U.S. patent application number 12/888173 was filed with the patent office on 2011-01-20 for medical resource storage and management apparatus and medical supply management system.
This patent application is currently assigned to Tosho Inc.. Invention is credited to Hideaki Hirobe, Takehiko Imura, Shiro Omura, Yoshihito Omura.
Application Number | 20110016027 12/888173 |
Document ID | / |
Family ID | 36036239 |
Filed Date | 2011-01-20 |
United States Patent
Application |
20110016027 |
Kind Code |
A1 |
Omura; Shiro ; et
al. |
January 20, 2011 |
Medical Resource Storage And Management Apparatus And Medical
Supply Management System
Abstract
Locations of storage on a rack for arranging and storing medical
resources are partitioned by a partition member, where a medical
resource detecting member and a retrieval guidance member are
provided in each partition on the rack, by configuring the
partition member to be removable from a depression in the rack, and
by providing an input for configuration in a control unit to
designate whether or not the partition member is inserted, the
control unit is operable to collectively process medical resource
detecting members and retrieval guidance members, such that a large
variety of large and small medical resources can be stored for
automatic management.
Inventors: |
Omura; Shiro; (Tokyo,
JP) ; Hirobe; Hideaki; (Tokyo, JP) ; Omura;
Yoshihito; (Tokyo, JP) ; Imura; Takehiko;
(Tokyo, JP) |
Correspondence
Address: |
GIBSON & DERNIER LLP
900 ROUTE 9 NORTH, SUITE 504
WOODBRIDGE
NJ
07095
US
|
Assignee: |
Tosho Inc.
Tokyo
JP
|
Family ID: |
36036239 |
Appl. No.: |
12/888173 |
Filed: |
September 22, 2010 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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11661733 |
May 8, 2007 |
|
|
|
PCT/JP2005/015290 |
Aug 23, 2005 |
|
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12888173 |
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Current U.S.
Class: |
705/28 |
Current CPC
Class: |
A61B 90/96 20160201;
G07F 11/42 20130101; A61B 50/10 20160201; A61B 2050/105 20160201;
A61B 50/22 20160201; G07F 17/0092 20130101; G07F 9/026 20130101;
G06Q 10/087 20130101; A61B 50/18 20160201 |
Class at
Publication: |
705/28 |
International
Class: |
G06Q 10/00 20060101
G06Q010/00 |
Foreign Application Data
Date |
Code |
Application Number |
Sep 3, 2004 |
JP |
2004-256901 |
Sep 3, 2004 |
JP |
2004-256926 |
Sep 3, 2004 |
JP |
2004-256955 |
Sep 3, 2004 |
JP |
2004-256987 |
Sep 14, 2004 |
JP |
2004-266868 |
Dec 1, 2004 |
JP |
2004-348692 |
Claims
1. A medical resource storage and management apparatus comprising:
a horizontal-bridging member which is provided with a series of
hanger member fitting parts operable to hang and arrange a large
number of medical resources; a hanger member which is fitted to the
hanger member fitting part and is pivotally moved depending on
whether a medical resource is hung; a medical resource detecting
member which is provided in each of the hanger member fitting parts
so as to detect whether a medical resource is hung in an associated
location in accordance with the pivotal movement of the associated
hanger member; a retrieval guidance member for visual confirmation
provided in each of the hanger member fitting parts; and a control
unit which manages the storage status of the medical resources,
based on the detection by the medical resource detecting member,
and which operates the retrieval guidance member in response to an
input designating retrieval, wherein, at the time of hanging a
medical resource, the pivotal movement of the hanger member causes
the engaging part engaged with the medical resource to be lowered,
and, at the time of retrieving a medical resource, the pivotal
movement causes the engaging part to be elevated and moved toward
an operator.
2. The medical resource storage and management apparatus according
to claim 1, wherein the pivotal movement of the hanger member is
based on the displacement between the center of gravitation and the
pivot center.
Description
CROSS REFERENCE TO RELATED APPLICATIONS
[0001] This application is a divisional of U.S. Ser. No.
11/661,733, filed Feb. 28, 2007, which is a national stage
application of PCT PCT/JP2005/015290, filed Aug. 23, 2005, the
entire disclosures of which are hereby incorporated by
reference.
BACKGROUND
[0002] The present invention relates to a medical resource storage
and management apparatus which stores and manages medical resources
and a medical supply management system which manages medical
supplies including medical resources and medicines.
[0003] Medicine storage apparatuses, which allow retrieving
medicines such as ampouled injection medicines in a single action,
returning medicines without disturbing the arrangement, and keeping
track of storage status properly, are being developed. The medicine
storage apparatus is provided with a large number of cassettes each
aligning and storing medicines, and a support means for arranging
and holding the cassettes. A port is formed in each cassette to
allow medicine to be pushed inside as well as retrieved from the
cassette. The cassette is also provided with an urging means for
urging the stored medicine toward the port.
[0004] The support means is provided with a rack which holds the
cassettes arranged in multiple tiers or multiple rows, while
exposing the port, and with a counting means for determining the
number of medicines stored in each cassette. For accurate medicine
management providing a real-time output, the medicine storage
apparatus is also provided with: an output means such as a printer,
a storage medium and a communication device which outputs medicine
management data in response to storage and retrieval of medicines
in and out of the cassettes; and an information processing means
which performs processes such as tallying, monitoring, reviewing
and stock control, in accordance with the output data.
[0005] Before the medicine storage apparatuses of this type were
developed and offered for use, people at a site of medical care
such as an operating room tried to make a medical treatment easier
by making available medicines such as injection medicines prior to
a treatment such as an operation, i.e., by arranging and
partitioning the medicines so as to be ready for use. To prevent
medicines from running short during the treatment, extra supply of
medicines were prepared. When the treatment is over, surplus
medicines were returned to a dispensary and the medicines used in
the treatment were counted. The task was primary undertaken by
medical assistants or primary medical workers such as nurses. They
had to rummage through a container such as a bucket for disposed
articles. In many cases, they were also assigned the task of
entering the number of medicines used in a form for management of
medicines or in a computer system for stock control of medicines.
Thus, those who completed a stressful task of attending a medical
practice at a site of medical care such as an operating room had to
continue to be responsible for extra management operations even
after the main job is done. Consequently, they had hard time
freeing themselves of strain and suffered heavy physical and mental
burden. The task was made even more difficult and strenuous if, for
example, an ampule of injection medicine is broken or a syringe was
mixed in the disposed articles.
[0006] In addition to reduction in the burden of primary medical
workers, provision of the aforementioned medicine storage apparatus
for practical use offers the following additional advantages.
[0007] That is, the apparatus has made possible fair and impartial
information management and information systems. Another advantage
is that reproducibility is ensured easily. Computer-based
management saves manpower expenses and labor cost, improves the
quality of management and enhances reliability. Tallying the amount
of use enables maintaining proper stock and reducing dead stock,
thereby contributing to hospital management. As the flexibility in
layout in the interior space is high, medicines are easy to handle,
and work efficiency is improved. Since the apparatus also enables
automated inputting and tallying of management data, input errors
are reduced and the manpower expenses needed for operation are also
reduced. The apparatus is of a simple configuration adapted for a
mode of operation involving just as many people as are needed at a
site of medical care. As such, the maintenance cost is low. The
usage of the apparatus is easy to learn, not requiring in-depth
system knowledge or understanding, or high-level proficiency. As a
result, there would be only few operation mistakes.
[0008] When an action of retrieving a medicine is performed, it is
determined that the medicine is set. When an action of returning a
medicine is performed, it is determined that the setting action is
revoked and made to remain uncompleted. In this process, not only
the retrieval action but also the return action doe snot require
entry of data, preventing input errors and human failures. The
whole operation of retrieval, return, inspection, and replenishment
can be done promptly. Since the sequence of taking out medicines
and the combination of the medicines taken out can be checked in
real time, the apparatus contributes also to
mishaps-in-medical-practice prevention, prevention of mistakes,
risk management, and prevention of near accidents. Since medicines
are partitioned and stored into the cassettes, check and review can
be performed easily when inspecting a refill at the time of
replenishment and inspecting a returned article. Since the
medicines are tallied in real time without time lag, a series of
actions in setting a medicine can be reviewed without a data entry.
Check of the expiration date of medicines, preparation of
medication history lists of patients, etc. can be performed
automatically.
[0009] Patent document No. 1: JP 2001-198194; patent document No.
2: JP 2002-259778; and patent document No. 3: JP 2002-11072.
[0010] As such an excellent medicine storage apparatus becomes
widely accepted, expectation arose that an apparatus having the
same advantage could be used for accurate storage and management of
medical resources other than medicines. This has led to a demand
for medical resource storage and management apparatuses which are
capable of easily and properly storing and retrieving medical
resources and automatically keeping track of storage status.
[0011] It should then be noted that medical resources include
consumable items and sterilized resources. An extensive variety
would be encompassed even excluding drugs, medical implements and
medical equipment. It is therefore improper to use the conventional
scheme of aligning and storing them in cassettes.
[0012] Illustrative examples of such resources include catheters,
tubes, plates to reconstruct osseous defect, artificial joints,
pacemakers, which are all expensive. They come in a variety of
forms. For example, they are boxed, packed, provided as a single
article or packaged into a kit. The amount of medical resources
used is also diversified. For example, the same resource may be
used in a large amount or a large variety of resources may be used
each in a small amount. Further, medicines are variously handled in
a Class 1000 operating room, a central treatment room, an emergency
treatment room or in a less-equipped medical ward. Another fact of
note is that medical resources are expected to be sanitary and safe
to use. Particularly, sterilized resources are cleansed in a
pre-operation room, using various methods of sterilization such as
EO gas sterilization, ultraviolet irradiation sterilization,
sterilization by boiling and wet sterilization. It is also to be
noted that the effect of sterilization derived from any
sterilization method expires after a certain period of time, which
differs from one method to another.
[0013] Accordingly, an important task would be to arrange and store
an extensive variety of medical resources without accommodating
them in cassettes, while still allowing easy retrieval. An
additional task would be to employ measures to prevent
disarrangement of the medical resources stored and resultant
disorganization, in order to ensure that, even in cassetteless
storage, availability of each medical resource can be properly
detected for automatic management and that, for smooth retrieval, a
user is properly guided to a location of storage of a medical
resource to be taken out. A technical task to implement such
measures would be to simplify the structure of the apparatus in
view of the characteristics of medical resources and to work out a
way to store as much variety as possible of medical resources in
the simple apparatus.
SUMMARY OF THE INVENTION
[0014] An embodiment of the present invention relates to a medical
resource storage and management apparatus. The apparatus comprises:
a rack in which a series of depressions for insertion of partition
members are formed so that a large number of medical resources are
retrievably placed in respective partitions; partition members
which are removably inserted into the depressions; medical resource
detecting members which are arranged on the rack so as to alternate
with the depressions in a direction in which the depressions are
arranged, and each of which detects whether or not a medical
resource is placed; retrieval guidance members for visual guidance
which are arranged on the rack so as to alternate with the
depressions in a direction in which the depressions are arranged;
and a control unit which manages the storage status of the medical
resources, based on the detection by the medical resource detecting
members and which operates one of the retrieval guidance members in
response to an input designating retrieval, wherein the control
unit allows providing an input for configuration to designate
whether or not the partition member is inserted into the
depression, and the control unit collectively processes a block of
medical resource detecting members and retrieval guidance members
identified as being located on both sides of the depression from
which the partition member is removed, based on the input for
configuration.
[0015] Another embodiment of the present invention also relates to
a medical resource storage and management apparatus. The apparatus
may comprise: a rack in which a series of depressions for insertion
of partition members are formed so that a large number of medical
resources are retrievably placed in respective partitions;
partition members which are removably inserted into the
depressions; medical resource detecting members which are arranged
on the rack so as to alternate with the depressions in a direction
in which the depressions are arranged, and each of which detects
whether or not a medical resource is placed; retrieval guidance
members for visual guidance which are arranged on the rack so as to
alternate with the depressions in a direction in which the
depressions are arranged; a control unit which manages the storage
status of the medical resources, based on the detection by the
medical resource detecting members and which operates one of the
retrieval guidance members in response to an input designating
retrieval; and partition detecting members each of which detects
whether the partition member is inserted into the depression,
wherein the control unit may collectively process a block of
medical resource detecting members and retrieval guidance members
identified as being located on both sides of the depression from
which the partition member is removed, based on the detection by
the partition detecting member.
[0016] Still another embodiment of the present invention also
relates to a medical resource storage and management apparatus. The
apparatus may comprise: a rack in which a series of depressions for
insertion of partition members are formed so that a large number of
medical resources are retrievably placed in respective partitions;
partition members which are removably inserted into the
depressions; medical resource detecting members which are arranged
on the rack so as to alternate with the depressions in a direction
in which the depressions are arranged, and each of which detects
whether or not a medical resource is placed; retrieval guidance
members for visual guidance which are arranged on the rack so as to
alternate with the depressions in a direction in which the
depressions are arranged; and a control unit which manages the
storage status of the medical resources, based on the detection by
the medical resource detecting members and which operates one of
the retrieval guidance members in response to an input designating
retrieval, wherein a medical resource name plate for visual
guidance may be attached to a partition member via a connecting
member such that the connecting member is moved up and down
depending on whether a medical resource is placed and as a result
of interference between the connecting member and the medical
resource, and that the medical resource name plate is located in a
space where retrieval of a medical resource takes place, and is
moved in association with the connecting member, and wherein the
medical resource detecting member may indirectly detect whether or
not a medical resource is placed by detecting whether the medical
resource name plate is raised or lowered.
[0017] The medical resource name plate, when elevated in
association with the placement of a medical resource in the
associated location, may be located above the retrieval guidance
member in the associated location, and the medical resource name
plate, when lowered in response to the retrieval of the medical
resource from the associated location, shields the retrieval
guidance member in the associated location from view.
[0018] Yet another embodiment of the present invention also relates
to a medical resource storage and management apparatus. The
apparatus may comprise: a horizontal-bridging member which is
provided with a series of hanger member fitting parts operable to
hang and arrange a large number of medical resources, a hanger
member which is fitted to the hanger member fitting part and is
pivotally moved depending on whether a medical resource is hung; a
medical resource detecting member which is provided in each of the
hanger member fitting parts so as to detect whether a medical
resource is hung in an associated location in accordance with the
pivotal movement of the associated hanger member; a retrieval
guidance member for visual confirmation provided in each of the
hanger member fitting parts; and a control unit which manages the
storage status of the medical resources, based on the detection by
the medical resource detecting member, and which operates the
retrieval guidance member in response to an input designating
retrieval, wherein, at the time of hanging a medical resource, the
pivotal movement of the hanger member may cause the engaging part
engaged with the medical resource to be lowered, and, at the time
of retrieving a medical resource, the pivotal movement may cause
the engaging part to be elevated and moved toward an operator.
[0019] The pivotal movement of the hanger member may be based on
the displacement between the center of gravitation and the pivot
center.
[0020] Another embodiment of the present invention also relates to
a medical resource storage and management apparatus. The apparatus
may comprise: a rack in which a series of depressions for insertion
of partition members are formed so that a large number of medical
resources are retrievably placed in respective partitions;
partition members which are removably inserted into the
depressions; medical resource detecting members which are arranged
on the rack so as to alternate with the depressions in a direction
in which the depressions are arranged, and each of which detects
whether or not a medical resource is placed; retrieval guidance
members for visual guidance which are arranged on the rack so as to
alternate with the depressions in a direction in which the
depressions are arranged; and a control unit which manages the
storage status of the medical resources, based on the detection by
the medical resource detecting members and which operates one of
the retrieval guidance members in response to an input designating
retrieval, wherein a name plate support member may be provided so
as to be in parallel to the rack and behind the partition members,
and a medical resource name plate for visual guidance may be
attached to the name plate support member via a detachable
connecting member such that the connecting member is moved up and
down depending on whether a medical resource is placed and as a
result of interference between the connecting member and the
medical resource, and that the medical resource name plate is moved
in association with the connecting member in a space where
retrieval of a medical resource takes place, and wherein the
medical resource detecting member may indirectly detect whether or
not a medical resource is placed by detecting whether the medical
resource name plate is raised or lowered.
[0021] The medical resource name plate, when elevated in
association with the placement of a medical resource in the
associated location, may be located above the retrieval guidance
member in the associated location, and the medical resource name
plate, when lowered in response to the retrieval of the medical
resource from the associated location, may shield the retrieval
guidance member in the associated location from view.
[0022] Still another embodiment of the present invention also
relates to a medical resource storage and management apparatus. The
apparatus may comprise: a rack plate in which are provided a series
of medical resource detecting members for detecting whether or not
a medical resource is placed on the rack plate and a series of
retrieval guidance members for visual guidance; a control unit
which manages the storage status of the medical resources, based on
the detection by the medical resource detecting members and which
operates one of the retrieval guidance members in response to an
input designating retrieval; a storage case which is bounded at the
bottom, sides and back thereof by a fixed plate, in which a movable
medical resource name plate is provided in front of the case, and
in which a connecting member extending backward from the medical
resource name plate is adapted to make a vertical pivotal movement
about the rear end thereof, wherein the medical resource name plate
may be moved up and down as a result of interference between the
medical resource stored in the storage case and the connecting
member, and whether the medical resource is placed or not may be
indirectly detected by detecting the up and down movement of the
medical resource name plate, based on the fact that the up and down
movement of the medical resource name plate causes the plate to
enter or leave a range of detection by the medical resource
detecting member in a state in which the storage case is placed on
the rack plate.
[0023] The storage case may store the medical resource on the
connecting member, and the up and down movement of the medical
resource name plate may be associated with the nonavailability and
availability of the medical resource, respectively.
[0024] Yet another embodiment of the present invention also relates
to a medical resource storage and management apparatus. The
apparatus is for storing a plurality of medical resources at
locations of storage reserved for respective types of medical
resources and may comprise: a pivotal member which assumes
different statuses of pivotal movement depending on whether the
medical resource is stored in the location of storage or taken out
therefrom; a medical resource detecting member which detects
whether the medical resource is stored in the location of storage,
in accordance with the status of pivotal movement of the pivotal
member; a retrieval guidance member which is provided in the
neighborhood of the location of storage so as to allow visual
inspection of the location of storage as the medical resource is
taken out from the location of storage; and a control unit which
manages the storage status of the medical resource, based on the
detection by the medical resource detecting member and operates the
retrieval guidance member in response to an input designating
retrieval.
[0025] Another embodiment of the present invention relates to a
medical supply management system. The system is for managing
medical supplies in a medical institution and comprises a plurality
of storage and management apparatuses, wherein each of the
plurality of storage and management apparatuses comprises: a
plurality medical supply storage parts capable of storing a
plurality of types of medical supplies; medical supply detecting
means which detects whether a medical supply is stored in each of
the medical supply storage parts; computer means which creates
management information pertaining to the medical supplies in the
plurality of medical supply storage parts on the basis of
information detected by the medical supply detecting means; and
retrieval guidance means which is controlled by the computer means
so as to guide a user to the medical supply to be taken out,
wherein the computer means in each storage and management apparatus
is operable to control the retrieval guidance means on the basis of
information on the medical supply to be taken out, and to create
and output consumed medical supply information related to the type
and amount of medical supplies consumed, the system further
comprising stock control means which is communicably connected to
the plurality of storage and management apparatuses, and which
calculates and stores the amount of respective types of medical
supplies in stock, on the basis of the latest amount of respective
types of medical supplies in stock stored in the stock control
means, and on the basis of the consumed medical supply information
received from the storage and management apparatuses.
[0026] The stock control means may receive the amount of respective
types of medical supplies delivered to the medical institution from
an external source, and calculate and store the amount of
respective types of medical supplies in stock on the basis of the
delivered amount.
[0027] According to the present invention, medical resources can be
managed efficiently. The present invention also provides a medical
supply management system capable of managing medical supplies
efficiently.
BRIEF DESCRIPTION OF THE DRAWINGS
[0028] FIGS. 1A-1D show the mechanical structure of a medical
resource storage and management apparatus according to an
illustrative embodiment 1-1 of a first embodiment of the present
invention, where FIG. 1A is a front view showing a door closed,
FIG. 1B is a front view showing the door opened, FIG. 1C is a
perspective view of a rack and partition members, and FIG. 1D is a
perspective view showing the appearance of the rack in which the
partition members are fitted.
[0029] FIGS. 2A and 2B show the schematic structure of a control
unit according to the first embodiment, where FIG. 2A is a
schematic block diagram showing the connection between the control
unit and retrieval guidance members, and FIG. 2B is a functional
block diagram of the control unit.
[0030] FIGS. 3A-3C show the data structure of the control unit
according to the first embodiment, where FIG. 3A relates to a
medical resource information table, FIG. 3B relates to medical
resource availability data, and FIG. 3C relates to partition
availability data.
[0031] FIGS. 4A-4B illustrate the operation of a medical resource
storage and management apparatus according to the first embodiment,
where FIG. 4A shows an empty condition, and FIG. 4B shows a
condition in which a small medical resource is stored.
[0032] FIGS. 5A-5D illustrate the operation of the medical resource
storage and management apparatus according to the first embodiment,
where FIG. 5A shows a condition in which one partition member is
removed from a rack while a partition is empty, FIG. 5B shows a
condition in which a medium-sized medical resource is stored, FIG.
5C shows a condition in which a large medical resource is stored
where two partition members are removed, and FIG. 5D shows a
condition in which detection results from medical resource
detecting members do not match.
[0033] FIGS. 6A and 6B show the structure of the medical resource
storage and management apparatus according to an illustrative
embodiment 1-2 of the first embodiment, where FIG. 6A is an
expanded perspective view of the rack and the partition members,
and FIG. 6B is a functional block diagram of the control unit.
[0034] FIGS. 7A-7C show three variations to the structure according
to an illustrative embodiment 1-3 of the first embodiment, where
FIGS. 7A-7C are all perspective views of the partition member and
the rack.
[0035] FIGS. 8A-8C show conditions of replenishment of medical
resources according to an illustrative embodiment 1-4 of the first
embodiment, where FIGS. 8A-8C are screen shots.
[0036] FIGS. 9A-9C also show conditions of replenishment of medical
resources according to the illustrative embodiment 1-4.
[0037] FIG. 9A is a perspective view of the rack fitted with
partition members.
[0038] FIG. 9B is a perspective view showing how identification
information is read from a medical resource.
[0039] FIG. 9C is a perspective view of the rack storing a medical
resource.
[0040] FIGS. 10A-10D show the mechanical structure of a medical
resource storage and management apparatus according to an
illustrative embodiment 2-1 of a second embodiment of the present
invention, where FIG. 10A is a front view showing a door closed,
FIG. 10B is a front view showing the door opened, FIG. 10C is a
perspective view of a rack and partition members, and FIG. 10D is a
perspective view showing the appearance of the rack in which the
partition members are fitted.
[0041] FIGS. 11A and 11B show the schematic structure of a control
unit according to the second embodiment, where FIG. 11A is a
schematic block diagram showing the connection between the control
unit and retrieval guidance members, and FIG. 11B is a functional
block diagram of the control unit.
[0042] FIGS. 12A-12C show the data structure of the control unit
according to the second embodiment, where FIG. 12A relates to a
medical resource information table, FIG. 12B relates to medical
resource availability data, and FIG. 12C relates to partition
availability data.
[0043] FIGS. 13A-13B illustrate the operation of the medical
resource storage and management apparatus according to the second
embodiment, where FIG. 13A shows an empty condition, and FIG. 13B
shows a condition in which a small medical resource is stored.
[0044] FIGS. 14A-14D also illustrate the operation of the medical
resource storage and management apparatus according to the second
embodiment, where FIG. 14A shows a condition in which one partition
member is removed from the rack while the partition is empty, FIG.
14B shows a condition in which a medium-sized medical resource is
stored, FIG. 14C shows a condition in which a large medical
resource is stored where two partition members are removed, and
FIG. 14D shows a condition in which detection results from medical
resource detecting members do not match.
[0045] FIGS. 15A-15B show the structure of medical resource storage
and management apparatus according to an illustrative embodiment
2-2 of the second embodiment, where FIG. 15A is an expanded
perspective view of the rack and the partition members, and FIG.
15B is a functional block diagram of the control unit.
[0046] FIGS. 16A-16C show three variations to the structure
according to an illustrative embodiment 2-3 of the second
embodiment, where FIGS. 16A-16C are all perspective views of the
partition member and the rack.
[0047] FIGS. 17A-17C show the structure of the medical resource
storage and management apparatus according to an illustrative
embodiment 2-4 of the second embodiment, where FIG. 17A is a front
view showing the door opened, FIG. 17B is an expanded perspective
view of the rack and the partition members, and FIG. 17C is a
functional block diagram of the control unit.
[0048] FIGS. 18A-18C show conditions of replenishment of medical
resources according to an illustrative embodiment 2-5 of the second
embodiment, where FIGS. 18A-18C are screen shots.
[0049] FIGS. 19A-19C also show conditions of replenishment of
medical resources according to the illustrative embodiment 2-5,
where FIG. 19A is a perspective view of the rack fitted with
partition members, FIG. 19B is a perspective view showing how
identification information is read from a medical resource, and
FIG. 19C is a perspective view of the rack storing a medical
resource.
[0050] FIGS. 20A-20E show the mechanical structure of a medical
resource storage and management apparatus according to an
illustrative embodiment 3-1 of a third embodiment, where FIG. 20A
is a front view showing a door closed, FIG. 20B is a front view
showing the door opened, FIG. 20C is a front view showing a
horizontal-bridging case and hanger members, and FIGS. 20D and 20E
are left side views of a horizontal-bridging member and the hanger
member showing a cross section of the horizontal-bridging
member.
[0051] FIGS. 21A and 21B show the schematic structure of a control
unit according to the illustrative embodiment 3-1 of the third
embodiment, where FIG. 21A is a schematic block diagram showing the
connection between the control unit and retrieval guidance members,
and FIG. 21B is a functional block diagram of the control unit.
[0052] FIG. 22A shows the structure of a medical resource
information table of the control unit according to the illustrative
embodiment 3-1 of the third embodiment, FIG. 22B shows the data
structure of medical resource availability data of the control
unit, FIGS. 22C-22D illustrate the operation of the medical
resource storage and management apparatus according to the
illustrative embodiment 3-1, FIG. 22C shows an empty condition, and
FIG. 22D shows a condition in which a small medical resource is
stored.
[0053] FIGS. 23A-23C are side views of a horizontal-bridging bar
and the hanger member according to an illustrative embodiment 3-2
of the third embodiment, where FIG. 23A shows a condition before
the hanger member is fitted to the horizontal-bridging bar, FIG.
23B shows a condition occurring immediately after the fitting, and
FIG. 23C shows a condition in which the hanger member is pivotally
moved after the fitting.
[0054] FIGS. 24A and 24B show the schematic structure of the
control unit according to the illustrative embodiment 3-2 of the
third embodiment, where FIG. 24A is a schematic block diagram
showing the connection between the control unit and the retrieval
guidance members, and FIG. 24B is a functional block diagram of the
control unit.
[0055] FIGS. 25A-25C show the data structure of the control unit
according to the illustrative embodiment 3-2, where FIG. 25A
relates to a medical resource information table, FIG. 25B relates
to medical resource availability data, and FIG. 25C relates to
hanger availability data.
[0056] FIGS. 26A-26B illustrate the operation of the medical
resource storage and management apparatus according to the
illustrative embodiment 3-2, where FIG. 26A shows an empty
condition, and FIG. 26B shows a condition in which a small medical
resource is stored.
[0057] FIGS. 27A-27D illustrate the operation of the medical
resource storage and management apparatus according to the
illustrative embodiment 3-2, where FIG. 27A shows a condition in
which one hanger member is removed from the horizontal-bridging
case while the case is empty, FIG. 27B shows a condition in which a
medium-sized medical resource is stored, FIG. 27C shows a condition
in which a large medical resource is stored where two hanger
members are removed, and FIG. 27D shows a condition in which
incompatibility occurs between a result of detection by a medical
resource detecting member and the configuration in the hanger
availability data.
[0058] FIGS. 28A-28C show the structure of the medical resource
storage and management apparatus according to an illustrative
embodiment 3-3 of the third embodiment, where FIG. 28A is a side
view of the horizontal-bridging bar and the hanger member, FIG. 28B
is a front view of the horizontal-bridging bar and the hanger
member, and FIG. 28C is a functional block diagram of the control
unit.
[0059] FIGS. 29A-29C show three variations to the structure
according to an illustrative embodiment 3-4 of the third
embodiment, where FIGS. 29A-29C are all perspective views of the
medical resource storage and management apparatus.
[0060] FIGS. 30A-30C show the mechanical structure of the medical
resource storage and management apparatus according to an
illustrative embodiment 3-5 of the third embodiment, where FIG. 30A
shows the appearance of the apparatus, and FIGS. 30B and 30C are
expanded perspective views of a rack and a partition member.
[0061] FIG. 31 is a functional block diagram of the control unit
according to the illustrative embodiment 3-5.
[0062] FIG. 32 is a front view of the horizontal-bridging case and
the hanger member according to an illustrative embodiment 3-6 of
the third embodiment.
[0063] FIGS. 33A-33C show conditions of replenishment of medical
resources according to an illustrative embodiment 3-7 of the third
embodiment, where FIGS. 33A-33C are screen shots.
[0064] FIGS. 34A-34C also show conditions of replenishment of
medical resources according to the illustrative embodiment 3-7,
where FIG. 34A is a perspective view of the rack fitted with
partition members, FIG. 34B is a perspective view showing how
identification information is read from a medical resource, and
FIG. 34C is a perspective view of the rack storing a medical
resource.
[0065] FIGS. 35A-35D show the mechanical structure of a medical
resource storage and management apparatus according to an
illustrative embodiment 4-1 of a fourth embodiment, where FIG. 35A
is a front view showing a door closed, FIG. 35B is a front view
showing the door opened, FIG. 35C is a perspective view of a rack
and partition members, and FIG. 35D is a perspective view showing
the appearance of the rack in which the partition members are
fitted.
[0066] FIGS. 36A and 36B show the schematic structure of a control
unit according to the illustrative embodiment 4-1, where FIG. 36A
is a schematic block diagram showing the connection between the
control unit and retrieval guidance members, and FIG. 36B is a
functional block diagram of the control unit.
[0067] FIGS. 37A-37C show the data structure of the control unit
according to the illustrative embodiment 4-1, where FIG. 37A
relates to a medical resource information table, FIG. 37B relates
to medical resource availability data, and FIG. 37C relates to
partition availability data.
[0068] FIGS. 38A-38B illustrate the operation of the medical
resource storage and management apparatus according to the
illustrative embodiment 4-1, where FIG. 38A shows an empty
condition, and FIG. 38B shows a condition in which a small medical
resource is stored.
[0069] FIGS. 39A-39D illustrate the operation of the medical
resource storage and management apparatus according to the
illustrative embodiment 4-1, where FIG. 39A shows a condition in
which one partition member is removed from the rack while the
partition is empty, FIG. 39B shows a condition in which a
medium-sized medical resource is stored, FIG. 39C shows a condition
in which a large medical resource is stored where two partition
members are removed, and FIG. 39D shows a condition in which
detection results from medical resource detecting members do not
match.
[0070] FIGS. 40A and 40B show the structure of the medical resource
storage and management apparatus according to an illustrative
embodiment 4-2 of the fourth embodiment, where FIG. 40A is an
expanded perspective view of the rack and the partition members,
and FIG. 40B is a functional block diagram of the control unit.
[0071] FIGS. 41A-41C show three variations to the structure
according to an illustrative embodiment 4-3 of the fourth
embodiment, where FIGS. 41A-41C are all perspective views of the
partition member and the rack.
[0072] FIGS. 42A-42C show the structure of the medical resource
storage and management apparatus according to an illustrative
embodiment 4-4 of the fourth embodiment, where FIG. 42A is a front
view showing the door opened, FIG. 42B is an expanded perspective
view of the rack and the partition members, and FIG. 42C is a
functional block diagram of the control unit.
[0073] FIGS. 43A-43C show conditions of replenishment of medical
resources according to an illustrative embodiment 4-5 of the fourth
embodiment, where FIGS. 43A-43C are screen shots.
[0074] FIGS. 44A-44C also show conditions of replenishment of
medical resources according to the illustrative embodiment 4-5,
where FIG. 44A is a perspective view of the rack fitted with
partition members, FIG. 44B is a perspective view showing how
identification information is read from a medical resource, and
FIG. 44C is a perspective view of the rack storing a medical
resource.
[0075] FIGS. 45A-45C show the mechanical structure of the medical
resource storage and management apparatus according to an
illustrative embodiment 4-6 of the fourth embodiment, where FIG.
45A is a front view showing a door opened, FIG. 45B is a
perspective view of a rack and partition members, and FIG. 45C is a
perspective view showing the appearance of the rack in which the
partition members are fitted.
[0076] FIGS. 46A-46D show the mechanical structure of a part of the
medical resource storage and management apparatus according to the
illustrative embodiment 4-6, where FIG. 46A is a front view of the
horizontal-bridging case and the hanger member, FIGS. 46B and 46C
are left side views of the horizontal-bridging case and the hanger
member showing the cross section of the horizontal-bridging member,
and FIG. 46D is a schematic functional block diagram of the control
unit.
[0077] FIGS. 47A and 47B show the structure of the medical resource
storage and management apparatus according to an illustrative
embodiment 4-7 of the fourth embodiment, where FIG. 47A is a left
side view showing a partial cross section of the rack, a medical
resource name plate and a connecting member, and FIG. 47B is a
perspective view showing an essential part of the rack, the medical
resource name plate and the connecting member.
[0078] FIG. 48 shows perspective views of some of the medical
resources suitable for storage.
[0079] FIGS. 49A-49E show a mechanical structure of the medical
resource storage and management apparatus according to an
illustrative embodiment 5-1 of a fifth embodiment, where FIG. 49A
is a front view showing a door closed, FIG. 49B is a front view
showing the door opened, FIG. 49C is a perspective view showing the
appearance of a rack, FIG. 49D is an expanded perspective view of a
storage case, and FIG. 49E is a perspective view showing the
appearance of the rack on which the storage case and a medical
resource are placed.
[0080] FIGS. 50A and 50B show the schematic structure of a control
unit according to the illustrative embodiment 5-1, where FIG. 50A
is a schematic block diagram showing the connection between the
control unit and retrieval guidance members, and FIG. 50B is a
functional block diagram of the control unit.
[0081] FIGS. 51A-51C show the data structure of the control unit
according to the illustrative embodiment 5-1, where FIG. 51A
relates to a medical resource information table, FIG. 51B relates
to medical resource availability data, and FIG. 51C relates to
partition availability data.
[0082] FIGS. 52A-52B illustrate the operation of the medical
resource storage and management apparatus according to the
illustrative embodiment 5-1, where FIG. 52A shows small empty
storage cases are arranged on the rack, and FIG. 52B shows a
condition in which a medical resource is stored in one of them.
[0083] FIGS. 53A-53D also illustrate the operation of the medical
resource storage and management apparatus according to the
illustrative embodiment 5-1, where FIG. 53A shows a condition in
which an empty medium-sized storage case is included, FIG. 53B
shows a condition in which a medical resource is stored in the
medium-sized case, FIG. 53C shows a condition in which a
large-sized storage case is included and a medical resource is
stored therein, and FIG. 53D shows a condition in which detection
results from medical resource detecting members do not match.
[0084] FIGS. 54A-54B show the mechanical structure of the medical
resource storage and management apparatus according to an
illustrative embodiment 5-2 of the fifth embodiment, where FIG. 54A
is a perspective view showing the appearance of the rack in which
the empty storage cases are arranged, and FIG. 54B is an expanded
front view showing an essential part.
[0085] FIGS. 55A-55B show the mechanical structure of the medical
resource storage and management apparatus according to an
illustrative embodiment 5-3 of the fifth embodiment, where FIG. 55A
is an expanded perspective of the storage case, and FIG. 55B is a
perspective view showing the appearance of the rack on which the
storage case or the medical resource is placed.
[0086] FIGS. 56A-56C show the structure of the medical resource
storage and management apparatus according to an illustrative
embodiment 5-4 of the fifth embodiment, where FIG. 56A is an
expanded perspective view of the storage case and the rack, FIG.
56B is a perspective view showing the appearance of the rack on
which the storage case and the medical resource are placed, and
FIG. 56C is a functional block diagram of the control unit.
[0087] FIGS. 57A-57C show conditions of replenishment of medical
resources according to an illustrative embodiment 5-5 of the fifth
embodiment, where FIGS. 57A-57C are screen shots.
[0088] FIGS. 58A-58C also show conditions of replenishment of
medical resources according to the illustrative embodiment 5-5,
where FIG. 58A is a perspective view of the rack on which the empty
storage cases are arranged, FIG. 58B is a perspective view showing
how identification information is read from the medical resource,
and FIG. 58C is a perspective view of the rack storing the medical
resource.
[0089] FIGS. 59A and 59B show the structure of an essential part of
the medical resource storage and management apparatus according to
an illustrative embodiment 5-6 of the fifth embodiment, where FIG.
59A is a left side view showing a partial cross section of the
rack, a medical resource name plate and a connecting member, and
FIG. 59B is a perspective view showing an essential part of the
rack, the medical resource name plate and the connecting
member.
[0090] FIG. 60 shows perspective views of some of the medical
resources suitable for storage.
[0091] FIGS. 61A-61C show the mechanical structure of the medical
resource storage and management apparatus according to an
illustrative embodiment 5-7 of the fifth embodiment, where FIG. 61A
is a front view showing the door opened, FIG. 61B is an expanded
perspective view of the rack and the partition members, and FIG.
61C is a perspective view showing the appearance of the rack to
which the partition members are fitted.
[0092] FIGS. 62A and 62B show the mechanical structure of a part of
the medical resource storage and management apparatus according to
the illustrative embodiment 5-7, where FIG. 62A is an expanded
perspective view of the rack and the partition members, and FIG.
62B is a perspective view showing the appearance of the rack to
which the partition members are fitted.
[0093] FIG. 63 shows the mechanical structure of another part of
the medical resource storage and management apparatus according to
the illustrative embodiment 6-3 and is an expanded perspective view
of the rack and the partition members.
[0094] FIGS. 64A-64D show the structure of the medical resource
storage and management apparatus according to the illustrative
embodiment 5-7, where FIG. 64A is a front view of a
horizontal-bridging case and hanger members, FIGS. 64B and 64C are
left side views of the horizontal-bridging member and the hanging
member showing the longitudinal cross section of the
horizontal-bridging member, and FIG. 64D is a schematic functional
block diagram of the control unit.
[0095] FIG. 65 shows the structure of a medical management system
according to an illustrative embodiment 6-1 of a sixth
embodiment.
[0096] FIG. 66 is a block diagram of equipment in a storage and
management apparatus according to the illustrative embodiment
6-1.
[0097] FIG. 67 shows information stored in a storage device in the
storage and management apparatus according to the illustrative
embodiment 6-1.
[0098] FIG. 68 shows medical supply information stored in a medical
supply master file according to the illustrative embodiment
6-1.
[0099] FIG. 69 shows correspondence information table stored in a
correspondence information file according to the illustrative
embodiment 6-1.
[0100] FIG. 70 shows management information according to the
illustrative embodiment 6-1.
[0101] FIG. 71 is a front view showing a door of a medical resource
storage and management apparatus according to illustrative
embodiment 6-1 closed.
[0102] FIG. 72 is a front view showing the door of the medical
resource storage and management apparatus according to illustrative
embodiment 6-1 opened.
[0103] FIG. 73 is a perspective view showing an essential part of
the medical resource storage and management apparatus according to
illustrative embodiment 6-1.
[0104] FIG. 74 is an exploded perspective view showing an essential
part of the medical resource storage and management apparatus
according to illustrative embodiment 6-1.
[0105] FIG. 75 is a front view showing the door of the medical
resource storage and management apparatus according to illustrative
embodiment 6-1 opened.
[0106] FIG. 76 is a perspective view showing an essential part of
the medical resource storage and management apparatus according to
illustrative embodiment 6-1.
[0107] FIG. 77 is an exploded perspective view showing an essential
part of the medical resource storage and management apparatus
according to illustrative embodiment 6-1.
[0108] FIG. 78 is a front view showing the door of the medical
resource storage and management apparatus according to illustrative
embodiment 6-1 opened.
[0109] FIG. 79 is a front view showing an essential part of the
medical resource storage and management apparatus according to
illustrative embodiment 6-1.
[0110] FIG. 80 is a longitudinal sectional view of an essential
part of the medical resource storage and management apparatus
according to illustrative embodiment 6-1 showing that a medical
resource is not stored.
[0111] FIG. 81 is a longitudinal sectional view of an essential
part of the medical resource storage and management apparatus
according to illustrative embodiment 6-1 showing that a medical
resource is stored.
[0112] FIG. 82 is a perspective view showing the medical resource
storage and management apparatus according to illustrative
embodiment 6-1.
[0113] FIG. 83 is a perspective view showing an essential part of
the medical resource storage and management apparatus according to
illustrative embodiment 6-1.
[0114] FIG. 84 is a perspective view of a stock control apparatus
according to the illustrative embodiment 6-1.
[0115] FIG. 85 is a functional block diagram of the stock control
apparatus according to the illustrative embodiment 6-1.
[0116] FIG. 86 shows information stored in a storage unit of the
stock control apparatus according to the illustrative embodiment
6-1.
[0117] FIG. 87 shows information in a type-by-type medical supply
stock file according to the illustrative embodiment 6-1.
[0118] FIG. 88 shows information on expiration dates of medical
supplies according to the illustrative embodiment 6-1.
[0119] FIG. 89 shows the structure of the medical management system
according to an illustrative embodiment 6-2 of the sixth
embodiment.
[0120] FIG. 90 shows information stored in the storage unit of the
stock control apparatus according to the illustrative embodiment
6-2.
[0121] FIG. 91 shows information in a type-by-type medical supply
stock file according to the illustrative embodiment 6-2.
[0122] FIG. 92 shows type-by-type medical supply order file
according to the illustrative embodiment 6-2.
[0123] FIG. 93 shows the structure of the medical management system
according to an illustrative embodiment 6-3 of the sixth
embodiment.
[0124] FIG. 94 shows information stored in the storage unit of the
stock control apparatus according to the illustrative embodiment
6-3.
[0125] FIG. 95 is a flowchart showing a process for reconfiguration
of a target stock amount according to an illustrative embodiment
6-4 of the sixth embodiment.
[0126] FIG. 96 shows how the target stock amount is reconfigured
according to the process of FIG. 95.
[0127] FIG. 97 is a flowchart for the process of reconfiguring
according to a variation of the illustrative embodiment 6-4 of the
sixth embodiment.
[0128] FIG. 98 shows how the target stock amount is reconfigured
according to the process of FIG. 97.
EXPLANATION OF THE REFERENCE SYMBOLS
[0129] 10 medical resource, 20 medical resource storage and
management apparatus, 21 electric equipment, 22 housing, 23 handle,
24 door, 30 control unit, 31 rack controller, 32 display, 33
keyboard, 34 mouse, 35 barcode reader, 36 printer, 37 LAN (local
area network), 38 hard disk, 41 retrieval guidance routine, 42
medical resource detection routine, 43 medical resource information
configuration routine, 44 manual partition condition configuration
routine, 45 automatic partition condition configuration routine, 46
medical resource availability data, 47 medical resource information
table, 48 partition availability data, 49 log data, 70 rack, 71
depression (for insertion of partition), 72 retrieval guidance
member, 73 medical resource detecting member, 74 partition
detecting member, 74a light-emitting device, 75 partition member,
76 fitting, 110 medical resource, 120 medical resource storage and
management apparatus, 121 electric equipment, 122 housing, 123
handle, 124 door, 130 control unit, 131 rack controller, 132
display, 133 keyboard, 134 mouse, 135 barcode reader, 136 printer,
137 LAN (Local Area Network), 138 hard disk, 141 retrieval guidance
member, 142 medical resource detection routine, 143 medical
resource information configuration routine, 144 manual partition
condition configuration routine, 145 automatic partition condition
configuration routine, 146 medical resource availability data, 147
medical resource information table, 148 partition availability
data, 149 log data, 160 rack, 161 depression (for insertion of
partition), 162 retrieval guidance member, 163 medical resource
detecting member, 164 partition detecting member, 164a
light-emitting device, 165 partition member, 166 fitting, 167
medical resource name plate, 168 connecting member, 169 pivot
shaft, 170 rack, 171 depression (for insertion of partition), 172
retrieval guidance member, 173 medical resource detecting member,
174 partition detecting member, 175 partition member, 176 fitting,
210 medical resource, 220 medical resource storage and management
apparatus, 225 drawer unit, 226 space with an open front, 227
shutter, 230 control unit, 231 low-level controller, 232 display,
233 keyboard, 234 mouse, 235 barcode reader, 236 printer, 237 LAN
(Local Area Network), 238 hard disk, 241 retrieval guidance
routine, 242 medical resource detection routine, 243 medical
resource information configuration routine, 244 manual hanger
condition configuration routine, 245 automatic hanger condition
configuration routine, 246 medical resource availability data, 247
medical resource information table, 248 partition availability
data, 249 log data, 250 horizontal-bridging case
(horizontal-bridging member), 250a oblong hole (hanger member
fitting part), 251 horizontal-bridging bar (horizontal-bridging
member), 252 retrieval guidance member, 253 medical resource
detecting member, 254 hanger detecting member, 254a light-emitting
device, 256 hanger member, 255a pivot center, 256 engaging part,
257 weight part, 258 detected part, 260 rack, 261 depression (for
insertion of partition), 262 retrieval guidance member, 263 medical
resource detecting member, 264 partition detecting member, 264a
light-emitting device, 265 partition member, 266 fitting, 267
medical resource name plate, 268 connecting member, 269 pivot
shaft, 270 rack, 271 depression (for insertion of partition), 272
retrieval guidance member, 273 medical resource detecting member,
274 partition detecting member, 275 partition member, 276 fitting,
310 medical resource, 320 medical resource storage and management
apparatus, 321 electric equipment, 322 housing, 323 handle, 324
door, 330 control unit, 331 rack controller, 332 display, 333
keyboard, 334 mouse, 335 barcode reader, 336 printer, 337 LAN
(Local Area Network), 338 hard disk, 341 retrieval guidance
routine, 342 medical resource detection routine, 343 medical
resource information configuration routine, 344 manual partition
condition configuration routine, 345 automatic partition condition
configuration routine, 346 medical resource availability data, 347
medical resource information table, 348 partition availability
data, 349 log data, 350 horizontal-bridging case
(horizontal-bridging member), 350a oblong hole (hanger member
fitting part), 351 horizontal-bridging bar (horizontal-bridging
member), 352 retrieval guidance member, 353 medical resource
detecting member, 354 hanger detecting member, 354a light-emitting
device, 355 hanger member, 355a pivot center, 356 engaging part,
357 weight part, 358 detected part, 360 rack, 361 depression (for
insertion of partition), 362 retrieval guidance member, 363 medical
resource detecting member, 364 partition detecting member, 364a
light-emitting device, 365 partition member, 366 fitting, 367
medical resource name plate, 368 connecting member, 369 pivot
shaft, 370 rack, 371 depression (for insertion of partition), 372
retrieval guidance member, 373 medical resource detecting member,
374 partition detecting member, 375 partition member, 376 fitting,
380 rack, 381 depression (for insertion of partition), 382
retrieval guidance member, 383 medical resource detecting member,
384 partition detecting member, 384a light-emitting device, 385
partition member, 386 fitting, 387 medical resource name plate, 388
connecting member, 389 name plate support member, 410 medical
resource, 420 medical resource storage and management apparatus,
421 electric equipment, 422 housing, 423 handle, 424 door, 430
control unit, 431 rack controller, 432 display, 433 keyboard, 434
mouse, 435 barcode reader, 436 printer, 437 LAN (Local Area
Network), 438 hard disk, 441 retrieval guidance routine, 442
medical resource detection routine, 443 medical resource
information configuration routine, 444 manual partition condition
configuration routine, 445 automatic partition condition
configuration routine, 446 medical resource availability data, 447
medical resource information table, 448 partition availability
data, 449 log data, 450 horizontal-bridging case
(horizontal-bridging member), 450a oblong hole (hanger member
fitting part), 451 horizontal-bridging bar (horizontal-bridging
member), 452 retrieval guidance member, 453 medical resource
detecting member, 454 hanger detecting member, 455 hanger member,
456 engaging part, 457 weight part, 458 detected part, 460 rack,
461 depression (for insertion of partition), 462 retrieval guidance
member, 463 medical resource detecting member, 464 partition
detecting member, 465 partition member, 466 fitting, 467 medical
resource name plate, 468 connecting member, 469 pivot shaft, 470
rack, 471 depression (for insertion of partition), 472 retrieval
guidance member, 473 medical resource detecting member, 474
partition detecting member, 475 partition member, 476 fitting, 480
rack, 481 depression (for insertion of partition), 482 retrieval
guidance member, 483 medical resource detecting member, 484
partition detecting member, 485 partition member, 486 fitting, 487
medical resource name plate, 488 connecting member, 489 name plate
support member, 490 rack, 491 depression (for insertion of
partition), 491a storage location indicator (partition
configuration member), 492 retrieval guidance member, 493 medical
resource detecting member, 493a case detecting member, 494
partition detecting member, 495 storage case, 495a engaging part,
496 biasing member, 497 medical resource name plate, 497a storage
location indicator, 498 connecting member, 499 engaging part (pivot
shaft), MS1, MS2, MS3 medical supply management system, 1001,
1001A-1001C medical institution, 1005, 1005A-1005D, 1006 storage
and management apparatus, 1007 stock control apparatus, 1008
incoming management apparatus, 1009 Local Area Network (LAN), 1010,
1010A-1010D medical supply storage part, 1011, 1011A-1011C medical
supply detection sensor, 1011D antenna, 1012, 1012A-1012D computer,
1013, 1013A-1013D indicator lamp, 1100A-1100C medical supply
supplier, 1101 medical supply supplier terminal, 1105 Internet,
1110 target stock amount setting means, 1111 order determining
means, 1112, 1120 medical institution terminal, 1113 ordering
means, 1130 management server, 1131 data processor.
