CN108269613A - Medical Devices and its operating method - Google Patents

Abstract

The invention discloses a kind of Medical Devices and its operating methods.The Medical Devices include：Interventional element, data input device, at least one external assertion data equipment and electronic controller.The medical equipment operation is：By the data transmission related with Interventional task to Outside data services equipment, to receive the operation scheme related with Interventional task and required static state and real-time assertion data, so as to perform Interventional task；Static assertion data needed for being searched from centralized data structure；And request and the associated required real-time assertion data of associated patient mark from least one external assertion data equipment；The associated patient of requested required real-time assertion data is identified and is compared with Patient identification, and if associated patient mark matches with Patient identification, receives requested required real-time assertion data；And if the required real-time assertion data received receives according to the operation scheme other than range, adjust Interventional task.

Description

Medical Devices and its operating method

The application is the applying date on December 3rd, 2012, application No. is 201210510486.4, entitled " have The divisional application of the patent application of the Medical Devices of context aware ".

Technical field

The present invention relates to the Medical Devices that can be monitored with managing patient and patient's treatment, and more particularly to being capable of providing Specific to the Medical Devices of the consultation information of patient.

Background technology

Medical Devices (e.g., including heart monitor, blood oxygen sensor and infusion pump etc.) are in hospital and clinical ring Play an important roll in providing in terms of real-time patient health guarantee in border.The equipment can be with automatic running, with monitoring The vital sign of patient, and manage drug etc..Under normal conditions, the health care professionals such as nurse defer to the opinion of doctor Microprocessor etc. can will be inputed to the device-dependent setting for limiting equipment operation.Then, nurse can freely be handled Other affairs, it is only necessary to regularly detection device.

Such Medical Devices can provide certain alarm signals, and alarm signal instruction may be with patient or patient and machine The problem of interaction (including certain mechanical disorder situations) between device is related.These alarms are based on related with the specific function of machine The rule being inherently programmed in inside Medical Devices.For example, infusion pump may report the IV conduits resistance for showing as pressure rise Plug.

Furthermore it is known that using the fact that the drug conveyed about delivery systems such as transfusion systems (for example, special Determine the parameter limitation of the venous transfusion of drug) system is programmed.When suitably notifying the transfusion system drug When being transported, the system can check that the conveying setting of its own is limited with those parameters, if there is conflict between the two, Alarm is provided.

The increase of the availability of the data source of the fact that with drug, disease treatment scheme, clinical treatment etc. and Exploitation has the function of the progress of " intelligence " Medical Devices for wirelessly communicating and seeking advice from, and can develop better system and user Method, to utilize the useful knowledge base of the particular patients ' with special state.Medical Devices or other relevant devices can provide official communication It askes.It can be seeked advice from remote site or at the scene.Time can be it is real-time, before treatment or after the treatment.At this Such system and method are provided in patent application.

Invention content

The present invention provides a kind of Medical Devices, which can be known based on the scene about specific patient under consideration Know to provide consultation information (operating parameter such as recommended or the inspection of operating mistake and/or the inspection of alert consitions).It can use By monitor or treat patient Medical Devices (the common patient identification number preserved by medical treatment device identifying and It is identified by inquiring the record of the Central Medical in hospital etc., the Central Medical record is for medical treatment device to particular patient reality For existing function be important the information specific to patient) between shared information obtain context aware (contextual awareness)。

In one embodiment, the present invention provides following Medical Devices：The Medical Devices provide：Interventional element, It connects to perform medical procedure to patient with patient；Data input device is received and is situated between during liquid preparation is conveyed The related data of entering property task；Data link is used to carry out electronic data communication with external equipment；And electronic control Device.Electronic controller can perform the program of storage, so as to：(a) external number will be transmitted to the relevant data of Interventional task According to service equipment, to receive the mark of the operation scheme related with Interventional task and required assertion data；(b) from least one The assertion data of required assertion data is searched in a external assertion data equipment；And (c) according to from least one external number The operation scheme and assertion data that are received according to service equipment and external assertion data equipment monitors the execution of Interventional task.

Therefore, at least one embodiment of the present invention is characterized in that providing following Medical Devices：The Medical Devices can Understood by managing with the information sharing of other relevant equipment and data source to obtain the effective scene of its task.Number of tasks According to patient identification information in some cases by identifying the common patient of respective sensor data and by identifying shape The key factor of data sharing is provided into the context aware scheme of the frame of required shared data.

Interventional element can be the pump for conveying liquid medicament, and the data related with Interventional task may include marking The drug information and the transfer rate of marking liquid medicament and the transport information of at least one of conveying capacity of knowledge liquid preparation.

Therefore, at least one embodiment of the present invention is characterized in information using medical pump is normally entered as about process Context aware scheme index.

The data related with pump task may include patient identification information.

