CN111524572B - Anesthesia equipment and anesthesia safety control method - Google Patents
Anesthesia equipment and anesthesia safety control method Download PDFInfo
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- CN111524572B CN111524572B CN202010414179.0A CN202010414179A CN111524572B CN 111524572 B CN111524572 B CN 111524572B CN 202010414179 A CN202010414179 A CN 202010414179A CN 111524572 B CN111524572 B CN 111524572B
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- 206010002091 Anaesthesia Diseases 0.000 title claims abstract description 126
- 230000037005 anaesthesia Effects 0.000 title claims abstract description 126
- 238000000034 method Methods 0.000 title claims abstract description 35
- 239000003814 drug Substances 0.000 claims abstract description 65
- 229940079593 drug Drugs 0.000 claims abstract description 20
- 239000004081 narcotic agent Substances 0.000 claims abstract description 13
- 230000002572 peristaltic effect Effects 0.000 claims description 12
- 230000029058 respiratory gaseous exchange Effects 0.000 claims description 12
- 239000003193 general anesthetic agent Substances 0.000 claims description 8
- 238000010586 diagram Methods 0.000 claims description 6
- 238000012544 monitoring process Methods 0.000 claims description 6
- 239000007789 gas Substances 0.000 claims description 5
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims description 4
- 239000008280 blood Substances 0.000 claims description 4
- 210000004369 blood Anatomy 0.000 claims description 4
- 230000036772 blood pressure Effects 0.000 claims description 4
- 238000012937 correction Methods 0.000 claims description 4
- 239000001301 oxygen Substances 0.000 claims description 4
- 229910052760 oxygen Inorganic materials 0.000 claims description 4
- 239000000443 aerosol Substances 0.000 claims description 3
- 230000000144 pharmacologic effect Effects 0.000 claims description 3
- 230000036387 respiratory rate Effects 0.000 claims description 3
- 230000003183 myoelectrical effect Effects 0.000 claims description 2
- 230000003444 anaesthetic effect Effects 0.000 abstract description 9
- 230000005611 electricity Effects 0.000 abstract description 2
- 230000000694 effects Effects 0.000 description 4
- 238000012795 verification Methods 0.000 description 4
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 3
- 238000004891 communication Methods 0.000 description 3
- 230000000147 hypnotic effect Effects 0.000 description 3
- 230000000903 blocking effect Effects 0.000 description 2
- 238000002567 electromyography Methods 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- 208000003443 Unconsciousness Diseases 0.000 description 1
- 239000003994 anesthetic gas Substances 0.000 description 1
- 229940035674 anesthetics Drugs 0.000 description 1
- 238000013473 artificial intelligence Methods 0.000 description 1
- 230000002457 bidirectional effect Effects 0.000 description 1
- 229960004132 diethyl ether Drugs 0.000 description 1
- 238000001647 drug administration Methods 0.000 description 1
- PJMPHNIQZUBGLI-UHFFFAOYSA-N fentanyl Chemical compound C=1C=CC=CC=1N(C(=O)CC)C(CC1)CCN1CCC1=CC=CC=C1 PJMPHNIQZUBGLI-UHFFFAOYSA-N 0.000 description 1
- 229960002428 fentanyl Drugs 0.000 description 1
- 210000003709 heart valve Anatomy 0.000 description 1
- 239000003326 hypnotic agent Substances 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 238000002483 medication Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012806 monitoring device Methods 0.000 description 1
- 238000005457 optimization Methods 0.000 description 1
- 230000036407 pain Effects 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- OLBCVFGFOZPWHH-UHFFFAOYSA-N propofol Chemical compound CC(C)C1=CC=CC(C(C)C)=C1O OLBCVFGFOZPWHH-UHFFFAOYSA-N 0.000 description 1
- 229960004134 propofol Drugs 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 238000012549 training Methods 0.000 description 1
- 239000006200 vaporizer Substances 0.000 description 1
Classifications
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/01—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes specially adapted for anaesthetising
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
Abstract
The invention provides anesthesia equipment and an anesthesia safety control method, which comprises an acquisition device, an equipment host and a medicine cabinet; the acquisition device comprises at least one movable laser scanner or camera, is electrically connected with the equipment host in a wireless mode and is used for acquiring information of patients, responsible doctors and medicines; the equipment host comprises an operation part and a control part, an intelligent lock is used for controlling the anesthesia equipment, the intelligent lock is used for locking the medicine cabinet, and the equipment host is also used for controlling the fixed or movable anesthesia device in a wireless or wired mode; the medicine cabinet is equipped with intelligent lock, and intelligent lock is connected with equipment host computer electricity, and the medicine cabinet is used for preserving the narcotic drug that binds with the patient. The invention can ensure that the anesthetic corresponds to the patient so as to improve the anesthesia safety.
