MACHINE FOR COUNTING MEDICAL ITEMS AND CORRESPONDING METHOD
20180303570 ยท 2018-10-25
Inventors
Cpc classification
A61B2090/0804
HUMAN NECESSITIES
A61B50/37
HUMAN NECESSITIES
A61B90/08
HUMAN NECESSITIES
International classification
A61B50/37
HUMAN NECESSITIES
Abstract
A machine for counting medical items including at least a support structure configured to support at least a container into which, during use, the medical items are introduced, a first detection device configured to detect at least a stream of the medical items to the container and a control and management unit connected at least to the first detection device to acquire data at least relating to the stream of medical items to the container. The control and management unit includes a printing device configured to print on a print support at least some of the data relating at least to the stream of medical items introduced into the container.
Claims
1. A machine for counting medical items comprising at least a support structure configured to support at least a container into which, during use, said medical items are introduced, a first detection device configured to detect at least a stream of said medical items to said container and a control and management unit connected at least to said first detection device to acquire data at least relating to said stream of medical items to said container, and comprising a printing device configured to print on a print support at least some of said data relating at least to said stream of medical items introduced into said container, wherein said support structure has a substantially box-like shape, hollow internally, to define a containing compartment in which at least said container is disposed, in that said support structure is provided with an introduction aperture configured to allow accessibility to said container and through which, during use, said medical items are introduced, and in that said first detection device is associated with said introduction aperture and comprises an RFID reader configured to detect the passage of each RFID identifying element associated with each of said medical items.
2. The machine as in claim 1, wherein a conveyor pipe is associated with said support structure, attached in correspondence with the introduction aperture and configured to convey said medical items to said container, in that said conveyor pipe has a tubular shape defined by a through cavity and in that said first detection device is associated with said through cavity and extends for the whole of its surface development.
3. The machine as in claim 1, wherein said control and management unit is connected to a second detection device outside said support structure and comprising an RFID detector to count said medical items.
4. The machine as in claim 3, wherein said second detection device is the portable type.
5. The machine as in claim 1, wherein said first detection device, said control and management unit and said printing device are disposed in said containing compartment.
6. The machine as in claim 1, wherein said support structure is provided with a slit for the emission of said print support when it has been printed.
7. The machine as in claim 1, wherein said support structure comprises a front wall located in a vertical or substantially-vertical position, and said introduction aperture is made in said front wall.
8. The machine as in claim 1, wherein it comprises a user interface installed in the support structure, connected to said control and management unit and configured to display said data on the stream of medical items.
9. The machine as in claim 1, wherein said control and management unit is provided with an internal memory to memorize an archive of the streams of said medical items.
10. The machine as in claim 1, wherein said control and management unit is provided with at least a communication interface, configured to transmit the data collected in the control and management unit to external processing units.
11. A method for counting medical items, which provides to introduce medical items into a container associated with a support structure, to detect, by means of a first detection device, at least a stream of said medical items to said container, to acquire data relating to said stream of medical items to said container by means of a control and management unit connected to said first detection device, and to print on a print support, by means of a printing device, at least some of said data relating at least to said stream of medical items introduced into said container, wherein said detection of said stream of said medical items occurs by means of an RFID reader that detects the passage of each RFID identification element associated with each of said medical items through an introduction aperture provided in said support structure with a substantially box-like shape, internally hollow, in order to define a containing compartment in which at least said container is disposed.
12. The method as in claim 11, wherein said detection of the stream of medical items occurs along the entire extension of a conveyor pipe associated with the support structure in correspondence with the introduction aperture, and which conveys said medical items to said container.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0049] These and other characteristics of the present invention will become apparent from the following description of some forms of embodiment, given as a non-restrictive example with reference to the attached drawings wherein:
[0050]
[0051]
[0052] To facilitate comprehension, the same reference numbers have been used, where possible, to identify identical common elements in the drawings. It is understood that elements and characteristics of one form of embodiment can conveniently be incorporated into other forms of embodiment without further clarifications.
DETAILED DESCRIPTION OF SOME FORMS OF EMBODIMENT
[0053] We shall now refer in detail to the various forms of embodiment of the present invention, of which one or more examples are shown in the attached drawing. Each example is supplied by way of illustration of the invention and shall not be understood as a limitation thereof. For example, the characteristics shown or described insomuch as they are part of one form of embodiment can be adopted on, or in association with, other forms of embodiment to produce another form of embodiment. It is understood that the present invention shall include all such modifications and variants.
