JP2003111733A - Sample testing system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a sample testing system capable of performing a sample test by preventing a wrong selection of a living body such as a patient from being taken without troublesome operation. SOLUTION: In the case of sticking collected tissues to a slide 9 prepared for a microscope fitted with a tag 11 for a non-contact ID in advance for early screening for uterine cancer with a colposcope 1, coloring the tissues and covering them with a cover glass 10 for preparing a sample, a magnetic card type consultation card 5 of the patient is inserted to an information transmission BOX 4 and a transmission switch 7 is turned on. Thus, patient information read from the consultation card 5 and stored temporarily in a memory part within the BOX 4 is written from an antenna 8 into a storage part inside of the tag 11. Thus, even in the case of sending the slide 9 for performing pathological diagnosis, which patient the sample belongs to can reliably be known by reading the patient information written in the storage part. Thus, the sample is easily and surely prevented from being taken wrongly.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a sample inspection system for performing sample inspection used in the medical field.

2. Description of the Related Art Conventionally, in the medical field, mainly in obstetrics and gynecology and neurosurgery, collection of tissue specimens and diagnosis of specimens (by a specialist) are generally carried out in order to make a definitive diagnosis of living tissues. .

[0002] In the field of obstetrics and gynecology, the Papanicolaou snare (Pap snare) is widely used for mass screening and the like for early detection of cervical cancer. With the Pap snare, the cervix is screened with a cotton swab, a brush, or the like, and the adhered tissue is applied in a state of being stained with a preparation, and a pathologist performs a histological diagnosis with a microscope.

Further, when abnormal findings are found in the mass examination by the Pap snare, punch biopsy (tissue collection by biopsy forceps or the like) is performed to collect a tissue of a region considered to be abnormal, and a more detailed tissue is obtained by pathology. Diagnosis is done.

Further, in the field of neurosurgery, it is not possible to make a definite diagnosis of tumor tissue before performing craniotomy. Therefore, the operator collects the tumor tissue during the operation, and the collected tissue is immediately passed to the pathology to make a definite diagnosis of the tissue. The surgery policy may change depending on the result.

In any case, it is not uncommon for the doctor who collects the tissue and the doctor who carries out the tissue diagnosis to exist separately, and for the facilities to carry out each to be different. Further, there are features such as that the number of patients to be examined in the mass examination is very large, and the number of pathological diagnoses is large in a large hospital.

In this case, in order to prevent the patient from being confused with each other, some kind of mark (numbering, patient name entry, etc.) is attached to the sample collected by a doctor or the like who collects the tissue to distinguish it from other samples. He was forced to do so, and the doctor of the pathology performed histological diagnosis by relying on the landmark, which was a very troublesome task.

Further, the information about the specimen other than the landmarks must be stored in the doctor who collected the specimen, or managed separately from the specimen by using a medical chart or the like. Also, U
Prior art examples of SP 5,989,184 disclose a technique of diagnosing abnormal tissue from a digitally photographed cervical image without collecting tissue.

[0008]

However, in the above-mentioned prior art example, a very expensive and highly accurate image analysis device is required for diagnosing the grade (abnormal level) of abnormal tissue, and it is specialized in histology. This is less common than a sample test, as it requires a doctor with specific knowledge to perform the test.

(Object of the Invention) The present invention has been made in view of the above-mentioned points, and can easily prevent misunderstanding of a living body of a patient or the like without tedious work and tissue diagnosis (specimen examination).
It is an object of the present invention to provide a sample inspection system capable of carrying out.

[0010]

[Means for Solving the Problems] Specimen storage means for storing a tissue collected from a living body, and the specimen storage means,
It has a memory means capable of recording predetermined information, an information writing means for writing at least specimen-specific information in the memory means at the time of collecting a specimen, and an information reading means for reading information from the memory means at the time of specimen examination. Thus, when a medical doctor collects a specimen in a specimen storage means such as a specimen case, information specific to the specimen such as patient (living body) identification information is written in a memory means provided in the specimen storage means, and a pathological diagnostician When the specimen of the specimen storage means is examined, the peculiar information input to the memory means is read out to perform the pathological diagnosis, so that the mistake of the patient can be reliably prevented and the specimen examination can be easily performed. There is.

[0011]

BEST MODE FOR CARRYING OUT THE INVENTION Embodiments of the present invention will be described below with reference to the drawings. (First Embodiment) FIGS. 1 to 7 relate to a first embodiment of the present invention. FIG. 1 shows an overall structure of a colposcope constituting the first embodiment, and FIG. Contact ID
3 shows the internal configuration of the tag for information transmission, FIG. 3 shows the internal configuration of the information transmission BOX, FIG. 4 shows the overall configuration of the pathological diagnosis system, FIG. 5 shows the configuration of the inter-hospital network, and FIG. 6 shows the examination room side. FIG. 7 shows the procedure of processing on the side of the pathological diagnosis room.

