CN106823049A - Controlled analgesia pump and its control method - Google Patents

Controlled analgesia pump and its control method Download PDF

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Publication number
CN106823049A
CN106823049A CN201710086201.1A CN201710086201A CN106823049A CN 106823049 A CN106823049 A CN 106823049A CN 201710086201 A CN201710086201 A CN 201710086201A CN 106823049 A CN106823049 A CN 106823049A
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CN
China
Prior art keywords
speed
infusion
amount
lasting
infusion velocity
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201710086201.1A
Other languages
Chinese (zh)
Inventor
曹汉忠
顾连兵
周鑫
陆锋
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
JIANGSU REHN MEDICAL INSTRUMENTS TECHNOLOGY CO LTD
Original Assignee
JIANGSU REHN MEDICAL INSTRUMENTS TECHNOLOGY CO LTD
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by JIANGSU REHN MEDICAL INSTRUMENTS TECHNOLOGY CO LTD filed Critical JIANGSU REHN MEDICAL INSTRUMENTS TECHNOLOGY CO LTD
Priority to CN201710086201.1A priority Critical patent/CN106823049A/en
Publication of CN106823049A publication Critical patent/CN106823049A/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M2005/14208Pressure infusion, e.g. using pumps with a programmable infusion control system, characterised by the infusion program
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring

Abstract

The invention discloses a kind of controlled analgesia pump and its control method, the method is comprised the following steps:The infusion velocity for setting lasting amount is First Speed, and starts infusion with First Speed;From the infusion velocity of the lasting amount of First Speed reduction;When external trigger information is received, single infusion amount is transfused, and lifts the infusion velocity of lasting amount to second speed, second speed is more than the infusion velocity of lasting amount when receiving external trigger information;From the infusion velocity of the lasting amount of second speed reduction, until receiving external trigger information.The infusion velocity of lasting amount by way of lasting reduction, is reduced excessively analgesia, not entail dangers to patients ' lives health by the present invention.