Description
Technical Field
The invention relates to the field of operation anesthesia operation, in particular to anesthesia equipment and an anesthesia safety control method.
Background
The traditional operation anesthesia mode has the problem of inaccurate drug administration, reduces the operation effect of a patient, and also brings great hidden trouble to the operation of doctors. To overcome this problem, a scheme of using an anesthesia apparatus has been proposed, and for example, U.S. patent document US9849241B2 describes a method of controlling an apparatus for controlling an operation involving anesthesia, in which a scheme of controlling administration according to a drug concentration is described. Chinese patent document CN204468295U describes a wall-mounted anesthetic machine, and describes a specific structure of a conventional anesthetic machine. However, in many operations, anesthesia is still an error-prone link, and a specific problem is that different patients have different anesthesia schemes, one anesthetized physician needs to serve multiple patients at the same time, and configuration of anesthetic drugs also needs participation of multiple links from a pharmacy to an operation process, in some operation processes, the anesthetized physician can take hypnotics to the patients, and the anesthetized physician faces the patients who may be sleeping. This makes some corresponding verification more difficult and increases the chance of error. Prior art solutions have also been used to wear a bracelet or card to the patient to assist in the verification, but are not reliable enough. The parameters related to the anesthesia scheme, such as the equipment used, the speed of administration, etc., depend on the memory or notes of the physician in charge, which is also an error-prone link.
Disclosure of Invention
The invention aims to solve the technical problem of providing an anesthesia device and an anesthesia safety control method, which can ensure that an anesthesia medicine corresponds to a patient, ensure that an anesthesia scheme is reliably executed and avoid misoperation.
In order to solve the technical problems, the invention adopts the following technical scheme: an anesthesia device comprises a collection device, a device host and a medicine cabinet;
the acquisition device comprises at least one movable laser scanner or camera, is electrically connected with the equipment host in a wireless mode and is used for acquiring information of patients, responsible doctors and medicines;
the equipment host comprises an operation part and a control part, an intelligent lock is used for controlling the anesthesia equipment, the intelligent lock is used for locking the medicine cabinet, and the equipment host is also used for controlling the fixed or movable anesthesia device in a wireless or wired mode;
the medicine cabinet is equipped with intelligent lock, and intelligent lock is connected with equipment host computer electricity, and the medicine cabinet is used for preserving the narcotic drug that binds with the patient.
In the preferred scheme, a sensor connector is also arranged and is electrically connected with the equipment host, and the sensor connector is used for connecting with a sensor for monitoring the physiological or pharmacological state of a patient.
In a preferred embodiment, the sensor includes one or more of an electroencephalogram sensor, an electrocardiogram sensor, a heart rate sensor, a respiration sensor, a blood pressure sensor, a blood oxygen sensor, an electromyography sensor, and a gas sensor.
In a preferred scheme, the acquisition device further comprises a fixed laser scanner or a camera, and the laser scanner or the camera is electrically connected with the equipment host and used for acquiring information of a physician and medicines.
In a preferred embodiment, the anesthesia apparatus includes a stationary push pump, a peristaltic pump, and a ventilator, the ventilator including a vaporizer assembly for delivering an anesthetic drug aerosol to a patient;
the anesthesia equipment also comprises a mobile pushing pump, wherein the mobile pushing pump is electrically connected with the equipment host in a wireless mode and works through parameters sent by the equipment host.