As shown in FIG. 1, a colposcope 1 constituting a first embodiment of a specimen inspection system of the present invention.
Is a device for performing, for example, the Pap snare (uterine cancer early examination method) described in the conventional technique section, and is arranged in a consultation room or the like. In this colposcope 1, a mirror body 3 is attached to the upper end of a column 2.

A stereoscopic observation optical system (not shown) and a light source device (not shown) are built in the mirror body 3, and a tissue to be inspected is collected under the observation of the stereoscopic observation optical system. Further, an information transmission BOX 4 is attached, for example, in the middle of the pillar 2. The information transmission BOX 4 is provided with a card insertion slot 6 for inserting the magnetic card type medical examination ticket 5, a transmission switch 7 for instructing transmission, and a contactless ID antenna 8 for transmitting information by radio waves. .

A cover glass 10 for protecting the tissue taken from the patient is attached to the slide 9 for preparing a tissue sample when the Pap snare is performed, and a storage means for storing information peculiar to the sample by writing. A non-contact type ID tag 11 having (memory means) is attached to form a specimen storage means for storing a specimen.

As shown in FIG. 2, the non-contact type ID tag 11 provided on the slide 9 serving as a specimen storage means,
An antenna unit 12 that receives a signal transmitted by radio waves (and is also used for transmission), and a control unit 13 that demodulates the signal received by the antenna unit 12 (performs control to modulate when transmitting) And a storage unit 14 including a memory for storing information, in which the patient information demodulated by the control unit 13 is written and the written information is read, and a signal for writing is received. When,
The control unit 13 stores the demodulated information in the storage unit 14.

Upon receiving the read signal, the control unit 13 transmits the patient information stored in the storage unit 14 from the antenna 12. That is, the control unit 13 controls writing and reading of information in the storage unit 14.

In FIG. 3, when the magnetic card type examination ticket 5 is inserted, the patient information is read, and when the transmission switch 7 is operated, the information is read and the contactless ID tag 1 of the slide 9 is read.
2 shows the internal structure of the transmission BOX 4 to be transmitted to the No. 1.

The magnetic card reading section 15 provided in the information transmission BOX 4 is connected to the magnetic card information analysis section 16. Then, the magnetic card reading unit 15 reads the data of the patient name / date of birth / sex / blood type from the magnetic card type medical examination ticket 5 and sends it to the magnetic card information analyzing unit 16.

The magnetic card information analysis unit 16 is a control unit 1.
Connected to 7. And the magnetic card information analysis unit 1
When the data 6 is received from the magnetic card reading unit 15, it analyzes the data contents, confirms that the data has no error, and then transfers it to the control unit 17. The control unit 17 temporarily stores the received patient data in the memory unit 18.

In the control unit 17, a transmission switch 7 for transmitting the data stored in the memory unit 18 to the non-contact ID tag 11 side (and storing it in the storage unit 14), and temporarily storing magnetic card information. Non-contact I for transmitting to the memory unit 18 for preparation, the non-contact ID tag 11 of the slide 9 by radio waves
The D antenna 8 is connected.

Then, after collecting the tissue with the colposcope 1 to prepare a tissue sample in the slide 9, the transmission switch 7 is operated to use the patient information temporarily stored in the memory 18 for the non-contact type ID of the slide 9. Tag 1
The information can be stored in the first storage unit 14 by storing the information.

FIG. 4 is an overall view of the pathological diagnosis system 21 provided in the pathological diagnosis room. The pathological diagnosis room is provided with a pathological diagnosis microscope 22 for pathologically diagnosing a tissue specimen (preparation 9).

In this pathological diagnosis room, an information receiving BOX 23 is provided near the pathological diagnosis microscope 22, and the information receiving BOX 23 is a personal computer terminal for finding input (hereinafter abbreviated as PC terminal for finding input). It is connected to 24.

The information receiving BOX 23 is provided with a contactless ID antenna 25 so that information can be received from the contactless ID tag 11 of the slide 9. Further, the finding input PC terminal 24 for inputting the finding is
It is connected to the hospital network 33.

FIG. 5 shows an inter-hospital network 30 including the in-hospital network 33 of FIG. An in-hospital network 31 of the A hospital is constructed in the A hospital, and is connected to a terminal (not shown) of the examination room 32. An in-hospital network 33 of the B hospital is constructed in the B hospital and is connected to terminals (not shown) of the examination room 34 and the pathological diagnosis room 35.

