JP6898959B2 - Judgment device, support system, and judgment method - Google Patents

Description

The present invention determines, for example, the necessity of cleaning a medical device based on information indicating that medical treatment is performed using the medical device and information indicating that cleaning of the medical device is performed, and performs the work of a medical worker. It relates to a judgment device, a support system, and a judgment method to support.

In recent years, the rapid sophistication of various devices in the medical field has spread not only to devices installed in relatively large hospitals but also to devices installed in relatively small clinics that perform dental treatment. ..
For example, a support system in which a control device that controls the operation of medical equipment used in a clinic and a support device that processes various information from the control device to support the work of medical staff are communicably connected. It has been devised (see Patent Document 1).

In the support system of Patent Document 1, the management server, which is a support device, transmits various information such as medical device information, operator information, and patient information as a response to a request from a multi-controller for operating a medical device. By doing so, the settings of the medical equipment can be set according to the operator and the patient, and the operation screen reflecting the settings according to the operator and the patient is displayed on the multi-controller. As a result, Patent Document 1 is said to be able to perform accurate medical treatment with a desired medical device according to the operator and the patient.

By the way, for example, medical equipment used for dental treatment needs to be washed at an appropriate timing in order to maintain its hygienic condition.
However, when the medical staff decides whether or not the medical equipment needs to be cleaned, the medical staff needs to manage the actual results of cleaning the medical equipment, which may increase the burden on the medical staff. there were. For this reason, there is a new need to easily determine the necessity of cleaning medical devices.

Japanese Unexamined Patent Publication No. 2013-90722

In view of the above problems, an object of the present invention is to provide a determination device, a support system, and a determination method capable of determining the necessity of cleaning a dental medical device without increasing the burden on the medical staff.

The present invention is a determination device for determining the necessity of cleaning a dental equipment having a water supply pipe system for supplying a liquid used for medical treatment and cleaning and a drainage pipe system for draining the liquid. indicated medical practice information showing an embodiment of a medical treatment using the dental instrument, and an acquisition unit for acquiring cleaning performance information showing an embodiment of the cleaning of the dental instruments, the medical practice information, and by the cleaning execution information , A determination unit for individually determining whether or not the water supply pipe system needs to be cleaned and whether or not the drainage pipe system needs to be cleaned is provided based on the number of times the medical treatment is performed after the latest cleaning. It is characterized by.
According to the present invention, it is possible to determine the necessity of cleaning the dental medical device without increasing the burden on the medical staff.

As an aspect of the present invention, the determination unit may have a different threshold value for determining the necessity of cleaning the water supply pipe system and a threshold value for determining the necessity of cleaning the drainage pipe system.

Further, as an aspect of the present invention, the acquisition unit acquires related information related to the operation or state of the dental medical device, and based on a determination based on the related information, the medical treatment execution information and the cleaning execution information. May be obtained.

According to the present invention, the determination device, for example, does not require the medical staff to press a button indicating the start of medical treatment or a button indicating the start of cleaning, and provides medical treatment execution information indicating the implementation of medical treatment and cleaning of dental medical equipment. It is possible to surely obtain the cleaning execution information indicating the implementation of.

Further, as an aspect of the present invention, an output unit that outputs the determination result determined by the determination unit to the outside may be further provided.
According to the present invention, the determination device can facilitate the provision of a service for notifying, for example, a medical worker of the necessity of cleaning a dental medical device. Therefore, the determination device can support the medical worker to keep the dental medical device in a clean state, and can reduce the burden on the medical worker .

Also, as an aspect of the invention, the determination unit, the indicated by washing implementation information, the number of implementation of medical available after the most recent washing, for determining the necessity of cleaning of the water supply pipe system If it is equal to or less than the first determination threshold value, which is the threshold value, it may be determined that cleaning of the water supply pipe system is necessary.
According to the present invention, the determination device can appropriately and easily determine the necessity of cleaning the water supply pipe system according to the number of times of medical treatment without increasing the burden on the medical staff.

In one embodiment of the present invention, the front Symbol judging unit, the indicated by washing implementation information, the number of implementation of medical available after the most recent washing, for determining the necessity of cleaning of the drainage pipe system If it is equal to or higher than the second determination threshold value, which is the threshold value, it may be determined that cleaning of the drainage pipe system is necessary.
According to the present invention, the determination device can appropriately and easily determine the necessity of cleaning the drainage pipe system according to the number of times of medical treatment without increasing the burden on the medical staff.

Further, as an aspect of the present invention, the number of times of medical treatment after the latest washing is performed, which is indicated by the cleaning execution information, may be the number of times from the latest washing to the lapse of a predetermined time.
According to the present invention, the determination device not only requires cleaning of the dental medical device, but also cleans the dental medical device with respect to the number of times of medical treatment from the latest cleaning to the lapse of a predetermined time. It can be determined whether or not it has been performed properly.

Further, as an aspect of the present invention, the cleaning execution information is connected to information indicating that the operation of starting the cleaning of the water supply pipe system or the cleaning of the drainage pipe system has been accepted, and the handpiece included in the dental medical equipment. Information indicating that a plurality of tubes are being pulled out, information indicating a state in which a cup is placed in a mouthwash, information indicating that an operation for starting the supply of washing water to the water supply pipe system has been accepted, the above. Information based on at least one or more of the information indicating that the operation to start charging the cleaning agent into the water supply pipe system has been accepted and the information indicating that the operation to start cleaning the drainage tank has been accepted. There may be.

This invention, determination system, for example, without adding additional hardware, such as apparatus for controlling the operation of dental instruments and dental instruments, based on the existing equipment possible information output, the dental equipment The necessity of cleaning can be determined .

Also, the invention provides a support system for supporting the medical personnel of the business, comprising: a dental instrument a health care worker to use a management apparatus that manages the dental instrument, the above-mentioned determination device The determination device is characterized by including an output unit that outputs information based on the determination result by the determination unit to the management device.
According to the present invention, it is possible to determine the necessity of cleaning the dental medical device without increasing the burden on the medical staff.

Further, the present invention is executed by an apparatus for determining the necessity of cleaning a dental equipment having a water supply pipe system for supplying a liquid used for medical treatment and cleaning and a drainage pipe system for draining the liquid. The determination method is an acquisition step in which the acquisition unit of the device acquires medical treatment execution information indicating the execution of medical treatment using the dental medical equipment and cleaning execution information indicating the cleaning of the dental medical equipment. The necessity of cleaning the water supply pipe system and the necessity of cleaning the drainage pipe system based on the medical treatment implementation information and the number of medical treatments performed after the latest cleaning performed, which are indicated by the cleaning implementation information. The device is characterized in that it is provided with a determination step in which each determination unit of the apparatus individually determines.
According to the present invention, it is possible to determine the necessity of cleaning the dental medical device without increasing the burden on the medical staff.

INDUSTRIAL APPLICABILITY According to the present invention, it is possible to provide a determination device, a support system, and a determination method capable of determining the necessity of cleaning a dental medical device without increasing the burden on the medical staff.

The block diagram which shows the schematic structure of the support system. A block diagram showing the internal configuration of the support system. The schematic diagram explaining the water supply and drainage part. Explanatory drawing explaining the information table. Explanatory drawing explaining management table. Explanatory drawing explaining the determination table. Explanatory drawing explaining the equipment used at the time of medical treatment. A sequence diagram showing the processing operation in the management system. A flowchart showing a processing operation in the information transmission processing. A flowchart showing a processing operation in the management table registration process. The flowchart which shows the processing operation in the primary medical practice judgment processing. The flowchart which shows the processing operation in the cleaning execution determination processing. A flowchart showing a processing operation in the output data transmission processing. Explanatory drawing explaining the achievement screen. Explanatory drawing explaining the achievement screen.

An embodiment of the present invention will be described below with reference to the drawings.

In medical care, an information processing system that estimates the medical care performed by the medical staff, manages the implementation of the medical care, and supports the work of the medical staff will be described. This information processing system can be widely applied in the medical field, but in this embodiment, the field of dentistry will be described as an example.

More specifically, in dental medical care, the medical care performed by the medical staff is estimated, the cleaning record of the water supply / drainage pipeline 51 in the medical care device 4 is managed, the operation record of the medical care device 4 and the cleaning of the water supply / drainage pipeline 51 are performed. The support system 1, which is an information processing system that notifies the medical staff of the achievements and supports the work of the medical staff, will be described with reference to FIGS. 1 to 6.

Note that FIG. 1 shows a configuration diagram of the support system 1, FIG. 2 shows a block diagram of the support system 1, FIG. 3 shows a schematic diagram for explaining the water supply / drainage unit 45, and FIG. 4 shows an explanation for explaining the information table 811. FIG. 5 shows an explanatory diagram for explaining the management table 812, and FIG. 6 shows an explanatory diagram for explaining the determination table 814.

As shown in FIGS. 1 and 2, the support system 1 includes a plurality of medical devices 4 and one management device 6 that are communicably connected via a communication line 3 in a clinic 2 that performs dental medical care. It is composed of an external server 8 that is communicably connected to the management device 6 of the clinic 2 via a communication line 7 in a remote location away from the clinic 2.
The communication line 3 connecting the medical treatment device 4 and the management device 6 of the clinic 2 is a wired line or a wireless line, and the communication line 7 connecting the management device 6 and the external server 8 is a wired line.

As shown in FIGS. 1 and 2, the plurality of medical treatment devices 4 are devices used for dental medical treatment, and are a medical treatment device 4a installed in a booth for preventive medical treatment and a medical treatment installed in a booth for performing treatment. It is composed of a device 4b and a medical device 4c installed in a booth for performing surgery.

As shown in FIGS. 1 and 2, the medical device 4 includes a chair unit 41 in which the patient sits, an operating light 42 that illuminates the patient's oral cavity, a suction device for saliva, cooling water, etc., and gargling. A basin unit 43 integrally provided with a device, a plurality of medical devices 44 used for treatment, a water supply / drainage unit 45 for water supply / drainage associated with medical treatment, a display unit 46 for displaying various information to medical staff, and a display unit 46. It includes an operation unit 47 that receives various operations of a medical worker, a storage unit 48 that stores various information, a communication unit 49 that connects to a communication line 3, and a medical care control unit 50 that controls these operations.

In other words, the medical device 4 includes a chair unit 41, an operating light 42, a basin unit 43, a plurality of medical devices 44, and a water supply / drainage unit 45 as medical devices used by medical staff and patients, and operates the medical devices. The medical care control unit 50 is provided as a control device for controlling and / and acquiring information indicating the state of the medical device.