Therefore, the feature of at least one embodiment of the present invention is to provide for being operated on independent patient and therefore may be used The mechanism communicated between equipment with common patient identification number.

External assertion data equipment can be hospital database, and hospital database is based on patient identification information, provide about The clinical information of patient.

Therefore, at least one embodiment of the present invention is characterized in obtaining and (such as may be used about the more detailed knowledge of patient It is obtained in hospital record).

External assertion data equipment can be adjacent to being provided in real time for patient based on patient identification information for medical pump Medical data medical monitoring system.

Therefore, at least one embodiment of the present invention is characterized in promoting the information sharing in multiple monitoring, this can change The kind health care for being supplied to patient.

Medical monitoring system can be for example, blood pressure monitor, oximeter, blood glucose monitor and respiration monitor.

Therefore, the feature of at least one embodiment of the present invention, which is to provide, to be with what common bedside supervision equipment worked System, to enhance the conveying of the drug of pumping system.

Data input device can be selected from the group including keyboard, RFID reader and bar code scanner.

Therefore, the feature of at least one embodiment of the present invention is to provide bar code or other marks for example on medicament The pump task data of label automatically enters.

Pump can be selected from the group including infusion pump and syringe pump.

Therefore, the feature of at least one embodiment of the present invention is to provide the system of the operation of enhancing general medical equipment.

Data link can be wireless communication link.

Therefore, at least one embodiment of the present invention is characterized in improving the movement of the necessary equipment in healthcare environment Property.

The medical pump can also include alarm, which provides for the user of medical pump for alarm, wherein, electricity Sub-controller further performs storage program with the rale activation alarm according to context aware scheme.

Therefore, at least one embodiment of the present invention is characterized in the feelings based on the enhancing to medical pump in situation is seeked advice from Scape understands to operate medical pump.

The present invention also provides a kind of Medical Devices, which includes：Interventional element, the Interventional element with Patient connects, to perform medical procedure to patient；Data input device, the data input device is for reception and the intervention The related data of Interventional task performed by property element and Patient identification；At least one external assertion data equipment；And electricity Sub-controller, the electronic controller break with the Interventional element, the data input device and at least one outside Speech data equipment communicates, and perform storage program, so as to：By the data transmission related with the Interventional task outside Portion's data service unit, to receive the operation scheme related with the Interventional task and required static and real-time assertion data, So as to perform the Interventional task；Static assertion data needed for being searched from centralized data structure；And from it is described at least Request and the associated required real-time assertion data of associated patient mark in one external assertion data equipment；Needed for will be requested The associated patient mark of real-time assertion data is compared with the Patient identification, and if associated patient mark and institute It states Patient identification to match, then receives requested required real-time assertion data；And if what is received required asserts in real time Data receive according to the operation scheme other than range, then adjust the Interventional task.

It to be asserted in addition, the present invention also provides a kind of obtained from least one assertion data equipment of monitoring expectation patient Data by the Interventional element with the patient communication to perform Interventional task so as to perform medical mistake to the patient The method of journey, includes the following steps：By the data transmission related with the Interventional task to Outside data services equipment, to connect The operation scheme related with the Interventional task and required static and real-time assertion data are received, is appointed so as to perform the Interventional Business；Static assertion data needed for being searched from centralized data structure；It please from least one external assertion data equipment It asks and the associated required real-time assertion data of associated patient mark；By the associated patient mark of requested required real-time assertion data Know compared with the Patient identification, and if associated patient mark matches with the Patient identification, receive institute The required real-time assertion data of request；And if the required real-time assertion data received in connecing according to the operation scheme Other than by range, then the Interventional task is adjusted.

It should be appreciated that the application of the present invention is not limited to the construction of component described in this paper and the details of arrangement.The present invention There can be other embodiments and can be practiced or carried out in different ways.Aforementioned variants and modifications are fallen the present invention's Within the scope of.It can also be appreciated that invention disclosed herein and restriction extends to specification and/or attached drawing is previously mentioned or can be apparent All alternative combinations of two or more in obtained each feature.All these different combinations form each of the present invention Alternative aspect.Embodiments described herein explains the known best mode for implementing the present invention, and will make ability Field technique personnel can utilize the present invention.