The networks 31 and 33 in each hospital are
It is connected to an external database 36 provided outside the hospital, and information is exchanged between hospitals. Also,
The C public health center 37 does not have a hospital network in particular, but has a terminal connected to the external database 36.

In the present embodiment, when a tissue is sampled from a patient and a specimen is examined, a non-contact having a storage unit 14 capable of writing and reading information on a preparation 9 for storing (holding) the collected tissue as a specimen. Type ID tag 11
Is provided, the patient information of the magnetic card type medical examination ticket 5 of the patient is transferred to the memory section 18 inside the information transmission BOX 4, and the patient information is written in the storage section 14 by operating the transmission switch 7. The characteristic feature is that the patient information, which is the identification information (unique information) of the patient, can be easily attached (attached) to the sample created by collecting tissue from each patient.

Therefore, when sending each preparation 9 to the pathological diagnosis room side for pathological diagnosis, each preparation 9
By reading the patient information stored in the storage unit 14 provided in the non-contact type ID tag 11, the mistake of the patient can be reliably and easily prevented, and the pathological diagnosis of the specimen prepared in each preparation 9 can be performed. I am able to do it.

Further, in the present embodiment, when a pathological diagnosis is performed, the medical record data of the patient is retrieved from the database based on the patient information read from the storage unit 14, and the pathological diagnosis finding is added to the medical record data. The medical doctor can grasp the pathological diagnosis result by referring to the medical chart data of the database.

Next, the operation of this embodiment will be described. In the present embodiment, a sample examination example in which the Pap snare is performed in the examination room 34 in the hospital B and the pathological diagnosis is performed in the pathological diagnosis room 35 will be described. First, in the examination room 34, the examining doctor performs a Pap snare using the colposcope 1 shown in FIG.

The medical doctor inserts the magnetic card type medical certificate 5 obtained from the patient into the card insertion slot 6 of the information transmission BOX 4. Magnetic card reading unit 15 built in the information transmission BOX 4
When the card detecting means (not shown) detects that the card has been inserted, the magnetic card type examination ticket 5 detects the patient ID,
Read patient name / birth date / gender / blood group data,
The data is transferred to the magnetic card information analysis unit 16. In addition to this, past medical history and medication information may be read.

Upon receiving the data, the magnetic card information analysis unit 16 analyzes the data contents, confirms whether or not there is an error in the data, and then transfers the data to the control unit 17. The control unit 17 temporarily stores the received patient data in the memory unit 18.

Next, the doctor examines the patient's cervix using the scope 3 of the colposcope 1. The tissue is peeled from a desired portion of the cervix using a brush (not shown), and the tissue to be examined is collected by applying it to the preparation 9 (on which the non-contact ID tag 11 is provided).

The medical doctor adds a dye to the collected tissue applied to the slide 9 and attaches the cover glass 10.
Next, the medical doctor presses the transmission switch 7 provided on the information transmission box 4. When the transmission switch 7 is pressed, the control unit 17
Reads out the patient data temporarily stored in the memory unit 18,
Output from the non-contact ID antenna 8.

The patient data transmitted from the non-contact ID antenna 8 is written in the storage section 14 of the non-contact ID tag 11 attached to the slide 9. Up to this point, the tissue sample for pathological diagnosis in which the patient data is written is created.

Next, the slide 9 (tissue specimen) is sent to the pathological diagnosis room 35 for pathological examination. In the pathological diagnosis room 35, the diagnostician uses the pathological diagnosis microscope 22.
Is used to make a definitive diagnosis of preparation 9.

The pathological diagnostician sets the slide 9 on the pathological diagnostic microscope 22 and presses a switch (not shown) provided in the information receiving box 23. As a result, a signal for reading ID information is transmitted from the non-contact ID antenna 25 provided in the information receiving box 23, and is transmitted to the antenna unit 12 of the non-contact ID tag 11 attached to the slide 9.

The patient data written in the examination room 34 is returned from the contactless ID tag 11 to the contactless ID antenna 25, and the patient data is directly input to the finding input PC terminal 2
4 is transferred. The finding input PC terminal 24 analyzes the patient ID from the received patient data and fetches more detailed data (chart data) from the in-hospital network 33.

Detailed patient chart data is displayed on the monitor of the finding input PC terminal 24. The pathologist
The diagnostic findings diagnosed using the pathological diagnosis microscope 22 are additionally written in the medical chart data using the finding input PC terminal 24 and transmitted to the in-hospital network. Examining doctor is in examination room 3
4 or by accessing the in-hospital network at his / her office, the patient's diagnostic findings can be confirmed.