[0054] According to the present invention,
[0055] According to a possible solution, the machine 10 allows to count medical articles such as surgical sponges 12, which are usually used in the hospital field.
[0056] The machine 10 comprises a support structure 14 configured to support functional components of the machine as will be described hereafter.
[0057] According to a possible form of embodiment, shown in
[0058] According to the present invention, the support structure 14 can be about 150 cm high, 50 cm wide and 50 cm long.
[0059] According to one form of embodiment of the present invention, the support structure 14 can have a substantially parallelepiped shape defined by a plurality of flat walls, reciprocally connected with each other.
[0060] In this way the support structure 14 has a substantially linear configuration, without any protruding portions which the operators can get caught on.
[0061] Furthermore, this configuration makes the operations of cleaning the machine 10 extremely simple, thus ensuring that the machine is sterile.
[0062] According to a possible form of embodiment, the support structure 14 can be provided with movement means 20, installed on the lower wall of the support structure 14, and which allow to move it and transfer it to the zones where it is used.
[0063] The movement means 20 can be wheels, for example.
[0064] The support structure 14 is provided with at least an introduction aperture 22 which allows accessibility from outside to the containing compartment 16.
[0065] According to a possible solution, the introduction aperture 22 defines the only aperture for access to the containing compartment 16 and the container 24, thus preventing any tampering or accidental introduction of surgical sponges 12 into the latter.
[0066] According to a possible solution, the support structure 14 comprises a front wall 18, and the introduction aperture 22 is made in the front wall 18 to allow the introduction of the surgical sponges 12.
[0067] The front wall 18 is located substantially vertical or sub-vertical during use, and the introduction aperture 22 is made in the thickness thereof.
[0068] In this way any involuntary and/or accidental introduction of the surgical sponges 12 is prevented, for example due to them falling, and therefore an incorrect count is prevented. In fact, when the surgical sponge 12 has to be introduced into the containing compartment 16, the operator has to throw and/or introduce the surgical sponge 12 deliberately through the introduction aperture 22.
[0069] One or more containers 24 for the surgical sponges 12 introduced can be disposed in the containing compartment 16, which is accessible from the introduction aperture 22.
[0070] The container 24 can be the rigid type as shown in
[0071] According to possible solutions, a conveyor pipe 26 is associated with the support structure 14, attached in correspondence with the introduction aperture 22 and configured to convey the surgical sponges 12 that are introduced through the latter to the container 24.
[0072] The conveyor pipe 26 allows to ensure that an operator cannot voluntarily access directly into the container 24, through the introduction aperture 22, in order to tamper with the content inserted therein.
[0073] According to some forms of embodiment of the invention, the conveyor pipe 26 can have a tubular shape defined by a through cavity 27 with a shape of the cross section at least the same as that of the introduction aperture 22.
[0074] The conveyor pipe 26 is provided with a discharge end through which the surgical sponges 12 are discharged to the container 24.
[0075] According to possible solutions, if the container 24 is the flexible type, like a bag, it can be attached directly to the discharge end of the conveyor pipe 26, for example by attachment means.
[0076] According to a possible solution, the machine 10 according to the present invention comprises at least a first detection device 28 configured to detect at least the number of surgical sponges 12 which on each occasion are introduced into the container 24 through the introduction aperture 22.
[0077] The first detection device 28 can comprise at least one of either an optical, electromagnetic, capacitive or radiofrequency sensor, suitable to detect the surgical sponges 12.
[0078] In particular, the surgical sponges 12 can be provided with an identification element 13, for example a tag, an RFID, a radio frequency type identification, a transponder or any other identification system selectively detectable by the first detection device 28.
[0079] The identification element 13 can be univocal for each surgical sponge 12, so that a predefined code can be associated with each of them, and it is possible to prevent multiple counts of the surgical sponges 12.
[0080] According to the solution shown in
[0081] According to a possible solution, the first detection device 28 can be installed on the introduction aperture 22 to detect the surgical sponges 12 directly as they are introduced through the latter.
[0082] In one form of embodiment of the invention, the first detection device 28 can have a ring configuration suitable to surround the introduction aperture 22 on the perimeter. This solution allows to ensure that the surgical sponges 12 introduced through the introduction aperture 22 are detected.
[0083] According to another possible solution, the first detection device 28 can also be associated with the through cavity 27 of the conveyor pipe 26 and can extend for the entire surface development thereof.