Specifically, the chair unit 41 of the medical device 4 supports the medical chair section in which the patient sits, the medical chair section from below, and raises and lowers the medical chair section, and raises and lowers the medical chair section. It is composed of a detection unit that detects and a detection unit that detects the tilted state of the backrest of the medical chair.

In the present embodiment, the chair unit 41 detects the lower range in the elevating range as the seating position and the upper range in the elevating range as the medical treatment position, but is not limited to this, and further, the lower range in the elevating range. In the range of, the seating position may be the state in which the backrest in the medical chair section is upright, and the state in which the backrest in the medical chair section is tilted in the upper range in the elevating range may be the medical treatment position.

It should be noted that the above-mentioned situation in which the elevating position of the medical chair and the detection of the tilted state of the backrest change is controlled by the elevating part or the like so that the patient is in the medical treatment position when the patient is treated by the medical staff. It is possible that it was done. From this, the change in the situation tends to occur either at the beginning or the end of the dental practice. In addition, these changes in circumstances tend to occur continuously in a short period of time.

Further, although detailed illustration is omitted, the operating light 42 of the medical device 4 is installed adjacent to the chair unit 41 and is configured to be able to be switched on and off by the operation of a medical worker.
In addition, the situation where the operating light 42 is turned on is a case where the medical staff illuminates the treatment place of the patient when treating the patient, that is, when treating the tooth of the patient while the patient is in the medical treatment position. I can think of it. From this, the operating light 42 tends to be turned on during treatment.

Further, although detailed illustration is omitted, the basin unit 43 of the medical device 4 is installed adjacent to the chair unit 41, and a gargle bowl 43a (see FIG. 3) and a gargle cup 43b (see FIG. 3) are placed. It is composed of a gargle mounting portion, a water supply port 43c (see FIG. 3) for supplying water to the gargle cup 43b, a detection unit for detecting the gargle cup 43b mounted on the gargle mounting portion, and the like.

In addition, in the situation where the water supply port 43c is opened and the change in the placement state of the mouthwash cup 43b is detected by the detection unit, the patient enters the oral cavity especially after the treatment of the patient's teeth by the medical staff is completed. It's time to wash.
Specifically, when the treatment is completed, the assistant opens the water supply port 43c, the patient picks up the gargle cup 43b of the cup placement part, draws water, carries it to the mouth, cleans the oral cavity, and then cups again. It is conceivable that the mouthwash cup 43b is placed on the mounting portion. Therefore, the change in the situation tends to occur immediately after the end of treatment. In addition, these changes in circumstances tend to occur continuously in a short period of time.

Further, the basin unit 43 detachably stores the drainage tank 457 and the water replenishment tank 454 of the water supply / drainage unit 45, which will be described later, and is an opening / closing door that is opened / closed to attach the tube 452a of the drainage pipe 452 to the refill tank 454. (Not shown) is provided. In addition, the basin unit 43 includes a detection unit that detects the open / closed state of the open / close door.

In addition, in the situation where the detection unit detects the change in the open / closed state of the opening door, it is conceivable that when the medical worker cleans the handpiece 44a described later, the refill tank 454 is replenished with water or contains detergent. .. From this, the change in the situation tends to occur during cleaning.

Further, although detailed illustration is omitted, the plurality of medical treatment devices 44 of the medical treatment device 4 are devices such as medical treatment equipment and medical treatment auxiliary equipment used in the dental medical treatment process, and are, for example, handpieces 44a (FIG. 3), vacuum 44b (see FIG. 3), scaler, implant drill, medical laser, gargling cup 43b and the like.
In addition, in the situation where the handpiece 44a or the like is driven and controlled, it is conceivable that a medical worker treats the tooth of the patient. From this, the situation tends to occur when treatment is given.

Further, as shown in FIG. 3, the water supply / drainage unit 45 of the medical device 4 has a water supply line 451 through which water supplied for dental treatment flows and drainage through which drainage such as water and saliva used for irrigation flows. It is composed of a pipeline 452, a wash water tank 453 for cleaning the water supply pipeline 451 and a refill tank 454 for cleaning the drainage pipeline 452.

More specifically, as shown in FIG. 3, the water supply pipe line 451 of the water supply / drainage unit 45 is connected to the water pipe 455 on the upstream side, and is connected to the handpiece 44a and the water supply port 43c of the basin unit 43 on the downstream side. A water purifier 456 that purifies tap water is arranged. That is, the water supply / drainage section 45 is configured with a water supply path (water supply pipe system) from the water pipe 455 to the inside of the handpiece 44a and the tip of the water supply port 43c of the basin unit 43.
The upstream portion of the water supply pipe 451 connected to the handpiece 44a is composed of a tube 451a that can be attached to and detached from the handpiece 44a.

Further, the water supply pipeline 451 has a first on-off valve V1 that can be opened and closed by the operation of a medical worker on the upstream side of the water purifier 456, and a first on-off valve V1 that can be opened and closed by the operation of the medical staff on the downstream side of the water purifier 456. A possible second on-off valve V2 is arranged. The first on-off valve V1 is always open during use, and the second on-off valve V2 is closed when cleaning the water supply pipe line 451.
It is conceivable that the change status of the second on-off valve V2 may occur when the medical worker cleans the valve. From this, the situation tends to occur when cleaning is done.

As shown in FIG. 3, the drainage pipe 452 of the water supply / drainage unit 45 is connected to the drainage port of the mouthwash 43a and the vacuum 44b on the upstream side, and the drainage tank 457 to store the drainage on the downstream side is connected to the vacuum 44b and the drainage. A vacuum unit 458 for suction, which is controlled by the medical care control unit 50 described later, is arranged between the tank 457 and the tank 457. That is, the water supply / drainage unit 45 is configured with a drainage port of the mouthwash 43a and a drainage path (drainage pipe system) from the tip of the vacuum 44b to the inside of the drainage tank 457.
The upstream portion of the drainage pipe 452 connected to the vacuum 44b is composed of a tube 452a that can be attached to and detached from the vacuum 44b.

As shown in FIG. 3, the wash water tank 453 of the water supply / drainage unit 45 is a tank in which wash water for cleaning the water supply line 451 is stored, and is a water supply line 451 downstream of the second on-off valve V2. Is connected via a third on-off valve V3 that can be opened and closed by the operation of a medical worker.
Further, in the washing water tank 453, a water supply pump 453a for pumping up the washing water and supplying it to the water supply pipe line 451 is integrally arranged.
It is conceivable that the drive of the water supply pump 453a and the change status of the third on-off valve V3 may occur when the medical staff cleans the water supply pump 453a. From this, the situation tends to occur when cleaning is done.

As shown in FIG. 3, the refill tank 454 of the water supply / drainage unit 45 is a tank in which cleaning water for cleaning the drainage pipe line 452 is stored, and is stored in the basin unit 43. The water replenishment tank 454 is not connected to the tube 452a of the drainage pipe line 452 except at the time of cleaning.

Then, the water supply / drainage unit 45 constitutes the water supply / drainage pipe line 51 with the water supply pipe line 451 and the drainage pipe line 452 described above, and includes the washing water tank 453, the third on-off valve V3, the vacuum unit 458, and the refill tank 454 described above. The water supply pump 453a and the medical care control unit 50 that controls the operation of the vacuum unit 458 constitute a cleaning device 52 that cleans the water supply / drainage pipe line 51.
The medical care control unit 50 as the cleaning device 52 of the water supply / drainage unit 45 has a function of acquiring information indicating an open / closed state of the opening / closing door of the baseon unit 43 detected for cleaning the water supply / drainage pipeline 51, and a cup mounting. It is assumed that it has a function of acquiring information indicating the mounting state of the gargle cup 43b on the part.

At the time of cleaning, such a water supply / drainage pipe 51 can be switched between the open / closed state of the second on-off valve V2 and the third on-off valve V3, and the tube 451a of the water supply pipe 451 and the drainage pipe. The connection state of the tube 452a of the 452 is switched.

More specifically, when cleaning the water supply pipe line 451, the second on-off valve V2 is closed and the third on-off valve V3 is opened by the operation of a medical worker. Further, in the water supply pipe 451 as shown by the alternate long and short dash line in FIG. 3, the tip of the tube 451a is arranged so that the tube 451a is removed from the handpiece 44a and the washing water is discharged to the mouthwash 43a. To.
On the other hand, in the drainage pipe line 452, as shown by the alternate long and short dash line in FIG. 3, the tube 452a is removed from the vacuum 44b at the time of cleaning, and the tip thereof is connected to the refill tank 454.

Then, in the water supply / drainage unit 45, the washing water of the washing water tank 453 flows in the water supply pipe line 451 by the water supply pump 453a, and the washing water of the refill tank 454 flows in the drainage pipe line 452 by the vacuum unit 458. It is configured to clean the water supply / drainage pipe line 51.

Further, as shown in FIGS. 1 and 2, the display unit 46 of the medical device 4 is composed of a liquid crystal display or the like integrally provided on a tray table 53 arranged adjacent to the chair unit 41, and is electronic. It has a function to display various information related to medical treatment such as medical records.

Further, as shown in FIGS. 1 and 2, the operation unit 47 of the medical device 4 is provided on the operation panel 47a integrally provided on the tray table 53 arranged adjacent to the chair unit 41 and on the floor surface. It is composed of an arranged foot pedal 47b or the like.
The operation unit 47 is an operation of raising and lowering the chair unit 41 by a medical worker, an operation of turning on or off the operating light 42, an operation of operating a medical device 44 such as a handpiece 44a, or a cleaning device 52 of the water supply / drainage unit 45. It has a function to accept operations to operate.

Further, the storage unit 48 of the medical treatment device 4 is composed of a hard disk drive, a solid state drive, or the like, and has a function of writing and storing various information related to medical treatment and a function of reading various information related to medical treatment.
As shown in FIG. 2, the storage unit 48 contains information indicating a unique identification code for identifying the medical treatment device 4, and "preventive medical treatment" and "treatment" which are usage types of the medical treatment device 4 corresponding to the medical treatment booth. , Or device identification information 48a associated with information indicating any one of “surgery” is stored.

Further, the communication unit 49 of the medical device 4 is composed of a wired LAN card to which a wired LAN connector is connected, a wireless LAN slave unit connected to the wireless LAN, and the like, and has a function of connecting to the communication line 3 and a communication line 3. It has a function to send and receive various information via. The communication unit 49 may be composed of a control board incorporating a wired or wireless LAN card function.