As described above, as an effect of the present embodiment, the correlation between the patient and the diagnostic sample, which is conventionally performed manually, is automatically attached to the diagnostic sample by the patient data.
It is possible to simplify the confirmation work, which has been very troublesome for preventing misunderstanding of patients, and it is possible to efficiently perform specimen inspection in a hospital by labor saving. In particular,
At the public health center 37 etc., which conducts mass screening of a large number of patients at once,
It is extremely effective.

The series of these flows are shown in FIGS. 6 and 7. First, the operation in the examination room will be described with reference to FIG. In the first step S1, the information transmission BOX 4 determines whether or not the magnetic card (diagnosis ticket) 5 is inserted into the card insertion slot 6 of the information transmission BOX 4, and waits for the insertion.
When the magnetic card (type of medical examination ticket) 5 is inserted, the magnetic card reading unit 1 is operated as shown in step S2.
Reference numeral 5 reads out patient information from the magnetic card (type of medical examination ticket) 5. That is, the patient information such as patient ID, patient name / date of birth / sex / blood type, etc. is read and transferred to the magnetic card information analysis unit 16.

Upon receiving the patient information, the magnetic card information analysis unit 16 analyzes the information content, confirms whether the information is correct, and then transfers it to the control unit 17. Then, as shown in step S3, the control unit 17 temporarily stores the received patient information in the memory unit 18.

Next, the information transmission BOX 4 waits for the transmission switch 7 to be pressed, as shown in step S4. Before pressing the transmission switch 7, the medical doctor observes the cervix of the patient using the endoscope 3 of the colposcope 1 as described above, removes the tissue from the desired site for the examination, and prepares the preparation 9 The sample is prepared (and stored) by applying a dye to the sampled tissue and applying the cover glass 10 to the sample. And the medical doctor sends information B
The transmission switch 7 provided on the OX 4 is pushed.

When the transmission switch 7 is pressed, the control unit 17 reads the patient information temporarily stored in the memory unit 18 as shown in step S5. Then, as shown in step S6, the patient information is transmitted from the non-contact ID antenna 8.

The patient information transmitted from the contactless ID antenna 8 is the contactless ID attached to the slide 9.
It is written in the storage unit 14 of the tag for use 11. In this way, a tissue sample for pathological diagnosis in which the patient information is written is created, and the pathological diagnosis process is performed on the tissue sample on the side of the pathological diagnosis room in FIG. 7.

The diagnostician makes a definitive diagnosis of the preparation 9 using the pathological diagnosis microscope 22. Therefore, the slide 9 is set on the pathological diagnosis microscope 22, the switch (not shown) provided in the information receiving BOX 23 is pressed as shown in step S11, and the ID is fed from the non-contact ID antenna 25 provided in the information receiving BOX 23. Non-contact I with a signal for reading information pasted on the slide 9
It is transmitted to the D tag 11.

Then, as shown in step S12, the patient information written in the examination room 34 is returned from the non-contact ID tag 11 to the non-contact ID antenna 25 and read out.

The read patient information is transferred to the finding input PC terminal 24 as it is. As shown in step S13, the finding input PC terminal 24 analyzes the patient ID from the received patient information. Then, more detailed patient information (chart data) is fetched from the in-hospital network 33 by the patient ID.

On the finding input PC terminal 24, more detailed patient chart data is displayed. As shown in step S15, the pathological diagnostician adds the diagnostic findings diagnosed using the pathological diagnostic microscope 22 to the medical chart data using the finding input PC terminal 24. Then, the additionally entered medical record data is transmitted to the in-hospital network, and the medical record data is stored (step S16).

The medical doctor can confirm the diagnostic findings of the patient entered by the pathological doctor by accessing the in-hospital network 33 in the medical examination room 34 or his office.

In this embodiment, the hospital network 33 is used.
Although the B hospital, which is fully equipped with the above, is taken as an example, the management of the patient chart data is managed using the external database 36 even when the medical examination is performed at the C public health center 37 and the pathological diagnosis is made in the pathological diagnosis room 35 of the B hospital. It is obvious that the same effect as this embodiment can be obtained by constructing the system. If there is a possibility that a sample will be created in a different facility as in the present embodiment, information on the facility that collects the sample and creates the sample may also be written in the storage unit 14.

(Second Embodiment) Next, a second embodiment of the present invention will be described with reference to FIGS. The same numbers are given to the parts having the same configurations as those in the first embodiment, and detailed description thereof will be omitted. In the present embodiment, as described below, the image data of the site where the sample is collected is further stored, so that a more accurate examination can be performed.

FIG. 8 is an overall view of the colposcope 1 provided in the examination room or the like. Colposcope 1 mirror 3
A digital camera 41 is attached to this via a light guide means 40 so that an image of a site where a tissue is collected can be taken.