DETAILED DESCRIPTION OF THE INVENTION
[0130] A description of the best mode of carrying out the present
invention will be given by highlighting first through sixth
embodiments.
First Embodiment
[0131] A first embodiment of the present invention relates to a
medical resource storage and management apparatus which arranges
and stores medical resources and also performs management of
storage status, and, more particularly, to a medical resource
storage and management apparatus which automatically manages
availability of medical resources at each location of storage and
also guides a user for retrieval.
[0132] A summary of the first embodiment will be given.
[0133] A first medical resource storage and management apparatus
according to the first embodiment comprises: a rack in which a
series of depressions for insertion of partition members are formed
so that a large number of medical resources are retrievably placed
in respective partitions; partition members which are removably
inserted into the depressions; medical resource detecting members
which are arranged on the rack so as to alternate with the
depressions in a direction in which the depressions are arranged,
and each of which detects whether or not a medical resource is
placed; retrieval guidance members for visual guidance which are
arranged on the rack so as to alternate with the depressions in a
direction in which the depressions are arranged; and a control unit
which manages the storage status of the medical resources, based on
the detection by the medical resource detecting members and which
operates one of the retrieval guidance members in response to an
input designating retrieval, wherein the control unit allows
providing an input for configuration to designate whether or not
the partition member is inserted into the depression, and the
control unit collectively processes a block of medical resource
detecting members and retrieval guidance members identified as
being located on both sides of the depression from which the
partition member is removed, based on the input for
configuration.
[0134] A second medical resource storage and management apparatus
according to the first embodiment comprises: a rack in which a
series of depressions for insertion of partition members are formed
so that a large number of medical resources are retrievably placed
in respective partitions; partition members which are removably
inserted into the depressions; medical resource detecting members
which are arranged on the rack so as to alternate with the
depressions in a direction in which the depressions are arranged,
and each of which detects whether or not a medical resource is
placed; retrieval guidance members for visual guidance which are
arranged on the rack so as to alternate with the depressions in a
direction in which the depressions are arranged; a control unit
which manages the storage status of the medical resources, based on
the detection by the medical resource detecting members and which
operates one of the retrieval guidance members in response to an
input designating retrieval; and partition detecting members each
of which detects whether the partition member is inserted into the
depression, wherein the control unit collectively process a block
of medical resource detecting members and retrieval guidance
members identified as being located on both sides of the depression
from which the partition member is removed, based on the detection
by the partition detecting member.
[0135] A third medical resource storage and management apparatus
according to the first embodiment is a modification to the first
medical resource storage and management apparatus or the second
medical resource storage and management apparatus, wherein the
control unit issues an alarm if the results of detection by the
medical resource detecting members in a block to be processed
collectively continue to fail to match beyond a predetermined
period of time.
[0136] In the first medical resource storage and management
apparatus, the medical resources are arranged on the rack such that
the locations of storage are partitioned by the partition members.
Therefore, it is easy to retrievably align and store medical
resources without accommodating them in cassettes and to prevent
disarrangement of the medical resources stored and resultant
disorganization.
[0137] Since the medical resource detecting member and the
retrieval guidance member are placed in respective partitions on
the rack, it is possible to detect whether each medical resource is
stored for automatic management and to properly guide a user to the
location of storage of the medical resource to be retrieved.
[0138] Since the partition member can be removed from the rack and
the location of insertion is formed as a depression, a relatively
large medical resource can be placed where the partition member is
removed.
[0139] In this case, whether or not the partition member is
inserted is designated by providing an input for configuration in
the control unit. In this way, the control unit can collectively
process medical resource detecting members and retrieval guidance
members. Therefore, a user will not be at a loss or face any
inconvenience in handling and management even if there are multiple
medical resource detecting members or retrieval guidance members
where a single, large medical resource resides.
[0140] Thus, even with a simple apparatus in which racks are
partitioned and medical resources are arranged, a large variety of
large and small medical resources can be easily stored for
automatic management by means of attachment and detachment of
partition members and by an input of associated information for
configuration.
[0141] Thus, the first medical resource storage and management
apparatus provides capability for easily and properly storing and
retrieving medical resources, and automatically and accurately
keeping track of storage status.
[0142] According to the second medical resource storage and
management apparatus, convenience is enhanced by additionally
ensuring that whether or not the partition member is inserted is
automatically detected and reflected in the control.
[0143] Thus, the second medical resource storage and management
apparatus provides capability for easily and properly storing and
retrieving medical resources, and accurately and automatically
keeping track of partition status as well as storage status.
[0144] According to the third medical resource storage and
management apparatus, reliability is enhanced while avoiding an
increase in hardware cost, by exploiting the redundancy of results
of detection by multiple medical resource detecting members in a
single block and detecting an error accordingly.
[0145] Specific embodiments of the medical resource storage and
management apparatus according to the first embodiment will be
described using illustrative embodiments 1-1 through 1-4.
[0146] The illustrative embodiment 1-1 shown in FIGS. 1A-5D is an
embodiment of the first medical resource storage and management
apparatus and the third medical resource storage and management
apparatus mentioned above. The illustrative embodiment 1-2 shown in
FIGS. 6A-6B is an embodiment of the second medical resource storage
and management apparatus mentioned above. The illustrative
embodiment 1-3 shown in FIGS. 7A-7C and the illustrative embodiment
1-4 shown in FIGS. 8-9 are variations.
[0147] In the illustration, fasteners such as bolts, connectors
such as hinges, electronic circuits such as drivers are omitted for
brevity, highlighting those elements necessary to explain the
embodiment and related elements.
Illustrative Embodiment 1-1
[0148] A specific structure of the illustrative embodiment 1-1 of
the medical resource storage and management apparatus according to
the first embodiment will be described with reference to the
associated drawings. FIGS. 1A-1D show the mechanical structure of
the medical resource storage and management apparatus. FIG. 1A is a
front view showing a door closed; FIG. 1B is a front view showing
the door opened; FIG. 1C is a perspective view of a rack and
partition members; and FIG. 1D is a perspective view showing the
appearance of the rack in which the partition members are fitted.
FIGS. 2A and 2B show the schematic structure of a control unit.
FIG. 2A is a schematic block diagram showing the connection between
the control unit and retrieval guidance members; and FIG. 2B is a
functional block diagram of the control unit. FIGS. 3A-3C show the
data structure of the control unit. FIG. 3A relates to a medical
resource information table; FIG. 3B relates to medical resource
availability data; and FIG. 3C relates to partition availability
data.
[0149] A medical resource storage and management apparatus 20 is
provided with a housing 22 a large portion of which is for storage
and a part of which comprises electric equipment 21. The electric
equipment 21 stores a control unit 30 and a power supply unit etc.
(not shown). The front of the storage part of the housing 22 is
provided with an openable door 24 with a handle 23. The door 24 may
be implemented by a shutter or the like, or may be omitted. Inside
the storage part exposed when the door 24 is opened is provided a
rack 70. Although there may be only one rack 70, an orthodox
apparatus would comprise multiple tiers. The pitch between the
racks 70 may be selectable. The rack 70 is implemented by a
horizontally extending plate with a flat top face. Partition
members 75 formed as thin plates are fitted to the top face thereof
at regular or irregular pitches in a longitudinal direction (in the
figure, sideways) in order to place a large number of medical
resources in respective partitions retrievably.
[0150] Two rows of depressions 71 to fit partition members are
formed on the top face of the rack 70 (see FIGS. 1C and 1D) at
regular or irregular pitches in a longitudinal direction (in the
figures, sideways). Two fittings 76 are formed to protrude from the
bottom of each of the partition members 75. In this example, the
fitting 76 is a small round bar and the depression 71 is a through
hole. By inserting the fitting 76 into the depression 71, the
partition member 75 is removably fitted to the depression 71 in the
rack 70. The front of the rack 70 exposed when the door 24 is
opened is equipped with retrieval guidance members 72, and the top
face of the rack 70 which carries medical resources 10 is equipped
with medical resource detecting members 73. The retrieval guidance
members 72 and the medical resource detecting members 73 are
arranged in the rack 70 so as to alternate with the depressions 71
in a direction in which the depressions 71 are arranged, i.e., in
the longitudinal direction of the rack 70.
[0151] In order to detect whether the medical resource 10 is placed
in its location partitioned by the partition member 75, each of the
medical resource detecting members 73 is implemented by a
mechanical switch, a reflective photosensor, a capacity sensor or
the like which senses the bottom of the medical resource 10, so as
to output a binary signal which turns on and off according to
whether the medical resource 10 is detected.
[0152] In order to visually guide a user to the location of
placement of the medical resource 10 to be retrieved, a miniature
bulb, a light-emitting diode or the like that can be turned on and
off is used as the retrieval guidance member 72.
[0153] The control unit 30 (see FIG. 2A) comprises a programmable
controller such as a personal computer and a sequencer. A local
area network (LAN) connects the control unit 30 to the retrieval
guidance members 72 and the medical resource detecting members 73
via, for example, a rack controller 31. Alternatively, the control
unit 30, the retrieval guidance members 72 and the medical resource
detecting members 73 are in direct star connection (not shown). The
connection enables retrieving detection results of the medical
resource detecting members 73 and controlling the lighting of the
retrieval guidance members 72.
[0154] The control unit 30 (see FIG. 2B) is provided with a display
32 for screen display, a keyboard 33 for key entry, a mouse 34 for
inputting instructions etc. on a screen, a bar code reader 35 for
reading identification information, a printer 36 for delivering
printouts, an interface for a local area network (LAN) 37 which is
responsible for communication with a prescription order-entry
system etc., and a hard disk 38 as a secondary storage.
[0155] A retrieval guidance routine 41, a medical resource
detection routine 42, a medical resource information configuration
routine 43, and a manual partition condition configuration routine
44 are installed in the control unit 30, as programs for managing
the storage status of the medical resources, based on the detection
by the medical resource detecting members 73, and for operating
selected retrieval guidance members 72 in response to an input
designating retrieval. The hard disk 38 stores medical resource
availability data 46, a medical resource information table 47,
partition availability data 48, and log data 49, which are divided
into individual files or are unified in an appropriate database.
The figures show (see FIGS. 3A-3B) the data 46, the table 47 and
the data 48 maintained in a table format. Each table comprises a
5.times.21 matrix, in association with the fact that the racks 70
form five tiers and the maximum number of partitions in each rack
70 (i.e., the maximum number of the partition members 75, the
retrieval guidance members 72 and the medical resource detecting
members 73) is twenty one.
[0156] Each field in the medical resource information table 47 (see
FIG. 3A) contains an identification code and a name displayed on a
screen for the medical resource 10 which is stored or can be stored
in an associated location. "1" or "0" is written in the medical
resource availability data 46 (see FIG. 3B), "1", indicating that
the medical resource 10 is stored in the associated location, and
"0", indicating that no medical resources 10 are stored. "1" or "0"
is written in the partition availability data 48 (see FIG. 3C),
"1", indicating that the partition member 75 is inserted, and "0",
indicating that the partition member 75 is removed from the
associated location. The medical resource information table 47
should be configured at least once before operating the apparatus
for the first time since its installation. Therefore, the table is
usually initialized upon starting the apparatus and updated when
the operation is stopped. The partition availability data 48 is
also initialized so that the insertion condition of the partition
member 75 is reflected before the initial operation. Configuration
inputs for update are also provided when the partition member 75 is
attached or detached. The medical resource availability data 46 is
all cleared by initialization before the initial operation, and is
subsequently updated with each storage or retrieval of the medical
resource 10.
[0157] The medical resource information configuration routine 43 is
started by the keyboard 33 or mouse 34 operation. When dumping from
a medicine master file located on a host computer via the LAN 37 is
dictated in an environment where such an action is possible, the
medical resource information configuration routine 43 dumps the
data. The routine 43 also allows the user to set the code or name
of the medical resource 10 in the medical resource information
table 47 by selecting an item using the mouse 34 or entering data
using the keyboard 33, while viewing screen display on the display
32.
[0158] The manual partition condition configuration routine 44 is
also started by the keyboard 33 or mouse 34 operation. The routine
44 allows the user to provide an input for configuration to
designate in the partition availability data 48 whether the
partition member 75 is inserted into the depression 71 in the rack
70, by selecting an item or toggling using the mouse 34 or the
keyboard 33, while viewing screen display on the display 32.
[0159] The medical resource detection routine 42 is started
periodically and automatically by a timer, etc. or irregularly and
automatically started by an interruption initiated in the event of
a change in a detection signal from the medical resource detecting
member 73. The medical resource detection routine 42 manages the
storage status of the medical resources 10 based on the detection
by the medical resource detecting members 73. More specifically,
each time the medical resource detection routine 42 is started, it
imports the detection results from all medical resource detecting
members 73 or those results changed since its last import, and
writes "1" or "0" in the medical resource availability data 46 in
association with the on-off condition. When the detection result
from the medical resource detecting member 73 undergoes an on/off
change and the storage or retrieval of the medical resource 10 is
detected accordingly, the medical resource detection routine 42
appends information indicating the detection to the log data 49
with a time stamp, causes the printer 36 to deliver a printout
which carries the name listed in the associated field in the
medical resource information table 47, and submits a report to a
host medical management computer via the LAN 37.
[0160] The retrieval guidance routine 41 is started when the code
of the medical resource 10 or a prescription ID number is entered
by allowing the barcode reader 35 to scan the code or the ID, or by
using the keyboard 33 or the mouse 34, in order to operate one of
the retrieval guidance members 72 in response to an input
designating retrieval. The retrieval guidance routine 41 searches
the medical resource information table 47 to determine the location
of storage of the medical resource 10 designated to be retrieved
via the reading or via the mouse or keyboard operation, and lights
the medical resource detecting member 73 at the associated
location. The medical resource detection routine 42 is responsible
for turning the medical resource detecting member 73 off when the
retrieval of the medical resource 10 at the associated location is
detected.
[0161] The retrieval guidance routine 41 and the medical resource
detection routine 42 learn whether or not the partition member 75
is inserted, and collectively process the medical resource
detecting members 73 and the retrieval guidance members 72
identified as being located on both sides of the depression 71 from
which the partition member 75 is removed. If the results of
detection by the medical resource detecting members 73 in the block
to be processed collectively continue to fail to match beyond a
predetermined period of time, an alarm is issued.
[0162] More specifically, the retrieval guidance routine 41 refers
to the medical resource availability data 46 to check whether the
partition member 75 is inserted to the left or right of a location
of storage, before lighting the medical resource detecting member
73. If "0" is entered to the left or right, indicating that the
partition member 75 there is removed, the associated, adjacent
retrieval guidance member 72 is also lighted. In association with
this, the medical resource detection routine 42 performs a similar
check by referring to the medical resource availability data 46 in
turning off the retrieval guidance member 72, and turns off the
retrieval guidance members 72 in the block at a time.
[0163] The medical resource detection routine 42 also performs,
upon detecting the storage or retrieval of the medical resource 10,
a similar check by referring to the medical resource availability
data 46 before changing the value of the medical resource
availability data 46. If a series of adjacent partitions are to be
processed collectively as a single block, the medical resource
detection routine 42 examines whether the values from the medical
resource detecting members 73 in the single block match. If the
values match, the routine 42 terminates the process normally; if
the values do not match, the routine 42 continues the monitoring.
If the values from the medical resource detecting members 73 in a
block continue to fail to match beyond a maximum period of time
required for storage or retrieval of the medical resource 10 while
the monitoring is proceeding, the medical resource detection
routine 42 displays an alarm on the display 32 or sounds an alarm
buzzer (not shown).
[0164] In order to help the routines 41 and 42 to collectively
process a block where the partition member 75 is removed, the
manual partition condition configuration routine 44 configures, in
designating in the partition availability data 48 that the
partition member 75 is removed, the associated fields in the
medical resource information table 47 such that field values (i.e.,
codes and names maintained) corresponding to the locations of
storage identified as being located on both sides of the depression
71 from which the partition member 75 is removed, match. The manual
partition condition configuration routine 44 returns the field
values to their original values in designating in the partition
availability data 48 that the partition member 75 is inserted.
[0165] In addition, the control unit 30 acquires operator
identification information by requesting an operator to input
operator identification information each time an operation is
carried out. Alternatively, the control unit 30 acquires operator
identification information input by an operator in advance of an
operation. The control unit 30 also stores, in the log data 49,
related information then collected by automatic detection etc.
together with a time stamp. The data stored is also output via the
LAN 37. The process is performed in the manual partition condition
configuration routine 44 as well as in the retrieval guidance
routine 41.
[0166] The mode of using the medical resource storage and
management apparatus according to the illustrative embodiment 1-1
and its operation will be described with reference to the drawings.
FIGS. 4A-4B illustrate the operation of the medical resource
storage and management apparatus. FIG. 4A shows an empty condition;
and FIG. 4B shows a condition in which a small medical resource is
stored.
[0167] FIGS. 5A-5D also illustrate the operation of the medical
resource storage and management apparatus. FIG. 5A shows a
condition in which one partition member is removed from the rack
while the partition is empty; FIG. 5B shows a condition in which a
medium-sized medical resource is stored; FIG. 5C shows a condition
in which a large medical resource is stored where two partition
members are removed; and FIG. 5D shows a condition in which
detection results from medical resource detecting members do not
match.
[0168] Prior to the operation of the medical resource storage and
management apparatus 20, a desired number of racks 70 are set in
the storage part of the housing 22, and the partition members 75
are inserted into the depressions 71 in each rack 70. The medical
resource information configuration routine 43 in the control unit
30 is started by an operation using the keyboard 33 or the mouse 34
so as to set the identification code and the displayed name of the
medical resources 10 in the respective fields in the medical
resource information table 47. The manual partition condition
configuration routine 44 in the control unit 30 is started by an
operation using the keyboard 33 or the mouse 34 so as to designate
whether the partition members 75 are inserted into the depressions
71 in the rack 70, in the respective fields in the partition
availability data 48. The medical resource availability data 46 and
the log data 49 are cleared by a suitable initialization routine
(not shown).
[0169] This completes preparation for operation. The operating
conditions of the medical resource storage and management apparatus
20 will be described specifically. The operation for storage
(replenishment or return) and associated updating of data, and the
operation for retrieval and associated updating of data will now be
described in the cases where: the partition members 75 are inserted
into all of the depressions 71 (FIGS. 4A and 4B); a partition
member 75 is removed from one of the depressions 71 (see FIGS. 5A
and 5B); and two partition members 75 are removed from two adjacent
depressions 71 (FIGS. 5C and 5D).
[0170] When the partition members 75 are inserted into all of the
depressions 71 (see FIGS. 4A and 4B) and when the medical resources
10 are not stored yet (see the top row of FIG. 4A), the fields in
the medical resource information table 47 contain individual values
(see A-E in the second row from top in FIG. 4A, where A-E denote
different codes and names). The fields in the medical resource
availability data 46 all contain "0", indicating the absence of
medical resources (see the third row from top in FIG. 4A), and the
fields in the partition availability data 48 all contain "1",
indicating that the presence of the partition members (see the
fourth row from top in FIG. 4A).
[0171] When a medical resource 10 is stored on the rack 70 (see the
top row of FIG. 4B), the medical resource information table 47 and
the partition availability data 48 remain unchanged (see the second
and fourth rows from top in FIG. 4B). Meanwhile, the associated
field in the medical resource availability data 46 is updated by
the medical resource detection routine 42 to "1", indicating the
presence of a medical resource (see the third row from top in FIG.
4B). The medical resource detection routine 42 retrieves the code
and name of the medical resource 10 (in the illustrated embodiment,
"C") from the medical resource information table 47. The medical
resource detection routine 42 further requests the input of
operator identification information. These items of information are
appended to the log data 49, printed by the printer 36 and reported
to the host medical management computer via the LAN 37.
[0172] For retrieval of the medical resource 10 thus stored from
the medical resource storage and management apparatus 20, a
retrieval instruction including the code "C" and the operator
identification information are input to the control unit 30 by an
operation using the barcode reader 35 or the like. This prompts the
retrieval guidance routine 41 in the control unit 30 to search the
medical resource information table 47 and check the associated
field in the medical resource availability data 46. In this case,
the value "1" is found in the field, showing that the medical
resource is available, whereupon the retrieval guidance member 72
at the associated location is lighted (see the bottom row of FIG.
4B). The operator viewing this can take out the target medical
resource 10 without fail.
[0173] When the medical resource 10 is taken out, the medical
resource detection routine 42 updates the value entered in the
associated field in the medical resource availability data 46 to
"0", indicating the absence of medical resources. The information
is combined with the code and name (in the illustrated embodiment,
"C") supplied from the retrieval guidance routine 41, and with
operator identification information. The combined information is
appended to the log date 49, printed by the printer 36 and reported
to the host medical management computer via the LAN 37. When the
retrieval guidance member 72 of the associated location is turned
off, the operating condition returns to a pre-storage state (see
FIG. 4A).
[0174] When a partition member is removed from one of the
depressions 71 (see FIGS. 5A and 5B), the manual partition
condition configuration routine 44 is started by an operation using
the keyboard 33 or the mouse 34, before storing a medical resource
10 therein (see the top row of FIG. 5A). An instruction for update
is entered so as to change the value in the associated field in the
partition availability data 48 to "0", indicating the absence of
the partition member (see the fourth row from top in FIG. 5A). This
prompts the manual partition condition configuration routine 44 to
automatically update the medical resource information table 47 so
that the values in the fields, corresponding to the locations of
storage identified as being located on both sides of the recess 71
from which the partition member 75 is removed, match (see "BB" in
the second row from top in FIG. 5A). All the fields in the medical
resource availability data 46 contain "0" (see the third row from
top in FIG. 5A).
[0175] When a medical resource 10 twice as wide is stored in a part
on the rack from which the partition member 75 is removed (see the
top row of FIG. 5B), the medical resource information table 47 and
the partition availability data 48 remain unchanged (see the second
and fourth rows from top in FIG. 5B). Meanwhile, the values in the
two associated fields in the medical resource availability data 46
are changed by the medical resource detection routine 42 to "1",
indicating the presence of the medical resource (see the third row
from top in FIG. 5B). The medical resource detection routine 42
retrieves the code and name of the medical resource 10 (in the
illustrated embodiment, "B") from the medical resource information
table 47. The medical resource detection routine 42 further
requests the input of operator identification information. These
items of information are appended to the log data 49, printed by
the printer 36 and reported to the host medical management computer
via the LAN 37.
[0176] For retrieval of the medical resource 10 thus stored from
the medical resource storage and management apparatus 20, a
retrieval instruction including the code "B" and the operator
identification information are input to the control unit 30 by an
operation using the barcode reader 35 or the like. This prompts the
retrieval guidance routine 41 in the control unit 30 to search the
medical resource information table 47 and select the two adjacent
fields (see "BB" in the second row from top in FIG. 5B), and then
to check the two associated fields in the medical resource
availability data 46. In this case, the two fields contain "1",
indicating that the medical resource is available, whereupon the
two adjacent retrieval guidance members 72 at the associated
locations are lighted at a time (see the bottom row of FIG. 5B).
The operator viewing this will not find any difficulty in taking
out the target medical resource 10.
[0177] When the wide medical resource 10 is taken out, the medical
resource detection routine 42 updates the values entered in the two
associated fields in the medical resource availability data 46 to
"0", indicating the absence of medical resources. The information
is combined with the code and name (in the illustrated embodiment,
"B") supplied from the retrieval guidance routine 41, and with
operator identification information. The combined information is
appended to the log date 49, printed by the printer 36 and reported
to the host medical management computer via the LAN 37. When the
retrieval guidance members 72 at the associated locations are
turned off at a time, the operating condition returns to a
pre-storage state (see FIG. 5A).
[0178] In the case where the two partition members 75 are removed
from the adjacent two depressions 71 (see FIG. 5C), the operation
will easily be surmised from the above explanation so that a
detailed explanation will not be repeated. It will be noted that a
medical resource 10 three times as wide can be stored (see the top
row of FIG. 5C). When the manual partition condition configuration
routine 44 is started so as to update the values in the two
associated fields in the partition availability data 48 to "0",
indicating the absence of a partition member (see the fourth row
from top in FIG. 5C), the values in the three associated fields in
the medical resource information table 47 are made to match (see
"BBB" in the second row from top in FIG. 5C).
[0179] When a medical resource 10 three times as wide is stored
(see the top row of FIG. 5C), each of the three associated fields
in the medical resource availability data 46 is updated to contain
"1" (see the third row from top in FIG. 5C), and relevant
information is appended to the log data 49.
[0180] When a retrieval instruction including the code "B" is input
to the control unit 30, the three associated fields in the medical
resource information table 47 (see "BBB" in the second row from top
in FIG. 5C) are selected, and then the three associated fields in
the medical resource availability data 46 are checked. In this
case, the three fields contain "1", showing a match. Thereupon, the
three adjacent retrieval guidance members 72 at the associated
locations are lighted at a time (see the bottom row of FIG. 5C).
The operator viewing this will not find difficulty in taking out
the target medical resource 10.
[0181] When a medical resource 10 smaller than the location of
storage three times as wide (e.g., a medical resource 10 twice as
large) is stored (see FIG. 5D), two of the three associated fields
in the medical resource availability data 46 are changed to "1",
while one field continues to store "0" (see the third row from top
in FIG. 5D). This results in incompatibility between the medical
resource availability data 46 and the partition availability data
48 as checked by the medical resource detection routine 42, in
respect of the three fields to be collectively processed. If the
condition of incompatibility (failure to match) continues beyond a
maximum period of time required for storage or retrieval of the
medical resource 10, the medical resource detection routine 42
issues an alarm.
[0182] When the medical resource 10 twice as wide is taken out, the
three retrieval guidance members 72 at the associated locations are
lighted by the retrieval guidance routine 41 (see the bottom row of
FIG. 5D). This makes it obvious that the medical resource 10 is
inordinately smaller than the width of the location of storage and
that an improper medical resource 10 was stored. Therefore,
incorrect storage or misuse can be prevented.
[0183] When the medical resource detecting member 73 goes out of
order, incompatibility as described above continues to occur, and
the alarm continues to be issued. In this case, however, the
breadth of the medical resource 10 is larger than the range of
retrieval guidance members 72 being lighted so that abnormality of
the device is known.
Illustrative Embodiment 1-2
[0184] A specific structure of the illustrative embodiment 1-2 of
the medical resource storage and management apparatus according to
the first embodiment will be described with reference to the
associated drawings. FIGS. 6A and 6B show the structure of the
medical resource storage and management apparatus 20. FIG. 6A is an
expanded perspective view of the rack 70 and the partition members
75; and FIG. 6B is a functional block diagram of the control unit
30.
[0185] The medical resource storage and management apparatus 20
according to this embodiment differs from that of the illustrative
embodiment 1-1 in that partition detecting members 74 are added and
the manual partition condition configuration routine 44 is replaced
by an automatic partition condition configuration routine 45.
[0186] The partition detecting member 74 (see FIG. 6A) is
implemented by a mechanical switch, a reflective photosensor, a
capacity sensor or the like. The partition detecting member 74 is
embedded in the top face of the rack 70 to face upward so as to
sense the lower end face of the partition member 75 inserted into
the depression 71 on the top face of the rack 70, and is placed at
respective locations of insertion of the partition members 75 in
the rack 70. In this example, the partition detecting member 74 is
provided between a pair of depressions 71 arranged in a width
direction in order to detect whether the partition member 75 is
inserted in its location. The partition member 74 outputs a binary
signal which turns on and off according to whether the partition
member 75 is available.
[0187] The automatic partition condition configuration routine 45
(see FIG. 6B) is started periodically and automatically by a timer,
etc. or irregularly and automatically started by an interruption
initiated in the event of a change in a detection signal from the
partition detecting member 74. The automatic partition condition
configuration routine 45 updates the partition availability data 48
based on the detection by the partition detecting member 74. More
specifically, each time the automatic partition condition
configuration routine 45 is started, it imports the detection
results from all partition detecting members 74 or those results
changed since its last import, and writes "1" or "0" in the
partition availability data 48 in association with the on-off
condition. The other functions (e.g., automatic updating of the
medical resource information table 47) are the same as those of the
manual partition condition configuration routine 44. This
arrangement allows the control unit 30 to collectively process a
block of medical resource detecting members 73 and retrieval
guidance members 72 identified as being located on both sides of
the depression 71 from which the partition member 75 is removed, in
accordance with the detection by the partition detecting members
74.
[0188] In this case, removal of the partition member 75 from the
depression 71 in the rack 70 or insertion of the partition member
75 into the depression 71 on the rack 70 need not be designated by
manual input for configuration. The removal or insertion is
detected by the partition detecting member 74, and the partition
availability data 48 is automatically configured by the automatic
partition condition configuration routine 45. This will prevent
incompatibility between the insertion condition of the partition
member 75 and the partition availability data 48 from occurring due
to a failure to provide an input for configuration.
[0189] The other usage modes and operations are the same as those
of the illustrative embodiment 1-1 described above.
Illustrative Embodiment 1-3
[0190] The partition member 75 and the rack 70 shown in a
perspective view of FIG. 7A differ from those of the illustrative
embodiments 1-1 and 1-2 in that the partition member 75 is formed
by bending a round bar instead of as a plate, and that the
depression 71 is a bottomed hole instead of a through hole. The
partition detecting member 74 is embedded in the rack 70 so as to
face a light-emitting device 74a across the depression 71. Whether
or not the partition member 75 is inserted is detected depending on
whether light emitted from the light-emitting device 74a is
shielded by the fitting 76 at the end of the partition member 75 or
received by the partition detecting member 74.
[0191] The partition member 75 and the rack 70 shown in a
perspective view of FIG. 7B differ from those of the illustrative
embodiments 1-1 and 1-2 in that the longitudinal cross section of
the partition member 75 is of an inverted T shape, and that the
depression 71 is formed as a groove. In this case, the partition
member 75 is inserted into the depression 71 by slipping the
fitting 76 at the lower end of the partition member 75 into the
depression 71.
[0192] The partition member 75 and the rack 70 shown in a
perspective view of FIG. 7C differ from those of the illustrative
embodiments 1-1 and 1-2 in that the partition member 75 is formed
by bending a round bar instead of as a plate, and that the
depression 71 is formed as a notch or bore formed at the front and
back of the rack 70 instead of on the top face thereof. In this
case, the partition member 75 is inserted into the depression 71
and secured and stabilized therein by a snapping force, by
extending the fittings 76 at both ends of the partition member 75
before inserting them in the depression 71.
Illustrative Embodiment 1-4
[0193] An illustrative embodiment 1-4 of the medical resource
storage and management apparatus according to the first embodiment
will be described with reference to the associated drawings. FIGS.
8A-8C show conditions of replenishment of medical resources. FIGS.
8A-8C are screen shots. FIGS. 9A-9C also show conditions of
replenishment of medical resources. FIG. 9A is a perspective view
of the rack fitted with partition members; FIG. 9B is a perspective
view showing how identification information is read from a medical
resource; and FIG. 9C is a perspective view of the rack storing a
medical resource.
[0194] This medical resource storage and management apparatus
differs from the aforementioned embodiments of the apparatus in
that guidance is displayed in replenishing as well as in retrieving
a medical resource, and that the display 32, the keyboard 33 and
the mouse 34 are implemented as a touch panel 39.
[0195] In a normal operation (see FIG. 8A), information on the
medical resource 10 retrieved from the medical resource storage and
management apparatus is arranged chronologically and displayed on
the touch panel 39 on a real time basis. A direct finger-touch
selection of any the items 39a displayed on the screen causes
relevant details to be displayed for review. Guidance for
replenishment is also displayed in accordance with a specific
operation for selection.
[0196] More specifically, selecting a replenishment button 39b
displayed on the screen while in a normal operation (see FIG. 8A)
switches the display of the touch panel 39 to a replenishment mode
selection screen (see FIG. 8B). By entering information on an
operator who replenishes a medical resource, selection of a
"registered" button 39c and/or a "new registration" button is
available. By selecting the "new registration" button, the operator
can register the code (code No.) identifying the medical resource
10 that can be stored in a location of storage (address) and the
name for screen display (medical resource name). If the
registration is complete, selection of the "registered" button 39c
is enabled. The "registered" button 39c is selected when the
display of guidance for replenishment is desired.
[0197] The selection switches to the screen of the touch panel 39
showing a list of registered resources (see FIG. 8C). After
confirming that a location for storage is shown as being empty, the
operator scrolls the screen as necessary by using a scroll button
39f so as to directly select a field 39d for a relevant medical
resource 10 with the finger.
[0198] If the number of empty locations 39e designated as capable
of storing the medical resource (e.g., a tube in a case) is three
(i.e., three tubes can be stored), the three retrieval guidance
members 72 in the empty locations are all lighted because, in this
example, the retrieval guidance member 72 also serves as a
replenishment destination guidance member (see FIG. 9A).
[0199] The operator proceeds to scan the barcode (identification
information) assigned to the medical resource 10 about to be
stored, by using the barcode reader 35 (see FIG. 9B) for checking,
before storing the medical resource 10 in one of the locations on
the rack 70 lighted by the guidance member. This turns off all of
the guidance members (see FIG. 9C), and the log data, indicating
the identity of the operator who replenished the resource, the
identify of the resource replenished and the location of
replenishment, is recorded with a time stamp.
[0200] Thus, guidance display is provided properly and a job record
is maintained properly for replenishment. In this example, the
selection of the field 39d on the screen showing a list of
registered resources, and the scanning of the identification
information assigned to the medical resource 10 by using the
barcode reader 35 are both performed to reinforce checking.
However, only one of the tasks may be performed since it serves the
purpose of identifying a medical resource 10. In another
alternative, the operator may be allowed to complete both tasks,
but guidance display guiding the operator to the destination of
replenishment may not require completion of both tasks but may be
immediately provided upon completion of one of the tasks.
[0201] [Other Points of Note]
[0202] The medical resource 10 may be packaged, bundled or
contained in a case or a container. Suitable for storage in the
medical resource storage and management apparatus 20 according to
the first embodiment of the present invention are those relatively
stable in form that can stand on its own while in storage (for
example, those contained in a container with the shape of a CD case
or a rectangular box). Examples of such medical resources are tube
sets for injection/infusion, small and short-length catheters and
sets of articles including the same.
[0203] In the first embodiment, the control unit 30 is accommodated
in the electric equipment 21. Alternatively, the control unit 30
may be placed outside the housing 22. The input and output means of
the control unit 30 may not be restricted to the display 32, the
keyboard 33 and the like mentioned above and may be implemented by
a touch panel or a mobile information terminal.
[0204] In the first embodiment, the medical resource detection
routine 42 is designed to associate the on and off states of the
result of detection by the medical resource detecting member 73
with the storage and retrieval of the medical resource 10,
respectively. It is easy to expand the capabilities to
automatically manage the return of a medical resource 10 once taken
out and not used. For example, a determination may be made that a
resource is not replenished but returned, if retrieval and storage
are conducted successively in a short time span, or if a resource
is stored in one of the modes of operation introduced in the
control unit 30 in which mode an action of retrieval is restricted.
In this case, information indicating the return may suitably be
appended to the log data 49 or other output data. In addition to
data storage and output, provisions may also be made for management
of expiration dates, stock control, preparation of drug history and
inspection.
Second Embodiment
[0205] A second embodiment of the present invention relates to a
medical resource storage and management apparatus which arranges
and stores medical resources and also performs management of
storage status, and, more particularly, to a medical resource
storage and management apparatus which automatically manages
availability of medical resources at each location of storage and
also guides a user for retrieval.
[0206] A summary of the second embodiment will be given.
[0207] A first medical resource storage and management apparatus
according to the second embodiment comprises: a rack in which a
series of depressions for insertion of partition members are formed
so that a large number of medical resources are retrievably placed
in respective partitions; partition members which are removably
inserted into the depressions; medical resource detecting members
which are arranged on the rack so as to alternate with the
depressions in a direction in which the depressions are arranged,
and each of which detects whether or not a medical resource is
placed; retrieval guidance members for visual guidance which are
arranged on the rack so as to alternate with the depressions in a
direction in which the depressions are arranged; and a control unit
which manages the storage status of the medical resources, based on
the detection by the medical resource detecting members and which
operates one of the retrieval guidance members in response to an
input designating retrieval, wherein a medical resource name plate
for visual guidance is attached to a partition member via a
connecting member such that the connecting member is moved up and
down depending on whether a medical resource is placed and as a
result of interference between the connecting member and the
medical resource, and that the medical resource name plate is
located in a space where retrieval of a medical resource takes
place, and is moved in association with the connecting member, and
wherein the medical resource detecting member indirectly detects
whether or not a medical resource is placed by detecting whether
the medical resource name plate is raised or lowered.
[0208] A second medical resource storage and management apparatus
according to the second embodiment is a modification to the first
medical resource storage and management apparatus, wherein the
medical resource name plate, when elevated in association with the
placement of a medical resource in the associated location, is
located above the retrieval guidance member in the associated
location. The medical resource name plate, when lowered in response
to the retrieval of the medical resource from the associated
location, shields the retrieval guidance member in the associated
location from view.
[0209] A third medical resource storage and management apparatus
according to the second embodiment is a modification to the first
medical resource storage and management apparatus or the second
medical resource storage and management apparatus, wherein the
control unit allows providing an input for configuration to
designate whether the partition member is inserted into the
depression, and, based on the configuration, the control unit
collectively processes the medical resource detecting members and
the retrieval guidance members identified as being located on both
sides of the depression from which the partition member is
removed.
[0210] A fourth medical resource storage and management apparatus
according to the second embodiment is a modification to the first
medical resource storage and management apparatus or the second
medical resource storage and management apparatus and comprises a
partition detecting member which detects whether the partition
member is inserted into the depression, wherein, based on the
detection by the partition, the control unit collectively processes
the medical resource detecting members and the retrieval guidance
members identified as being located on both sides of the depression
from which the partition member is removed.
[0211] A fifth medical resource storage and management apparatus
according to the second embodiment is a modification to the third
medical resource storage and management apparatus or the fourth
medical resource storage and management apparatus, wherein the
control unit issues an alarm if the results of detection by the
medical resource detecting members in a block to be processed
collectively continue to fail to match beyond a predetermined
period of time.
[0212] In the first medical resource storage and management
apparatus, the medical resources are arranged on the rack such that
the locations of storage are partitioned by the partition members.
Therefore, it is easy to retrievably align and store medical
resources without accommodating them in cassettes and to prevent
disarrangement of the medical resources stored and resultant
disorganization.
[0213] Since the medical resource detecting member and the
retrieval guidance member are placed in respective partitions on
the rack, it is possible to detect whether each medical resource is
stored for automatic management and to properly guide a user to the
location of storage of the medical resource to be retrieved.
[0214] Since the partition member can be removed from the rack and
the location of insertion is formed as a depression, a relatively
large medical resource can be placed where the partition member is
removed.
[0215] Since the medical resource name plate is attached to the
partition member in an easy-to-view space where retrieval of a
medical resource takes place, not only the product name or the like
of the medical resource to be stored can be identified at a glance
but also the replacement of a medical resource name plate can be
performed readily in association with a size change effected by
attachment or detachment of a partition member.
[0216] As a medical resource is stored or taken out, the medical
resource name plate is moved up or down in association with the
connecting member. The medical resource detecting member indirectly
and automatically detects whether or not the medical resource is
placed by detecting whether the medical resource name plate is
raised or lowered. Accordingly, availability of the medical
resource is visually confirmed even if the medical resource name
plate is in front of the medical resource. This makes it possible
to indirectly detect a medical resource even when it is difficult
to detect, for example, the bottom thereof due to the form or
material of the medical resource.
[0217] Thus, even with a simple apparatus in which racks are
partitioned and medical resources are arranged, a large variety of
large and small medical resources can be stored in the least
confusing manner. Even those resources that are not suitable for
direct detection can also be detected properly for automatic
management.
[0218] Thus, the first medical resource storage and management
apparatus provides capability for easily and properly storing and
retrieving medical resources, and automatically and accurately
keeping track of storage status.
[0219] In the second medical resource storage and management
apparatus, the retrieval guidance member is viewable when the
medical resource is stored, and is shielded from view when the
medical resource is taken out. With this, the availability of the
medical resource can be visually identified not only by viewing the
up and down movement of the medial resource name plate but also by
seeing whether or not the retrieval guidance member is shielded
from view. Moreover, the likelihood of misidentifying the operating
status of the retrieval guidance member is reduced.
[0220] In the third medical resource storage and management
apparatus, not only the partition members are removably attached
but also whether or not the partition member is inserted is
designated by providing an input for configuration in the control
unit, allowing the control unit to collectively process medical
resource detecting members and retrieval guidance members in a
block. Therefore, a user will not be at a loss or face any
inconvenience in handling and management even if there are multiple
medical resource detecting members or retrieval guidance members
where a single, large medical resource resides.
[0221] Thus, even with a simple apparatus in which racks are
partitioned and medical resources are arranged, a large variety of
large and small medical resources can be easily stored for
automatic management by means of attachment and detachment of
partition members and by an input of associated information for
configuration.
[0222] According to the fourth medical resource storage and
management apparatus, convenience is enhanced by additionally
ensuring that whether or not the partition member is inserted is
automatically detected and reflected in the control.
[0223] According to the firth medical resource storage and
management apparatus, reliability is enhanced while avoiding an
increase in hardware cost, by exploiting the redundancy of results
of detection by multiple medical resource detecting members in a
single block and detecting an error accordingly.
[0224] Specific embodiments of the medical resource storage and
management apparatus according to the second embodiment will be
described below using illustrative embodiments 2-1 through 2-5.
[0225] The illustrative embodiment 2-1 shown in FIGS. 10A-14D is an
embodiment of the first through third and the fifth medical
resource storage and management apparatuses mentioned above. The
illustrative embodiment 2-2 shown in FIGS. 15A-15B is an embodiment
of the fourth medical resource storage and management apparatus
mentioned above. The illustrative embodiment 2-3 shown in FIGS.
16A-16C, the illustrative embodiment 2-4 shown in FIGS. 17A-17C and
the illustrative embodiment 2-5 shown in 18A-19C are
variations.
[0226] In the illustration, fasteners such as bolts, connectors
such as hinges, electronic circuits such as drivers are omitted for
brevity, highlighting those elements necessary to explain the
embodiment and related elements.
Illustrative Embodiment 2-1
[0227] A specific structure of the illustrative embodiment 2-1 of
the medical resource storage and management apparatus according to
the second embodiment will be described with reference to the
associated drawings. FIGS. 10A-10D show the mechanical structure of
the medical resource storage and management apparatus. FIG. 10A is
a front view showing a door closed; FIG. 10B is a front view
showing the door opened; FIG. 10C is a perspective view of a rack
and partition members; and FIG. 10D is a perspective view showing
the appearance of the rack in which the partition members are
fitted. FIGS. 11A and 11B show the schematic structure of a control
unit. FIG. 11A is a schematic block diagram showing the connection
between the control unit and retrieval guidance members; and FIG.
11B is a functional block diagram of the control unit. FIGS.
12A-12C show the data structure of the control unit. FIG. 12A
relates to a medical resource information table; FIG. 12B relates
to medical resource availability data; and FIG. 12C relates to
partition availability data.
[0228] A medical resource storage and management apparatus 120 (see
FIGS. 10A and 10B) is provided with a housing 122 a large portion
of which is for storage and a part of which comprises electric
equipment 121. The electric equipment 121 stores a control unit 130
and a power supply unit etc. (not shown). The front of the storage
part of the housing 122 is provided with an openable door 124 with
a handle 123. The door 124 may be implemented by a shutter or the
like, or may be omitted. Inside the storage part exposed when the
door 124 is opened is provided a rack 160. Although there may be
only one rack 160, an orthodox apparatus would comprise multiple
tiers. The pitch between the racks 160 may be selectable. The rack
160 is implemented by a horizontally extending plate with a flat
top face. Partition members 165 formed as thin plates are fitted to
the top face thereof at regular or irregular pitches in a
longitudinal direction (in the figure, sideways) in order to place
a large number of medical resources in respective partitions
retrievably.
