CN105204380A - Parameter setting method, operation control system and operation control method of target control infusion (TCI) pump - Google Patents
Parameter setting method, operation control system and operation control method of target control infusion (TCI) pump Download PDFInfo
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- G05B—CONTROL OR REGULATING SYSTEMS IN GENERAL; FUNCTIONAL ELEMENTS OF SUCH SYSTEMS; MONITORING OR TESTING ARRANGEMENTS FOR SUCH SYSTEMS OR ELEMENTS
- G05B19/00—Programme-control systems
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Abstract
The invention provides a parameter setting method, an operation control system and an operation control method of a TCI pump. The operation control system comprises a parameter setting device and an operation state monitoring device, the parameter setting device is used to set TCI parameters of the TCI parameter via a parameter setting interface, and the operation state monitoring device monitors the operation state of the TCI pump by using at least part of the set TCI parameters. The parameter setting device comprises multiple parameter setting units, each parameter setting unit corresponds to one TCI parameter of a single class, and when the TCI parameters are set, the parameter setting units set the TCI parameters of different classes in the parameter setting interface class by class. The operation control system can help medical staff to master complex parameter setting of the TCI pump rapidly via setting class by class.
Description
Technical field
The invention belongs to infusion pump field, and the operation particularly relating to a kind of target control formula infusion pump controls.
Background technology
The Intravenous Anesthesia of current many hospital surgical processes uses constant speed pump to carry out administration, although constant speed pump is simple to operate, there is the stationarity that is difficult to maintain patient perioperative blood pressure and after unexpected interruption of the administration can not auto-compensation medicine make patient get back to interruption before the defect such as depth of anesthesia.Target control pump (also known as TCI pump, targetcontrolinfusion) can make up these deficiencies of constant speed pump, and target control pump has been used for the Intravenous Anesthesia of perioperative by Partial Hospitals.But there is execution flow process in existing target control pump and interface lacks the defect such as security or rationality.Such as target control pump needs the parameter of setting more, but existing target control pump operation control flow lacks the correct guidance to optimum configurations, causes medical personnel to be difficult to grasp fast the optimum configurations flow process of target control pump; Or all parameters are concentrated on an interface to arrange, cause medical personnel that mistake or holiday parameter are easily set.
Summary of the invention
Lack the problem of correct guidance for the hit optimum configurations of control pump of prior art, the invention provides a kind of parameter setting method of target control pump, parametric classification understandable fast can be realized and arrange.
Lack the problem of security for the hit optimum configurations of control pump of prior art, the invention provides a kind of parameter setting method of target control pump, safe check and correction can be carried out before startup pump, improve infusion security.
The present invention also provides the operation control system and method that adopt above-mentioned parameter method to set up.
According to a first aspect of the invention, a kind of operation control system of target control pump is provided.This system comprises parameter setting apparatus and device for monitoring running state; Described parameter setting apparatus is used for by optimum configurations interface, arranges target controlled infusion (TCI) parameter of described target control pump, and described device for monitoring running state uses at least part of described TCI parameter arranged, and monitors the running status of described target control pump.Wherein, described parameter setting apparatus comprises multiple parameter set unit, the TCI parameter of the corresponding single classification of each described parameter set unit difference; When arranging described TCI parameter, each described parameter set unit arranges the TCI parameter of each classification on described optimum configurations interface by class.
According to a further aspect in the invention, a kind of progress control method of target control pump is provided, comprise: target controlled infusion (TCI) parameter that described target control pump is set on optimum configurations interface, and use at least part of described TCI parameter arranged, monitor the running status of described target control pump.Wherein, described TCI parameter is divided into multiple classification; When arranging described TCI parameter, described optimum configurations interface arranges by class the TCI parameter of each classification.
According to a further aspect in the invention, provide a kind of target controlled infusion (TCI) parameter setting method of target control pump, described TCI parameter is divided into medicine class parameter, patient's class parameter and target control class parameter; When arranging described TCI parameter, optimum configurations interface carries out arranging by class according to the order of described medicine class parameter, patient's class parameter and target control class parameter.
Implement the present invention and can have following beneficial effect: method and system of the present invention are when guiding medical personnel to arrange TCI parameter, first TCI parameter is classified, then guide medical personnel according to all kinds of TCI parameter, carry out arranging by class to different classes of TCI parameter.Should arrange by class to help medical personnel to grasp the comparatively numerous and diverse optimum configurations of target control pump fast.
Accompanying drawing explanation
In order to be illustrated more clearly in the embodiment of the present invention or technical scheme of the prior art, be briefly described to the accompanying drawing used required in embodiment or description of the prior art below, apparently, accompanying drawing in the following describes is only some embodiments of the present invention, for those of ordinary skill in the art, under the prerequisite not paying creative work, other accompanying drawing can also be obtained according to these accompanying drawings.