A serial signal output section (not shown) of the digital camera 41 is connected to an image input section 42a provided in a sample case 42 for storing a sample so that a captured image can be input to the sample case 42.

Further, the sample case 42 is provided with a memory card insertion opening 43 so that the memory card 44 can be inserted and removed freely. Patient data and the like are previously input to the memory card 44, and by inserting the memory card 44 into the memory card insertion port 43, the patient data and the like are read from the memory card 44.

In addition, the PC terminal connecting portion 4 of the sample case 42
A data input PC terminal 45 is connected to 2b, and patient data read from the memory card 44 is transmitted from the PC terminal connection unit 42b to the data input PC terminal 45.

The data input PC terminal 45 is further connected to the in-hospital network 46 so that the patient data (patient ID of the patient data) can be referred to the medical record data of the patient or additional writing can be performed. After the medical examination, the medical doctor can write the medical examination data in the memory card 44 by transmitting the medical chart data and the like from the data input PC terminal 45 to the sample case 42.

FIG. 9 is an overall view of the pathological diagnosis microscope 47 provided in the pathological diagnosis room. Microscope for pathological diagnosis 4
A digital camera 48 is attached to 7 so that a pathological image can be taken.

The digital camera 48 is connected to the image input section 42a of the sample case 42, and can input the imaged pathological image. A PC terminal 49 for finding input is connected to the PC terminal connecting portion 42b of the sample case 42, and PC data for terminal 49 for finding input of medical record data of the memory card 44 and image data before and after punch biopsy.
So that it can be taken into.

The finding input PC terminal 49 is further connected to the in-hospital network 46, and refers to the patient chart data from the patient data (patient ID thereof),
Additional entries can be made.

FIG. 10 is a block diagram showing the internal structure of the sample case 42. As described above, the sample case 42 includes the image input section 42a and the PC terminal connection section 42b.
Are provided, and each is connected to the data processing unit 51. The data processing unit 51 performs input processing on the input data and transfers it to the control unit 52.

The control unit 52 is connected to the memory 53 and the memory card access unit 54. The memory card access unit 54 is further connected to the data analysis unit 55, and the data analysis unit 55 is further connected to the control unit 52. ing.

Then, the memory card access section 54
Patient data etc. in the memory card 44 are read and sent to the data analysis unit 55. The patient data analyzed by the data analysis unit 55 can be written in the memory 53 via the control unit 52, or can be transmitted to the connected terminal side from the terminal connection unit 42b via the control unit 52 and the data processing unit 51. ing. Further, when the image data is transferred from the image input unit 42a via the data processing unit 51, the control unit 51 causes the memory 5 to operate.
I memorize it in 3. Furthermore, the control unit 51 also performs control to additionally write medical chart data and the like to the memory card.

The present embodiment is configured as described above, and its operation will be described below. The operation of the present embodiment will be described with reference to a sample examination example in which the pathological diagnosis is performed in the pathological diagnosis room 35 of the hospital B by performing punch biopsy in the diagnosis room 32 of the hospital A in FIG. In the case of the embodiment, description will be given assuming that the external database 37 does not exist).

First, in the examination room 32, the examining doctor is shown in FIG.
Punch biopsy is performed using the colposcope 1 shown in FIG. The medical doctor prepares the memory card 44 in which the patient ID has been input in advance, and performs the step S3 in FIG.
As shown in 1, the memory card 44 is inserted into the memory card insertion opening 43 of the sample case 42 before the examination is started.

The memory card access unit 54 built in the sample case 42 reads out the patient ID information stored in the memory card 44 when detecting that the memory card 44 is input by the detection means (not shown). The patient ID information read by the memory card access unit 54 is sent to the data analysis unit 55 and analyzed for error (step S32).

When it is confirmed that there is no error, the control unit 52
Also, the data is transmitted from the PC terminal connection unit 42b to the data input PC terminal 45 via the data processing unit 51. The medical doctor acquires the patient personal data from the patient ID information from the in-hospital network 46 using the data input PC terminal 45. If the individual patient data matches the individual patient, the patient chart data is further acquired from the in-hospital network 46. The acquired medical chart data is displayed on the monitor (not detailed) of the data input PC terminal 45 (step S33).

Then, the medical doctor observes the cervix of the patient using the endoscope 3 of the colposcope 1 and additionally describes the findings in the medical record (step S34) and the portion where tissue degeneration is suspected. Punch biopsy (collection of tissue) is performed by using a biopsy forceps, and the sample is stored in the sample case 42 (step S35), and images of the tissue collection site before and after the punch biopsy are photographed using the digital camera 41. The image data is stored in the memory 53 (step S36). These are done simultaneously.

