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