Description

Controlled analgesia pump and its control method
Technical field
The present invention relates to a kind of controlled analgesia pump and its control method.
Background technology
Controlled analgesia pump is the infusion pump for being transfused analgesic, and it has PCA's function, and patient is in sense Infusion for single infusion amount is realized by patient's activation controlled analgesia pump when feeling pain, for alleviating because personalized difference causes Analgesia it is not enough.
The function has certain limitation, i.e., only when the blood medicine that the infusion velocity of the lasting amount of electronic transfusion pump is maintained When concentration is not enough to inhibition of pain, sick talent conference is deactivated.The infusion velocity of initial continuous infusion amount can cause when setting excessive Blood concentration exceeds the level of inhibition of pain, consequently, it is possible to producing excessively analgesia, it would be possible to cause patient infusion reaction occur, sternly Severe one threat to life.
The content of the invention
In view of the shortcomings of the prior art, it is contemplated that mitigating the automatic analgesia pump and its controlling party of infusion excessive influence Method.
To achieve the above object, the present invention is adopted the following technical scheme that:
A kind of controlled analgesia method for controlling pump, it is comprised the following steps:The infusion velocity for setting lasting amount is First Speed, And infusion is started with the First Speed;From the infusion velocity of the lasting amount of First Speed reduction;When receiving external trigger Information, is transfused single infusion amount, and lifts the infusion velocity of lasting amount to second speed, and the second speed is outer more than receiving The infusion velocity of lasting amount during portion's trigger message;From the infusion velocity of the lasting amount of second speed reduction, until receiving External trigger information.
As a further improvement on the present invention, from the First Speed or the infusion speed of the lasting amount of second speed reduction The mode of degree includes proportionally linear reduction or according to fixed value reduction.
As a further improvement on the present invention, after external trigger information is received, the infusion velocity of the lasting amount is straight Connect and increase to second speed.
As a further improvement on the present invention, after the outer triggering signal is received, by the outer triggering signal Send to work station.
As a further improvement on the present invention, the First Speed is equal to the second speed.
A kind of controlled analgesia pump, it includes:The pump housing, is used to extract and infuses and export transfusion;Trigger button, is used to receive outer Portion's trigger signal;First control unit, controls the infusion velocity of the pump housing, and it is the first speed to set the infusion velocity of lasting amount Degree, and control the pump housing from the infusion velocity of the lasting amount of First Speed reduction;Second control unit, presses with the triggering Button is connected, and receives the trigger button, and after external trigger information is received, the second control unit control pump housing infusion is single Secondary infusion amount, lifts the infusion velocity of lasting amount of the pump housing to second speed, and reduces the defeated of lasting amount from the second speed Note speed, the infusion velocity of the lasting amount when second speed is more than reception external trigger information.
As a further improvement on the present invention, first control unit or second control unit control the pump housing From the infusion velocity of the First Speed or the lasting amount of second speed reduction proportionally linear reduction or according to fixed value Reduce.
As a further improvement on the present invention, after second control unit receives external trigger information, described second The infusion velocity of the lasting amount of the pump housing is directly increased to second speed by control unit.
As a further improvement on the present invention, also include:Wireless transmitting unit, is connected, institute with trigger button communication State after trigger button receives outer triggering signal, the wireless transmitting unit sending signal.
As a further improvement on the present invention, the First Speed is equal to the second speed.
The beneficial effects of the present invention are:Compared to prior art, the present invention is by the infusion velocity of lasting amount by continuing The mode of reduction, reduces excessively analgesia, not entail dangers to patients ' lives health.
Described above is only the general introduction of technical solution of the present invention, in order to better understand technological means of the invention, And can be practiced according to the content of specification, and in order to allow the above and other objects, features and advantages of the invention can Become apparent, below especially exemplified by preferred embodiment, and coordinate accompanying drawing, describe in detail as follows.
Brief description of the drawings
Fig. 1 is the schematic flow sheet of controlled analgesia pump control control method in the embodiment of the present invention;
Fig. 2 is the structural representation of automatic analgesia pump in the embodiment of the present invention.
Description of symbols:
The control unit of 210. pump housing, 220. trigger button 230. first
The wireless transmitting unit of 240. second control unit 250.
Specific embodiment
Below, with reference to accompanying drawing and specific embodiment, the present invention is described further:
The controlled analgesia method for controlling pump for disclosing herein go for postoperative, cancer patient, childbirth when patient The treatment and recovery of pain, are used to alleviate the analgesia symptom of patient.Now, this method is retouched with a specific embodiment State, the infusion bag of the transfusion that is stored with is connected with controlled analgesia pump, the capacity of the infusion bag is 150 milliliters, and doctor is according to patient's shape The parameters such as the drug concentration in condition and transfusion are 2.0 mls/hour set lasting amount infusion velocity, and with 0.05 milli L/h speed linearity the lasting amount of reduction infusion velocity.When the infusion velocity of lasting amount is reduced to 1.0 mls/hour When, it is not enough to alleviate the pain of patient, now, patient triggers corresponding trigger button, and the controlled analgesia pump just directly exports one Secondary single infusion amount, the dosage of the single infusion amount is 1.5 milliliters, and the infusion velocity of lasting amount is directly recovered to 2.0 Milliliter.Then proceed to the infusion velocity of the lasting amount of the reduction of 0.05 ml/hour of speed linearity, until patient triggers again Trigger button, the controlled analgesia pump just directly exports 1.5 milliliters of secondary single infusion amount, and continues the infusion velocity of lasting amount 2.0 milliliters directly are promoted to, are circulated with this, untill the patient no longer infuses.
Fig. 1 is refer to, present embodiments provide for a kind of controlled analgesia method for controlling pump, it is comprised the following steps:
S110:The infusion velocity for setting lasting amount is First Speed, and starts infusion with First Speed.
Specifically, clinician sets the infusion speed of lasting amount according to information such as pharmaceutical formulation, drug concentration, weight in patients It is First Speed to spend, and starts infusion with the First Speed for setting.
S130:From the infusion velocity of the lasting amount of First Speed reduction.
Specifically, be excessively transfused and reduced the excessive analgesic risk of patient to reduce, in infusion process, from the The infusion velocity of the lasting amount of one speed reduction, it can proportionally linear reduction or according to fixed value reduction.Different drops Low mode and reduction quantitative value clinician can be set in advance, and clinician can be dense according to pharmaceutical formulation, medicine The information such as degree, patient body weight, patient's state of an illness are judged and are set, it is also possible to completion was pre-set before dispatching from the factory.According to than During example linear reduction, the infusion velocity of lasting amount can according to 0.05,0.1,0.15,0.2,0.25,0.3 ... 1.0 ... milliliters/ The speed of hour is reduced.When being reduced according to fixed value, the infusion velocity of lasting amount can be to be maintained at previous n hours A mls/hour, and (a-b) ml/hour (a is more than b) is may remain in n hours at latter.When drug concentration is higher, When patient body weight is preferable compared with light, patient's state of an illness, clinician can be by the infusion velocity of lasting amount with the reduction of speed faster;And When drug concentration is relatively low, patient body weight is heavier, patient's state of an illness is heavier, clinician can by the infusion velocity of lasting amount with compared with Slow speed reduction.
S150:When external trigger information is received, single infusion amount is transfused, and lift the infusion velocity of lasting amount to the Two speed, the infusion velocity of lasting amount when second speed is more than reception external trigger information.
Specifically, during the infusion velocity reduction of lasting amount, reaching a certain threshold value, be infused in patient body is defeated Liquid can not suppress the pain of patient, be transfused a single infusion amount, and the single infusion amount is to inject patient body in a short time Interior, the dose clinical doctor of the single infusion amount can also be according to pharmaceutical formulation, drug concentration, patient body weight, patient's state of an illness Judged etc. information and set.Now show that the infusion velocity can not restrain the pain of patient, and need lifting to continue The infusion velocity of amount, when this single infusion amount is transfused or after the completion of, the infusion velocity of lasting amount is promoted to the second speed Degree, and the second speed is more than the infusion velocity of lasting amount when receiving external trigger information.In order to reduce unstability, keep away The uncertainty of the infusion velocity of lasting amount when exempting from second speed with reception external trigger information, it is preferred that the second speed is set Degree is identical with First Speed.
Preferably, in order to preferably suppress the pain of patient, after external trigger information is received, the infusion speed of lasting amount Degree directly increases to second speed, i.e., the infusion velocity of lasting amount is increased by second speed in a short time.Certainly, in order to subtract The adverse reaction of slow patient, during speedup, it can also be according to proportionally linear reduction described above or fixation The inverse process that being worth reduces increases the infusion velocity of lasting amount.Likewise, these speed increase mode and numerical value can go out Completion is pre-set before factory, it is also possible to can be set in advance by clinician, clinician can match somebody with somebody according to medicine The information such as side, drug concentration, patient body weight, patient's state of an illness are judged and are set.
S170:From the infusion velocity of the lasting amount of second speed reduction, until receiving external trigger information.
Specifically, after the infusion velocity persistently measured is promoted to second speed, for the purposes of avoiding excessively infusion, lasting amount Infusion velocity be transfused with second speed after, continue to reduce the infusion velocity of lasting amount.Its reduction mode can also be as preceding retouched Proportionally linear reduction or the fixed value reduction stated.During being reduced in infusion velocity, when patient feels pain, triggering is outer After portion's trigger message, the infusion velocity of lasting amount to second speed is continued to lift up.Circulated with this, until transfusion need not be carried out being Only.