That is, the examining doctor uses the scope 3 of the colposcope 1 to observe the cervix of the patient. Then, punch biopsy (collection of tissue) is performed on a portion where tissue degeneration is suspected using biopsy forceps (not shown).
The collected tissue is stored in the sample storage section of the sample case 42. Further, the medical doctor uses the digital camera 41 to take images of the tissue collection site before and after the punch biopsy.

The image data of the digital camera 41 is temporarily stored in the memory 53 via the image input section 42a provided in the sample case 42, the data processing section 51, and the control section 52. Further, the image data is further sent from the data processing unit 51 to the data input PC terminal 45 through the PC terminal connection unit 42b and displayed as an image on the monitor.

The medical doctor judges the photographing result while looking at this, and carries out additional photographing if necessary. When the punch biopsy is completed, the doctor will enter the examination findings into the data input PC.
Input to the chart data from the terminal 45.

Next, necessary information is picked up from the medical chart data displayed on the data input PC terminal 45, and the data processing section 51 provided in the sample case 42
It is transmitted via the PC terminal connection unit 42b.

A part of the medical record data sent to the data processing unit 51 is corrected to an appropriate format and then sent to the control unit 52. When the control unit 52 receives the medical chart data, it reads the image data from the memory 53. Control unit 52
Further, the data is stored in the memory card 44 via the memory card access unit 54 as data (for example, necessary information such as findings, medical record information, image information) that combines these (step S37). When collecting multiple specimens, attach information on the collection site. Even in the case of a singular item, information on the collection site may be attached.

When the above work is completed, the medical doctor removes the sample case 42 from the digital camera 41 and the data input PC terminal 45 and sends the sample case 42 to the pathological diagnosis room 35 of Hospital B (step S38).

The pathologist at hospital B connects the sent sample case 42 to the digital camera 48 and PC terminal 49 for finding input. As a result, the memory card access unit 54 of the sample case 42 reads out the patient's chart information and the like from the inserted memory card 44, and connects the data analysis unit 55, the control unit 52, the data processing unit 51, and the PC terminal connection unit 42b. It is sent to the PC terminal 49 for finding input via the.

On the monitor (not described in detail) of the PC terminal 49 for inputting findings, image information before and after punch biopsy, which shows the patient's findings, chart information, and tissue sampling site, is displayed (step S41 in FIG. 11). If there is additional information from the patient ID, the additional information is acquired from the network 46 (step S42).

The pathological diagnostician takes out the sampled tissue from the sample case 42 and creates a tissue sample in a slide (not shown). The pathological diagnostician sets the created tissue sample on the pathological examination microscope 47 to make a definite diagnosis (step S4).
3). The pathological diagnostician uses the PC terminal 4 for inputting the diagnostic findings.
9 is additionally input (step S44).

The pathological image of the pathological examination microscope 47 is taken by the digital camera 48. Digital camera 48
The image data (image file) is input from the image input unit 42a of the sample case 42 and temporarily stored in the memory 53 via the data processing unit 51 and the control unit 52 (step S45).

The image data is sent from the data processing unit 51 via the PC terminal connection unit 42b to the PC terminal 49 for finding input.
Is also sent to the monitor and the captured image is displayed on the monitor. The pathologist diagnoses this image and retakes it if necessary.

When the definitive diagnosis is completed, the pathological diagnostician transmits the medical chart data and the added diagnostic finding from the finding input PC terminal 49 to the data processing unit 51 via the PC terminal connecting unit 42b of the sample case 42.

The data processing section 51 converts the received data into an appropriate format and then transmits the data to the control section 52. In addition to the received data, the controller 52 stores the image data stored in the memory 53 in combination (step S46). The control unit 52 writes the image data in the memory 53 and the data such as diagnostic findings to the memory card 44 via the memory card access unit 54 (step S47).

In step S46, the control unit 5
1 does not combine the image data stored in the memory 53 with data such as diagnostic findings and temporarily saves them, but instead stores the data such as diagnostic findings received from the data processing unit 51 and the image data saved in the memory 53. You may make it read and combine both data. Then, the combined data is written to the memory card 44 via the memory card access unit 54.

Upon completion of the work up to this point, the pathological diagnostician removes the specimen case 42 from the finding input PC terminal 49 and the digital camera 48, and returns the specimen case 42 to the examination room 32 of Hospital A (step S48). . The doctor in the examination room 32 of A hospital reads the information in the memory card 44 from the returned specimen case 32 and stores the data in the in-hospital network 31 of A hospital. There is no problem even if only the memory card 44 is returned instead of returning the sample case 42.

As described above, in the present embodiment, since the memory card 44 is provided in the sample case 42 and the patient ID information and the image information can be input therein, the pathological diagnosis is performed as in the first embodiment. Not only does it take care not to mix up the specimens in the room, but it also has the following effects.