Description of the drawings

Fig. 1 is that simplifying for hospital environment represents that it illustrates communicated with being suitable for the invention medical monitoring devices , interventional medical equipment in the form of medical pump, the medical pump also with database (such as Central Medical record system and scheme Database) communication；

Fig. 2 is the block diagram of the main hardware components of the exemplary medical of the equipment of Fig. 1, which provides to obtain It takes pump task data, patient identification information, context aware scheme and performs other inputs of assertion data of pump task and wireless Communication；

Fig. 3 is the data structure according to an embodiment of the invention preserved in the memory block of the Medical Devices of Fig. 2 Schematic diagram；

Fig. 4 is the perspective view for showing to obtain the example medical equipment of the automatic drug mark of task data；

Fig. 5 is to show the equipment of Fig. 2 and Fig. 3 implementing the present invention to provide the master specific to the operation during alarm of patient Want the flow chart of step；

Fig. 6 is the flow performed during with other Medical Devices shared informations by the equipment of Fig. 2 and Fig. 3 the step of Figure；And

Fig. 7 is to show to exchange message between Medical Devices and relevant Medical Devices to obtain the number of the understanding to scene According to flow chart.

Specific embodiment

With reference to figure 1, Medical Devices 10a and 10b can be positioned near patient 12 in hospital or other environment, strong to provide Health monitors and/or intervention sex service.Medical Devices 10a, as indicated, can be the infusion pump and medical treatment conveyed for drug Equipment 10b can be for example, the general surveillance system of monitoring heart rate, breathing, pulse, temperature, blood oxygen etc..In this respect, it is medical Equipment 10 can monitor patient and influence patient's treatment simultaneously.

As being generally understood according to the following instructions, according to the present invention, given Medical Devices 10 can via because Special net 19 and look after same patient 12 other Medical Devices 10 and with database (such as Central Medical record system 14 or outer Portion's context aware scheme database 17 etc.) communication.The communication can be by including the various modes of cable or optical cable or such as institute The wireless communication shown carries out.

Central Medical record system 14 can for example provide communicated via transceiver 18 with Medical Devices 10 and The central record server 16 to be communicated by standard network circuit etc. with multiple data terminals 20, the multiple data terminal 20 configurable medical staff, the medical staff can enter or accessing patient medical record, read medical instrument 10 alarm and Monitor operation of medical instrument 10 etc..Central record server 16 can communicate with electronic medical records database 22, electronics doctor Database of record 22 is treated to preserve and the relevant patient medical records of patient identification number.Under normal circumstances, medical record database 22 By the identification number of unique mark patient with about patient various clinical information (including：Height, weight, gender, age and allergy Deng) associated.

Central record server 16 also can with for treating the context aware scheme number of the particular context aware scheme of patient It communicates according to library 15 and/or communicates with the drug factual database 23 of the information with specific drugs.For example, by Liquid preparation, which is introduced, using medical pump represents drug class come in the case for the treatment of patient, context aware scheme database 15 can preserve The data of the preferred transfer rate of type and drug, the preferred transfer rate of the drug break in rate and total amount according to specifically constant Say data (predicate data) (Gender or weight etc.) and real-time assertion data (such as blood pressure and blood glucose level Deng) and change.

The difference of external sights aware scheme database 17 and central record server 16 is to lack facing about patient Bed data, however, the information source similar to context aware scheme database 16 and drug factual database 23.

The sample scenario aware scheme for medical pump in external scheme database 17 or therapeutic scheme database 15, Patients' blood can be identified as to assertion data, and the scheme for limiting blood pressure range is provided, pump can be in the blood pressure range Operation, when blood pressure terminates the operation of pump when except this range.Second sample scenario aware scheme of medical pump can be by blood glucose mark Know for assertion data, and provide pump operable range of blood sugar, and when blood glucose terminates the operation pumped when except this range.

Referring now to Figure 2, Medical Devices 10 usually may include processor 24, processor 24 (may be wrapped with memory 26 It is contained on identical integrated circuit) it communicates, memory 26 preserves 28 He of program for the operating system for being supplied to Medical Devices 10 Special executable program, will be described below.Memory 26 can also preserve the data structure 30 used by program 28, will be under It is illustrated in text.

In the case of memory is located at outside processor, processor 24 can pass through central bus or multiple I/O circuits 32 Communicate with memory 26, central bus or multichannel I/O lines 32 also allow processor 24 with specific to particular medical device The various sensors of 10 function and the interface 34 of actuator 35 communicate.The sensor 35 may include for example, pressure passes Sensor, temperature sensor, lambda sensor, ultrasonic sensor and other sensor specials well known in the prior art.The cause Dynamic device 35 may include for example, motor, heater and alarm etc..Different Medical Devices 10 usually have different sensing energy Power subset, and the scene to obtain patient's treatment must be in communication with each other.

Processor 24 can also communicate with data entry keyboard 36 (for example, thin film switch array), with allow and treat by Associated 38 input data of healthcare givers of particular task that Medical Devices 10 perform.Data entry keyboard 36 can be with output screen (LCD aplhanumeric visual displays etc.) is associated, in order to the input and inspection of data, and provides output to medical people Member 38.Information can be inputted and show using more advanced touch screen.Data entry keyboard 36 is for example in the situation of medical pump Under can be used to input patient identification information, drug information and drug transfer rate or conveying capacity.

