Intelligent transfusion monitoring device, system and method
Technical Field
The invention relates to medical infusion treatment, in particular to an intelligent infusion monitoring system which can monitor the infusion condition and adjust the infusion flow rate.
Background
Infusion is a large dose (more than 100ml per administration) of an injection solution infused into the body by intravenous drip. Are usually packaged in glass or plastic infusion bottles or bags and contain no preservatives or bacteriostatic agents. When in use, the dropping speed is adjusted by the infusion apparatus, so that the injection liquid continuously and stably enters the vein to supplement body fluid, electrolyte or provide nutrient substances.
During infusion, the patient generally needs to wait for the rest of the injection and a nurse needs to check the use of the injection. The action of carrying out the transfusion monitoring by manpower not only brings great pressure to the work of nurses, but also is easy to generate errors, such as carelessness of family members of patients and sudden outgoing of nurses, which can cause the missed liquid change and the delayed needle drawing, possibly cause air to enter veins or cause blood to flow back to an infusion apparatus, thereby causing great hidden dangers to the patients and further causing medical disputes.
In addition, the existing infusion apparatus needs to adjust the infusion flow rate by the medical staff according to the experience of the medical staff, the adjustment precision is low, and non-professional staff cannot control or adjust the infusion flow rate due to insufficient experience and knowledge. This can cause inconvenience in some specific situations. For example, medical staff cannot keep at the side of a patient who is infusing for a long time due to busy work, once the medical staff sets the infusion flow rate and leaves, even if the patient feels uncomfortable due to too fast or too slow infusion flow rate, the patient cannot adjust the infusion flow rate by himself, and the medical staff needs to be called. Some patients are in danger because they are not as good as medical staff to adjust the transfusion flow rate.
And the control precision of the existing transfusion flow rate regulating and controlling device is low, and errors are easily caused.
Therefore, it is necessary to provide an intelligent infusion monitoring system, which can safely and conveniently adjust the infusion flow rate by non-professional personnel such as patients or their family members, and can feed back the infusion condition to medical staff who is not at the patient side in real time, without the need of the medical staff to check or adjust the infusion flow rate at the patient side.
Disclosure of Invention
The invention provides an intelligent transfusion monitoring system, which can safely adjust the transfusion flow rate by non-professional personnel such as patients or family members thereof, and can also monitor the transfusion condition, thereby recording and transmitting the transfusion information such as the transfusion flow rate, the residual amount, the estimated ending time and the like in real time, realizing the functions of early warning of the end of transfusion and automatically stopping the transfusion, and forming the optimal transfusion flow rate so that nurses and patients can better manage the transfusion progress and avoid accidents to the maximum extent.
The purpose of the invention is realized by the following technical scheme:
the invention provides an intelligent infusion monitor, comprising: a clamping device, a flow rate adjusting device, a flow rate acquisition unit, an information transmission unit, a state prompting device, a controller and a power supply,
the processor is electrically connected with other modules to control the modules to realize the functions thereof,
the flow velocity acquisition unit adopts a miniature electromagnetic flowmeter,
the signal transmission unit adopts a wireless signal transmission mode,
the clamping device is used for clamping the intelligent transfusion monitor on the transfusion bottle/bag opening,
the state indicating device can be an indicating lamp or a buzzer alarm device, and sound and light alarm is carried out when the conditions of abnormal infusion flow rate, near-end infusion, infusion stop and the like occur.
The intelligent transfusion monitor further comprises a working state indicator lamp for indicating the working state of the intelligent transfusion monitor and a residual capacity indicator lamp for displaying residual capacity.
The clamping device is a flexible connecting device, and can flexibly connect the intelligent transfusion monitor in a separated state into a closed ring.
The invention also provides an intelligent transfusion monitoring system, which comprises the intelligent transfusion monitor, the intelligent terminal and the monitoring platform, and is characterized in that:
the intelligent terminal is an intelligent mobile phone, a two-dimension code recognition device and a display device are arranged on the intelligent terminal, an APP application program for realizing the invention is also installed on the intelligent terminal,
the monitoring platform is realized by a background server at a network side, user information of a user is stored on the monitoring platform and comprises medical record information of the user and historical infusion records, and the historical infusion records comprise infusion medicine types, infusion capacities and corresponding optimal infusion flow rates; the monitoring platform also stores a medicine information base which comprises medicine types, infusion capacities and corresponding infusion flow rate ranges of various medicines, and the infusion flow rate ranges comprise standard flow rate reference values and adjustment ranges.