Fig. 1 is the process flow diagram of the progress control method of target control pump according to the embodiment of the present invention;
Fig. 2 is another process flow diagram of the progress control method of target control pump of the present invention;
Fig. 3 is the process flow diagram of the parameter setting method of target control pump of the present invention;
Fig. 4 a is the schematic layout pattern of the runnable interface according to target control pump of the present invention;
Fig. 4 b is the schematic diagram of the runnable interface of target control pump according to the embodiment of the present invention;
Fig. 5 is the modularization block diagram of the operation control system of target control pump of the present invention.
Embodiment
Below with reference to drawings and Examples, the present invention is described in further details.
Fig. 1 is the process flow diagram of the progress control method of target control pump according to the embodiment of the present invention.The operation of target control pump controls full process and can comprise TCI optimum configurations, operation monitoring, halted state, off-mode.After optimum configurations also confirms, namely startup optimization enters operation monitoring.Operation monitoring process can the details of each parameter of real time inspection target control pump; The part TCI parameter arranged before operation monitoring process adjustable starts; Operation monitoring process can suspend injection, but does not allow shutdown and terminate operation, in order to avoid secondary brings injury with medicine target controlled infusion to patient.Suspend the mode of operation (such as switching to TIVA pattern by TCI pattern) that can switch target control pump in injection process, also can terminate perform the operation and shut down, wherein terminate Post operation can start next operation anesthesia without the need to shutdown.
It is the process flow diagram of the progress control method of target control pump provided by the invention with reference to figure 2, Fig. 2.The method comprises parameter setting step and operation monitoring step.Parameter setting step comprises various target controlled infusions (TCI) parameter arranged needed for target control pump, and this is arranged and is usually completed by an optimum configurations interface.Operation monitoring step comprises at least part of TCI parameter using and arrange, the running status of monitoring target control pump.Some analog parameters of operation monitoring step usual display target control pump operation process, the part TCI parameter that contrast display is simultaneously arranged, while making operator can recognize running status in real time, also can know the relevance between the real-time status of simulation and expecting state, contribute to estimating and whether can there are irrational abnormal conditions, and take corresponding measure to adjust target control pump in time.
The normal operation of target control pump can relate to many TCI parameters, TCI parameter is divided into different classes of by the present invention, and different classes of TCI parameter is presented on different optimum configurations interfaces respectively, above-mentioned parameter setting steps adopts and arranges method by class subsequently, arranges classification on interface at different parameters, arranges different classes of TCI parameter step by step.Such as, for situation TCI parameter be divided three classes, total optimum configurations interface is by menu option, and the design parameter entering into corresponding different classes of TCI parameter respectively arranges interface, for other TCI parameter of operator's concentrated setting same class.This parameter be arranged so that operator can grasp the optimum configurations flow process of target control pump fast by class.
Further, this progress control method can comprise parameter and confirm step, for confirming in parameter interface confirms that whether the setting of the TCI parameter of each classification is correct.This step is corresponding with parameter setting step, and such as parameter confirms that on interface, each TCI parameter sorts according to the sequencing arranged.Arrange by class because the present invention adopts, therefore parameter confirms interface also can, according to arrangement into categories, be convenient to confirm by the TCI parameter arranging order display.Parameter confirms that step another example corresponding with parameter setting step is as follows: other TCI parameter of same class of parameter setting procedure generation will be integrated on same result list, and this result list can confirm interface is shown in parameter subsequently, confirms for parameter.
Parameter confirms that interface can comprise the son confirmation interface of corresponding different classes of TCI parameter equally, when such execution confirms operation, other TCI parameter of same class can separately, centralized displaying on sub-interface, operator very clearly can know whether be provided with all parameters for a certain classification, whether a certain classification parameter is arranged correctly.
In non-limiting example, the TCI parameter of target control pump can be divided into medicine class parameter, patient's class parameter and target control class parameter.Wherein, medicine class parameter can comprise medicine name, drug concentration, medicine further for model etc.; Patient's class parameter can comprise age, sex, body weight, height etc. further, and concrete patient parameter can be determined for model according to the medicine name arranged and/or medicine; Target control class parameter can comprise target prosecutor formula, target level, induction mode etc. further; The determination mode of target prosecutor formula is determined for model by the medicine selected.Fig. 3, by the concrete example in conjunction with above-mentioned TCI parameter, describes optimum configurations of the present invention in detail and run control, but the present invention is not limited to above-mentioned concrete example.
Parameter setting method shown in Fig. 3 adopts and arranges method by class, and optimum configurations interface arranges medicine class parameter, patient's class parameter and target control class parameter by class.In particular, arrange by class according to the order of medicine class parameter, patient's class parameter and target control class parameter.