[0084] This solution is extremely effective with regard to detecting the surgical sponges 12 that are introduced on each occasion into the container 24. In fact, the whole time the surgical sponge 12 is passing through the conveyor pipe 26, the first detection device 28 is able to detect the identification element 13 associated with the surgical sponge 12. This prevents the surgical sponge from being detected if it is introduced through the introduction aperture 22 too quickly.
[0085] The first detection device 28 can allow to count the surgical sponges 12 that are thrown into the container 24 on each occasion.
[0086] However, it is not excluded that, in possible solutions that will be described hereafter in the description, the first detection device 28 can also be used to make an initial count of the surgical sponges 12, for example as soon as they are introduced into the operating theater.
[0087] In this case, the surgical sponges 12 are introduced and removed manually by the operator through the introduction aperture 22 so that the first detection device 28 detects their presence and identifies at least the number of surgical sponges 12 that have been introduced.
[0088] The univocal nature of the code associated with each identification element 13 prevents double loading of the surgical sponges 12.
[0089] According to some forms of embodiment of the present invention, the machine 10 also comprises a control and management unit 35 connected at least to the first detection device 28 and configured to control and manage at least the stream of surgical sponges 12 introduced into the container 24.
[0090] In particular, the control and management unit 35 is configured at least to detect the data that are supplied on each occasion by the first detection device 28.
[0091] For example, it can be provided that the control and management unit 35 at least temporarily memorizes and controls the identification codes transmitted by the first detection device 28, for example to verify a double count of the surgical sponges 12 introduced.
[0092] According to other forms of embodiment, the control and management unit 35 can implement at least one management program of the first detection device 28 and the information relating to the identification codes contained in the identification elements 13.
[0093] In particular, the control and management unit 35 can implement a first program, or surgical sponge 12 loading program, configured to allow an operator to detect the number of surgical sponges 12 that are available in an operating theater, for example before the surgical operation starts. Once the loading program has been started, the operator makes the first detection device 28 read the identification codes of the surgical sponges, temporarily introducing and removing the surgical sponges from the introduction aperture 22.
[0094] Once the loading program has finished, a second program, or surgical sponge discharge program, can be started in the control and management unit 35: this is suitable to count the number of surgical sponges 12 inserted into the container 24 on each occasion.
[0095] According to possible solutions of the invention, the machine 10 can be provided with a user interface 37, for example a touchscreen, with which an operator can interface at least to know the number of surgical sponges 12 that have been inserted into the container 24.
[0096] The user interface 37 can be installed in the support structure 14, for example near its front wall 18.
[0097] The user interface 37 is connected to the control and management unit 35 and can also allow the operator to start or terminate at least the loading and unloading programs described above.
[0098] The control and management unit 35 can be provided with an internal memory 36 to memorize an archive of the stream of surgical sponges 12 during surgical operations. In particular, the archive of the streams of surgical sponges 12 can include data relating to the initial and final counts of the surgical sponges 12, the type of surgical sponges 12, the patient, the staff present in the operating theater or space-time data needed to trace the different surgical operations.
[0099] According to a possible solution, the control and management unit 35 also comprises a printing device 39 configured to print on a print support 42, for example paper, data relating at least to the stream of surgical sponges 12 introduced into the container 24, and also possible other data as described above.
[0100] The printing device 39 can be positioned in the containing compartment 16 of the support structure 14.
[0101] The support structure 14 can be provided with a slit 40 for the emission of the printed print support 42. The slit 40 can be made directly in the front wall 18 of the support structure 14.
[0102] The possibility of printing a written report of the streams of surgical sponges 12 in the operating place of the machine 10 allows to supply written proof, which cannot be tampered with by the operators, possibly used during lawsuits, as a confirmation of the correct procedures followed during the surgical operation, at least with regard to the streams of surgical sponges 12.
[0103] According to possible solutions, the control and management unit 35 can be provided with at least a communication interface 38, configured to transmit the data collected in the control and management unit 35 to external processing units.
[0104] Merely by way of example, the communication interface 38 can comprise connectors or bus ports.
[0105] The communication interface 38 can be connected by connectors, for example a LAN connection or other connection modes, or wireless mode, to units outside the control and management unit 35.
[0106] According to a possible solution, the control and management unit 35 can be connected by the communication interface 38 to a central unit SC, for example the hospital's, to supply indications relating to the stream of surgical sponges 12 processed by the machine 10.