The invention also provides an intelligent transfusion monitoring method which is suitable for the intelligent transfusion monitoring system, and the method comprises the following steps:
s1, mounting the intelligent infusion monitor to the mouth of an infusion bottle/bag;
s2, a user (a patient or a medical staff) runs an APP by using the intelligent terminal and logs in a monitoring platform;
s3, the user scans the two-dimensional code on the infusion bottle/bag by using the intelligent terminal to obtain the infusion medicine information including the medicine type and the infusion capacity, and sends the medicine information to the monitoring platform;
s4, the monitoring platform searches a medicine information base, finds a standard flow rate reference value and an adjusting range corresponding to the medicine information, reads medical record information of a user, calculates a correction flow rate reference value and a correction adjusting range based on the standard flow rate reference value, the adjusting range and the medical record information, reads historical infusion records of the user, obtains an optimal infusion flow rate corresponding to the medicine information, and sends the correction flow rate reference value, the correction adjusting range and the optimal infusion flow rate to the intelligent terminal;
s5, the intelligent terminal determines to use the optimal infusion flow rate or the correction flow rate reference value to start infusion according to the selection of the user;
s6, during the infusion, the user (patient or medical staff) can adjust the infusion flow rate on the intelligent terminal, the adjustment is limited in the correction adjustment range, the adjustment result is sent to the intelligent infusion monitor, and the infusion is carried out at the adjusted infusion flow rate;
s7, the monitoring platform forms a historical infusion record based on the infusion record recorded by the intelligent terminal, and counts the historical infusion record to obtain the optimal infusion flow rate;
s8, performing feedback calibration on the infusion flow rate in the infusion process;
and S9, calculating the transfusion ending time based on the actual transfusion flow rate, alarming when a preset time is left from the ending time, and stopping transfusion when the ending time is reached.
Wherein step S5 specifically includes: the intelligent terminal displays the corrected flow rate reference value, the corrected regulation range and the optimal infusion flow rate and prompts a user whether to adopt the optimal infusion flow rate for infusion, if so, the intelligent terminal sends the optimal infusion flow rate to the intelligent infusion monitor and starts infusion at the optimal infusion flow rate, and if not, the intelligent terminal sends the corrected flow rate reference value to the intelligent infusion monitor and starts infusion at the flow rate represented by the corrected flow rate reference value.
Wherein step S7 specifically includes: the intelligent terminal records the infusion record, the infusion record comprises the drug type and the infusion capacity of infusion, the real-time corresponding relation between the infusion flow rate and the infusion time is further included, the intelligent terminal sends the infusion record to the monitoring platform to form a historical infusion record, the monitoring platform carries out statistics on the infusion record of infusion for the preset times to obtain the infusion flow rate with the longest total infusion time, and the longest infusion flow rate is defined as the optimal infusion flow rate corresponding to the drug type and the infusion capacity of the infusion.
Wherein step S8 specifically includes: the flow rate acquisition unit gathers the infusion velocity of flow in real time, obtain the actual infusion velocity of flow, and with the actual infusion velocity of flow send to intelligent terminal, intelligent terminal compares the actual infusion velocity of flow who gathers with the infusion velocity of flow of setting for, if difference between them is in the predetermined range, then send the difference to intelligent infusion monitor, intelligent infusion monitor finely tunes flow regulator based on this difference, make the actual infusion velocity of flow reach the infusion velocity of flow of setting for, if difference between them is outside the predetermined range, then intelligent terminal shows alarm information on the display, intelligent terminal sends fault signal to intelligent infusion monitor simultaneously, control state indicating device carries out audible-visual alarm, and control flow rate adjusting device stops the infusion.
Wherein step S9 specifically includes: the intelligent terminal calculates the infused volume in real time based on the actual infusion flow rate, calculates the residual infusion volume by using the infused volume and the infusion volume, calculates the infusion ending time in real time based on the residual infusion volume and the actual infusion flow rate, when the preset time is left for the distance from the ending time, the intelligent terminal displays alarm information on a display, simultaneously the intelligent terminal 20 sends an alarm signal to the intelligent infusion monitor, controls a state indicating device on the infusion monitor to carry out acousto-optic alarm, when the ending time is reached, the intelligent terminal sends an infusion stopping signal to the intelligent infusion monitor, and the controller controls a flow rate adjusting device on the infusion monitor to stop infusion.
The infusion flow rate control device has the advantages that a specially-assigned person is not needed to look after the infusion flow rate control device, the infusion flow rate can be adjusted in real time by non-professional personnel such as patients in the infusion process, the infusion condition can be monitored, infusion information can be recorded and transmitted in real time, early warning of infusion ending and automatic infusion stopping are realized, the optimal infusion flow rate can be formed, and medical care personnel and patients can manage the infusion progress better.