Preferably, after the outer triggering signal of patient's triggering is received, the outer triggering signal can be sent to work station, Workbench is monitored by doctor etc., and the triggering frequency in the physician in view unit interval judges whether to need the lasting amount of adjustment The setting value of First Speed or second speed.When the triggering frequency of the outer triggering signal of unit interval is higher, can be lifted The setting value of First Speed and second speed;When the triggering frequency of the outer triggering signal of unit interval is relatively low, can reduce The setting value of First Speed and second speed.
Fig. 2 is refer to, in another embodiment, a kind of controlled analgesia pump is additionally provided, the controlled analgesia pump includes pump Body 210, trigger button 220, the first control unit 230, the second control unit 240.The pump housing 210 can be defeated with the transfusion that is stored with Liquid bag connection, is used to extract transfusion in infusion bag and is exported according to certain infusion velocity, the first control unit 230 and the pump housing 210 connections, control the infusion velocity of the pump housing 210, and the infusion velocity for setting lasting amount is First Speed, and controls the pump housing from first The infusion velocity of the lasting amount of speed reduction.Second control unit 240 is connected with the pump housing 210 and trigger button 220 respectively, when certainly During the infusion velocity of the lasting amount of First Speed reduction, when reaching a certain infusion velocity, it is impossible to when enough suppressing Principle of Pain, Patient triggers trigger button 220, and trigger button 220 can be mechanical button or push button etc., as long as patient triggers once Pressing or touch event, will produce external trigger information.Trigger button 220 receives outer triggering signal, is sent to Second control unit 240.After receiving outer triggering signal, the control infusion single infusion of the pump housing 210 of the second control unit 240 Measure, and the infusion velocity of the lasting amount of the lifting pump housing 210 is to second speed and fast from the infusion of the lasting amount of second speed reduction Degree, the infusion velocity of lasting amount when second speed is more than reception external trigger information.
In the present embodiment, the first control unit 230 or the second control unit 240 control the pump housing 210 from first respectively The infusion velocity of speed or the lasting amount of second speed reduction can proportionally linear reduction or according to fixed value reduction.Different Reduction mode and reduction quantitative value clinician can be set in advance, and clinician can be according to pharmaceutical formulation, medicine The information such as concentration, patient body weight, patient's state of an illness are judged and are set.Proportionally during linear reduction, the infusion speed of lasting amount Degree can according to 0.05,0.1,0.15,0.2,0.25,0.3 ... 1.0 ... mls/hour of speed is reduced.According to fixation When value is reduced, the infusion velocity of lasting amount can be to be maintained at a mls/hour at previous n hours, and latter n hours Inside may remain in (a-b) ml/hour (a is more than b).When drug concentration is higher, patient body weight is preferable compared with light, patient's state of an illness When, clinician can be by the infusion velocity of lasting amount with the reduction of speed faster;And work as that drug concentration is relatively low, patient body weight compared with When weight, patient's state of an illness are heavier, clinician can be by the infusion velocity of lasting amount with slower speed reduction.
Further, after the second control unit 240 receives external trigger information, the second control unit 240 is by the pump housing The infusion velocity of 210 lasting amount directly increases to second speed, i.e., just lift infusion velocity to second speed in a short time. Preferably, in order to reduce unstability, it is to avoid the infusion velocity of lasting amount when second speed is with reception external trigger information Uncertainty, sets second speed identical with First Speed.
In the present embodiment, also including wireless transmitting unit 250, the wireless transmitting unit 250 is led to trigger button 220 News connection, after trigger button 220 receives the outer triggering signal of patient's triggering, it is not only sent to the second control unit 240, And can be sent to work station outer triggering signal by wireless transmitting unit 250, workbench is placed on record, and workbench is by curing Teacher etc. is monitored, the triggering frequency in the physician in view unit interval come judge whether to need the lasting amount of adjustment First Speed or The setting value of second speed.When the triggering frequency of the outer triggering signal of unit interval is higher, can be lifted First Speed and The setting value of second speed;When the triggering frequency of the outer triggering signal of unit interval is relatively low, can reduce First Speed and The setting value of second speed.Preferably, the wireless transmitting unit 250 can be arranged in the pump housing 210, while the wireless transmission list Unit 250 can also send the operational factor of the pump housing 210, the infusion velocity of such as lasting amount, the geard-down speed of lasting amount, So that medical personnel refer to.
For a person skilled in the art, technical scheme that can be as described above and design, make other each Plant corresponding change and deform, and all these changes and deforms the protection model that should all belong to the claims in the present invention Within enclosing.