The medical care control unit 50 of the medical care device 4 is composed of hardware such as a CPU and memory and software such as a system program, and has a function of managing the date and time, various processing functions for operations by medical staff, and each of the above-mentioned parts. It has a function to control the operation of.

For example, the medical care control unit 50 has a function of controlling the operation of the medical care device 44, which is a medical treatment device such as a handpiece 44a, a vacuum 44b, a scaler, an implant drill, and a medical laser, and a medical care device 44. Based on the control signal to be operated and the signal related to the state of the medical device 44, it has a function of generating information indicating the operation of the medical device 44 or information indicating the state and transmitting the information to the management device 6.
The communication unit 49 may capture and generate information indicating the operation or the state of the medical device 44, which is transmitted / received via a communication line such as CAN, and transmit the information to the management device 6. ..

Further, as described above, the medical care control unit 50 has a function of acquiring information indicating an open / closed state of the opening / closing door of the baseon unit 43 detected for cleaning the water supply / drainage pipe line 51, and a gargle on the cup mounting unit. It is assumed that it has a function of acquiring information indicating the mounting state of the cup 43b.

Further, the management device 6 in the clinic 2 presents to the medical staff a function of managing various information related to the plurality of medical devices 4, a function of exchanging various information with the medical device 4, and various information related to the patient. It is a device that has a function to perform.

As shown in FIGS. 1 and 2, the management device 6 includes a display unit 61 that displays various information, an operation unit 62 that receives operations by a manager or a medical worker who manages a plurality of medical device 4, and various types. It is composed of a storage unit 63 for storing information, a communication unit 64 connected to the communication line 3 and the communication line 7, and a management control unit 65 for controlling the operation of each of the above-mentioned units.

The display unit 61 of the management device 6 is composed of a CRT, a liquid crystal display, or the like, and has a function of displaying information about the patient such as an electronic medical record, information indicating the practitioner, and various information for maintenance of the medical treatment device 4. doing.
As shown in FIG. 1, the operation unit 62 of the management device 6 is composed of a keyboard 62a and a mouse 62b, and has a function of accepting operations by an administrator, a medical worker, or the like.

The storage unit 63 of the management device 6 is composed of a hard disk drive, a solid state drive, or the like, and has a function of writing and storing various information acquired from the management device 6 and the external server 8 and various information input by a medical worker. It has a function to read various information.

As shown in FIG. 2, the storage unit 63 contains patient data 63a in which patient information such as an electronic chart is registered, practitioner data 63b in which information on a practitioner who treats a patient is registered, and a medical treatment device. The setting data 63c in which various setting information related to 4 and the medical device 44 are registered, and the output data 63d acquired from the external server 8 are stored.

The communication unit 64 of the management device 6 is composed of a wired LAN card to which a wired LAN connector is connected, a wireless LAN slave unit connected to the wireless LAN, and the like, and has a function of connecting to the communication line 3 and the communication line 7. It has a function of receiving and transmitting various information via the communication line 3 and the communication line 7. The communication unit 64 may be composed of a control board incorporating a wired or wireless LAN card function.

The management control unit 65 of the management device 6 is composed of hardware such as a CPU and memory and software such as a system program, and performs various processing functions for operations by medical staff and managers and transmits to an external server 8. It has a function of relaying and transmitting various information from the medical device 4 and a function of controlling the operation of each part described above.

Further, the external server 8 is a device having a function of processing various information acquired from the medical treatment device 4 via the management device 6 and a function of supporting the work of the medical staff based on the acquired various information. is there.
As shown in FIG. 2, the external server 8 is composed of a storage unit 81 for storing various information, a communication unit 82 connected to the communication line 7, and a server control unit 83 for controlling these operations. There is.

Specifically, the storage unit 81 of the external server 8 is composed of a hard disk drive, a solid state drive, or the like, and has a function of writing and storing various information and a function of reading various information.
As shown in FIG. 2, the storage unit 81 has an information table 811 in which various information acquired from the management device 6 is registered, a management table 812 in which various information related to the management of the medical treatment device 4 is registered, and a management table. The output data 813 generated based on 812 is stored for each medical device 4 of the clinic 2.

That is, the storage unit 81 stores information table 811, management table 812, and output data 813 as information corresponding to "preventive medical treatment", "treatment", or "surgery", which are the types of use of the medical device 4. Has been done.
Further, as shown in FIG. 2, the storage unit 81 stores a determination table 814 in which the medical treatment determination conditions used in the medical treatment execution estimation processing described later are registered.

As shown in FIG. 4, the above-mentioned information table 811 provides various information regarding the operation and state of the chair unit 41, the operating light 42, the opening / closing door of the basin unit 43, the medical equipment 44, and the cleaning device 52 of the water supply / drainage unit 45. It is registered in association with the date and time.
More specifically, as shown in FIG. 4, the information table 811 is composed of a date column, a time column, a period column, a device column, and a status column.

In the date column, the date on which the operating light 42, the medical device 44, or the cleaning device 52 of the water supply / drainage unit 45 operates, or the opening / closing of the chair unit 41 and the basin unit 43, based on the time information described later obtained from the medical device 4. The date on which the door, the user-operable cleaning mode switch, the pickups of the plurality of handpieces 44a, the state of the medical device 44, and the like are detected is registered.

In the time column, the time when the operating light 42, the medical device 44, or the cleaning device 52 of the water supply / drainage unit 45 operates, or the opening / closing of the chair unit 41 and the basin unit 43, based on the time information described later acquired from the medical device 4. The time when the door, the cleaning mode switch that can be operated by the user, the pickups of the plurality of handpieces 44a, the state of the medical device 44, and the like are detected is registered.

In the period column, a period, which is a time interval in which the medical device 44 operates, is registered based on the time information described later acquired from the medical device 4.
In the device column, information indicating the chair unit 41, the operating light 42, the basin unit 43, the medical device 44, or the cleaning device 52 of the water supply / drainage unit 45 is registered based on the device identification information to be described later acquired from the medical device 4. Has been done.

In the status column, information indicating the operation of the operating light 42, the medical device 44, or the cleaning device 52 of the water supply / drainage unit 45 is registered based on the operation information described later acquired from the medical device 4, or the medical device 4 is registered. Based on the state information described later obtained from the above, information indicating the detected state of the chair unit 41, the opening / closing door of the basin unit 43, or the medical device 44 is registered.

Further, in the management table 812, as shown in FIG. 5, the number of times of medical treatment and the presence / absence of cleaning of the water supply / drainage pipe 51 are registered in association with each day.
More specifically, as shown in FIG. 5, the management table 812 has a date column in which the date is registered and a medical treatment count column in which information indicating the number of times of medical treatment calculated in the management table registration process described later is registered. It is composed of a cleaning execution column in which information indicating cleaning execution of the water supply / drainage pipeline 51 determined in the management table registration process described later is registered.

Further, the output data 813 is actual information for displaying the operation record of the medical device 4 and the cleaning record of the water supply / drainage pipeline 51 on the display unit 61 of the management device 6. The output data 813 will be described in detail later.
As shown in FIG. 6, in the determination table 814, the medical treatment determination conditions, which are the determination conditions for the medical treatment performed by the medical staff, are the usage types of the medical device 4, "preventive medical treatment", "treatment", and "surgery". It is registered for each.

More specifically, as shown in FIG. 6, the determination table 814 shows a use column in which any of "preventive medical care", "treatment", or "surgery", which is a use type of the medical device 4, is registered, and a use column. It is composed of a device column in which the order of use of the medical device 44 according to the application type is registered, and a device column in which the lower limit value of the operating period of the medical device 44 registered in the device column is registered.

The communication unit 82 of the external server 8 is composed of a wired LAN card or the like to which a wired LAN connector is connected, and has a function of connecting to the communication line 7 and a function of receiving and transmitting various information via the communication line 7. There is.
The communication unit 82 may be composed of a control board incorporating a wired LAN card function.

The server control unit 83 of the external server 8 is composed of hardware such as a CPU and memory and software such as a system program, and has a function of controlling the operation of each unit described above.
Further, the server control unit 83 has a function of performing medical treatment, cleaning of the water supply / drainage pipe 51, determining whether or not cleaning of the water supply / drainage pipe 51 is necessary, and a function of outputting information regarding cleaning of the water supply / drainage pipe 51 at a predetermined timing. And have.
It should be noted that the implementation of medical treatment, the cleaning of the water supply / drainage pipeline 51, and the determination of the necessity of cleaning the water supply / drainage pipeline 51 are not only the determination that a reliable determination result can be obtained, but also the determination that the determination result including the possibility can be obtained. That is, it includes estimates and expectations.

Subsequently, an example of the processing operation in the support system 1 having the above-described configuration will be described with reference to FIGS. 7 to 15.
Further, FIG. 7 shows an explanatory diagram for explaining the equipment used in medical treatment, FIG. 8 shows a sequence diagram of the support system 1, FIG. 9 shows a flowchart of information transmission processing, and FIG. 10 shows management table registration. A flowchart of the process is shown, FIG. 11 shows a flowchart of the primary medical practice determination process, FIG. 12 shows a flowchart of the cleaning execution determination process, FIG. 13 shows a flowchart of the output data transmission process, and FIGS. 14 and 15 show. Shows an explanatory diagram for explaining the achievement screen S.

First, in the clinic 2, the equipment of the medical equipment 4 used when the medical staff treats the patient, the operation order of the equipment, and the operation time of the equipment will be briefly described. The type and time interval of the device of the medical device 4 used when treating a patient, the operation order of the device, and the operation time of the device differ depending on the medical treatment content.

For example, when the medical treatment content is "treatment", as shown in FIG. 7, the medical treatment chair portion of the chair unit 41 in which the patient is seated first moves from the seated position to the medical treatment position, and then the operating light 42 moves to the medical staff. Is lit by.
Further, in the state where the operating light 42 is lit, the vacuum 44b and the handpiece 44a are alternately driven for a time corresponding to the medical treatment content.
Then, when the treatment is completed, the operating light 42 is turned off by the medical staff, and then the medical treatment chair portion of the chair unit 41 moves from the medical treatment position to the seating position, so that the medical treatment is completed.

In this way, the support system 1 that processes various information from the medical treatment device 4 in which the equipment used when the medical staff treats the patient, the operation order of the equipment, and the operation time of the equipment differ depending on the medical treatment content. An example of the processing operation in the above will be described.

