CN115154747B - Intelligent electronic pain relieving system - Google Patents

Intelligent electronic pain relieving system Download PDF

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Publication number
CN115154747B
CN115154747B CN202210838797.7A CN202210838797A CN115154747B CN 115154747 B CN115154747 B CN 115154747B CN 202210838797 A CN202210838797 A CN 202210838797A CN 115154747 B CN115154747 B CN 115154747B
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intelligent
analgesia
output
information
module
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CN115154747A (en
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丁超
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Cancer Hospital and Institute of CAMS and PUMC
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Cancer Hospital and Institute of CAMS and PUMC
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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
    • A61M5/16831Monitoring, detecting, signalling or eliminating infusion flow anomalies
    • A61M5/1684Monitoring, detecting, signalling or eliminating infusion flow anomalies by detecting the amount of infusate remaining, e.g. signalling end of infusion
    • 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
    • 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
    • A61M5/36Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests with means for eliminating or preventing injection or infusion of air into body
    • A61M5/365Air detectors
    • 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
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/04Liquids
    • A61M2202/0468Liquids non-physiological
    • A61M2202/048Anaesthetics
    • 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
    • A61M2205/18General characteristics of the apparatus with alarm
    • 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
    • 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
    • A61M2230/00Measuring parameters of the user
    • A61M2230/04Heartbeat characteristics, e.g. ECG, blood pressure modulation
    • A61M2230/06Heartbeat rate only
    • 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
    • A61M2230/00Measuring parameters of the user
    • A61M2230/30Blood pressure
    • 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
    • A61M2230/00Measuring parameters of the user
    • A61M2230/40Respiratory characteristics
    • A61M2230/42Rate
    • 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
    • A61M2230/00Measuring parameters of the user
    • A61M2230/50Temperature

Abstract

The application provides an intelligent electronic analgesia system, which comprises an intelligent analgesia module, a driving device, an input/output device, a liquid storage device and an infusion pipeline, wherein the driving device is connected with the liquid storage device, and the output of liquid medicine in the liquid storage device is controlled in a peristaltic manner through the control of the input/output device and the intelligent analgesia module; the liquid storage device comprises two medicine bags which are output through independent infusion pipelines and then are gathered to a total output pipeline, so that a passage for injecting medicine liquid into a human body is established; the input/output device is provided with keys to receive user information and also can display transmission information to a user and/or a hospital remote terminal; and the intelligent analgesia module is used for being connected with the input/output device and interactively transmitting information, and controlling the administration dosage and the speed of the driving device according to the information input by a user. By the invention, the patient self-control analgesia management in the intelligent safety management mode is innovated, the individual timely analgesia requirement and satisfaction of the patient are improved, and the workload of doctors is reduced.

Description

Intelligent electronic pain relieving system
Technical Field
The invention relates to the field of medical instruments, in particular to an intelligent electronic analgesia system.
Background
The common electronic analgesic pump is a peristaltic pump infusion device, and comprises a pump head and a single medicine bag, wherein a driver which acts according to a program is arranged on the pump head, a liquid inlet and outlet catheter is connected to the medicine bag, and an elastic conveying hose is arranged on the liquid inlet and outlet catheter, and the working principle is that the peristaltic pump alternately extrudes and releases the elastic conveying hose to pump fluid. When the device works, analgesic liquid medicine can be output from the medicine bag through the liquid inlet and outlet guide pipe, when the pump head is connected with the medicine bag, the ejector rod on the pump head is just abutted to the outside of the elastic conveying hose and works according to a program, and the analgesic liquid medicine is output through the flexible hose and injected into a human body to realize continuous analgesia to a patient.