Optimum configurations interface can be subdivided into the sub-interface corresponding to different classes of TCI parameter.In this embodiment, each sub-interface can comprise that drug parameters arranges interface, patient parameter arranges interface and target control optimum configurations interface.Drug parameters arranges interface, patient parameter arranges interface and target control optimum configurations interface is respectively used to display medicine class parameter, patient's class parameter and target control class parameter separately.Operator arranges interface in drug parameters respectively, patient parameter arranges interface and setting operation is carried out successively in target control optimum configurations interface, thus completes according to the order of medicine class parameter, patient's class parameter and target control class parameter and arrange by class.The present invention does not limit the concrete number that parameters arranges sub-interface.
In a non-limiting example, optimum configurations interface can be furnished with different prompting buttons, different prompting button, after being clicked, can make optimum configurations interface jump to different sub-interfaces from current total interface, guide operator carry out on sub-interface such not under optimum configurations.In a non-limiting example, optimum configurations interface also can comprise multiple different setting areas corresponding to different classes of TCI parameter, after clicking different setting area, this setting area is arranged on interface at parameter current amplifies, be equal to and be formed at a new sub-interface, thus the optimum configurations under guiding operator to carry out this classification.The present invention is not limited to the specific implementation at each sub-interface, does not also limit the quantity that each sub-interface is concrete, as long as TCI parameter classified, then guides operator to arrange the method to set up of TCI parameter by class, all should comprise within the scope of the invention.
Medicine class parameter can comprise medicine name, drug concentration, medicine for model etc.; Correspondence is set can comprises and select medicine for model and arrange medicine name and drug concentration of medicine class parameter.After such TCI optimum configurations completes, patient parameter can be entered and interface is set patient's class parameter is set.The setting of patient's class parameter comprises: according to the medicine name arranged and medicine for model, determines the patient parameter needing to arrange, and performs patient parameter subsequently and arranges.
After above two class TCI optimum configurations complete, enter target control optimum configurations interface.The setting of target control class parameter is often referred to and arranges target level.In the present invention, whether reasonable for making to get used to using the medical personnel of constant speed pump or manual injection to understand target level setting, this target control class optimum configurations also can comprise the induction mode obtaining target control pump, under this induction mode, calculate induction parameters corresponding to set target level subsequently and/or maintain parameter, this induction parameters and/or maintenance parameter are the parameter values that in target control pump operation process, expection can have.Circular is well known to those skilled in the art, and need not launch to describe in detail at this.Operator is according to the induction parameters calculated and/or maintain parameter, indirectly can determine whether target level is arranged proper.The present invention preferably uses the default induction mode of acquiescence, can, without the need to adjusting default induction mode, directly start to calculate induction parameters after target level is provided with.Induction mode also can be re-set as level and smooth induction, segmentation induction etc. by certain the present invention, and is adjusted the correlation parameter under these induction modes by operator.If the induction parameters calculated does not meet demand, operator also can perform induction mode and arrange.Such as but not limited to, induction parameters can comprise inductive dose, induction time, induction liquid measure and/or induction speed, maintains parameter and can comprise maintenance speed.
The setting of target control class parameter can comprise target prosecutor formula further and arrange.This target prosecutor formula arranges relevant for the scope of application of model with selected medicine, and the medicine selected when namely carrying out medicine class optimum configurations, for model, affects the defining method of target prosecutor formula.If selected medicine is only for single target prosecutor formula for model, then, when optimum configurations flow performing is to target control optimum configurations, target prosecutor formula is fixed, without the need to arranging; If selected medicine for multiple target prosecutor formula, then, before arranging target level, first can select target prosecutor formula for model.The different setting operations of this target control class parameter will be described in conjunction with the control of blood plasma target and the control of effect compartment target in subsequent embodiment.
After TCI parameter of all categories is provided with by class, parameter setting method of the present invention also can carry out parameter and confirm operation.Parameter confirmation operation is that a kind of safety proofreads mechanism, can check whether set parameter makes mistakes, and avoids optimum configurations mistake just to start target control pump.The parameter that target control pump relates to is various, and parameter confirms work efficiency and the accuracy that can significantly improve operator.
To be arranged by above-mentioned parameter and parameter confirms, confirm before the present invention can carry out various TCI parameter arranging by class and start, thus provide a kind of optimum configurations flow process understandable fast for operator, improve the correctness of operator's parameters simultaneously as far as possible.
In conjunction with Fig. 1 and 2, the operation of target control pump controls the running status also comprising monitoring target control pump, monitors/the running status of display target control pump by a runnable interface.Runnable interface can show the characteristic information distinguishing different infused drug, some concentration parameter information can be shown, operation duration that also can show current record etc.Set TCI parameter (such as drug information) also can be checked at any time in this operation monitoring process, and/or the medication information, recovery time and the operation duration that produce in target control pump operation process.
