Post on 25-Jan-2021
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Case Study:Case Study:
Supply, collection and traceability management Supply, collection and traceability management system for metallic surgical instrumentssystem for metallic surgical instruments
Scale of New Central Clinical FacilitiesNumber of beds
Advanced medical technology including laparoscopic
radical prostatectomy is provided.
Number of clinical departments Number of clinical departments
Number of nurses
Number of operating theaters
Number of operations
Kazumi TAKI, Former Assistant Manager, Department of Surgical Center,
Presented by Hiroyuki KAWAGUCHI, Sakura System Planning
Supply, collection and traceability management Supply, collection and traceability management system for metallic surgical instrumentssystem for metallic surgical instruments
Scale of New Central Clinical Facilities1035
Advanced medical technology including laparoscopic
radical prostatectomy is provided.
Number of clinical departments 31 Number of clinical departments 31
615
14
Approximately 7,300 for FY2007
Department of Surgical Center, Nagoya University Hospital
Sakura System Planning
Surgical instrument reprocessing flowSurgical instrument reprocessing flow
Supply
Surgical instrument reprocessing flowSurgical instrument reprocessing flow
5th floor
Clean area
1
Clean area
Semi-clean area
Contaminated area
Hand-washing area
Medical equipment area
Flow line of supplied items
Flow line of returned items
Middle area
Operating theater
Collection
4th floor
System configuration and flow line of sterilized surgical instruments
Consolidated management of all dispatched sterilized
surgical instruments can be conducted in the Central
Supply Department.
Unit 1 Sterilized instrument utilization management system
System configuration and flow line of sterilized surgical instruments - part 1-
Operation of cleaning and sterilization devices can
be monitored in real time.
Unit 2Monitoring system for cleaning and sterilization devices
2
Surgical instrument flow in the Department of Surgical Center
1> Collection after use - Cleaning room
Standard data processing flow chart to track used
<
Assembling
Labels of
returned items
Sterilizationcontainer
Containerplate
Loading - Cleaning room
Cleaner rack
Rack number
barcode
Rack number barcode
Cleaner rack
Checklist of
returned items
Jet-type cleaning machine
Cleaning by hand
Loading - Assembling
room
Sterilization
container
Sterilization carts
Sterilization number
& cart number
barcodes
Individual instruments &
instrument packages
Sterilization started-
Assembling room
Traverser
Sterilization carts
Sterilization
completed
sterilization
AGV
Surgical instrument flow in the Department of Surgical Center -part 1-used surgical instruments
Cleaning completed -
Assembling room
Barcode printer
Label printing -
Assembling room
Sterilization container
Instrument set
assembly- Assembling
roomChecklist for instrument
sets
Cleaner rack
Rack number
barcode
Sterilization completed
3
>Sterilization
completed-Post
sterilization room
Automated warehouse
Sterilization completed
-Post sterilization room
Vertical warehouse
Dispatch- Post
sterilization room
Lists of dispatched items
Examples of barcodes used in this systemExamples of barcodes used in this system
4
Surgical instrument flow in the Department of Surgical Center
1> Collection after use - Cleaning room
Standard data processing flow chart to track used
<
Assembling
Labels of
returned
items
Sterilizationcontainer
Containerplate
Loading - Cleaning room
Cleaner rack
Rack number
barcode
Rack number barcode
Cleaner rack
Checklist of
returned items
Jet-type
cleaning
machine
Cleaning
by hand
Loading - Assembling
room
Sterilization
container
Sterilization carts
Sterilization number
& cart number
barcodes
Individual instruments &
instrument packages
Sterilization started-
Assembling room
Traverser
Sterilization carts
Sterilization
completed
sterilization
AGV
Surgical instrument flow in the Department of Surgical Center -part 1-used surgical instruments
Cleaning completed -
Assembling room
Barcode printer
Label printing -
Assembling room
Sterilization
container
Instrument set
assembly- Assembling
room
Checklist for
instrument
sets
Cleaner rack
Rack number
barcode
Sterilization completed
5
>Sterilization
completed-Post
sterilization room
Automated
warehouse
Sterilization completed
-Post sterilization room
Vertical
warehouse
Dispatch- Post
sterilization room
Lists of
dispatched
items
Collection of used surgical instruments Collection of used surgical instruments
6
Automatic cleaning
Barcode data entry at the point
Automatic cleaningAutomatic cleaning
point of collection
7
Automatic cleaning
Label application, packing and
Reassembling and label printout
Label application, packing and
instrument set assembly
Label application, packing and
Reassembling and label printout Surgical instruments
ready for sterilization
8
Label application, packing and
instrument set assembly
Items carried into the automatic sterilization
Barcode data entry at the point of sterilization
Items carried into the automatic sterilization
system
Items carried into the automatic sterilization
Items carried out of the
automatic sterilization
system
Barcode data entry at the point of sterilization
9
Items carried into the automatic sterilization
Preparation for surgeryPreparation for surgery
10
Example of a screen display of utilization management function of surgical instruments and surgical containers Example of a screen display of utilization management function of surgical instruments and surgical containers
11
Surgical instrument reprocessing cycle (cleaning, sterilization,
supply and collection)
5th floor
High-speed small carrier machine
Collection system(Collection AGV)
Nagoya University Hospital
New Department of Surgical Center
Collection system
Collection AGV
Collection station in the Surgical Center
Collection AGV
Waste collection station
Cleaning and sterilization systemHigh-speed small carrier machine
Clean area Semi-clean areaContaminate
d areaAutomated
transportati
on
Manual
transportati
on
3rd floor
4th floor
Collection system (High-speed
lifter)Instrument collection station
Blood transport station
High-speed lifter
Blood transport station Fully automatic cleaning system
Surgical instrument reprocessing cycle (cleaning, sterilization, Supply system
(Automated multi-level warehouse)
Sterilization container unloading p
Sterilization container loading poi
(Vertical carousel)
Supply system
(Automated multi-level warehouse)
Nagoya University Hospital
New Department of Surgical Center and Central Supply Department
Sterilization container loading poi
Supply system
12
Inside of the automated multi-level warehouse
Unloading point for
add-ons, individual or packed instruments
不不不不定定定定形形形形・・・・単単単単包包包包器器器器材材材材入入入入庫庫庫庫口口口口(Vertical carousel)
Fully automatic sterilization system
Cleaning and sterilization system
1st basement
Fully automatic cleaning system
Fully automatic sterilization system
Loading point for add-ons, individual or packed instruments
Fully automatic cleaning system