[0229] Two rows of depressions 161 to fit partition members are
formed on the top face of the rack 70 (see FIGS. 10C and 10D) at
regular or irregular pitches in a longitudinal direction (in the
figures, sideways). Two fittings 166 are formed at the lower end of
each of the partition members 165. In this example, the fitting 166
is a small round bar and the depression 161 is a through hole. By
inserting the fitting 166 into the depression 161, the partition
member 165 is removably fitted to the depression 161 in the rack
160. A medical resource name plate 167, a connecting member 168,
and a pivot shaft 169 are attached to one side (in the illustrated
example, the right side) of the partition member 165.
[0230] One end of the pivot shaft 169 is secured to the partition
member 165 toward the back thereof; one end of the connecting
member 168 is pivotally connected to the other end of the pivot
shaft 169; and the medical resource name plate 167 is secured to
the other end of the connecting member 168 extending to the front.
Thus, by pivotally moving the connecting member 168, the medical
resource name plate 167 is moved up and down in association with
the connecting member 168 in an easy-to-view space where retrieval
of a medical resource takes place (more specifically, slightly in
front of the front of the rack 160).
[0231] The front of the rack 160 exposed when the door 124 is
opened is equipped with retrieval guidance members 162 and medical
resource detecting members 163 in close proximity with each other.
The retrieval guidance members 162 and the medical resource
detecting members 163 are arranged in the rack 160 so as to
alternate with the depressions 161 in a direction in which the
depressions 161 are arranged, i.e., in the longitudinal direction
of the rack 160.
[0232] When the partition member 165 is inserted into the
depression 161 on the top face of the rack 160 and when the
connecting member 168 and the medical resource name plate 167 are
allowed to make a pivotal movement freely, the member 168 and the
plate 167 are lowered under their own weight until the connecting
member 168 comes into contact with the top face of the rack 160 and
the medical resource name plate 167 in front thereof is lowered to
the front of the rack 160. This shields the retrieval guidance
member 162 and the medical resource detecting member 163 at the
front of the rack 160 from view (see FIG. 10D). The medical
resource name plate 167, as it is lowered in response to the
retrieval of the medical resource from the associated location,
shields the associated retrieval guidance member 162 from view.
[0233] When the medical resource name plate 167 is raised so as to
store a medical resource 110 on the rack 160, the connecting member
168 rests on the medical resource 110 instead of on the rack 160,
causing the medical resource name plate 167 to remain at an
elevated position. The medical resource name plate 167 is located
above the associated retrieval guidance member 162, revealing the
retrieval guidance member 162 and the medical resource detecting
member 163 at the front of the rack 160 for view. The medical
resource detecting member 163 provided at the front of the rack 160
does not sense the medical resource 110 placed on the rack 160 but
senses the medical resource name plate 167 immediately in front of
the rack 160. Due to this and the fact that the medical resource
name plate 167 is moved up and down in response to the
storage/retrieval of the medical resource 110 as a result of
interference between the connecting member 168 and the medical
resource 110, the medical resource detecting member 163 indirectly
detects whether or not the medical resource 110 is placed by
detecting whether the medical resource name plate 167 is raised or
lowered.
[0234] In order to detect the medical resource name plate 167 for
indirect detection of the medical resource 110, each of the medical
resource detecting members 73 is implemented by a mechanical
switch, a reflective photosensor, a capacity sensor or the like, so
as to output a binary signal which turns on and off according to
whether the medical resource name plate 167 is raised or
lowered.
[0235] In order to visually guide a user to the location of
placement of the medical resource 110 to be retrieved, a miniature
bulb, a light-emitting diode or the like that can be turned on and
off is used as the retrieval guidance member 162.
[0236] The control unit 130 (see FIG. 11A) comprises a programmable
controller such as a personal computer and a sequencer. A local
area network (LAN) connects the control unit 130 to the retrieval
guidance members 162 and the medical resource detecting members 163
via, for example, a rack controller 131. Alternatively, the control
unit 130, the retrieval guidance members 162 and the medical
resource detecting members 163 are in direct star connection (not
shown). The connection enables retrieving detection results of the
medical resource detecting members 163 and controlling the lighting
of the retrieval guidance member 162.
[0237] The control unit 130 (see FIG. 11B) is provided with a
display 132 for screen display, a keyboard 133 for key entry, a
mouse 134 for inputting instructions etc. on a screen, a bar code
reader 135 for reading identification information, a printer 136
for delivering printouts, an interface for a local area network
(LAN) 137 which is responsible for communication with a
prescription order-entry system etc., and a hard disk 138 as a
secondary storage.
[0238] A retrieval guidance routine 141, a medical resource
detection routine 142, a medical resource information configuration
routine 143, and a manual partition condition configuration routine
144 are installed in the control unit 130, as programs for managing
the storage status of medical resources, based on the detection by
the medical resource detecting members 163, and for operating
selected retrieval guidance members 162 in response to an input
designating retrieval. The hard disk 138 stores medical resource
availability data 146, a medical resource information table 147,
partition availability data 148, and log data 149, which are
divided into individual files or are unified in an appropriate
database. The figures show (see FIGS. 12A-12C) the data 146, 147
and 148 maintained in a table format. Each table comprises a
6.times.21 matrix, in association with the fact that the racks 160
form six tiers and the maximum number of partitions in each rack
160 (i.e., the maximum number of the partition members 165, the
retrieval guidance members 162 and the medical resource detecting
members 163) is twenty one.
[0239] Each field in the medical resource information table 147
(see FIG. 12A) contains an identification code and a name displayed
on a screen for the medical resource 110 which is stored or can be
stored in an associated location. "1" or "0" is written in the
medical resource availability data 146 (see FIG. 12B), "1",
indicating that the medical resource 110 is stored in the
associated location, and "0", indicating that no medical resources
110 are stored. "1" or "0" is written in the partition availability
data 148 (see FIG. 12C), "1", indicating that the partition member
165 is inserted, and "0", indicating that the partition member 165
is removed from the associated location. The medical resource
information table 147 should be configured at least once before
operating the apparatus for the first time since its installation.
Therefore, the table is usually initialized upon starting the
apparatus and updated when the operation is stopped. The partition
availability data 148 is also initialized so that the insertion
condition of the partition member 165 is reflected before the
initial operation. Configuration inputs for update are also
provided when the partition member 165 is attached or detached. The
medical resource availability data 146 is all cleared by
initialization before the initial operation, and is subsequently
updated with each storage or retrieval of the medical resource
110.
[0240] The medical resource information configuration routine 143
is started by the keyboard 133 or mouse 134 operation. When dumping
from a medicine master file located on a host computer via the LAN
137 is dictated in an environment where such an action is possible,
the medical resource information configuration routine 143 dumps
the data. The routine 143 also allows the user to set the code or
name of the medical resource 110 in the medical resource
information table 147 by selecting an item using the mouse 134 or
entering data using the keyboard 133, while viewing screen display
on the display 132.
[0241] The manual partition condition configuration routine 144 is
also started by the keyboard 133 or mouse 134 operation. The
routine 144 allows the user to provide an input for configuration
to designate in the partition availability data 148 whether the
partition member 165 is inserted into the depression 161 in the
rack 160, by selecting an item or toggling using the mouse 134 or
the keyboard 133, while viewing screen display on the display
132.
[0242] The medical resource detection routine 142 is started
periodically and automatically by a timer etc. or irregularly and
automatically started by an interruption initiated in the event of
a change in a detection signal from the medical resource detecting
member 163. The medical resource detection routine 142 manages the
storage status of the medical resources 110 based on the detection
by the medical resource detecting members 163. More specifically,
each time the medical resource detection routine 142 is started, it
imports the detection results from all medical resource detecting
members 163 or those results changed since its last import, and
writes "1" or "0" in the medical resource availability data 146 in
association with the on-off condition. When the detection result
from the medical resource detecting member 163 undergoes an on/off
change and the storage or retrieval of the medical resource 110 is
detected accordingly, the medical resource detection routine 142
appends information indicating the detection to the log data 149
with a time stamp, causes the printer 136 to deliver a printout
which carries the name listed in the associated field in the
medical resource information table 147, and submits a report to a
host medical management computer via the LAN 137.
[0243] The retrieval guidance routine 141 is started when the code
of the medical resource 110 or a prescription ID number is entered
by allowing the barcode reader 135 to read the code or the ID, or
by using the keyboard 133 or the mouse 134, in order to operate one
of the retrieval guidance members 162 in response to an input
designating retrieval. The retrieval guidance routine 141 searches
the medical resource information table 147 to determine the
location of storage of the medical resource 110 designated to be
retrieved via the reading or via the mouse or keyboard operation,
and lights the medical resource detecting member 163 at the
associated location. The medical resource detection routine 142 is
responsible for turning the medical resource detecting member 163
off when the retrieval of the medical resource 110 at the
associated location is detected.
[0244] The retrieval guidance routine 141 and the medical resource
detection routine 142 learn whether or not the partition member 165
is inserted, and collectively process the medical resource
detecting members 163 and the retrieval guidance members 162
identified as being located on both sides of the depression 161
from which the partition member 165 is removed.
[0245] The retrieval guidance routine 141 and the medical resource
detection routine 142 issue an alarm if the results of detection by
the medical resource detecting members 163 in a block to be
processed collectively continue to fail to match beyond a
predetermined period of time.
[0246] More specifically, the retrieval guidance routine 141 refers
to the medical resource availability data 146 to check whether the
partition member 165 is inserted to the left or right of a location
of storage, before lighting the medical resource detecting member
163. If "0" is entered to the left or right, indicating that the
partition member 165 there is removed, the associated, adjacent
retrieval guidance member 162 is also lighted. In association with
this, the medical resource detection routine 142 performs a similar
check by referring to the medical resource availability data 146 in
turning off the retrieval guidance member 162, and turns off the
retrieval guidance members 162 in the block at a time.
[0247] The medical resource detection routine 142 also performs,
upon detecting the storage or retrieval of the medical resource
110, a similar check by referring to the medical resource
availability data 146 before changing the value of the medical
resource availability data 146. If a series of adjacent partitions
are to be processed as a single block, the medical resource
detection routine 142 examines whether the values from the medical
resource detecting members 163 in the single block match. If the
values match, the routine 142 terminates the process normally; if
the values do not match, the routine 142 continues the monitoring.
If the values from the medical resource detecting members 163 in
the block continue to fail to match beyond a maximum period of time
required for storage or retrieval of the medical resource 110 while
the monitoring is proceeding, the medical resource detection
routine 142 displays an alarm on the display 132 or sounds an alarm
buzzer (not shown).
[0248] In order to help the routines 141 and 142 to collectively
process a block where the partition member 165 is removed, the
manual partition condition configuration routine 144 configures, in
designating in the partition availability data 148 that the
partition member 165 is removed, the associated fields in the
medical resource information table 147 such that field values
(i.e., codes and names maintained) corresponding to the locations
of storage identified as being located on both sides of the
depression 161 from which the partition member 165 is removed,
match. The manual partition condition configuration routine 144
returns the field values to their original values in designating in
the partition availability data 148 that the partition member 165
is inserted.
[0249] In addition, the control unit 130 acquires operator
identification information by requesting an operator to input
operator identification information each time an operation is
carried out. Alternatively, the control unit 130 acquires operator
identification information input by an operator in advance of an
operation. The control unit 130 also stores, in the log data 149,
related information then collected by automatic detection etc.
together with a time stamp. The data stored is also output via the
LAN 137.
[0250] The process is performed in the manual partition condition
configuration routine 144 as well as in the retrieval guidance
routine 141.
[0251] The mode of using the medical resource storage and
management apparatus according to the illustrative embodiment 2-1
and its operation will be described with reference to the drawings.
FIGS. 13A-13B illustrate the operation of the medical resource
storage and management apparatus. FIG. 13A shows an empty
condition; and FIG. 13B shows a condition in which a small medical
resource is stored.
[0252] FIGS. 14A-14D also illustrate the operation of the medical
resource storage and management apparatus. FIG. 14A shows a
condition in which one partition member is removed from the rack
while the partition is empty; FIG. 14B shows a condition in which a
medium-sized medical resource is stored; FIG. 14C shows a condition
in which a large medical resource is stored where two partition
members are removed; and FIG. 14D shows a condition in which
detection results from medical resource detecting members do not
match.
[0253] Prior to the operation of the medical resource storage and
management apparatus 120, a desired number of racks 160 are set in
the storage part of the housing 122, and the partition members 165
are inserted into the depressions 161 in each rack 160. The medical
resource information configuration routine 143 in the control unit
30 is started by an operation using the keyboard 133 or the mouse
134 so as to set the identification code and the displayed name of
the medical resources 110 in the respective fields in the medical
resource information table 147. In this process, it is also
favorable to perform a comparison check with the product name of
the medical resource currently written in the medical resource name
plate 167. The manual partition condition configuration routine 144
in the control unit 130 is started by an operation using the
keyboard 133 or the mouse 134 so as to designate whether the
partition members 165 are inserted into the depressions 161 in the
rack 160, in the respective fields in the partition availability
data 148. The medical resource availability data 146 and the log
data 149 are cleared by a suitable initialization routine (not
shown).
[0254] This completes preparation for operation. The operating
conditions of the medical resource storage and management apparatus
120 will be described specifically. The operation for storage
(replenishment or return) and associated updating of data, and the
operation for retrieval and associated updating of data will now be
described in the cases where: the partition members 165 are
inserted into all of the depressions 161 (FIGS. 13A and 13B); a
partition member 165 is removed from one of the depressions 161
(see FIGS. 14A and 14B); and two partition members 165 are removed
from two adjacent depressions 161 (FIGS. 14C and 14D).
[0255] When the partition members 165 are inserted into all of the
depressions 161 (see FIGS. 13A and 13B) and when the medical
resources 110 are not stored yet (see the top row of FIG. 13A), the
fields in the medical resource information table 147 contain
individual values (see A-E in the second row from top in FIG. 13A,
where A-E denote different codes and names). The fields in the
medical resource availability data 146 all contain "0", indicating
the absence of medical resources (see the third row from top in
FIG. 13A), and the fields in the partition availability data 148
all contain "1", indicating that the presence of the partition
members (see the fourth row from top in FIG. 13A).
[0256] When the medical resource 110 is stored on the rack 160 in
this condition (see the top row of FIG. 13B), only the medical
resource name plate 167 at the location of storage of the medical
resource 110 is elevated above the rack 160, revealing the
retrieval guidance member 162 for view. In this condition, the
medical resource information table 147 and the partition
availability data 148 remain unchanged (see the second and fourth
rows from top in FIG. 13B). Meanwhile, the associated field in the
medical resource availability data 146 is updated by the medical
resource detection routine 142 to "1", indicating the presence of a
medical resource (see the third row from top in FIG. 13B). The
medical resource detection routine 142 retrieves the code and name
of the medical resource 110 (in the illustrated example, "C") from
the medical resource information table 147. The medical resource
detection routine 142 further requests the input of operator
identification information. These items of information are appended
to the log data 149, printed by the printer 136 and reported to the
host medical management computer via the LAN 137.
[0257] For retrieval of the medical resource 110 thus stored from
the medical resource storage and management apparatus 120, a
retrieval instruction including the code "C" and the operator
identification information are input to the control unit 130 by an
operation using the barcode reader 135 or the like. This prompts
the retrieval guidance routine 141 in the control unit 130 to
search the medical resource information table 147 and check the
associated field in the medical resource availability data 146. In
this case, the value "1" is found in the field, showing that the
medical resource is available, whereupon the retrieval guidance
member 162 at the associated location is lighted (see the bottom
row of FIG. 13B). The operator viewing this can take out the target
medical resource 110 without fail.
[0258] When the medical resource 110 is taken out, the medical
resource name plate 167 at the associated location is lowered to
the front of the rack 160, shielding the retrieval guidance member
162 and the medical resource detecting member 163 from view. In
this process, the medical resource detection routine 142 updates
the value entered in the associated field in the medical resource
availability data 146 to "0", indicating the absence of medical
resources. The information is combined with the code and name (in
the illustrated example, "C") supplied from the retrieval guidance
routine 141, and with operator identification information. The
combined information is appended to the log date 149, printed by
the printer 136 and reported to the host medical management
computer via the LAN 137. When the retrieval guidance member 162 of
the associated location is turned off, the operating condition
returns to a pre-storage state (see FIG. 13A).
[0259] When a partition member 165 is removed from one of the
depressions 161, (see FIGS. 14A and 14B), the adjacent partition
member 165 is changed, or the medical resource name plate 167 is
changed, whereupon the medical resource name plate 167 twice as
wide is set there. The manual partition condition configuration
routine 144 is started by an operation using the keyboard 133 or
the mouse 134, before storing a medical resource 110 therein (see
the top row of FIG. 14A). An instruction for update is entered so
as to change the value in the associated field in the partition
availability data 148 to "0", indicating the absence of the
partition member (see the fourth row from top in FIG. 14A). This
prompts the manual partition condition configuration routine 144 to
automatically update the medical resource information table 147 so
that the values in the fields, corresponding to the locations of
storage located on both sides of the recess 161 from which the
partition member 165 is removed, match (see "BB" in the second row
from top in FIG. 14A). All the fields in the medical resource
availability data 146 contain "0" (see the third row from top in
FIG. 14A).
[0260] When a medical resource 110 not more than twice as wide is
stored in a part on the rack from which the partition member 165 is
removed (see the top row of FIG. 14B), the medical resource
information table 147 and the partition availability data 148
remain unchanged (see the second and fourth rows from top in FIG.
14B). Meanwhile, the values in the two associated fields in the
medical resource availability data 146 are changed by the medical
resource detection routine 142 to "1", indicating the presence of
the medical resource (see the third row from top in FIG. 14B). The
medical resource detection routine 142 retrieves the code and name
of the medical resource 110 (in the illustrated example, "B") from
the medical resource information table 147. The medical resource
detection routine 142 further requests the input of operator
identification information. These items of information are appended
to the log data 149, printed by the printer 136 and reported to the
host medical management computer via the LAN 137.
[0261] For retrieval of the medical resource 110 thus stored from
the medical resource storage and management apparatus 120, a
retrieval instruction including the code "B" and the operator
identification information are input to the control unit 130 by an
operation using the barcode reader 135 or the like. This prompts
the retrieval guidance routine 141 in the control unit 130 to
search the medical resource information table 147 and select the
two adjacent fields (see "BB" in the second row from top in FIG.
14B), and then to check the two associated fields in the medical
resource availability data 146. In this case, the two fields
contain "1", indicating that the medical resource is available,
whereupon the two adjacent retrieval guidance members 162 at the
associated locations are lighted at a time (see the bottom row of
FIG. 14B). The operator viewing this will not find any difficulty
in taking out the target medical resource 110.
[0262] As the wide medical resource 110 is taken out, the wide
medical resource name plate 167 at the associated location is
lowered to the front of the rack 160, shielding two pairs of
retrieval guidance members 162 and medical resource detecting
member 163 from view. In this process, the medical resource
detection routine 142 updates the values entered in the two
associated field in the medical resource availability data 146 to
"0", indicating the absence of medical resources. The information
is combined with the code and name (in the illustrated example,
"B") supplied from the retrieval guidance routine 141, and with
operator identification information. The combined information is
appended to the log date 149, printed by the printer 136 and
reported to the host medical management computer via the LAN 137.
When the retrieval guidance members 162 at the associated locations
are turned off at a time, the operating condition returns to a
pre-storage state (see FIG. 14A).
[0263] In the case where the two partition members 165 are removed
from the adjacent two depressions 161 (see FIG. 14C), the operation
will easily be surmised from the above explanation so that a
detailed explanation will not be repeated. It will be noted that a
medical resource 110 three times as wide can be stored (see the top
row of FIG. 14C). When the medical resource name plate 167 three
times as wide is set, and the manual partition condition
configuration routine 144 is started so as to update the values in
the two associated fields in the partition availability data 148 to
"0", indicating the absence of a partition member (see the fourth
row from top in FIG. 14C), the values in the three associated
fields in the medical resource information table 147 are made to
match (see "BBB" in the second row from top in FIG. 14C).
[0264] When a medical resource 110 not more than three times as
wide is stored (see the top row of FIG. 14C), each of the three
associated fields in the medical resource availability data 146 is
updated to contain "1" (see the third row from top in FIG. 14C),
and relevant information is appended to the log data 149.
[0265] When a retrieval instruction including the code "B" is input
to the control unit 130, the three associated fields in the medical
resource information table 147 (see "BBB" in the second row from
top in FIG. 14C) are selected, and then the three associated fields
in the medical resource availability data 146 are checked. In this
case, the three fields contain "1", showing a match. Thereupon, the
three adjacent retrieval guidance members 162 at the associated
locations are lighted at a time (see the bottom row of FIG. 14C).
The operator viewing this will not find difficulty in taking out
the target medical resource 110.
[0266] If one of the three medical resource detecting members 163
expected to detect the medical resource name plate 167 three times
as wide at a time fails (see FIG. 14D), two of the three associated
fields in the medical resource availability data 146 are changed to
"1", while one field continues to store "0" (see the third row from
top in FIG. 14D). This results in incompatibility between the
medical resource availability data 146 and the partition
availability data 148 as checked by the medical resource detection
routine 142, in respect of the three fields to be collectively
processed. If the condition of incompatibility (failure to match)
continues beyond a maximum period of time required for storage or
retrieval of the medical resource 110, the medical resource
detection routine 142 issues an alarm, revealing abnormality.
Illustrative Embodiment 2-2
[0267] A specific structure of the illustrative embodiment 2-2 of
the medical resource storage and management apparatus according to
the second embodiment will be described with reference to the
associated drawings. FIGS. 15A-15B show the structure of medical
resource storage and management apparatus 120. FIG. 15A is an
expanded perspective view of the rack 160 and the partition members
165; FIG. 15B is a functional block diagram of the control unit
130.
[0268] The medical resource storage and management apparatus 120
according to this embodiment differs from that of the illustrative
embodiment 2-1 in that partition detecting members 164 are added
and the manual partition condition configuration routine 144 is
replaced by an automatic partition condition configuration routine
145.
[0269] The partition detecting member 164 (see FIG. 15A) is
implemented by a mechanical switch, a reflective photosensor, a
capacity sensor or the like. The partition detecting member 164 is
embedded in the top face of the rack 160 to face upward so as to
sense the lower end face of the partition member 165 inserted into
the depression 161 on the top face of the rack 160, and is placed
at respective locations of insertion of the partition members 165
in the rack 160. In this example, the partition detecting member
164 is provided between a pair of depressions 161 arranged in a
width direction in order to detect whether the partition member 165
is inserted in its location. The partition member 164 outputs a
binary signal which turns on and off according to whether the
partition member 165 is available.
[0270] The automatic partition condition configuration routine 145
(see FIG. 15B) is started periodically and automatically by a
timer, etc. or irregularly and automatically started by an
interruption initiated in the event of a change in a detection
signal from the partition detecting member 164. The automatic
partition condition configuration routine 145 updates the partition
availability data 148 based on the detection by the partition
detecting member 164. More specifically, each time the automatic
partition condition configuration routine 145 is started, it
imports the detection results from all partition detecting members
164 or those results changed since its last import, and writes "1"
or "0" in the partition availability data 148 in association with
the on-off condition. The other functions (e.g., automatic updating
of the medical resource information table 147) are the same as
those of the manual partition condition configuration routine 144.
This arrangement allows the control unit 130 to collectively
process a block of medical resource detecting members 163 and
retrieval guidance members 162 identified as being located on both
sides of the depression 161 from which the partition member 165 is
removed, in accordance with the detection by the partition
detecting members 164.
[0271] In this case, removal of the partition member 165 from the
depression 161 in the rack 160 or insertion of the partition member
165 into the depression 161 on the rack 160 need not be designated
by manual input for configuration. The removal or insertion is
detected by the partition detecting member 164, and the partition
availability data 148 is automatically configured by the automatic
partition condition configuration routine 145. This will prevent
incompatibility between the insertion condition of the partition
member 165 and the partition availability data 148 from occurring
due to a failure to provide an input for configuration.
[0272] The other usage modes and operations are the same as those
of the illustrative embodiment 2-1 described above.
Illustrative Embodiment 2-3
[0273] The partition member 165 and the rack 160 shown in a
perspective view of FIG. 16A differ from those of the illustrative
embodiments 2-1 and 2-2 in that the partition member 165 is formed
by bending a round bar instead of as a plate, and that the
depression 161 is a bottomed hole instead of a through hole. The
partition detecting member 164 is embedded in the rack 160 so as to
face a light-emitting device 164a across the depression 161.
Whether or not the partition member 165 is inserted is detected
depending on whether light emitted from the light-emitting device
164a is shielded by the fitting 166 at the end of the partition
member 165 or received by the partition detecting member 164.
[0274] The partition member 165 and the rack 160 shown in a
perspective view of FIG. 16B differ from those of the illustrative
embodiments 2-1 and 2-2 in that the longitudinal cross section of
the partition member 165 is of an inverted T shape, and that the
depression 161 is formed as a groove.
[0275] In this case, the partition member 165 is inserted into the
depression 161 by slipping the fitting 166 at the lower end of the
partition member 165 into the depression 161.
[0276] The partition member 165 and the rack 160 shown in a
perspective view of FIG. 16C differ from those of the illustrative
embodiments 2-1 and 2-2 in that the partition member 165 is formed
by bending a round bar instead of as a plate, and that the
depression 161 is formed as a notch or bore formed at the front and
back of the rack 160 instead of on the top face thereof. In this
case, the partition member 165 is inserted into the depression 161
and secured and stabilized therein by a snapping force, by
extending the fittings 166 at both ends of the partition member 165
before inserting them in the depression 161.
Illustrative Embodiment 2-4
[0277] A specific structure of the illustrative embodiment 2-4 of
the medical resource storage and management apparatus according to
the second embodiment will be described with reference to the
associated drawings. FIGS. 17A-17B show the structure of the
medical resource storage and management apparatus 120. FIG. 17A is
a front view showing the door 124 opened; FIG. 17B is an expanded
perspective view of a rack 170 and partition members 175; and FIG.
17C is a functional block diagram of the control unit 130.
[0278] The medical resource storage and management apparatus 120
according to this embodiment differs from those of the illustrative
embodiments 2-1 through 2-3 in that racks 170, instead of the racks
160, are placed in an area in the storage part (see FIG. 17A).
[0279] The rack 170 is for inserting the partition member 175. The
partition member 175 is configured such that the medical resource
name plate 167, the connecting member 168 and the pivot shaft 169
are omitted from the partition member 165 (see FIG. 17B).
Therefore, instead of the medical resource detecting members 163,
medical resource detecting members 173 are provided on the top face
of the rack 170 to directly detect whether the medical resource 110
is placed by sensing the bottom of the medical resource 110. A
depression 171, a retrieval guidance member 172, a partition
detecting member 174 and a fitting 176 are of the same structure or
function as the depression 161, the retrieval guidance member 162,
the partition detecting member 164 and the fitting 166,
respectively, although they differ in the destination of
installation.
[0280] The control unit 130 is expanded in its capabilities so that
access to the retrieval guidance member 172, the medical resource
detecting member 173 and the partition detecting member 174, as
well as to the retrieval guidance member 162, the medical resource
detecting member 163 and the partition detecting member 164, is
enabled.
[0281] The routines 141-145 and the data 145-149 of the control
unit 130 are also altered to reflect the structure by, for example,
fine-tuning the definition of addresses storing the components or
the size of tables.
[0282] The basic usage mode and operation are the same as those in
the illustrative embodiments already described. For detection of
the medical resource 110, the rack 170 is designed for direct
detection, while the rack 160 is designed for indirect detection.
As a mixture of two types is provided in the storage part of the
medical resource storage and management apparatus 120, medical
resources 110 of different types can be stored for accurate and
automatic management.
[0283] The medical resource 10 may be packaged, bundled or
contained in a case or a container. Suitable for storage on the
rack 170 of direct detection type are those relatively stable in
form that can stand on its own while in storage (for example, those
contained in a container with the shape of a CD case or a
rectangular box). Examples of such medical resources are tube sets
for injection/infusion, small and short-length catheters and sets
of articles including the same.
[0284] Suitable for storage on the rack 160 of indirect detection
type are those relatively thick and unstable in form that do not
stand on its own while in storage (for example, those contained in
a round, hard case, those in a blister package or those in a soft
package). Examples of such medical resources are those for
respirator medicine such as filters, resources for medical
operations, and resources for artificial replacement.
Illustrative Embodiment 2-5
[0285] An illustrative embodiment 2-5 of the medical resource
storage and management apparatus according to the second embodiment
will be described with reference to the associated drawings. FIGS.
18A-18C show conditions of replenishment of medical resources.
FIGS. 18A-18C are screen shots. FIGS. 19A-19C also show conditions
of replenishment of medical resources. FIG. 19A is a perspective
view of the rack fitted with partition members; FIG. 19B is a
perspective view showing how identification information is read
from a medical resource; and FIG. 19C is a perspective view of the
rack storing a medical resource.
[0286] This medical resource storage and management apparatus
differs from the aforementioned embodiments of the apparatus in
that guidance is displayed in replenishing as well as in retrieving
a medical resource, that the display 132, the keyboard 133 and the
mouse 134 are implemented as a touch panel 139, and that, even in
an empty condition, the retrieval guidance member 162 is viewable
and not shielded from view by the medical resource name plate
167.
[0287] In a normal operation (see FIG. 18A), information on the
medical resource 110 retrieved from the medical resource storage
and management apparatus is arranged chronologically and displayed
on the touch panel 139 on a real time basis. A direct finger-touch
selection of any the items 139a displayed on the screen causes
relevant details to be displayed for review. Guidance for
replenishment is also displayed in accordance with a specific
operation for selection.
[0288] More specifically, selecting a replenishment button 139b
displayed on the screen while in a normal operation (see FIG. 18A)
switches the display of the touch panel 139 to a replenishment mode
selection screen (see FIG. 18B). By entering information on an
operator who replenishes a medical resource, selection of a
"registered" button 139c and/or a "new registration" button is
available. By selecting the "new registration" button, the operator
can register the code (code No.) identifying the medical resource
110 that can be stored in a location of storage (address) and the
name for screen display (medical resource name). If the
registration is complete, selection of the "registered" button 139c
is enabled. The "registered" button 139c is selected when the
display of guidance for replenishment is desired.
[0289] The selection switches to the screen of the touch panel 139
showing a list of registered resources (see FIG. 18C). After
confirming that a location for storage is shown as being empty, the
operator scrolls the screen as necessary by using a scroll button
139f so as to directly select a field 139d for a relevant medical
resource 110 with the finger.
[0290] If the number of empty locations 139e designated as capable
of storing the medical resource (e.g., a filter in a bag) is three
(i.e., three bags can be stored), the three retrieval guidance
members 162 in the empty locations are all lighted because, in this
example, the retrieval guidance member 162 also serves as a
replenishment destination guidance member (see FIG. 19A).
[0291] The operator proceeds to scan the barcode (identification
information) assigned to the medical resource 110 about to be
stored, by using the barcode reader 135 (see FIG. 19B) for
checking, before storing the medical resource 110 in one of the
locations on the rack 160 lighted by the guidance member. This
turns off all of the guidance members (see FIG. 19C), and the log
data, indicating the identity of the operator who replenished the
resource, the identify of the resource replenished and the location
of replenishment, is recorded with a time stamp.
[0292] Thus, guidance display is provided properly and a job record
is maintained properly for replenishment. In this example, the
selection of the field 139d on the screen showing a list of
registered resources, and the scanning of the identification
information assigned to the medical resource 110 by using the
barcode reader 135 are both performed to reinforce checking.
However, only one of the tasks may be performed since it serves the
purpose of identifying a medical resource 110. In another
alternative, the operator may be allowed to complete both tasks,
but guidance display guiding the operator to the destination of
replenishment may not require completion of both tasks but may be
immediately provided upon completion of one of the tasks.
[0293] [Other Points of Note]
[0294] In the second embodiment, the control unit 130 is
accommodated in the electric equipment 121. Alternatively, the
control unit 130 may be placed outside the housing 122.
[0295] The input and output means of the control unit 130 may not
be restricted to the display 132, the keyboard 133 and the like
mentioned above and may be implemented by a touch panel or a mobile
information terminal.
[0296] In the second embodiment, the medical resource detection
routine 142 is designed to associate the on and off states of the
result of detection by the medical resource detecting member 163
with the storage and retrieval of the medical resource 110,
respectively. It is easy to expand the capabilities to
automatically manage the return of a medical resource 110 once
taken out and not used. For example, a determination may be made
that a resource is not replenished but returned, if retrieval and
storage are conducted successively in a short time span, or if a
resource is stored in one of the modes of operation introduced in
the control unit 130 in which mode an action of retrieval is
restricted. In this case, information indicating the return may
suitably be appended to the log data 149 or other output data. In
addition to data storage and output, provisions may also be made
for management of expiration dates, stock control, preparation of
drug history and inspection.
[0297] Some forms of medical resources require that the medical
resource be contained in an atypical package with irregular
surfaces. Some medical resources do not fit into a soft package,
while other medical resources need be contained in a container due,
for example, to their lightness or small size. All of these types
of resources may be stored in the rack provided with the
above-described function, using a detachable lid (case with a name
plate).
Third Embodiment
[0298] A third embodiment of the present invention relates to a
medical resource storage and management apparatus which arranges
and stores medical resources and also performs management of
storage status, and, more particularly, to a medical resource
storage and management apparatus which automatically manages
availability of medical resources at each location of storage and
also guides a user for retrieval.
[0299] A summary of a third embodiment will be given.
[0300] A first medical resource storage and management apparatus
according to the third embodiment comprises: a horizontal-bridging
member which is provided with a series of hanger member fitting
parts operable to hang and arrange a large number of medical
resources, a hanger member which is fitted to the hanger member
fitting part and is pivotally moved depending on whether a medical
resource is hung; a medical resource detecting member which is
provided in each of the hanger member fitting parts so as to detect
whether a medical resource is hung in an associated location in
accordance with the pivotal movement of the associated hanger
member; a retrieval guidance member for visual confirmation
provided in each of the hanger member fitting parts; and a control
unit which manages the storage status of the medical resources,
based on the detection by the medical resource detecting member,
and which operates the retrieval guidance member in response to an
input designating retrieval, wherein, at the time of hanging a
medical resource, the pivotal movement of the hanger member causes
the engaging part engaged with the medical resource to be lowered,
and, at the time of retrieving a medical resource, the pivotal
movement causes the engaging part to be elevated and moved toward
an operator.
[0301] A second medical resource storage and management apparatus
according to the third embodiment is a modification to the first
medical resource storage and management apparatus, wherein the
pivotal movement of the hanger member is based on the displacement
between the center of gravitation and the pivot center.
[0302] A third medical resource storage and management apparatus
according to the third embodiment is a modification to the first
medical resource storage and management apparatus or the second
medical resource storage and management apparatus, wherein the
control unit allows providing an input for configuration to
designate whether the hanger member is fitted to the hanger member
fitting part, and, based on the configuration, the control unit
terminates the operation of the retrieval guidance member if it is
determined that the hanger member is removed from the associated
hanger member fitting part.
[0303] A fourth medical resource storage and management apparatus
according to the third embodiment is a modification to the first
medical resource storage and management apparatus or the second
medical resource storage and management apparatus, wherein the
hanger member is detachable, the apparatus further comprising a
hanger detecting member which detects whether the hanger member is
fitted to the hanger member fitting part, wherein the control unit
terminates the operation of the retrieval guidance member if it is
determined that the hanger member is removed from the associated
hanger member fitting part.
[0304] A fifth medical resource storage and management apparatus
according to the third embodiment is a modification to the third
medical resource storage and management apparatus or the fourth
medical resource storage and management apparatus, wherein the
control unit issues an alarm if informed, by the medical resource
detecting member of the hanger member fitting part in which it is
determined that the hanger member is removed, that a medical
resource is hung.
[0305] In the first medical resource storage and management
apparatus, the medical resources are stored by being hung from the
hanger members. Since a series of hanger members are fitted to the
horizontal-bridging member so that the locations of storage are
partitioned, it is easy to retrievably align and store medical
resources without accommodating them in cassettes and to prevent
disarrangement of the medical resources stored and resultant
disorganization.
[0306] Since the medical resource detecting member and the
retrieval guidance member are provided in each location of hanging,
i.e. each block, it is possible to detect the availability of each
medical resource for automatic management and to properly guide an
operator to the location of storage of the medical resource to be
taken out.
[0307] By exploiting the pivotal movement of the hanger member that
depends on whether a medical resource is hung, and accordingly
allowing the medical resource detecting member to indirectly detect
whether a medical resource is hung, the apparatus is prevented from
becoming complex. This is because the detection of availability
takes place in the horizontal-bridging member even if there are a
variety of types of medical resources or even if the medical
resources are hung below the horizontal-bridging member.
[0308] Further, the location of the engaging part engaged with the
medical resource is moved back and forth as well as up and down in
accordance with the availability of the medical resource, by
ensuring that, at the time of hanging a medical resource, the
pivotal movement of the hanger member, which depends on the
availability of a medical resource, causes the engaging part
engaged with the medical resource to be lowered, and, at the time
of retrieving a medical resource, the pivotal movement causes the
engaging part to be elevated and moved toward an operator.
Accordingly, both the task of hanging and the task of retrieving
can be performed with ease.
[0309] Thus, even with a simple apparatus in which hanger members
are arranged and medical resources are hung therefrom, a large
variety of medical resources can be stored in the least confusing
manner. Even those resources that are not suitable for direct
detection can also be detected properly for automatic
management.
[0310] Thus, the first medical resource storage and management
apparatus provides capability for easily and properly storing and
retrieving medical resources, and automatically and accurately
keeping track of storage status.
[0311] In the second medical resource storage and management
apparatus, the pivotal movement of the hanger member is based on
the displacement between the center of gravitation and the pivot
center. As a result, there is no need to build driving members such
as motors or urging members such as springs in the apparatus.
Accordingly, the number of parts is reduced, the number of causes
of trouble is reduced, and the production cost is reduced.
[0312] In the third medical resource storage and management
apparatus, the activation of the retrieval guidance member is
avoided if it is determined that the hanger member is removed from
the associated hanger member fitting part, by providing an input
for configuration designating whether the hanger member is fitted.
Therefore, a user will not be at a loss or face any inconvenience
in handling and management even if there are multiple medical
resource detecting members or retrieval guidance members where a
single, large medical resource resides.
[0313] Thus, even with a simple apparatus in which a series of
hanger members fitted to a horizontal-bridging member hang medical
resources, a large variety of large and small medical resources can
be stored for automatic management by means of attachment and
detachment of hanger members and by an input of associated
information for configuration.
[0314] In the fourth medical resource storage and management
apparatus, convenience is enhanced by additionally ensuring that
whether or not the hanger member is fitted is automatically
detected and reflected in the control, in addition to ensuring that
the hanger members are detachable from the horizontal-bridging
member.
[0315] According to the firth medical resource storage and
management apparatus, reliability is enhanced while avoiding an
increase in hardware cost, by taking advantage of redundancy of
results of detection by multiple medical resource detecting members
located where a single large medical resource resides and detecting
an error or abnormal condition accordingly.
[0316] Specific embodiments of the medical resource storage and
management apparatus according to the third embodiment will be
described below using illustrative embodiments 3-1 through 3-7.
[0317] The illustrative embodiment 3-1 shown in FIGS. 20A-22D is an
embodiment of the first medical resource storage and management
apparatus and the second medical resource storage and management
apparatus mentioned above. The illustrative embodiment 3-2 shown in
FIGS. 23A-27D is an embodiment of the third and fifth medical
resource storage and management apparatuses mentioned above. The
illustrative embodiment 3-3 shown in FIGS. 28A-28C is an embodiment
of the fourth medical resource storage and management apparatus
mentioned above. The illustrative embodiment 3-4 shown in FIGS.
29A-29C, the illustrative embodiment 3-5 shown in FIGS. 30A-31, the
illustrative embodiment 3-6 shown in FIG. 32, and the illustrative
embodiment 3-7 shown in FIGS. 33A-34C are variations.
[0318] In the illustration, fasteners such as bolts, connectors
such as hinges, electronic circuits such as drivers are omitted for
brevity, highlighting those elements necessary to explain the
embodiment and related elements.
Illustrative Embodiment 3-1
[0319] A specific structure of the illustrative embodiment 3-1 of
the medical resource storage and management apparatus according to
the third embodiment will be described with reference to the
associated drawings. FIGS. 20A-20E show the mechanical structure of
the medical resource storage and management apparatus. FIG. 20A is
a front view showing a door closed; FIG. 20B is a front view
showing the door opened; FIG. 20C is a front view showing a
horizontal-bridging case and hanger members; FIGS. 20D and 20E are
left side views of a horizontal-bridging member and the hanger
member showing a cross section of the horizontal-bridging member.
FIGS. 21A and 21B show the schematic structure of a control unit.
FIG. 21A is a schematic block diagram showing the connection
between the control unit and retrieval guidance members; and FIG.
21B is a functional block diagram of the control unit. FIGS.
22A-22D show the data structure of the control unit. FIG. 22A
relates to a medical resource information table; and FIG. 22B
relates to medical resource availability data.
[0320] A medical resource storage and management apparatus 220 is
provided with a housing 222 a large portion of which is for storage
and a part of which comprises electric equipment 221. The electric
equipment 221 stores a control unit 230 and a power supply unit
etc. (not shown). The front of the storage part of the housing 222
is provided with an openable door 224 with a handle 223. The door
224 may be implemented by a shutter or the like, or may be omitted.
Inside the storage part exposed when the door 224 is opened is
provided a horizontal-bridging case 250 (horizontal-bridging
member). In the illustrated example, only one horizontal-bridging
case 250 is provided so as to extend horizontally toward the top of
the storage part. The horizontal-bridging case 250 comprises a
rectangular cylinder. A series of arm-shaped hanger members 255 are
hung from the lower part or the bottom of the case 250 in a
longitudinal direction (in the figure, sideways) at regular or
irregular pitches so as to arrange a large number of medical
resources by retrievably hanging them.
[0321] In the hollow interior of the horizontal-bridging case 250
(see FIGS. 20C-20E) is housed a horizontal-bridging bar 251
(horizontal-bridging member) extending in a longitudinal direction.
The series of hanger members 255 are fitted to the
horizontal-bridging bar 251. More specifically, the hanger member
255 comprises a bar member substantially T-shaped in side view. The
lower end of an vertical bar is bent into a hook, forming an
engaging part 256. One end of a top side bar is formed into a
weight part 257 by bulging or by being provided with a weight. The
other end of the top side bar is provided with a permanent magnet
and is formed into a target of detection 258.
[0322] A through hole through which the horizontal-bridging bar 251
can be movably inserted is formed in the middle of the top side bar
toward the weight part 257. Alternatively, a bearing is fitted
thereto. By introducing the bar 251 through the hole or the
bearing, the hanger member 255 is supported by the bar 251 so as to
be pivotable around the bar 251. The center of gravitation of the
hanger member 255 is displaced from the pivot center toward the
weight part 257. Therefore, at the time of retrieving a medical
resource, the pivotal movement of the hanger member 255 causes the
engaging part 256 to be elevated and moved toward an operator (see
FIG. 20D). At the time of hanging a medical resource, the pivotal
movement causes the engaging part 256 engaged with a medical
resource 210 to be lowered and moved toward the back (see FIG.
20E).
[0323] On the underside of the horizontal-bridging case 250, a
series of oblong holes 250a (hanger member fitting parts) are
formed in a longitudinal direction at regular or irregular pitches.
As the hanger member 255 is movably introduced into the oblong hole
250a, the hanger member 255 is allowed to move back and forth
freely, while substantially being prevented from moving sideways in
a front view (see FIG. 20C). The provision maintains the hanger
members 255 in an aligned state (lined up in a longitudinal
direction), without inhibiting the pivotal movement thereof.
[0324] Further (see FIGS. 20D and 20E), a medical resource
detecting member 253 is provided on the interior face of the
horizontal-bridging case 250 where the target of detection 258
leaves or comes into contact as a result of the pivotal movement of
the hanger member 255. A retrieval guidance member 252 is provided
on the front of the horizontal-bridging case 250 which becomes
viewable when the door 224 is opened. The retrieval guidance member
252 and the medical resource detecting member 253 are provided in
the horizontal-bridging case 250 so as to be alignment with the
oblong hole 250a and are provided for each hanger member 255, i.e.,
at each location of storage.
[0325] In this example, the medical resource detecting member 253
is implemented by a sensor using a Hall device that senses the
magnetic field in the magnet of the target of detection 258, in
order to detect whether the medical resource 210 is hung in
accordance with the pivotal movement of the hanger member 255. The
hanger member 255 is pivotally moved as the medical resource 210 is
hung or removed therefrom. As the target of detection 258 leaves or
comes into contact with the medical resource detecting member 253
as a result of the pivotal movement, the medical resource detecting
member 253 outputs a binary signal which turns on and off. The
medical resource detecting member 253 may be implemented by other
devices so long as detection in association with the pivotal
movement is enabled. For example, the medical resource detecting
member 253 may be implemented by a mechanical switch, a reflective
photosensor, a capacity sensor.
[0326] In order to visually guide a user to the location of
placement of the medical resource 210 to be retrieved, a miniature
bulb, a light-emitting diode or the like that can be turned on and
off is used as the retrieval guidance member 252.
[0327] The control unit 230 (see FIG. 21A) comprises a programmable
controller such as a personal computer and a sequencer. A local
area network (LAN) connects the control unit 230 to the retrieval
guidance members 252 and the medical resource detecting members 253
via, for example, a low-level controller 231. Alternatively, the
control unit 230, the retrieval guidance members 252 and the
medical resource detecting members 253 are in direct star
connection (not shown). The connection enables retrieving detection
results of the medical resource detecting members 253 and
controlling the lighting of the retrieval guidance members 252.
[0328] The control unit 230 (see FIG. 21B) is provided with a
display 232 for screen display, a keyboard 233 for key entry, a
mouse 234 for inputting instructions etc. on a screen, a bar code
reader 235 for reading identification information, a printer 236
for delivering printouts, an interface for a local area network
(LAN) 237 which is responsible for communication with a
prescription order-entry system etc., and a hard disk 238 as a
secondary storage.
[0329] A retrieval guidance routine 241, a medical resource
detection routine 242 and a medical resource information
configuration routine 243 are installed in the control unit 230, as
programs for managing the storage status of the medical resources,
based on the detection by the medical resource detecting members
253, and for operating selected retrieval guidance members 252 in
response to an input designating retrieval. The hard disk 238
stores medical resource availability data 246, a medical resource
information table 247, and log data 249, which are divided into
individual files or are unified in an appropriate database. The
figures show (see FIGS. 22A-22B) the data 246 and the table 247
maintained in a table format. Each table comprises a 1.times.21
matrix, in association with the fact that there is one
horizontal-bridging case 250 and the number of hanger members 255,
retrieval guidance members 252 and medical resource detecting
members 253 accommodated in the horizontal-bridging case 250 is
"12".
[0330] Each field in the medical resource information table 247
(see FIG. 22A) contains an identification code and a name displayed
on a screen for the medical resource 210 which is stored or can be
stored in an associated location. "1" or "0" is written in the
medical resource availability data 246 (see FIG. 22B), "1",
indicating that the medical resource 210 is stored in the
associated location, and "0", indicating that no medical resources
210 are stored. The medical resource information table 247 should
be configured at least once before operating the apparatus for the
first time since its installation. Therefore, the table is usually
initialized upon starting the apparatus and updated when the
operation is stopped. The medical resource availability data 246 is
all cleared by initialization before the initial operation, and are
subsequently updated with each storage or retrieval of the medical
resource 210.