That is, even if the facility for biopsy and the facility for pathological diagnosis are separate and are not connected by a network, the pathological diagnostician can use the patient chart data and the sample acquisition site (diagnosis from the image taken by the digital camera). ), A more accurate definitive diagnosis can be carried out.

Further, when the findings of the definitive diagnosis are returned to the medical doctor, not only the image at the time of the definitive diagnosis is obtained, but also the misunderstanding of the diagnostic findings is not necessary. Further, the memory card 44 used in the present embodiment can also serve as a patient's medical examination ticket.

According to this, since necessary medical chart data is stored in the medical examination ticket, even when the medical examination or the like needs to be received at another hospital, a more suitable medical treatment based on the data is received. You can That is, the doctor who examines the medication status, medical history, history of side effects, test results at the time of group medical examination, and the like can be informed by the medical examination card using the memory card 44, and the optimal treatment for the situation can be received.

(Third Embodiment) A third embodiment of the present invention will be described with reference to FIG. The same components as those in the first and second embodiments are designated by the same reference numerals, and the description thereof will be omitted. FIG. 13 shows a surgical microscope 60 used in neurosurgery. Although not described in detail, a balance arm 61 having 6 degrees of freedom is attached to the upper end of the gantry, and a stereomicroscope 62 capable of stereoscopically viewing the surgical site is attached to the tip of the balance arm 61.

A navigation sensor 64 is attached to the biopsy forceps 63 used for performing the tissue biopsy. Further, also in the present embodiment, the sample case 42 similar to that in the second embodiment is adopted.

The workstation 65 also serves as a navigation device, and includes a digitizer 66 for detecting the position of the navigation sensor 64 and a sample case 4.
The second PC terminal connection part 42b and the foot switch 67 are connected. The workstation 65 is also connected to the in-hospital network 68. The pathological diagnosis room is the same as that in the second embodiment, and therefore its explanation is omitted.

Next, the operation of this embodiment will be described. Before the operation, the operator uses the navigation device (combination of the workstation 65 and the digitizer 66) to correlate the preoperative diagnostic image with the actual surgical site (performs registration).

Next, the surgeon uses the surgical microscope 60 to perform craniotomy of the patient and approaches to a site considered to be a tumor. When the site that seems to be a tumor is exposed, the operator
The tissue is collected using the biopsy forceps 63.

At this time, the navigation device detects the position and direction of the sensor 64 provided on the biopsy forceps 63 by the digitizer 66, so that the tip position of the biopsy forceps 63 with respect to the preoperative diagnostic image is not described in detail. Station 65
Keeps displaying on my monitor. At this time, the operator depresses the foot switch 67 with the biopsy forceps 63 applied to the tissue sampling site. The signal from the foot switch 67 is transmitted to the workstation 65.

Upon receiving the signal from the foot switch 67, the workstation 65 displays a navigation image at that time (the biopsy forceps 6 at the time when the foot switch 67 is pressed).
3) freezes the image showing the tip position with respect to the preoperative diagnosis image 3), and the specimen case 42
The data is recorded in the memory card 44 attached to the.

The biological tissue collected by the biopsy forceps 63 is stored in the sample storage section of the sample case 42. Specimen case 4
2 is sent to the pathological diagnosis room in this state, and a definitive diagnosis is performed with reference to the navigation image (image showing the position where the tissue is taken in the preoperative diagnosis image).

As described above, according to the present embodiment, it is possible to grasp the collection site of the tissue sample even in a field where it is difficult to know the sample collection position from the image of the surgical site such as a neurosurgery operation, so that the accurate collection site can be confirmed. However, an accurate pathological diagnosis can be performed.

Further, in the case of performing biopsies from a plurality of sites in a single operation, it is possible to surely identify which site of the patient each sample was taken from by the navigation image, and thus the postoperative conference. Accurate follow-up is possible even in cases such as.

Further, in the present embodiment, the timing of navigation device acquisition is set by the operator's foot switch 6
7 operation, but biopsy forceps 6 for complete automation
3 may be provided with a switch so that the switch is pressed at the same time as the tissue collection.

In the above embodiment, when the sample case 42 is managed by a bar code, all the information about the sample is stored in an external database, and the sample is inspected in an inspection room, a bar code reader is used. Even if you read the barcode attached to the sample and retrieve the data that matches the barcode from the external database,
It is possible to obtain the same effect as that in which the memory means is provided in the sample case.

Furthermore, the present invention is not limited to the fields shown in the above-mentioned embodiments, but can be applied to biopsy using an endoscope which is practiced in the field of digestive organs, for example. That is, it is obvious that the same effect can be obtained by replacing the navigation device with the detection device that detects the insertion state of the endoscope.