In this embodiment, information on the state of the chair unit 41 and information on the operation of the operating light 42 are examples of various information transmitted by the medical device 4 when an operation for medical treatment is performed by a medical worker. , And information on the operation of the medical device 44 will be described.
Further, in this embodiment, as an example of various information transmitted by the medical device 4 when the medical staff performs an operation for cleaning the water supply / drainage pipe line 51, information regarding the placement of the mouthwash cup 43b, Information on the opening / closing door of the basin unit 43 and information on the operation of operating the cleaning device 52 of the water supply / drainage unit 45 will be described.

When the power of the medical device 4 is turned on in the clinic 2, the medical device 4 has a chair unit 41, an operating light 42, an opening / closing door of the basin unit 43, a medical device 44, and a water supply / drainage unit, as shown in FIG. The information transmission process of transmitting the control signal for operating the cleaning device 52 of the 45 or the various information based on the detection signal for detecting the state of the control signal to the external server 8 via the management device 6 is started (step S101). At this time, the medical care control unit 50 of the medical care device 4 reads out the device identification information 48a for identifying the medical device 4 and the use type of the medical care device 4 from the storage unit 48 and temporarily stores the device identification information 48a.

Specifically, when the information transmission process is started, the medical care control unit 50 of the medical care device 4 determines whether the elevating position of the medical care chair unit detected by the chair unit 41 is the medical care position, as shown in FIG. It is determined whether or not (step S111).
When the elevating position of the medical care chair unit in the chair unit 41 is not the medical care position (step S111: No), the medical care control unit 50 advances the process to step S113, which will be described later.

On the other hand, when the elevating position of the medical chair unit in the chair unit 41 is the medical treatment position (step S111: Yes), the medical care control unit 50 assumes that the operation for medical treatment by the medical staff has been performed, and that the chair unit 41 has been operated. The transmission process of transmitting the status information to the external server 8 via the communication unit 49 and the management device 6 is started (step S112).

More specifically, the medical care control unit 50 includes time information indicating the time when the elevating position of the medical care chair unit is located at the examination position and state information indicating that the elevating position of the medical care chair unit is located at the medical examination position. The device identification information that identifies the chair unit 41 is associated with the device identification information 48a read from the storage unit 48, and the associated time information, state information, device identification information, and device identification information 48a are associated with the communication unit 49. It is transmitted to the external server 8 via.

After that, the medical care control unit 50 determines whether or not the operation of the medical worker who turns on the operating light 42 has been accepted (step S113).
When the lighting operation of the operating light 42 is not accepted (step S113: No), the medical care control unit 50 advances the process to step S115 described later.

On the other hand, when the operation of turning on the operating light 42 is accepted (step S113: Yes), the medical care control unit 50 provides information on the operation of the operating light 42, assuming that the operation for medical care by the medical staff has been performed. The transmission process of transmitting to the external server 8 is started via the communication unit 49 and the management device 6 (step S114).

More specifically, the medical care control unit 50 stores time information indicating the time when the lighting operation of the operating light 42 is received, operation information indicating the lighting of the operating light 42, and device identification information for identifying the operating light 42. It is associated with the device identification information 48a read from the unit 48, and the associated time information, operation information, device identification information, and device identification information 48a are transmitted to the external server 8 via the communication unit 49.

After that, the medical care control unit 50 determines whether or not the operation of the medical worker who drives the medical care device 44 has been accepted (step S115).
When the drive operation of the medical device 44 is not accepted (step S115: No), the medical care control unit 50 advances the process to step S117 described later.

On the other hand, when the drive operation of the medical device 44 is received (step S115: Yes), the medical care control unit 50 receives information on the operation of the medical care device 44, assuming that the operation for medical care by the medical staff has been performed. The transmission process of transmitting to the external server 8 is started via the communication unit 49 and the management device 6 (step S116). At this time, the medical care control unit 50 also calculates a period which is a time interval in which the medical care device 44 is driven.

More specifically, the medical care control unit 50 displays the time when the drive operation of the medical care device 44 is received, the time information indicating the period during which the medical care device 44 has been driven, the operation information indicating the operation of the medical care device 44, and the medical care device 44. The device identification information to be identified is associated with the device identification information 48a read from the storage unit 48, and the associated time information, operation information, device identification information, and device identification information 48a are associated with the external server 8 via the communication unit 49. Send to.

After that, the medical care control unit 50 determines whether or not the operation of the medical worker who turns off the operating light 42 has been accepted (step S117).
When the operation of turning off the operating light 42 is not accepted (step S117: No), the medical care control unit 50 proceeds to step S119, which will be described later.

On the other hand, when the operation of turning off the operating light 42 is accepted (step S117: Yes), the medical care control unit 50 assumes that the operation for completing the medical care by the medical staff has been performed, and provides information on the operation of the operating light 42. , The transmission process of transmitting to the external server 8 via the communication unit 49 and the management device 6 is started (step S118).

More specifically, the medical care control unit 50 stores time information indicating the time when the operation of turning off the operating light 42 is received, operation information indicating turning off the operating light 42, and device identification information for identifying the operating light 42. It is associated with the device identification information 48a read from the unit 48, and the associated time information, operation information, device identification information, and device identification information 48a are transmitted to the external server 8 via the communication unit 49.

After that, the medical care control unit 50 determines whether or not the elevating position of the medical care chair unit in the chair unit 41 is the seating position (step S119).
When the elevating position of the medical chair unit in the chair unit 41 is not the seating position (step S119: No), the medical care control unit 50 advances the process to step S121, which will be described later.

On the other hand, when the elevating position of the medical chair unit in the chair unit 41 is the seating position (step S119: Yes), the medical care control unit 50 assumes that the medical staff has performed an operation for completing the medical treatment, and the chair unit 41 The transmission process of transmitting the information regarding the state of the above to the external server 8 via the communication unit 49 and the management device 6 is started (step S120).

More specifically, the medical care control unit 50 includes time information indicating the time when the elevating position of the medical care chair unit is located at the seating position and state information indicating that the elevating position of the medical treatment chair unit is located at the seating position. The device identification information that identifies the chair unit 41 is associated with the device identification information 48a read from the storage unit 48, and the associated time information, state information, device identification information, and device identification information 48a are associated with the communication unit 49. It is transmitted to the external server 8 via.

After that, the medical care control unit 50 determines whether or not the baseon unit 43 has detected the placement of the gargling cup 43b (step S121).
When the baseon unit 43 does not detect the placement of the gargling cup 43b (step S121: No), the medical care control unit 50 advances the process to step S123, which will be described later.

On the other hand, when the basin unit 43 detects the placement of the gargle cup 43b (step S121: Yes), the medical care control unit 50 includes time information indicating the time when the placement of the gargle cup 43b is detected and the gargle. The state information indicating that the cup 43b is placed and the device identification information for identifying the gargle cup 43b are associated with the device identification information 48a read from the storage unit 48, and the associated time information, The state information, the device identification information, and the device identification information 48a are transmitted to the external server 8 via the communication unit 49 (step S122).

After that, the medical care control unit 50 determines whether or not the basin unit 43 has detected the opening of the opening / closing door (step S123).
When the baseon unit 43 does not detect the opening of the opening / closing door (step S123: No), the medical care control unit 50 proceeds to the process in step S125, which will be described later.

On the other hand, when the baseon unit 43 detects the opening of the opening / closing door (step S123: Yes), the medical care control unit 50 assumes that the medical staff has performed an operation for cleaning the water supply / drainage pipeline 51. The storage unit stores time information indicating the time when the opening / closing door of the opening / closing door is detected, state information indicating that the opening / closing door of the basin unit 43 is in the opened state, and device identification information indicating the opening / closing door of the basin unit 43. In addition to associating with the device identification information 48a read from 48, the associated time information, state information, device identification information, and device identification information 48a are transmitted to the external server 8 via the communication unit 49 (step S124).

After that, the medical care control unit 50 determines whether or not the operation of the medical staff who operates the cleaning device 52 of the water supply / drainage unit 45 has been accepted (step S125).
When the operation of operating the cleaning device 52 of the water supply / drainage unit 45 is not accepted (step S125: No), the medical care control unit 50 skips the process of step S126, which will be described later, and proceeds with the process.

On the other hand, when the operation for operating the cleaning device 52 of the water supply / drainage unit 45 is received (step S125: Yes), the medical care control unit 50 assumes that the operation for cleaning the water supply / drainage pipeline 51 by the medical worker has been performed. , Time information indicating the time when the operation of operating the cleaning device 52 of the water supply / drainage unit 45 is received, operation information indicating that the operation of operating the cleaning device 52 of the water supply / drainage unit 45 is accepted, and the cleaning device 52 of the water supply / drainage unit 45. The device identification information for identifying the device is associated with the device identification information 48a read from the storage unit 48, and the associated time information, operation information, device identification information, and device identification information 48a are associated with the external server via the communication unit 49. It is transmitted to 8 (step S126).
After that, the medical care control unit 50 returns the process to step S111, and repeatedly executes the processes from step S111 to step S126 until the power of the medical care device 4 is turned off.

Returning to step S101 of FIG. 8, as shown in FIG. 8, the external server 8 receives the time information, the operation information or the state information, and the device identification information associated with the device identification information 48a from the medical device 4. Each time, the information table registration process for registering various information acquired from the medical device 4 in the information table 811 is started (step S102).
Specifically, when the information table registration process is started, the server control unit 83 of the external server 8 reads the information table 811 corresponding to the device identification information 48a acquired from the medical device 4 from the storage unit 81.

After that, the server control unit 83 registers the time information acquired from the medical device 4 in the date column and the time column of the information table 811 and stores the device identification information associated with the time information in the device column of the information table 811. The operation information or the state information associated with the time information is registered in the state column of the information table 811. At this time, when the device identification information is the medical device 44, the server control unit 83 registers the operating period of the medical device 44 in the period column based on the time information acquired from the medical device 4.

When the information table registration process is completed, the server control unit 83 of the external server 8 determines the number of times the medical staff has performed medical treatment and the water supply / drainage based on the information registered in the information table 811 as shown in FIG. The management table registration process for registering the cleaning results of the pipeline 51 in the management table 812 is started (step S103). It should be noted that the management table registration process is performed once a day, for example, for information having the same date registered in the date column of the information table 811 as the processing target.