Fig. 4 a and 4b respectively illustrates the layout at target control pump operation interface and the schematic diagram of instantiation.Runnable interface can comprise header area 5, parameter region, graph area 8 and highlight 9, and header area 5 is positioned at the top of runnable interface, for distinguishing the infused drug of target control pump institute infusion.Highlight 9 is positioned at the bottom of runnable interface, for display status information and button prompting.Parameter region and graph area 8 are positioned at the middle part of runnable interface side by side, and wherein parameter region is divided into again the principal parameter district 6 that is set up in parallel, left and right and auxiliary parameter region 7.The operational factor of the target control pump that the operator of the TCI parameter that parameter region and graph area 8 are concerned about for the operator of display target control pump and target control pump is concerned about.Operation duration of the concentration parameter of simulating when operational factor here refers to target control pump operation, the recovery time calculated, record etc.In conjunction with the example of above-mentioned all kinds of TCI parameter, runnable interface is configurable as follows:
Header area 5 is for the medicine class parameter of display section, and shown medicine class parameter comprises medicine name and drug concentration.When using multiple target control pump, operator goes out the medicine injected corresponding to different target control pump by medicine name and drug concentration identifiable design simultaneously.
The principal parameter district 6 be set up in parallel about parameter region comprises and auxiliary parameter region 7.Principal parameter district 6 is for showing set target level and to should the first concentration parameter of target level; Such as, when target level is target plasma concentration, principal parameter district 6 shows target plasma concentration and plasma concentration.Auxiliary parameter region 7 is for showing the second concentration parameter, recovery time and infusion rates; Such as, when principal parameter district 6 has shown plasma concentration, auxiliary parameter region 7 can demonstration effect room concentration.Here the first/the second concentration parameter refers to according to medicine for model, the concentration that may have in the patient body of simulation.As above the parameter information that when target level, simulated concentration, recovery time, infusion rates etc. are all target control pump operations, operator is concerned about.
Graph area can comprise the trend map of the concentration parameter of one or more simulation.The plasma concentration of trend map not only before the real time record current procedure moment and the trend of effect-site concentration, go back the trend of plasma concentration after the real-time estimate current procedure moment and effect-site concentration.That is, trend map comprise by current time of running front simulation the history section 82 that forms of the value of concentration parameter and the following section 83 that is made up of the value of the concentration parameter of simulating after the current time of running; .History section 82 and following section 83 different colours embodies, thus before being convenient to embody the current procedure moment from different trend afterwards.
Graph area also can show operating time reference line 81.Operating time reference line 81 can be used to divide history section 82 and following section 83.Aforementioned recovery time, after startup target control pump, can obtain based on each TCI parameter value calculation arranged.Operation monitoring process also can after startup target control pump real time record operation duration.
Highlight 9 is for providing status information and button prompting 91.Here button prompting 91 and running status are checked and are associated, and in elected during button prompting 91, target control pump can be switched to running status by runnable interface and check interface.Check interface in running status, operator can understand the details about target control pump, such as drug information, patient information, medication information, information of reviving, operation duration etc.Checking of details can walk abreast with operation monitoring, contributes to the correlation parameter information that operator understands target control pump at any time in target control pump operation process.
The present invention also provides a kind of operation control system (Fig. 5) of target control pump.This system comprises parameter setting apparatus 1 and device for monitoring running state 2.Parameter setting apparatus 1, for by optimum configurations interface, arranges target controlled infusion (TCI) parameter of target control pump.Device for monitoring running state 2 uses at least part of TCI parameter arranged, the running status of monitoring target control pump.This operation control system also can comprise other opening/closing control devices, warning device etc., does not list one by one herein.Parameter setting apparatus 1 can comprise multiple parameter set unit, and each parameter set unit is respectively used to the TCI parameter that correspondence arranges a single classification.When arranging TCI parameter, use each parameter set unit that the TCI parameter of each classification is set by class on optimum configurations interface.
In concrete example, multiple parameter set unit can comprise drug parameters setting unit 11 for arranging medicine class parameter, for arranging the patient parameter setting unit 12 of patient's class parameter and the target control parameter set unit 13 for arranging target control class parameter.When arranging TCI parameter, drug parameters setting unit 11, patient parameter setting unit 12 and target control parameter set unit 13, according to the order of medicine class parameter, patient's class parameter and target control class parameter, realize arranging by class of the TCI parameter of each classification.