In the preferred scheme, the anesthesia equipment comprises a rack, wherein an equipment host and a medicine cabinet are arranged in the rack, an intelligent lock is arranged at the opening position of the medicine cabinet, and the intelligent lock is electrically connected with the equipment host;
the drawer is also arranged in the rack, one side of the rack is provided with additional equipment, and the additional equipment comprises an externally hung breathing machine and a storage cabinet;
the top of the frame is provided with a tray, two sides of the top of the frame are provided with upright posts, a first cross beam is arranged between the tops of the upright posts, and one or more of a fixed push pump and a peristaltic pump are arranged on the first cross beam;
an inclined second cross beam is arranged below the first cross beam, an operation screen is arranged on the second cross beam, and the operation screen is electrically connected with the equipment host;
the frame is also provided with a sensor joint.
In the preferred scheme, the first cross beam is also provided with a fixed acquisition device.
The anesthesia safety control method adopting the anesthesia equipment comprises the following steps:
s1, recording physiological characteristics of a patient in a device host, wherein the physiological characteristics comprise fingerprints of the patient;
also comprises one or more of the patient's figures, average heart rate, average respiratory rate, electrocardiogram, electroencephalogram, height, weight, age and gender;
s2, inputting physician features in charge of the equipment host, wherein the features comprise one or more of fingerprint, portrait and code diagram;
s3, inputting an anesthesia scheme of the patient in the equipment host, wherein the anesthesia scheme comprises medicine characteristics, an anesthesia device and dosage parameters;
the medicines related to the anesthesia scheme are placed in a medicine cabinet and locked by an intelligent lock;
s4, binding the anesthesia scheme with the patient in the equipment host;
s5, binding the anesthesia scheme with the equipment at the equipment host;
the device comprises an intelligent lock on the anesthesia device;
the device comprises anesthesia equipment or a movable anesthesia device on the anesthesia equipment;
s6, binding the movable acquisition device at the equipment host;
s7, during operation, the fingerprint of the patient and the characteristics of a physician in charge are collected by the bound movable collection device, and the intelligent lock is controlled to be opened by the host computer of the rear equipment so as to take out the medicine bound with the patient;
if the result is not passed, alarming is carried out, and a reason is given;
s8, collecting features of narcotics and mobile anesthesia equipment; through the post-entry operation of the device,
if the result is not passed, alarming is carried out, and a reason is given;
through the steps, anesthesia safety control is realized.
In the preferred scheme, the equipment host is connected with the server, the input work of the steps S1-S3 is completed in the equipment host or the server, and if the input work is completed in the server, the input work is transmitted to the equipment host through the server;
the binding work of the steps S4-S6 is completed in the equipment host or the server, and if the binding work is completed in the server, the binding work is transmitted to the equipment host through the server after being input;
when the smart lock is locked, it is set to be unlocked only by means of step S7;
if the physician in charge is temporarily replaced, the procedure is changed by the physician in charge and then the procedure is started in step S7.
In the preferred scheme, the server sends the anesthesia scheme to the equipment host, the equipment host operates according to feedback data of a patient in the process of executing the anesthesia scheme, the equipment host sends operation records formed by operation to the server, the server corrects the anesthesia scheme according to the operation records, and correction results are stored in the expert database.
According to the anesthesia equipment and the anesthesia safety control method, provided by the invention, the anesthesia medicine is ensured to correspond to the patient through the scheme of collecting the physiological characteristics, the physician characteristics and the anesthesia medicine characteristics of the patient, so that the anesthesia safety is improved. In the preferred scheme, the movable acquisition device is arranged, so that verification in the operation process is facilitated. The anesthesia equipment is controlled by the equipment host according to a preset anesthesia scheme, the execution accuracy can be ensured, and in the execution process, a supervisor can adjust the anesthesia scheme according to the feedback data of the sensor, so that the anesthesia effect is further ensured. According to the invention, the anesthesia scheme and the corresponding control program are both arranged on the equipment host, so that the influence of other factors such as network and server faults on anesthesia operation can be avoided. The operation record adopting the method can also be subjected to iterative optimization in the expert database of the server so as to further improve the suggestion accuracy of the expert database. The method of the invention can also be used in procedures other than anesthesia, for example to associate other medications with a patient.