[0331] The medical resource information configuration routine 243
is started by the keyboard 233 or mouse 234 operation. When dumping
from a medicine master file located on a host computer (not shown)
via the LAN 237 is dictated in an environment where such an action
is possible, the medical resource information configuration routine
243 dumps the data. The routine 243 also allows the user to set the
code or name of the medical resource 210 in the medical resource
information table 247 by selecting an item using the mouse 234 or
entering data using the keyboard 233, while viewing screen display
on the display 232.
[0332] The medical resource detection routine 242 is started
periodically and automatically by a timer, etc. or irregularly and
automatically started by an interruption initiated in the event of
a change in a detection signal from the medical resource detecting
member 253. The medical resource detection routine 242 manages the
storage status of the medical resources 210 based on the detection
by the medical resource detecting members 253. More specifically,
each time the medical resource detection routine 242 is started, it
imports the detection results from all medical resource detecting
members 253 or those results changed since its last import, and
writes "1" or "0" in the medical resource availability data 246 in
association with the on-off condition. When the detection result
from the medical resource detecting member 253 undergoes an on/off
change and the storage or retrieval of the medical resource 210 is
detected accordingly, the medical resource detection routine 242
appends information indicating the detection to the log data 249
with a time stamp, causes the printer 236 to deliver a printout
which carries the name listed in the associated field in the
medical resource information table 247, and submits a report to a
host medical management computer via the LAN 237.
[0333] The retrieval guidance routine 241 is started when the code
of the medical resource 210 or a prescription ID number is entered
by allowing the barcode reader 235 to scan the code or the ID, or
by using the keyboard 233 or the mouse 234, in order to operate one
of the retrieval guidance members 252 in response to an input
designating retrieval. The retrieval guidance routine 241 searches
the medical resource information table 247 to determine the
location of storage of the medical resource 210 designated to be
retrieved via the reading or via the mouse or keyboard operation,
and lights the medical resource detecting member 253 at the
associated location. The medical resource detection routine 242 is
responsible for turning the medical resource detecting member 253
off when the retrieval of the medical resource 210 at the
associated location is detected.
[0334] In addition, the control unit 230 acquires operator
identification information by requesting an operator to input
operator identification information each time an operation is
carried out. Alternatively, the control unit 230 acquires operator
identification information input by an operator in advance of an
operation. The control unit 230 also stores, in the log data 249,
related information then collected by automatic detection etc.
together with a time stamp. The data stored is also output via the
LAN 237. The above process is performed also in the retrieval
guidance routine 241.
[0335] The mode of using the medical resource storage and
management apparatus according to the illustrative embodiment 3-1
and its operation will be described with reference to the drawings.
FIGS. 22C-22D illustrate the operation of the medical resource
storage and management apparatus. FIG. 22C shows an empty
condition; and FIG. 22D shows a condition in which a small medical
resource is stored.
[0336] Prior to the operation of the medical resource storage and
management apparatus 220, the medical resource information
configuration routine 243 in the control unit 230 is started by an
operation using the keyboard 233 or the mouse 234 so as to set the
identification code and the displayed name of the medical resources
210 in the respective fields in the medical resource information
table 247. The medical resource availability data 246 and the log
data 249 are cleared by a suitable initialization routine (not
shown). This completes preparation for operation. The operating
conditions of the medical resource storage and management apparatus
220 will be described specifically.
[0337] When the medical resources 210 are not hung and stored yet
(see the top row of FIG. 22C), the fields in the medical resource
information table 247 contain individual values (see A-E in the
second row from top in FIG. 22C where A-E denote different codes
and names). The fields in the medical resource availability data
246 all contain "0", indicating the absence of medical resources
(see the third row from top in FIG. 22C).
[0338] When the medical resource 210 is hung from the hanger member
255 in this condition (see the top row of FIG. 22D), the weight of
the medical resource 210 pivotally moves the hanger member 255 at
the location of storage, causing the engaging part 256 to be
lowered away from the operator (see the top row of FIG. 22D). In
this process, the medical resource information table 247 in the
control unit 230 remains unchanged (see the second row from top in
FIG. 22D). Meanwhile, the associated field in the medical resource
availability data 246 is updated by the medical resource detection
routine 242 to "1", indicating the presence of a medical resource
(see the third row from top in FIG. 22D). The medical resource
detection routine 242 retrieves the code and name of the medical
resource 210 (in the illustrated example, "C") from the medical
resource information table 247. The medical resource detection
routine 242 further requests the input of operator identification
information. These items of information are appended to the log
data 249, printed by the printer 236 and reported to the host
medical (not shown) management computer via the LAN 237.
[0339] For retrieval of the medical resource 210 thus stored from
the medical resource storage and management apparatus 220, a
retrieval instruction including the code "C" and the operator
identification information are input to the control unit 230 by an
operation using the barcode reader 235 or the like. This prompts
the retrieval guidance routine 241 in the control unit 230 to
search the medical resource information table 247 and check the
associated field in the medical resource availability data 246. In
this case, the value "1" is found in the field, showing that the
medical resource is available, whereupon the retrieval guidance
member 252 at the associated location is lighted (see the bottom
row of FIG. 22D). The operator viewing this can take out the target
medical resource 210 without fail. The target engaging part 256 is
somewhat further away from the operator than those of the other
hanger members 255, but it is easy to remove the medical resource
210 because the target engaging part 256 is lower than those of the
other hanger members 255.
[0340] When the medical resource 210 is taken out, the associated
hanger member 255 is raised toward the operator in a reverse
pivotal movement. The medical resource detection routine 242 in the
control unit 230 updates the value entered in the associated field
in the medical resource availability data 246 to "0", indicating
the absence of medical resources. The information is combined with
the code and name (in the illustrated example, "C") supplied from
the retrieval guidance routine 41, and with operator identification
information. The combined information is appended to the log date
249, printed by the printer 236 and reported to the host medical
management computer via the LAN 237. When the retrieval guidance
member 252 of the associated location is turned off, the operating
condition returns to a pre-storage state (see FIG. 22C).
Illustrative Embodiment 3-2
[0341] A specific structure of the illustrative embodiment 3-2 of
the medical resource storage and management apparatus according to
the third embodiment will be described with reference to the
associated drawings. FIGS. 23A-23C are side views of the
horizontal-bridging bar 251 and the hanger member 255. FIG. 23A
shows a condition before the hanger member 255 is fitted to the
horizontal-bridging bar 251; FIG. 23B shows a condition occurring
immediately after the fitting; and FIG. 23C shows a condition in
which the hanger member 255 is pivotally moved after the fitting.
FIGS. 24A and 24B show the schematic structure of the control unit
230. FIG. 24A is a schematic block diagram showing the connection
between the control unit 230 and the retrieval guidance members
252; and FIG. 24B is a functional block diagram of the control unit
230. FIGS. 25A-25C show the data structure of the control unit 230.
FIG. 25A relates to a medical resource information table 247; FIG.
25B relates to medical resource availability data; and FIG. 25C
relates to hanger availability data 248.
[0342] The medical resource management and storage apparatus 220
according to this embodiment differs from that of the illustrative
embodiment 3-1 in that the hanger member 255 is removable (see
FIGS. 23A-23C), that multiple (in this example, five) storage units
are provided in the storage part of the medical resource storage
and management unit 220, each storage unit comprising the
horizontal-bridging case 250 and the low-level controller 231, and
that a manual hanger condition configuration routine 244 is
additionally installed.
[0343] A pivot center 255a of the hanger member 255 directly in
contact with the horizontal-bridging bar 251 is formed as an
indentation by notching or bending (see FIG. 23A) so that the
hanger member 255 is removable and detachable from the
horizontal-bridging bar 251. The indentation is deeper than the
diameter of the horizontal-bridging bar 251. The hanger member 255,
once hung from the horizontal-bridging bar 251 such that the bar
251 is engaged with the pivot center 255a, is suspended from the
horizontal-bridging bar 251 (see FIG. 23B). The hanger member 2505
is not removed undesirably even if the member 255 is inclined due
to the pivotal movement (see FIG. 23C).
[0344] Associated with the fact that the hanger member 255 is
removable, the manual hanger condition configuration routine 244 is
additionally installed in the control unit 230. The hanger
availability data 248 is additionally maintained in the hard disk
238 (see FIG. 24B). "1" or "0" is written in the hanger
availability data 248 (see FIG. 25C), "1", indicating that the
hanger member 255 is stored in an associated area, and "0",
indicating that the hanger member 255 is removed. The hanger
availability data 248 is also initialized so that the condition
(fitted or removed condition) of the hanger member 255 is reflected
before the initial operation. Configuration inputs for update are
also provided when the hanger member 255 is fitted or removed. The
manual hanger condition configuration routine 244 responsible for
the configuration is started by the keyboard 233 or mouse 234
operation. The routine 244 allows the user to provide an input for
configuration to designate in the hanger availability data 248
whether the hanger member 255 is fitted to the horizontal-bridging
bar 251 of the horizontal-bridging case 250, by selecting an item
or toggling using the mouse 234 or the keyboard 233, while viewing
screen display on the display 232.
[0345] Associated with the fact that the number of storage units is
increased to five, the number of low-level controllers 231 in the
medical resource storage and management apparatus 220 is increased
to five (see FIG. 24A). The figures show (see FIGS. 25A-25C) the
data 246, the table 247 and the data 248 are maintained in a table
format. Each table comprises a 5.times.21 matrix, in association
with the fact that there are five storage units and the maximum
number of hanger members 255, retrieval guidance members 252 and
medical resource detecting members 253 accommodated in the
horizontal-bridging case 250 in each unit is "21". The range of
access by the routines 241-244 in the control unit 230 is extended
accordingly.
[0346] Further (see FIG. 24B), the retrieval guidance routine 241
operates one of the retrieval guidance members 252 in response to
an input designating retrieval, based upon the condition of the
hanger member 255 configured in the hanger availability data 248.
More specifically, the value entered in the associated field in the
hanger availability data 248 is referred to so as to determine
whether "1" or "0" is stored, "1" indicating that the hanger member
255 is fitted, and "0" indicating that it is removed. If the member
255 is fitted, the routine 241 lights the retrieval guidance member
252. If the member 255 is removed, the routine 241 does not light
the retrieval guidance member 252.
[0347] The medical resource detection routine 242, upon detecting
the storage of the medical resource 210 by the medical resource
detecting member 253 and changing the value in the medical resource
availability data 246 to "1" to indicate the presence of the
medical resource, also performs a similar check by referring to the
associated field in the hanger availability data 248. If the value
contained therein is "1", indicating that the member 255 is fitted,
the routine 242 terminates the process normally; if the value is
"0", indicating that the member 255 is removed, the routine 242
continues the monitoring. If the result of detection by the medical
resource detecting member 253 and the value in the associated field
in the medical resource availability data 246 remain unchanged
beyond a maximum period of time required for storage or retrieval
of the medical resource 210 while the monitoring is proceeding, the
medical resource detection routine 242 displays an alarm on the
display 232 or sounds an alarm buzzer (not shown).
[0348] The mode of using the medical resource storage and
management apparatus according to the illustrative embodiment 3-2
and its operation will be described with reference to the drawings.
FIGS. 26A-26B illustrate the operation of the medical resource
storage and management apparatus. FIG. 26A shows an empty
condition; and FIG. 26B shows a condition in which a small medical
resource is stored. FIGS. 27A-27D also illustrate the operation of
the medical resource storage and management apparatus. FIG. 27A
shows a condition in which one hanger member is removed from the
horizontal-bridging case while the case is empty; FIG. 27B shows a
condition in which a medium-sized medical resource is stored; FIG.
27C shows a condition in which a large medical resource is stored
where two hanger members are removed; and FIG. 27D shows a
condition in which incompatibility occurs between a result of
detection by a medical resource detecting member and the
configuration in the hanger availability data.
[0349] A step-by-step description will be given below, reiterating
some of the explanations already given as needed. Prior to the
operation of the medical resource storage and management apparatus
220, the hanger members 255 are fitted to the horizontal-bridging
bar 251 in the horizontal-bridging case 250 in each storage unit
provided in the storage part of the housing 222. The medical
resource information configuration routine 243 in the control unit
230 is started by an operation using the keyboard 233 or the mouse
234 so as to set the identification code and the displayed name of
the medical resources 210 in the respective fields in the medical
resource information table 247. The manual hanger condition
configuration routine 244 in the control unit 230 is started by an
operation using the keyboard 233 or the mouse 234 so as to
designate whether the hanger members 255 are fitted to the
horizontal-bridging bar 251 of the horizontal-bridging case 250, in
the respective fields in the partition availability data 48. The
medical resource availability data 246 and the log data 249 are
cleared by a suitable initialization routine (not shown).
[0350] This completes preparation for operation. The operating
conditions of the medical resource storage and management apparatus
220 will be described specifically. The operation for storage
(replenishment or return) and associated updating of data, and the
operation for retrieval and associated updating of data will now be
described in the cases where: the hanger members 255 are fitted in
all of the hanger member fitting parts of the horizontal-bridging
case 250 (see FIGS. 26A and 26B); the hanger member 255 is removed
from one of the hanging member fitting parts of the
horizontal-bridging case 250 (see FIGS. 27A and 27B); and the
hanger member 255 is removed from every second hanger member
fitting part of the horizontal-bridging case 250 (see FIGS. 27C and
27D).
[0351] When the hanger members 255 are fitted in all of the hanger
member fitting parts of the horizontal-bridging case 250 (see FIGS.
26A and 26B) and when the medical resources 210 are not stored yet
(see the top row of FIG. 26A), the fields in the medical resource
information table 247 contain individual values (see A-E in the
second row from top in FIG. 26A). The fields in the medical
resource availability data 246 all contain "0", indicating the
absence of medical resources (see the third row from top in FIG.
26A), and the fields in the hanger availability data 248 all
contain "1", indicating that the presence of the hanger members
(see the fourth row from top in FIG. 26A).
[0352] When the medical resource 210 is hung from any of the hanger
members 255 in this condition (see the top row of FIG. 26B), the
weight of the medical resource 210 pivotally moves the hanger
member 255, causing the engaging part 256 to be lowered away from
the operator (see the top row of FIG. 26B). In this process, the
medical resource information table 247 and the hanger availability
data 248 in the control unit 230 remain unchanged (see the second
and fourth rows from top in FIG. 26B). Meanwhile, the associated
field in the medical resource availability data 246 is updated by
the medical resource detection routine 242 to "1", indicating the
presence of a medical resource (see the third row from top in FIG.
26B). The medical resource detection routine 242 retrieves the code
and name of the medical resource 210 (in the illustrated example,
"C") from the medical resource information table 247. The medical
resource detection routine 242 further requests the input of
operator identification information. These items of information are
appended to the log data 249, printed by the printer 236 and
reported to the host medical management computer via the LAN
237.
[0353] For retrieval of the medical resource 210 thus stored from
the medical resource storage and management apparatus 220, a
retrieval instruction including the code "C" and the operator
identification information are input to the control unit 230 by an
operation using the barcode reader 235 or the like. This prompts
the retrieval guidance routine 241 in the control unit 230 to
search the medical resource information table 247 and check the
associated field in the medical resource availability data 246. In
this case, the value "1" is found in the field, showing that the
medical resource is available, whereupon the retrieval guidance
member 252 at the associated location is lighted (see the bottom
row of FIG. 26B). The operator viewing this can take out the target
medical resource 210 without fail.
[0354] When the medical resource 210 is taken out, the medical
resource detection routine 242 updates the value entered in the
associated field in the medical resource availability data 246 to
"0", indicating the absence of medical resources. The information
is combined with the code and name (in the illustrated example,
"C") supplied from the retrieval guidance routine 241, and with
operator identification information. The combined information is
appended to the log date 249, printed by the printer 236 and
reported to the host medical management computer via the LAN 237.
When the retrieval guidance member 252 of the associated location
is turned off, the operating condition returns to a pre-storage
state (see FIG. 26A).
[0355] When the hanger member 255 is removed from one of the hanger
member fitting parts of the horizontal-bridging case 250 (see FIGS.
27A and 27B), the manual hanger condition configuration routine 244
is started by an operation using the keyboard 233 or the mouse 234,
before storing a medical resource 210 therein (see the top row of
FIG. 27A). An instruction for update is entered so as to change the
value in the associated field in the hanger availability data 248
to "0", indicating the absence of the hanger member (see the fourth
row from top in FIG. 27A). The medical resource information table
247 remains as initially configured (see the second row from top in
FIG. 27A). All the fields in the medical resource availability data
246 contain "0" (see the third row from top in FIG. 27A).
[0356] In this condition, a medical resource 210 not more than
twice as wide could be hung from the hanger member 255 adjacent to
where the hanger member 255 is removed. When a medical resource 210
is hung from the hanger 255 (see the top row of FIG. 27B), the
medical resource information table 247 and the hanger availability
data 248 remain unchanged (see the second and fourth rows from top
in FIG. 27B). Meanwhile, the values in the two associated fields in
the medical resource availability data 246 are changed by the
medical resource detection routine 242 to "1", indicating the
presence of the medical resource (see the third row from top in
FIG. 27B). The medical resource detection routine 242 retrieves the
code and name of the medical resource 210 (in the illustrated
example, "C") from the medical resource information table 247. The
medical resource detection routine 242 further requests the input
of operator identification information. These items of information
are appended to the log data 249, printed by the printer 236 and
reported to the host medical management computer via the LAN
237.
[0357] For retrieval of the medical resource 210 thus stored from
the medical resource storage and management apparatus 220, a
retrieval instruction including the code "C" and the operator
identification information are input to the control unit 230 by an
operation using the barcode reader 235 or the like. This prompts
the retrieval guidance routine 241 in the control unit 230 to
search the medical resource information table 247 and select the
associated field (see "C" in the second row from top in FIG. 27B),
and then to check the associated field in the medical resource
availability data 246. In this case, the associated field contains
"1", indicating that the medical resource is available, whereupon
the retrieval guidance member 252 at the associated location is
lighted (see the bottom row of FIG. 27B). The operator viewing this
will not find any difficulty in taking out the target medical
resource 210.
[0358] When the medical resource 210 is taken out, the medical
resource detection routine 242 updates the value entered in the
associated field in the medical resource availability data 246 to
"0", indicating the absence of medical resources. The information
is combined with the code and name (in the illustrated example,
"C") supplied from the retrieval guidance routine 241, and with
operator identification information. The combined information is
appended to the log date 249, printed by the printer 236 and
reported to the host medical management computer via the LAN 237.
When the retrieval guidance member 252 at the associated location
is turned off, the operating condition returns to a pre-storage
state (see FIG. 27A).
[0359] In the case where the hanger member 255 is removed from
every second hanger member fitting part of the horizontal-bridging
case 250 (see FIG. 27C), the operation will easily be surmised from
the above explanation so that a detailed explanation will not be
repeated. It will be noted that a medical resource 210 not more
than three times as wide can be stored (see the top row of FIG.
27C). In this case, the manual hanger condition configuration
routine 244 is started so as to configure the values in the two
associated fields in the hanger availability data 248 to "0",
indicating the absence of hanger members (see the fourth row from
top in FIG. 27C).
[0360] When a medical resource 210 not more than three times as
wide is hung and stored (see the top row of FIG. 27C), the
associated field in the medical resource availability data 246 is
updated to contain "1" (see the third row from top in FIG. 27C),
and relevant information is appended to the log data 249.
[0361] When a retrieval instruction including the code "C" is input
to the control unit 230, the associated field in the medical
resource information table 247 (see "C" in the second row from top
in FIG. 27C) is selected, and then the associated field in the
medical resource availability data 246 is checked. In this case,
the checked field contains "1". Thereupon, the retrieval guidance
member 252 at the associated location is lighted (see the bottom
row of FIG. 27C). The operator viewing this will not find
difficulty in taking out the target medical resource 210.
[0362] If any of the medical resource detecting members 253
provided at a location where the hanger member 255 is removed fails
(see FIG. 27D), it will result in incompatibility such that the
associated field in the medical resource availability data 246
contains "1" (see the third row from top in FIG. 27D), while the
associated field in the hanger availability data 248 contains "0"
(see the fourth row from top in FIG. 27D). If the condition of
incompatibility continues beyond a maximum period of time required
for storage or retrieval of the medical resource 210, the medical
resource detection routine 242 issues an alarm. An alarm is also
issued if the hanger member 255 is actually fitted but is indicated
as being removed in error, and if the medical resource 210 is hung
from that hanger member 255. This will reveal a failure or a
mistake in configuration.
Illustrative Embodiment 3-3
[0363] A specific structure of the illustrative embodiment 3-3 of
the medical resource storage and management apparatus according to
the third embodiment will be described with reference to the
associated drawings. FIGS. 28A and 28B show the structure of the
medical resource storage and management apparatus. FIG. 28A is a
side view of the horizontal-bridging bar and the hanger member;
FIG. 28B is a front view of the horizontal-bridging bar and the
hanger member; and FIG. 28C is a functional block diagram of the
control unit.
[0364] The medical resource storage and management apparatus 220
according to this embodiment differs from that of the illustrative
embodiments 3-1 and 3-2 in that hanger detecting members 254 are
added (see FIGS. 28A and 28B) and the manual hanger condition
configuration routine 244 is replaced by an automatic hanger
condition configuration routine 245 (see FIG. 28C).
[0365] The hanger detecting member 254 (see FIGS. 28A and 28B) may
be implemented by a mechanical switch, a reflective photosensor, a
capacity sensor or the like. The hanger detecting member 254 in the
illustrated example is implemented by a photosensor fitted to the
horizontal-bridging bar 251 so as to face a light-emitting device
254a. As the hanger member 255 is fitted in the hanger member
fitting part sandwiched between the light-emitting device 254a and
the hanger detecting member 254, light emitted from the
light-emitting device 254a is shielded by the hanger member 255,
preventing the hanger detecting member 254 from receiving light. As
the hanger member 255 is removed, the hanger detecting member 254
is capable of receiving light. The hanger detecting member 254 and
the light-emitting device 254a are provided in each of the hanger
member fitting parts of the horizontal-bridging case 250, so as to
output a binary signal which turns on and off according to whether
the hanger member 255 is fitted or removed.
[0366] The automatic hanger condition configuration routine 245
(see FIG. 28C) is started periodically and automatically by a
timer, etc. or irregularly and automatically started by an
interruption initiated in the event of a change in a detection
signal from the hanger detecting member 254. The automatic hanger
condition configuration routine 245 updates the hanger availability
data 248 based on the detection by the partition hanger detecting
member 254. More specifically, each time the automatic hanger
condition configuration routine 245 is started, it imports the
detection results from all hanger detecting members 254 or those
results changed since its last import, and writes "1" or "0" in the
hanger availability data 248 in association with the on-off
condition.
[0367] In this case, removal of the hanger member 255 from the
horizontal-bridging bar 251 of the horizontal-bridging case 250 or
fitting of the hanger member 255 to the horizontal-bridging bar 251
of the horizontal-bridging case 250 need not be designated by
manual input for configuration. The removal or fitting is detected
by the hanger detection routine 254, and the hanger availability
data 248 is automatically configured by the automatic hanger
condition configuration routine 245. This will prevent
incompatibility between the fitting condition of the hanger member
255 and the hanger availability data 248 from occurring due to a
failure to provide an input for configuration.
[0368] The other usage modes and operations are the same as those
of the illustrative embodiment 3-1 described above.
Illustrative Embodiment 3-4
[0369] The medical resource storage and management apparatus 220
according to an illustrative embodiment 3-4 shown in perspective
views of FIGS. 29A-29C differs from that of the illustrative
embodiments 3-1 through 3-3 in that the storage unit is formed as a
drawer unit 225 in order to accommodate the storage units, each of
which is provided with the horizontal-bridging case 250, in such a
manner that the space is efficiently used.
[0370] All four drawer units 225 of the medical resource storage
and management apparatus 220 of FIG. 29A can be drawn toward the
operator; and all four drawer units 225 of the medical resource
storage and management apparatus 220 of FIG. 29B can be drawn to
the left.
[0371] In the case of the of the medical resource storage and
management apparatus 220 of FIG. 29C, the one unit at the front
cannot be drawn. Since the horizontal-bridging box 250 is
accommodated in a space 226 with an open front, which can be
covered by a shutter 227, medical resources 210 that are frequently
used may suitably be stored therein. The three rear units can be
drawn to the left. Therefore, a large number of medical resources
210 comparable to those of the other configurations can be
stored.
Illustrative Embodiment 3-5
[0372] A specific structure of the illustrative embodiment 3-5 of
the medical resource storage and management apparatus according to
the third embodiment will be described with reference to the
associated drawings. FIGS. 30A-30C show the mechanical structure of
the medical resource storage and management apparatus. FIG. 30A
shows the appearance of the apparatus; FIGS. 30B and 30C are
expanded perspective views of a rack and a partition member. FIG.
31 is a functional block diagram of a control unit.
[0373] The medical resource storage and management apparatus 220
according to this embodiment differs from those of the illustrative
embodiments 3-1 through 3-4 in that racks 260 or racks 270, instead
of the horizontal-bridging box 250, are placed in an area in the
storage part (see FIG. 30A).
[0374] The rack 260 (see FIG. 30B) is implemented by a horizontally
extending plate with a flat top face. Partition members 265 formed
as thin plates are fitted to the top face thereof at regular or
irregular pitches in a longitudinal direction (in the figure,
sideways) in order to place a large number of medical resources 210
in respective partitions retrievably. Two rows of depressions 261
to fit partition members are formed on the top face of the rack 260
at regular or irregular pitches in a longitudinal direction. Two
fittings 266 are formed to protrude from the bottom of each of the
partition members 265. In this example, the fitting 266 is a small
round bar and the depression 261 is a through hole. By inserting
the fitting 266 into the depression 261, the partition member 265
is removably fitted to the depression 261 in the rack 260. A
medical resource name plate 267, a connecting member 268, and a
pivot shaft 269 are attached to one side (in the illustrated
example, the right side) of the partition member 265.
[0375] One end of the pivot shaft 269 is secured to the partition
member 265 toward the back thereof; one end of the connecting
member 268 is pivotally connected to the other end of the pivot
shaft 269; and the medical resource name plate 267 is secured to
the other end of the connecting member 268 extending to the front.
Thus, by pivotally moving the connecting member 268, the medical
resource name plate 267 is moved up and down in association with
the connecting member 268 in an easy-to-view space where retrieval
of a medical resource takes place (more specifically, slightly in
front of the front of the rack 260).
[0376] The front of the rack 260 exposed when the door 224 is
opened is equipped with retrieval guidance members 262 and medical
resource detecting members 263 in close proximity with each other.
The retrieval guidance members 262 and the medical resource
detecting members 263 are arranged in the rack 160 so as to
alternate with the depressions 261 in a direction in which the
depressions 261 are arranged, i.e., in the longitudinal direction
of the rack 260.
[0377] When the partition member 265 is inserted into the
depression 261 on the top face of the rack 260 and when the
connecting member 268 and the medical resource name plate 267 are
allowed to swing freely, the member 268 and the plate 267 are
lowered under their own weight until the connecting member 268
comes into contact with the top face of the rack 260 and the
medical resource name plate 267 in front thereof is lowered to the
front of the rack 260. This shields the retrieval guidance member
262 and the medical resource detecting member 263 at the front of
the rack 160 from view. The medical resource name plate 267, as it
is lowered in response to the retrieval of the medical resource
from the associated location, shields the associated retrieval
guidance member 262 from view.
[0378] When the medical resource name plate 267 is raised so as to
store a medical resource 210 on the rack 260, the connecting member
268 rests on the medical resource 210 instead of on the rack 260,
causing the medical resource name plate 267 to remain at an
elevated position. The medical resource name plate 267 is located
above the associated retrieval guidance member 262, revealing the
retrieval guidance member 262 and the medical resource detecting
member 263 at the front of the rack 260 for view. The medical
resource detecting member 263 provided at the front of the rack 260
does not sense the medical resource 210 placed on the rack 260 but
senses the medical resource name plate 267 immediately in front of
the rack 260. Due to this and the fact that the medical resource
name plate 267 is moved up and down in response to the
storage/retrieval of the medical resource 210 as a result of
interference between the connecting member 268 and the medical
resource 210, the medical resource detecting member 263 indirectly
detects whether or not the medical resource 210 is placed by
detecting whether the medical resource name plate 267 is raised or
lowered.
[0379] In order to detect the medical resource name plate 267 for
indirect detection of the medical resource 210, each of the medical
resource detecting members 263 is implemented by a mechanical
switch, a reflective photosensor, a capacity sensor or the like, so
as to output a binary signal which turns on and off according to
whether the medical resource name plate 267 is raised or lowered.
Like the medical resource detecting member 253, the medical
resource detecting member 263 may be implemented by a magnetic
sensor.
[0380] In order to visually guide a user to the location of
placement of the medical resource 210 to be retrieved, a miniature
bulb, a light emitting diode or the like that can be turned on and
off is used as the retrieval guidance member 262 as in the case of
the retrieval guidance member 252.
[0381] The rack 270 (see FIG. 30C) is for inserting a partition
member 275. The partition member 275 is configured such that the
medical resource name plate 267, the connecting member 268 and the
pivot shaft 269 are omitted from the partition member 265.
Therefore, instead of the medical resource detecting members 263,
medical resource detecting members 273 are provided on the top face
of the rack 270 to directly detect whether the medical resource 210
is placed by sensing the bottom of the medical resource 210. A
depression 271, a retrieval guidance member 272, a partition
detecting member 274 and a fitting 276 are of the same structure or
function as the depression 261, the retrieval guidance member 262,
the partition detecting member 264 and the fitting 266,
respectively, although they differ in the destination of
installation.
[0382] The control unit 230 is expanded in its capabilities so that
access to the retrieval guidance member 262, the medical resource
detecting member 263, the partition detecting member 264, the
retrieval guidance member 272 and the medical resource detecting
member 273, as well as to the retrieval guidance member 252, the
medical resource detecting member 253 and the hanger member
detecting member 254, is enabled. The routines 241-245 and the data
246-249 of the control unit 230 are also altered to reflect the
structure by, for example, fine-tuning the definition of addresses
storing the components or the size of tables.
[0383] The basic usage mode and operation are the same as those in
the illustrative embodiments already described. For detection of
the medical resource 210, the rack 270 is designed for direct
detection, while the rack 260 and the horizontal-bridging case 250
are designed for indirect detection. A difference in the scheme
employed to store medical resources 210 is that the rack 270 and
the rack 260 are designed so that medical resources 210 are placed
thereon, while the horizontal-bridging case 250 is designed to hang
medical resources 210. As a mixture of three types is provided in
the storage part of the medical resource storage and management
apparatus 220, medical resources 210 of different types can be
stored for accurate and automatic management. The medical resource
210 may be packaged, bundled or contained in a case or a container.
Suitable for storage on the rack 270 of direct detection type are
those relatively stable in form that can stand on its own while in
storage (for example, those contained in a container with the shape
of a CD case or a rectangular box). Examples of such medical
resources are tube sets for injection/infusion, small and short
catheters and sets of articles including the same.
[0384] Suitable for storage on the rack 260 of indirect detection
and placement type are those relatively thick and unstable in form
that do not stand on its own while in storage (for example, those
contained in a round, hard case, those in a blister package or
those in a soft package). Examples of such medical resources are
those for respirator medicine such as filters, resources for
medical operations, and resources for artificial replacement.
[0385] Suitable for storage on the horizontal-bridging case 250 of
indirect detection and hanger type are those that are long and
relatively unstable in form, those that are light or thin but heavy
enough to be detected by being hung. Examples of such medical
resources are long sterilized catheters of not less than 0.5 cm,
long tubes, or resources for medical operations that are light or
thin.
Illustrative Embodiment 3-6
[0386] The medical resource storage and management apparatus
according to the illustrative embodiment 3-6 shown in the front
view FIG. 32 of the horizontal-bridging case and the hanger member
differs from those of the other embodiments in that hanger members
255 are not uniform in length such that the engaging parts 256 are
alternately high and low.
[0387] Alternatively, the hanger members 255 are of irregular
length (not shown).
[0388] Weights may be appropriately attached to or detached from
the weight part 257 to achieve proper balance so that extremely
thin or extremely light objects (e.g., postcard-sized drug packing
paper weighing 3 g/5 g/10 g per piece) can be detected when hung
from the hanger member 255.
Illustrative Embodiment 3-7
[0389] An illustrative embodiment 3-7 of the medical resource
storage and management apparatus according to the third embodiment
will be described with reference to the associated drawings. FIGS.
33A-33C show conditions of replenishment of medical resources.
FIGS. 33A-33C are screen shots. FIGS. 34A-34C also show conditions
of replenishment of medical resources. FIG. 34A is a perspective
view of the rack fitted with partition members; FIG. 34B is a
perspective view showing how identification information is read
from a medical resource; and FIG. 34C is a perspective view of the
rack storing a medical resource.
[0390] This medical resource storage and management apparatus
differs from the aforementioned embodiments of the apparatus in
that guidance is displayed in replenishing as well as in retrieving
a medical resource, and that the display 232, the keyboard 233 and
the mouse 234 are implemented as a touch panel 239.
[0391] In a normal operation (see FIG. 33A), information on the
medical resource 210 retrieved from the medical resource storage
and management apparatus is arranged chronologically and displayed
on the touch panel 239 on a real time basis. A direct finger-touch
selection of any the items 239a displayed on the screen causes
relevant details to be displayed for review. Guidance for
replenishment is also displayed in accordance with a specific
operation for selection.
[0392] More specifically, selecting a replenishment button 239b
displayed on the screen while in a normal operation (see FIG. 33A)
switches the display of the touch panel 239 to a replenishment mode
selection screen (see FIG. 33B). By entering information on an
operator who replenishes a medical resource, selection of a
"registered" button 239c and/or a "new registration" button is
available. By selecting the "new registration" button, the operator
can register the code (code No.) identifying the medical resource
210 that can be stored in a location of storage (address) and the
name for screen display (medical resource name). If the
registration is complete, selection of the "registered" button 239c
is enabled. The "registered" button 239c is selected when the
display of guidance for replenishment is desired.
[0393] The selection switches to the screen of the touch panel 239
showing a list of registered resources (see FIG. 33C). After
confirming that a location for storage is shown as being empty, the
operator scrolls the screen as necessary by using a scroll button
239f so as to directly select a field 239d for a relevant medical
resource with the finger.
[0394] If the number of empty locations 239e designated as capable
of storing the medical resource (e.g., catheter in an elongated
hermetically sealed package) is three (i.e., three packages can be
stored), the three retrieval guidance members 252 in the empty
locations are all lighted because, in this example, the retrieval
guidance member 252 also serves as a replenishment destination
guidance member (see FIG. 34A).
[0395] The operator proceeds to scan the barcode (identification
information) assigned to the medical resource 210 about to be
stored, by using the barcode reader 235 (see FIG. 34B) for
checking, before hanging the medical resource 210 from the hanger
member 255 at one of the locations in the horizontal-bridging case
250 lighted by the guidance member. This turns off all of the
guidance members (see FIG. 34C), and the log data, indicating the
identity of the operator who replenished the resource, the identity
of the resource replenished and the location of replenishment, is
recorded with a time stamp.
[0396] Thus, guidance display is provided properly and a job record
is maintained properly for replenishment. In this example, the
selection of the field 239d on the screen showing a list of
registered resources, and the scanning of the identification
information assigned to the medical resource 210 by using the
barcode reader 235 are both performed to reinforce checking.
However, only one of the tasks may be performed since it serves the
purpose of identifying a medical resource 210. In another
alternative, the operator may be allowed to complete both tasks,
but guidance display guiding the operator to the destination of
replenishment may not require completion of both tasks but may be
immediately provided upon completion of one of the tasks.
[0397] [Other Points of Note]
[0398] In the third embodiment, the hanger member fitting part is
implemented by the oblong hole 250a. The hanger member fitting part
may be formed in other manners so long as it is capable of defining
the position of fitting the hanger member 255 in the longitudinal
direction of the horizontal-bridging member, while allowing pivotal
movement of the hanger. For example, the hanger member fitting part
may be formed as a slit defined by partition bars provided on the
underside of the horizontal-bridging case 250, bearings provided in
series in the horizontal-bridging bar 251, spacers, or
retainers.
[0399] In the third embodiment, the control unit 230 is
accommodated in the electric equipment 221. Alternatively, the
control unit 230 may be placed outside the housing 222. The input
and output means of the control unit 230 may not be restricted to
the display 232, the keyboard 233 and the like mentioned above and
may be implemented by a touch panel or a mobile information
terminal.
[0400] In the third embodiment, the medical resource detection
routine 242 is designed to associate the on and off states of the
result of detection by the medical resource detecting member 253
with the storage and retrieval of the medical resource 210,
respectively. It is easy to expand the capabilities to
automatically manage the return of a medical resource 210 once
taken out and not used. For example, a determination may be made
that a resource is not replenished but returned, if retrieval and
storage are conducted successively in a short time span, or if a
resource is stored in one of the modes of operation introduced in
the control unit 230 in which mode an action of retrieval is
restricted. In this case, information indicating the return may
suitably be appended to the log data 249 or other output data. In
addition to data storage and output, provisions may also be made
for management of expiration dates, stock control, preparation of
drug history and inspection.
Fourth Embodiment
[0401] A fourth embodiment of the present invention relates to a
medical resource storage and management apparatus which arranges
and stores medical resources and also performs management of
storage status, and, more particularly, to a medical resource
storage and management apparatus which automatically manages
availability of medical resources at each location of storage and
also guides a user for retrieval.
[0402] A summary of the fourth embodiment will be given.
[0403] A first medical resource storage and management apparatus
according to the fourth embodiment comprises: a rack in which a
series of depressions for insertion of partition members are formed
so that a large number of medical resources are retrievably placed
in respective partitions; partition members which are removably
inserted into the depressions; medical resource detecting members
which are arranged on the rack so as to alternate with the
depressions in a direction in which the depressions are arranged,
and each of which detects whether or not a medical resource is
placed; retrieval guidance members for visual guidance which are
arranged on the rack so as to alternate with the depressions in a
direction in which the depressions are arranged; and a control unit
which manages the storage status of the medical resources, based on
the detection by the medical resource detecting members and which
operates one of the retrieval guidance members in response to an
input designating retrieval, wherein a name plate support member is
provided so as to be in parallel to the rack and behind the
partition members, and a medical resource name plate for visual
guidance is attached to the name plate support member via a
detachable connecting member such that the connecting member is
moved up and down depending on whether a medical resource is placed
and as a result of interference between the connecting member and
the medical resource, and that the medical resource name plate is
moved in association with the connecting member in a space where
retrieval of a medical resource takes place, and wherein the
medical resource detecting member indirectly detects whether or not
a medical resource is placed by detecting whether the medical
resource name plate is raised or lowered.
[0404] A second medical resource storage and management apparatus
according to the fourth embodiment is a modification to the first
medical resource storage and management apparatus, wherein the
medical resource name plate, when elevated in association with the
placement of a medical resource in the associated location, is
located above the retrieval guidance member in the associated
location, and the medical resource name plate, when lowered in
response to the retrieval of the medical resource from the
associated location, shields the retrieval guidance member in the
associated location from view.
[0405] A third medical resource storage and management apparatus
according to the fourth embodiment is a modification to the first
medical resource storage and management apparatus or the second
medical resource storage and management apparatus, wherein the
control unit allows providing an input for configuration to
designate whether the partition member is inserted into the
depression, and, based on the configuration, the control unit
collectively processes the medical resource detecting members and
the retrieval guidance members identified as being located on both
sides of the depression from which the partition member is
removed.
[0406] A fourth medical resource storage and management apparatus
according to the fourth embodiment is a modification to the first
medical resource storage and management apparatus or the second
medical resource storage and management apparatus and further
comprises a partition detecting member which detects whether the
partition member is inserted into the depression, wherein, based on
detection by the partition, the control unit collectively processes
the medical resource detecting members and the retrieval guidance
members identified as being located on both sides of the depression
from which the partition member is removed.
[0407] A fifth medical resource storage and management apparatus
according to the fourth embodiment is a modification to the third
medical resource storage and management apparatus or the fourth
medical resource storage and management apparatus, wherein the
control unit issues an alarm if the results of detection by the
medical resource detecting members in a block to be processed
collectively continue to fail to match beyond a predetermined
period of time.
[0408] In the first medical resource storage and management
apparatus, the medical resources are arranged on the rack such that
the locations of storage are partitioned by the partition members.
Therefore, it is easy to retrievably align and store medical
resources without accommodating them in cassettes and to prevent
disarrangement of the medical resources stored and resultant
disorganization.
[0409] Since the medical resource detecting member and the
retrieval guidance member are placed in respective partitions on
the rack, it is possible to detect whether each medical resource is
stored for automatic management and to properly guide a user to the
location of storage of the medical resource to be retrieved.
[0410] Since the partition member can be removed from the rack and
the location of insertion is formed as a depression, a relatively
large medical resource can be placed where the partition member is
removed.
[0411] Since the medical resource name plate is provided in each
partitioned block, i.e., in each location of storage, and in an
easy-to-view space where retrieval of a medical resource takes
place, the product name or the like of the medical resource to be
stored can be identified at a glance.
[0412] When the size of a location of storage is changed by
attaching or detaching a partition member, the medical resource
name plate has to be replaced by that of a proper size. Since the
medical resource name plate is fitted to the name plate support
member via the connecting member and the connecting member is
detachable from the name plate support member, the medical resource
name plate can be replaced easily.
[0413] Since the name plate support member is provided so as to be
in parallel to the rack and behind the partition members and since
the medical resource name plate is located where retrieval of a
medical supply takes place, the connecting member which connects
both automatically interferes with the medical supply above the
rack.
[0414] As a medical resource is stored or taken out, the medical
resource name plate is moved up or down in association with the
connecting member. The medical resource detecting member indirectly
and automatically detects whether or not the medical resource is
placed by detecting whether the medical resource name plate is
raised or lowered. Accordingly, availability of the medical
resource is visually confirmed even if the medical resource name
plate is in front of the medical resource. This makes it possible
to indirectly detect a medical resource even when it is difficult
to detect, for example, the bottom thereof due to the form or
material of the medical resource.
[0415] Thus, even with a simple apparatus in which racks are
partitioned and medical resources are arranged, a large variety of
large and small medical resources can be stored in the least
confusing manner. Even those resources that are not suitable for
direct detection can also be detected properly for automatic
management.
[0416] Thus, the first medical resource storage and management
apparatus provides capability for easily and properly storing and
retrieving medical resources, and automatically and accurately
keeping track of storage status.
[0417] In the second medical resource storage and management
apparatus, the retrieval guidance member is viewable when the
medical resource is stored, and is shielded from view when the
medical resource is taken out. With this, the availability of the
medical resource can be visually identified not only by viewing the
up and down movement of the medial resource name plate but also by
seeing whether or not the retrieval guidance member is shielded
from view. Moreover, the likelihood of misidentifying the operating
status of the retrieval guidance member is reduced.
[0418] In the third medical resource storage and management
apparatus, not only the partition member is detachable but also
whether or not the partition member is inserted is designated by
providing an input for configuration in the control unit. In this
way, the control unit can collectively process medical resource
detecting members and retrieval guidance members. Therefore, a user
will not be at a loss or face any inconvenience in handling and
management even if there are multiple medical resource detecting
members or retrieval guidance members where a single, large medical
resource resides.
[0419] Thus, even with a simple apparatus in which racks are
partitioned and medical resources are arranged, a large variety of
large and small medical resources can be easily stored for
automatic management by means of attachment and detachment of
partition members and by an input of associated information for
configuration.
[0420] According to the fourth medical resource storage and
management apparatus, convenience is enhanced by additionally
ensuring that whether or not the partition member is inserted is
automatically detected and reflected in the control.
[0421] According to the firth medical resource storage and
management apparatus, reliability is enhanced while avoiding an
increase in hardware cost, by taking advantage of redundancy of
results of detection by multiple medical resource detecting members
in a single block so as to detect an error accordingly.
[0422] Specific embodiments of the medical resource storage and
management apparatus according to the fourth embodiment will be
described using illustrative embodiments 4-1 through 4-7.
[0423] The illustrative embodiment 4-1 shown in FIGS. 35A-39D is an
embodiment of the first, third and fifth medical resource storage
and management apparatuses mentioned above. The illustrative
embodiment 4-2 shown in FIGS. 40A-40B is an embodiment of the
fourth medical resource storage and management apparatus mentioned
above. The illustrative embodiment 4-3 shown in FIGS. 41A-41C, the
illustrative embodiment 4-4 shown in FIGS. 42A-42C, the
illustrative embodiment 4-5 shown in FIGS. 43A-44C, the
illustrative embodiment 4-6 shown in FIGS. 45A-46D, and the
illustrative embodiment 4-7 shown in FIGS. 47A-48 are
variations.
[0424] In the illustration, fasteners such as bolts, connectors
such as hinges, electronic circuits such as drivers are omitted for
brevity, highlighting those elements necessary to explain the
embodiment and related elements.
Illustrative Embodiment 4-1
[0425] A specific structure of the illustrative embodiment 4-1 of
the medical resource storage and management apparatus according to
the fourth embodiment will be described with reference to the
associated drawings. FIGS. 35A-35D show the mechanical structure of
the medical resource storage and management apparatus. FIG. 35A is
a front view showing a door closed; FIG. 35B is a front view
showing the door opened; FIG. 35C is a perspective view of a rack
and partition members; and FIG. 35D is a perspective view showing
the appearance of the rack in which the partition members are
fitted. FIGS. 36A and 36B show the schematic structure of a control
unit. FIG. 36A is a schematic block diagram showing the connection
between the control unit and retrieval guidance members; and FIG.
36B is a functional block diagram of the control unit. FIGS.
37A-37C show the data structure of the control unit. FIG. 37A
relates to a medical resource information table; FIG. 37B relates
to medical resource availability data; and FIG. 37C relates to
partition availability data.
[0426] A medical resource storage and management apparatus 320 is
provided with a housing 322 a large portion of which is for storage
and a part of which comprises electric equipment 321. The electric
equipment 321 stores a control unit 330 and a power supply unit
etc. (not shown). The front of the storage part of the housing 322
is provided with an openable door 324 with a handle 323. The door
324 may be implemented by a shutter or the like, or may be omitted.
Inside the storage part exposed when the door 324 is opened is
provided a rack 380. Although there may be only one rack 380, an
orthodox apparatus would comprise multiple tiers. The pitch between
the racks 380 may be selectable.
[0427] The rack 380 is implemented by a horizontally extending
plate with a flat top face. Partition members 385 formed as thin
plates are fitted to the top face thereof at regular or irregular
pitches in a longitudinal direction (in the figure, sideways) in
order to place a large number of medical resources in respective
partitions retrievably.
[0428] Two rows of depressions 381 to fit partition members are
formed on the top face of the rack 380 (see FIGS. 35C and 35D) at
regular or irregular pitches in a longitudinal direction (in the
figures, sideways). Two fittings 386 are formed at the lower end of
each of the partition members 385. In this example, the fitting 386
is a small round bar and the depression 381 is a through hole. By
inserting the fitting 386 into the depression 381, the partition
member 385 is removably fitted to the depression 381 in the rack
380.