Medicine class parameter set unit 11 can select medicine for model, can arrange medicine name and drug concentration etc.Patient's class parameter set unit 12 according to the medicine arranged for model and medicine name, can be determined the patient parameter needing to arrange, carries out the concrete setting of patient parameter subsequently.Target control parameter set unit 13 comprises target level and arranges module 131 and induction mode arranges module 132; Target level arranges module 131 for arranging target level, and induction mode arranges module 132 for providing induction mode.Parameter setting apparatus of the present invention also calculates under provided induction mode based on target level, the induction parameters that during target control pump operation, expection can have and/or maintenance parameter.Target control parameter set unit 13 also can comprise target prosecutor formula and arrange module 133, and when the medicine selected is adapted to multiple target prosecutor formula for model, target prosecutor formula arranges module 133 for selecting corresponding target prosecutor formula before setting target level.
Optimum configurations interface can comprise that independent drug parameters arranges interface, patient parameter arranges interface and target control optimum configurations interface.Drug parameters setting unit 11, patient parameter setting unit 12 and target control parameter set unit 13 can arrange interface in drug parameters respectively, patient parameter arranges interface and target control optimum configurations interface is run, thus arrange medicine class parameter, patient's class parameter and target control class parameter by class.
Parameter setting apparatus 1 also comprises parameter confirmation unit 14, and parameter confirmation unit 14, for confirming interface by a parameter, confirms that whether the setting of the TCI parameter of each classification is correct.Parameter confirms putting in order of each parameter on interface, with arrange by class each TCI parameter to arrange order identical.
Device for monitoring running state 2 shows the running status of monitored target control pump by runnable interface, about the layout of runnable interface and displaying contents configuration describe in detail above, at this no longer repeated description.By runnable interface provided by the invention, under operator can recognize set TCI parameter well, the implementation result (being embodied by the operational factor produced during simulation target control pump operation) of target control pump how, and recognize the implementation result that future can have in advance.In addition, device for monitoring running state 2 comprises running status and checks unit 21, running status checks that unit 21 for checking set TCI parameter for the operator of target control pump in the operational process of target control pump, and/or medication information, recovery time and the operation duration etc. that produce in target control pump operation process.
Below by way of three examples, the execution flow process of target control pump under different target prosecutor formula is described respectively.
Example 1: only support that the medicine of blood plasma target control performs flow process for the TCI of model
1, operator performs drug parameters setting, completes medicament selection, medicine is arranged for Model Selection and concentration;
2, enter patient parameter and arrange interface, system for model, shows the patient parameter that will arrange according to selected medicine and medicine;
3, operator performs patient parameter and arranges, and completes the setting of such as age, sex, body weight and height;
4, target control optimum configurations interface (such as target level arranges interface) is entered, induction mode is defaulted as default induction mode, operator completes after target level arranges, system accounting calculates induction parameters (comprising inductive dose, induction time, induction liquid measure, induction speed) and maintains speed, if the induction parameters calculated does not meet demand, operator can perform induction mode and arrange, to obtain required induction parameters;
5, enter parameter and confirm interface, operator's execution parameter confirms, whether the parameter set by inspection makes mistakes, and makes mistakes, return amendment if arranged;
6, startup optimization, enter runnable interface, runnable interface is divided into header area, principal parameter district, auxiliary parameter region, graph area, state and highlight, wherein header area mainly shows medicine name and drug concentration, be convenient to operator when multiple stage pump works simultaneously and identify the medicine that every platform pump is injected, the target plasma concentration that principal parameter district display blood plasma target jabber function person is concerned about most and plasma concentration, auxiliary parameter region display operator compares the effect-site concentration of care, injection rate and recovery time, graph area display plasma concentration and effect-site concentration trend map, the plasma concentration of concentration trends figure not only before the real time record current procedure moment and the trend of effect-site concentration, plasma concentration also after the real-time estimate current procedure moment and the trend of effect-site concentration, and carry out colour-difference alienation differentiation to before the current procedure moment with trend afterwards.In addition, current procedure time reference line and operation duration is additionally provided, highlight display current operating conditions and button prompting;
7, in operational process, can following operation be carried out: amendment target level, locking Ce value, check details (comprising drug information, patient information, medication information, information of reviving and operation duration), TCI arranges (comprise and arrange the trend map time and concentration of reviving), suspends and inject; Do not allow shutdown in operational process and terminate operation, in order to avoid secondary brings injury with medicine target controlled infusion to patient;
8, suspend in injection process, can following operation be carried out: TCI is arranged, be converted to TIVA pattern, end is performed the operation, shutdown, wherein terminate Post operation can start next operation anesthesia without the need to shutdown.