Processor 24 can also communicate with scene sensor 40 and 42, and scene sensor 40 and 42 can be provided about medical treatment The important context information of the operation of equipment 10.In one example, scene sensor 40 can be for example stored in for identifying Drug type and treatment parameter are indicated in IV packets and syringe, by RFID label tag and treats the drug conveyed by Medical Devices 10a The RFID reader of product 37.Scene sensor 42 for example can be for for example scanning the bar code hand with patient 12 The barcode reader of band 44 (showing in Fig. 1), IV packets or syringe etc..

Processor 24 can also with suitable for the wireless transceiver 18 with other Medical Devices 10 and/or central server 16 into The wireless transceiver 45 of row communication is (for example, ZigBee, Wi-Fi, bluetooth, short-range communication (Near Field Communication, NFC) or 3G) communicate.

Referring now to Figure 3, the data structure 30 in memory 26 (being shown in FIG. 2) may include one or more trouble Person's data object 46, each patient data object 46 with can be inputted by user or by lookup from remote equipment handle come The patient identification number 48 (for example, being obtained from bar code hand strap 44) of unique corresponding patient for obtaining and specific to patient's Constant assertion data 50 is associated, and associated with the real-time assertion data 51 specific to patient, should be specific to the reality of patient When assertion data 51 include the states of various sensors for example on Medical Devices 10 or near Medical Devices 10, will be under It is illustrated in text.In general, only single patient object 46 is effective, if however, Medical Devices 10 in one day for multiple Patient such as the situation that portable device is likely to occur, then can store and use other patient subjects 46.Data structure 30 is also It may include machine identification code 52, machine identification code 52 is managed according to the standard logo collection used in the industry or by particular manufacturer Think the series number of ground identified machine and its general rank and function.

Data structure 30 may also comprise the task data 54 for being exclusively used in particular medical device 10 and its environment, task data 54 Usually description Medical Devices 10 operational scenarios (including the type of the drug for example conveyed), and its programming and data by Healthcare givers 38 is for example inputted by data entry keyboard 36.In the case of infusion pump, drug type and infusion rate and defeated The amount of sending can be in the task data 54.All or some task datas 54 can be designated as can flagged position (not shown) Shared, when input or modification that the flag bit can during fabrication or later, is programmed.The task data 54 of data structure 30 is also The patient identification number 48 of the reproducible effective patient ID of reflection, effective patient ID represent which patient subjects 46 are effective.

Finally, data structure 30 may include receiving task data 54 to operate Medical Devices 10, such as by context aware scheme The machine rule 56 adjusted with the assertion data 50 and 51 specific to patient.

Referring now to Fig. 2,3 and 4, in Medical Devices 10 as such as syringe pump, 34 controlled injection device of interface Plunger mechanism 60 operates the plunger to press down on the syringe 62 comprising certain drug formula.Syringe 62 can be marked with RFID 64 mark of label, RFID label tag 64 can automatically be read by scene sensor 42, to provide the pharmaceutical formulation represented in syringe 62 Task data 54.Task data 54 can also preserve the information from the various sensors on Medical Devices 10, the Medical Devices 10 include air bubble sensor 66, pressure sensor 68 and flowmeter 70, and the monitoring of flowmeter 70 is connected to syringe 62 and leads to The IV pipes 72 of patient.All data offers can be used as the input parameter of machine rule 56 or can be used as the disconnected in real time of scheme Speech data are with the task data to wish to be provided instruction by the task that Medical Devices 10 perform.It is submitted on October 24th, 2012 The co-pending patent application 13/659 of entitled " Syringe Pump with Improved Flow Monitoring ", It elaborates to be suitable for the syringe pump that the present invention uses in 619.

Referring now to Fig. 2 and Fig. 5, in the first step, as shown in processing module 80, program 28 can be received for example, passing through Task data 54 that is that data entry keyboard 36 is inputted or being read from the container of drug products 37.Typically, for doctor With the situation of pump, the task data 54 will include drug type and conveying instructs, such as flow rate and/or total volume.

As shown in processing module 82, program 28 can be received for example being keyed in by data entry keyboard 36 or be read from bar code Take device --- the patient identification number 48 of 42 automatically scanning of scene sensor.

As shown in processing module 81, the step of task data 54 can be used to search being limited to task data 54 for task into The assertion data and context aware scheme of row control.For example, the protocol can will be described as the scheme of certain drug Changed according to specific assertion data (including for example constant assertion data 50 and real-time assertion data 51).Processing module 81 can lead to It crosses and the data of task data 54 is transmitted to therapeutic scheme database 15 to obtain necessary scheme and assertion data, therapeutic scheme Database 15 provides integration scenario using the drug of mark based on the different ranges for asserting value for conveying.The value asserted Mark also obtains in processing module 81.