[0429] A name plate support member 389 is provided above the rack
380 so as to be in parallel to the rack 380 and behind the
partition member 385 as it is fitted to the rack 380. In the
illustrated example, the name plate support member 389 is a round
bar or shaft extending straight. The ends of the member 389 is
supported by support posts 389b provided to stand on the rack 380
so that the member 389 can be accommodated in or removed from the
housing 322 along with the rack 380. Locking groove 389a are formed
at appropriate locations in the name plate support member 389 at a
fine pitch, or at least at a pitch determined by the pitch at which
the depressions 381 are provided. Each of the locking groove 389a
is formed by engraving the entire circumference of the name plate
support member 389 to a regular width and depth.
[0430] A connecting member 388 is removably fitted to the name
plate support member 388. More specifically, the connecting member
388 is of a form that would be made by bending a plate of a width
slightly smaller than the pitch at which the depressions 381 are
provided. A locking piece 388a lockable with the locking groove
389a of the name plate support member 389 is provided at the rear
end of the connecting member 388. A medical resource name plate 387
is secured to the other end of the connecting member 388 extending
forward. As the locking piece 388a is engaged with the locking
groove 389a, slight play therebetween allows the connecting member
388 to rotate in both directions around the name plate support
member 389 as a pivot axis or an axis of rotation. Meanwhile,
travel of the connecting member 388 in the longitudinal direction
of the name plate support member 389 is restricted. Thus, by
pivotally moving the connecting member 388, the medical resource
name plate 387 is moved up and down in association with the
connecting member 388 in an easy-to-view space where retrieval of a
medical resource takes place (more specifically, slightly in front
of the front of the rack 380).
[0431] The front of the rack 380 exposed when the door 324 is
opened is equipped with retrieval guidance members 382 and medical
resource detecting members 383 in close proximity with each other.
The retrieval guidance members 382 and the medical resource
detecting members 383 are arranged in the rack 380 so as to
alternate with the depressions 381 in a direction in which the
depressions 381 are arranged, i.e., in the longitudinal direction
of the rack 380. When the partition member 385 is inserted into the
depression 381 on the top face of the rack 380, when the connecting
member 388, with a width adapted to the interval between adjacent
partition members 385, is fitted to the name plate support member
389, and when the connecting member 388 and the medical resource
name plate 387 are allowed to swing freely, the member 388 and the
plate 387 are lowered under their own weight until the connecting
member 388 comes into contact with the top face of the rack 380 and
the medical resource name plate 387 in front thereof is lowered to
the front of the rack 380. This shields the retrieval guidance
member 382 and the medical resource detecting member 383 at the
front of the rack 380 from view (see FIG. 35D). The medical
resource name plate 387, as it is lowered in response to the
retrieval of the medical resource from the associated location,
shields the associated retrieval guidance member 382 from view.
[0432] When the medical resource name plate 387 is raised so as to
store a medical resource 310 on the rack 380, the connecting member
388 rests on the medical resource 310 instead of on the rack 380,
causing the medical resource name plate 387 to remain at an
elevated position. The medical resource name plate 387 is located
above the associated retrieval guidance member 382, revealing the
retrieval guidance member 382 and the medical resource detecting
member 383 at the front of the rack 380 for view. The medical
resource detecting member 383 provided at the front of the rack 380
does not sense the medical resource 310 placed on the rack 380 but
senses the medical resource name plate 387 immediately in front of
the rack 380. Due to this and the fact that the medical resource
name plate 387 is moved up and down in response to the
storage/retrieval of the medical resource 310 as a result of
interference between the connecting member 388 and the medical
resource 310, the medical resource detecting member 383 indirectly
detects whether or not the medical resource 310 is placed by
detecting whether the medical resource name plate 387 is raised or
lowered.
[0433] In order to detect the medical resource name plate 387 for
indirect detection of the medical resource 310, each of the medical
resource detecting members 383 is implemented by a mechanical
switch, a reflective photosensor, a capacity sensor or the like, so
as to output a binary signal which turns on and off according to
whether the medical resource name plate 387 is raised or
lowered.
[0434] In order to visually guide a user to the location of
placement of the medical resource 310 to be retrieved, a miniature
bulb, a light emitting diode or the like that can be turned on and
off is used as the retrieval guidance member 382.
[0435] The control unit 330 (see FIG. 36A) comprises a programmable
controller such as a personal computer and a sequencer. A local
area network (LAN) connects the control unit 330 to the retrieval
guidance members 382 and the medical resource detecting members 383
via, for example, a rack controller 331. Alternatively, the control
unit 330, the retrieval guidance members 382 and the medical
resource detecting members 383 are in direct star connection (not
shown). The connection enables retrieving detection results of the
medical resource detecting members 383 and controlling the lighting
of the retrieval guidance members 382.
[0436] The control unit 330 (see FIG. 36B) is provided with a
display 332 for screen display, a keyboard 333 for key entry, a
mouse 334 for inputting instructions etc. on a screen, a bar code
reader 335 for reading identification information, a printer 336
for delivering printouts, an interface for a local area network
(LAN) 337 which is responsible for communication with a
prescription order-entry system etc., and a hard disk 338 as a
secondary storage.
[0437] A retrieval guidance routine 341, a medical resource
detection routine 342, a medical resource information configuration
routine 343, and a manual partition condition configuration routine
344 are installed in the control unit 330, as programs for managing
the storage status of the medical resources, based on the detection
by the medical resource detecting members 383, and for operating
selected retrieval guidance members 382 in response to an input
designating retrieval. The hard disk 338 stores medical resource
availability data 346, a medical resource information table 347,
partition availability data 348, and log data 349, which are
divided into individual files or are unified in an appropriate
database. The figures show (see FIGS. 37A-37B) the data 346, the
table 347 and the data 348 maintained in a table format. Each table
comprises a 5.times.21 matrix, in association with the fact that
the racks 380 form five tiers and the maximum number of partitions
in each rack 380 (i.e., the maximum number of the partition members
385, the retrieval guidance members 382 and the medical resource
detecting members 383) is twenty one.
[0438] Each field in the medical resource information table 347
(see FIG. 37A) contains an identification code and a name displayed
on a screen for the medical resource 310 which is stored or can be
stored in an associated location. "1" or "0" is written in the
medical resource availability data 346 (see FIG. 37B), "1",
indicating that the medical resource 310 is stored in the
associated location, and "0", indicating that no medical resources
310 are stored. "1" or "0" is written in the partition availability
data 348 (see FIG. 37C), "1", indicating that the partition member
385 is inserted, and "0", indicating that the partition member 385
is removed from the associated location. The medical resource
information table 347 should be configured at least once before
operating the apparatus for the first time since its installation.
Therefore, the table is usually initialized upon starting the
apparatus and updated when the operation is stopped. The partition
availability data 348 is also initialized so that the insertion
condition of the partition member 385 is reflected before the
initial operation. Configuration inputs for update are also
provided when the partition member 385 is attached or detached. The
medical resource availability data 346 is all cleared by
initialization before the initial operation, and are subsequently
updated with each storage or retrieval of the medical resource
310.
[0439] The medical resource information configuration routine 343
is started by the keyboard 333 or mouse 334 operation. When dumping
from a medicine master file located on a host computer via the LAN
337 is dictated in an environment where such an action is possible,
the medical resource information configuration routine 343 dumps
the data. The routine 343 also allows the user to set the code or
name of the medical resource 310 in the medical resource
information table 347 by selecting an item using the mouse 334 or
entering data using the keyboard 333, while viewing screen display
on the display 332.
[0440] The manual partition condition configuration routine 344 is
also started by the keyboard 333 or mouse 334 operation. The
routine 344 allows the user to provide an input for configuration
to designate in the partition availability data 348 whether the
partition member 385 is inserted into the depression 381 in the
rack 380, by selecting an item or toggling using the mouse 334 or
the keyboard 333, while viewing screen display on the display
332.
[0441] The medical resource detection routine 342 is started
periodically and automatically by a timer, etc. or irregularly and
automatically started by an interruption initiated in the event of
a change in a detection signal from the medical resource detecting
member 383. The medical resource detection routine 342 manages the
storage status of the medical resources 310 based on the detection
by the medical resource detecting members 383. More specifically,
each time the medical resource detection routine 342 is started, it
imports the detection results from all medical resource detecting
members 383 or those results changed since its last import, and
writes "1" or "0" in the medical resource availability data 346 in
association with the on-off condition. When the detection result
from the medical resource detecting member 383 undergoes an on/off
change and the storage or retrieval of the medical resource 310 is
detected accordingly, the medical resource detection routine 342
appends information indicating the detection to the log data 349
with a time stamp, causes the printer 336 to deliver a printout
which carries the name listed in the associated field in the
medical resource information table 347, and submits a report to a
host medical management computer via the LAN 337.
[0442] The retrieval guidance routine 341 is started when the code
of the medical resource 310 or a prescription ID number is entered
by allowing the barcode reader 335 to scan the code or the ID, or
by using the keyboard 333 or the mouse 334, in order to operate one
of the retrieval guidance members 382 in response to an input
designating retrieval. The retrieval guidance routine 341 searches
the medical resource information table 347 to determine the
location of storage of the medical resource 310 designated to be
retrieved via the reading or via the mouse or keyboard operation,
and lights the medical resource detecting member 383 at the
associated location. The medical resource detection routine 342 is
responsible for turning the medical resource detecting member 383
off when the retrieval of the medical resource 310 at the
associated location is detected.
[0443] The retrieval guidance routine 341 and the medical resource
detection routine 342 learn whether or not the partition member 385
is inserted, and collectively process the medical resource
detecting members 383 and the retrieval guidance members 382
identified as being located on both sides of the depression 381
from which the partition member 385 is removed. If the results of
detection by the medical resource detecting members 383 in the
block to be processed collectively continue to fail to match beyond
a predetermined period of time, an alarm is issued.
[0444] More specifically, the retrieval guidance routine 341 refers
to the medical resource availability data 346 to check whether the
partition member 385 is inserted to the left or right of a location
of storage, before lighting the medical resource detecting member
383. If "0" is entered left or right, indicating that the partition
member 385 there is removed, the associated, adjacent retrieval
guidance member 382 is also lighted. In association with this, the
medical resource detection routine 342 performs a similar check by
referring to the medical resource availability data 346 in turning
off the retrieval guidance member 382, and turns off the retrieval
guidance members 382 in the block at a time.
[0445] The medical resource detection routine 342 also performs,
upon detecting the storage or retrieval of the medical resource
310, a similar check by referring to the medical resource
availability data 346 before changing the value of the medical
resource availability data 346. If a series of adjacent partitions
are to be processed collectively as a single block, the medical
resource detection routine 342 examines whether the values from the
medical resource detecting members 383 in the single block match.
If the values match, the routine 342 terminates the process
normally; if the values do not match, the routine 342 continues the
monitoring. If the values from the medical resource detecting
members 383 in a block continue to fail to match beyond a maximum
period of time required for storage or retrieval of the medical
resource 310 while the monitoring is proceeding, the medical
resource detection routine 342 displays an alarm on the display 332
or sounds an alarm buzzer (not shown).
[0446] In order to help the routines 341 and 342 to collectively
process a block where the partition member 385 is removed, the
manual partition condition configuration routine 344 configures, in
designating in the partition availability data 348 that the
partition member 385 is removed, the associated fields in the
medical resource information table 347 such that field values
(i.e., codes and names maintained) corresponding to the locations
of storage identified as being located on both sides of the
depression 381 from which the partition member 385 is removed,
match. The manual partition condition configuration routine 344
returns the field values to their original values in designating in
the partition availability data 348 that the partition member 385
is inserted.
[0447] In addition, the control unit 330 acquires operator
identification information by requesting an operator to input
operator identification information each time an operation is
carried out. Alternatively, the control unit 330 acquires operator
identification information input by an operator in advance of an
operation. The control unit 330 also stores, in the log data 349,
related information then collected by automatic detection etc.
together with a time stamp. The data stored is also output via the
LAN 337. The process is performed in the manual partition condition
configuration routine 344 as well as in the retrieval guidance
routine 341.
[0448] The mode of using the medical resource storage and
management apparatus according to the illustrative embodiment 4-1
and its operation will be described with reference to the drawings.
FIGS. 38A-4B illustrate the operation of the medical resource
storage and management apparatus. FIG. 38A shows an empty
condition; and FIG. 38B shows a condition in which a small medical
resource is stored. FIGS. 39A-39D also illustrate the operation of
the medical resource storage and management apparatus. FIG. 39A
shows a condition in which one partition member is removed from the
rack while the partition is empty; FIG. 39B shows a condition in
which a medium-sized medical resource is stored; FIG. 39C shows a
condition in which a large medical resource is stored where two
partition members are removed; and FIG. 39D shows a condition in
which detection results from medical resource detecting members do
not match.
[0449] Prior to the operation of the medical resource storage and
management apparatus 320, a desired number of racks 380 are set in
the storage part of the housing 322, the partition members 385 are
inserted into the depressions 381 in each rack 380, and the
connecting members 388 with the respective medical resource name
plates 387 are fitted to the name plate support member 389. The
medical resource information configuration routine 343 in the
control unit 330 is started by an operation using the keyboard 333
or the mouse 334 so as to set the identification code and the
displayed name of the medical resources 310 in the respective
fields in the medical resource information table 347.
[0450] In this process, it is also favorable to perform a
comparison check with the product name of the medical resource
currently written in the medical resource name plate 387. The
manual partition condition configuration routine 344 in the control
unit 330 is started by an operation using the keyboard 333 or the
mouse 334 so as to designate whether the partition members 385 are
inserted into the depressions 381 in the rack 380, in the
respective fields in the partition availability data 348. The
medical resource availability data 346 and the log data 349 are
cleared by a suitable initialization routine (not shown).
[0451] This completes preparation for operation. The operating
conditions of the medical resource storage and management apparatus
320 will be described specifically. The operation for storage
(replenishment or return) and associated updating of data, and the
operation for retrieval and associated updating of data will now be
described in the cases where: the partition members 385 are
inserted into all of the depressions 381 (FIGS. 38A and 38B); a
partition member 385 is removed from one of the depressions 381
(see FIGS. 39A and 39B); and two partition members 385 are removed
from two adjacent depressions 381 (FIGS. 39C and 39D).
[0452] When the partition members 385 are inserted into all of the
depressions 381 (see FIGS. 38A and 38B) and when the medical
resources 310 are not stored yet (see the top row of FIG. 38A), the
fields in the medical resource information table 347 contain
individual values (see A-E in the second row from top in FIG. 38A,
where A-E denote different codes and names). The fields in the
medical resource availability data 346 all contain "0", indicating
the absence of medical resources (see the third row from top in
FIG. 38A), and the fields in the partition availability data 348
all contain "1", indicating that the presence of the partition
members (see the fourth row from top in FIG. 38A).
[0453] When the medical resource 310 is stored on the rack 380 in
this condition (see the top row of FIG. 38B), only the medical
resource name plate 387 at the location of storage of the medical
resource 310 is elevated above the rack 380, revealing the
retrieval guidance member 382 for view. In this process, the
medical resource information table 347 and the partition
availability data 348 remain unchanged (see the second and fourth
rows from top in FIG. 38B). Meanwhile, the associated field in the
medical resource availability data 346 is updated by the medical
resource detection routine 342 to "1", indicating the presence of a
medical resource (see the third row from top in FIG. 38B). The
medical resource detection routine 342 retrieves the code and name
of the medical resource 310 (in the illustrated example, "C") from
the medical resource information table 347. The medical resource
detection routine 342 further requests the input of operator
identification information. These items of information are appended
to the log data 349, printed by the printer 336 and reported to the
host medical management computer via the LAN 337.
[0454] For retrieval of the medical resource 310 thus stored from
the medical resource storage and management apparatus 320, a
retrieval instruction including the code "C" and the operator
identification information are input to the control unit 330 by an
operation using the barcode reader 335 or the like. This prompts
the retrieval guidance routine 341 in the control unit 230 to
search the medical resource information table 347 and check the
associated field in the medical resource availability data 346. In
this case, the value "1" is found in the field, showing that the
medical resource is available, whereupon the retrieval guidance
member 382 at the associated location is lighted (see the bottom
row of FIG. 38B). The operator viewing this can take out the target
medical resource 310 without fail.
[0455] When the medical resource 310 is taken out, the medical
resource name plate 387 at the associated location is lowered to
the front of the rack 380, shielding the retrieval guidance member
382 and the medical resource detecting member 383 from view. In
this process, the medical resource detection routine 342 updates
the value entered in the associated field in the medical resource
availability data 346 to "0", indicating the absence of medical
resources. The information is combined with the code and name (in
the illustrated example, "C") supplied from the retrieval guidance
routine 341, and with operator identification information. The
combined information is appended to the log date 349, printed by
the printer 336 and reported to the host medical management
computer via the LAN 337. When the retrieval guidance member 382 of
the associated location is turned off, the operating condition
returns to a pre-storage state (see FIG. 38A).
[0456] When a partition member 385 is removed from one of the
depressions 381, (see FIGS. 39A and 39B), the medical resource name
plates 387 and the connecting members 388 adjacent to the location
of removal are removed from the name plate support member 389 so
that the medical resource name plate 387 and the connecting member
388 twice as wide are set there. The manual partition condition
configuration routine 344 is started by an operation using the
keyboard 333 or the mouse 334, before storing a medical resource
310 therein (see the top row of FIG. 39A). An instruction for
update is entered so as to change the value in the associated field
in the partition availability data 348 to "0", indicating the
absence of the partition member (see the fourth row from top in
FIG. 39A). This prompts the manual partition condition
configuration routine 344 to automatically update the medical
resource information table 347 so that the values in the fields,
corresponding to the locations of storage located on both sides of
the recess 381 from which the partition member 385 is removed,
match (see "BB" in the second row from top in FIG. 39A). All the
fields in the medical resource availability data 346 contain "0"
(see the third row from top in FIG. 39A).
[0457] When a medical resource 310 not more than twice as wide is
stored in a part on the rack from which the partition member 385 is
removed (see the top row of FIG. 39B), the medical resource
information table 347 and the partition availability data 348
remain unchanged (see the second and fourth rows from top in FIG.
39B). Meanwhile, the values in the two associated fields in the
medical resource availability data 346 are changed by the medical
resource detection routine 342 to "1", indicating the presence of
the medical resource (see the third row from top in FIG. 39B). The
medical resource detection routine 342 retrieves the code and name
of the medical resource 310 (in the illustrated example, "B") from
the medical resource information table 347. The medical resource
detection routine 342 further requests the input of operator
identification information. These items of information are appended
to the log data 349, printed by the printer 336 and reported to the
host medical management computer via the LAN 337.
[0458] For retrieval of the medical resource 310 thus stored from
the medical resource storage and management apparatus 320, a
retrieval instruction including the code "B" and the operator
identification information is input to the control unit 330 by an
operation using the barcode reader 335 or the like. This prompts
the retrieval guidance routine 341 in the control unit 330 to
search the medical resource information table 347 and select the
two adjacent fields (see "BB" in the second row from top in FIG.
39B), and then to check the two associated fields in the medical
resource availability data 346. In this case, the two fields
contain "1", indicating that the medical resource is available,
whereupon the two adjacent retrieval guidance members 382 at the
associated locations are lighted at a time (see the bottom row of
FIG. 39B). The operator viewing this will not find any difficulty
in taking out the target medical resource 310.
[0459] When the wide medical resource 310 is taken out, the wide
medical resource name plate 387 at the associated location is
lowered to the front of the rack 380, shielding two pairs of
retrieval guidance member 382 and medical resource detecting member
383 from view. In this process, the medical resource detection
routine 342 updates the value entered in the associated field in
the medical resource availability data 346 to "0", indicating the
absence of medical resources. The information is combined with the
code and name (in the illustrated example, "B") supplied from the
retrieval guidance routine 341, and with operator identification
information. The combined information is appended to the log date
149, printed by the printer 136 and reported to the host medical
management computer via the LAN 137. When the retrieval guidance
members 382 at the associated locations are turned off at a time,
the operating condition returns to a pre-storage state (see FIG.
39A).
[0460] In the case where the two partition members 385 are removed
from the adjacent two depressions 381 (see FIG. 39C), the operation
will easily be surmised from the above explanation so that a
detailed explanation will not be repeated. It will be noted that a
medical resource 310 not more than three times as wide can be
stored (see the top row of FIG. 39C). When the medical resource
name plate 387 and the connecting member 388 not more than three
times as wide are set, and when the manual partition condition
configuration routine 344 is started so as to update the values in
the two associated fields in the partition availability data 348 to
"0", indicating the absence of a partition member (see the fourth
row from top in FIG. 39C), the values in the three associated
fields in the medical resource information table 347 are made to
match (see "BBB" in the second row from top in FIG. 39C).
[0461] When a medical resource 310 not more than three times as
wide is stored (see the top row of FIG. 39C), each of the three
associated fields in the medical resource availability data 346 is
updated to contain "1" (see the third row from top in FIG. 39C),
and relevant information is appended to the log data 349.
[0462] When a retrieval instruction including the code "B" is input
to the control unit 330, the three associated fields in the medical
resource information table 347 (see "BBB" in the second row from
top in FIG. 39C) are selected, and then the three associated fields
in the medical resource availability data 346 are checked. In this
case, the three fields contain "1", showing a match. Thereupon, the
three adjacent retrieval guidance members 382 at the associated
locations are lighted at a time (see the bottom row of FIG. 39C).
The operator viewing this will not find difficulty in taking out
the target medical resource 310.
[0463] If one of the three medical resource detecting members 383
expected to detect the medical resource name plate 387 three times
as wide at a time fails (see FIG. 39D), two of the three associated
fields in the medical resource availability data 346 are changed to
"1", while one field continues to store "0" (see the third row from
top in FIG. 39D). This results in incompatibility between the
medical resource availability data 346 and the partition
availability data 348 as checked by the medical resource detection
routine 342, in respect of the three fields to be collectively
processed. If the condition of incompatibility (failure to match)
continues beyond a maximum period of time required for storage or
retrieval of the medical resource 310, the medical resource
detection routine 342 issues an alarm, revealing that there is a
failure.
Illustrative Embodiment 4-2
[0464] A specific structure of the illustrative embodiment 4-2 of
the medical resource storage and management apparatus according to
the fourth embodiment will be described with reference to the
associated drawings. FIGS. 40A and 40B show the structure of the
medical resource storage and management apparatus 320. FIG. 40A is
an expanded perspective view of the rack 380 and the partition
members 385; and FIG. 40B is a functional block diagram of the
control unit 30.
[0465] The medical resource storage and management apparatus 320
according to this embodiment differs from that of the illustrative
embodiment 4-1 in that partition detecting members 384 are added
and the manual partition condition configuration routine 344 is
replaced by an automatic partition condition configuration routine
345.
[0466] The partition detecting member 384 (see FIG. 40A) is
implemented by a mechanical switch, a reflective photosensor, a
capacity sensor or the like. The partition detecting member 384 is
embedded in the top face of the rack 380 to face upward so as to
sense the lower end face of the partition member 385 inserted into
the depression 381 on the top face of the rack 380, and is placed
at respective locations of insertion of the partition members 385
in the rack 380. In this example, the partition detecting member
384 is provided between a pair of depressions 381 arranged in a
width direction in order to detect whether the partition member 385
is inserted in its location. The partition member 384 outputs a
binary signal which turns on and off according to whether the
partition member 385 is available.
[0467] The automatic partition condition configuration routine 345
(see FIG. 40B) is started periodically and automatically by a
timer, etc. or irregularly and automatically started by an
interruption initiated in the event of a change in a detection
signal from the partition detecting member 384. The automatic
partition condition configuration routine 345 updates the partition
availability data 348 based on the detection by the partition
detecting member 384. More specifically, each time the automatic
partition condition configuration routine 345 is started, it
imports the detection results from all partition detecting members
384 or those results changed since its last import, and writes "1"
or "0" in the partition availability data 348 in association with
the on-off condition. The other functions (e.g., automatic updating
of the medical resource information table 347) are the same as
those of the manual partition condition configuration routine
344.
[0468] This arrangement allows the control unit 330 to collectively
process a block of medical resource detecting members 383 and
retrieval guidance members 382 identified as being located on both
sides of the depression 381 from which the partition member 385 is
removed, in accordance with the detection by the partition
detecting members 384.
[0469] The form of the fitting 386 of the partition member 385 and
the depression 381 in the rack 380 is also slightly modified. More
specifically, the fitting 386 and the depression 381 are curved
instead of being straight. By inserting the partition member 385 in
the rack 380 and then pulling and locking the partition member 385,
the partition member 385 is prevented from being disengaged.
[0470] In this case, removal of the partition member 385 from the
depression 381 on the rack 380 or insertion of the partition member
385 into the depression 381 in the rack 380 need not be designated
by manual input for configuration. The removal or insertion is
detected by the partition detection routine 384, and the partition
availability data 348 is automatically configured by the automatic
partition condition configuration routine 345. This will prevent
incompatibility between the insertion condition of the partition
member 385 and the partition availability data 348 from occurring
due to a failure to provide an input for configuration.
[0471] The other usage modes and operations are the same as those
of the illustrative embodiment 4-1 described above.
Illustrative Embodiment 4-3
[0472] The partition member 385 and the rack 380 shown in a
perspective view of FIG. 41A differ from those of the illustrative
embodiments 4-1 and 4-2 in that the partition member 385 is formed
by bending a round bar instead of as a plate, and that the
depression 381 is a bottomed hole instead of a through hole. The
partition detecting member 384 is embedded in the rack 380 so as to
face a light-emitting device 384a across the depression 381.
Whether or not the partition member 385 is inserted is detected
depending on whether light emitted from the light-emitting device
384a is shielded by the fitting 386 at the end of the partition
member 385 or received by the partition detecting member 384.
[0473] The partition member 385 and the rack 380 shown in a
perspective view of FIG. 41B differ from those of the illustrative
embodiments 4-1 and 4-2 in that the longitudinal cross section of
the partition member 385 is of an inverted T shape, and that the
depression 381 is formed as a groove.
[0474] In this case, the partition member 385 is inserted into the
depression 381 by slipping the fitting 386 at the lower end of the
partition member 385 into the depression 381.
[0475] The partition member 385 and the rack 380 shown in a
perspective view of FIG. 41C differ from those of the illustrative
embodiments 4-1 and 4-2 in that the partition member 385 is formed
by bending a round bar instead of as a plate, and that the
depression 381 is formed as a notch or bore formed at the front and
back of the rack 380 instead of on the top face thereof. In this
case, the partition 385 is inserted into the depression 381 and
secured and stabilized therein by a snapping force, by extending
the fittings 386 at both ends of the partition member 385 before
inserting them in the depression 381.
Illustrative Embodiment 4-4
[0476] A specific structure of the illustrative embodiment 4-4 of
the medical resource storage and management apparatus according to
the fourth embodiment will be described with reference to the
associated drawings. FIGS. 42A-42C show the structure of the
medical resource storage and management apparatus 320. FIG. 42A is
a front view showing the door 324 opened; FIG. 42B is an expanded
perspective view of a rack 370 and partition members 375; and FIG.
42C is a functional block diagram of the control unit 330.
[0477] The medical resource storage and management apparatus 320
according to this embodiment differs from those of the illustrative
embodiments 4-1 through 4-3 in that the racks 370, instead of the
racks 380, are placed in an area in the storage part (see FIG.
42A).
[0478] The rack 370 is configured such that the name plate support
member 389 and the support posts 389b are omitted from the rack
380. The medical resource name plate 387 and the connecting member
388 are also omitted (see FIG. 42B). Therefore, instead of the
medical resource detecting members 383, medical resource detecting
members 373 are provided on the top face of the rack 370 to
directly detect whether the medical resource 310 is placed by
sensing the bottom of the medical resource 310. A depression 371, a
retrieval guidance member 372, a partition detecting member 374, a
partition member 375 and a fitting 376 are of the same structure or
function as the depression 381, the retrieval guidance member 382,
the partition detecting member 384, the partition member 385 and
the fitting 386, respectively, although they differ in the
destination of installation.
[0479] The control unit 330 is expanded in its capabilities so that
access to the retrieval guidance member 372, the medical resource
detecting member 373 and the partition detecting member 374, as
well as to the retrieval guidance member 382, the medical resource
detecting member 383 and the partition detecting member 384, is
enabled. The routines 341-345 and the data 346-349 of the control
unit 330 are also altered to reflect the structure by, for example,
fine-tuning the definition of addresses storing the components or
the size of tables.
[0480] The basic usage mode and operation are the same as those in
the illustrative embodiments already described. For detection of
the medical resource 310, the rack 370 is designed for direct
detection, while the rack 380 is designed for indirect detection.
As a mixture of two types is provided in the storage part of the
medical resource storage and management apparatus 320, medical
resources 310 of different types can be stored for accurate and
automatic management.
[0481] The medical resource 310 may be packaged, bundled or
contained in a case or a container. Suitable for storage on the
rack 370 of direct detection type are those relatively stable in
form that can stand on its own while in storage (for example, those
contained in a container with the shape of a CD case or a
rectangular box). Examples of such medical resources are tube sets
for injection/infusion, small and short-length catheters and sets
of articles including the same.
[0482] Suitable for storage on the rack 380 of indirect detection
type are those relatively thick and unstable in form that do not
stand on its own while in storage (for example, those contained in
a round, hard case, those in a blister package or those in a soft
package). Examples of such medical resources are those for
respirator medicine such as filters, resources for medical
operations, and resources for artificial replacement.
Illustrative Embodiment 4-5
[0483] An illustrative embodiment 4-5 of the medical resource
storage and management apparatus according to the fourth embodiment
will be described with reference to the associated drawings. FIGS.
43A-43C show conditions of replenishment of medical resources.
FIGS. 43A-43C are screen shots. FIGS. 44A-44C also show conditions
of replenishment of medical resources. FIG. 44A is a perspective
view of the rack fitted with partition members; FIG. 44B is a
perspective view showing how identification information is read
from a medical resource; and FIG. 44C is a perspective view of the
rack storing a medical resource.
[0484] This medical resource storage and management apparatus
differs from the aforementioned embodiments of the apparatus in
that guidance is displayed in replenishing as well as in retrieving
a medical resource, that the display 332, the keyboard 333 and the
mouse 334 are implemented as a touch panel 339, and that, even in
an empty condition, the retrieval guidance member 382 is viewable
and not shielded from view by the medical resource name plate
387.
[0485] In a normal operation (see FIG. 43A), information on the
medical resource 310 retrieved from the medical resource storage
and management apparatus is arranged chronologically and displayed
on the touch panel 339 on a real time basis. A direct finger-touch
selection of any the items 339a displayed on the screen causes
relevant details to be displayed for review. Guidance for
replenishment is also displayed in accordance with a specific
operation for selection.
[0486] More specifically, selecting a replenishment button 339b
displayed on the screen while in a normal operation (see FIG. 43A)
switches the display of the touch panel 339 to a replenishment mode
selection screen (see FIG. 43B). By entering information on an
operator who replenishes a medical resource, selection of a
"registered" button 339c and/or a "new registration" button is
available. By selecting the "new registration" button, the operator
can register the code (code No.) identifying the medical resource
310 that can be stored in a location of storage (address) and the
name for screen display (medical resource name). If the
registration is complete, selection of the "registered" button 339c
is enabled. The "registered" button 339c is selected if the display
of guidance for replenishment is desired.
[0487] The selection switches to the screen of the touch panel 339
showing a list of registered resources (see FIG. 43C). After
confirming that a location for storage is shown as being empty, the
operator scrolls the screen as necessary by using a scroll button
339f so as to directly select a field 339d for a relevant medical
resource with the finger.
[0488] If the number of empty locations 339e designated as capable
of storing the medical resource (e.g., a filter in a bag) is three
(i.e., three bags can be stored), the three retrieval guidance
members 382 in the empty locations are all lighted because, in this
example, the retrieval guidance member 382 also serves as a
replenishment destination guidance member (see FIG. 44A).
[0489] The operator proceeds to scan the barcode (identification
information) assigned to the medical resource 310 about to be
stored, by using the barcode reader 335 (see FIG. 44B) for
checking, before storing the medical resource 310 in one of the
locations on the rack 380 lighted by the guidance member. This
turns off all of the guidance members (see FIG. 44C), and the log
data, indicating the identity of the operator who replenished the
resource, the identity of the resource replenished and the location
of replenishment, is recorded with a time stamp.
[0490] Thus, guidance display is provided properly and a job record
is maintained properly for replenishment.
[0491] In this example, the selection of the field 339d on the
screen showing a list of registered resources, and the scanning of
the identification information assigned to the medical resource 310
by using the barcode reader 335 are both performed to reinforce
checking. However, only one of the tasks may be performed since it
serves the purpose of identifying a medical resource 310. In
another alternative, the operator may be allowed to complete both
tasks, but guidance display guiding the operator to the destination
of replenishment may not require completion of both tasks but may
be immediately provided upon completion of one of the tasks.
Illustrative Embodiment 4-6
[0492] An illustrative embodiment 4-6 of the medical resource
storage and management apparatus according to the fourth embodiment
will be described with reference to the associated drawings. FIGS.
45A-45C show the mechanical structure of the medical resource
storage and management apparatus. FIG. 45A is a front view showing
a door opened; FIG. 45B is a perspective view of a rack and
partition members; and FIG. 45C is a perspective view showing the
appearance of the rack in which the partition members are fitted.
FIGS. 46A-46D show the mechanical structure of a part of the
medical resource storage and management apparatus. FIG. 46A is a
front view of the horizontal-bridging case and the hanger member;
FIGS. 46B and 46C are left side views of the horizontal-bridging
case and the hanger member showing the cross section of the
horizontal-bridging member; and FIG. 46D is a schematic functional
block diagram of the control unit.
[0493] The medical resource storage and management apparatus 320
according to this embodiment differs from that of the illustrative
embodiment 4-4 of FIGS. 42A-42C in that a rack 360 and a
horizontal-bridging case 350, as well as the racks 380 and 370, are
placed in an area in the storage part (see FIG. 45A).
[0494] The rack 360 (see FIGS. 45B and 45C) is similar to the racks
370 and 380 in that a partition member 365 is removably fitted. The
rack 360 differs from the rack 370 in that the rack is provided
with a medical name plate 367 supported by a connecting member 368
so as to be swingable up and down. The rack 360 differs from the
rack 380 in that the connecting member 368 is fitted to the
partition member 365 via a pivot shaft 369.
[0495] The rack 360 is implemented by a horizontally extending
plate with a flat top face. Partition members 365 formed as thin
plates are fitted to the top face thereof at regular or irregular
pitches in a longitudinal direction (in the figure, sideways) in
order to place a large number of medical resources 310 in
respective partitions retrievably. Two rows of depressions 361 to
fit partition members are formed on the top face of the rack 360 at
regular or irregular pitches in a longitudinal direction. Two
fittings 366 are formed to protrude from the bottom of each of the
partition members 365. In this example, the fitting 366 is a small
round bar and the depression 361 is a through hole. By inserting
the fitting 366 into the depression 361, the partition member 365
is removably fitted to the depression 361 in the rack 360. A
medical resource name plate 367, a connecting member 368, and a
pivot shaft 369 are attached to one side (in the illustrated
example, the right side) of the partition member 365.
[0496] One end of the pivot shaft 369 is secured to the partition
member 365 toward the back thereof; one end of the connecting
member 368 is pivotally connected to the other end of the pivot
shaft 369; and the medical resource name plate 367 is secured to
the other end of the connecting member 368 extending to the front.
Thus, by pivotally moving the connecting member 368, the medical
resource name plate 367 is moved up and down in association with
the connecting member 368 in an easy-to-view space where retrieval
of a medical resource takes place (more specifically, slightly in
front of the front of the rack 360). In the illustrated example,
the connecting member 368 is formed as a rod. Alternatively, like
the connecting member 388, the connecting member 368 may be formed
as a plate.
[0497] The front of the rack 360 exposed when the door 324 is
opened is equipped with retrieval guidance members 362 and medical
resource detecting members 363 in close proximity with each other.
The retrieval guidance members 362 and the medical resource
detecting members 363 are arranged in the rack 360 so as to
alternate with the depressions 361 in a direction in which the
depressions 361 are arranged, i.e., in the longitudinal direction
of the rack 360.
[0498] When the partition member 365 is inserted into the
depression 361 on the top face of the rack 360 and when the
connecting member 368 and the medical resource name plate 367 are
allowed to make a pivotal movement freely, the member 368 and the
plate 367 are lowered under their own weight until the connecting
member 368 comes into contact with the top face of the rack 360 and
the medical resource name plate 367 in front thereof is lowered to
the front of the rack 360. This shields the retrieval guidance
member 362 and the medical resource detecting member 363 at the
front of the rack 360 from view. The medical resource name plate
367, as it is lowered in response to the retrieval of the medical
resource from the associated location, shields the associated
retrieval guidance member 362 from view.
[0499] When the medical resource name plate 367 is raised so as to
store a medical resource 310 on the rack 360, the connecting member
368 rests on the medical resource 310 instead of on the rack 360,
causing the medical resource name plate 367 to remain at an
elevated position. The medical resource name plate 367 is located
above the associated retrieval guidance member 362, revealing the
retrieval guidance member 362 and the medical resource detecting
member 363 at the front of the rack 360 for view. The medical
resource detecting member 363 provided at the front of the rack 360
does not sense the medical resource 310 placed on the rack 360 but
senses the medical resource name plate 367 immediately in front of
the rack 360. Due to this and the fact that the medical resource
name plate 367 is moved up and down in response to the
storage/retrieval of the medical resource 310 as a result of
interference between the connecting member 368 and the medical
resource 310, the medical resource detecting member 363 indirectly
detects whether or not the medical resource 310 is placed by
detecting whether the medical resource name plate 367 is raised or
lowered.
[0500] In order to detect the medical resource name plate 367 for
indirect detection of the medical resource 310, each of the medical
resource detecting members 363 is implemented by a mechanical
switch, a reflective photosensor, a capacity sensor or the like, so
as to output a binary signal which turns on and off according to
whether the medical resource name plate 367 is raised or
lowered.
[0501] In order to visually guide a user to the location of
placement of the medical resource 310 to be retrieved, a miniature
bulb, a light emitting diode or the like that can be turned on and
off is used as the retrieval guidance member 362.
[0502] The horizontal-bridging case 350 (horizontal-bridging
member) (see FIG. 45A and FIGS. 46A-46C) comprises a rectangular
cylinder. A series of arm-shaped hanger members 355 are hung from
the lower part or the bottom of the case 350 in a longitudinal
direction (in FIG. 46A, sideways) at regular or irregular pitches
so as to arrange a large number of medical resources by retrievably
hanging them. In order to hang and store relatively longer medical
resources 310 by the hanger members 355, hanging storage space is
secured below the horizontal-bridging case 350. In the illustrated
example, there is only one horizontal-bridging case 350 provided so
as to extend horizontally above the hanging storage space.
[0503] In the hollow interior of the horizontal-bridging case 350
(see FIGS. 46A-46C) is housed a horizontal-bridging bar 351
(horizontal-bridging member) extending in a longitudinal direction.
The series of hanger members 355 are fitted to the
horizontal-bridging bar 351. More specifically, the hanger member
355 comprises a bar member substantially T-shaped in side view. The
lower end of an vertical bar is bent into a hook, forming an
engaging part 356. One end of a top side bar is formed into a
weight part 357 by bulging or by being provided with a weight. The
other end of the top side bar is provided with a permanent magnet
and is formed into a target of detection 358.
[0504] A through hole through which the horizontal-bridging bar 351
can be movably inserted is formed in the middle of the top side bar
toward the weight part 357. Alternatively, a bearing is fitted
thereto. By introducing the bar 351 through the hole or the
bearing, the hanger member 355 is supported by the bar 351 so as to
be pivotable around the bar 351. The center of gravitation of the
hanger member 355 is displaced from the pivot center toward the
weight part 357. Therefore, at the time of retrieving a medical
resource, the pivotal movement of the hanger member 355 causes the
engaging part 356 to be elevated and moved toward an operator (see
FIG. 46B). At the time of hanging a medical resource, the pivotal
movement causes the engaging part 356 engaged with a medical
resource 310 to be lowered and moved toward the back (see FIG.
46C).
[0505] On the underside of the horizontal-bridging case 350 (see
FIGS. 46B and 46C), a series of oblong holes 350a (hanger member
fitting parts) are formed in a longitudinal direction at regular or
irregular pitches. As the hanger member 355 is movably introduced
into the oblong hole 350a, the hanger member 355 is allowed to move
back and forth freely, while substantially being prevented from
moving sideways in a front view (see FIG. 46A). The provision
maintains the hanger members 355 in an aligned state (lined up in a
longitudinal direction), without inhibiting the pivotal movement
thereof.
[0506] Further (see FIGS. 46B and 46C), a medical resource
detecting member 353 is provided on the interior face of the
horizontal-bridging case 350 where the target of detection 358
leaves or comes into contact as a result of the pivotal movement of
the hanger member 355. A retrieval guidance member 352 is provided
on the front of the horizontal-bridging case 350 which becomes
viewable when the door 324 is opened. The retrieval guidance member
352 and the medical resource detecting member 353 are provided in
the horizontal-bridging case 350 so as to be alignment with the
oblong hole 350a and are provided for each hanger member 355, i.e.,
at each location of storage.
[0507] In this example, the medical resource detecting member 353
is implemented by a sensor using a Hall device that senses the
magnetic field of the magnet of the target of detection 358, in
order to detect whether the medical resource 310 is hung in
accordance with the pivotal movement of the hanger member 355. The
hanger member 355 is pivotally moved as the medical resource 310 is
hung or removed therefrom. As the target of detection 358 leaves or
comes into contact with the medical resource detecting member 353
as a result of the pivotal movement, the medical resource detecting
member 353 outputs a binary signal which turns on and off. The
medical resource detecting member 353 may be implemented by other
devices so long as detection in association with the pivotal
movement is enabled. For example, the medical resource detecting
member 353 may be implemented by a mechanical switch, a reflective
photosensor, a capacity sensor.
[0508] In order to visually guide a user to the location of
placement of the medical resource 310 to be retrieved, a miniature
bulb, a light emitting diode or the like that can be turned on and
off is used as the retrieval guidance member 352.
[0509] The control unit 330 (see FIG. 46D) is expanded in its
capabilities so that access to the retrieval guidance member 362,
the medical resource detecting member 363, the partition detecting
member 364, the retrieval guidance member 352, the medical resource
detecting member 353 and the hanger member detecting member 354, as
well as to the retrieval guidance member 382, the medical resource
detecting member 383, the partition detecting member 384, the
retrieval guidance member 372, the medical resource detecting
member 373 and the partition detecting member 374, is enabled. The
routines 341-345 and the data 346-349 of the control unit 330 are
also altered to reflect the structure by, for example, fine-tuning
the definition of addresses storing the components or the size of
tables.
[0510] The basic usage mode and operation are the same as those in
the illustrative embodiments already described. For detection of
the medical resource 310, the rack 370 is designed for direct
detection, while the racks 380, 360 and the horizontal-bridging
case 350 are designed for indirect detection. A difference in the
scheme employed to store medical resources 310 is that the racks
380, 370 and the rack 360 are designed so that medical resources
310 are placed thereon, while the horizontal-bridging case 350 is
designed to hang medical resources 310. As a mixture of three types
is provided in the storage part of the medical resource storage and
management apparatus 320, medical resources 310 of different types
can be stored for accurate and automatic management. The medical
resource 310 may be packaged, bundled or contained in a case or a
container. Suitable for storage on the rack 370 of direct detection
type are those relatively stable in form that can stand on its own
while in storage (for example, those contained in a container with
the shape of a CD case or a rectangular box). Examples of such
medical resources are tube sets for injection/infusion, small and
short-length catheters and sets of articles including the same.
[0511] Suitable for storage on the rack 380 and the rack 360 of
indirect detection and placement type are those relatively thick
and unstable in form that do not stand on its own while in storage
(for example, those contained in a round, hard case, those in a
blister package or those in a soft package). Examples of such
medical resources are those for respirator medicine such as
filters, resources for medical operations, and resources for
artificial replacement.
[0512] Suitable for storage on the horizontal-bridging case 350 of
indirect detection and hanger type are those that are long and
relatively unstable in form, those that are light or thin but heavy
enough to be detected by being hung. Examples of such medical
resources are long sterilized catheters of not less than 0.5 cm,
long tubes, or resources for medical operations that are light or
thin.
Illustrative Embodiment 4-7
[0513] An illustrative embodiment 4-7 of the medical resource
storage and management apparatus according to the fourth embodiment
will be described with reference to the associated drawings. FIGS.
47A and 47B show the structure of the medical resource storage and
management apparatus. FIG. 47A is a left side view showing a
partial cross section of the rack, the medical resource name plate
and the connecting member; and FIG. 47B is a perspective view
showing an essential part of the rack, the medical resource name
plate and the connecting member. FIG. 48 shows perspective views of
some of the medical resources suitable for storage.
[0514] A medical resource name plate 387, a connecting member 388
and a locking piece 388a (see FIGS. 47A and 47B) are integrally
formed. For example, they are formed as an injection-molded product
of transparent resin. A label sticker 387a adhesively attached to
the front of the medical resource name plate 387 is detected by the
medical resource detecting member 383. If it is not desired to
allow the label sticker 387a to conceal the retrieval guidance
member 382 when the medical resource name plate 387 is lowered, it
is easily ensured that the retrieval guidance member 382 is always
viewable by cutting a part of the label sticker 387a.
[0515] Since the connecting member 388 is transparent, the medical
resource 310 is visually identifiable from diagonally above even in
a state where the connecting member 388 rests on the medical
resource 310.
[0516] Suitable for storage in the rack 380 of this type (see FIG.
48) are a 0.1 L or 0.5 L glass bottle 310a, a 0.05 L plastic bottle
310b, a cylindrical object 310b resembling a film case for a
camera, an artificial substitute 310d of a complex form, a box (not
shown) and a blister pack (PTP package) (not shown).
[0517] [Other Points of Note]
[0518] The locking piece 388a of the fourth embodiment is described
as being locked into the locking groove 389a of the name plate
support member 389. Alternatively, the connecting member 388 may be
locked into the name plate support member 389 using an attachment
fitted so as to be slidable in the longitudinal direction of the
name plate support member 389 and to be capable of locking the
connecting member 388.
[0519] For prevention of the detachment of the locking piece 388a
from the destination of locking as the connecting member 388 makes
a pivotal movement, a spring clip or a retainer may be attached to
the locking piece 388a.
[0520] In the fourth embodiment, the control unit 330 is
accommodated in the electric equipment 321. Alternatively, the
control unit 330 may be placed outside the housing 322.
[0521] The input and output means of the control unit 330 may not
be restricted to the display 332, the keyboard 333 and the like
mentioned above and may be implemented by a touch panel or a mobile
information terminal.