Example 2: simultaneously support that the medicine of blood plasma target control and the control of effect compartment target performs flow process for the TCI of the blood plasma target controlled infusion of model
1, operator performs drug parameters setting, completes medicament selection, medicine is arranged for Model Selection and concentration;
2, enter patient parameter and arrange interface, system for model, shows the patient parameter that will arrange according to selected medicine and medicine;
3, operator performs patient parameter and arranges, and completes the setting of age, sex, body weight and height;
4, enter target control way selection interface, select the control of blood plasma target,
5, enter target level and interface is set, induction mode is defaulted as default induction mode, operator completes after target level arranges, system accounting calculates induction parameters (comprising inductive dose, induction time, induction liquid measure, induction speed) and maintains speed, if the induction parameters calculated does not meet demand, operator can perform induction mode and arrange, to obtain required induction parameters;
6, enter parameter and confirm interface, operator's execution parameter confirms, whether the parameter set by inspection makes mistakes, and makes mistakes, return amendment if arranged;
7, startup optimization, enter runnable interface, runnable interface is divided into header area, principal parameter district, auxiliary parameter region, graph area, state and highlight, wherein header area mainly shows medicine name and drug concentration, be convenient to operator when multiple stage pump works simultaneously and identify the medicine that every platform pump is injected, the target plasma concentration that principal parameter district display blood plasma target jabber function person is concerned about most and plasma concentration, auxiliary parameter region display operator compares the effect-site concentration of care, injection rate and recovery time, graph area display plasma concentration and effect-site concentration trend map, the plasma concentration of concentration trends figure not only before the real time record current procedure moment and the trend of effect-site concentration, plasma concentration also after the real-time estimate current procedure moment and the trend of effect-site concentration, and carry out colour-difference alienation differentiation to before the current procedure moment with trend afterwards, in addition, additionally provide current procedure time reference line and operation duration, highlight display current operating conditions and button prompting,
8, in operational process, can following operation be carried out: amendment target level, locking Ce value, check details (comprising drug information, patient information, medication information, information of reviving and operation duration), TCI arranges (comprise and arrange the trend map time and concentration of reviving), is converted to the control of effect compartment target, suspends and inject, do not allow shutdown in operational process and terminate operation, in order to avoid secondary brings injury with medicine target controlled infusion to patient;
9, suspend in injection process, can following operation be carried out: TCI is arranged, be converted to TIVA pattern, be converted to the control of effect compartment target, end is performed the operation, shutdown, wherein terminate Post operation can start next operation anesthesia without the need to shutdown.
Example 3: simultaneously support that the medicine of blood plasma target control and the control of effect compartment target performs flow process for the TCI of the effect compartment target controlled infusion of model
1, operator performs drug parameters setting, completes medicament selection, medicine is arranged for Model Selection and concentration;
2, enter patient parameter and arrange interface, system for model, shows the patient parameter that will arrange according to selected medicine and medicine;
3, operator performs patient parameter and arranges, and completes the setting of age, sex, body weight and height;
4, target control way selection interface is entered, the target control of selection effect room,
5, enter target level and arrange interface, operator completes after target level arranges, and system accounting calculates induction parameters (comprising inductive dose, induction time, induction liquid measure, induction speed) and maintains speed;
6, enter parameter and confirm interface, operator's execution parameter confirms, whether the parameter set by inspection makes mistakes, and makes mistakes, return amendment if arranged;
7, startup optimization, enter runnable interface, runnable interface is divided into header area, principal parameter district, auxiliary parameter region, graph area, highlight, wherein header area mainly shows medicine and drug concentration, be convenient to operator when multiple stage pump works simultaneously and identify the medicine that every platform pump is injected, the effect compartment target level that principal parameter district display blood plasma target jabber function person is concerned about most and effect-site concentration, auxiliary parameter region display operator compares the plasma concentration of care, injection rate and recovery time, graph area display plasma concentration and effect-site concentration trend map, the plasma concentration of concentration trends figure not only before the real time record current procedure moment and the trend of effect-site concentration, plasma concentration also after the real-time estimate current procedure moment and the trend of effect-site concentration, and carry out colour-difference alienation differentiation to before the current procedure moment with trend afterwards, in addition, additionally provide current procedure time reference line and operation duration, highlight display current operating conditions and button prompting,
8, in operational process, can following operation be carried out: amendment target level, locking Ce value, check details (comprising drug information, patient information, medication information, information of reviving and operation duration), TCI arranges (comprise and arrange the trend map time and concentration of reviving), is converted to the control of blood plasma target, suspends and inject, do not allow shutdown in operational process and terminate operation, in order to avoid secondary brings injury with medicine target controlled infusion to patient;
9, suspend in injection process, can following operation be carried out: TCI is arranged, be converted to TIVA pattern, be converted to the control of blood plasma target, end is performed the operation, shutdown, wherein terminate Post operation can start next operation anesthesia without the need to shutdown.