[Additional Notes] 1. The specimen inspection system according to claim 1, wherein the memory unit, the data writing unit, and the data reading unit are configured by a non-contact type ID device. 2. The specimen inspection system according to claim 1 or 2, wherein the memory means is a memory card.

3. The information recorded in the memory means is
The specimen inspection system according to appendix 2, comprising at least one of the following. a) At least one copy of the patient's chart information b) At least one copy of the patient's image information at the time of sample collection and sample inspection (image of the affected part at the time of sample collection / operation, diagnostic image of sample tissue, preoperative diagnostic image, etc.) 4. 4. The specimen inspection system according to claim 1, further comprising an input unit for inputting at least a part of the information recorded in the memory means at the time of sampling.

5. The specimen inspection system according to claim 1, further comprising: an information receiving unit that receives more detailed patient information from a network based on at least a part of the information read by the data reading unit. 6. The specimen inspection system according to claim 1, wherein the memory means is provided so as to be attachable to and detachable from the specimen case.

[0104]

As described above, according to the present invention, since the specimen for performing the pathological examination and the like has the memory means capable of recording the ID information for identifying the patient, the patient's personal information and the like each time the specimen is sampled,
Efficient examination without worrying about patient's mistake
Labor saving is possible. In particular, uterine cancer screening in the field of obstetrics and gynecology, which requires screening of a large number of patients at once, has a great effect on shortening the testing time.

Further, in the present invention, since the information of the sample collection site, the pathological diagnosis result and the like can be managed together with the sample, even if the sample collection facility and the pathological examination facility are different, the data and the like regarding the patient are newly ordered. There is no need, and there is an effect that a reliable pathological examination can be performed in a short time. Furthermore, even when collecting samples from a plurality of sites at a time, there is an effect that follow-up after surgery can be surely performed because the sample collection site is known.

[Brief description of drawings]

FIG. 1 is a diagram showing an overall configuration of a colposcope that constitutes a first embodiment of the present invention.

FIG. 2 is a block diagram showing an internal configuration of a contactless ID tag.

FIG. 3 is a block diagram showing an internal configuration of an information transmission BOX.

FIG. 4 is a diagram showing an overall configuration of a pathological diagnosis system.

FIG. 5 is a block diagram showing the configuration of an inter-hospital network.

FIG. 6 is a flowchart showing a procedure of processing on the examination room side.

FIG. 7 is a flowchart showing a procedure of processing on the pathological diagnosis room side.

FIG. 8 is a diagram showing an overall configuration of a colposcope in an examination room according to a second embodiment of the present invention.

FIG. 9 is a configuration diagram of a microscope for pathological diagnosis in a pathological diagnosis room.

FIG. 10 is a block diagram showing an internal configuration of a sample case.

FIG. 11 is a flowchart showing a procedure of processing on the examination room side.

FIG. 12 is a flowchart showing a procedure of processing on the pathological diagnosis room side.

FIG. 13 is a configuration diagram of a surgical microscope according to a third embodiment of the present invention.

[Explanation of symbols]

1 ... Colposcope 2… Support 3 ... Mirror 4 ... Information transmission BOX 5 ... Magnetic card type examination ticket 6 ... Card slot 7 ... Transmission switch 8 ... Non-contact ID antenna 9 ... Preparation 10 ... Cover glass 11 ... Non-contact ID tag 12 ... Antenna part 13 ... Control unit 14 ... Storage unit 15 ... Magnetic card reader 16 ... Magnetic card information analysis unit 17 ... Control unit 18 ... Memory section 21 ... Pathological diagnosis system 22. Microscope for pathological diagnosis 23 ... Information reception box 24 ... PC terminal for finding input 25 ... Non-contact ID antenna 31, 33 ... Hospital network 32, 34 ... Consultation room 35 ... Pathological diagnosis room 36 ... External database

Claims (3)

[Claims] 1. A specimen storage means for storing a tissue collected from a living body, a memory means provided in the specimen storage means for recording predetermined information, and at least a specimen specific to the memory means when the specimen is collected. A specimen inspection system comprising: an information writing unit for writing information; and an information reading unit for reading information from the memory unit at the time of specimen inspection. 2. The sample inspection system according to claim 1, wherein the sample-specific information includes at least one of the following items a to d. a) Patient identification information (ID information) or personal information (name,
Age, blood type, medical history, date of birth, medication information, etc.) b) Information regarding sampling date and time c) Information regarding sampling facility d) Information regarding sampling site 3. The sample inspection system according to claim 1, wherein the result of the sample inspection can be additionally written in the memory means.