CN105999465A - Method and system for automatically adjusting PCA (patient controlled analgesia) infusion parameters of electronic infusion pump - Google Patents

Method and system for automatically adjusting PCA (patient controlled analgesia) infusion parameters of electronic infusion pump Download PDF

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Publication number
CN105999465A
CN105999465A CN201610474257.XA CN201610474257A CN105999465A CN 105999465 A CN105999465 A CN 105999465A CN 201610474257 A CN201610474257 A CN 201610474257A CN 105999465 A CN105999465 A CN 105999465A
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China
Prior art keywords
pca
continuous infusion
module
infusion amount
less
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CN201610474257.XA
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Chinese (zh)
Inventor
曹汉忠
顾连兵
周鑫
陆锋
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JIANGSU REHN MEDICAL INSTRUMENTS TECHNOLOGY CO LTD
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JIANGSU REHN MEDICAL INSTRUMENTS TECHNOLOGY CO LTD
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Priority to CN201610474257.XA priority Critical patent/CN105999465A/en
Publication of CN105999465A publication Critical patent/CN105999465A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • A61M5/16804Flow controllers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • A61M5/16877Adjusting flow; Devices for setting a flow rate
    • G06F19/3468
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3331Pressure; Flow
    • A61M2205/3334Measuring or controlling the flow rate

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  • Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Fluid Mechanics (AREA)
  • Physics & Mathematics (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

A method for automatically adjusting PCA (patient controlled analgesia) infusion parameters of an electronic infusion pump comprises following steps: step S1, the number of generation times of PCA activation signals is acquired through a PCA assembly in a preset timing cycle; step S2, whether the times of the PCA activation signals in the preset timing cycle are smaller than or equal to a lower threshold of the times, are larger than the lower threshold of the times and smaller than an upper threshold of the times, or are larger than or equal to the upper threshold of the times is judged, a step S3 is executed when the times are smaller than or equal to the lower threshold of the times, a step S4 is executed when the times are larger than the lower threshold of the times and smaller than the upper threshold of the times, and a step S5 is executed when the times are larger than or equal to the upper threshold of the times; step S4, the continuous infusion amount keeps a current value; step S5, the current continuous infusion amount is progressively increased once according to a preset second dosage. According to the method, the continuous infusion amount can be adjusted according to PCA activation operation of a patient, so that the defect of excessive analgesia or insufficient analgesia is overcome, and the method is safer and more convenient.