It will be appreciated by those skilled in the art that, in above-mentioned embodiment, all or part of step of various method can be carried out instruction related hardware by program and completes, this program can be stored in a computer-readable recording medium, and storage medium can comprise: ROM (read-only memory), random access memory, disk or CD etc.
Above content is in conjunction with concrete embodiment further description made for the present invention, can not assert that specific embodiment of the invention is confined to these explanations.For general technical staff of the technical field of the invention, without departing from the inventive concept of the premise, some simple deduction or replace can also be made.
Claims (20)
1. an operation control system for target control pump, comprises parameter setting apparatus and device for monitoring running state; Described parameter setting apparatus is used for by optimum configurations interface, arranges target controlled infusion (TCI) parameter of described target control pump, and described device for monitoring running state uses at least part of described TCI parameter arranged, and monitors the running status of described target control pump;
It is characterized in that, described parameter setting apparatus comprises multiple parameter set unit, the TCI parameter of the corresponding single classification of each described parameter set unit difference; When arranging described TCI parameter, each described parameter set unit arranges the TCI parameter of each classification on described optimum configurations interface by class.
2. system according to claim 1, it is characterized in that, described TCI parameter is divided into medicine class parameter, patient's class parameter and target control class parameter, and described multiple parameter set unit comprises drug parameters setting unit for arranging medicine class parameter, for arranging the patient parameter setting unit of patient's class parameter and the target control parameter set unit for arranging target control class parameter; When arranging described TCI parameter, described drug parameters setting unit, described patient parameter setting unit and described target control parameter set unit are run successively, to realize arranging by class of the TCI parameter of each classification.
3. system according to claim 2, is characterized in that, described target control parameter set unit comprises target level and arranges module and induction mode arranges module; Described target level arranges module for arranging target level, and described induction mode arranges module for providing induction mode; Described parameter setting apparatus calculates under provided induction mode based on described target level, the induction parameters that during described target control pump operation, expection can have and/or maintenance parameter.
4. system according to claim 3, is characterized in that, described induction parameters comprises inductive dose, induction time, induction liquid measure and/or induced velocity, and described maintenance parameter comprises maintenance speed.
5. the system according to any one of claim 2-4, is characterized in that, described optimum configurations interface comprises that independent drug parameters arranges interface, patient parameter arranges interface and target control optimum configurations interface; Described drug parameters setting unit, described patient parameter setting unit and described target control parameter set unit arranges interface in described drug parameters respectively, patient parameter arranges interface and target control optimum configurations interface arranges described medicine class parameter, patient's class parameter and target control class parameter by class.
6. the system according to any one of claim 1-4, is characterized in that, described parameter setting apparatus also comprises parameter confirmation unit; Described parameter confirmation unit is used for confirming interface by a parameter, confirms that whether the setting of the TCI parameter of each classification is correct.
7. the system according to any one of claim 1-4, is characterized in that, described device for monitoring running state shows the running status of described target control pump by runnable interface; Described runnable interface comprises header area, parameter region, graph area and highlight, and described header area is positioned at the top of runnable interface, and described highlight is positioned at the bottom of described runnable interface, and described parameter region and described graph area are positioned at the middle part of described runnable interface side by side.
8. the system according to any one of claim 1-4, is characterized in that, described device for monitoring running state shows the running status of described target control pump by runnable interface; Described runnable interface comprises header area, parameter region, graph area and highlight, the infused drug that described header area uses for distinguishing described target control pump, the operational factor of the target control pump that described parameter region is concerned about for the TCI parameter of operator's care and the operator of described target control pump showing described target control pump, the operational factor of the target control pump that described graph area is concerned about for the operator showing described target control pump, described highlight is used for providing status information and button prompting.
9. the system according to any one of claim 2-4, is characterized in that: described device for monitoring running state shows the running status of described target control pump by runnable interface; Described runnable interface comprises header area, parameter region, graph area and highlight; Wherein:
Described header area is used for the described medicine class parameter of display section, and shown medicine class parameter comprises medicine name and drug concentration; And/or
The principal parameter district be set up in parallel about described parameter region comprises and auxiliary parameter region, described principal parameter district is for showing set target control class parameter and to should the first concentration parameter of target control class parameter, described auxiliary parameter region be for showing the second concentration parameter, recovery time and infusion rates; And/or
Described graph area comprises the trend map of one or more concentration parameter, the history section that the value that described trend map comprises the concentration parameter before by the current time of running is formed and the following section be made up of the value of the concentration parameter after the current time of running; Described history section and described following section different colours embody; And/or
Described graph area comprises the trend map of one or more concentration parameter, the history section that the value that described trend map comprises the concentration parameter before by the current time of running is formed and the following section be made up of the value of the concentration parameter after the current time of running; Described trend map also comprises operating time reference line, and described operating time reference line is for distinguishing described history section and following section; And/or
Described highlight is used for providing status information and button prompting, and when triggering described button prompting, described target control pump is switched to running status by described runnable interface and checks interface.