In processing module 83, program 28 assesses the currently not available assertion data in data structure 30.Constant asserts Data 50 can be for example using the index of Patient identification 48, by communicating to obtain with medical data base 22.Constant information can wrap Include the information such as gender, weight and age and the drug allergy of patient.

In this regard, Patient ID information can be used to obtain appropriate record, and utilize electronic medical record in program 28 The priori of the necessary data field of database 22 asserts the desired letter of field to obtain about particular medical device 10 Breath.In one embodiment, the universal coding of the data of database 22 can be used in Medical Devices 10, for example, by database service It is that device 66 is applied, using common label (such as XML tag) come the coding of label information.Then, the assertion data is compiled Enter into data structure 30.

Some non-constant assertion datas can only dynamically be collected not in medical data base 22 from patient, for example, Blood pressure and blood glucose level.For this purpose, program 28 can be prompted to input additional data by data entry keyboard 36 by healthcare givers 38. Alternatively, real-time assertion data 51 can also be obtained from other Medical Devices operated on same patient 12, described same Patient is indicated by matching effective patient ID, will be described below.

Then, as shown in processing module 84, collected context aware scheme and assertion data may be used on machine rule 56.Usually, machine rule 56 perform the control ring of Medical Devices 10 with intervention is provided, and can be utilized come from The information of 10 relevant sensor of Medical Devices and actuator 35.In one example, context aware scheme and assertion data behaviour Make input operating parameter being supplied to machine rule 56, then machine rule 56 controls medical treatment to set according to the operating parameter Standby 10.In this case, operating parameter is similar to the parameter that operator can be inputted by data entry keyboard 36, and is curing It is controlled in the case ofs with pump flow rate etc..Alternatively, context aware scheme and assertion data can seek advice from identity and be operated, It is wrong to have selected the operating condition of mistake or selected operating condition in given all patients treatment scene Under situation, the alarm of Medical Devices 10 and covering (override) are provided.

Context aware scheme and to the monitoring of the real time medical information from patient according to age, gender, weight and pass The knowledge (for example, from acquired in drug factual database 23) of the interaction of other drugs used by drug and patient Can be included in about the rule for suitably conveying drug, with ensure the drug that is being transported by Medical Devices 10 will not in electronics Other drugs in the patient prescription recorded in medical record database 22 have opposite effect.Context aware scheme is in highest The specific medical state for ensureing patient of the conveyed drug to being obtained from medical data base 22 in level is appropriate.This Outside, context aware scheme operation comes, and monitoring is provided based on the knowledge of acquired patient's states from real-time assertion data 51 The advice range of the conveying of drug.

In processing module 86, based on task data 54 and assertion data 50 and 51 are applied to machine via processing module 84 The processing of rule 56, can automatically generate alarm or response.The alarm can be by server 16, via for obtaining assertion data 50 and 51 same link come be transmitted wirelessly to terminal 20 or can be with 10 relevant alarm of particular medical device, The local alarm performed on buzzer or display 39.Response may include, such as stop the injection of drug or in healthcare givers 38 Not when other the simple measures that can in real time be taken by Medical Devices 10.By used Medical Devices, on nursing ground Point, patient or care-giver can also obtain consultation information, such as shown on medical device screen information or broadcast audio alert or Video is played to show.

Referring now to Figure 6, as described above, given Medical Devices 10 can be from applied to other locals in same patient 12 Real-time assertion data is obtained in Medical Devices 10.For example, the assertion data can be the assertion data identified in scheme, and And assertion data is obtained from scheme database 15 or 17.As shown in processing module 90, detected in each Medical Devices 10 When asking the request relevant with effective patient ID of equipment, can transmit the scene that offer patient treats asserts information. Decision-making module 92, the equipment using request is received will be with asking relevant patient ID to compare with currently valid patient ID.Such as They are identical for fruit, then in processing module 94, according to the matching of desired assertion data, being identified as sharable task data 54 can Pass through Radio Link and request collaborative share.Shared data may include providing the machine identification code 52 of the scene of shareable data, Or shareable data can be encoded into and independently represent its meaning.

Referring now to Figure 7, therefore, given invasive devices 10a can receive for example encode it is in drug container or by The patient identification number 48 and basic task data 54 that user is inputted.Task data 54 can be sent to scheme number by equipment 10a According to library 15 or 17, with receive context aware scheme information and it is relevant assert 50 and 51 mark.Equipment 10a can utilize patient to mark Know numbers 48 and the mark of assertion data 50 and 51 obtain necessary assertion data, necessary assertion data can be from medical number According to the assertion data 50 of 22 grade of library or the real-time assertion data 51 from other Medical Devices 10b.