Description

The PCA infusion parameter Automatic adjustment method of electronic transfusion pump and system
Technical field
The present invention relates to the PCA infusion parameter Automatic adjustment method of a kind of electronic transfusion pump and be System.
Background technology
Electronic transfusion pump is when for infusion analgesic, if parameter arranges unreasonable (excessive) Then may cause infusion reaction such as nausea and vomiting, excess sedation etc. because of excess transfusion.
The electronic transfusion pump being presently used for infusion analgesic the most all has PCA (Patient Controlled Analgesia, patient-controlled analgesia) function, this function only feels pain patient Activated PCA assembly by patient time bitterly and realize a single dose (pill that the short time is rapidly injected) Infusion is not enough for alleviating the analgesia caused because of personalized difference.
This function has certain limitation, is i.e. only tieed up when the lasting amount transfusion of electronic transfusion pump When the blood drug level held is not enough to inhibition of pain, sick talent conference deexcitation.Initial continuous infusion amount Arrange value excessive time blood drug level can be caused to exceed inhibition of pain level, consequently, it is possible to produced Degree analgesia, now patient will not attempt activating PCA assembly, so, it would be possible to cause patient Infusion reaction, severe patient threat to life occur.
Summary of the invention
For the deficiencies in the prior art, it is contemplated that ask in providing one can solve above-mentioned technology The PCA infusion parameter Automatic adjustment method of the electronic transfusion pump of topic and system.
For achieving the above object, the present invention adopts the following technical scheme that
The PCA infusion parameter Automatic adjustment method of a kind of electronic transfusion pump, it includes following step Rapid:
Step S1: obtain PCA activation signal by PCA assembly within default time-count cycle Number of times;
Step S2: judge the number of times of PCA activation signal within default time-count cycle less than or Equal to number of times lower threshold, also it is greater than number of times lower threshold and less than number of times upper limit threshold, also It is greater than or equal to predetermined upper threshold value, when number of times is less than or equal to number of times lower threshold, holds Row step S3;When number of times is more than number of times lower threshold and is less than number of times upper limit threshold, perform Step S4;When more than or equal to predetermined upper threshold value, perform step S5;
Step S3: existing continuous infusion amount is successively decreased once according to default first dosage;
Step S4: continuous infusion amount maintains currency constant;And
Step S5: existing continuous infusion amount is incremented by once according to default second dosage.
The PCA infusion parameter automatic regulating system of a kind of electronic transfusion pump, it includes with lower mold Block:
PCA activation signal monitoring module, for passing through PCA assembly within default time-count cycle Obtain the number of times of PCA activation signal;
Processing module, for judging the number of times of the PCA activation signal within default time-count cycle Less than or equal to number of times lower threshold, also it is greater than number of times lower threshold and less than number of times upper limit threshold Value, is also greater than or equal to predetermined upper threshold value, when number of times is less than or equal to number of times lower threshold Time, perform continuous infusion amount and successively decrease module;When number of times is more than number of times lower threshold and less than number of times During upper limit threshold, perform continuous infusion amount duration module;When more than or equal to predetermined upper threshold value Time, perform continuous infusion amount and be incremented by module;
Continuous infusion amount is successively decreased module, for according to presetting the first dosage to existing continuous infusion amount Successively decrease once;
Continuous infusion amount maintains module, maintains currency constant for continuous infusion amount;And
Continuous infusion amount is incremented by module, for according to presetting the second dosage to existing continuous infusion amount It is incremented by once.
Beneficial effects of the present invention is as follows:
The present invention can automatically according to patient PCA activation manipulation adjust continuous infusion amount, with gram The defect that clothes analgesia is excessive or analgesia is not enough, safer and convenient.
Accompanying drawing explanation
Fig. 1 is the preferable of the PCA infusion parameter Automatic adjustment method of electronic transfusion pump of the present invention The flow chart of embodiment.
Fig. 2 is the sub-process figure of the PCA infusion parameter Automatic adjustment method of Fig. 1.
Fig. 3 is the preferable of the PCA infusion parameter automatic regulating system of electronic transfusion pump of the present invention The module map of embodiment.
Detailed description of the invention
Below in conjunction with accompanying drawing and detailed description of the invention, the present invention is described further:
Referring to Fig. 1, the PCA infusion parameter that the present invention relates to a kind of electronic transfusion pump is automatic Control method, its better embodiment comprises the following steps:
Step S1: obtain PCA activation signal by PCA assembly within default time-count cycle Number of times;
Step S2: judge the number of times of PCA activation signal within default time-count cycle less than or Equal to number of times lower threshold, also it is greater than number of times lower threshold and less than number of times upper limit threshold, also It is greater than or equal to predetermined upper threshold value, when number of times is less than or equal to number of times lower threshold, holds Row step S3;When number of times is more than number of times lower threshold and is less than number of times upper limit threshold, perform Step S4;When more than or equal to predetermined upper threshold value, perform step S5;
Step S3: existing continuous infusion amount is successively decreased once according to default first dosage.
This be because patient within time-count cycle do not make always PCA activate or number of times less than or Equal to this number of times lower threshold, it is possible to there is excessive analgesic situation, now to existing continuous Infusion amount carries out decrement can prevent this situation.
Step S4: continuous infusion amount maintains currency constant.
This is because the PCA activation that patient within time-count cycle makes in applicable numbers range, Illustrate that existing continuous infusion amount is suitable for patient.
Step S5: existing continuous infusion amount is incremented by once according to default second dosage.
This is because the PCA that patient within time-count cycle makes and activates and exceeded desired number of times model Place limit, illustrate there may exist the situation that blood drug level is not enough, be the most now necessarily increased and work as Front continuous infusion amount.
The present invention can automatically according to patient PCA activation manipulation adjust continuous infusion amount, with gram The defect that clothes analgesia is excessive or analgesia is not enough, safer and convenient.
See Fig. 2, it is preferable that step S1 includes following sub-step:
Step S11: reset and start timing;
Step S12: judge whether PCA assembly produces PCA activation signal, if so, performs Step S13, if it is not, perform step S14;
Step S13: PCA activation signal is accumulated once;
Step S14: judge that current slot, whether less than the time-count cycle preset, if so, returns Receipt row step S12;If it is not, stop timing and perform step S2.
Preferably, in step S3 when existing continuous infusion amount is more than lower threshold, according in advance If existing continuous infusion amount is successively decreased once by the first dosage.
Preferably, in step S5 when existing continuous infusion amount is less than upper limit threshold, according in advance If existing continuous infusion amount is incremented by once by the second dosage.
Seeing Fig. 3, the PCA infusion parameter that the invention still further relates to a kind of electronic transfusion pump is automatic Regulation system, it includes with lower module:
PCA activation signal monitoring module, for passing through PCA assembly within default time-count cycle Obtain the number of times of PCA activation signal;
Processing module, for judging the number of times of the PCA activation signal within default time-count cycle Less than or equal to number of times lower threshold, also it is greater than number of times lower threshold and less than number of times upper limit threshold Value, is also greater than or equal to predetermined upper threshold value, when number of times is less than or equal to number of times lower threshold Time, perform continuous infusion amount and successively decrease module;When number of times is more than number of times lower threshold and less than number of times During upper limit threshold, perform continuous infusion amount duration module;When more than or equal to predetermined upper threshold value Time, perform continuous infusion amount and be incremented by module;
Continuous infusion amount is successively decreased module, for according to presetting the first dosage to existing continuous infusion amount Successively decrease once.
Continuous infusion amount maintains module, maintains currency constant for continuous infusion amount.
Continuous infusion amount is incremented by module, for according to presetting the second dosage to existing continuous infusion amount It is incremented by once.
Preferably, the following submodule of PCA activation signal monitoring module:
Timing module, is used for resetting and starting timing;
PCA activation signal detection module, is used for judging whether PCA assembly produces PCA and activate Signal, if so, performs counting module, if it is not, perform judge module;
Counting module, for accumulating once PCA activation signal;And
Judge module, for judging whether current slot is less than the time-count cycle preset, if so, Return and perform timing module;If it is not, stop timing and perform processing module.
Preferably, continuous infusion amount maintains module in existing continuous infusion amount more than lower threshold Time, according to default first dosage, existing continuous infusion amount is successively decreased once.
Preferably, when existing continuous infusion amount is less than upper limit threshold, according to default second dosage Existing continuous infusion amount is incremented by once.
For a person skilled in the art, can technical scheme as described above and structure Think, make other various corresponding changes and deformation, and all these changes and deformation Within all should belonging to the protection domain of the claims in the present invention.