Under the guidance of the ideas of multi-mode analgesia and balanced analgesia, the drugs commonly used in analgesic pumps mainly comprise two parts: 1. opioid analgesics and antiemetics, 2, non-opioid analgesics (mainly non-steroidal drugs). The opioid in the analgesic pump can cause side effects such as nausea and vomiting and skin itch, so the opioid and the antiemetic are usually used together, and according to statistics, the total probability of nausea and vomiting after operation of a patient is 30% -50%, and in certain people with high risk factors, the incidence rate of PONV is more 80%, and the side effects of nausea and vomiting can cause other problems such as dehydration, electrolyte imbalance, wound cracking and bleeding, so that the residence time of the patient in the hospital after operation is prolonged, the medical cost is increased, and the treatment experience of the patient is greatly influenced.
The existing electronic analgesic pump can be controlled by a patient to administer drugs or send symptom information to a medical remote center within a set authority range, and a doctor gives an adjustment scheme, but the patient controls the drug administration system to be set simply: the traditional Chinese medicine preparation comprises a basic analgesic infusion dose and a self-controlled pressing supplementary analgesic dose, has limited and single functions, can only realize the adjustment and alarm monitoring of the infusion dose even through the control of a medical remote center, and cannot effectively respond to individual pain differences of patients and side effects of various analgesic drugs; due to the fact that the popularization rate of the professional knowledge of an analgesic system is low, the analgesic management staff is insufficient, the medical workload is increased, the working efficiency is low, therefore, the analgesic scheme and the analgesic pump parameter adjustment are not timely enough, the analgesic pump alarm cannot be timely responded, the analgesic management is not strict and standard enough, the clinical analgesic adjustment is delayed, the burst pain is poorly controlled, the automatic control analgesia (PCA) of a patient at present cannot truly realize the effective adjustment along with the change of the state of the patient, the purpose of personalized analgesic treatment is achieved, the purpose of safely treating the pain of the patient with the lowest effective concentration of the analgesic drug is more difficult to achieve, the analgesic side effect is more difficult to timely and effectively cope with, serious complications still exist even occur at treatment risks, the satisfaction degree of the patient and family members is low, and even medical disputes are caused.
Therefore, the automatic control pain relieving management of the patient in the innovative intelligent management mode has become the key for improving the pain relieving quality, facilitating the active pain management of the patient and guaranteeing the safety of the patient.
Disclosure of Invention
In order to overcome the defects in the prior art, the invention provides an intelligent electronic analgesia system which comprises an intelligent analgesia module, a driving device, an input/output device, a liquid storage device and an infusion pipeline, wherein,
the driving device is connected with the liquid storage device, and the output of liquid medicine in the liquid storage device is controlled in a peristaltic manner through the control of the input/output device and the intelligent analgesia module;
the liquid storage device comprises two medicine bags, and the liquid medicine of the two medicine bags is output through independent infusion pipelines and then is collected into a total output pipeline, so that a passage for injecting the liquid medicine into a human body is established;
the input/output device is provided with keys to receive key information of a user and can display transmission information to the user and/or a remote terminal of a hospital;
the intelligent analgesia module is used for being connected with the input/output device and interactively transmitting information, and is also connected with the driving device and used for controlling the administration dosage and the speed of the driving device according to the information input by a user.
Further, the driving device comprises a controller, an electromagnetic valve and a peristaltic pump, wherein a pump head of the peristaltic pump is pressed on the infusion tube, and the controller converts a speed instruction received from the intelligent analgesia module or the input/output device into the opening of the electromagnetic valve, so that the speed and the dosage of the liquid medicine pumped by the peristaltic pump are controlled.
Further, the input/output device is a touch display screen, and the set touch keys include, but are not limited to: patient pain grading, pain PCA key, exhaust key, determination key, infusion speed regulating key, infusion data of double medicine bags, administration period, locking time, dosage of different medicine bag analgesics which need to be increased when analgesia is insufficient, nausea and/or vomiting coping regulating key, somnolence coping regulating key, respiratory depression coping regulating key, constipation coping regulating key, alarm of reaching use limit amount in unit time of analgesic, skin itch coping regulating key, and when a user presses a key, an input/output device sends corresponding signals to the intelligent analgesia module, and the intelligent analgesia module controls administration dosage and speed of the driving device according to the signals.