[0522] In the fourth embodiment, the medical resource detection
routine 342 is designed to associate the on and off states of the
result of detection by the medical resource detecting member 383
with the storage and retrieval of the medical resource 310,
respectively. It is easy to expand the capabilities to
automatically manage the return of a medical resource 310 once
taken out and not used. For example, a determination may be made
that a resource is not replenished but returned, if retrieval and
storage are conducted successively in a short time span, or if a
resource is stored in one of the modes of operation introduced in
the control unit 330 in which mode an action of retrieval is
restricted. In this case, information indicating the return may
suitably be appended to the log data 349 or other output data. In
addition to data storage and output, provisions may also be made
for management of expiration dates, stock control, preparation of
drug history and inspection.
[0523] Some forms of medical resources require that the medical
resource be contained in an atypical package with irregular
surfaces. Some medical resources do not fit into a soft package,
while other medical resources need be contained in a container due,
for example, to their lightness or small size. All of these types
of resources may be stored in the rack provided with the
above-described function, using a detachable lid (case with a name
plate).
Fifth Embodiment
[0524] A fifth embodiment of the present invention relates to a
medical resource storage and management apparatus which arranges
and stores medical resources and also performs management of
storage status, and, more particularly, to a medical resource
storage and management apparatus which automatically manages
availability of medical resources at each location of storage and
also guides a user for retrieval.
[0525] A summary of the fifth embodiment will be given.
[0526] A first medical resource storage and management apparatus
according to the fifth embodiment comprises: a rack plate in which
are provided a series of medical resource detecting members for
detecting whether or not a medical resource is placed on the rack
plate and a series of retrieval guidance members for visual
guidance; a control unit which manages the storage status of the
medical resources, based on the detection by the medical resource
detecting members and which operates one of the retrieval guidance
members in response to an input designating retrieval; a storage
case which is bounded at the bottom, sides and back thereof by a
fixed plate, in which a movable medical resource name plate is
provided in front of the case, and in which a connecting member
extending backward from the medical resource name plate is adapted
to make a vertical pivotal movement about the rear end thereof,
wherein the medical resource name plate is moved up and down as a
result of interference between the medical resource stored in the
storage case and the connecting member, and whether the medical
resource is placed or not is indirectly detected by detecting the
up and down movement of the medical resource name plate, based on
the fact that the up and down movement of the medical resource name
plate causes the plate to enter or leave a range of detection by
the medical resource detecting member in a state in which the
storage case is placed on the rack plate.
[0527] A second medical resource storage and management apparatus
according to the fifth embodiment is a modification to the first
medical resource storage and management apparatus wherein the
storage case stores the medical resource on the connecting member,
and the up and down movement of the medical resource name plate are
associated with the nonavailability and availability of the medical
resource, respectively.
[0528] A third medical resource storage and management apparatus
according to the fifth embodiment is a modification to the first
medical resource storage and management apparatus wherein a series
of case detecting member for detecting the storage case are
arranged on the top face of the rack plate in association with the
medical resource detecting members and the retrieval guidance
members, wherein the storage case stores the medical resource
underneath the connecting member, and wherein the up and down
movement of the medical resource name plate are associated with the
availability and nonavailability of the medical resource,
respectively.
[0529] A fourth medical resource storage and management apparatus
according to the fifth embodiment is a modification to the first
through third medical resource storage and management apparatuses,
wherein the control unit allows manual or automatic data
configuration to indicate whether medical resource detecting
members and retrieval guidance members are partitioned, and wherein
the control unit collectively processes the medical resource
detecting members and the retrieval guidance members identified as
being located on both sides of the location configured as not being
partitioned.
[0530] A fifth medical resource storage and management apparatus
according to the fifth embodiment is a modification to the fourth
medical resource storage and management apparatus, wherein the
control unit issues an alarm if the results of detection by the
medical resource detecting members in a block to be processed
collectively continue to fail to match beyond a predetermined
period of time.
[0531] In the first medical resource storage and management
apparatus, medical resources are arranged on the rack. The medical
resources are not aligned and stored in the cassettes but
accommodated in the storage cases which is bounded at the bottom,
sides and back thereof by a fixed plate, and in which a movable
medical resource name plate is provided in front of the case. By
arranging the storage cases on the rack, the medical resources are
aligned and stored as a result of the alignment and storage of the
storage cases. Therefore, it is easy to retrievably align and store
medical resources without accommodating them in cassettes and to
prevent disarrangement of the medical resources stored and
resultant disorganization. Since the medical resource name plate is
provided in each storage case and in an easy-to-view front space
where retrieval of a medical resource takes place, the product name
or the like of the medical resource to be stored can be identified
at a glance.
[0532] Since the medical resource detecting member and the
retrieval guidance member are placed in respective locations of
storage on the rack, it is possible to detect whether each medical
resource is stored for automatic management and to properly guide a
user to the location of storage of the medical resource to be
retrieved. As a medical resource is stored in or taken out from the
storage case on the rack, the medical resource name plate is moved
up or down in association with the connecting member. The medical
resource detecting member indirectly and automatically detects
whether or not the medical resource is placed by detecting whether
the medical resource name plate is raised or lowered. Accordingly,
availability of the medical resource is visually confirmed even if
the medical resource name plate is in front of the medical
resource. This makes it possible to indirectly detect a medical
resource even when it is difficult to detect, for example, the
bottom thereof due to the form or material of the medical resource.
When the medical resource is placed on or removed from the rack
along with the storage case, availability of the medical resource
can still be detected indirectly and automatically because the
medical resource name plate subject to detection is also placed on
or removed from the rack along with the storage case.
[0533] Thus, by employing a storage case of a structure
specifically adapted for indirect detection, a simple apparatus, in
which medical resources are accommodated in storage cases and
arranging the cases on the rack, enables storing a large variety of
large and small medical resources in the least confusing manner.
Even those resources that are not suitable for direct detection can
also be detected properly for automatic management. Either the
storage and retrieval of a medical resource along with a storage
case, or the storage and retrieval of a medical resource with the
storage case remaining placed on the rack can be performed without
inconvenience.
[0534] Thus, the first medical resource storage and management
apparatus provides capability for easily and properly storing and
retrieving medical resources, and automatically and accurately
keeping track of storage status.
[0535] In the second medical resource storage and management
apparatus, the medical resource is placed on the connecting member
and stored in the storage case. A determination is made that the
medical resource is placed when the medical resource name plate is
lowered in association with the storage. A determination is made
that the medical resource is not placed when the medical resource
name plate is raised. In this way, by detecting the up and down
movement of the medical resource name plate using the medical
resource detecting member in front of the rack, the medical
resource is properly detected irrespective of whether the medical
resource is stored and retrieved in the rack along with the storage
case or with the storage case remaining on the rack.
[0536] In the third medical resource storage and management
apparatus, the case detecting member is provided in each location
of storage to detect whether or not the storage case is placed. The
medical resource is placed underneath the connecting member and
stored in the storage case. A determination is made that the
medical resource is placed when the medical resource name plate is
raised in association with the storage. A determination is made
that the medical resource is not placed when the medical resource
name plate is lowered. In this way, by detecting the up and down
movement of the medical resource name plate using the medical
resource detecting member in front of the rack when the storage
case is detected as being placed, the medical resource is properly
detected irrespective of whether the medical resource is stored and
retrieved in the rack along with the storage case or with the
storage case remaining on the rack.
[0537] In the fourth medical resource storage and management
apparatus, whether or not each of locations of storage available on
the rack as a result of arranging medical resource detecting
members and retrieval guidance members is partitioned is configured
in the control unit so that the control unit collectively process
medical resource detecting members and retrieval guidance members
in a block. Therefore, a user will not be at a loss or face any
inconvenience in handling and management even if there are multiple
medical resource detecting members or retrieval guidance members
where a single, large medical resource resides.
[0538] According to the firth medical resource storage and
management apparatus, reliability is enhanced while avoiding an
increase in hardware cost, by taking advantage of redundancy of
results of detection by multiple medical resource detecting members
in a single block so as to detect an error accordingly.
[0539] Specific embodiments of the medical resource storage and
management apparatus according to the fifth embodiment will be
described using illustrative embodiments 5-1 through 5-7.
[0540] The illustrative embodiment 5-1 shown in FIGS. 49A-53D is an
embodiment of the first, second, fourth and fifth medical resource
storage and management apparatus mentioned above. The illustrative
embodiment 5-2 shown in FIGS. 54A and 54B is a variation thereof.
The illustrative embodiment 5-3 shown in FIGS. 55A-55B is an
embodiment of the third medical resource storage and management
apparatus mentioned above. The illustrative embodiment 5-4 shown in
FIGS. 56A-56C, the illustrative embodiment 5-5 shown in FIGS.
57A-58C, the illustrative embodiment 5-6 shown in FIG. 59A-60, and
the illustrative embodiment 5-7 shown in FIGS. 61A-64D are
variations.
[0541] In the illustration, fasteners such as bolts, connectors
such as hinges, electronic circuits such as drivers are omitted for
brevity, highlighting those elements necessary to explain the
embodiment and related elements.
Illustrative Embodiment 5-1
[0542] A specific structure of the illustrative example 5-1 of the
medical resource storage and management apparatus according to the
fifth embodiment will be described with reference to the associated
drawings. FIGS. 49A-49E show the mechanical structure of the
medical resource storage and management apparatus. FIG. 49A is a
front view showing a door closed; FIG. 49B is a front view showing
the door opened; FIG. 49C is a perspective view showing the
appearance of a rack; FIG. 49D is an expanded perspective view of a
storage case; FIG. 49E is a perspective view showing the appearance
of the rack on which the storage case and a medical resource are
placed. FIGS. 50A and 50B show the schematic structure of a control
unit. FIG. 50A is a schematic block diagram showing the connection
between the control unit and retrieval guidance members; and FIG.
50B is a functional block diagram of the control unit. FIGS.
51A-51C show the data structure of the control unit. FIG. 51A
relates to a medical resource information table; FIG. 51B relates
to medical resource availability data; and FIG. 51C relates to
partition availability data.
[0543] A medical resource storage and management apparatus 420 is
provided with a housing 422 a large portion of which is for storage
and a part of which comprises electric equipment 421. The electric
equipment 421 stores a control unit 430 and a power supply unit
etc. (not shown). The front of the storage part of the housing 422
is provided with an openable door 424 with a handle 423. The door
424 may be implemented by a shutter or the like, or may be omitted.
Inside the storage part exposed when the door 424 is opened is
provided a rack 490. Although there may be only one rack 490, an
orthodox apparatus would comprise multiple tiers. The pitch between
the racks 490 may be selectable. The rack 490 is implemented by a
horizontally extending plate with a flat top face so that a large
number of storage cases 495 can be placed at regular or irregular
pitches in a longitudinal direction (in the figure, sideways). As
described later, the storage case 495 may be placed on the rack 490
with or without storing a medical resource 410.
[0544] The front of the rack 490 exposed when the door 424 is
opened (see FIG. 49C) is equipped with retrieval guidance members
492 and medical resource detecting members 493 in close proximity
with each other. The retrieval guidance members 492 and the medical
resource detecting members 493 are arranged in the rack 490 so as
to correspond to the locations of storage in the storage cases 495
on the rack 490. A typical length of the rack 490 is 900 mm or 1800
mm. A typical distance between the racks 490 and a typical pitch
between locations of storage in the storage cases 495 is 30 mm or
multiples thereof but not restricted thereto.
[0545] The storage case 495 (see FIGS. 49D and 49E) is configured
such that a medical resource name plate 497 and a connecting member
498 are attached to a box which is bounded at the bottom, sides and
back thereof by a fixed plate (bounding member) and open at the
front and top. The medical resource name plate 497 is provided at
the front of the storage case 495 to allow clear view. The
connecting member is connected and secured to the back of the
medical name plate 497 and extends toward the back of the case.
Engaging parts 499 that serve as ends of a pivot axis is provided
at the rear end of the connecting member 498. The engaging parts
499 are inserted into engaging parts 495a provided in the rear part
of the storage case 495 and implemented as a bearing or a hole, so
that the connecting member 498 can make a vertical pivotal movement
about the rear end thereof and the medical resource name plate 497
is moved up and down in association with the pivotal movement.
[0546] When the medical resource 410 is stored in the storage case
495, the medical resource name plate 497 is moved up and down as a
result of interference between the medical resource 410 and the
connecting member 498. The storage case 495 of the illustrative
embodiment 5-1 is of a type which accommodates the medical resource
410 such that the medical resource 410 is placed on the connecting
member 498 as a base plate which is moved up and down. Therefore,
the connecting member 498 is formed as a plate member that can be
movably inserted into the storage case 495, and the engaging parts
495a are provided toward the back and bottom of the storage case
495. An biasing member 496 such as a coil spring for biasing the
neighborhood of the front end of the connecting member 498 upward
is provided toward the front in the interior bottom of the storage
case 495. When the storage case 495 is empty, the medical resource
name plate 497 is raised. When the medical resource 410 is placed
upon the connecting member 498, the medical resource name plate 497
is lowered.
[0547] The medical resource name plate 497 enters a range of
detection by the associated medical resource detecting member 493
at the front of the rack 490 and is detected accordingly in one of
the two ways. In a first way, the storage case 495 is placed on a
location of storage on top of the rack 490 with the medical
resource name plate 497 facing a user and then the medical resource
410 is accommodated in the storage case 495, so that the connecting
member 498 is pivotally moved and the medical resource name plate
497 is lowered. In the other way, the storage case 495 which stores
the medical resource 410, with the connecting member 498 and the
medical resource name plate 497 are lowered, is placed on a
location of storage on top of the rack 490 such that the medical
resource name plate 497 faces the user. The form of the medical
resource name plate 497, the connection between the plate 497 and
the connecting member 498 and the location of the medical resource
detecting member 493 are designed to achieve the above
detection.
[0548] When the empty storage case 495 with the medical resource
name plate 497 in an elevated position is placed on the rack 490,
or when the storage case 495 is removed from the rack 490, there
will no longer be a target of detection by the medical resource
detecting member 493 at the associated location. Therefore, whether
the medical resource 410 is placed or not is indirectly detected by
the up and down movement of the medical resource name plate 497 by
using a detection output of the medical resource detecting member
493 as it is. More specifically, a determination that a medical
resource is placed is made when the medical resource name plate 497
enters a range of detection by the medical resource detecting
member 493. A determination that a medical resource is not placed
is made when the medical resource name plate 497 leaves the range
of detection by the medical resource detecting member 493.
[0549] In order to detect the medical resource name plate 497 for
indirect detection of the medical resource 410, each of the medical
resource detecting members 493 is implemented by a mechanical
switch, a reflective photosensor, a capacity sensor or the like, so
as to output a binary signal which turns on and off according to
whether the medical resource name plate 497 is raised or
lowered.
[0550] In order to visually guide a user to the location of
placement of the medical resource 410 to be retrieved, a miniature
bulb, a light emitting diode or the like that can be turned on and
off is used as the retrieval guidance member 492.
[0551] The control unit 430 (see FIG. 50A) comprises a programmable
controller such as a personal computer and a sequencer. A local
area network (LAN) connects the control unit 430 to the retrieval
guidance members 492 and the medical resource detecting members 493
via, for example, a rack controller 431. Alternatively, the control
unit 430, the retrieval guidance members 492 and the medical
resource detecting members 493 are in direct star connection (not
shown). The connection enables retrieving detection results of the
medical resource detecting members 493 and controlling the lighting
of the retrieval guidance members 492.
[0552] The control unit 430 (see FIG. 50B) is provided with a
display 432 for screen display, a keyboard 433 for key entry, a
mouse 434 for inputting instructions etc. on a screen, a bar code
reader 435 for reading identification information, a printer 436
for delivering printouts, an interface for a LAN 437 which is
responsible for communication with a prescription order-entry
system etc., and a hard disk 438 as a secondary storage.
[0553] A retrieval guidance routine 441, a medical resource
detection routine 442, a medical resource information configuration
routine 443, and a manual partition condition configuration routine
444 are installed in the control unit 430, as programs for managing
the storage status of the medical resources, based on the detection
by the medical resource detecting members 493, and for operating
selected retrieval guidance members 492 in response to an input
designating retrieval. The hard disk 438 stores medical resource
availability data 446, a medical resource information table 447,
partition availability data 448, and log data 449, which are
divided into individual files or are unified in an appropriate
database. The figures show (see FIGS. 51A-51B) the data 446, the
table 447 and the data 448 maintained in a table format. Each table
comprises a 6.times.21 matrix, in association with the fact that
the racks 490 form six tiers and the maximum number of locations of
storage in each rack 490 (i.e., the maximum number of the retrieval
guidance members 492 and the medical resource detecting members
493) is twenty one.
[0554] Each field in the medical resource information table 447
(see FIG. 51A) contains an identification code and a name displayed
on a screen for the medical resource 410 which is stored or can be
stored in an associated location. "1" or "0" is written in the
medical resource availability data 446 (see FIG. 51B), "1",
indicating that the medical resource 410 is stored in the
associated location, and "0", indicating that no medical resource
410 is stored. "1" or "0" is written in the partition availability
data 448 (see FIG. 12C), "1", indicating that the partition member
165 is inserted, and "0", indicating that the partition member 165
is removed from the associated location.
[0555] The retrieval guidance members 493 and the medical resource
detecting members 493 are not partitioned physically. Instead,
partition is determined logically and virtually in accordance with
the required operation. Partition is configured in the partition
availability data 448 for use in guidance for retrieval of medical
resources or detection of whether or not a medical resource is
placed. More specifically, if the storage case 495 is not so wide
and there is only one pair of retrieval guidance member 492 and
medical resource detecting member 493 at the front of the rack 490
corresponding to the associated location of storage, the associated
location is partitioned. In contrast, if the storage case 495 is
wide and there are two or more pairs of retrieval guidance member
492 and medical resource detecting member 493 at the front of the
rack 490 corresponding to the associated location of storage, the
associated location is not partitioned in order to collectively
process the retrieval guidance members 492 and the medical resource
detecting members 493.
[0556] In connection with this, the partition availability data 448
is initialized so that the scheduled storage status of the storage
case 495 is reflected before the initial operation. Configuration
inputs for update are also provided when the number of retrieval
guidance members 492 and medical resource detecting members 493
collectively processed is changed as a result of, for example, a
change in the size of the storage case 495. The medical resource
information table 447 should be configured at least once before
operating the apparatus for the first time since its installation.
Therefore, the table is usually initialized upon starting the
apparatus and updated when the operation is stopped. The medical
resource availability data 446 is all cleared by initialization
before the initial operation and is subsequently updated with each
storage or retrieval of the medical resource 410.
[0557] The medical resource information configuration routine 443
is started by the keyboard 433 or mouse 434 operation. When dumping
from a medicine master file located on a host computer via the LAN
437 is dictated in an environment where such an action is possible,
the medical resource information configuration routine 443 dumps
the data. The routine 443 also allows the user to set the code or
name of the medical resource 410 in the medical resource
information table 447 by selecting an item using the mouse 434 or
entering data using the keyboard 433, while viewing screen display
on the display 432.
[0558] The manual partition condition configuration routine 444 is
also started by the keyboard 433 or mouse 434 operation. The
routine 444 allows the user to provide an input for configuration
to designate in the partition availability data 448 how the
retrieval guidance members 492 and the medical resource detecting
members 493 of the rack 490 are operationally partitioned by
selecting an item or toggling using the mouse 434 or the keyboard
433, while viewing screen display on the display 432.
[0559] The medical resource detection routine 442 is started
periodically and automatically by a timer, etc. or irregularly and
automatically started by an interruption initiated in the event of
a change in a detection signal from the medical resource detecting
member 493. The medical resource detection routine 442 manages the
storage status of the medical resources 410 based on detection by
the medical resource detecting members 493. More specifically, each
time the medical resource detection routine 442 is started, it
imports the detection results from all medical resource detecting
members 493 or those results changed since its last import, and
writes "1" or "0" in the medical resource availability data 446 in
association with the on-off condition. When the detection result
from the medical resource detecting member 493 undergoes an on/off
change and the storage or retrieval of the medical resource 410 is
detected accordingly, the medical resource detection routine 442
appends information indicating the detection to the log data 449
with a time stamp, causes the printer 436 to deliver a printout
which carries the name listed in the associated field in the
medical resource information table 447, and submits a report to a
host medical management computer via the LAN 437.
[0560] The retrieval guidance routine 441 is started when the code
of the medical resource 410 or a prescription ID number is entered
by allowing the barcode reader 435 to scan the code or the ID, or
by using the keyboard 433 or the mouse 434, in order to operate one
of the retrieval guidance members 72 in response to an input
designating retrieval. The retrieval guidance routine 441 searches
the medical resource information table 447 to determine the
location of storage of the medical resource 410 designated to be
retrieved via the reading or via the mouse or keyboard operation,
and lights the retrieval guidance member 492 at the associated
location. The medical resource detection routine 442 is responsible
for turning the retrieval guidance member 492 off when the
retrieval of the medical resource 410 at the associated location is
detected.
[0561] The retrieval guidance routine 441 and the medical resource
detection routine 442 collectively process the medical resource
detecting members 493 and the retrieval guidance members 492
defined as corresponding to the location of storage of one storage
case 495 for the required operation, even if there are multiple
pairs of members 492 and 493. The routine 441 and the routine 442
issue an alarm if the results of detection by the medical resource
detecting members 493 in a block to be processed collectively
continue to fail to match beyond a predetermined period of
time.
[0562] More specifically, the retrieval guidance routine 441 refers
to the partition availability data 448 to check how the retrieval
guidance member 492 is partitioned to the right and to the left,
before lighting the retrieval guidance member 492. If "0" is
entered left or right, indicating that the member 492 is not
partitioned, the associated, adjacent retrieval guidance member 492
is also lighted. In association with this, the medical resource
detection routine 442 performs a similar check by referring to the
medical resource availability data 446 in turning off the retrieval
guidance member 492, and turns off the retrieval guidance members
492 in the block at a time.
[0563] The medical resource detection routine 442 also performs,
upon detecting the storage or retrieval of the medical resource
410, a similar check by referring to the partition availability
data 448 before changing the value of the medical resource
availability data 446. If a series of adjacent partitions are to be
processed collectively as a single block, the medical resource
detection routine 442 examines whether the values from the medical
resource detecting members 493 in the single block match. If the
values match, the routine 442 terminates the process normally; if
the values do not match, the routine 442 continues the monitoring.
If the values from the medical resource detecting members 493 in a
block continue to fail to match beyond a maximum period of time
required for storage or retrieval of the medical resource 410 while
the monitoring is proceeding, the medical resource detection
routine 442 displays an alarm on the display 432 or sounds an alarm
buzzer (not shown).
[0564] In order to help the routines 441 and 442 to collectively
process the medical resource detecting members 493 and the
retrieval guidance members 492 not partitioned, the manual
partition condition configuration routine 444 configures, in
designating in the partition availability data 448 that the members
are not partitioned, the associated fields in the medical resource
information table 447 such that field values (i.e., codes and names
maintained) corresponding to the locations of storage match. The
manual partition condition configuration routine 444 returns the
field values of the associated fields in the medical resource
information table 447 to their original values in designating in
the partition availability data 448 that the members are
partitioned.
[0565] In addition, the control unit 430 acquires operator
identification information by requesting an operator to input
operator identification information each time an operation is
carried out. Alternatively, the control unit 430 acquires operator
identification information input by an operator in advance of an
operation. The control unit 430 also stores, in the log data 449,
related information then collected by automatic detection etc.
together with a time stamp. The data stored is also output via the
LAN 437. The process is performed in the manual partition condition
configuration routine 444 as well as in the retrieval guidance
routine 441.
[0566] The mode of using the medical resource storage and
management apparatus according to the illustrative example 5-1 and
its operation will be described with reference to the drawings.
FIGS. 52A-52B illustrate the operation of the medical resource
storage and management apparatus. FIG. 52A shows small empty
storage cases arranged on the rack; and FIG. 52B shows a condition
in which a medical resource is stored in one of them. FIGS. 53A-53D
also illustrate the operation of the medical resource storage and
management apparatus. FIG. 53A shows a condition in which an empty
medium-sized storage case is included; FIG. 53B shows a condition
in which a medical resource is stored in the medium-sized case;
FIG. 53C shows a condition in which a large-sized storage case is
included and a medical resource is stored therein; and FIG. 53D
shows a condition in which detection results from medical resource
detecting members do not match.
[0567] Prior to the operation of the medical resource storage and
management apparatus 420, a desired number of racks 490 are set in
the storage part of the housing 422. The medical resource
information configuration routine 443 in the control unit 430 is
started by an operation using the keyboard 433 or the mouse 434 so
as to set the identification code and the displayed name of the
medical resources 410 in the respective fields in the medical
resource information table 447. In this process, it is also
favorable to arrange empty storage cases 495 on the rack 490 and
perform a comparison check with the product name of the medical
resource currently written in the medical resource name plate 497.
The manual partition condition configuration routine 444 in the
control unit 430 is started by an operation using the keyboard 433
or the mouse 434 so as to designate whether or not the medical
resource detecting members 493 and the retrieval guidance members
492 are partitioned, in the respective fields in the partition
availability data 448. The medical resource availability data 446
and the log data 449 are cleared by a suitable initialization
routine (not shown).
[0568] This completes preparation for operation. The operating
conditions of the medical resource storage and management apparatus
420 will be described specifically. The operation for storage
(replenishment or return) and associated updating of data, and the
operation for retrieval and associated updating of data will now be
described in the cases where: the storage cases 495 are all
small-sized and all of the medical resource detecting members 493
and the retrieval guidance members 492 are partitioned (see FIGS.
52A and 52B); one of the storage cases 495 is medium-sized and one
of the partitions which partition the medical resource detecting
members 493 and the retrieval guidance members 492 in FIGS. 52A and
52B is lacking (see FIGS. 53A and 53B); and one of the storage
cases 495 is large-sized and two adjacent ones of the partitions
which partition the medical resource detecting members 493 and the
retrieval guidance members 492 in FIGS. 52A and 52B are lacking
(see FIGS. 53C and 53D).
[0569] When the empty storage cases 495 are placed on the
respective locations of storage on the rack 490 corresponding to
respective pairs of the medical resource detecting members 493 and
the retrieval guidance members 492 (see FIGS. 52A and 52B) and when
the medical resources 410 are not stored yet (see the top row of
FIG. 52A), the fields in the medical resource information table 447
contain individual values (see A-E in the second row from top in
FIG. 52A, where A-E denote different codes and names). The fields
in the medical resource availability data 446 all contain "0",
indicating the absence of medical resources (see the third row from
top in FIG. 52A), and the fields in the partition availability data
448 all contain "1", designating that the partition members are
provided (see the fourth row from top in FIG. 52A).
[0570] When the medical resource 410 is stored in the storage case
495 on the rack 490 (see the top row of FIG. 52B) in this
condition, only the medical resource name plate 497 connected to
the connecting member 498 on which the medical resource 410 is
placed for storage is lowered in front of the rack 490 and enters a
range of detection by the medical resource detecting member 493.
The retrieval guidance member 492 remains viewable. In this
condition, the medical resource information table 447 and the
partition availability data 448 remain unchanged (see the second
and fourth rows from top in FIG. 52B). Meanwhile, the associated
field in the medical resource availability data 446 is updated by
the medical resource detection routine 442 to "1", indicating the
presence of a medical resource (see the third row from top in FIG.
52B). The medical resource detection routine 442 retrieves the code
and name of the medical resource 410 (in the illustrated example,
"C") from the medical resource information table 447. The medical
resource detection routine 442 further requests the input of
operator identification information. These items of information are
appended to the log data 449, printed by the printer 436 and
reported to the host medical management computer via the LAN
437.
[0571] For retrieval of the medical resource 410 thus stored from
the medical resource storage and management apparatus 420, a
retrieval instruction including the code "C" and the operator
identification information are input to the control unit 430 by an
operation using the barcode reader 435 or the like. This prompts
the retrieval guidance routine 441 in the control unit 430 to
search the medical resource information table 447 and check the
associated field in the medical resource availability data 446. In
this case, the value "1" is found in the field, showing that the
medical resource is available, whereupon the retrieval guidance
member 492 at the associated location is lighted (see the bottom
row of FIG. 52B). The operator viewing this can take out the target
medical resource 410 without fail.
[0572] When the medical resource 410 is taken out, the medical
resource name plate 497 of the associated location is raised and
leaves the range of detection by the medical resource detecting
member 493 so that the medical resource detection routine 442
updates the value entered in the associated field in the medical
resource availability data 446 to "0", indicating the absence of
medical resources. The information is combined with the code and
name (in the illustrated embodiment, "C") supplied from the
retrieval guidance routine 441, and with operator identification
information. The combined information is appended to the log date
449, printed by the printer 436 and reported to the host medical
management computer via the LAN 437. When the retrieval guidance
member 492 of the associated location is turned off, the operating
condition returns to a pre-storage state (see FIG. 52A).
[0573] When the storage case 495 is medium-sized and one of the
partitions which partition the medical resource detecting members
493 and the retrieval guidance members 492 is lacking (see FIGS.
53A and 53B), the storage case 495 twice as wide is set there.
Since the medical resource name plate 497 and the connecting member
498 of the storage case 495 are also twice as wide, a medical
resource 410 that takes up much space can be stored therein. The
manual partition condition configuration routine 444 is started by
an operation using the keyboard 433 or the mouse 434, before
storing the medical resource 410 therein (see the top row of FIG.
53A). An instruction for update is entered so as to change the
value in the associated field in the partition availability data
448 to "0", designating the absence of the partition member (see
the fourth row from top in FIG. 53A).
[0574] This prompts the manual partition condition configuration
routine 444 to automatically update the medical resource
information table 447 so that the values in the fields,
corresponding to the locations of storage of the storage case 495
twice as wide, match (see "BB" in the second row from top in FIG.
53A). All the fields in the medical resource availability data 446
contain "0" (see the third row from top in FIG. 53A).
[0575] When the medical resource 410 not more than twice as wide is
stored in this condition in the storage case 495 twice as wide
placed on the rack 490 (see the top row of FIG. 53B), the wide
medical resource name plate 497 is lowered and enters the range of
detection by the medical resource detecting member 493 in
association with the downward pivotal movement of the connecting
member 498 on which the medical resource 410 is placed. In this
condition, the medical resource information table 447 and the
partition availability data 448 remain unchanged (see the second
and fourth rows from top in FIG. 53B). Meanwhile, the two
associated fields in the medical resource availability data 446 are
updated by the medical resource detection routine 442 to "1",
indicating the presence of a medical resource (see the third row
from top in FIG. 53B).
[0576] The medical resource detection routine 442 retrieves the
code and name of the medical resource 410 (in the illustrated
example, "B") from the medical resource information table 447. The
medical resource detection routine 442 further requests the input
of operator identification information. These items of information
are appended to the log data 449, printed by the printer 436 and
reported to the host medical management computer via the LAN
437.
[0577] For retrieval of the medical resource 410 thus stored from
the medical resource storage and management apparatus 420, a
retrieval instruction including the code "B" and the operator
identification information is input to the control unit 430 by an
operation using the barcode reader 435 or the like. This prompts
the retrieval guidance routine 441 in the control unit 430 to
search the medical resource information table 447 and select the
two adjacent fields (see "BB" in the second row from top in FIG.
53B), and then to check the two associated fields in the medical
resource availability data 446. In this case, the two fields
contain "1", indicating that the medical resource is available,
whereupon the two adjacent retrieval guidance members 492 at the
associated locations are lighted at a time (see the bottom row of
FIG. 53B). The operator viewing this will not find any difficulty
in taking out the target medical resource 410.
[0578] When the medical resource 410 is taken out, the wide medical
resource name plate 497 at the associated location is raised to
leave the range of detection by the medical resource detecting
member 163. In this process, the medical resource detection routine
442 updates the values entered in the two associated fields in the
medical resource availability data 446 to "0", indicating the
absence of medical resources. The information is combined with the
code and name (in the illustrated example, "B") supplied from the
retrieval guidance routine 441, and with operator identification
information. The combined information is appended to the log date
449, printed by the printer 436 and reported to the host medical
management computer via the LAN 437. When the retrieval guidance
members 492 at the associated locations are turned off, the
operating condition returns to a pre-storage state (see FIG.
53A).
[0579] In the case where one of the storage cases 495 is
large-sized and two adjacent ones of the partitions which partition
the medical resource detecting members 493 and the retrieval
guidance members 492 are missing (see FIGS. 53C and 53D), the
operation will easily be surmised from the above explanation so
that a detailed explanation will not be repeated. It will be noted
that a medical resource 410 three times as wide can be stored (see
the top row of FIG. 53C). In this case, the storage case 495 three
times as wide provided with the medical resource name plate 497 and
the connecting member 498 three times as wide is used. Three pairs
of the medical resource detecting members 493 and the retrieval
guidance members 492 correspond to the location of storage. When
the manual partition condition configuration routine 444 is started
so as to update the values in the two associated fields in the
partition availability data 448 to "0", indicating the absence of a
partition member (see the fourth row from top in FIG. 53C), the
values in the three associated fields in the medical resource
information table 447 are made to match (see "BBB" in the second
row from top in FIG. 53C).
[0580] When a medical resource 410 not more than three times as
wide is stored (see the top row of FIG. 53C), each of the three
associated fields in the medical resource availability data 446 is
updated to contain "1" (see the third row from top in FIG. 53C),
and relevant information is appended to the log data 449.
[0581] When a retrieval instruction including the code "B" is input
to the control unit 430, the three associated fields in the medical
resource information table 447 (see "BBB" in the second row from
top in FIG. 53C) are selected, and then the three associated fields
in the medical resource availability data 446 are checked. In this
case, the three fields contain "1", showing a match. Thereupon, the
three adjacent retrieval guidance members 492 in the associated
locations are lighted at a time (see the bottom row of FIG. 53C).
The operator viewing this will not find difficulty in taking out
the target medical resource 410.
[0582] If one of the three medical resource detecting members 493
expected to detect the medical resource name plate 497 three times
as wide at a time fails (see FIG. 53D), two of the three associated
fields in the medical resource availability data 446 are changed to
"1", while one field continues to store "0" (see the third row from
top in FIG. 53D). This results in incompatibility between the
medical resource availability data 446 and the partition
availability data 448 as checked by the medical resource detection
routine 442, in respect of the three fields to be collectively
processed. If the condition of incompatibility (failure to match)
continues beyond a maximum period of time required for storage or
retrieval of the medical resource 410, the medical resource
detection routine 442 issues an alarm, revealing abnormality.
[0583] Given above is an explanation of a case where the storage
case 495 remains placed on the rack 490 while the medical resource
410 is taken out. The medical resource detecting member 493 is
designed to detect whether or not the medical resource 410 is
placed by detecting the medical resource name plate 497, such that
the mere placement of the storage case 495 does not invoke a
determination of placement. Therefore, resources are equally
properly detected and managed even if the storage case 495 storing
the medical resource 410 is placed on or removed from the rack 490.
The description will be omitted for brevity.
Illustrative Embodiment 5-2
[0584] A specific structure of the illustrative example 5-2 of the
medical resource storage and management apparatus according to the
fifth embodiment will be described with reference to the associated
drawings. FIGS. 54A-54B show the mechanical structure of the
medical resource storage and management apparatus 420. FIG. 54A is
a perspective view showing the appearance of the rack in which the
empty storage cases 495 are arranged; FIG. 54B is an expanded front
view showing an essential part.
[0585] The medical resource storage and management apparatus 420
differs from that of the illustrative embodiment 5-1 is that
storage location indicators 491a and 497a (partition configuration
members) are added.
[0586] The storage location indicators 491a and 497a are sticker
paper or adhesive labels with adhesive back. A storage location
address, comprising the number identifying the rack, and the number
identifying the retrieval guidance member 492 or the medical
resource detecting member 493 in the rack, is printed on the front.
The storage location indicator 491a is adhesively attached to, for
example, the front of the rack 490 and the storage location
indicator 497a is adhesively attached to, for example, the medical
resource name plate 497. The same storage address location is
written in the corresponding storage location indicators 491a and
497a so that correspondence between them occurring as the storage
case 495 is placed on the rack 490 is visually identified.
[0587] In this case, the storage location indicator 497a is
adhesively attached to each of the medical resource name plate 497.
The storage location indicator 491a is adhesively attached to the
front of the rack 490 where the retrieval guidance members 492 and
the medical resource detecting members 493 are operationally
partitioned. The indicator 491a is not adhesively attached to the
front of the rack 490 where the members 492 and 493 are not
operationally partitioned.
[0588] This allows the operator to store the storage cases 495 and
the medical resources 410 of various sizes without any
difficulty.
Illustrative Embodiment 5-3
[0589] A specific structure of the illustrative example 5-3 of the
medical resource storage and management apparatus according to the
fifth embodiment will be described with reference to the associated
drawings. FIGS. 55A-55B show the mechanical structure of the
medical resource storage and management apparatus. FIG. 55A is an
expanded perspective of the storage case; and FIG. 55B is a
perspective view showing the appearance of the rack on which the
storage case or a medical resource is placed.
[0590] The medical resource storage and management apparatus 420
differs from those of the illustrative embodiments 5-1 and 5-2 is
that the storage case 495 is of a type in which the medical
resource 410 is stored in the storage case 495 such that the
connecting member 498 as a cover plate movable up and down, and the
case bottom and the connecting member 498 sandwich the medical
resource 410. Another difference is that a series of case detecting
members 493a are provided on top of the rack 490.
[0591] More specifically, the case detecting member 493a is
provided to correspond to the retrieval guidance member 492 and the
medical resource name plate 493 so as to detect the storage case
495 placed on the location of storage. Like the medical resource
detecting member 493, the case detecting member 493a is also
implemented by a mechanical switch, a reflective photosensor, a
capacity sensor or the like, so as to output a binary signal which
turns on and off according to whether or not the storage case 495
is placed.
[0592] The biasing member 496 is omitted from the storage case 495.
The engaging parts 495a are provided toward the top at the back of
the storage case 495. The connecting member 498 is bent in the
neighborhood of the back end thereof so that interference between
the connecting member 498 and a thin medical resource 410 placed
under the member 498 occurs properly. The storage case 495 is
bounded at the bottom, sides and back thereof by a fixed plate. The
movable medical resource name plate 497 is provided in front of the
case. The connecting member 498 extending backward from the medical
resource name plate 497 can make a vertical pivotal movement about
the rear end thereof. The medical resource name plate 497 is moved
up and down as a result of interference between the medical
resource 410 stored and the connecting member 498. In these
respects, the storage case 495 in this embodiment is the same as
that of the foregoing embodiment but differs in that the medical
resource 410 is stored underneath the connecting member 498.
[0593] Unlike the case of the case of the foregoing embodiments,
the up and down movement of the medical resource name plate 497 of
the storage case 495 shall be associated with the
availability/nonavailability of the medical resource 410,
respectively. When the storage case 495 is placed on the rack 490
and when the connecting member 498 and the medical resource name
plate 497 are allowed to make a pivotal movement freely, the member
498 and the plate 497 are lowered under their own weight until the
connecting member 498 comes into contact with the bottom of the
storage case 495 and the medical resource name plate 497 in front
thereof is lowered to the front of the rack 490. This results in
the medical resource name plate 497 entering the range of detection
by the medical resource detecting member 493. In contrast, when the
medical resource name plate 497 is raised so as to store a medical
resource 410 underneath the connecting member 498, the connecting
member 498 rests on the medical resource 410, causing the medical
resource name plate 497 to remain at an elevated position and
placing the medical resource name plate 497 outside the range of
detection by the medical resource detecting member 493.
[0594] As a result of this arrangement, the binary logic of the
output signal of the medical resource detecting member 493 of this
embodiment is reversed from that of the foregoing embodiments.
Therefore, a mere detection by the medical resource detecting
member 493 cannot differentiate between a condition in which the
storage case 495 is removed from the rack 490 so that the medical
resource name plate 497 cannot be detected accordingly, and a
condition in which the medical resource 410 is stored in the
storage case 495 on the rack 490 so that the medical resource name
plate 497 cannot be detected accordingly. In order to prevent this,
the case detecting member 493a is added. By causing the medical
resource detection routine 442 to combine the detection result of
the medical resource detecting member 493 with the detection result
of the case detecting member 493a, indirect detection of whether or
not the medical resource 410 is placed can be properly made by the
up and down movement of the medical resource name plate 497.
[0595] As in the case of the foregoing embodiments, the storage
case 495 may remain placed on the rack 490 while the medical
resource 410 is being stored or taken out. Alternatively, the
storage case 495 storing the medical resource 410 may be placed on
or removed from the rack 490. Storage status of the medical
resource 410 can be properly detected and managed in either mode of
use.
Illustrative Embodiment 5-4
[0596] A specific structure of the illustrative example 5-4 of the
medical resource storage and management apparatus according to the
fifth embodiment will be described with reference to the associated
drawings. FIGS. 56A-56C show the structure of the medical resource
storage and management apparatus 420. FIG. 56A is an expanded
perspective view of the storage case 495 and the rack 490; FIG. 56B
is a perspective view showing the appearance of the rack 490 on
which the storage case 495 and the medical resource 410 are placed;
and FIG. 56C is a functional block diagram of the control unit
430.
[0597] The medical resource storage and management apparatus 420
according to this embodiment differs from that of the illustrative
embodiments 5-1 through 5-3 in that storage location indicators
491a (partition configuration members) are detachable, partition
detecting members 494 are added and the manual partition condition
configuration routine 444 is replaced by an automatic partition
condition configuration routine 445.
[0598] On the front of the rack 490 (see FIGS. 56A and 56B) are
provided a depression 491 and a partition detecting member 494 in
close proximity with each other at all locations where the storage
location indicators 491a could be provided. More specifically, each
pair of the retrieval guidance member 492 and the medical resource
detecting member 493 is associated with each pair of the depression
491 and the partition detecting member 494. The depressions 491 and
the partition detecting members 494 are also provided in series on
the rack 490 in the longitudinal direction thereof. The storage
location indicator 491a (see FIGS. 56A and 56B) is formed as a
rigid plastic plate provided with small projections on the back
(not shown). By engaging the small projections with the depression
491, the indicator 491a is fitted to the rack 490. By pulling the
plate toward the operator, the small projections slip out of the
depression 491 and are removed from the rack 490. Each of the
partition detecting members 494 is implemented by a mechanical
switch, a reflective photosensor, a capacity sensor or the like, so
as to detect whether the storage location indicator 491a (partition
configuration member) is provided in the associated location, by
sensing the bottom of the storage location indicator 491a fitted to
the front of the rack 490 and output a binary signal which turns on
and off.
[0599] The automatic partition condition configuration routine 445
(see FIG. 56C) is started periodically and automatically by a
timer, etc. or irregularly and automatically started by an
interruption initiated in the event of a change in a detection
signal from the partition detecting member 494. The automatic
partition condition configuration routine 445 updates the partition
availability data 448 based on detection by the partition detecting
member 494. More specifically, each time the automatic partition
condition configuration routine 445 is started, it imports the
detection results from all partition detecting members 494 or those
results changed since its last import, and writes "1" or "0" in the
partition availability data 448 in association with the on-off
condition. The other functions (e.g., automatic updating of the
medical resource information table 447) are the same as those of
the manual partition condition configuration routine 444. This
arrangement allows the control unit 430 to collectively process a
block of medical resource detecting members 493 and retrieval
guidance members 492 identified as being located on both sides of
the depression 491 from which the storage location indicator 491a
(partition configuration member) is removed, in accordance with the
detection by the partition detecting members 494.
[0600] In this case, removal of the storage location indicator 491a
(partition configuration member) from the depression 491 in the
rack 490 or fitting of the storage location indicator 491a
(partition configuration member) to the depression 491 in the rack
490 need not be designated by manual input for configuration. The
removal or insertion is detected by the partition detecting member
494, and the partition availability data 448 is automatically
configured by the automatic partition condition configuration
routine 445. This will prevent incompatibility between the
availability of the storage location indicator 491a (partition
configuration member) and the partition availability data 448 from
occurring due to a failure to provide an input for
configuration.
[0601] The other usage modes and operations are the same as those
of the illustrative embodiments 5-1 through 5-3 described
above.
Illustrative Embodiment 5-5
[0602] An illustrative embodiment 5-5 of the medical resource
storage and management apparatus according to the fifth embodiment
will be described with reference to the associated drawings. FIGS.
57A-57C show conditions of replenishment of medical resources.
FIGS. 57A-57C are screen shots. FIGS. 58A-58C also show conditions
of replenishment of medical resources. FIG. 58A is a perspective
view of the rack 490 on which the empty storage cases 495 are
arranged; FIG. 59B is a perspective view showing how identification
information is read from the medical resource 410; and FIG. 58C is
a perspective view of the rack 490 storing the medical resource
410.
[0603] This medical resource storage and management apparatus
differs from the aforementioned embodiments of the apparatus in
that guidance is displayed in replenishing as well as in retrieving
a medical resource, and that the display 432, the keyboard 433 and
the mouse 434 are implemented as a touch panel 439.
[0604] In a normal operation (see FIG. 57A), information on the
medical resource 410 retrieved from the medical resource storage
and management apparatus is arranged chronologically and displayed
on the touch panel 439 on a real time basis. A direct finger-touch
selection of any the items 439a displayed on the screen causes
relevant details to be displayed for review. Guidance for
replenishment is also displayed in accordance with a specific
operation for selection.
[0605] More specifically, selecting a replenishment button 439b
displayed on the screen while in a normal operation (see FIG. 57A)
switches the display of the touch panel 439 to a replenishment mode
selection screen (see FIG. 57B). By entering information on an
operator who replenishes a medical resource, selection of a
"registered" button 439c and/or a "new registration" button is
available. By selecting the "new registration" button, the operator
can register the code (code No.) identifying the medical resource
410 that can be stored in a location of storage (address) and the
name for screen display (medical resource name). If the
registration is complete, selection of the "registered" button 439c
is enabled. The "registered" button 439c is selected when the
display of guidance for replenishment is desired.
[0606] The selection switches to the screen of the touch panel 439
showing a list of registered resources (see FIG. 57C). After
confirming that a location for storage is shown as being empty, the
operator scrolls the screen as necessary by using a scroll button
439f so as to directly select a field 439d for a relevant medical
resource with the finger.
[0607] If the number of empty locations 439e designated as capable
of storing the medical resource (e.g., a filter in a bag) is three
(i.e., three bags can be stored), the three retrieval guidance
members 492 in the empty locations are all lighted because, in this
example, the retrieval guidance member 492 also serves as a
replenishment destination guidance member (see FIG. 58A).
[0608] The operator proceeds to scan the barcode (identification
information) assigned to the medical resource 410 about to be
stored, by using the barcode reader 435 (see FIG. 58B) for
checking, before storing the medical resource 410 in one of the
storage cases 495 on the rack 490 lighted by the guidance member.
This turns off all of the guidance members 492 (see FIG. 58C), and
the log data, indicating the identity of the operator who
replenished the resource, the identify of the resource replenished
and the location of replenishment, is recorded with a time stamp.
In the illustrated example, the empty storage case 495 is placed on
the rack 490 so that only the medical resource 410 is replenished.
The medical resource 410 can also be replenished properly and
detected and managed properly, by leaving a space above the rack
490 empty and then placing the storage case 495 containing the
medical resource 410 on the rack 490.