Drawings
The invention is further illustrated by the following examples in conjunction with the accompanying drawings:
fig. 1 is a schematic diagram of the front view of the anesthesia apparatus of the present invention.
Fig. 2 is a schematic perspective view of an anesthesia apparatus according to the present invention.
Fig. 3 is a schematic diagram of a connection structure of a host, a server and an acquisition device of the present invention.
FIG. 4 is a schematic flow chart of the method of the present invention.
FIG. 5 is a schematic diagram of a preferred flow of the process of the present invention.
In the figure: the medicine box comprises a rack 1, a medicine cabinet 2, an intelligent lock 3, a drawer 4, an equipment host 5, additional equipment 6, an operation screen 7, a collection device 8, a push pump 9, a medicine bottle 10, a peristaltic pump 11, an upright 12, a sensor connector 13, a shortcut knob 14, a first cross beam 15 and a second cross beam 16.
Detailed Description
Example 1:
as shown in fig. 1 and 2, an anesthesia apparatus comprises a collection device 8, an apparatus main machine 5 and a medicine cabinet 2;
the acquisition device 8 comprises at least one movable laser scanner or camera, the acquisition device 8 is electrically connected with the equipment host 5 in a wireless mode, and the acquisition device 8 is used for acquiring information of patients, responsible doctors and medicines; the acquisition device 8 may be provided on a handheld PDA, and in a preferred embodiment the acquisition device 8 may be provided on a mobile phone, using the camera of the mobile phone as the acquisition device 8. In practice, the updating speed of the mobile phone, the definition of the camera of the mobile phone and the operation speed of the mobile phone are greatly superior to those of the PDA, and the use cost can be greatly reduced.
The equipment host 5 comprises an operation part and a control part, the equipment host 5 adopts an industrial personal computer, the equipment host comprises a CPU (central processing unit) serving as the operation part, the equipment host also comprises a storage part, a communication part comprises a network card and a serial bus, the equipment host also comprises a wireless communication assembly, such as WiFi and Bluetooth, the intelligent lock 3 is used for controlling the anesthesia equipment, the intelligent lock 3 is used for locking the medicine cabinet 2, and the equipment host 5 is also used for controlling a fixed or movable anesthesia device in a wireless or wired mode; such as a mobile bolus pump, for continuous bolus of anesthetic drug. Generally, the injection pumps of the type set injection parameters manually, but in the operation process, the adjustment is troublesome. The proposal of unified control by the equipment host 5 is adopted, and the correction and adjustment are carried out through the shortcut knob 14 on the anesthesia equipment, thereby being more convenient.
The medicine cabinet 2 is provided with an intelligent lock 3, the intelligent lock 3 is electrically connected with the equipment host 5, and the medicine cabinet 2 is used for storing narcotics bound with a patient. The smart lock 3 is a lock controlled by the device host 5, and the smart lock 3 is a smart lock system described in CN104933794A, a CN102800142a smart key, a bidirectional interaction control method between the smart lock and the smart key, and an N105201293a smart lock and a method. The smart lock 3 in this example may also employ an electrically controlled lock controlled by the device host 5. For example a stepper motor with a blocking arm, which locks the drug cabinet 2 when it is controlled to rotate to a preset angle and which unlocks the drug cabinet 2 when it is controlled to rotate to another preset angle. The purpose of the smart lock 3 is to ensure that the narcotic drug is not in error by requiring a specific procedure to be unlocked after the configured narcotic drug is placed. In the preferred embodiment, the drug cabinet 2 in this example is of a movable structure and can be separated from the anesthesia apparatus. The drug cabinet 2 has a unique ID code to cooperate with the corresponding anesthesia apparatus, whereby the solution also avoids that the drug cabinet 2 does not correspond to the anesthesia apparatus.
In a preferred embodiment, as shown in fig. 1 and 2, a sensor connector 13 is further provided, the sensor connector 13 is electrically connected with the device host 5, and the sensor connector 13 is used for connecting with a sensor for monitoring the physiological or pharmacological state of the patient.