Further, the liquid storage device comprises a first medicine bag and a second medicine bag which are respectively connected with a first infusion tube and a second infusion tube, the first medicine bag is filled with opioid analgesics and anti-emetic drugs, and the second medicine bag is filled with non-opioid analgesics and auxiliary analgesics.
Further, the intelligent analgesia module displays 'analgesia shortage' on a display screen if receiving an automatic control analgesia pressing signal with more than 3 times of intervals larger than the second time in a preset first time, and sends a first medicine bag output acceleration information to a driving device after a user presses a button of 'analgesia shortage'; if the continuous self-control analgesic pressing signals with the interval more than 3 times and longer than the second time are continuously received in the preset first time again, the first medicine bag output speed increasing information is sent to the driving device again; after the first medicine bag is continuously and intelligently adjusted twice to output speed increasing information, the second medicine bag is sent to the driving device to output speed increasing information when the self-control analgesic pressing signal is still received or the using dose of the opioid analgesic used in unit time reaches the limiting dose.
Further, the intelligent analgesia system periodically requires the patient to input pain scores, then draws a pain change curve, and if the information prompted by the pain change curve is pain aggravation, sends first medicine bags and second medicine bags to the driving device to output speed increasing information.
Further, if the intelligent analgesia module receives nausea and/or vomiting signals sent by the display screen, the intelligent analgesia module sends first medicine bag output deceleration information and second medicine bag output acceleration information to the driving device;
if the intelligent analgesia module receives the sleepiness signal sent by the display screen, alarm information is sent out, and first medicine bag output deceleration information and/or second medicine bag output acceleration information are sent to the driving device;
if the intelligent analgesia module receives a respiratory depression signal sent by the display screen, sending alarm information and sending first medicine bag output deceleration information and second medicine bag output deceleration information to the driving device;
and if the intelligent analgesia module receives a constipation signal sent by the display screen, sending first medicine bag output deceleration information and second medicine bag output acceleration information to the driving device. If the intelligent analgesia module receives an alarm signal of the limit quantity of the use within the unit time of the analgesic sent by the display screen, alarm information is sent out and the deceleration information is output to a medicine bag where the alarm medicine is positioned;
and if the intelligent analgesia module receives the skin itch signal sent by the display screen, the intelligent analgesia module sends first medicine bag output deceleration information and second medicine bag output acceleration information to the driving device.
Further, the intelligent analgesia module can be connected with the body detection module in a wireless mode, the body detection module can monitor basic vital signs of a user, heart rate, respiratory times, blood pressure and body temperature, and can assist in detecting nausea and vomiting or not so as to send nausea and/or vomiting signals, sleepiness signals or respiratory depression signals to the intelligent analgesia module.
Further, the driving device can transmit the infusion speed information to the intelligent analgesia module, the intelligent analgesia module judges whether the infusion speed accords with a preset speed or not, so that the output pipeline is judged to be bent or blocked or a large number of bubbles are formed, if the output pipeline is bent or blocked or a large number of bubbles are formed, the information is transmitted to the display screen and is alarmed, meanwhile, the intelligent analgesia module transmits medicine bag output speed increasing information corresponding to a catheter which is not abnormal to the driving device, and the preset speed is restored after the abnormality of the output pipeline is relieved.
Further, the intelligent analgesia module can calculate the usage dose and the residual metering of the medicine bag, or send a medicine liquid signal to the intelligent analgesia module through a liquid level sensor arranged in the medicine bag, and when the medicine liquid is insufficient or no liquid, the intelligent analgesia module sends a signal to an intelligent screen and alarms and displays on the intelligent screen. .