Specifically, when the management table registration process is started, the server control unit 83 of the external server 8 determines whether or not the current time is a predetermined time as shown in FIG. 10 (step S131). This predetermined time is set, for example, to a time zone outside the consultation hours.
If the current time is not a predetermined time (step S131: No), the server control unit 83 ends the management table registration process and returns the process to step S103 in FIG.

On the other hand, when the current time is a predetermined time (step S131: Yes), the server control unit 83 corresponds to the information table 811 corresponding to "preventive medical treatment", the information table 811 corresponding to "treatment", or "surgery". Any one of the information tables 811 to be used is read from the storage unit 81 (step S132).
After that, the server control unit 83 starts the primary medical practice determination process for determining the medical practice performed by the medical staff at the clinic 2 which is remote from the external server 8 (step S133).

When the primary medical practice determination process is started, the server control unit 83 refers to the device column of the information table 811 in the order of registration, and the device identification information registered in the device column is the chair unit 41, as shown in FIG. It is determined whether or not the state information registered in the state column, which is the device identification information indicating the above, is the medical treatment position (step S151).

When the status information of the chair unit 41 is the medical treatment position (step S151: Yes), the server control unit 83 refers to the device column of the information table 811 and is registered next to the device identification information indicating the chair unit 41. It is determined whether or not the identification information is the device identification information indicating the operating light 42 and the operation information registered in the status column is the lighting of the operating light 42 (step S152).

When the operation information of the operating light 42 is lit (step S152: Yes), the server control unit 83 refers to the device column of the information table 811 and registers the device next to the device identification information indicating the operating light 42. It is determined whether or not the identification information is the device identification information indicating the medical device 44 (step S153).

When the device identification information indicating the medical device 44 is registered in the device column (step S153: Yes), the server control unit 83 sets the time column and the period column of the information table 811 associated with the medical device 44 in the device column. With reference to, the information registered in the time column and the device column is temporarily stored in association with the device identification information indicating the medical device 44 registered in the device column (step S154).

After that, the server control unit 83 refers to the device column of the information table 811, and the device identification information registered next to the device identification information indicating the medical device 44 is the device identification information indicating the operating light 42, and the state. It is determined whether or not the operation information registered in the column is whether or not the operating light 42 is turned off (step S155).

If the operation information of the operating light 42 is not turned off (step S155: No), the server control unit 83 returns the process to step S153.
On the other hand, when the operation information of the operating light 42 is turned off (step S155: Yes), the server control unit 83 is registered next to the device identification information indicating the operating light 42 with reference to the device column of the information table 811. It is determined whether or not the device information identification report is the device identification information indicating the chair unit 41 and the state information registered in the state column is the seating position (step S156).

When the state information of the chair unit 41 is not the seating position (step S156: No), the server control unit 83 returns the process to step S153.
On the other hand, when the state information of the chair unit 41 is the seating position (step S156: Yes), the server control unit 83 determines that the medical treatment is performed based on the plurality of time information temporarily stored in step S154 and the device identification information. It is determined whether or not the medical treatment determination condition of the above is satisfied (step S157).

More specifically, the server control unit 83 includes information registered in the device column and the period column of the determination table 814 corresponding to the use type of the information table 811, a plurality of time information of the medical device 44 temporarily stored, and the device. Contrast with identification information.

Then, the storage order of the temporarily stored device identification information matches the usage order registered in the device column of the determination table 814, and the temporarily stored time information is the operation period registered in the time column of the determination table 814. When the lower limit value is satisfied (step S157: Yes), the server control unit 83 transmits the plurality of time information temporarily stored in step S154 and the device identification information when the medical staff performs medical treatment. As information, it is determined that the medical treatment by the medical staff has been performed, and this is used as the primary determination result (step S158).
After that, the server control unit 83 ends the primary medical practice determination process, and returns the process to step S133 in FIG.

On the other hand, in step S157, the storage order of the temporarily stored device identification information does not match the usage order registered in the device column of the determination table 814, or / and the temporarily stored time information is stored in the time column of the determination table 814. If the lower limit of the registered operation period is not satisfied (step S157: No), the server control unit 83 determines that the medical treatment by the medical staff has not been performed, and uses this as the primary determination result (step S159). .. After that, the server control unit 83 ends the primary medical practice determination process, and returns the process to step S133 in FIG.

In step S151 of FIG. 11, when the state information of the chair unit 41 is not the medical treatment position (step S151: No), in step S152, the operation information of the operating light 42 is not lit (step S152: No), or In step S153, when the device identification information indicating the medical device 44 is not registered in the device column (step S153: No), the server control unit 83 proceeds to the process in step S159, and the medical staff performs medical treatment. It is determined that there is no such condition, and this is used as the primary determination result. After that, the server control unit 83 ends the primary medical practice determination process, and returns the process to step S133 in FIG.

When the process returns to step S133 of FIG. 10 and the primary medical practice determination process is completed, the server control unit 83 determines whether or not the water supply / drainage pipeline 51 of the medical device 4 has been cleaned based on the information table 811. The cleaning execution determination process is started (step S134).

Specifically, when the cleaning execution determination process is started, the server control unit 83 of the external server 8 refers to the device column of the information table 811 as shown in FIG. 12, and performs the primary medical practice determination process (FIG. 11), whether or not the device identification information registered next to the device column read last is the device identification information indicating the gargle cup 43b, that is, the placement of the gargle cup 43b is the time information. It is determined whether or not it is registered (step S161).

When the time information of the gargle cup 43b is registered (step S161: Yes), the server control unit 83 refers to the device column of the information table 811 and of the device identification information indicating the gargle cup 43b. Next, it is determined whether or not the registered device identification information is the device identification information indicating the opening / closing door of the basin unit 43, that is, whether or not the opening / closing door opening is registered as time information (step S162). ..

When the time information of the opening / closing door of the basin unit 43 is registered (step S162: Yes), the server control unit 83 refers to the device column of the information table 811 and is next to the device identification information indicating the basin unit 43. Whether or not the registered device identification information is the device identification information indicating the cleaning device 52 of the water supply / drainage unit 45, that is, whether or not the acceptance of the operation for operating the cleaning device 52 of the water supply / drainage unit 45 is registered as time information. (Step S163).

When the time information of the cleaning device 52 of the water supply / drainage unit 45 is registered (step S163: Yes), it is determined that the cleaning of the water supply / drainage pipeline 51 of the medical device 4 has been performed by the medical staff (step S164). After that, the server control unit 83 ends the cleaning execution determination process, and returns the process to step S134 in FIG.

On the other hand, in step S161, the time information for placing the gargle cup 43b is not registered (step S161: No), and in step S162, the time information for the opening / closing door of the basin unit 43 is not registered (step S161). In S162: No) and in step S163, when the time information of the cleaning device 52 of the water supply / drainage unit 45 is not registered (step S163: No), the server control unit 83 cleans the water supply / drainage pipeline 51 of the medical device 4. After determining that it has not been performed by the medical staff (step S165), the cleaning execution estimation process is terminated, and the process is returned to step S134 in FIG.

When the process returns to step S134 of FIG. 10 and the cleaning execution determination process is completed, the server control unit 83 of the external server 8 determines the primary determination result in the primary medical practice determination process in step S133 and the cleaning execution determination process in step S134. Based on the determination based on the determination result, the secondary medical practice determination process for obtaining either the implementation of the medical treatment or the non-execution of the medical treatment as the secondary determination result is started.

Specifically, the server control unit 83 determines whether or not the primary determination result in step S133 is the implementation of medical treatment and the determination result in step S134 is the non-execution of cleaning (step S135).
When the primary determination result of step S133 is the implementation of medical treatment and the determination result of step S134 is non-execution of cleaning (step S135: Yes), the server control unit 83 determines the primary determination result in step S133 by the medical staff. It is determined that the medical treatment has been performed once, and this is counted as one time and temporarily stored (step S136).

In other words, the server control unit 83 uses a plurality of devices such as the medical device 44 corresponding to the device identification information in the medical device 4 corresponding to the device identification information 48a, in which the medical treatment of the medical treatment content corresponding to the device identification information 48a is performed. It is determined that it was performed once.

On the other hand, when the primary determination result of step S133 is the implementation of medical treatment and the determination result of step S134 is not the non-execution of cleaning, that is, the implementation of cleaning (step S135: No), the server control unit 83 is in step S133. Even if the primary determination result is the implementation of medical treatment, it is determined that the medical treatment is not performed by the medical staff (step S137).

After that, the server control unit 83 determines whether or not the processes of steps S133 to S137 have been performed on all the data of the information table 811 read in step S132 (step S138).
If the processing for all the data is not completed (step S138: No), the server control unit 83 returns the processing to step S133, and the processing from step S133 to step S137 until the processing for all the data in the information table 811 is completed. repeat.

On the other hand, if the processing for all the data is completed (step S138: Yes), the server control unit 83 registers the total number of times the medical treatment is temporarily stored in the medical treatment number column of the management table 812, and steps S134. When it is determined that the water supply / drainage pipe line 51 is to be cleaned, “◯” indicating that the water supply / drainage pipe line 51 is to be cleaned is registered in the cleaning execution column of the management table 812 (step S139).

Then, the server control unit 83 processes the information table 811 corresponding to "preventive medical treatment", the information table 811 corresponding to "treatment", and the information table 811 corresponding to "surgery" from steps S133 to S139. (Step S140).

When the processing for all the information tables 811 is not completed (step S140: No), the server control unit 83 reads the next information table 811 from the storage unit 81, returns the processing to step S133, and returns all the information. The processing of steps S133 to S139 is repeated until the processing for table 811 is completed.
On the other hand, when the processing for all the information tables 811 is completed (step S140: Yes), the server control unit 83 ends the management table registration processing and returns the processing to step S103 in FIG.

Returning to step S103 of FIG. 8, when the management table registration process is completed, the server control unit 83 generates output data 813 indicating the medical treatment implementation results and the cleaning results of the water supply / drainage unit 45 for each predetermined number of days, and the clinic The output data transmission process to be transmitted to the management device 6 of 2 is started (step S104). In this embodiment, as an example, the output data 813 is generated and transmitted to the management device 6 every month.

When the output data transmission process is started, the server control unit 83 of the external server 8 determines whether or not the current date is a predetermined date as shown in FIG. 13 (step S171). In this embodiment, as an example, a predetermined date will be described as the end of the month.
If the current date is not the end of the month (step S171: No), the server control unit 83 ends the output data transmission process and returns the process to step S104 of FIG.