[0107] The data relating to streams of surgical sponges used by more than one machine 10 according to the present invention can also converge into the central unit SC, thus supplying the capacity to manage the reserves of surgical sponges 12 in stock. To this purpose the central unit SC can be connected to at least a reserve management unit S to provide indications also relating to a possible supply of surgical sponges both to the store itself and also to the individual machines 10 according to the present invention.
[0108] The central unit SC can in turn be connected to assistance centers A, which through connection can perform, directly from their stations, possible maintenance interventions on the individual machines 10 according to the present invention.
[0109] In this way the assistance center, for some simple interventions, for example software updates, program malfunctions and/or backup, can act directly from remote without the direct intervention of operators.
[0110] According to a possible form of embodiment of the present invention, the control and management unit 35 can be connected to a second detection device 33 outside the support structure 14 and configured to perform an initial count of the sterile surgical sponges 12.
[0111] The second detection device 33, for example an RFID detector or a detector of a similar type to that of the first detection device 28, can be connected to the control and management unit 35 by a wireless connection.
[0112] The second detection device 33 can be the portable type, to allow it to be maneuvered by the user to perform an initial count of the surgical sponges 12.
[0113] In this case, the data detected by the second detection device 33 are managed by the control and management unit 35, for example during the loading program as described above.
[0114] According to possible solutions, the control and management unit 35 is connected to alarm devices suitable to supply acoustic and/or visual alarms if an incorrect loading of the surgical sponges 12 is performed, for example in the event of double counting of the same surgical sponge 12, and hence a double detection of the same identification element 13, and/or because unidentifiable objects have been inserted into the container 24.
[0115] According to a possible solution, at least the first detection device 28, the control and management unit 35, the container 24 and the printing device 39 are contained inside the containing compartment 16. This allows to obtain an extremely compact machine 10 in which the individual parts are not exposed to a potentially contaminated environment. Furthermore, it allows to simplify the conformation of the support structure 14, making the cleaning operations much simpler.
[0116] The machine 10 for counting surgical sponges 12 functions as follows.
[0117] Before the surgical operation, the operating theater receives a predefined number of sterile surgical sponges 12 contained, for example, inside a blister 11. Each surgical sponge 12 has a different identification element 13.
[0118] The operator selects the initial surgical sponge 12 count function by means of the user interface 37. For the initial count, each surgical sponge 12 is passed only in proximity to the introduction aperture 22 and consequently the first detection device 28, so that the corresponding identification element 13 can be read and detected. Every time the first detection device 28 detects a surgical sponge 12, the control and management unit 35 increases the number of surgical sponges 12 loaded.
[0119] The initial counting operation can possibly be carried out by the second detection device 33 if it is provided.
[0120] In one form of embodiment of the present invention, the machine 10 can provide acoustic signals every time a surgical sponge 12 is read and detected by the first detection device 28.
[0121] When the number of sterile surgical sponges 12 loaded has been verified, the operator selects the used surgical sponge 12 count function, using the user interface 37.
[0122] Once the surgical operation has begun, every time a used surgical sponge 12 is thrown into the introduction aperture 22, the count of the used surgical sponges 12 is increased.
[0123] Once thrown away, the surgical sponges 12 are housed in the container 24 and isolated from the outside.
[0124] By means of the machine 10, the one or more operators present in the operating theater can know, and hence verify in real time, the number of surgical sponges 12 used and not used.
[0125] Once the surgical operation has been concluded, an operator can print a written report of the surgical operation, by means of the printing device 39, and this can be attached for example to the patient's medical record.
[0126] Before using the machine 10 again for a new surgical operation, it can be provided to replace the container by a new container 24. To this purpose the support structure 14 can be provided with an aperture to access the containing compartment 16 where the container 24 is disposed.
[0127] In a possible form of embodiment of the present invention, the machine 10 can be provided with a covering layer attached in a selectively removable manner to the conveyor pipe 26 and which covers the through cavity 27 to prevent the conveyor pipe 26 from getting dirty. It can be removed and replaced by a new covering layer before each surgical operation.
[0128] It is clear that modifications and/or additions of parts may be made to the machine as described heretofore, without departing from the field and scope of the present invention.
[0129] It is also clear that, although the present invention has been described with reference to some specific examples, a person of skill in the art shall certainly be able to achieve many other equivalent forms of machine, having the characteristics as set forth in the claims and hence all coming within the field of protection defined thereby.