Claims (10)

1. a kind of controlled analgesia method for controlling pump, it is characterised in that comprise the following steps:
The infusion velocity for setting lasting amount is First Speed, and starts infusion with the First Speed;
From the infusion velocity of the lasting amount of First Speed reduction;
When external trigger information is received, single infusion amount is transfused, and lift the lasting infusion velocity measured to second speed, institute The infusion velocity of lasting amount when stating second speed more than reception external trigger information;
From the infusion velocity of the lasting amount of second speed reduction, until receiving external trigger information.
2. controlled analgesia method for controlling pump as claimed in claim 1, it is characterised in that from the First Speed or described second The mode of the infusion velocity of the lasting amount of speed reduction includes proportionally linear reduction or according to fixed value reduction.
3. controlled analgesia method for controlling pump as claimed in claim 1, it is characterised in that after external trigger information is received, The infusion velocity of the lasting amount directly increases to second speed.
4. controlled analgesia method for controlling pump as claimed in claim 1, it is characterised in that when receiving the outer triggering signal Afterwards, the outer triggering signal is sent to work station.
5. controlled analgesia method for controlling pump as claimed in claim 1, it is characterised in that the First Speed is equal to described second Speed.
6. a kind of controlled analgesia pump, it is characterised in that including:The pump housing, is used to extract and infuses and export transfusion;
Trigger button, is used to receive outer triggering signal;
First control unit, controls the infusion velocity of the pump housing, and the infusion velocity for setting lasting amount is First Speed, and is controlled Infusion velocity of the pump housing from the lasting amount of First Speed reduction;
Second control unit, is connected with the trigger button, receives the trigger button, after external trigger information is received, The second control unit control pump housing infusion single infusion amount, lifts the infusion velocity of lasting amount of the pump housing to second speed, And from the infusion velocity of the lasting amount of second speed reduction, the second speed is more than continuing when receiving external trigger information The infusion velocity of amount.
7. controlled analgesia pump as claimed in claim 6, it is characterised in that first control unit or second control are single Unit's control pump housing proportionally linearly drops from the infusion velocity of the First Speed or the lasting amount of second speed reduction It is low or according to fixed value reduction.
8. controlled analgesia pump as claimed in claim 6, it is characterised in that second control unit receives external trigger letter After breath, the infusion velocity of the lasting amount of the pump housing is directly increased to second speed by second control unit.
9. controlled analgesia pump as claimed in claim 6, it is characterised in that also include:Wireless transmitting unit, presses with the triggering Button communication connection, after the trigger button receives outer triggering signal, the wireless transmitting unit sending signal.
10. controlled analgesia pump as claimed in claim 6, it is characterised in that the First Speed is equal to the second speed.
CN201710086201.1A 2017-02-17 2017-02-17 Controlled analgesia pump and its control method Pending CN106823049A (en)

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CN201710086201.1A CN106823049A (en) 2017-02-17 2017-02-17 Controlled analgesia pump and its control method

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Application Number Priority Date Filing Date Title
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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107497013A (en) * 2017-09-18 2017-12-22 马挺 A kind of method and system with the individuation intelligent pain-relieving pump for removing pump prompt facility
CN109461487A (en) * 2018-10-29 2019-03-12 深圳麦科田生物医疗技术有限公司 A kind of PCA infusion device and the method for ahead relieving locking
WO2023046049A1 (en) * 2021-09-24 2023-03-30 杭州兰马医疗科技有限公司 Infusion apparatus and control method therefor

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US20100094251A1 (en) * 2008-10-15 2010-04-15 M2 Medical Group Holdings, Inc. Infusion Pump System and Methods
CN103736166A (en) * 2014-01-22 2014-04-23 马挺 Individualized smart patient-controlled analgesia pump
CN104302341A (en) * 2011-12-07 2015-01-21 新加坡保健服务集团有限公司 A computer-implemented method for controlling dispensing of a biologically active agent; computer system and software thereof
CN104740729A (en) * 2013-12-26 2015-07-01 上海微创生命科技有限公司 Insulin syringe
CN105999465A (en) * 2016-06-24 2016-10-12 江苏人先医疗科技有限公司 Method and system for automatically adjusting PCA (patient controlled analgesia) infusion parameters of electronic infusion pump

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US4282872A (en) * 1977-12-28 1981-08-11 Siemens Aktiengesellschaft Device for the pre-programmable infusion of liquids
WO1984000493A2 (en) * 1982-07-23 1984-02-16 Juergen Stoffregen Method and apparatus for the regulated perfusion of liquids
US5069668A (en) * 1990-07-12 1991-12-03 Boydman Scott A Patient controlled analgesia system
US5219330A (en) * 1991-11-26 1993-06-15 Imed Corporation Method and apparatus for preprogrammed infusion of iv medicaments
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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107497013A (en) * 2017-09-18 2017-12-22 马挺 A kind of method and system with the individuation intelligent pain-relieving pump for removing pump prompt facility
CN107497013B (en) * 2017-09-18 2021-01-12 马挺 Method and system for individual intelligent analgesia pump with pump withdrawal prompt function
CN109461487A (en) * 2018-10-29 2019-03-12 深圳麦科田生物医疗技术有限公司 A kind of PCA infusion device and the method for ahead relieving locking
WO2023046049A1 (en) * 2021-09-24 2023-03-30 杭州兰马医疗科技有限公司 Infusion apparatus and control method therefor

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