Claims (8)

1. the PCA infusion parameter Automatic adjustment method of an electronic transfusion pump, it is characterised in that: its Comprise the following steps:
Step S1: obtain PCA activation signal by PCA assembly within default time-count cycle Number of times;
Step S2: judge the number of times of PCA activation signal within default time-count cycle less than or Equal to number of times lower threshold, also it is greater than number of times lower threshold and less than number of times upper limit threshold, Also it is greater than or equal to predetermined upper threshold value, when number of times is less than or equal to number of times lower threshold Time, perform step S3;When number of times is more than number of times lower threshold and less than number of times upper limit threshold Time, perform step S4;When more than or equal to predetermined upper threshold value, perform step S5;
Step S3: existing continuous infusion amount is successively decreased once according to default first dosage;
Step S4: continuous infusion amount maintains currency constant;And
Step S5: existing continuous infusion amount is incremented by once according to default second dosage.
2. the PCA infusion parameter Automatic adjustment method of electronic transfusion pump as claimed in claim 1, It is characterized in that: step S1 includes following sub-step:
Step S11: reset and start timing;
Step S12: judge whether PCA assembly produces PCA activation signal, if so, performs Step S13, if it is not, perform step S14;
Step S13: PCA activation signal is accumulated once;And
Step S14: judge that current slot, whether less than the time-count cycle preset, if so, returns Receipt row step S12;If it is not, stop timing and perform step S2.
3. the PCA infusion parameter Automatic adjustment method of electronic transfusion pump as claimed in claim 1, It is characterized in that: in step S3 when existing continuous infusion amount is more than lower threshold, according to Preset the first dosage existing continuous infusion amount is successively decreased once.
4. the PCA infusion parameter Automatic adjustment method of electronic transfusion pump as claimed in claim 1, It is characterized in that: in step S5 when existing continuous infusion amount is less than upper limit threshold, according to Preset the second dosage existing continuous infusion amount is incremented by once.
5. the PCA infusion parameter automatic regulating system of an electronic transfusion pump, it is characterised in that its Including with lower module:
PCA activation signal monitoring module, for obtaining by PCA assembly within default time-count cycle Take the number of times of PCA activation signal;
Processing module is little for judging the number of times of the PCA activation signal within default time-count cycle In number of times or equal to lower threshold, also it is greater than number of times lower threshold and less than the number of times upper limit Threshold value, is also greater than or equal to predetermined upper threshold value, under number of times is less than or equal to number of times During limit threshold value, perform continuous infusion amount and successively decrease module;When number of times is more than number of times lower threshold And during less than number of times upper limit threshold, perform continuous infusion amount duration module;When more than or etc. When predetermined upper threshold value, perform continuous infusion amount and be incremented by module;
Continuous infusion amount is successively decreased module, for according to presetting the first dosage to existing continuous infusion amount Successively decrease once;
Continuous infusion amount maintains module, maintains currency constant for continuous infusion amount;And
Continuous infusion amount is incremented by module, for according to presetting the second dosage to existing continuous infusion amount It is incremented by once.
6. the PCA infusion parameter automatic regulating system of electronic transfusion pump as claimed in claim 1, It is characterized in that: the following submodule of PCA activation signal monitoring module:
Timing module, is used for resetting and starting timing;
PCA activation signal detection module, is used for judging whether PCA assembly produces PCA and activate Signal, if so, performs counting module, if it is not, perform judge module;
Counting module, for accumulating once PCA activation signal;And
Judge module, for judging whether current slot is less than the time-count cycle preset, if so, Return and perform timing module;If it is not, stop timing and perform processing module.
7. the PCA infusion parameter automatic regulating system of electronic transfusion pump as claimed in claim 1, It is characterized in that: continuous infusion amount maintains module in existing continuous infusion amount more than lower limit threshold During value, according to default first dosage, existing continuous infusion amount is successively decreased once.
8. the PCA infusion parameter automatic regulating system of electronic transfusion pump as claimed in claim 1, It is characterized in that: continuous infusion amount is incremented by module in existing continuous infusion amount less than upper limit threshold During value, according to default second dosage, existing continuous infusion amount is incremented by once.
CN201610474257.XA 2016-06-24 2016-06-24 Method and system for automatically adjusting PCA (patient controlled analgesia) infusion parameters of electronic infusion pump Pending CN105999465A (en)