10. the system according to any one of claim 1-9, it is characterized in that, described device for monitoring running state comprises running status and checks unit, described running status checks that unit checks set TCI parameter for the operator for described target control pump in the operational process of target control pump, and/or the medication information, recovery time and the operation duration that produce in described target control pump operation process.
The progress control method of 11. 1 kinds of target control pumps, comprising: target controlled infusion (TCI) parameter arranging described target control pump on optimum configurations interface, and uses at least part of described TCI parameter arranged, and monitors the running status of described target control pump; It is characterized in that, described TCI parameter is divided into multiple classification; When arranging described TCI parameter, described optimum configurations interface arranges by class the TCI parameter of each classification.
12. methods according to claim 11, is characterized in that, described TCI parameter is divided into medicine class parameter, patient's class parameter and target control class parameter; Carry out arranging by class according to the order of described medicine class parameter, described patient's class parameter and described target control class parameter when arranging TCI parameter; Or
Described TCI parameter is divided into medicine class parameter, patient's class parameter and target control class parameter, and described optimum configurations interface comprises that drug parameters arranges interface, patient parameter arranges interface and target control optimum configurations interface; When TCI parameter is set, according to the order of described medicine class parameter, described patient's class parameter and described target control class parameter, interface is set in described drug parameters, patient parameter arranges interface and target control optimum configurations interface arranges described medicine class parameter, described patient's class parameter and described target control class parameter by class.
13. methods according to claim 12, is characterized in that, the setting of described target control class parameter comprises:
Target level is set;
Obtain induction mode; And
Calculate under obtained induction mode based on described target level, the induction parameters that during described target control pump operation, expection can have and/or maintenance parameter.
14. methods according to any one of claim 11-13, is characterized in that, described method is also included in after optimum configurations completes, and confirms interface confirms that whether the setting of the TCI parameter of each classification is correct in a parameter; And/or
Described method is also included in the process of monitoring running status, checks set TCI parameter, and/or the medication information, recovery time and the operation duration that produce in described target control pump operation process.
15. methods according to any one of claim 11-13, it is characterized in that, the running status of described monitoring target control pump comprises the running status being shown described target control pump by runnable interface; Described runnable interface comprises header area, parameter region, graph area and highlight, and the running status being shown described target control pump by runnable interface is comprised:
The infused drug that described target control pump uses is shown in described header area;
The operational factor of the target control pump of the TCI parameter of operator's care of described target control pump and operator's care of described target control pump is shown at described parameter region;
The operational factor of the target control pump of operator's care of described target control pump is shown in described graph area; And
Status information and button prompting is provided at described highlight.
Target controlled infusion (TCI) parameter setting method of 16. 1 kinds of target control pumps, is characterized in that, described TCI parameter is divided into medicine class parameter, patient's class parameter and target control class parameter; When arranging described TCI parameter, optimum configurations interface carries out arranging by class according to the order of described medicine class parameter, patient's class parameter and target control class parameter.
17. methods according to claim 16, is characterized in that:
The setting of described medicine class parameter comprises and arranges medicine for model, medicine name and drug concentration;
The setting of described patient's class parameter comprises: according to the medicine name arranged and medicine for model, determine the patient parameter needing to arrange, and to arrange described patient parameter;
The setting of described target control class parameter comprises: arrange target level, determine induction mode, and calculates induction parameters corresponding to target level set under described induction mode and/or maintain parameter.
18. methods according to claim 17, is characterized in that, the setting of described target control class parameter also comprises: before arranging target level and determining induction mode, according to the target prosecutor formula of the described medicine arranged for model determination target control pump.
19. methods according to any one of claim 16-18, is characterized in that, also comprise call parameters and confirm interface, confirm whether described medicine class parameter, described patient's class parameter and described target control class parameter arrange correctly thereon; Wherein said parameter confirms that interface is according to the order arranging described medicine class parameter, patient's class parameter and target control class parameter, shows medicine class parameter to be confirmed, patient's class parameter and target control class parameter.
20. methods according to any one of claim 16-18, it is characterized in that, described optimum configurations interface comprises that drug parameters arranges interface, patient parameter arranges interface and target control optimum configurations interface, described drug parameters arranges interface, patient parameter arranges interface and target control optimum configurations interface separately for showing described medicine class parameter, patient's class parameter and target control class parameter; Described method is included in that described drug parameters arranges interface, patient parameter arranges interface and setting operation is carried out successively in target control optimum configurations interface, to complete arranging by class of described medicine class parameter, patient's class parameter and target control class parameter.
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