The beneficial effects of the invention are as follows: through the keys arranged on the display screen, a user can automatically and intelligently increase or decrease different types of analgesic doses according to the pain scores of patients, the side effects of the drugs, the symptoms and physical signs of the patients and the like within the use range of the safe doses of the drugs.
Drawings
Fig. 1 is a schematic diagram of a front structure of an intelligent electronic analgesia system according to one embodiment of the present invention;
fig. 2 is a schematic diagram of a back structure of the intelligent electronic analgesia system according to one embodiment of the present invention;
fig. 3 is a schematic block diagram of an intelligent electronic analgesia system according to an embodiment of the present invention.
Specific reference numerals have been labeled in the figures to indicate the structure or method of implementing the embodiments of the invention, but this is only for illustrative purposes and is not intended to limit the invention to this specific device and environment, and those skilled in the art may make adjustments and modifications to these elements, numerals, environments according to specific needs, and the adjustments and modifications are still included in the scope of the appended claims.
Detailed Description
The speed estimation capability test system and the method of use provided by the present invention are described in detail below with reference to the accompanying drawings and specific embodiments.
In the following description, various aspects of the present invention will be described, however, it will be apparent to those skilled in the art that the present invention may be practiced with only some or all of the structures of the present invention. For purposes of explanation, specific numbers, configurations and orders are set forth, it is apparent that the invention may be practiced without these specific details. In other instances, well-known features will not be described in detail so as not to obscure the invention.
As shown in fig. 1, 2 and 3, the intelligent electronic dual-capsule analgesic system comprises an intelligent analgesic module 1, a driving device 2, an input/output device 3, a liquid storage device and infusion lines 4 and 5. The driving device 2 is connected with the liquid storage device, and can output the liquid medicine in the liquid storage device to the infusion pipeline in a peristaltic mode so as to be input into a human body. The driving device 2 comprises a controller, an electromagnetic valve and a peristaltic pump, wherein a pump head 8 of the peristaltic pump is pressed on the infusion pipeline, and the controller converts a speed instruction received from the intelligent analgesia module or the input/output device into the opening of the electromagnetic valve, so that the speed and the dosage of the liquid medicine pumped by the peristaltic pump are controlled. The liquid storage device is composed of 2 medicine bags (6 and 7), and each medicine bag is matched with a driving device. The following description will take 2 sachets as an example, but this is not a limitation of the present invention. The liquid storage device comprises a first medicine bag 6 and a second medicine bag 7 which are respectively connected with the first infusion pipeline 4 and the second infusion pipeline 5. The two infusion pipelines are converged to the output pipeline through the medical three-way switching valve 6, so that a passage for injecting liquid medicine into a human body is established.
The input/output device 3 may be a touch display screen, on which a touch key is arranged to receive key information of a user, such as an analgesic dosage to be added, analgesic drug selection, occurrence of side effects, administration period, locking time, etc.; meanwhile, the display screen can also be used for inputting and displaying basic information of a user, and displaying information of an electronic analgesic pump system, such as the dosage of two medicine bags, the infusion speed of the target analgesic medicine, the dosage, the total quantity, the limit quantity alarm and the like.
The intelligent analgesia module 1 is connected with the input/output device 3, and the intelligent analgesia module intelligently regulates the input/output device according to basic information of an analgesia pump and setting information input by keys, for example, the infusion speed of the input device, infusion data of double medicine bags, the administration time period, locking time, doses of different medicine storage bags which need to be added when analgesia is insufficient (analgesia medicine selection), corresponding adjustment when various side effects occur, alarm of reaching the limit amount in the unit time of the analgesia medicine, and the like, and in the invention, the input/output device is controlled by a touch display screen, and the touch keys are arranged on the input/output device, and the touch keys comprise but are not limited to: patient pain grading, pain PCA (patient automatic control analgesia) keys, exhaust keys, determination keys, infusion speed adjusting keys, infusion data of double medicine bags, administration time periods, locking time, doses of different medicine storage bags which need to be increased when analgesia is insufficient, analgesic medicine selection switching, nausea and/or vomiting coping adjusting keys, respiratory depression coping adjusting keys, constipation coping adjusting keys, somnolence coping adjusting keys, and alarming of reaching the limit amount in unit time of the analgesic medicine, etc., when a user presses the keys, the input/output device can send corresponding signals to the intelligent analgesia module, and the intelligent analgesia module controls the driving device to adjust the infusion speed of the medicine bags according to the received signals.