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Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106730159A (en) * 2017-01-16 2017-05-31 马挺 A kind of electronic transfusion pump based on pain Assessment automatically adjusts the method and system of infusion parameter
CN106823049A (en) * 2017-02-17 2017-06-13 江苏人先医疗科技有限公司 Controlled analgesia pump and its control method
WO2018130215A1 (en) * 2017-01-16 2018-07-19 马挺 Method and system for adjusting infusion parameters in combination with pain assessment, and pump withdrawal prompting method
CN109461487A (en) * 2018-10-29 2019-03-12 深圳麦科田生物医疗技术有限公司 A kind of PCA infusion device and the method for ahead relieving locking
CN113274580A (en) * 2021-05-24 2021-08-20 杭州兰马医疗科技有限公司 Analgesia pump capable of automatically adjusting infusion grade and control method thereof
CN113679907A (en) * 2021-08-27 2021-11-23 巨翊科技(上海)有限公司 Control method and system of patient-controlled analgesia device
CN113842525A (en) * 2021-09-24 2021-12-28 杭州兰马医疗科技有限公司 Intelligent infusion device and control method thereof
WO2023046049A1 (en) * 2021-09-24 2023-03-30 杭州兰马医疗科技有限公司 Infusion apparatus and control method therefor
WO2024000457A1 (en) * 2022-06-30 2024-01-04 深圳麦科田生物医疗技术股份有限公司 Infusion parameter adjustment method, infusion device, storage medium, and infusion adjustment system

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CN101912644A (en) * 2010-08-05 2010-12-15 南通市三和生物工程有限公司 Intelligent patient-controlled analgesia pump
CN201823146U (en) * 2010-09-07 2011-05-11 邵芹 Microcomputer discontinuous electronic analgesia pump
CN103170033A (en) * 2013-03-15 2013-06-26 南通爱普医疗器械有限公司 Analgesia patient controlled analgesia (PCA) pump and method based on fuzzy mathematics judgment for pain degree of analgesia
CN103736166A (en) * 2014-01-22 2014-04-23 马挺 Individualized smart patient-controlled analgesia pump

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101912644A (en) * 2010-08-05 2010-12-15 南通市三和生物工程有限公司 Intelligent patient-controlled analgesia pump
CN201823146U (en) * 2010-09-07 2011-05-11 邵芹 Microcomputer discontinuous electronic analgesia pump
CN103170033A (en) * 2013-03-15 2013-06-26 南通爱普医疗器械有限公司 Analgesia patient controlled analgesia (PCA) pump and method based on fuzzy mathematics judgment for pain degree of analgesia
CN103736166A (en) * 2014-01-22 2014-04-23 马挺 Individualized smart patient-controlled analgesia pump

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106730159A (en) * 2017-01-16 2017-05-31 马挺 A kind of electronic transfusion pump based on pain Assessment automatically adjusts the method and system of infusion parameter
WO2018130215A1 (en) * 2017-01-16 2018-07-19 马挺 Method and system for adjusting infusion parameters in combination with pain assessment, and pump withdrawal prompting method
CN106823049A (en) * 2017-02-17 2017-06-13 江苏人先医疗科技有限公司 Controlled analgesia pump and its control method
CN109461487A (en) * 2018-10-29 2019-03-12 深圳麦科田生物医疗技术有限公司 A kind of PCA infusion device and the method for ahead relieving locking
CN109461487B (en) * 2018-10-29 2020-11-17 深圳麦科田生物医疗技术有限公司 PCA infusion device, locking releasing method and device in advance and storage medium
CN113274580A (en) * 2021-05-24 2021-08-20 杭州兰马医疗科技有限公司 Analgesia pump capable of automatically adjusting infusion grade and control method thereof
CN113679907A (en) * 2021-08-27 2021-11-23 巨翊科技(上海)有限公司 Control method and system of patient-controlled analgesia device
WO2023024826A1 (en) * 2021-08-27 2023-03-02 巨翊科技(上海)有限公司 Control method and system for patient controlled analgesia apparatus
CN113679907B (en) * 2021-08-27 2024-04-30 巨翊科技(上海)有限公司 Control method and system of patient self-control pain relieving device
CN113842525A (en) * 2021-09-24 2021-12-28 杭州兰马医疗科技有限公司 Intelligent infusion device and control method thereof
WO2023046049A1 (en) * 2021-09-24 2023-03-30 杭州兰马医疗科技有限公司 Infusion apparatus and control method therefor
WO2024000457A1 (en) * 2022-06-30 2024-01-04 深圳麦科田生物医疗技术股份有限公司 Infusion parameter adjustment method, infusion device, storage medium, and infusion adjustment system

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