[0609] Thus, guidance display is provided properly and a job record
is maintained properly for replenishment. In this example, the
selection of the field 439d on the screen showing a list of
registered resources, and the scanning of the identification
information assigned to the medical resource 410 by using the
barcode reader 435 are both performed to reinforce checking
However, only one of the tasks may be performed since it serves the
purpose of identifying a medical resource 410. In another
alternative, the operator may be allowed to complete both tasks,
but guidance display guiding the operator to the destination of
replenishment may not require completion of both tasks but may be
immediately provided upon completion of one of the tasks.
Illustrative Embodiment 5-6
[0610] An illustrative example 5-6 of the medical resource storage
and management apparatus according to the fifth embodiment will be
described with reference to the associated drawings. FIGS. 59A and
59B show the structure of an essential part of the medical resource
storage and management apparatus. FIG. 59A is a left side view
showing a partial cross section of the rack 490, the medical
resource name plate 497 and the connecting member 498; FIG. 59B is
a perspective view showing an essential part of the rack 490, the
medical resource name plate 497 and the connecting member 498. FIG.
60 shows perspective views of some of the medical resources
suitable for storage. Illustration of the bounding member of the
storage case 495 is omitted.
[0611] The medical resource name plate 497, the connecting member
498 and the hook-shaped locking piece 499 (see FIGS. 47A and 47B)
are integrally formed. For example, they are formed as an
injection-molded product of transparent resin. A label sticker 387a
adhesively attached to the front of the medical resource name plate
387 is detected by the medical resource detecting member 383. If it
is not desired to allow the label sticker 497b to conceal the
retrieval guidance member 492 when the medical resource name plate
497 is lowered, it is easily ensured that the retrieval guidance
member 492 is always viewable by cutting a part of the label
sticker 497b.
[0612] Since the connecting member 498 is transparent, the medical
resource 410 is visually identifiable from diagonally above even in
a state where the connecting member 498 rests on the medical
resource 410.
[0613] Suitable for storage in the rack 490 of this type (see FIG.
60) are a 0.1 L or 0.5 L glass bottle 410a, a 0.05 L plastic bottle
410b, a cylindrical object 410c resembling a film case for a
camera, an artificial substitute 410d of a complex form, a box (not
shown) and a blister pack (PTP package) (not shown).
Illustrative Embodiment 5-7)
[0614] An illustrative example 5-7 of the medical resource storage
and management apparatus according to the fifth embodiment will be
described with reference to the associated drawings.
[0615] FIGS. 61A-61D show the mechanical structure of the medical
resource storage and management apparatus 420. FIG. 61A is a front
view showing the door 424 opened; FIG. 61B is an expanded
perspective view of a rack 460 and partition members 465; and FIG.
61C is a perspective view showing the appearance of the rack 460 to
which the partition members 465 are fitted. FIGS. 62A and 62B show
the mechanical structure of a part of the medical resource storage
and management apparatus 420. FIG. 62A is an expanded perspective
view of a rack 470 and partition members 475; and FIG. 62B is a
perspective view showing the appearance of the rack 470 to which
the partition members 475 are fitted. FIG. 63 shows the mechanical
structure of another part of the medical resource storage and
management apparatus 420. FIG. 63 is an expanded perspective view
of a rack 480 and partition members 485.
[0616] FIGS. 64A-64D show the structure of the medical resource
storage and management apparatus 420. FIG. 64A is a front view of a
horizontal-bridging case 450 (horizontal-bridging member) and
hanger members 455; FIGS. 64B and 64C are left side views of the
horizontal-bridging member and the hanging member showing the
longitudinal cross section of the horizontal-bridging case 450 and
a horizontal-bridging bar 451; and FIG. 64D is a schematic
functional block diagram of the control unit 430.
[0617] The medical resource storage and management apparatus 420
according to this embodiment differs from those of the illustrative
examples 5-1 through 5-6 in that the racks 480, 470 and 460 and the
horizontal-bridging case 450 are placed in the storage part in
addition to the rack 490 (see FIG. 61A).
[0618] The rack 460 (see FIGS. 61B and 61C) is implemented by a
horizontally extending plate with a flat top face. The partition
members 465 formed as thin plates are fitted to the top face
thereof at regular or irregular pitches in a longitudinal direction
(in the figure, sideways) in order to place a large number of
medical resources 410 in respective partitions retrievably. Two
rows of depressions 461 to fit partition members are formed on the
top face of the rack 460 at regular or irregular pitches in a
longitudinal direction. Two fittings 466 are formed to protrude
from the bottom of each of the partition members 465.
[0619] In this example, the fitting 466 is a small round bar and
the depression 461 is a through hole. By inserting the fitting 466
into the depression 461, the partition member 465 is removably
fitted to the depression 461 in the rack 460. A medical resource
name plate 467, a connecting member 468, and a pivot shaft 469 are
attached to one side (in the illustrated example, the right side)
of the partition member 465.
[0620] One end of the pivot shaft 469 is secured to the partition
member 465 toward the back thereof; one end of the connecting
member 468 is pivotally connected to the other end of the pivot
shaft 469; and the medical resource name plate 467 is secured to
the other end of the connecting member 468 extending to the front.
Thus, by pivotally moving the connecting member 468, the medical
resource name plate 467 moves up and down in association with the
connecting member 468 in an easy-to-view space where retrieval of a
medical resource takes place (more specifically, slightly in front
of the front of the rack 460).
[0621] The front of the rack 460 exposed when the door 424 is
opened is equipped with retrieval guidance members 462 and medical
resource detecting members 463 in close proximity with each other.
The retrieval guidance members 462 and the medical resource
detecting members 463 are arranged in the rack 460 so as to
alternate with the depressions 461 in a direction in which the
depressions 461 are arranged, i.e., in the longitudinal direction
of the rack 460.
[0622] When the partition member 465 is inserted into the
depression 461 on the top face of the rack 460 and when the
connecting member 468 and the medical resource name plate 467 are
allowed to make a pivotal movement freely, the member 468 and the
plate 467 are lowered under their own weight until the connecting
member 468 comes into contact with the top face of the rack 460 and
the medical resource name plate 467 in front thereof is lowered to
the front of the rack 460. This shields the retrieval guidance
member 462 and the medical resource detecting member 463 at the
front of the rack 460 from view. The medical resource name plate
467, as it is lowered in response to the retrieval of the medical
resource from the associated location, shields the associated
retrieval guidance member 462 from view.
[0623] When the medical resource name plate 467 is raised so as to
store a medical resource 410 on the rack 460, the connecting member
468 rests on the medical resource 410 instead of on the rack 460,
causing the medical resource name plate 467 to remain at an
elevated position. The medical resource name plate 467 is located
above the associated retrieval guidance member 462, revealing the
retrieval guidance member 462 and the medical resource detecting
member 463 at the front of the rack 460 for view. The medical
resource detecting member 463 provided at the front of the rack 460
does not sense the medical resource 410 placed on the rack 460 but
senses the medical resource name plate 467 immediately in front of
the rack 460. Due to this and the fact that the medical resource
name plate 467 moves up and down in response to the
storage/retrieval of the medical resource 410 as a result of
interference between the connecting member 468 and the medical
resource 410, the medical resource detecting member 463 indirectly
detects whether or the medical resource 410 is placed by detecting
whether the medical resource name plate 467 is raised or
lowered.
[0624] In order to detect the medical resource name plate 467 for
indirect detection of the medical resource 410, each of the medical
resource detecting members 463 is implemented by a mechanical
switch, a reflective photosensor, a capacity sensor or the like, so
as to output a binary signal which turns on and off according to
whether the medical resource name plate 467 is raised or
lowered.
[0625] In order to visually guide a user to the location of
placement of the medical resource 410 to be retrieved, a miniature
bulb, a light emitting diode or the like that can be turned on and
off is used as the retrieval guidance member 462 as in the case of
the retrieval guidance member 492.
[0626] The rack 470 is for inserting the partition member 475 (see
FIGS. 62A and 62B). The partition member 475 is configured such
that the medical resource name plate 467, the connecting member 468
and the pivot shaft 469 are omitted from the partition member 465.
Therefore, instead of the medical resource members 463, medical
resource detecting members 473 are provided on the top face of the
rack 470 to directly detect whether the medical resource 410 is
placed by sensing the bottom of the medical resource 410. A
depression 471, a retrieval guidance member 472, a partition
detecting member 474 and a fitting 476 may be of the same structure
or function as the depression 461, the retrieval guidance member
462, the partition detecting member 464 and the fitting 466,
respectively, although they differ in the destination of
installation.
[0627] The rack 480 (see FIG. 63) is similar to the racks 460 and
470 in that the partition member 485 is removably fitted. The rack
480 differs from the rack 470 in that the rack is provided with a
medical name plate 487 supported by a connecting member 488 so as
to be swingable up and down. The rack 480 differs from the rack 460
in that the connecting member 488 is fitted to the rack 480 via a
name plate support member 489 instead of the partition member
485.
[0628] The rack 480 is implemented by a horizontally extending
plate with a flat top face. The partition members 485 formed as
thin plates are fitted to the top face thereof at regular or
irregular pitches in a longitudinal direction (in the figure,
sideways) in order to place a large number of medical resources in
respective partitions retrievably.
[0629] Two rows of depressions 481 to fit partition members are
formed on the top face of the rack 480 at regular or irregular
pitches in a longitudinal direction (in the figures, sideways). Two
fittings 486 are formed to protrude from the bottom of each of the
partition members 485. In this example, the fitting 486 is a small
round bar and the depression 481 is a through hole. By inserting
the fitting 486 into the depression 481, the partition member 485
is removably fitted to the depression 481 in the rack 480.
[0630] The name plate support member 489 is provided above the rack
480 so as to be in parallel to the rack 480 and behind the
partition member 485 as it is fitted to the rack 480. In the
illustrated example, the name plate support member 489 is a round
bar or shaft extending straight. The ends of the member 489 is
supported by support posts 489b provided to stand on the rack 480
so that the member 489 can be accommodated in or removed from the
housing 422 along with the rack 480. Locking groove 489a are formed
at appropriate locations in the name plate support member 489 at a
fine pitch, or at least at a pitch determined by the pitch at which
the depressions 481 are provided. Each of the locking grooves 489a
is formed by engraving the entire circumference of the name plate
support member 489 to a regular width and depth.
[0631] The connecting member 488 is removably fitted to the name
plate support member 489. More specifically, the connecting member
488 is of a form that would be made by bending a plate of a width
slightly smaller than the pitch at which the depressions 481 are
provided. A locking piece 488a lockable with the locking groove
489a of the name plate support member 489 is provided at the rear
end of the connecting member 488. The medical resource name plate
487 is secured to the other end of the connecting member 488
extending forward. As the locking piece 488a is engaged with the
locking groove 489a, slight play therebetween allows the connecting
member 488 to rotate in both directions around the name plate
support member 489 as a pivot axis or an axis of rotation.
Meanwhile, travel of the connecting member 488 in the longitudinal
direction of the name plate support member 489 is restricted. Thus,
by pivotally moving the connecting member 488, the medical resource
name plate 487 moves up and down in association with the connecting
member 488 in an easy-to-view space where retrieval of a medical
resource takes place (more specifically, slightly in front of the
front of the rack 480).
[0632] The front of the rack 480 exposed when the door 424 is
opened is equipped with retrieval guidance members 482 and medical
resource detecting members 483 in close proximity with each other.
The retrieval guidance members 482 and the medical resource
detecting members 483 are arranged in the rack 480 so as to
alternate with the depressions 481 in a direction in which the
depressions 481 are arranged, i.e., in the longitudinal direction
of the rack 480. When the partition member 485 is inserted into the
depression 481 on the top face of the rack 480, when the connecting
member 488, with a width adapted to the interval between adjacent
partition members 485, is fitted to the name plate support member
489, and when the connecting member 488 and the medical resource
name plate 487 are allowed to swing freely, the member 488 and the
plate 487 are lowered under their own weight until the connecting
member 488 comes into contact with the top face of the rack 480 and
the medical resource name plate 487 in front thereof is lowered to
the front of the rack 480. This shields the retrieval guidance
member 482 and the medical resource detecting member 483 at the
front of the rack 480 from view. The medical resource name plate
487, as it is lowered in response to the retrieval of the medical
resource from the associated location, shields the associated
retrieval guidance member 482 from view.
[0633] When the medical resource name plate 487 is raised so as to
store the medical resource 410 on the rack 480, the connecting
member 488 rests on the medical resource 410 instead of on the rack
480, causing the medical resource name plate 487 to remain at an
elevated position. The medical resource name plate 487 is located
above the associated retrieval guidance member 482, revealing the
retrieval guidance member 482 and the medical resource detecting
member 483 at the front of the rack 480 for view. The medical
resource detecting member 483 provided at the front of the rack 480
does not sense the medical resource 410 placed on the rack 480 but
senses the medical resource name plate 467 immediately in front of
the rack 480. Due to this and the fact that the medical resource
name plate 487 moves up and down in response to the
storage/retrieval of the medical resource 410 as a result of
interference between the connecting member 488 and the medical
resource 410, the medical resource detecting member 483 indirectly
detects whether or the medical resource 410 is placed by detecting
whether the medical resource name plate 487 is raised or
lowered.
[0634] In order to detect the medical resource name plate 487 for
indirect detection of the medical resource 410, each of the medical
resource detecting members 483 is implemented by a mechanical
switch, a reflective photosensor, a capacity sensor or the like, as
in the case of the medical resource detecting members 463, 473 and
493 described above, so as to output a binary signal which turns on
and off according to whether the medical resource name plate 487 is
raised or lowered.
[0635] In order to visually guide a user to the location of
placement of the medical resource 410 to be retrieved, a miniature
bulb, a light emitting diode or the like that can be turned on and
off is used as the retrieval guidance member 482, as in the case of
the retrieval guidance members 462, 472 and 492 described
above.
[0636] The horizontal-bridging case 450 (horizontal-bridging
member) comprises a rectangular cylinder (see FIGS. 64A-64C). A
series of arm-shaped hanger members 455 are hung from the lower
part or the bottom of the case 450 in a longitudinal direction (in
FIGS. 61A and 64A, sideways) at regular or irregular pitches so as
to arrange a large number of medical resources by retrievably
hanging them. In order to hang and store relatively longer medical
resources 410 by the hanger members 455, hanging storage space is
secured below the horizontal-bridging case 450 (see FIG. 61A). In
the illustrated example, there is only one horizontal-bridging case
450 provided so as to extend horizontally above the hanging storage
space.
[0637] In the hollow interior of the horizontal-bridging case 450
(see FIGS. 64C-64C) is housed the horizontal-bridging bar 451
(horizontal-bridging member) extending in a longitudinal direction.
The series of hanger members 455 are fitted to the
horizontal-bridging bar 451. More specifically, the hanger member
455 comprises a bar member substantially T-shaped in side view (see
FIGS. 64B and 64C). The lower end of an vertical bar is bent into a
hook, forming an engaging part 456. One end of a top side bar is
formed into a weight part 457 by bulging or by being provided with
a weight. The other end of the top side bar is provided with a
permanent magnet and is formed into a target of detection 458.
[0638] A through hole through which the horizontal-bridging bar 451
can be movably inserted is formed in the middle of the top side bar
toward the weight part 457. Alternatively, a bearing is fitted
thereto. By introducing the bar 451 through the hole or the
bearing, the hanger member 455 is supported by the bar 451 so as to
be pivotable around the bar 451. The center of gravitation of the
hanger member 455 is displaced from the pivot center toward the
weight part 457. Therefore, at the time of retrieving a medical
resource, the pivotal movement of the hanger member 455 causes the
engaging part 456 to be elevated and moved toward an operator (see
FIG. 64B). At the time of hanging a medical resource, the pivotal
movement causes the engaging part 456 engaged with the medical
resource 410 to be lowered and moved toward the back (see FIG.
64C).
[0639] On the underside of the horizontal-bridging case 450 (see
FIGS. 64B and 64C), a series of oblong holes 450a (hanger member
fitting parts) are formed in a longitudinal direction at regular or
irregular pitches. As the hanger member 455 is movably introduced
into the oblong hole 450a, the hanger member 455 is allowed to move
back and forth freely, while substantially being prevented from
moving sideways in a front view (see FIG. 64A). The provision
maintains the hanger members 455 in an aligned state (lined up in a
longitudinal direction), without inhibiting the pivotal movement
thereof.
[0640] Further (see FIGS. 64B and 64C), a medical resource
detecting member 453 is provided on the interior face of the
horizontal-bridging case 450 where the target of detection 458
comes into contact as a result of the pivotal movement of the
hanger member 455. A retrieval guidance member 452 is provided on
the front of the horizontal-bridging case 450 which becomes
viewable when the door 424 is opened. The retrieval guidance member
452 and the medical resource detecting member 453 are provided in
the horizontal-bridging case 450 so as to be alignment with the
oblong hole 250a and are provided for each hanger member 455, i.e.,
at each location of storage.
[0641] In this example, the medical resource detecting member 453
is implemented by a sensor using a Hall device that senses the
magnetic field in the magnet of the target of detection 458, in
order to detect whether the medical resource 410 is hung in
accordance with the pivotal movement of the hanger member 455. The
hanger member 455 pivotally moves as the medical resource 410 is
hung or removed therefrom. As the target of detection 458 leaves or
comes into contact with the medical resource detecting member 453
as a result of the pivotal movement, the medical resource detecting
member 453 outputs a binary signal which turns on and off. The
medical resource detecting member 453 may be implemented by other
devices so long as detection in association with the pivotal
movement is enabled. For example, the medical resource detecting
member 453 may be implemented by a mechanical switch, a reflective
photosensor, a capacity sensor.
[0642] In order to visually guide a user to the location of
placement of the medical resource 410 to be retrieved, a miniature
bulb, a light emitting diode or the like that can be turned on and
off is used as the retrieval guidance member 452.
[0643] The control unit 430 is expanded in its capabilities so that
access to the retrieval guidance member 482, the medical resource
detecting member 483, the partition detecting member 484, the
retrieval guidance member 472, the medical resource detecting
member 473, the partition detecting member 474, the retrieval
guidance member 462, the medical resource detecting member 463, the
partition detecting member 464, the retrieval guidance member 452,
the medical resource detecting member 453 and the partition
detecting member 454, as well as to the retrieval guidance member
492, the medical resource detecting member 493 and the hanger
member detecting member 494, is enabled. The routines 441-445 and
the data 446-449 of the control unit 430 are also altered to
reflect the structure by, for example, fine-tuning the definition
of addresses storing the components or the size of tables.
[0644] The basic usage mode and operation may be largely the same
as those in the illustrative embodiments already described. For
detection of the medical resource 410, the rack 470 is designed for
direct detection, while the racks 460, 480 and 460 and the
horizontal-bridging case 450 are designed for indirect detection. A
difference in the scheme employed to store medical resources 410 is
that the racks 490, 480 and 470 and the rack 460 are designed so
that medical resources 410 are placed thereon, while the
horizontal-bridging case 450 is designed to hang medical resources
410. As a mixture of three types is provided in the storage part of
the medical resource storage and management apparatus 420, medical
resources 410 of different types can be stored for accurate and
automatic management. The medical resource 410 may be packaged,
bundled or contained in a case or a container. Suitable for storage
on the rack 470 of direct detection type are those relatively
stable in form that can stand on its own while in storage (for
example, those contained in a container with the shape of a CD case
or a rectangular box). Examples of such medical resources are tube
sets for injection/infusion, small and short-length catheters and
sets of articles including the same.
[0645] Suitable for storage on the racks 490, 480 and 460 of
indirect detection and placement type are those relatively thick
and unstable in form that do not stand on its own while in storage
(for example, those contained in a round, hard case, those in a
blister package or those in a soft package). Examples of such
medical resources are those for respirator medicine such as
filters, resources for medical operations, and resources for
artificial replacement. The rack 490 of a type on which resources
contained in a case are placed, medical resources 410 of even more
unstable form may be stored in a stable manner.
[0646] Suitable for storage on the horizontal-bridging case 450 of
indirect detection and hanger type are those that are long and
relatively unstable in form, those that are light or thin but heavy
enough to be detected by being hung. Examples of such medical
resources are long sterilized catheters of not less than 0.5 cm,
long tubes, or resources for medical operations that are light or
thin.
[0647] [Other Points of Note]
[0648] In the fifth embodiment, the control unit 430 is
accommodated in the electric equipment 421. Alternatively, the
control unit 430 may be placed outside the housing 422. The input
and output means of the control unit 430 may not be restricted to
the display 432, the keyboard 433 and the like mentioned above and
may be implemented by a touch panel or a mobile information
terminal.
[0649] In the fifth embodiment, the medical resource detection
routine 442 is designed to associate the on and off states of the
result of detection by the medical resource detecting member 493
with the storage and retrieval of the medical resource 410,
respectively. It is easy to expand the capabilities to
automatically manage the return of a medical resource 410 once
taken out and not used. For example, a determination may be made
that a resource is not replenished but returned, if retrieval and
storage are conducted successively in a short time span, or if a
resource is stored in one of the modes of operation introduced in
the control unit 430 in which mode an action of retrieval is
restricted. In this case, information indicating the return may
suitably be appended to the log data 449 or other output data. In
addition to data storage and output, provisions may also be made
for management of expiration dates, stock control, preparation of
drug history and inspection.
Sixth Embodiment
[0650] A sixth embodiment of the present invention relates to a
medical supply management system for managing medical supplies in a
medical institution.
[0651] Medical institutions such as hospitals handle a variety of
medical resources and medicines for treatment (e.g. operation) and
inspection of patients suffering from various diseases and
injuries. This calls for stock control of medical supplies whereby
the amount of different types of medical supplies in stock and the
expiration date of medical supplies are kept track of. For
replenishment of those medical supplies that are running short, an
order for a necessary amount should be placed with a manufacturer
of medical supplies. In the event that a medical supply runs short
and causes a trouble in treatment or inspection, it may lead to
mishaps in medical practice. Accordingly, stock control of medical
supplies in a medical institution is a task of utmost
importance.
[0652] Recently, institutions like hospitals use computers for
stock control of medical supplies. The amount of respective types
of medical supplies in stock is calculated and recorded by
inputting the amount of respective types of medical supplies
delivered and the amount of respective types of medical supplies
consumed in treatment or inspection. Input of the amount of medical
supplies consumed is manually provided. Therefore, it is required
that the amount of respective types of medical supplies consumed be
input without fail, in order to acquire the accurate amount of
respective types of medical supplies in stock.
[0653] Various techniques are conceivable for computer-based stock
control of medical supplies. For maintenance of the proper amount
of respective types of medical supplies in stock, it is necessary
to monitor the amount of stock, determine the amount replenished
and place an order for the required amount. The process imposes a
heavy burden on medical workers. In this background, patent
document No. 2 discloses a medical resource management system
configured such that a management server is connected via the
Internet to terminals at medical institutions and terminals at
logistics centers for communication of information. The management
server is responsible for stock control of medial resources at the
medical institutions, determination of the type and amount of
medical resources to be ordered, and placement of orders with the
logistics centers.
[0654] Because hospitals handle an extremely large variety of
medical supplies, utmost care is necessary in selecting from the
vast variety and making available medical supplies used in
treatment or inspection of patients without fail. Any error may
lead to mishaps in medical practice. As shown in patent document
No. 3, we have made available a medicine storage and management
apparatus comprising multiple medicine storage units, multiple
medicine sensors and multiple indicator lamps. The indicator lamp
of a medicine storage unit accommodating a medicine to be
administered to a patient is turned on by referring to information
on the medicine.
[0655] Conventional management of medical supplies at medical
institutions such as hospitals is such that the amount of medical
supplies consumed is manually input, even if a computer is used for
stock control. This gives rise to failure to input the amount
consumed or an error in input, preventing the amount of respective
types of medical supplies in stock to be acquired efficiently,
easily and accurately. This will result in failure to place an
order with a manufacturer of medical supplies for the required
amount of medical supplies that have been consumed and run short in
an efficient and proper manner.
[0656] A resultant shortage of medical supplies may lead to mishaps
in medical practice. Conversely, an excessive amount of medical
supplies in stock may result. In this case, a large amount of
medical supplies are wasted as they are past expiration date.
Consequently, the amount of respective types of medical supplies in
stock cannot be maintained at a proper level neither insufficient
nor excessive. The medical resource management system of patent
document No. 2 uses, for example, a barcode reader to input the
amount of medical resources consumed at a medical institution.
Since this still involves manual operation, the same problem as
described above occurs, preventing the amount of respective types
of medical supplies in stock to be acquired in a reliable
manner.
[0657] Medicine storage and management apparatuses such as that of
patent document No. 3, which support making available a stock of
medicines administered to patients, are indeed available. However,
apparatuses that support making available a stock of medical
resources necessary for treatment or inspection of patients have
not been put into use. For example, a medical operation department
of a hospital uses a large variety of medical resources.
Conventionally, it is difficult to make available medical resources
easily and properly that are necessary in an operation on a
patient. That is, it is difficult to improve efficiency of the work
of making available medical resources.
[0658] A general purpose of the sixth embodiment is to provide a
medical supply management system wherein: medical supplies
necessary for treatment and inspection of patients are retrieved
easily and properly; the type and amount of medical supplies
consumed and the amount of respective types of medical supplies in
stock are acquired efficiently, easily and properly; and an order
for the required amount of medical supplies that have been consumed
and run short is placed efficiently and properly for
replenishment.
[0659] A summary of the sixth embodiment will be given.
[0660] A first medical supply management system according to the
sixth embodiment is for managing medical supplies in a medical
institution and comprises a plurality of storage and management
apparatuses, wherein each of the plurality of storage and
management apparatuses comprises: a plurality medical supply
storage parts capable of storing a plurality of types of medical
supplies; medical supply detecting means which detects whether a
medical supply is stored in each of the medical supply storage
parts; computer means which creates management information
pertaining to the medical supplies in the plurality of medical
supply storage parts on the basis of information detected by the
medical supply detecting means; and retrieval guidance means which
is controlled by the computer means so as to guide a user to the
medical supply to be taken out, wherein the computer means in each
storage and management apparatus is operable to control the
retrieval guidance means on the basis of information on the medical
supply to be taken out, and to create and output consumed medical
supply information related to the type and amount of medical
supplies consumed, the system further comprising stock control
means which is communicably connected to the plurality of storage
and management apparatuses, and which calculates and stores the
amount of respective types of medical supplies in stock, on the
basis of the latest amount of respective types of medical supplies
in stock stored in the stock control means, and on the basis of the
consumed medical supply information received from the storage and
management apparatuses.
[0661] Since a plurality of medical supply storage parts capable of
storing a plurality of types of medical supplies are provided in
each storage and management apparatus and since a medical supply
detection sensor detects whether a medical supply is stored in each
of the medical supply storage parts, the computer means is operable
to create management information related to the medical supplies in
the plurality of medical supply storage parts, by mapping the
plurality of types of medical supplies into the plurality of
medical supply storage parts, respectively. The management
information indicating whether a medical supply is stored in each
of the medical supply storage parts, the type and amount of medical
supplies stored in each of the medical supply storage parts, the
type and amount of medical supplies taken out from each of the
medical supply storage parts, the type and amount of medical
supplies accepted (replenished or returned) in each of the medical
supply storage parts, etc. Preferably, the medical supply detecting
means is implemented by a plurality of medical supply detection
sensors respectively provided in the plurality of medical supply
storage parts.
[0662] The computer means in each storage and management apparatus
controls the indicator retrieval guidance means on the basis of
information related to the medical supply needed in treatment or
inspection of each patient (medical supply to be taken out) so as
to allow the retrieval guidance means to indicate the medical
supply to be taken out. For example, the information on the medical
supply to be taken out may be created by a data processor outside
the storage and management apparatus. Preferably, the retrieval
guidance means may be implemented by multiple indicator lamps
respectively provided in the plurality of medical supply storage
parts.
[0663] By using the management information and by designating, in
the event of accepting a medical supply in the medical supply
storage part, whether the acceptance is replenishment or return,
the computer means determines the type and amount of medical
supplies consumed (i.e., no longer in stock). The computer means
then creates the consumed medical supply information related to the
type and amount of consumed medical supplies. The stock control
means is communicably connected to the multiple storage and
management apparatuses so that the storage and management
apparatuses output the consumed medical supply information to the
stock control means.
[0664] The stock control means calculates and stores the amount of
respective types of medical supplies in stock on the basis of the
latest amount of respective types of medical supplies in stock
stored in the stock control means, and on the basis of the consumed
medical supply information received from the storage and management
apparatuses. The stock control means may be provided in the medical
institution and connected to the storage and management apparatuses
via a local area network. Alternatively, the stock control means
may be provided in a management server outside the medical
institution and connected to the storage and management apparatuses
via the Internet or a local area network.
[0665] The following structure may be employed in the sixth
embodiment.
[0666] In a second medical resource storage and management
apparatus according to the sixth embodiment, the stock control
means may receive the amount of respective types of medical
supplies delivered to the medical institution from an external
source, and calculate and store the amount of respective types of
medical supplies in stock on the basis of the delivered amount. In
a third medical resource storage and management apparatus according
to the sixth embodiment, the plurality of types of medical supplies
stored may include at least one of injection/infusion resources,
catheters, tubes, resources for anesthesia, resources for oxygen
inhalation, oxygen masks, sterilized filters, artificial bones and
artificial joints.
[0667] In a fourth medical resource storage and management
apparatus according to the sixth embodiment, at least one of the
plurality of types of medical supplies may be an ampule, a vial or
a medicine contained in an infusion package. In a fifth medical
resource storage and management apparatus according to the sixth
embodiment, the medical institution may be a hospital. One or
multiple storage and management apparatuses may be provided in each
section of the hospital where a stock of medical supplies is
necessary. In a sixth medical resource storage and management
apparatus according to the sixth embodiment, the stock control
means may calculate and store the amount of respective types of
medical supplies in stock for each of the one or multiple storage
and management apparatuses in each section.
[0668] In a seventh medical resource storage and management
apparatus according to the sixth embodiment, the stock control
means may be connected to medical supply supplier terminals of
medical supply suppliers delivering medical supplies to the medical
institution. The system may be provided with an order determining
means which determines the type and amount of medical supplies to
be ordered from the medical supply suppliers, on the basis of the
amount of respective types of medical supplies in stock maintained
in the stock control means. The system may further be provided with
an ordering means which places an order by outputting order
information, which contains the type and amount of medical supplies
determined by the order determining means, to the medical supply
supplier terminal.
[0669] In an eighth medical resource storage and management
apparatus according to the sixth embodiment, the stock control
means may be provided with a target stock amount setting means
which sets a target amount of respective types of medical supplies
in stock. The order determining means may determine the type and
amount of medical supplies to be ordered from the medical supply
suppliers, on the basis of the stock amount and the target stock
amount. In a ninth medical resource storage and management
apparatus according to the sixth embodiment, a local area network
may be formed in the medical institution to communicably connect at
least the multiple medical resource storage and management
apparatuses and the medical institution terminal. The stock control
means may comprise a data processor of a management server
connected to the medical institution terminal via a communicating
means. In a tenth medical resource storage and management apparatus
according to the sixth embodiment, multiple medical institutions
each provided with the local area network, and multiple medical
supply suppliers each provided with the medical supply supplier
terminal may be adapted to be connected to the management
server.
[0670] According to the first medical supply management system, the
system comprises a storage and management apparatus each comprising
a plurality medical supply storage parts, a medical supply
detecting means, a computer means and a retrieval guidance means.
The medical supply detecting means in each storage and management
apparatus detects whether a medical supply is stored in each of the
medical supply storage parts. The computer means controls the
retrieval guidance means on the basis of information related to the
medical supply needed in treatment or inspection of each patient
(medical supply to be taken out) so as to allow the retrieval
guidance means to indicate the medical supply to be taken out.
Accordingly, the target medical supply is retrieved from the
medical supply storage part easily and properly. The efficiency in
making available medical supplies is improved and the likelihood of
mishaps in medical practice due to failure to retrieve proper
medical supplies is minimized. The computer means in each storage
and management apparatus creates management information pertaining
to the medical supplies in the plurality of medical supply storage
parts, the management information indicating whether a medical
supply is stored in each of the medical supply storage parts, the
type and amount of medical supplies stored in each of the medical
supply storage parts, the type and amount of medical supplies taken
out from each of the medical supply storage parts, the type and
amount of medical supplies accepted (replenished or returned) in
each of the medical supply storage parts, etc. The management
information may be utilized to achieve, before and after the
retrieval of medical supplies, a proper stock status in which
necessary medical supplies are stored in just the right amount. If
the medical supply to be taken out is not stored, the management
information may be utilized to indicate as such.
[0671] By using the management information and by designating, in
the event of accepting a medical supply in the medical supply
storage part, whether the acceptance is replenishment or return,
the computer means in each storage and management apparatus
determines the type and amount of medical supplies consumed (i.e.,
no longer in stock). The computer means then creates the consumed
medical supply information related to the type and amount of
consumed medical supplies. Because the information on the type and
amount of medical supplies used is recorded, a request for heal
insurance coverage can be made properly without failure. The stock
control means communicably connected to the multiple storage and
management apparatuses calculates and stores the amount of
respective types of medical supplies in stock, on the basis of the
latest type-by-type amount of stock maintained in the stock control
means and the consumed medical supply information received from
each of the storage and management apparatuses. Accordingly, the
type and amount of consumed medical supplies, and the amount of
respective types of medical supplies in stock can be acquired
efficiently, easily and accurately. An order for a required amount
of medical supplies that have been consumed and run short can be
placed efficiently and properly for replenishment. As a result, the
amount of respective types of medical supplies in stock in the
medical institution can be maintained at just the right level. As
described, the inventive system can contribute to the operation
(management) of the medical institution such as a hospital.
[0672] According to the second medical supply management system,
the stock control means receives the amount of respective types of
medical supplies delivered to the medical institution from an
external source, and calculates and stores the amount of respective
types of medical supplies in stock on the basis of the delivered
amount. Therefore, the amount of respective types of medical
supplies in stock in the medical institution can be properly
acquired.
[0673] According to the third medical supply management system, the
plurality of types of medical supplies include at least one of
injection/infusion resources, catheters, tubes, resources for
anesthesia, resources for oxygen inhalation, oxygen masks,
sterilized filters, artificial bones and artificial joints.
Therefore, at least one of multiple types of medical resources can
be managed properly.
[0674] According to the fourth medical supply system, at least one
of the multiple types of medical supplies is an ampule, a vial or a
medicine contained in an infusion package. Therefore, at least one
of the multiple types of medicines can be managed properly.
[0675] According to the fifth medical supply management system, the
medical institution is a hospital. One or multiple storage and
management apparatuses is provided in each section of the hospital
where a stock of medical supplies is necessary. Therefore, the
sections provided with storage and management apparatuses can
manage medical supplies properly.
[0676] According to the sixth medical supply management system, the
stock control means calculates and stores the amount of respective
types of medical supplies in stock for each of the one or multiple
storage and management apparatuses in each section. Accordingly,
each section provided with the storage and management apparatuses
can manage the amount of respective types of medical supplies in
stock and maintain the amount of stock at just the right level.
[0677] According to the seventh medical supply management system,
the stock control means is connected to medical supply supplier
terminals of medical supply suppliers delivering medical supplies
to the medical institution. The system is provided with an order
determining means which determines the type and amount of medical
supplies to be ordered from the medical supply suppliers, on the
basis of the amount of respective types of medical supplies in
stock maintained in the stock control means. The system is further
provided with an ordering means which places an order by outputting
order information, which contains the type and amount of medical
supplies determined by the order determining means, to the medical
supply supplier terminal. Therefore, the type and amount of medical
supplies to be ordered from the medical supply suppliers are
properly determined, and the order for the required type and amount
of medical supplies is placed with the medical supply suppliers
smoothly and properly.
[0678] According to the eighth medical supply management apparatus,
the stock control means comprises a target stock amount setting
means which sets a target amount of respective types of medical
supplies in stock. The order determining means determines the type
and amount of medical supplies to be ordered from the medical
supply suppliers, on the basis of the stock amount and the target
stock amount. Therefore, by setting the target amount of respective
types of medical supplies in stock, the type and amount of medical
supplies to be ordered from the medical supply suppliers is
determined automatically.
[0679] According to the ninth medical supply management system, a
local area network is formed in the medical institution to
communicably connect at least the multiple medical resource storage
and management apparatuses and the medical institution terminal.
The stock control means comprises a data processor of a management
server connected to the medical institution terminal via a
communicating means. Therefore, the majority of the processes in
the medical supply management system for managing medical supplies
can be performed by the data processor of the management server,
which is outside the medical institutions. The medical institutions
can benefit from the medical supply management system while
incurring the minimizing the cost to build the system. Thus, the
system is highly effective.
[0680] According to the tenth medical supply management system,
multiple medical institutions each provided with the local area
network, and multiple medical supply suppliers each provided with
the medical supply supplier terminal are adapted to be connected to
the management server. Therefore, the multiple medical institutions
can share the management server of the medical supply management
server, and the medical institutions can order a large variety of
medical supplies from appropriate ones of the multiple medical
supply suppliers via the management server.
[0681] The medical supply management system according to the sixth
embodiment is for managing medical supplies in a medical
institution and, more particularly, comprises a plurality of
storage and management apparatuses, wherein each of the plurality
of storage and management apparatuses comprises: a plurality
medical supply storage parts capable of storing a plurality of
types of medical supplies (medical resources and medicines);
medical supply detecting means which detects whether a medical
supply is stored in each of the medical supply storage parts;
computer means which creates management information pertaining to
the medical supplies in the plurality of medical supply storage
parts on the basis of information detected by the medical supply
detecting means; and retrieval guidance means which is controlled
by the computer means so as to guide a user to the medical supply
to be taken out.
Illustrative Embodiment 6-1
[0682] As shown in FIG. 65, a medical institution 1001 (general
hospital) is provided with multiple sections such as a medical
operation department 1002, a dispensary 1003 and a medical ward
1004 (other sections may include an emergency department, central
care unit, dialysis department, X-ray department, ICU, HICU, NICU,
etc.). One or multiple medical resource storage and management
apparatus 1005 and/or one or multiple of medicine storage and
managements 1006 are provided in each section where maintenance of
a stock of medical supplies (medical resources and medicines) is
necessary. For example, the medical resource storage and management
apparatus 1005 and the medicine storage and management apparatus
1006 are provided in the operation department 1002; the medicine
storage and management apparatus 1005 is provided in the dispensary
1003; and the medical resource storage and management apparatus
1005 and the medicine storage and management apparatus 1006 are
provided in the medical ward 1004.
[0683] The medical institution 1001 is also provided with a stock
control apparatus 1007 and an incoming management apparatus 1008. A
local area network 1009 (LAN 1009) is formed to communicably
connect the multiple medical resource storage and management
apparatuses 1005, multiple medicine storage and management
apparatuses 1006, the stock control apparatus 1007 and the incoming
management apparatus 1008. Various data processors provided in the
medical institution 1001 can be connected to the LAN 1009.
[0684] The medical supply management system MS1 of the illustrative
embodiment 6-1 comprises multiple medical resource storage and
management apparatuses 1005, multiple medicine storage and
management apparatuses 1006, the stock control apparatus 1007, the
incoming management apparatus 1008, the LAN 1009 and the like.
[0685] As shown in FIG. 66, the medical resource storage and
management apparatus 1005 and the medicine storage and management
apparatus 1006 each comprises: multiple medical supply storage
parts 1010 capable of storing multiple types of medical supplies
(medical resources and medicines); a medical supply detection
sensor 1011 (medical supply detecting means) which is provided in
each of the medical supply storage parts 1010 and which detects
whether a medical supply is stored in the part 1010; a computer
1012 (computer means) which creates management information
pertaining to the medical supplies in the multiple medical supply
storage parts 1010 on the basis of information detected by the
medical supply detection sensor 1011; and an indicator lamp 1013
which is provided in association with the multiple medical supply
storage parts 1010 (retrieval guidance means) and which is
controlled by the computer 1012 so as to guide a user to the
medical supply to be taken out.
[0686] The computer 1012 is provided with a CPU, ROM, RAM and I/O
(input and output interface). Multiple medical supply detection
sensors 1011 and multiple indicator lamps 1013 are connected to the
I/O. Each medical supply storage part 1010 is configured to store
only one medical supply. Alternatively, each medical supply storage
part 1010 may be configured to store multiple medical supplies. In
this case, it is favorable that multiple medical supply detection
sensors 1011 be provided in each medical supply storage part
1010.
[0687] The medical resource storage and management apparatus 1005
and the medicine storage and management apparatus 1006 each
comprises: a storage device 1014 such as a hard disk; a display
device 1015 such as a liquid crystal display; an input device 1016
such as a keyboard, mouse or touch panel; a reader device 1017 such
as a barcode reader or IC reader; and a printing device 1018 such
as an inkjet printer. These equipment 1014-1018 are connected to
the I/O of the computer 1012. At least some of the equipment
1014-1018 may be omitted.
[0688] As shown in FIG. 67, the storage device 1014 stores a
storage management program executed by the CPU of the computer 1012
and stores a medical supply master file 1020, a correspondence
information file 1021 and a management information file 1022.
[0689] As shown in FIG. 68, the medical supply master file 1020
stores medical supply information related to multiple types of
medical supplies. The medical supply information contains a medical
supply code, a medical supply name and information on specification
or amount. As shown in FIG. 69, the correspondence information file
1021 contains medical supply storage part codes for multiple
medical supply storage parts 1010. Each of medical supply codes
preset to identify corresponding types of medical supplies is
stored in association with each of the medical supply storage part
codes (correspondence information table).
[0690] The computer 1012 of the storage and management apparatuses
1005 and 1006 creates management information related to medical
supplies in the multiple medical supply storage parts 1010, on the
basis of the information detected by the multiple medical supply
detection sensors 1011 and of the correspondence information table
stored in the correspondence information file 1021. As shown in
FIG. 70, the management information indicating whether a medical
supply is stored in each of the medical supply storage parts 1010,
the type and amount of medical supplies stored in each of the
medical supply storage parts 1010, the type and amount of medical
supplies taken out from each of the medical supply storage parts
1010, the type and amount of medical supplies accepted (replenished
or returned) in each of the medical supply storage parts 1010.
[0691] A description will now be given of specific structures of
four types of medical resource storage and management apparatuses
1005A-1005D that can be employed to implement the medical resource
storage and management apparatus 1005 of the medical supply
management system MS1. The multiple types of medical supplies
stored in the medical resource storage and management apparatus
1005 include at least one of injection/infusion resources,
catheters, tubes, resources for anesthesia, resources for oxygen
inhalation, oxygen masks, sterilized filters, artificial bones and
artificial joints.
[0692] A description will be given of the medical resource storage
and management apparatus 1005A by referring to FIGS. 71-74.
[0693] The medical resource storage and management apparatus 1005A
is provided with a cuboid housing 1030 provided with a computer
1012A, a door 1031 which opens and closes the front of the housing
1030, and multiple racks 1032 provided inside the housing 1030.
Each rack 1032 is formed as a horizontally extending plate.
Multiple partition members 1033 partition the top part of the rack
so as to form multiple medical supply storage parts 1010A. In each
medical supply storage part 1010A, the medical supply is placed on
top of the rack 1032. Multiple pairs of front and rear mounting
holes 1032a are formed in each rack 1032 at regular intervals in
the horizontal direction. Each partition member 1033 is fitted to
the rack 1032 by inserting a pair of front and rear insertion
fittings 1033a into a pair of front and rear mounting holes 1032a,
respectively.
[0694] Medical resources such as catheters are stored in the
medical supply storage part 1010A such that they are accommodated
in a medical resource case designed to stand on its own and having
a relatively small horizontal width. The medical resource cases do
not have a regular horizontal width. Therefore, the interval
between the mounting holes 1032a that are adjacent in the
horizontal direction is defined in accordance with the minimum
horizontal width of the medical resource case. The horizontal
storage width of each medical supply storage part 1010A can be
adjusted in accordance with the horizontal width of the medical
supply case to be stored, by adjusting the position of fitting the
partition member 1033.
[0695] Multiple medical supply detection sensors 1011A are fitted
on top of each rack 1032 such that a medical supply sensor 1011A is
located between the mounting holes 1032a that are adjacent to each
other in the horizontal direction (or between the mounting hole
1032a at the horizontal end and the edge of the rack 1032).
Multiple indicator lamps 1013A are fitted to the front of each rack
1032 so as to make respective pairs with the multiple medical
supply detection sensors 1011A. Each medical supply detection
sensor 1011A is a sensor for directly detecting the medical supply
and is implemented by a mechanical switch, a photosensor or a
capacity sensor. The indicator lamp 1013A may be implemented by a
light-emitting diode or a miniature bulb.
[0696] In this storage and management apparatus 1005A, the position
of fitting the multiple partition members 1033, i.e., the layout of
the multiple medical supply storage parts 1010A is variable. By
providing an attachment sensor for detecting whether the partition
member 1033 is fitted to the mounting hole 1032a, the computer
1012A can known the layout of the multiple medical supply storage
parts 1010A on the basis of information from the attachment
sensor.
[0697] A description will be given of the medical resource storage
and management apparatus 1005B by referring to FIGS. 75-77.
[0698] The medical resource storage and management apparatus 1005B
is provided with a cuboid housing 1040 provided with a computer
1012B, a door 1041 which opens and closes the front of the housing
1040, and multiple racks 1042 provided inside the housing 1040.
Each rack 1042 is formed as a horizontally extending plate.
Multiple partition members 1043 partition the top part of the rack
so as to form multiple medical supply storage parts 1010B. A
movable member 1044 is provided in each medical supply storage part
1010B so that the medical supply is placed on top of the rack 1042
below the movable member 1044. Multiple pairs of front and rear
mounting holes 1042a are formed in each rack 1042 at regular
intervals in the horizontal direction. Each partition member 1043
is fitted to the rack 1042 by inserting a pair of front and rear
insertion fittings 1043a into a pair of front and rear mounting
holes 1042a, respectively.
[0699] A support shaft 1045 is fitted above the rear end of each
rack 1042 so as to extend horizontally. Each movable member 1044 is
pivotally fitted such that an engaging part 1044a at the rear end
is engaged with the support shaft 1045. Each movable member 1044 is
provided with the engaging part 1044a, a connecting part 1044b
extending from the engaging part 1044a to the front, and a name
plate part 1044c provided at the front of the connecting part
1044b.
[0700] The movable member 1044 of the medical supply storage part
1010B which does not store a medical supply is as shown in FIG. 76.
The name plate part 1044c covers the front of the rack 1042. When
the medical supply is stored in the medical supply storage part
1010B, the connecting part 1044b of the movable member 1044 of the
medical supply storage part 1010B is swung upward by being pressed
by the medical supply inserted below the movable member 1044.
[0701] Medical resources such as injection/infusion resources are
stored in the medical supply storage part 1010B such that they are
accommodated in a medical resource case of a relatively large
horizontal width designed to lie horizontally. The medical resource
cases do not have a regular horizontal width. Therefore, the
interval between the mounting holes 1042a that are adjacent in the
horizontal direction is defined in accordance with the minimum
horizontal width of the medical resource case. The horizontal
storage width of each medical supply storage part 1010B can be
adjusted in accordance with the horizontal width of the medical
supply case to be stored, by adjusting the position of fitting the
partition member 1043. It is desirable that the movable member 1044
with a size compatible with the horizontal width of the medical
supply storage part 1010B be provided therein.