On the other hand, when the current date is the end of the month (step S171: Yes), the server control unit 83 corresponds to the management table 812 corresponding to "preventive medical care", the management table 812 corresponding to "treatment", and "surgery". The management table 812 is read from the storage unit 81 (step S172).

After that, the server control unit 83 calculates the total number of times the medical treatment is performed after the most recent cleaning, which is indicated by the cleaning execution information. Specifically, the server control unit 83 is a period in which the days when the water supply / drainage pipe 51 is not cleaned are continuous based on "○" indicating the cleaning of the water supply / drainage pipe 51 registered in the cleaning execution column. The total number of times the medical treatment is performed in the above is calculated (step S173).
When the total number of times of medical treatment is calculated, the server control unit 83 determines whether or not the number of times of medical treatment is equal to or less than the first determination threshold value for determining the necessity of cleaning the water supply pipe 451. (Step S174). The first determination threshold is the number of times of medical treatment that can determine the sanitary condition of the water supply pipe 451.

Here, the relationship between the sanitary condition of the water supply pipe 451 and the first determination threshold value will be described. The water supply line 451 is supplied with not only water used for cleaning but also water used for medical treatment by medical staff. At this time, as the number of medical treatments performed by the medical staff is smaller, the chance of water flowing in the water supply pipe 451 decreases. Therefore, the water in the water supply pipe 451 deteriorates with the passage of time, so that the water supply pipe 451 deteriorates. It becomes difficult to maintain good hygiene. On the other hand, when the number of medical treatments performed by the medical staff is large, water frequently flows in the water supply pipe 451, so that the sanitary condition of the water supply pipe 451 is easily maintained in a good state. That is, the sanitary condition of the water supply pipe 451 can be determined by the number of times of medical treatment. Therefore, the number of times of medical treatment that can determine the sanitary condition of the water supply pipe 451 is set as the first determination threshold value.

When the number of times of medical treatment is equal to or less than the first determination threshold value (step S174: Yes), the server control unit 83 is in a state where the water in the water supply pipe 451 is not flowing frequently, so that the water supply pipe 451 is washed. After determining that it is necessary (step S175), the necessity information indicating the cleaning necessity of the water supply pipe 451 and the information indicating the time when the cleaning necessity is determined are associated and temporarily stored.

On the other hand, when the number of times of medical treatment exceeds the first determination threshold value (step S174: No), the server control unit 83 is in a state where the water in the water supply pipe 451 is frequently flowing, so that the water supply pipe 451 It is determined that cleaning is unnecessary (step S176).
When determining the necessity of cleaning the water supply pipe 451, the server control unit 83 determines whether or not the number of medical examinations is equal to or less than the second determination threshold value for determining the necessity of cleaning the drainage pipe 452 ( Step S177). The second determination threshold is the number of times of medical treatment that can determine the sanitary condition of the drainage pipe 452.

Here, the relationship between the sanitary condition of the drainage pipe 452 and the second determination threshold value will be described. Not only the water used at the time of cleaning, but also the water used at the time of medical treatment by the medical staff is drained to the drainage pipe 452. At this time, as the number of medical treatments performed by the medical staff increases, water containing blood and impurities of the patient flows more frequently in the drainage pipe 452, so that the sanitary condition of the drainage pipe 452 is maintained in a good state. It becomes difficult to drip. On the other hand, when the number of medical treatments performed by medical staff is small, there is little opportunity for water containing blood and impurities of the patient to flow in the drainage pipe 452, so that the sanitary condition of the drainage pipe 452 is maintained in good condition. Easy to drip. That is, the sanitary condition of the drainage pipe 452 can be determined by the number of times of medical treatment. Therefore, the number of times of medical treatment that can determine the sanitary condition of the drainage pipe 452 is set as the second determination threshold value.
The second determination threshold value may be a threshold value different from the first determination threshold value, for example, a threshold value larger than the first determination threshold value. Alternatively, the threshold value may be the same as the first determination threshold value.

When the number of times of medical treatment is equal to or greater than the second determination threshold (step S177: Yes), the server control unit 83 is in a state where drainage is frequently flowing in the drainage pipe 452, so that the drainage pipe 452 is cleaned. After determining that it is necessary (step S178), the information indicating the cleaning required of the drainage pipe 452 and the information indicating the time when the cleaning is determined to be required are temporarily stored in association with each other.

On the other hand, when the number of times of medical treatment is lower than the second determination threshold value (step S177: No), the server control unit 83 is in a state where drainage does not frequently flow in the drainage pipe 452, so that the drainage pipe 452 It is determined that cleaning is unnecessary (step S179).

After that, the server control unit 83 generates output data 813 to be displayed on the display unit 61 of the management device 6 based on the management table 812 (step S180). At this time, the server control unit 83 generates the output data 813 by associating the information registered in the management table 812 read in step S171 with the device identification information 48a corresponding to the management table 812.

Further, the server control unit 83 relates to the cleaning timing of the water supply pipe 451 based on the necessity information indicating the cleaning necessity of the water supply pipe 451 and the information indicating the time when the cleaning necessity of the water supply pipe 451 is determined. A comment is generated, and a comment regarding the cleaning timing of the drainage pipe 452 is generated based on the information indicating the cleaning necessity of the drainage pipe 452 and the information indicating the time when the cleaning of the drainage pipe 452 is determined to be necessary. And register it in the output data 813.

In this way, as shown in FIGS. 14 and 15, the server control unit 83 displays the output displayed on the display unit 46 of the management device 6 as a performance screen S showing the implementation results of medical treatment and the cleaning results of the water supply / drainage unit 45. Generate data 813.

As shown in FIGS. 14 and 15, the output data 813 is displayed at the upper part of the screen as a title such as "Monthly result (treatment)" for example, monthly and usage type, and daily medical treatment is performed. A list of achievements and cleaning achievements of the water supply / drainage pipe 51 is displayed in the center of the screen, and a performance screen S in which comments regarding the sanitary condition of the water supply / drainage pipe 51 are displayed is displayed on the display unit 46 of the management device 6. Let it be data.

When the output data 813 is generated, the server control unit 83 requests all of the management table 812 corresponding to "preventive medical care", the management table 812 corresponding to "treatment", and the management table 812 corresponding to "surgery". It is determined whether or not the processing of step S180 has been performed from step S173 (step S181).

When the processing for all the management tables 812 is not completed (step S181: No), the server control unit 83 returns the processing to step S173 and steps from step S173 until the processing for all the management tables 812 is completed. The process of S180 is repeated.

On the other hand, when the processing for all the management tables 812 is completed (step S181: Yes), the server control unit 83 transmits the generated output data 813 to the management device 6 via the communication unit 82 (step S182). After that, the server control unit 83 completes the output data transmission process and returns the process to step S104 of FIG.

Returning to step S104 of FIG. 8, when the management device 6 acquires the output data 813 transmitted by the external server 8, the management control unit 65 of the management device 6 starts the output data display process (step S105) and acquires the data. The output data 813 is stored in the storage unit 63 as the output data 63d, and then the management control unit 65 causes the display unit 46 to display the output data 63d as the actual result screen S so as to be viewable.

Such information transmission processing of the medical device 4 (step S101 of FIG. 8), information table registration processing of the external server 8 (step S102 of FIG. 8), management table registration processing (step S103 of FIG. 8), and output data. The transmission process (step S104 in FIG. 8) and the output data display process of the management device 6 (step S105 in FIG. 8) are performed until the power of the medical device 4, the external server 8, and the management device 6 is cut off, respectively. It is executed repeatedly.

As described above, the external server 8 for determining the necessity of cleaning the medical equipment (chair unit 41, medical equipment 44, etc.) is the medical treatment implementation information (primary determination result of step S158) indicating the implementation of medical treatment using the medical equipment. ), And the server control unit 83 that acquires the cleaning execution information (determination result of step S164) indicating the cleaning of the medical device, and the necessity of cleaning the medical device based on the medical treatment implementation information and the cleaning execution information. By providing the server control unit 83 for determination, it is possible to determine the necessity of cleaning the medical device without increasing the burden on the medical worker.

Further, the external server 8 notifies the medical staff of the necessity of cleaning the medical device via the management device 6 connected by the communication line 7, thereby notifying the necessity of cleaning the medical device. Alternatively, it is possible to easily provide a service that promotes cleaning of medical equipment.

In addition, the server control unit 83 acquires related information (operation information and state information) related to the operation or state of the medical device, and makes a medical examination based on the determination based on the related information (operation information and state information). By acquiring the implementation information and the cleaning implementation information, the external server 8 indicates the implementation of the medical treatment without requiring the medical staff to press the button indicating the start of the medical treatment or the button indicating the start of the cleaning, for example. It is possible to reliably obtain medical treatment implementation information and cleaning implementation information indicating the implementation of cleaning of medical equipment.
Therefore, the external server 8 can determine the necessity of cleaning the medical device without increasing the work performed by the medical staff when performing medical treatment using the medical device or cleaning the medical device.

Further, by further providing the server control unit 83 that outputs the output data 813 to the outside, the external server 8 can easily provide a service for notifying, for example, a medical worker of the necessity of cleaning the medical device. can do. Therefore, the external server 8 can support the medical device to be kept in a clean state by the medical worker, and can reduce the burden on the medical worker.

Further, the server control unit 83 determines whether or not the medical device needs to be cleaned based on the number of times the medical treatment is performed after the latest cleaning, which is indicated by the cleaning execution information. It is possible to save the time and effort required for the medical staff to judge whether or not the medical device needs to be cleaned according to the number of times the medical treatment is performed.

Specifically, the sanitary condition of the medical device may deteriorate even when the number of medical treatments by the medical staff is large or the number of medical treatments by the medical staff is small. Therefore, it is desirable that the necessity of cleaning the medical device is appropriately determined according to the number of medical treatments performed by the medical staff.

Therefore, the external server 8 is a medical worker by the server control unit 83 that determines the necessity of cleaning the medical device based on the number of times of medical treatment after the latest cleaning, which is indicated by the cleaning execution information. It is possible to appropriately and easily determine the necessity of cleaning the medical device according to the number of medical treatments performed by the medical device.

Therefore, the external server 8 can save the time and effort for the medical staff to determine whether or not the medical device needs to be cleaned according to the number of times the medical treatment is performed.
Further, the external server 8 notifies the medical worker of the necessity of cleaning the medical device via the management device 6 connected by the communication line 7, so that the medical device is kept clean by the medical worker. Can help you to hang down.