In a preferred embodiment, the sensor includes one or more of an electroencephalogram sensor, an electrocardiogram sensor, a heart rate sensor, a respiration sensor, a blood pressure sensor, a blood oxygen sensor, an electromyography sensor, and a gas sensor. Wherein, electroencephalogram sensor, electrocardiogram sensor, heart rate sensor, respiration sensor, blood pressure sensor are used for monitoring patient's feedback to the operation pain. The blood oxygen sensor and the myoelectric sensor are used for monitoring the operation condition of a patient, and the gas sensor is used for monitoring the concentration of the medicine contained in the expired gas of the patient through respiration.
In a preferred embodiment, as shown in fig. 1 and 2, the collecting device 8 further includes a fixed laser scanner or camera, and the laser scanner or camera is electrically connected to the device host 5, for collecting information of the physician and the medicine. Information about the physician and the drug is typically stored using bar codes or two-dimensional codes.
Preferred embodiment as in figures 1 and 2, the anaesthetic apparatus comprises a fixed push pump 9, a peristaltic pump 11 and a ventilator comprising a vaporiser assembly for delivering an anaesthetic drug aerosol to a patient;
the anesthesia device further comprises a mobile push pump which is electrically connected with the device host 5 in a wireless manner and works through parameters sent by the device host 5. The parameters of the device host 5 are then derived from the calculated anesthesia scheme. With this structure, the control accuracy can be improved, and the error probability can be greatly reduced.
In the preferred scheme, as shown in fig. 1 and 2, the anesthesia equipment comprises a rack 1, an equipment host 5 and a medicine cabinet 2 are arranged in the rack 1, an intelligent lock 3 is arranged at the opening position of the medicine cabinet 2, and the intelligent lock 3 is electrically connected with the equipment host 5; in the fixed medicine cabinet 2, the intelligent lock 3 and the equipment host 5 are connected by wires, and in the movable medicine cabinet 2, the intelligent lock 3 and the equipment host 5 are connected by wires, preferably by WiFi. This structure serves to increase the utilization rate of the anesthesia apparatus.
A drawer 4 is also arranged in the frame 1 and is used for storing various pipe fittings, spare parts or movable anesthesia devices, one side of the frame 1 is provided with additional equipment 6, and the additional equipment 6 comprises an externally hung breathing machine and a storage cabinet;
the top of the frame 1 is provided with a tray, two sides of the top of the frame 1 are provided with upright posts 12, a first cross beam 15 is arranged between the tops of the upright posts 12, and one or more of a fixed push pump 9 and a peristaltic pump 11 are arranged on the first cross beam 15;
a second beam 16 inclined to an operator is arranged below the first beam 15, an operation screen 7 is arranged on the second beam 16, preferably, the operation screen 7 is equal in width to the second beam 16, and the operation screen 7 is electrically connected with the equipment host 5; in a preferred embodiment, a shortcut knob 14 is also provided, so that the knob on the mobile anesthesia apparatus can be replaced, so that the operation, such as the mobile push pump 9, is usually placed close to the operating table, and it is difficult to adjust the mobile push pump 9 because the doctor and nurse of the main knife need to get close to the operation. The operation screen 7 is arranged below the push pump 9 and the peristaltic pump 11, so that a physician or nurse can conveniently operate according to the prompt of the operation screen 7, for example, select the corresponding push pump 9 or peristaltic pump 11, install the corresponding medicine bottle 10, and further reduce the error rate. By using a narrower and longer operating screen 7, it is possible to avoid that the operating screen 7 blocks the objects on the surface of the tray, in addition to facilitating space saving.
Preferably, the frame 1 is also provided with sensor contacts 13.
In a preferred embodiment, the first cross member 15 is further provided with a stationary acquisition device 8. With the structure, hands of a physician in charge of anesthesia can be liberated, and a movable acquisition device is not required to be used every time.
Example 2:
on the basis of embodiment 1, as shown in fig. 4, an anesthesia safety control method adopting the anesthesia apparatus described above includes the following steps:
s1, inputting physiological characteristics of a patient in a device host 5, wherein the physiological characteristics comprise fingerprints of the patient; the set fingerprint is used for unlocking the intelligent lock 3 to take out the anesthetic drug corresponding to the patient, so that errors are avoided.