The driving device can convert the infusion speed signals such as acceleration, deceleration and the like transmitted by the intelligent analgesia module into the opening degree of the electromagnetic valve, so as to control the quantity and the speed of the infused liquid medicine.
In one embodiment, the first capsule contains an opioid analgesic and an antiemetic and the second capsule contains a non-opioid analgesic. If the intelligent analgesia module receives the self-control analgesia pressing signal with more than 3 intervals being more than the second time (such as intervals being more than 15 minutes) in a preset first time (such as locking for a period of time), indicating that the analgesia is insufficient, the analgesia is displayed on a display screen in a certain time, a patient is required to confirm the analgesia, and then the infusion speed of the medicine bag filled with the analgesic medicine (namely the first medicine bag) is increased at a first speed, such as increasing the infusion speed by 20%; at this time, the calculation is restarted at the preset first time, if the self-control analgesic pressing signal with the interval more than 3 times being greater than the second time is received again in the preset first time, namely, the intelligent analgesic module adjusts and improves the infusion speed for the first time for 20% and then receives the self-control analgesic pressing signal more than 3 times in the first time range, the background infusion speed of continuous infusion of the analgesic liquid in the analgesic bag is continuously increased at the first speed, but when continuous intelligent regulation still has 'insufficient analgesia' (namely, the self-control analgesic pressing signal generated by pressing the self-control analgesic pressing by a patient can be received), or according to the calculation, when the used opioid analgesic drug in unit time touches and exceeds the limit dose, the non-opioid analgesic drug bag (namely, the second drug bag) in the dual bag is continuously infused at the second speed, the same as 20%, the infusion speed of the opioid analgesic drug in the first drug bag is not increased any more, the increase of the analgesic effect can be realized, the combined analgesic effect of the dual-mode analgesic drug and the combined analgesic drug can be prevented from being used for the purposes of balanced combination of the analgesic drug and the combined analgesic drug in the dual-mode due to the high-dose or the combined analgesic effect.
In one embodiment, a "nausea and/or vomiting" counter adjustment key is provided on the smart display, indicating that the opioid analgesic is responding more or overdosing if the patient has nausea and vomiting. If the user presses the button, the intelligent display screen sends nausea and vomiting signals to the intelligent analgesia module, after the intelligent analgesia module receives the signals, the intelligent analgesia module sends information (such as 50 percent reduction) for reducing the background infusion speed of continuous infusion of the opioid analgesic drug bag (namely the first drug bag) in the double bags and information (such as 50 percent increase) for increasing the background infusion speed of continuous infusion of the non-opioid analgesic drug bag (namely the second drug bag) in the double bags to the driving device, and after the driving device receives the information, the infusion speed of the corresponding drug storage bag is adjusted.
The intelligent display screen can be further provided with a 'sleepiness' response adjustment key, and if a user sleeps, the user is prompted that the opioid analgesic is larger in response or overdose. After the user presses the 'sleepiness' response adjustment button displayed by the intelligent screen, the intelligent screen sends corresponding information to the intelligent analgesia module, the intelligent analgesia module sends information (such as 50%) for reducing the background infusion speed of continuous infusion of the opioid analgesic drug capsule (namely the first drug capsule) in the double capsules and/or information (such as 50%) for increasing the background infusion speed of continuous infusion of the non-opioid analgesic drug capsule (namely the second drug capsule) in the double capsules to the driving device, and the driving device adjusts the infusion speed of the corresponding drug storage capsule after receiving the information.