Further, the server control unit 83 determines whether or not cleaning of the medical device provided with the water supply pipe 451 for supplying the washing water and the drainage pipe 452 for draining the washing water after washing is necessary, thereby determining the external server 8 Can determine the necessity of cleaning the medical equipment provided with the water supply line 451 and the drainage line 452 without increasing the burden on the medical worker.

Further, since the medical device is a dental medical device and the water supply pipe 451 supplies water used for medical treatment using the dental medical device, the external server 8 increases the burden on the medical staff. It is possible to determine the necessity of cleaning a dental medical device provided with a water supply line 451 for supplying water used for medical treatment.

Further, the external server 8 notifies the medical staff via the management device 6 connected by the communication line 7 whether or not the dental device needs to be cleaned, so that the external server 8 of the dental device provided with the water supply line 451 is provided. It is possible to facilitate the provision of a service for notifying the necessity of cleaning. Therefore, in the external server 8, the medical device inserted into the oral cavity of the patient is kept clean, or the water ejected from the water supply pipe 451 is kept clean at the time of medical treatment. Can support.

In addition, the number of times of medical treatment after the latest cleaning, which is indicated by the cleaning execution information, is the first determination threshold value for determining the necessity of cleaning the water supply pipe 451 by the server control unit 83. In the following cases, by determining that cleaning of the water supply line 451 is necessary, the external server 8 determines the necessity of cleaning the water supply line 451 and the number of times of medical treatment without increasing the burden on the medical staff. Therefore, it can be determined appropriately and easily.

Specifically, the longer the time interval between the medical equipment once operated and the next operation, that is, the smaller the number of times the medical treatment is performed, the longer the water in the water supply pipe 451 does not flow. Therefore, the water in the water supply line 451 deteriorates with the passage of time, which may deteriorate the sanitary condition of the water supply line 451.

Therefore, when the number of times of medical treatment is equal to or less than the first determination threshold value, the server control unit 83 determines that the water supply line 451 needs to be cleaned, and the external server 8 determines whether or not the water supply line 451 needs to be cleaned. , Appropriately and easily can be determined according to the number of times of medical treatment.

Further, by notifying the medical staff of the necessity of cleaning the water supply pipe 451 via the management device 6 connected by the communication line 7, the external server 8 medically engages in the sanitary condition of the water supply pipe 451. It is possible to notify the person and prompt the cleaning of the water supply pipe 451 at an appropriate timing.

As a result, the external server 8 saves the trouble of the medical staff to determine whether or not the water supply pipe 451 needs to be cleaned according to the number of times of medical treatment, and the sanitary condition of the water supply pipe 451 is changed to the medical staff. It can be easily helped by a person to be kept clean.

Further, the drainage pipe 452 drains the drainage used at the time of medical treatment, and the server control unit 83 determines the number of times of medical treatment after the latest cleaning, which is indicated by the cleaning execution information. If it is equal to or higher than the second determination threshold, which is the threshold for determining the necessity of cleaning the drainage pipe 452, the external server 8 bears the burden on the medical staff by determining that the drainage pipe 452 needs to be cleaned. The necessity of cleaning the drainage pipe 452 can be appropriately and easily determined according to the number of times of medical treatment without increasing the number.

Specifically, the shorter the time interval between the medical equipment once operated and the next operation, that is, the more times the medical treatment is performed, the more frequently the water containing the patient's blood and impurities flows through the drainage pipe 452. Will be done. Therefore, the patient's blood, impurities, and the like may adhere to or accumulate in the drainage pipe 452 with the passage of time, and the hygiene condition of the drainage pipe 452 may deteriorate.

Therefore, when the number of times of medical treatment is equal to or greater than the second determination threshold value, the server control unit 83 determines that the drainage pipe 452 needs to be cleaned, and the external server 8 determines whether or not the drainage pipe 452 needs to be cleaned. It can be determined appropriately and easily according to the number of times the medical treatment is performed.

Further, by notifying the medical staff of the necessity of cleaning the drainage pipe 452 via the management device 6 connected by the communication line 7, the external server 8 medically engages in the sanitary condition of the drainage pipe 452. It is possible to notify the person and prompt the cleaning of the drainage pipe 452 at an appropriate timing.

As a result, the external server 8 saves the time and effort for the medical staff to determine whether or not the drain pipe 452 needs to be cleaned according to the number of times of medical treatment, and the hygiene condition of the drain pipe 452 is changed to the medical staff. It can be easily helped by a person to be kept clean.

Further, since the number of times of medical treatment after the latest cleaning is performed, which is indicated by the cleaning execution information, is the number of times from the latest cleaning to the lapse of a predetermined time, the external server 8 is used for cleaning the medical device. Not only is it necessary, but it is also possible to determine whether or not the medical device has been properly cleaned with respect to the number of times the medical treatment has been performed between the most recent cleaning and the lapse of a predetermined time.

In addition, the cleaning execution information indicates that the operation of starting the cleaning of the water supply pipe 451 and the cleaning of the drainage pipe 452 has been accepted, and the information indicating the state in which the garment cup 43b is placed in the garment bowl 43a. Since the information is based on the above, the external server 8 is based on the information that can be output by the existing device without adding additional hardware to the medical device or the device that controls the operation of the medical device, for example. It is possible to determine the necessity of cleaning medical equipment.

Further, the external server 8 for determining the necessity of cleaning the medical device having the water supply pipeline 451 for supplying the liquid used for the medical treatment and cleaning is the medical treatment implementation information indicating the implementation of the medical treatment using the medical equipment. Based on the server control unit 83 that acquires the cleaning execution information indicating the cleaning of the medical equipment, the medical treatment implementation information, and the number of medical treatments performed after the latest cleaning, which is indicated by the medical treatment implementation information and the cleaning implementation information. By providing the server control unit 83 for determining the necessity of cleaning the water supply line 451, it is possible to determine the necessity of cleaning the water supply line 451 without increasing the burden on the medical staff.

Further, the support system 1 for supporting the work of the medical staff includes medical equipment used by the medical staff, a management device 6 for managing the medical equipment, and the above-mentioned external server 8, and the external server 8 is a server. By providing the server control unit 83 that outputs information based on the determination result by the control unit 83 to the management device 6, it is possible to determine the necessity of cleaning the medical device without increasing the burden on the medical staff. Can be done.

In addition, the determination method using a device that determines the necessity of cleaning medical equipment is to acquire medical treatment implementation information indicating the implementation of medical treatment using the medical equipment and cleaning implementation information indicating the implementation of cleaning of the medical equipment. By providing a process and a determination process for determining the necessity of cleaning the medical device based on the medical treatment implementation information and the cleaning implementation information, the medical device can be cleaned without increasing the burden on the medical staff. Whether it is necessary or not can be determined.

The present invention is not limited to the configuration of the above-described embodiment, and many embodiments can be obtained.
For example, in the above-described embodiment, the medical device 4 including the chair unit 41, the operating light 42, the basin unit 43, a plurality of medical devices 44, and the like is used, but the medical device 4 is not limited to this, and the medical device 4 is used for medical purposes. The configuration may be appropriate according to the above, and for example, in addition to the configuration of the above-described embodiment, an X-ray device, an autoclave, or the like may be further provided.

Further, the handpiece 44a, the vacuum 44b, the scaler, the implant drill, the medical laser, the gargle cup 43b, etc. are used as the medical equipment 44, but the medical equipment 44 is not limited to this, and is used by medical staff during medical treatment. As long as it is a device or a device used by a patient, for example, an appropriate device such as an roentgen device or an autoclave may be used as a medical device.

Further, the chair unit 41, the operating light 42, the basin unit 43, the plurality of medical devices 44, and the water supply / drainage section 45 are medical devices used by medical staff and patients, but the present invention is not limited to this, and for example, an X-ray device. An appropriate device such as an autoclave or an autoclave may be used as a medical device.

Further, the medical care control unit 50 of the medical care device 4 is configured to transmit the time information, the operation information, the state information, the device identification information, and the device identification information 48a to the external server 8 via the communication unit 49. For example, the medical device 44 is provided with a control unit that controls the operation of the medical device 44, and the medical device 44 provides time information, operation information, state information, and device identification information to the medical care control unit 50 and communication. The configuration may be such that the information is directly transmitted to the external server 8 via the unit 49.

Further, the medical device 4 is configured to associate the time information with the operation information, the state information, and the like and transmit the time information to the external server 8 via the communication unit 49, but the medical device 4 is not limited to this, and the medical device 4 is the communication unit 49. When the external server 8 receives the operation information and the state information transmitted via the above, the external server 8 generates the time information at the timing when the operation information and the state information are received, and also the operation information and the state information. Time information may be associated.

Further, the external server 8 is configured to acquire the time information, the operation information, the state information, the device identification information, and the device identification information 48a via the communication lines 3 and 7, but the present invention is not limited to this. In 4, the time information, the operation information, the state information, the device identification information, and the device identification information 48a are stored in the storage medium, and the external server 8 stores the time information, the operation information, the state information, and the device identification via the storage medium. The configuration may be such that the information and the device identification information 48a are acquired. At this time, it is assumed that the medical device 4 and the external server 8 are provided with a medium reading / writing unit having a function of writing various information to the storage medium and a function of reading various information of the storage medium.

Further, a medical treatment start button indicating the start of medical treatment pressed by the medical staff and a cleaning start button indicating the start of cleaning are provided in the medical treatment device 4, and when the medical treatment start button is pressed by the medical staff, the medical treatment control unit 50 stores information indicating the execution of medical treatment in a storage medium, and when the cleaning start button is pressed by a medical worker, the medical care control unit 50 stores information indicating cleaning of the medical device in the storage medium and externally. The server 8 may acquire the information indicating the implementation of the medical treatment as the implementation of the medical treatment and the information indicating the cleaning of the medical device as the implementation of the cleaning of the medical device via the storage medium.
Alternatively, the external server 8 may be configured to acquire information indicating the implementation of medical treatment and information indicating cleaning of the medical device via the communication lines 3 and 7.

Further, it has been described that the external server 8 provided at a remote location away from the clinic 2 determines the implementation of medical treatment and the cleaning of the water supply / drainage pipeline 51, but the present invention is not limited to this. The management device 6 may be configured to determine the implementation of medical treatment and the execution of cleaning of the water supply / drainage pipeline 51.