Usually, the present invention relates to for inquiring and search for information, refine searched for result, the state of supervision equipment And/or particular task, monitoring patient's states, storage and processing related data, generation consultation report and/or alarm, display correlation Information and/or Authorization execution it is original or modification treatment plan medical apparatus system and method.Above-mentioned task can be Remote site performs in real time, before treatment or after the treatment at the scene.Although prior art systems propose that use is faced The acceptable therapeutic scheme of bed such as defines the drug storage of clinically-acceptable dosage (or infusion rate) limitation, is disclosed herein System and method using following characteristics come provide for the communication information, realize data transmission and processing new paragon：1) it is a variety of Equipment, including Medical Devices and non-medical devices；2) multiple data sources, including but not limited to the drug fact, disease treatment scheme, Clinical treatment, patient profile, laboratory test results etc.；3) data acquired on multiple time points, such as patient Laboratory test results historical record and/or previous venous transfusion parameter, so as to comprehensive for particular patient generation Consultation report so as to improve treatment, alleviation, diagnosis or safety and the efficiency of prevention disease or abnormality, and is needing Shi Shixian is seeked advice from (including live Instant-Counseling).

" the separation performed instead of conventional " separate type " Medical Devices, database and test result or in individual case Formula " task, it is contemplated that gone out to communicate well and the integrated system that notifies well, to be based on real-time condition and known credible Knowledge base is more accurately seeked advice to provide.The integrated medical equipment can be intended to and face knowing patient's scene, action (action) In the case of bed scheme during treatment, diagnosis, alleviation, prevention etc., real-time clinical decision support is provided performing place.

The present invention relates to provide the consulting based on information (mainly for the real-time official communication in care location by Medical Devices Ask) system and method.With the Quick Extended of the data source of the drug fact, disease treatment scheme, clinical treatment etc., with And the extensive use with the intelligent medical equipment for wirelessly communicating and seeking advice from feature, better system and user can be developed Method, to utilize the available knowledge base of the particular patient with particular state.Consulting can be set by Medical Devices or other correlations It is standby to provide.Consulting can be carried out in remote site or at the scene.Time can be in real time, before treatment or after the treatment.

Specifically, the present invention provides：

(1) patient profile's context aware；

(2) knowledge base based on long-range/scene is come applying clinical decision；

(3) by the way that patient's scene is applied to knowledge base, the clinical diagnosis/treatment to export operation Medical Devices is intended to.

(4) clinic intention is converted into the OK range of measurable parameter monitored by Medical Devices.

As a result, the parameter set of Medical Devices control/measurement energy real-time perception patient's current state.Each update by During the patient profile that external content supplier provides, continue adjusting device it is measured/parameter of control.All subsystems are common Effect.

Present patent application is patient profile's context aware on one side：Enable a device to " perceiving " patient profile and Real-time status, for example, the gender of patient, age, diagnosis, medical history, laboratory test results and historical data etc..It is some or all of Information be used as the basic data of further consulting, data processing and/or report.By with patient, diagnosis/prescription and/or The related processing information of disease, can be from patient profile's (age, gender etc.), symptom, diagnosis, diagram note etc. and related data sources Middle extraction treatment is intended to.In one embodiment, the information related with infusion is stored in database.Inquiry from pump user It asks and database is transmitted to by server, and inquire result that (drug that such as, is transfused before, flow rate, patient are to the anti-of drug Should, it is special annotation etc.) be transferred back to pump so that user checks.

Present patent application is known based on equipment, long-range and/or live knowledge base applying clinical decision support on one side Know.

The one side of present patent application using patient's context aware come steadily applying clinical decision support rule, nothing By being on vehicle-mounted Medical Devices or in management diagnosis/therapeutic process.Certain terms used herein are merely for reference Purpose, therefore be not limiting as.For example, the terms such as " on ", " under ", " above " and " below " refer to reference to attached The direction of figure.The terms such as "front", "rear", " below ", " bottom ", " side " describe each section of component compatible but appoint Orientation in the coordinate system of meaning is understood by reference to describing attached drawing and this paper of discussed component.Such term can To include the word being above specifically mentioned and its derive from word and the word of similar meaning.Equally, unless context clearly It points out, such numerical value term of the reference structures such as " first ", " second " does not imply order or sequence.

When the elements or features for introducing the disclosure and exemplary embodiment, article " one ", "the" and " described " are intended to table Show that there are one or more such elements or features.Term " comprising ", "comprising" and " having " are thought as inclusiveness, and Mean to have the element and feature in addition to the elements or features particularly pointed out.It should be understood that it performs unless otherwise indicated Sequentially, approach described herein step, process and operation are not necessarily to be construed as necessarily requiring them by being discussed or show Particular order perform.It is also understood that the step of additional or replacement may be used.