Also comprises one or more of the patient's figures, average heart rate, average respiratory rate, electrocardiogram, electroencephalogram, height, weight, age and gender; these information, in addition to being used to calculate the type and amount of narcotics, are also used to assist in determining the pain-blocking effect or the body feedback effect of the patient.
S2, inputting physician-in-charge characteristics at the equipment host 5, wherein the characteristics comprise one or more of fingerprint, portrait and code diagram; the above features can be used as a key for unlocking the intelligent lock 3, and can also be used for operating and starting the verification of the corresponding anesthesia equipment.
S3, inputting an anesthesia scheme of the patient at the equipment host 5, wherein the anesthesia scheme comprises medicine characteristics such as types, anesthesia equipment and dosage parameters; the above data is calculated by the physician in charge. Or from the advice of the expert database.
The medicines related to the anesthesia scheme are placed in a medicine cabinet 2 and locked by an intelligent lock 3; after locking, a preset flow is needed to be started.
S4, binding the anesthesia scheme with the patient at the equipment host 5; the binding of data is provided at the device host 5, which can avoid the influence of some unexpected factors, such as network blocking, e.g. the server is attacked, etc.
S5, binding an anesthesia scheme with the equipment at the equipment host 5;
the device comprises an intelligent lock 3 on the anesthesia device;
the device comprises anesthesia equipment or a movable anesthesia device on the anesthesia equipment; for example, a ventilator for anesthesia, a push pump 9 or a peristaltic pump 11, which are fastened to an anesthesia apparatus, are usually connected by wire, it being generally preferred to use an anesthesia apparatus fastened to an anesthesia apparatus with a higher degree of reliability. The mobile anaesthetic device comprises a push pump 9 placed at the operating bed side, typically for anaesthetic drugs which require accurate control of the infusion volume.
S6, binding the movable acquisition device 8 at the equipment host 5; the use of a mobile acquisition device 8 is facilitated because the patient is usually in an unconscious state. The mobile acquisition device 8 establishes a one-to-one correspondence with the equipment host 5 after binding, and the intelligent lock 3 is opened, and the mobile acquisition device 8 can only be set to adopt binding. With this configuration, errors can be further reduced.
S7, during operation, the fingerprint of the patient and the characteristics of the doctor are acquired by the bound mobile acquisition device 8, the acquired data are compared with the recorded data, and the doctor in charge usually scans the chest card worn by the doctor as the characteristics. The intelligent lock 3 is controlled to be opened by the host 5 of the equipment after comparison, so that the medicine bound with the patient can be taken out;
if the result is not passed, alarming is carried out, and a reason is given;
s8, collecting features of narcotics and mobile anesthesia equipment; by means of the post-entry operation, the drug is loaded into the corresponding anesthesia apparatus according to the anesthesia scheme.
If the result is not passed, alarming is carried out, and a reason is given;
through the steps, anesthesia safety control is realized.
In the preferred scheme, as shown in fig. 3, the device host 5 is connected with a server, and the recording operation in steps S1 to S3 is completed in the device host 5 or the server, and if the recording operation is completed in the server, the recording operation is transmitted to the device host 5 through the server;
the binding work of the steps S4-S6 is completed in the equipment host 5 or the server, and if the binding work is completed in the server, the binding work is transmitted to the equipment host 5 through the server after being input;
when the smart lock 3 is locked, it is set to be unlocked only by means of step S7;
if the physician in charge is temporarily replaced, the procedure is changed by the physician in charge and then the procedure is started in step S7. The physician-in-charge procedure change is usually completed after approval by another physician, such as a physician in charge of the department or a physician in charge of the medical department, thereby further ensuring safety and reducing errors.
In a preferred embodiment, as shown in fig. 5, the server sends the anesthesia scheme to the device host 5, the device host 5 operates according to feedback data of the patient during the process of executing the anesthesia scheme, the device host 5 sends an operation record formed by the operation to the server, the server corrects the anesthesia scheme according to the operation record, and the correction result is stored in the expert database. Through continuous iteration, the expert database contained in the equipment host 5 can also give relevant suggestions more accurately.