In addition, the primary medical practice determination process for determining the implementation of medical care based on the state information of the chair unit 41, the operation information of the operating light 42, the operation information of the medical device 44, and the time information of the medical device 44 (FIG. 11). (Refer to), but not limited to this, the implementation of medical treatment is determined based on the operation information, state information, and time information of the appropriate equipment used by the medical staff and the appropriate equipment used by the patient. It may be the primary medical practice judgment process.

At this time, for example, the operation information may be information related to the lighting of the handpiece 44a light, information related to the operation of the X-ray device, information related to the operation of the autoclave, and the like.
On the other hand, the state information includes information related to the open / closed state of the opening / closing lid of the basin unit 43, information related to the connection state of the medical device 44, information related to the state of the medical device 44 based on a change in the voltage value, and a current value. Information related to the state of the medical device 44 based on the change in the above, information related to the state of the water supply / drainage unit 45 based on the temperature change, information on the placement state of the medical device, and the like may be used.

Further, the external server 8 executes the management table registration process once a day and executes the output data transmission process once a month. The management table registration process and the output are not limited to this. The external server 8 may execute the data transmission process at an appropriate timing, for example, sequentially.

Further, based on the time information of the mouthwash cup 43b, the time information of the opening / closing door of the basin unit 43, and the time information of the cleaning device 52 of the water supply / drainage unit 45, the cleaning execution determination process for determining the cleaning execution of the water supply / drainage pipeline 51 ( (See FIG. 12), but the present invention is not limited to this, and the cleaning execution determination process for determining the cleaning execution of the water supply / drainage pipeline 51 may be performed based on the time information peculiar to the cleaning of the water supply / drainage pipeline 51.

Specifically, information indicating a state in which a plurality of tubes 451a to which the handpiece 44a is connected are pulled out, information indicating that an operation for starting the supply of washing water to the water supply / drainage pipe 51 has been accepted, and a water supply pipe. Time information transmitted based on at least one of the information indicating that the operation for starting the cleaning of the cleaning agent into the 451 has been accepted and the information indicating that the operation for starting the cleaning of the drainage tank 457 has been accepted. The cleaning execution determination process may be performed to determine the cleaning execution of the water supply / drainage pipe line 51.

For example, based on the time information transmitted based on the information indicating that the pickups of all the handpieces 44a have been detected, and the information indicating that the cleaning sequence such as opening the opening / closing door of the basin unit 43 has been detected. When one or more of the time information transmitted based on the time information transmitted and the time information transmitted based on the information indicating that the operation for operating the cleaning device 52 of the water supply / drainage unit 45 has been detected is acquired, the water supply / drainage pipeline 51 It may be a cleaning execution determination process for determining that the cleaning is performed.
Then, the necessity of cleaning the medical device is determined based on the determination result that the cleaning execution determination process determines that the cleaning is performed and the primary determination result that the primary medical practice determination process determines that the medical treatment is performed. You may.

Further, the output data 813 is transmitted to the management device 6 and displayed on the display unit 61 of the management device 6 so as to be viewable. However, the data is not limited to this and is output by the external server 8 or the printer connected to the management device 6. Data 813 may be printed.

In addition, the output data 813 constituting the result screen S in which the list of the daily medical care implementation results, the cleaning results of the water supply / drainage pipe line 51, and the comments regarding the sanitary condition of the water supply / drainage pipe line 51 are displayed is used. The output data is not limited to 813, and may be output data 813 constituting the actual screen S on which a graph showing the operating rate of the medical device 4 and the operating rate of the medical device 44 is displayed.

Further, the external server 8 is configured to be registered in the information table 811 every time the timing information, the operation information, the state information, the device identification information, and the device identification information 48a are acquired, but the present invention is not limited to this, and the serial temporary storage is not limited to this. It may be configured to be used.
Further, the medical treatment judgment conditions registered in the judgment table 814 are an example, and are not limited to this, and correspond to the equipment used in the actual medical treatment, the operation order of the equipment, and the operation period of the equipment. It may be an appropriate determination condition.
Further, in the primary medical practice judgment process, the judgment table 814 is referred to, but the present invention is not limited to this, and even if the medical care judgment conditions of the judgment table 814 are registered in the program that realizes the primary medical practice judgment process. Good.

Further, the processing operation of the information transmission processing (see step S101 in FIG. 8) in the medical device 4 is an example, and is not limited to the processing operations of steps S111 to S126 of FIG. 9, and the operation of the medical device and / and Any processing operation may be performed as long as the processing operation can transmit the timing information, the operation information, the state information, the device identification information, and the device identification information 48a according to the state to the external server 8.

Further, the management table registration process (see step S103 in FIG. 8) on the external server 8 is an example, and is not limited to the processing operations of steps S131 to S140 in FIG. As long as it is a processing operation that can be determined and registered in the management table 812, an appropriate processing operation may be performed.

Further, in the management table registration process on the external server 8, it was determined whether or not the medical treatment was performed based on the primary judgment result of the primary medical practice judgment process and the judgment result of the cleaning execution estimation process. However, the present invention is not limited to this, and the secondary medical practice determination process may be skipped and the primary determination result of the primary medical practice determination process may be determined as the implementation of medical treatment or the non-execution of medical treatment.

Further, the processing operation of the primary medical practice determination process (see step S133 in FIG. 10) on the external server 8 is an example, and is not limited to the processing operations of steps S151 to S159 in FIG. Alternatively, if it is a processing operation that can determine non-execution of medical treatment, for example, it is determined that medical treatment is performed based on a plurality of related information (operation information and state information) and an estimation model using a neural network. May be good.

Further, the processing operation of the cleaning execution determination process (see step S134 in FIG. 10) in the external server 8 is an example, and is not limited to the processing operations of steps S161 to S165 in FIG. As long as it is a processing operation that can appropriately determine whether or not cleaning is performed, an appropriate processing operation may be performed. For example, it may be determined that the water supply / drainage pipe line 51 is cleaned based on an estimation model using a neural network.

Further, the processing operation of the output data transmission process (see step S104 in FIG. 8) in the external server 8 is an example, and is not limited to the processing operations of steps S171 to S182 in FIG. 13, and the water supply line 451 is cleaned. Any processing operation may be performed as long as it is possible to determine the necessity and the necessity of cleaning the drainage pipe 452 and generate and transmit the output data 813.

Further, in dental practice, an external server 8 which is a support device for supporting the work of a medical worker, a support system 1 provided with a medical device 4 and an external server 8, and a support method are used, but the present invention is not limited to this. It may be applied to support devices, support systems, and support methods used outside of dental practice. For example, otolaryngology, surgery, internal medicine, ophthalmology, obstetrics and gynecology, orthopedics, etc., medical fields that use medical tables, operating tables, roentgen devices, lighting devices, surgical instruments, cleaning devices, or sterilization devices. It is possible to apply in.

1 ... Support system 8 ... External server 4 ... Medical equipment 41 ... Chair unit 42 ... Operating light 43 ... Baseon unit 44 ... Medical equipment 45 ... Water supply / drainage unit 82 ... Communication unit 83 ... Server control unit 451 ... Water supply pipe 452 ... Drainage pipe Road 813 ... Output data

Claims (10)

A determination device for determining the necessity of cleaning a dental medical device having a water supply pipe system for supplying a liquid used for medical treatment and cleaning and a drainage pipe system for draining the liquid.
An acquisition unit that acquires medical care implementation information indicating the implementation of medical treatment using the dental medical device and cleaning implementation information indicating the cleaning of the dental medical device.
The necessity of cleaning the water supply pipe system and the necessity of cleaning the drainage pipe system are determined based on the medical treatment implementation information and the number of medical treatments performed after the latest cleaning, which is indicated by the cleaning implementation information. A determination device provided with a determination unit for individually determining each of the above. The determination unit
The threshold value for determining the necessity of cleaning the water supply pipe system and the threshold value for determining the necessity of cleaning the drainage pipe system are different.
The determination device according to claim 1. The acquisition unit
Claim 1 or claim 2 which acquires the related information related to the operation or state of the dental medical device, and also acquires the medical care implementation information and the cleaning implementation information by a determination based on the related information. Judgment device according to. The determination device according to any one of claims 1 to 3 , further comprising an output unit that outputs the determination result determined by the determination unit to the outside. The determination unit
When the number of times of medical treatment performed after the latest cleaning performed, which is indicated by the cleaning execution information, is equal to or less than the first determination threshold value for determining the necessity of cleaning the water supply pipe system, the water supply pipe It is judged that the system needs cleaning.
The determination device according to any one of claims 1 to 4. Before SL judgment unit,
When the number of times of medical treatment performed after the latest cleaning performed, which is indicated by the cleaning execution information, is equal to or greater than the second determination threshold value for determining the necessity of cleaning the drainage pipe system, the drainage pipe It is judged that the system needs cleaning.
The determination device according to any one of claims 1 to 5. The number of medical treatments performed after the most recent cleaning, as indicated by the cleaning implementation information, is
The number of times from the most recent cleaning to the lapse of a predetermined time.
The determination device according to any one of claims 1 to 6. The cleaning execution information is
Information indicating that the operation to start cleaning the water supply pipe system or cleaning the drainage pipe system has been accepted, information indicating a state in which a plurality of tubes to which the handpiece included in the dental equipment is connected are pulled out, gargle. Information indicating that the cup is placed in the pot, information indicating that the operation to start the supply of cleaning water to the water supply pipe system has been accepted, and the operation to start charging the cleaning agent to the water supply pipe system. Information based on at least one or more of the information indicating that the operation has been accepted and the information indicating that the operation for starting the cleaning of the drainage tank has been accepted.
The determination device according to any one of claims 1 to 7. A support system that supports the work of medical professionals
Dental equipment used by healthcare professionals and
A management device for managing the dental instrument,
The determination device according to any one of claims 1 to 8 is provided.
The determination device is
A support system including an output unit that outputs information based on a determination result by the determination unit to the management device. It is a determination method executed by a device for determining the necessity of cleaning a dental medical device having a water supply pipe system for supplying a liquid used for medical treatment and cleaning and a drainage pipe system for draining the liquid. ,
An acquisition process in which the acquisition unit of the device acquires medical treatment implementation information indicating the implementation of medical treatment using the dental medical device and cleaning execution information indicating the implementation of cleaning of the dental medical device.
The necessity of cleaning the water supply pipe system and the necessity of cleaning the drainage pipe system are determined based on the medical treatment implementation information and the number of medical treatments performed after the latest cleaning, which are indicated by the cleaning implementation information. A determination method including a determination step in which the determination unit of the device individually determines.

Images