The reference of " microprocessor " and " processor " can be understood as including can be in stand-alone environment and/or distributed ring One or more microprocessors to communicate in border, and therefore can be configured as via wired or wireless communication come with Other processor communications, wherein one or more processor can be configured as and be controlled in one or more processors Equipment (they can be similar or different equipment) on operate.In addition, unless otherwise indicated, it can to the reference of memory With include readable one or more processors and accessible memory element and/or component (it can be built in processor Control device is placed outside processor control device) and can be accessed by wired or wireless network.

The present invention is not intended to be limited the embodiment and example included herein, and claim should be read to include The modification of embodiment (including the part of embodiment being within the scope of the present invention and the combination of different embodiments).This paper institutes All disclosures (being disclosed including patent and non-patent) illustrated, entire contents are incorporated herein by reference.

To sum up, in an embodiment according to the present invention, the present invention provides following technical solutions.

A kind of 1. Medical Devices of scheme, the Medical Devices include：

Interventional element, the Interventional element are connected with patient, to perform medical procedure to patient；

Data input device, the data input device are appointed for receiving with the Interventional performed by the Interventional element It is engaged in relevant data；

Data link, the data link are used to carry out electronic data communication with external equipment；And

Electronic controller, the electronic controller communicate with the Interventional element, the data input device and data Link communicates, and performs storage program, so as to：

(a) by the data transmission related with the Interventional task to Outside data services equipment, to receive with being given an account of The mark of the related operation scheme of entering property task and required assertion data；

(b) assertion data of assertion data needed for being searched from least one external assertion data equipment；And

(c) according to the operation scheme received from least one Outside data services equipment and external assertion data equipment and Assertion data monitors the execution of the Interventional task.

2. Medical Devices as described in scheme 1 of scheme, wherein, the Interventional element is for conveying liquid preparation Pump, and Interventional task is conveying liquid preparation.

Medical Devices of the scheme 3. as described in scheme 2, wherein, the data related with Interventional task include identifying the liquid The drug information and the delivery rate of the mark liquid preparation and the transport information of at least one of conveying capacity of body medicament.

Medical Devices of the scheme 4. as described in scheme 3, wherein, the data related with the Interventional task are marked including patient Know information.

Medical Devices of the scheme 5. as described in scheme 4, wherein, the external assertion data equipment is marked based on the patient Know the hospital database for the clinical information that information is provided about the patient.

Medical Devices of the scheme 6. as described in scheme 5, wherein, the external assertion data equipment is marked based on the patient Know the medical monitoring system near medical pump that information provides real time medical data for patient.

Medical Devices of the scheme 7. as described in scheme 6, wherein, the medical monitoring system be from including blood pressure monitor, It is selected in the group of oximeter, blood glucose monitor and respiration monitor.

Medical Devices of the scheme 8. as described in scheme 2, wherein, the data input device is from including keyboard, RFID marks It is selected in the group of label reader and barcode scanner.

Medical Devices of the scheme 9. as described in scheme 2, wherein, the pump is from the infusion pump including large volume, syringe It is selected in the group of pump and portable pump.

Medical Devices of the scheme 10. as described in scheme 2, wherein, the data link is wireless communication link.

Medical Devices of the scheme 11. as described in scheme 2, further include the alarm that alarm is provided for the user of the medical pump Device, and wherein described electronic controller performs the storage program also according to the rule of the scheme, to activate the police Report device.

Medical Devices of the scheme 12. as described in scheme 2, wherein, blood pressure is identified as assertion data and marked by the scheme Know the scheme that following blood pressure range is provided：The pump can operate in the range, and when blood pressure is more than the range, The operation of the pump is terminated, and wherein, the blood pressure monitor of the separation to work by being used as external supervisory equipment obtains blood Pressure.

Medical Devices of the scheme 13. as described in scheme 2, wherein, blood glucose is identified as assertion data and marked by the scheme Know the scheme that following range of blood sugar is provided：The pump can operate in the range, and when blood glucose exceeds the range The operation of the pump is terminated, and wherein, the blood glucose monitor of the separation to work by being used as external supervisory equipment obtains blood Sugar.

14. Medical Devices as described in scheme 1 of scheme, wherein, the data link is from including bluetooth radio Link, selects in one or more groups of short-range communication (NFC) and Wi-Fi data link infrared data link.

A kind of 15. medical pump transport system of scheme, including:

Medical sensor system, the medical sensor system provide：

(a) for patient to obtain at least one sensor of medical information in real time；

(b) the first data link of electronic data communication is carried out with external equipment；And

Medical pumping system, the medical pumping system provide：

(a) for conveying the pump of liquid preparation；

(b) it is used to receive the data input device of the data related with pumping task in the conveying of the liquid preparation；

(c) for the second data link with external equipment progress electronic data communication；And

(d) with the pump, the electronic controller of the data input device and data communication link, and the electricity Sub-controller performs storage program, so as to：

(i) data related with the pump task are transmitted to Outside data services equipment, to receive and the pump task Related operation scheme and the mark of required assertion data；

(ii) assertion data of assertion data needed for being searched from least one external assertion data equipment；And

(iii) according to the operation scheme received from least one Outside data services equipment and external assertion data equipment and Assertion data monitors the execution of the pump task.