The intelligent display screen can be also provided with a respiratory depression response adjustment key, and if the respiratory depression of the user indicates that the opioid analgesic has larger response or overlarge dosage. After a user presses a corresponding adjustment key of 'respiratory depression' displayed by the intelligent screen, the intelligent screen sends corresponding information to the intelligent analgesia module, the intelligent analgesia module sends information (such as 50%) for reducing the background infusion speed of continuous infusion of opioid analgesic drug sachets (namely first sachets) in the double sachets and/or information (such as 50%) for increasing the background infusion speed of continuous infusion of non-opioid analgesic drug sachets (namely second sachets) in the double sachets to the driving device, and the driving device adjusts the infusion speed of the corresponding medicine storage sachets after receiving the information.
In one embodiment, the intelligent analgesia module is further provided with a wireless interface, and can be connected with the body detection module in an external mode in a wireless mode to receive the body condition signals sent by the body detection module. The body detection module can monitor basic vital signs of a user, heart rate, respiratory times, blood pressure and body temperature, can detect body position changes of the user and objects around the body, can judge symptoms such as somnolence, respiratory depression and arrhythmia, and send out an alarm, and can interactively transmit information with the intelligent analgesia module, and can also judge whether the user has nausea and vomiting actions, such as an image shot by a camera of the body detection module, can judge the bending and waving state of the user, so as to judge whether the user has vomiting actions, can also judge objects around the image, and comprehensively judge the vomiting actions of the user. For nausea, the comprehensive judgment can be performed through the actions of sign change, chest covering and the like of the user. The body detection module can also judge sleeping and breathing of the user, for example, the sleeping and breathing conditions of the user can be known through common wearing equipment such as a bracelet, when the user has corresponding symptoms, the user can be prompted to confirm the symptoms, the patient can be prompted to perform corresponding intelligent operation, for example, the driving device receives corresponding information by selecting to press a button on an intelligent screen, and therefore the infusion speed of the corresponding medicine storage bag is adjusted; in addition, if the body detection module judges that the symptoms appear on the user, the body detection module can also directly send corresponding information, namely nausea and/or vomiting or sleepiness and respiratory depression information, to the intelligent analgesia module, and after receiving the information, the intelligent analgesia module directly sends information of conveying speed adjustment to the driving module, so that the effect of combining intelligent monitoring and intelligent regulation is realized, the clinical treatment effect of a patient is improved, the side effect is reduced, and the safety of the patient is ensured.
The driving module can also collect actual flowing data (such as speed) of the liquid medicine and send the data to the intelligent analgesia module, the intelligent analgesia module compares the flowing data with the speed which the intelligent analgesia module sends to judge that the catheter is bent or blocked or has a large number of bubbles, if the catheter is bent or blocked or has a large number of bubbles, the driving module sends information to the intelligent screen, the intelligent screen displays an alarm (such as a buzzer or an alarm lamp arranged on a pump) of the 'bending or blocking of the catheter or has a large number of bubbles', and meanwhile, the intelligent analgesia module sends information (such as 50%) of increasing the background infusion speed of the continuous infusion of the medicine bag corresponding to the abnormal catheter to the driving device so as to compensate for analgesia deficiency caused by bending or blocking of the catheter or having a large number of bubbles, and after the abnormal catheter is recovered, the driving device on both sides is controlled to output the liquid medicine at the originally set speed.
The intelligent screen can be further provided with a constipation coping adjusting key, and if constipation occurs to a user, the user indicates that the opioid analgesic has larger reaction or overlarge dosage. In this case, the user presses the "constipation adjustment" corresponding adjustment button, and the smart screen sends a corresponding signal to the smart analgesic module, and after receiving this information, the smart analgesic module sends a command to the driving device to decrease the background infusion rate (e.g., decrease the rate by 50%) of continuous infusion of the opioid analgesic drug capsule (i.e., the first capsule) in the dual capsule, and a command to increase the background infusion rate (e.g., increase the rate by 50%) of continuous infusion of the non-opioid analgesic drug capsule (i.e., the second capsule) in the dual capsule.
