after the operation. The surgeon retrieved the patient's surgical instrument traceability records through the electronic medical record interface and consulted the person in charge of the node. No process or management problems were found with the surgical instruments, and the infection was ruled out as being caused by the surgical instruments.

[0045] The scope of rights of the present invention includes not only the aforementioned core modules (device package application, approval, transportation, handover and infection control traceability) and their functional implementation, but also various possible variations and improvements of these modules. This includes but is not limited to different implementations of the system (such as different hardware and software configurations), diverse user interface designs, and integration and compatibility with other medical systems (such as electronic medical records, inventory management systems, etc.).

Claims

1. An intelligent management system for surgical instruments based on patient infection control safety, characterized in that: The intelligent management system for surgical instruments includes an instrument package application module, an instrument transportation module, an instrument handover module, and an infection control traceability module.

2. The device package application module according to claim 1, comprising a device application submodule, characterized in that: This module allows the person in charge of the operating room to make single or batch instrument applications based on the scheduled surgical units; the application operation includes selecting the instruments required for a specific type of surgery, and can generate and use preset instrument package templates based on surgical specialties or names; the application data is automatically transmitted to the secondary instrument library for approval.

3. The device package application module according to claim 1, comprising a device approval submodule, characterized in that: This module allows the secondary library owner to receive device applications from the operating room owner; is responsible for completing the approval process for the application, including reviewing the type, quantity and applicability of the device; and provides approval feedback and modification or approval of the application.

4. The instrument transport module as described in claim 1 can automatically activate the transport process according to the claim signal of the surgical unit, and use the transport robot as a carrier to realize automatic transportation of surgical instruments.

5. The equipment transport module as described in claim 1 can simulate / draw the transport trajectory according to the location distance between the secondary warehouse and the operating room, and set up a linkage reminder mechanism with the operating room system at the transport node, including a departure reminder, an upcoming delivery reminder, a delivery reminder, etc., wherein the data includes time, countdown, equipment details, robot number, simulated route, travel route, etc.

6. The transport robot according to claim 6, characterized in that: Allow operators to verify and match device information by scanning device barcodes; use advanced authentication methods, such as CA signatures or facial recognition, to complete the safe closing and opening of device packages; and use sealed forms of transportation to reduce the risk of human contact and environmental exposure.

7. The instrument transfer module according to claim 1 has the following functions: The automatic calling function is used to send an instrument handover request to the disinfection and supply room electronically after the operation; the handover information processing function allows the disinfection and supply room to assign the recipient to go to the operating room where the call was issued to hand over the instrument; the verification responsibility marking function allows the inventory and the recipient to confirm the verification results through CA signature or other authentication methods based on the intraoperative inventory of instrument information records (including instrument name and quantity); the status update function automatically updates the instrument status to "contaminated instrument" and marks it as "received" after the instrument verification is completed; the complete closed-loop management function supports the process of recording, disinfecting, cleaning and repackaging the received contaminated instruments; the infectious screening and marking function automatically marks the relevant instruments for infection control according to the infectious screening results of the surgical patients, or forces the instrument to be marked if the screening result is positive, and tracks its use in the next cycle.

8. The sensory control traceability module according to claim 1, characterized in that: The system is designed to record and integrate key information of surgical instruments or instrument packages throughout their entire life cycle, including the complete process from the sterilization supply room to the secondary warehouse of the operating room, to the operating room, and finally back to the sterilization supply room; the system can record important data at each stage in detail, including the process of packaging, supply, application, warehousing, transportation, use, recycling, sterilization and repackaging.

9. The sensory control traceability module according to claim 1, particularly comprising: The automated medical record tracing function is used to provide a detailed history of surgical instrument use in the event of a postoperative infection in the patient, to assist in determining the possible source of the patient's infection; this includes recording and tracking key information such as the status, attributes, responsible person, and expiration date of each used instrument.

10. The sensory control traceability module according to claim 1, further comprising: For each instrument or instrument package used in each operation, the system can automatically mark and track each node in the entire usage cycle, thereby providing accurate instrument usage data for clinicians; when a postoperative infection occurs, the system provides a complete instrument usage history to support the tracking and analysis of the source of infection.

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