Medical pump transport system of the scheme 16. as described in scheme 15, further includes：There is provided will pump task data and scheme and side The Outside data services equipment for the database that assertion data needed for case is linked.

A kind of 17. Medical Devices of scheme, the Medical Devices have patient's context aware and/or in point-of cares and/or far Instant-Counseling information is provided to journey.

Claims (13)

1. a kind of Medical Devices, which includes：

Interventional element, the Interventional element are connected with patient, to perform medical procedure to patient；

Data input device, the data input device have for receiving with the Interventional task performed by the Interventional element The data of pass and Patient identification；

At least one external assertion data equipment；And

Electronic controller, the electronic controller and the Interventional element, the data input device and described at least one External assertion data equipment communicates, and performs storage program, so as to：

By the data transmission related with the Interventional task to Outside data services equipment, to receive and the Interventional task Related operation scheme and required static and real-time assertion data, so as to perform the Interventional task；

Static assertion data needed for being searched from centralized data structure；And

Request and the associated required real-time assertion data of associated patient mark from least one external assertion data equipment；

The associated patient of requested required real-time assertion data is identified and is compared, and if institute with the Patient identification It states associated patient mark with the Patient identification to match, then receives requested required real-time assertion data；And

If the required real-time assertion data received receives according to the operation scheme other than range, adjust and given an account of Entering property task.

2. Medical Devices as described in claim 1 further include the alarm that alarm is provided for the user of the medical pump, and Wherein described electronic controller performs the storage program also according to the rule of the operation scheme, to activate the alarm Device.

3. Medical Devices according to claim 1, wherein, the Outside data services equipment is provided Interventional number of tasks The database being linked according to the required static and real-time assertion data with the operation scheme and the operation scheme.

4. Medical Devices as described in claim 1, wherein, the data related with Interventional task include marking liquid medicament The transport information of the delivery rate and at least one of conveying capacity of drug information and the mark liquid preparation.

5. Medical Devices as described in claim 1, wherein, the centralization data structure is carried based on the Patient identification For the hospital database of the clinical information related with the patient.

6. Medical Devices as described in claim 1, wherein, the external assertion data equipment is to be based on the Patient identification The patient provides the medical monitoring system near the medical pump of real time medical data.

7. Medical Devices as claimed in claim 6, wherein, the medical monitoring system is from including blood pressure monitor, blood oxygen It is selected in the group of meter, blood glucose monitor and respiration monitor.

8. Medical Devices as described in claim 1, wherein, the data input device is from including keyboard, RFID label tag reading Take what is selected in the group of device and barcode scanner.

9. Medical Devices as described in claim 1, wherein, the Interventional element is the pump for conveying liquid preparation, and And the Interventional task is the conveying liquid preparation.

10. Medical Devices as claimed in claim 9, wherein, the pump be from the infusion pump including large volume, syringe pump and It is selected in the group of portable pump.

11. Medical Devices as claimed in claim 9, wherein, blood pressure is identified as assertion data and marked by the operation scheme Know the scheme that following blood pressure range is provided：The pump can operate in the range, and when blood pressure is more than the range, The operation of the pump is terminated, and wherein, the blood pressure monitor of the separation to work by being used as external supervisory equipment obtains blood Pressure.

12. Medical Devices as claimed in claim 9, wherein, blood glucose is identified as assertion data and marked by the operation scheme Know the scheme that following range of blood sugar is provided：The pump can operate in the range, and when blood glucose exceeds the range The operation of the pump is terminated, and wherein, the blood glucose monitor of the separation to work by being used as external supervisory equipment obtains blood Sugar.

13. it is a kind of from monitoring it is expected patient at least one assertion data equipment in obtain assertion data with by with the patient The Interventional element of communication come perform Interventional task so as to the patient perform medical procedure method, including following step Suddenly：

By the data transmission related with the Interventional task to Outside data services equipment, to receive and the Interventional task Related operation scheme and required static and real-time assertion data, so as to perform the Interventional task；

Static assertion data needed for being searched from centralized data structure；

Request and the associated required real-time assertion data of associated patient mark from least one external assertion data equipment；

The associated patient of requested required real-time assertion data is identified and is compared, and if described with the Patient identification Associated patient mark matches with the Patient identification, then receives requested required real-time assertion data；And

If the required real-time assertion data received receives according to the operation scheme other than range, adjust and given an account of Entering property task.