Drawings
FIG. 1 shows an intelligent infusion monitoring system according to the present invention;
fig. 2 shows a smart infusion monitor in accordance with the present invention.
Detailed Description
The embodiments of the present invention are described below, and those skilled in the art will be able to realize the embodiments of the present invention based on the following description and the related art, and will be able to better understand the innovative features and advantages of the present invention.
As shown in fig. 1-2, the present invention provides an intelligent transfusion monitoring system, which comprises an intelligent transfusion monitor 10, an intelligent terminal 20 and a monitoring platform 30.
The intelligent infusion monitor 10 includes: the device comprises a clamping device 11, a flow rate adjusting device 12, a flow rate collecting unit 13, an information transmission unit 14, a state prompting device 15, a controller 16 and a power supply (not shown). The processor 16 is electrically connected with other modules to control the modules to realize the functions thereof, the flow rate acquisition unit 13 adopts a micro electromagnetic flowmeter, the signal transmission unit 14 adopts a wireless signal transmission mode, and the clamping device 11 is used for clamping the intelligent infusion monitor 10 to an infusion bottle/bag opening. The status indicator 15 may be an indicator light or a buzzer alarm, which indicates by different flashing lights or buzzing sounds when the infusion flow rate is abnormal, the infusion is about to be finished, or the infusion is stopped. Meanwhile, the status indicator 15 further includes a working status indicator for indicating the working status of the intelligent infusion monitor and a remaining power indicator for displaying the remaining power.
In this embodiment, the clamping device 11 is a flexible connecting device, and can flexibly connect the intelligent infusion monitor 10 in a separated state into a closed ring, and the inner diameter of the closed intelligent infusion monitor 10 is slightly larger than the caliber of the infusion bottle/bag. When in use, the intelligent transfusion monitor 10 is sleeved into the bottle mouth/bag mouth of a transfusion bottle/bag to be clamped, and the flow rate acquisition units 13 arranged at the symmetrical positions at the two sides of the intelligent transfusion monitor 10 can monitor the flow rate of liquid medicine. The flow rate collection unit 13 may also be a hall sensor. The power source is a replaceable or rechargeable lithium battery.
The intelligent terminal 20 may be a smart phone, on which a two-dimensional code recognition device and a display device are arranged, and an APP application program for implementing the present invention is also installed. After opening the APP application, the user connects to the monitoring platform 30 to register and log in. The user utilizes the two-dimension code recognition device to scan the two-dimension code on the infusion bottle/bag, so as to obtain the drug information of infusion, wherein the drug information comprises the name of the infusion drug and the infusion volume. The display device may display various information. The smart terminal 20 may be carried by a medical staff or a patient.
The monitoring platform 30 is implemented by a background server on the network side, and user information of the user is stored thereon, including medical record information of the user and historical infusion records, the medical record information can indicate whether the user affects various diseases of the infusion flow rate, and the historical infusion records are formed by records of long-term multiple infusions of the user, including the types of drugs for infusion, the infusion capacity and the corresponding optimal infusion flow rate. The monitoring platform 30 also stores a drug information base including drug types, infusion volumes, and corresponding infusion flow rate ranges for various drugs, including standard flow rate reference values and adjustment ranges, such as ± 20%. The drug information base is maintained and set by professional medical staff, and the registration is completed after the medical history information of the user is audited by the professional medical staff.
The working principle of the present invention is described below. The intelligent transfusion monitoring method comprises the following steps:
s1, the intelligent infusion monitor 10 is mounted to the mouth of an infusion bottle/bag.
And S2, the user (which may be a patient or a medical staff) uses the intelligent terminal 20 to run the APP and log in the monitoring platform 30.
S3, the user scans the two-dimensional code on the infusion bottle/bag by using the intelligent terminal 20, obtains the drug information of the infusion, including the drug type and the infusion volume, and sends the drug information to the monitoring platform 30.
S4, the monitoring platform 30 searches the drug information base to find the standard flow rate reference value and the adjustment range corresponding to the drug information, the monitoring platform 30 reads the medical record information of the user, calculates the correction flow rate reference value and the correction adjustment range based on the standard flow rate reference value, the adjustment range and the medical record information, meanwhile, the monitoring platform 30 reads the historical transfusion record of the user, obtains the optimal transfusion flow rate corresponding to the drug information, and sends the correction flow rate reference value, the correction adjustment range and the optimal transfusion flow rate to the intelligent terminal 20.