Example 3:
taking the anesthesia operation of the heart valve operation as an example, a patient firstly inputs physiological characteristics into a mobile terminal, such as a mobile phone, the mobile terminal sends acquired data to a server, characteristics of a physician in charge are input into the server, and the characteristics of the physician in charge usually adopt bar codes or two-dimensional codes; the physician in charge calculates or generates an anesthetic regimen according to the advice of the expert database, for example, including pre-administered hypnotic, anesthetic gas, two intravenous bolus anesthetics, and one standby emergency anesthetic. Narcotics such as propofol, fentanyl, diethyl ether and the like. The corresponding data are downloaded to the device host 5 via the server and the patient is bound to the drug, the device and the acquisition means 8 one by one in the device host 5.
The patient takes hypnotic medicine in advance, before the operation, the fingerprint that gathers through the collection device 8 that moves cooperates the collection device 8 that removes or is fixed gathers the two-dimensional code of person in charge, opens intelligent lock 3, takes out the narcotic drug in the medicine cabinet 2, installs the narcotic drug respectively to breathing machine, push pump 9, peristaltic pump 11 and the push pump that moves according to the instruction of operation screen 7, for example the medicine bottle 10 in fig. 1, 2 position. After checking, the host 5 starts the anesthesia device according to the anesthesia scheme to control the anesthesia device such as the breathing machine, the push pump 9, the peristaltic pump 11 and the movable push pump to start working. During surgery, patient feedback data is input to the device host 5 via the sensor connector 13 via different sensors, or patient feedback data shared by other monitoring devices is input to the device host 5 via the communication module. The physician in charge adjusts the parameters of the anesthetic drug based on the feedback data until anesthesia is terminated. The adjustment of the physician in charge may comprise a quick adjustment by means of a quick knob 14, a quick adjustment by means of an operating screen 7, or a control by means of a collecting device 8 fixed to a first cross member 15, for example, when the camera detects a gesture of the physician in charge from top to bottom, the flow is reduced, and a gesture from bottom to top, the flow is increased. A left-to-right gesture initiates a standby emergency anesthetic.
After the operation is finished, the operation record is sent to a server and is sent to an expert database for artificial intelligence training so as to further improve the accuracy degree of the suggestion of the expert database.
The above embodiments are merely preferred embodiments of the present invention, and should not be construed as limiting the present invention, and the technical features described in the present invention can be combined with each other without collision. The protection scope of the present invention is defined by the claims, and the protection scope includes equivalent alternatives to the technical features of the claims. I.e., equivalent replacement modifications within the scope of this invention are also within the scope of the invention.
Claims (2)
1. An anesthesia safety control method of anesthesia equipment is characterized in that: the device comprises a collecting device (8), a device host (5) and a medicine cabinet (2);
the acquisition device (8) comprises at least one movable laser scanner or camera, the acquisition device (8) is electrically connected with the equipment host (5) in a wireless mode, and the acquisition device (8) is used for acquiring information of patients, responsible doctors and medicines;
the equipment host (5) comprises an operation part and a control part, an intelligent lock (3) for controlling the anesthesia equipment, the intelligent lock (3) is used for locking the medicine cabinet (2), and the equipment host (5) is also used for controlling the fixed or movable anesthesia device in a wireless or wired mode;
the medicine cabinet (2) is provided with an intelligent lock (3), the intelligent lock (3) is electrically connected with the equipment host (5), and the medicine cabinet (2) is used for storing narcotics bound with a patient;
the device is also provided with a sensor connector (13), the sensor connector (13) is electrically connected with the device host (5), and the sensor connector (13) is used for being connected with a sensor for monitoring the physiological or pharmacological state of a patient;
the sensor comprises one or a combination of more of an electroencephalogram sensor, an electrocardiogram sensor, a heart rate sensor, a respiration sensor, a blood pressure sensor, a blood oxygen sensor, a myoelectric sensor and a gas sensor;