[0702] Multiple medical supply detection sensors 1011B and
indicator lamps 1013B are fitted to the front of each rack 1042
such that a medical supply sensor 1011B and an indicator lamp 1013B
are located in front of the interval between the mounting holes
1042a that are adjacent to each other in the horizontal direction
(or between the mounting hole 1042a at the horizontal end and the
edge of the rack 1042). Multiple indicator lamps 1013A are fitted
to the front of each rack 1032 so as to make respective pairs with
the multiple medical supply detection sensors 1011A. The medical
supply detection sensor 1011B is a sensor for indirectly detecting
the medical supply via the movable member 1044. The name plate part
1044c of the movable member 1044 of the medical supply storage part
1010B which does not store a medical supply comes close to the
medical supply detection sensor 1011B so as to cover the indicator
lamp 1013. When the medical supply is stored in the medical supply
storage part 1010B, the name plate part 1044c is raised and removed
from the medical supply detection sensor 1011B, allowing the
indicator lamp 1013B to be viewed.
[0703] In this storage and management apparatus 1005B, the position
of fitting the multiple partition members 1043, i.e., the layout of
the multiple medical supply storage parts 1010B is variable. By
providing an attachment sensor for detecting whether the partition
member 1043 is fitted to the mounting hole 1042a, the computer
1012A can know the layout of the multiple medical supply storage
parts 1010B on the basis of information from the attachment sensor.
The medical supply detection sensor 1011B and the indicator lamp
1013B may be implemented in the same way as in the case of the
storage and management apparatus 1005A.
[0704] A description will be given of the medical resource storage
and management apparatus 1005C by referring to FIGS. 78-81.
[0705] The medical resource storage and management apparatus 1005C
is provided with a cuboid housing 1050 provided with a computer
1012C, a door 1051 which opens and closes the front of the housing
1050, and a horizontal-bridging member 1052 provided toward the
upper end of the interior of the housing 1050. The
horizontal-bridging member 1052 is formed as a horizontally
extending hollow case with rectangular longitudinal cross section.
Multiple oblong holes 1052a are formed on the bottom plate of the
horizontal-bridging member 1052 so as to be aligned in the
horizontal direction. There are also provided multiple hanger
members 1053 which are introduced into the respective oblong holes
1052. The neighborhood of the multiple hanger members 1053 and a
space below form multiple medical supply storage parts 1010C. In
each medical supply storage part 1010C, medical supplies such as
tubes are stored by being hung from the hanger members 1053.
[0706] Each hanger member 1053 is substantially T-shaped in side
view. A connecting part 1053a at its upper end is accommodated in
the horizontal-bridging member 1052. A straight swinging part 1053b
extending downward from the connecting part 1053a is introduced
into the insertion hole 1052a. A hook part 1053c is formed at the
lower end of the swinging part 1053b. A support shaft 1054
extending horizontally is fitted inside the horizontal-bridging
member 1052. The connecting part 1053a of each hanger member 1053
is fitted onto and pivotally supported by the support shaft 1054. A
target of detection 1053d is provided at the front end of the
connecting part 1053a and a weight part 1053e is provided at the
rear end thereof.
[0707] Multiple medical supply detection sensors 1011C
corresponding to the targets of detection 1053d of the multiple
hanger members 1053 are fitted inside the horizontal-bridging
member 1052. Multiple indicator lamps 1013C corresponding to the
multiple hanger members 1053 are fitted at the front of the
horizontal-bridging member 1052. As shown in FIG. 80, the hanger
member 1053 from which a medical supply is not hung is tilted
backward due to the weight part 1053e, with the result that the
target of detection 1053d is removed from the medical supply
detection sensor 1011C. When a medical supply is hung from the
hanger member 1053, the hanger member 1053 becomes vertically
oriented with the result that the target of detection 1053 comes
close to the medical supply detection sensor 1011C.
[0708] The medical supply detection sensor 1011C and the indicator
lamp 1013C may be implemented in the same way as in the case of the
storage and management apparatus 1005A.
[0709] A description will be given of the medical resource storage
and management apparatus 1005D with reference to FIGS. 82 and
83.
[0710] The medical resource storage and management apparatus 1005D
is provided with a cuboid housing 1060 provided with a computer
1012D, and multiple racks 1062 provided inside the housing 1060.
Each rack 1062 is formed as a horizontally extending plate. Inside
each rack 1062 is fitted multiple antennas 1011D for IC readers
corresponding to medical supply detecting means. A space above the
antennas 1011D forms a medical supply storage part 1010D. In each
medical supply storage part 1010D, a medical supply fitted with an
IC tag 1063 is placed on top of the rack 1062. The IC reader is
connected to the computer 1012D. An IC chip of the IC tag 1063
stores information on the medical supply fitted with the IC tag
1063.
[0711] A description of the specific structure of the medicine
storage and management apparatus 1006 that could be employed in the
medical supply management system MW1 is omitted. At least one of
multiple types of medicines stored in the medicine storage and
management apparatus 1006 is an ampule, a vial or a medicine
contained in an infusion package.
[0712] The computer 1012 of the storage and management apparatuses
1005 and 1006 controls the multiple indicator lamps 1013, on the
basis of information on the medical supply to be taken out, so as
to turn on the indicator lamp 1013 of one or multiple medical
supply storage parts 1010 which store the medical supply to be
taken out. The information on the medical supply to be taken out
represents information for each patient's prescription, for each
treatment (operation) or for each inspection. The information may
be read by the reader device 1017 from a barcode or an IC chip
attached to a document such as a form, received from a
predetermined data processor via the LAN 1009, or separately input
via the input device 1015.
[0713] The computer 1012 of the storage and management apparatus
1005 and 1006 is designed to create consumed medical supply
information related to the type and amount of medical supplies
taken out from the storage and management apparatuses 1005 and 1006
and consumed, and to output the information to the stock control
apparatus 1007. While most of the medical supplies taken out from
the storage and management apparatuses 1005 and 1006 are actually
used (or discarded, in some cases) and consumed, some are not used
and returned to the storage and management apparatuses 1005 and
1006. Medical supplies that are returned are not dealt with as
consumed medical supplies.
[0714] In this regard, the computer 1012 of the storage and
management apparatuses 1005 and 1006 may be designed to create
consumed medical supply information indicating the type and amount
of medical supplies consumed, on the basis the type and amount of
medical supplies taken out and returned since the task of making
available medical supplies is started until it is ended, which task
is carried out for each patient's prescription, each treatment or
each inspection. The computer 1012 may also be configured to output
the information to the stock control apparatus 1007 after the task
of making available is completed. The consumed medical supply
information may be the type and amount of medical supplies taken
out and returned, which are directly output from the computer 1012
of the storage and management apparatuses 1005 and 1006 to the
stock control apparatus 1007. In this case, the stock control
apparatus 1007 may determine the type and amount of medical
supplies taken out from the storage and management apparatuses 1005
and 1006 and consumed.
[0715] A description will now be given of the stock control
apparatus 1007 and the incoming management apparatus 1008.
[0716] As shown in FIGS. 84 and 85, the stock control apparatus
1007 comprises a data processor such as a personal computer. The
stock control apparatus 1007 is provided with a processor main body
1070, a mouse 1071, a keyboard 1072 and a display 1073. The
processor main body 1070 is provided with a CPU 1080, a ROM 1081, a
RAM 1082, a hard disk drive 1083 (HDD) and a hard disk 1084 (HD), a
CD drive 1085 (CDD) for a compact disk 1085a (CD), an FDD 1086 for
a floppy disk (FD), an input and output interface (I/O) 1087, and
the like. The elements 1080-1087 are connected to each other via a
bus 1088. The mouse 1071, the keyboard 1072 and a display drive
circuit 1073a for the display 1073 are connected to the I/O
1087.
[0717] As shown in FIG. 86, the storage unit of the HD 1084 or the
like stores a stock control program executed by the CPU 1080. A
type-by-type incoming medical supply file 1090, a type-by-type
medical supply consumption file 1091 and a type-by-type medical
supply stock file 1092 are also stored.
[0718] As shown in FIG. 87, the type-by-type medical supply stock
file 1092 stores the amount of respective types of medical supplies
in stock in the whole medical institution 1001, and the amount of
respective types of medical supplies in stock in each section
(medical operation unit, dispensary, medical ward and the like) in
which is provided the storage and management apparatuses 1005 and
1006, i.e., the amount in each of the one or multiple storage and
management apparatuses 1005 and 1006 provided in each section. The
stock control apparatus 1007 calculates, stores and updates the
amount of respective types of medical supplies in stock, on the
basis of the latest amount maintained in the type-by-type medical
supply stock file 1092, and on the basis of the consumed medical
supply information received from the storage and management
apparatuses 1005 and 1006. The process is carried out each time the
consumed medical supply information is received from either of the
storage and management apparatuses 1005 and 1006.
[0719] The incoming management apparatus 1008 (not shown) comprises
a data processor such as a personal computer and is of structure
similar to that of the stock control apparatus 1007. The apparatus
1008 is further provided with a reader device such as a barcode
reader and an IC reader. The incoming management apparatus 1008
creates incoming medical supply information related to the type and
amount of incoming medical resources and to the destination
sections to which the medical supplies are delivered, on the basis
of information read by the reader device from barcodes assigned to
the cases containing the delivered medical supplies. The
information thus created is transmitted to the stock control
apparatus 1007. The incoming management apparatus 1008 is provided
in a section responsible for accepting incoming medical supplies
and/or in each of the sections in which the storage and management
apparatuses 1005 and 1006 are provided.
[0720] The stock control apparatus 1007 calculates, stores and
updates the amount, as shown in FIG. 87, of respective types of
medical supplies stored, on the basis of the latest amount
maintained in the type-by-type medical supply stock file 1092, and
on the basis of the incoming medical supply information received
from the incoming management apparatus 1008 (the amount of
respective types of medical supplies delivered to the medical
institution 1001 and communicated from outside via the incoming
management apparatus 1008). The process is carried out each time
the incoming medical supply information is received from the
incoming management apparatus 1008.
[0721] The type-by-type incoming medical supply file 1090
chronologically stores the type and amount of medical supplies
delivered to the medical institution 1001 as a whole and to the
respective sections, in association with information such as date
and time of delivery. The type-by-type medical supply consumption
file 1091 chronologically stores the type and amount of medical
supplies consumed in the medical institution 1001 as a whole and in
the respective sections, in association with information such as
date and time of consumption. The stock control apparatus 1007 is
operable to output the information or a modified version
thereof.
[0722] The medical supply management system MS1 described above
provides the following advantages.
[0723] The medical supply management system MS1 is provided with
the multiple storage and management apparatuses 1005 and 1006 each
provided with multiple medical supply storage parts 1010, multiple
medical supply detection sensors 1011, the computer 1012 and the
multiple indicator lamps 1013. The medical supply detection sensor
1011 in each of the storage and management apparatuses 1005 and
1006 detects whether a medical supply is stored in the medical
supply storage part 1010. The computer 1012 controls the indicator
lamp 1013 on the basis of information related to the medical supply
needed in treatment or inspection of each patient (medical supply
to be taken out) so as to allow the indicator lamp 1013 to indicate
the medical supply to be taken out. Accordingly, the target medical
supply is taken out from the medical supply storage part 1010
easily and properly. The efficiency in making available medical
supplies is improved and the likelihood of mishaps in medical
practice due to failure to make available proper medical supplies
is minimized.
[0724] The computer 1012 in each of the storage and management
apparatuses 1005 and 1006 creates management information related to
the medical supplies in the multiple medical supply storage parts
1010, the management information indicating the availability of a
medical supply in the medical supply storage parts 1010, the type
and amount of medical supplies stored in the medical supply storage
parts 1010, the type and amount of medical supplies taken out from
the medical supply storage parts 1010, the type and amount of
medical supplies accepted (replenished or returned) in the medical
supply storage parts 1010. The management information may be
utilized to achieve, before and after the retrieval of medical
supplies, a proper stock status in which necessary medical supplies
are stored in just the right amount. If the medical supply to be
taken out is not stored, the management information may be utilized
to indicate as such.
[0725] By using the management information and by designating, in
the event of accepting a medical supply in the medical supply
storage part 1010, whether the acceptance is replenishment or
return, the computer 1012 in each of the storage and management
apparatuses 1005 and 1006 determines the type and amount of medical
supplies consumed (i.e., no longer in stock). The computer 1012
then creates the consumed medical supply information related to the
type and amount of consumed medical supplies. Because the
information on the type and amount of medical supplies used is
recorded, a request for heal insurance coverage can be made
properly without failure.
[0726] The stock control apparatus 1007 communicably connected to
the multiple storage and management apparatuses 1005 and 1006
calculates and stores the amount of respective types of medical
supplies in stock, on the basis of the latest type-by-type amount
of stock maintained in the stock control apparatus 1007 and the
consumed medical supply information received from each of the
storage and management apparatuses 1005 and 1006. Accordingly, the
type and amount of consumed medical supplies, and the amount of
respective types of medical supplies in stock can be acquired
efficiently, easily and accurately. An order for a required amount
of medical supplies that have been consumed and run short can be
placed efficiently and properly for replenishment. As a result, the
amount of respective types of medical supplies in stock in the
medical institution 1001 can be maintained at just the right level.
As described, the inventive system can contribute to the operation
(management) of the medical institution 1001 such as a
hospital.
[0727] The stock control apparatus 1007 receives the amount of
respective types of medical supplies delivered to the medical
institution 1001 from an external source, and calculates and stores
the amount of respective types of medical supplies in stock on the
basis of the delivered amount. Therefore, the amount of respective
types of medical supplies in stock in the medical institution 1001
can be properly acquired. The medical institution 1001 is a
hospital where each section (e.g. a medical operation unit 1002)
requiring a stock of medical supplies is provided with one or
multiple storage and management apparatuses 1005 and 1006.
Therefore, the sections provided with storage and management
apparatuses 1005 and 1006 can manage medical supplies properly. The
stock control apparatus 1007 calculates and stores the amount of
respective types of medical supplies in stock for each of the one
or multiple storage and management apparatuses 1005 and 1006 in the
each section. Accordingly, each section provided with the storage
and management apparatuses 1005 and 1006 can manage the amount of
respective types of medical supplies in stock and maintain the
amount of stock at just the right level.
[0728] The stock control apparatus 1007 can manage the expiration
date of the medical supplies in stock.
[0729] For example, the type-by-type medical supply stock file 1092
stored in the storage unit of the HD 1084 or the like of the stock
control apparatus 1007 may additionally store information on the
expiration date of the medical supplies. As shown in FIG. 88, the
amount may be stored for each medical supply (e.g. a medical supply
N) and for each predetermine range of expiration dates (e.g.,
ten-day range of expiration dates). In this way, it is possible to
properly acquire the type and amount of medical supplies past the
expiration date and the type and amount of medical supplies close
to the expiration date.
Illustrative Embodiment 6-2
[0730] As shown in FIG. 89, in a medical supply management system
MS2 of an illustrative embodiment 6-2, the stock control apparatus
1007 for the medical institution 1001 is connected to medical
supply supplier terminals 1101 of multiple medical supply suppliers
1100A-1100C delivering medical supplies to the medical institution
1001 via the LAN 1009 and the Internet 1105 (communicating means).
The apparatus 1007 is provided with a target stock amount setting
means 1110 which sets a target amount of respective types of
medical supplies in stock, and an order determining means 1111
which determines the type and amount of medical supplies to be
ordered from the medical supply suppliers 1100A-1100C, on the basis
of the amount of respective types of medical supplies in stock
maintained in the stock control apparatus 1006 (the type-by-type
medical supply stock file 1092 of FIG. 87) and of the target amount
of respective types of medical supplies set by the target stock
amount setting means 1110.
[0731] As shown in FIG. 90, the storage unit of the HD 1084 or the
like of the stock control apparatus 1007 stores a type-by-type
target medical supply stock file 1093, a type-by-type medical
supply order file 1094 and a medical supply supplier master file
1095. The medical supply supplier master file 1095 stores
information such as the name, address, telephone number, fax
number, mail address, URL and the like of multiple medical supply
suppliers. In addition, the file 1095 stores medical supply
information on one or multiple types of medical supplies that can
delivered by each medical supply supplier.
[0732] As shown in FIG. 91, the type-by-type target medical supply
stock file 1093 stores the target amount of respective types of
medical supplies in stock in the whole medical institution 1001,
and the target amount of respective types of medical supplies in
stock in each section (medical operation unit, dispensary, medical
ward and the like) in which is provided the storage and management
apparatuses 1005 and 1006, i.e., the amount in each of the one or
multiple storage and management apparatuses 1005 and 1006 provided
in each section. The medical institution 1001 may use the target
stock amount setting means 1110 to set any target amount of stock
desired. Alternatively, an automatic determination may be made as
to whether the amount in stock is excessive or insufficient in
relation to the past target amount of stock, whereupon an
appropriate target amount of stock may be set up that would not
cause excessive or insufficient stock of medical supplies.
[0733] As shown in FIG. 92, the type-by-type medical supply order
file 1094 stores the type and amount of medical supplies to be
ordered from each of the medical supply suppliers 1100A-1100C. The
medical supply to be ordered from each of the medical supply
suppliers 1100A-1100C is determined by the order determining means
1111 on the basis of the type-by-type medical supply stock file
1092 of FIG. 87, the type-by-type target medical supply stock file
1093, and the medical supply supplier master file 1095. When there
are multiple medical supply suppliers that deal with the medical
supply to be ordered, a determination may be made on the medial
supply supplier that offers a low unit price for the medical supply
or on the medical supply supplier that provides the earliest date
of delivery of the medical supply. The information necessary for
this purpose should be stored in the medical supply supplier master
file 1095.
[0734] As shown in FIG. 89, the medical supply management system
MS2 is provided with a medical institution terminal 1112 connected
via the LAN 1009 to the multiple storage and management apparatuses
1005 and 1006, the stock control apparatus 1007 and the incoming
management apparatus 1008. The medical institution terminal 1112 is
connected to the medical supply supplier terminals 1101 of the
multiple medical supply suppliers 1100A-1100C via the Internet
1105. The medical institution terminal 1112 is provided with an
ordering means 1113 which places an order by outputting order
information, which contains the type and amount of medical supplies
determined by the order determining means 1111 of the stock control
apparatus 1007, to the medical supply supplier terminal 1101,
splitting the information and directing them to selected ones of
the medical supply suppliers 1100A-1100C from which the supplies
should be ordered. The ordering means 1113 may automatically order
at predetermined intervals (e.g., at intervals of one week or one
month), or when it is determined, as a result of monitoring each
type of medical supply, that the amount of stock falls below a
predetermined level.
[0735] The medical supply supplier terminals 1101 of the medical
supply suppliers 1100A-1100C may preferably be configured to
receive the order information from the medical institute 1001 and
transmit, when the order for the medical supply is accepted,
acknowledgement to the medical institution terminal 1112 of the
medical institute 1001 via the Internet 1105. The other aspects of
the structure of the storage and management apparatuses 1005 and
1006, the stock control apparatus 1007, and the incoming management
apparatus 1008 at the medical institute 1001 constituting the
medical supply management system MS2 is basically the same as those
of the medical supply management system MS1 of the illustrative
embodiment 6-1.
[0736] The medical supply management system MS2 provides the
following advantages.
[0737] The stock control apparatus 1007 is connected to the medical
supply supplier terminals 1101 of the medical supply suppliers
1100A-1100C delivering medical supplies to the medical institution
1001 via the LAN 1009 and the Internet 1105. The apparatus 1007 is
provided with the order determining means 1111 which determines the
type and amount of medical supplies to be ordered from the medical
supply suppliers 1100A-1100C, on the basis of the amount of
respective types of medical supplies in stock maintained in the
stock control apparatus 1007. The stock control apparatus 1007 is
also provided with the ordering means 1113 which places an order by
outputting order information, which contains the type and amount of
medical supplies determined by the order determining means 1111, to
the medical supply supplier terminal 1101. Therefore, the type and
amount of medical supplies to be ordered from the medical supply
suppliers 1100A-1100C are properly determined, and the order for
the required type and amount of medical supplies is placed with the
medical supply suppliers 1100A-1100C smoothly and properly.
[0738] The stock control apparatus 1007 is provided with the target
stock amount setting means 1110 which sets a target amount of
respective types of medical supplies in stock. The order
determining means 1111 determines the type and amount of medical
supplies to be ordered from the medical supply suppliers
1100A-1100C, on the basis of the stock amount and the target stock
amount. Therefore, by setting the target amount of respective types
of medical supplies in stock, the type and amount of medical
supplies to be ordered from the medical supply suppliers
1100A-1100C is determined automatically. The system also enables
various transaction data to be exchanged between the medical
institution 10001 and the medical supply suppliers 1100A-1100C,
thereby reducing the burden of administrative work in the medical
institution 1001 and the medical supply suppliers 1100A-1100C.
[0739] The other advantages of the system MS2 are basically the
same as those of the medical supply management system MS1 of the
illustrative embodiment 6-1.
Illustrative Embodiment 6-3
[0740] As shown in FIG. 93, a medical supply management system MS3
according to an illustrative embodiment 6-3 is provided with
multiple medical institutions 1001A-1001C. Multiple medical
resource storage and management apparatuses 1005, multiple medicine
storage and management apparatuses 1006, the incoming management
apparatus 1008 and a medical institution terminal 1120 are provided
in each of the medical institutions 1001A-1001C. The LAN 1009 is
built to communicably connect the storage and management
apparatuses 1005 and 1006, the incoming management apparatus 1008
and medical institution terminal 1120. A data processor 1131 of a
management server 1130 connected to the medical institution
terminal 1120 of each of the medical institutions 1001A-1001C via
the Internet 1105 corresponds to the stock control apparatus 1007
of the illustrative embodiments 6-1 and 6-2. Each of the medical
supply supplier terminal 1101s of the multiple medical supply
suppliers 1100A-1100C is connected to the data processor 1131 via
the Internet 1105 (communicating means).
[0741] As shown in FIG. 94, the storage unit 1132 of the HD or the
like of the data processor 1131 of the management server 1130
stores a stock control program, a medical supply master file 1140,
a medical supply supplier master file 1141 and a management file
1142 for managing the multiple medical institutions 1001A-1001C.
The management file 1142 for managing each of the multiple medical
institutions 1001A-1001C stores a type-by-type incoming medical
supply file 1150, a type-by-type medical supply consumption file
1151, a type-by-type medical supply stock file 1152, a type-by-type
target medical supply stock file 1153 and a type-by-type medical
supply order file 1154.
[0742] By executing the stock control program on the basis of the
files 1140-1142 and 1150-1154, the data processor 1131 can
calculate and store the amount of respective types of medical
supplies in stock in the medical institutions 1001A-1001C,
calculate and store the amount of respective types of medical
supplies in stock in each of the one or multiple storage and
management apparatuses 1005 and 1006 in the respective sections,
set the target amount of respective types of medical supplies in
stock in each of the one or multiple storage and management
apparatuses 1005 and 1006, determine the type and amount of medical
supplies to be ordered from the medical supply suppliers
1100A-1100C, and place an order by outputting order information,
which contains the type and amount of medical supplies to be
ordered, to the medical supply supplier terminal 1101 of the
medical supply suppliers 1100A-1100C.
[0743] Consumed medical supply information related to the type and
amount of medical supplies consumed is created at each of the
medical institutions 1001A-1001C and is output to the management
server 1130 via the Internet 1105. For example, the consumed
medical supply information is created by the medical institution
terminal 1120. The medical management system MS3 is a variation to
the medical management system MS2 of the illustrative embodiment
MS2 such that the stock control apparatus 1007 of the medical
institution 1001 is omitted, the function of the apparatus 1007 is
assigned to the data processor 1131 of the management server 1130,
and the medical institution 1001 is replaced by the multiple
medical institutions 1001A-1001C. Information in the files
1140-1142 and 1150-1154 is basically the same as that of the
medical management systems MS1 and MS2 of the illustrative
embodiments 6-1 and 6-2, respectively.
[0744] The medical management system MS3 provides the following
advantages.
[0745] The LAN 1009 is built in each of the medical institutions
1001A-1001C to communicably connect the storage and management
apparatuses 1005 and 1006, and the medical institution terminal
1120. The data processor 1131 of the management server 1130
connected to the medical institution terminal 1120 via the Internet
1105 corresponds to the stock control apparatus 1007 of the
illustrative embodiments 6-1 and 6-2. Therefore, the majority of
the processes in the medical management system MS3 for managing
medical supplies can be performed by the data processor 1131 of the
management server 1130, which is outside the medical institutions
1001A-1001C. The medical institutions 1001A-1001C can benefit from
the medical supply management system MS3 while incurring the
minimizing the cost to build the system MS3. Thus, the system MS3
is highly versatile.
[0746] The multiple medical institutions 1001A-1001C provided with
the LAN 1009, and the multiple medical supply suppliers 1100A-1100C
each provided with the medical supply supplier terminal 1101 are
adapted to be connected to the management server 1130. Therefore,
the multiple medical institutions 1001A-1001C can share the
management server 1130 of the medical supply management server MS3,
and the medical institutions 1001A-1001C can order a large variety
of medical supplies from appropriate ones of the multiple medical
supply suppliers 1100A-1100C via the management server 1130.
Illustrative Embodiment 6-4
[0747] In an illustrative embodiment 6-4, a description will be
given, with reference to FIGS. 95-98, of the process of
reconfiguring the target amount of respective types of medical
supplies in stock performed by the target stock amount setting
means 1110 (i.e., the computer constituting the target stock amount
setting means 1110) in the medical supply management system MS2 of
the illustrative embodiment 6-2 and in the medical supply
management system MS3 of the illustrative embodiment 6-3. Si (i=1,
2, 3 . . . ) in the flowchart of FIGS. 95 and 97 indicates each
step.
[0748] As mentioned before, the target stock amount setting means
1110 is a means for setting the target amount of respective types
of medical supplies in stock and determines the type and amount of
medical supplies to be ordered from the medical supply suppliers,
on the basis of the target amount of stock thus set and the amount
of respective types of medical supplies in stock. For example, when
the target amount of one type of medical supply in stock is set to
X and when the amount of that type of medical supply in stock is Y,
the amount of medical supplies is (X-Y).
[0749] The amount consumed (frequency of use) differs between types
of medical supplies. The amount of a given type of medical supply
also differs depending on the form of medical institution (e.g.,
hospital for internal diseases, surgical hospital, general
hospital, etc.), the number of patients using the medical
institution, age group, distribution of diseases, season or the
like. As is known, such parameters are subject to variation. It is
a significantly difficult task to reconfigure the target amount of
respective types of medical supplies in stock at a proper level in
accordance with the parameters for the purpose of ordering just the
right amount of medical supplies. Reconfiguration may be
implemented by the target stock amount setting means 1111.
[0750] The flowchart of FIG. 95 is designed so that the target
stock amount is reconfigured at predetermined intervals defined for
evaluation of stock of each type of medical supply. In the
illustrated process for reconfiguring the target stock amount, a
determination is first made in 51 as to whether the predetermined
interval defined to evaluate the stock of each type of medical
supply has elapsed. For example, a determination is made as to
whether several days (one week, etc.) have passed since the last
evaluation, and the predetermined interval for evaluation of stock
is set to expire concurrently with the placement of order. If the
determination is affirmative in S1, the amount A of the medical
supply in stock, the target stock amount B, the lower limit A1 of
stock amount and the upper limit A2 are read in S2.
[0751] In S2, the amount A of the medical supply in stock is read
from the type-by-type medical supply stock file and the target
stock amount B is read from the type-by-type target medical supply
stock file. The stock amount currently determined (i.e., the stock
amount determined on one occasion since the last evaluation of
stock) may represent the amount A of the medical supply in stock.
Alternatively, an average of the stock amount evaluated on several
occasions including the current and past occasions may represent
the stock amount A. In this case, the stock amount evaluated on
past occasions may be cumulatively stored. The lower limit A1 and
the upper limit A2 are set up at the outset of the process for
reconfiguring the target stock amount but are subject to
reconfiguration. In this case, the operator may reconfigure the
limits at will, or the limits may be automatically reconfigured to
a proper level.
[0752] As shown in FIG. 96, when medical supplies are delivered
since the last order, the stock amount A is found to be
substantially equal to the target stock amount B (in actuality, the
stock is reduced by the amount consumed between the placement of
order and the delivery). Upon expiry of the predefined interval for
stock evaluation, it is determined that the stock amount A is
reduced as a result of consumption. An evaluation is made in S3 as
to whether the stock amount A is within the range between the lower
limit A1 and the upper limit A2, i.e., whether
A1.ltoreq.A.ltoreq.A2.
[0753] If the determination is affirmative in S3, it means that the
stock amount is found to be proper upon evaluation of stock. The
target stock amount B remains unchanged, and control proceeds to
RETURN. If the determination is negative in S3, it means that the
stock amount is not found to be proper upon evaluation of stock. In
S4, excess or insufficiency .alpha.=A-preset stock amount value Am
is calculated. In S5, the target stock amount B is reconfigured to
(B-.alpha.). For example, Am may be an average of A1 and A2. That
is, as shown in FIG. 96, the target stock amount B is not
reconfigured if (1) A1.ltoreq.A.ltoreq.A2; the target stock amount
B is reduced by (A-Am) if (2) A>A2; and the target stock amount
B is increased by (Am-A) if (3) A<A1.
[0754] The flowchart of FIG. 97, which shows a variation, is
designed so that the target stock amount is reconfigured to ensure
that the target stock amount is reconfigurable each time the stock
amount of each type of medical supply is equal to or less than a
predetermined lower limit A3. If this target stock amount
reconfiguration process, the amount A of each type of medical
supply in stock, the target stock amount B, the lower limit A3 of
stock amount, a lower limit C1 of a period required to reach the
lower limit of stock amount and an upper limit C2 thereof are read
in S10.
[0755] In S10, the amount A of the medical supply in stock is read
from the type-by-type medical supply stock file and the target
stock amount B is read from the type-by-type target medical supply
stock file. The lower limit A3, the lower limit C1 and the upper
limit C2 are set up at the outset of the process for reconfiguring
the target stock amount but are subject to reconfiguration. In this
case, the operator may reconfigure the limits at will, or the
limits may be automatically reconfigured to a proper level.
[0756] A evaluation is made in S11 as to whether the stock amount A
is equal to or less than the lower limit A3, i.e., whether
A.ltoreq.A3. If the determination is affirmative in S11, a period
C, which was required to reach the lower limit of amount of medical
supplies in stock since the last order for the medical supply, is
calculated in S12. A evaluation is made in S13 as to whether the
period C required to reach the lower limit of stock amount is
within the range between the lower limit C1 and the upper limit C2,
i.e., whether C1.ltoreq.C.ltoreq.C2.
[0757] If the determination is affirmative in S13, it means that
the period required to reach the lower limit of stock amount is
proper. The target stock amount B remains unchanged, and control
proceeds to RETURN. If the determination is negative in S13, it
means that the period C required to reach the lower limit of stock
amount is improper. A ratio r3 between Cm and the period C (=Cm/C)
is calculated in S14, where Cm denotes a preset lower limit of
period required to reach the lower limit of stock amount. Thereupon
the target stock amount B is reconfigured to (B.times..beta.) in
S15.
[0758] For example, Cm may be an average of C1 and C2.
[0759] As shown in FIG. 98, when medical supplies are delivered
since the last order, the stock amount A is found to be
substantially equal to the target stock amount B (in actuality, the
stock is reduced by the amount consumed between the placement of
order and the delivery). When the stock amount A is equal to or
less than the lower limit A3 as a result of consumption, the target
stock amount B remains unchanged if (1) C1.ltoreq.C.ltoreq.C2, and
the target stock amount B is reconfigured to (B.times..beta.) if
(2) C>C2 or (3) C<C1.
[0760] Thus, it is possible to reconfigure the target stock amount
B to a proper level automatically. Therefore, the type and amount
of medical supplies to be ordered from the medical supply suppliers
can be properly determined so that the amount of respective types
of medical supplies in stock can be maintained at just the right
level. In ordering medical supplies, a comparison may be made
between the type and amount of medical supplies used in the past
and the type and amount of medical supplies scheduled to be used,
in order to know, for example, whether the amount of a particular
type of medical supply scheduled to be used is in increase or
decrease. The amount of medical supplies ordered may be increased
or decreased depending on the information.
[0761] The medical management systems of the illustrative
embodiments 6-1 through 6-4 may be applied to various medical
institutions other than hospitals. For example, the systems may be
applied to dispensaries or welfare institutions. Various
modifications other than the matters disclosed above may be
introduced and practiced without departing from the scope of the
present invention.
[0762] The following technical ideas are encompassed by the
embodiments described above and variations thereof.
[0763] (1) A medical resource storage and management apparatus
comprising: a rack in which a series of depressions for insertion
of partition members are formed so that a large number of medical
resources are retrievably placed in respective partitions;
partition members which are removably inserted into the
depressions; medical resource detecting members which are arranged
on the rack so as to alternate with the depressions in a direction
in which the depressions are arranged, and each of which detects
whether or not a medical resource is placed; retrieval guidance
members for visual guidance which are arranged on the rack so as to
alternate with the depressions in a direction in which the
depressions are arranged; and a control unit which manages the
storage status of the medical resources, based on the detection by
the medical resource detecting members and which operates one of
the retrieval guidance members in response to an input designating
retrieval, wherein the control unit allows providing an input for
configuration to designate whether or not the partition member is
inserted into the depression, and the control unit collectively
processes a block of medical resource detecting members and
retrieval guidance members identified as being located on both
sides of the depression from which the partition member is removed,
based on the input for configuration.
[0764] (2) A medical resource storage and maintenance apparatus
comprising: a rack in which a series of depressions for insertion
of partition members are formed so that a large number of medical
resources are retrievably placed in respective partitions;
partition members which are removably inserted into the
depressions; medical resource detecting members which are arranged
on the rack so as to alternate with the depressions in a direction
in which the depressions are arranged, and each of which detects
whether or not a medical resource is placed; retrieval guidance
members for visual guidance which are arranged on the rack so as to
alternate with the depressions in a direction in which the
depressions are arranged; a control unit which manages the storage
status of the medical resources, based on the detection by the
medical resource detecting members and which operates one of the
retrieval guidance members in response to an input designating
retrieval; and partition detecting members each of which detects
whether the partition member is inserted into the depression,
wherein the control unit collectively processes a block of medical
resource detecting members and retrieval guidance members
identified as being located on both sides of the depression from
which the partition member is removed, based on the detection by
the partition detecting member.
[0765] (3) The medical resource storage and management apparatus of
(1) or (2), wherein the control unit issues an alarm if the results
of detection by the medical resource detecting members in a block
to be processed collectively continue to fail to match beyond a
predetermined period of time.
[0766] (4) A medical resource storage and management apparatus
comprising: a rack in which a series of depressions for insertion
of partition members are formed so that a large number of medical
resources are retrievably placed in respective partitions;
partition members which are removably inserted into the
depressions; medical resource detecting members which are arranged
on the rack so as to alternate with the depressions in a direction
in which the depressions are arranged, and each of which detects
whether or not a medical resource is placed; retrieval guidance
members for visual guidance which are arranged on the rack so as to
alternate with the depressions in a direction in which the
depressions are arranged; and a control unit which manages the
storage status of the medical resources, based on the detection by
the medical resource detecting members and which operates one of
the retrieval guidance members in response to an input designating
retrieval, wherein a medical resource name plate for visual
guidance is attached to a partition member via a connecting member
such that the connecting member is moved up and down depending on
whether a medical resource is placed and as a result of
interference between the connecting member and the medical
resource, and that the medical resource name plate is located in a
space where retrieval of a medical resource takes place, and is
moved in association with the connecting member, and wherein the
medical resource detecting member indirectly detects whether or not
a medical resource is placed by detecting whether the medical
resource name plate is raised or lowered.
[0767] (5) The medical resource storage and management apparatus of
(4), wherein the medical resource name plate, when elevated in
association with the placement of a medical resource in the
associated location, is located above the retrieval guidance member
in the associated location, and the medical resource name plate,
when lowered in response to the retrieval of the medical resource
from the associated location, shields the retrieval guidance member
in the associated location from view.
[0768] (6) The medical resource storage and management apparatus of
(4) or (5), wherein the control unit allows providing an input for
configuration to designate whether the partition member is inserted
into the depression, and, based on the configuration, the control
unit collectively processes the medical resource detecting members
and the retrieval guidance members identified as being located on
both sides of the depression from which the partition member is
removed.
[0769] (7) The medical resource storage and management apparatus of
(4) or (5), further comprising a partition detecting member which
detects whether the partition member is inserted into the
depression, wherein, based on the detection by the partition, the
control unit collectively processes the medical resource detecting
members and the retrieval guidance members identified as being
located on both sides of the depression from which the partition
member is removed.
[0770] (8) The medical resource storage and management apparatus of
(6) or (7), wherein the control unit issues an alarm if the results
of detection by the medical resource detecting members in a block
to be processed collectively continue to fail to match beyond a
predetermined period of time.
[0771] (9) A medical resource storage and management apparatus
comprising: a horizontal-bridging member which is provided with a
series of hanger member fitting parts operable to hang and arrange
a large number of medical resources, a hanger member which is
fitted to the hanger member fitting part and is pivotally moved
depending on whether a medical resource is hung; a medical resource
detecting member which is provided in each of the hanger member
fitting parts so as to detect whether a medical resource is hung in
an associated location in accordance with the pivotal movement of
the associated hanger member; a retrieval guidance member for
visual confirmation provided in each of the hanger member fitting
parts; and a control unit which manages the storage status of the
medical resources, based on the detection by the medical resource
detecting member, and which operates the retrieval guidance member
in response to an input designating retrieval, wherein, at the time
of hanging a medical resource, the pivotal movement of the hanger
member causes the engaging part engaged with the medical resource
to be lowered, and, at the time of retrieving a medical resource,
the pivotal movement causes the engaging part to be elevated and
moved toward an operator.
[0772] (10) The medical resource storage and management apparatus
of (9), wherein the pivotal movement of the hanger member is based
on the displacement between the center of gravitation and the pivot
center.
[0773] (11) The medical resource storage and management apparatus
of (9) or (10), wherein the control unit allows providing an input
for configuration to designate whether the hanger member is fitted
to the hanger member fitting part, and, based on the configuration,
the control unit terminates the operation of the retrieval guidance
member if it is determined that the hanger member is removed from
the associated hanger member fitting part.
[0774] (12) The medical resource storage and management apparatus
of (9) or (10), wherein the hanger member is detachable, the
apparatus further comprising a hanger detecting member which
detects whether the hanger member is fitted to the hanger member
fitting part, wherein the control unit terminates the operation of
the retrieval guidance member if it is determined that the hanger
member is removed from the associated hanger member fitting
part.
[0775] (13) The medical resource storage and management apparatus
of (11) or (12), wherein the control unit issues an alarm if
informed, by the medical resource detecting member of the hanger
member fitting part in which it is determined that the hanger
member is removed, that a medical resource is hung.
[0776] (14) A medical resource storage and management apparatus
comprising: a rack in which a series of depressions for insertion
of partition members are formed so that a large number of medical
resources are retrievably placed in respective partitions;
partition members which are removably inserted into the
depressions; medical resource detecting members which are arranged
on the rack so as to alternate with the depressions in a direction
in which the depressions are arranged, and each of which detects
whether or not a medical resource is placed; retrieval guidance
members for visual guidance which are arranged on the rack so as to
alternate with the depressions in a direction in which the
depressions are arranged; and a control unit which manages the
storage status of the medical resources, based on the detection by
the medical resource detecting members and which operates one of
the retrieval guidance members in response to an input designating
retrieval, wherein a name plate support member is provided so as to
be in parallel to the rack and behind the partition members, and a
medical resource name plate for visual guidance is attached to the
name plate support member via a detachable connecting member such
that the connecting member is moved up and down depending on
whether a medical resource is placed and as a result of
interference between the connecting member and the medical
resource, and that the medical resource name plate is moved in
association with the connecting member in a space where retrieval
of a medical resource takes place, and wherein the medical resource
detecting member indirectly detects whether or not a medical
resource is placed by detecting whether the medical resource name
plate is raised or lowered.
[0777] (15) The medical resource storage and management apparatus
of (14), wherein the medical resource name plate, when elevated in
association with the placement of a medical resource in the
associated location, is located above the retrieval guidance member
in the associated location, and the medical resource name plate,
when lowered in response to the retrieval of the medical resource
from the associated location, shields the retrieval guidance member
in the associated location from view.
[0778] (16) The medical resource storage and management apparatus
of (14) or (15), wherein the control unit allows providing an input
for configuration to designate whether the partition member is
inserted into the depression, and, based on the configuration, the
control unit collectively processes the medical resource detecting
members and the retrieval guidance members identified as being
located on both sides of the depression from which the partition
member is removed.
[0779] (17) The medical resource storage and management apparatus
of (14) or (15), further comprising a partition detecting member
which detects whether the partition member is inserted into the
depression, wherein, based on detection by the partition, the
control unit collectively processes the medical resource detecting
members and the retrieval guidance members identified as being
located on both sides of the depression from which the partition
member is removed.
[0780] (18) The medical resource storage and management apparatus
of (16) or (17), wherein the control unit issues an alarm if the
results of detection by the medical resource detecting members in a
block to be processed collectively continue to fail to match beyond
a predetermined period of time.
[0781] (19) A medical resource storage and management apparatus
comprising: a rack plate in which are provided a series of medical
resource detecting members for detecting whether or not a medical
resource is placed on the rack plate and a series of retrieval
guidance members for visual guidance; a control unit which manages
the storage status of the medical resources, based on the detection
by the medical resource detecting members and which operates one of
the retrieval guidance members in response to an input designating
retrieval; a storage case which is bounded at the bottom, sides and
back thereof by a fixed plate, in which a movable medical resource
name plate is provided in front of the case, and in which a
connecting member extending backward from the medical resource name
plate is adapted to make a vertical pivotal movement about the rear
end thereof, wherein the medical resource name plate is moved up
and down as a result of interference between the medical resource
stored in the storage case and the connecting member, and whether
the medical resource is placed or not is indirectly detected by
detecting the up and down movement of the medical resource name
plate, based on the fact that the up and down movement of the
medical resource name plate causes the plate to enter or leave a
range of detection by the medical resource detecting member in a
state in which the storage case is placed on the rack plate.
[0782] (20) The medical resource storage and management apparatus
of (19), wherein the storage case stores the medical resource on
the connecting member, and the up and down movement of the medical
resource name plate are associated with the nonavailability and
availability of the medical resource, respectively.
[0783] (21) The medical resource storage and management apparatus
of (19), wherein a series of case detecting member for detecting
the storage case are arranged on the top face of the rack plate in
association with the medical resource detecting members and the
retrieval guidance members, wherein the storage case stores the
medical resource underneath the connecting member, and wherein the
up and down movement of the medical resource name plate are
associated with the availability and nonavailability of the medical
resource, respectively.
[0784] (22) The medical resource storage and management apparatus
of any one of (19) through (21), wherein the control unit allows
manual or automatic data configuration to indicate whether medical
resource detecting members and retrieval guidance members are
partitioned, and wherein the control unit collectively processes
the medical resource detecting members and the retrieval guidance
members identified as being located on both sides of the location
configured as not being partitioned.
[0785] (23) The medical resource storage and management apparatus
of (22), wherein the control unit issues an alarm if the results of
detection by the medical resource detecting members in a block to
be processed collectively continue to fail to match beyond a
predetermined period of time.
[0786] (24) A medical supply management system for managing medical
supplies in a medical institution, comprising: a plurality of
storage and management apparatuses, wherein each of the plurality
of storage and management apparatuses comprises: a plurality
medical supply storage parts capable of storing a plurality of
types of medical supplies; medical supply detecting means which
detects whether a medical supply is stored in each of the medical
supply storage parts; computer means which creates management
information pertaining to the medical supplies in the plurality of
medical supply storage parts on the basis of information detected
by the medical supply detecting means; and retrieval guidance means
which is controlled by the computer means so as to guide a user to
the medical supply to be taken out, wherein the computer means in
each storage and management apparatus is operable to control the
retrieval guidance means on the basis of information on the medical
supply to be taken out, and to create and output consumed medical
supply information related to the type and amount of medical
supplies consumed, the system further comprising stock control
means which is communicably connected to the plurality of storage
and management apparatuses, and which calculates and stores the
amount of respective types of medical supplies in stock, on the
basis of the latest amount of respective types of medical supplies
in stock stored in the stock control means, and on the basis of the
consumed medical supply information received from the storage and
management apparatuses.
[0787] (25) The medical supply management system of (24), wherein
the stock control means receives the amount of respective types of
medical supplies delivered to the medical institution from an
external source, and calculates and stores the amount of respective
types of medical supplies in stock on the basis of the delivered
amount.
[0788] (26) The medical supply management system of (24) or (25),
wherein the plurality of types of medical supplies stored include
at least one of injection/infusion resources, catheters, tubes,
resources for anesthesia, resources for oxygen inhalation, oxygen
masks, sterilized filters, artificial bones and artificial
joints.
[0789] (27) The medical supply management system of (24) or (25),
wherein at least one of the plurality of types of medical supplies
is an ampule, a vial or a medicine contained in an infusion
package.
[0790] (28) The medical supply management system of any one of
(24)-(27), wherein the medical institution is a hospital, and one
or multiple storage and management apparatuses is provided in each
section of the hospital where a stock of medical supplies is
necessary.
[0791] (29) The medical supply management system of any one of
(24)-(28), wherein the stock control means calculates and stores
the amount of respective types of medical supplies in stock for
each of the one or multiple storage and management apparatuses in
each section.
[0792] (30) The medical supply management system of any one of
(24)-(29), wherein the stock control means is connected to medical
supply supplier terminals of medical supply suppliers delivering
medical supplies to the medical institution, the system further
comprising: order determining means which determines the type and
amount of medical supplies to be ordered from the medical supply
suppliers, on the basis of the amount of respective types of
medical supplies in stock maintained in the stock control means;
and ordering means which places an order by outputting order
information, which contains the type and amount of medical supplies
determined by the order determining means, to the medical supply
supplier terminal.
[0793] (31) The medical supply management system of (30), wherein
the stock control means comprises a target stock amount setting
means which sets a target amount of respective types of medical
supplies in stock, and the order determining means determines the
type and amount of medical supplies to be ordered from the medical
supply suppliers, on the basis of the stock amount and the target
stock amount.
[0794] (32) The medical supply management system of (30) or (31),
wherein a local area network is formed in the medical institution
to communicably connect at least the multiple medical resource
storage and management apparatuses and the medical institution
terminal, and the stock control means comprises a data processor of
a management server connected to the medical institution terminal
via a communicating means.
[0795] (33) The medical supply management system of (32), wherein
multiple medical institutions each provided with the local area
network, and multiple medical supply suppliers each provided with
the medical supply supplier terminal are adapted to be connected to
the management server.
[0796] Given above is an explanation of the present invention based
on the embodiments. While the preferred embodiments of the present
invention have been described using specific terms, such
description is for illustrative purposes only, and it is to be
understood that changes and variations may be made without
departing from the spirit or scope of the appended claims.
[0797] As described above, the present invention is applicable to
management of medical resources or medical supplies.
* * * * *