S5, the intelligent terminal 20 determines to start infusion using the optimal infusion flow rate or the corrected flow rate reference value according to the user' S selection. The intelligent terminal 20 displays the corrected flow rate reference value, the corrected regulation range and the optimal infusion flow rate and prompts the user whether to adopt the optimal infusion flow rate for infusion. If so, the intelligent terminal 20 sends the optimal infusion flow rate to the intelligent infusion monitor 10 and starts infusion at the optimal infusion flow rate. If not, the intelligent terminal 20 sends the corrected flow rate reference value to the intelligent infusion monitor 10 and starts infusion at the flow rate represented by the corrected flow rate reference value.
S6, during the infusion, the user (either the patient or the medical staff) can adjust the infusion flow rate on the intelligent terminal 20 according to the actual situation, the adjustment is limited within the correction adjustment range, the adjustment result is sent to the intelligent infusion monitor 10, and the infusion is performed at the adjusted infusion flow rate. Thus, even a patient lacking medical knowledge can adjust the infusion flow rate within a safe range. For example, when the patient feels discomfort due to too fast infusion flow rate, the patient can directly adjust the infusion flow rate without calling medical staff.
S7, the monitoring platform 30 forms a historical infusion record based on the infusion record recorded by the intelligent terminal 20, and counts the historical infusion record to obtain the optimal infusion flow rate. The intelligent terminal 20 records the infusion record, which includes the type of the drug to be infused and the infusion volume, and also includes the real-time corresponding relationship between the infusion flow rate and the infusion time. For example, during the first 20 minutes, the user feels discomfort by infusing with the corrected flow rate baseline value, adjusts the infusion flow rate, and maintains it until the end of infusion (about 1 half hour). The intelligent terminal 20 sends the infusion record to the monitoring platform 30 to form a historical infusion record. The monitoring platform 30 counts the infusion records of the preset times of infusion to obtain the infusion flow rate with the longest total infusion time, and defines the longest infusion flow rate as the optimal infusion flow rate corresponding to the type and volume of the infused drug.
And S8, performing feedback calibration on the infusion flow rate in the infusion process. The flow rate acquisition unit 13 acquires the infusion flow rate in real time to obtain the actual infusion flow rate, and sends the actual infusion flow rate to the intelligent terminal 20, and the intelligent terminal 20 compares the acquired actual infusion flow rate with the set infusion flow rate. If the difference value of the two is within the preset range, the difference value is sent to the intelligent transfusion monitor 10, and the intelligent transfusion monitor 10 finely adjusts the flow rate adjusting device 12 based on the difference value, so that the actual transfusion flow rate reaches the set transfusion flow rate. If the difference value between the two is outside the preset range, it indicates that the flow rate acquisition unit 13 or the flow rate adjustment device 12 has a fault, the intelligent terminal 20 displays alarm information on the display, and meanwhile, the intelligent terminal 20 sends a fault signal to the intelligent infusion monitor 10, controls the state indicating device 15 to perform sound-light alarm, and controls the flow rate adjustment device 12 to stop infusion.
And S9, calculating the transfusion ending time based on the actual transfusion flow rate, alarming when a preset time is left from the ending time, and stopping transfusion when the ending time is reached. The intelligent terminal 20 calculates the infused volume in real time based on the actual infusion flow rate, calculates the remaining infusion volume using the infused volume and the infusion volume, and calculates the infusion end time in real time based on the remaining infusion volume and the actual infusion flow rate. When a preset time is left after the ending time, the intelligent terminal 20 displays alarm information on the display, meanwhile, the intelligent terminal 20 sends an alarm signal to the intelligent infusion monitor 10 to control the state indicating device 15 on the infusion monitor 10 to give an audible and visual alarm, when the ending time is reached, the intelligent terminal 20 sends an infusion stopping signal to the intelligent infusion monitor 10, and the controller controls the flow speed adjusting device 12 on the infusion monitor 10 to stop infusion.
The invention can monitor the transfusion flow rate in real time, realize the feedback type calibration of the set flow rate and the actual flow rate and improve the precision of the transfusion flow rate control. The invention can also count and obtain the optimal transfusion flow rate corresponding to the transfusion medicine type and the transfusion volume. The invention can also estimate the infusion ending time, realizes the remote monitoring of the infusion, does not need to check on site, reduces the monitoring work of nurses and family members, and improves the timeliness and the accuracy of the monitoring. The accompanying family members do not need to check the infusion progress in real time, the buzzer alarm sound and the indicator lamp flash can be sent out once the infusion is abnormal, the alarm signal is sent to the nurse station and the mobile phone of the accompanying family members, the pressure of the patient and the family members is relieved, the patient can rest at ease, and the accompanying family members can also handle other things at ease.