the acquisition device (8) also comprises a fixed laser scanner or a camera, and the laser scanner or the camera is electrically connected with the equipment host (5) and is used for acquiring information of a doctor and medicines in charge;
the anesthesia equipment comprises a fixed push pump (9), a peristaltic pump (11) and a breathing machine, wherein the breathing machine comprises an evaporator assembly for delivering anesthetic drug aerosol to a patient;
the anesthesia equipment also comprises a mobile pushing pump, wherein the mobile pushing pump is electrically connected with the equipment host (5) in a wireless mode and works through parameters sent by the equipment host (5);
the anesthesia equipment comprises a rack (1), wherein an equipment host (5) and a medicine cabinet (2) are arranged in the rack (1), an intelligent lock (3) is arranged at the opening position of the medicine cabinet (2), and the intelligent lock (3) is electrically connected with the equipment host (5);
a drawer (4) is also arranged in the frame (1), one side of the frame (1) is provided with additional equipment (6), and the additional equipment (6) comprises an externally hung breathing machine and a storage cabinet;
the top of the frame (1) is provided with a tray, two sides of the top of the frame (1) are provided with upright posts (12), a first cross beam (15) is arranged between the tops of the upright posts (12), and one or more of a fixed push pump (9) and a peristaltic pump (11) are arranged on the first cross beam (15);
an inclined second cross beam (16) is arranged below the first cross beam (15), an operation screen (7) is arranged on the second cross beam (16), and the operation screen (7) is electrically connected with the equipment host (5);
the frame (1) is also provided with a sensor joint (13);
the method comprises the following steps:
s1, recording physiological characteristics of a patient in a device host (5), wherein the physiological characteristics comprise fingerprints of the patient;
also comprises one or more of the patient's figures, average heart rate, average respiratory rate, electrocardiogram, electroencephalogram, height, weight, age and gender;
s2, inputting physician features in the equipment host (5), wherein the features comprise one or more of fingerprint, portrait and code diagram;
s3, inputting an anesthesia scheme of the patient in the equipment host (5), wherein the anesthesia scheme comprises medicine characteristics, an anesthesia device and dosage parameters;
the medicines related to the anesthesia scheme are placed in a medicine cabinet (2) and locked by an intelligent lock (3);
s4, binding the anesthesia scheme with the patient in the equipment host (5);
s5, binding an anesthesia scheme with the equipment at the equipment host (5);
the device comprises an intelligent lock (3) on the anesthesia device;
the device comprises anesthesia equipment or a movable anesthesia device on the anesthesia equipment;
s6, binding the movable acquisition device (8) at the equipment host (5);
s7, during operation, the fingerprint and the physician features of the patient are collected by the bound movable collection device (8), and the intelligent lock (3) is controlled to be opened by the rear equipment host (5) so as to take out the medicine bound with the patient;
if the result is not passed, alarming is carried out, and a reason is given;
s8, collecting features of narcotics and mobile anesthesia equipment; through the post-entry operation of the device,
if the result is not passed, alarming is carried out, and a reason is given;
the equipment host (5) is connected with the server, the input work of the steps S1-S3 is completed in the equipment host (5) or the server, and if the input work is completed in the server, the input work is transmitted to the equipment host (5) through the server;
the binding work of the steps S4-S6 is completed in the equipment host (5) or the server, and if the binding work is completed in the server, the binding work is transmitted to the equipment host (5) through the server after being input;
when the smart lock (3) is locked, it is set to be openable only by means of step S7;
if the physician in charge temporarily changes, the procedure is started in a mode of step S7 after the physician in charge changes the procedure;
the server sends the anesthesia scheme to the equipment host (5), the equipment host (5) operates according to feedback data of a patient in the process of executing the anesthesia scheme, the equipment host (5) sends an operation record formed by operation to the server, the server corrects the anesthesia scheme according to the operation record, and a correction result is stored in the expert database;
through the steps, anesthesia safety control is realized.
2. The anesthesia safety control method of an anesthesia apparatus according to claim 1, characterized in that: the first cross beam (15) is also provided with a fixed acquisition device (8).
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