The electronic double-bag analgesia system provided by the invention can judge the usage dose and the residual metering of each medicine bag by calculating the accumulated usage dose of the medicine liquid by the intelligent analgesia module, can judge and measure the usage dose and the residual metering of each medicine bag by the liquid level sensor arranged in the medicine bag, and sends a signal to the intelligent analgesia module when the liquid in the medicine bag is insufficient or no liquid, and the intelligent analgesia module sends an insufficient or no-liquid signal to the intelligent screen and gives an alarm and displays on the intelligent screen.
The intelligent analgesia module can be developed by adopting embedded equipment such as a singlechip, arm and the like so as to meet the miniaturization requirement of an analgesia pump.
The intelligent electronic analgesia system also comprises a power module for providing power for the intelligent analgesia module, the input/output device and the like. The power module can be in the form of a rechargeable battery and the like, and the battery power is displayed on the intelligent screen.
The intelligent screen can also display the limit amount of the unit time of the analgesic medicine, the battery which is required to be replaced when the electric quantity is low, the preset infusion analgesic time and the like.
The infusion pipeline is also provided with a clamp 9 so as to seal the infusion pipeline, prevent the flow of the liquid medicine and facilitate the medicine adding of the liquid storage medicine bag.
In the invention, the medicine bag and the infusion pipeline are disposable consumables and are detachably arranged on the intelligent electronic analgesia system.
The liquid storage device can also be used for the combined application of other medicines. The stock solution includes analgesic solutions, and other solutions, such as a combination of chemotherapeutic agents, may also be used.
The invention designs double liquid storage bags, but not limited to 2 liquid storage bags, are respectively provided with independent liquid injection systems, the infused medicines are not only analgesic medicines, but also can be used in combination with other types of medicines, and the intelligent module can reasonably arrange the allocation among different analgesic liquid medicines to realize the mixed infusion or single infusion of different analgesic liquid medicines, so that the problem of main shortages of the existing analgesic pump or pain point of clinical use is solved.
Finally, it should be noted that the above embodiments are only intended to describe the technical solution of the present invention and not to limit the technical method, the present invention extends to other modifications, variations, applications and embodiments in application, and therefore all such modifications, variations, applications, embodiments are considered to be within the spirit and scope of the teachings of the present invention.

Claims (10)

1. An intelligent electronic analgesia system is characterized by comprising an intelligent analgesia module, a driving device, an input/output device, a liquid storage device and an infusion pipeline, wherein,
the driving device is connected with the liquid storage device, and the output of liquid medicine in the liquid storage device is controlled in a peristaltic manner through the control of the input/output device and the intelligent analgesia module;
the liquid storage device comprises two medicine bags, and the liquid medicine of the two medicine bags is output through independent infusion pipelines and then is collected into a total output pipeline, so that a passage for injecting the liquid medicine into a human body is established; the first medicine bag is filled with opioid analgesic and anti-emetic medicine, and the second medicine bag is filled with non-opioid analgesic and auxiliary analgesic;
the input/output device is provided with keys to receive key information of a user and can display transmission information to the user and/or a remote terminal of a hospital;
the intelligent analgesia module is used for being connected with the input/output device and interactively transmitting information, and is also connected with the driving device and used for controlling the administration dosage and the speed of the driving device according to the information input by a user; if the intelligent analgesia module receives a sleepiness signal, alarm information is sent out, and first medicine bag output speed-reducing information and/or second medicine bag output speed-increasing information are sent to the driving device;
the intelligent analgesia module can be connected with the body detection module in a wireless mode, the body detection module can detect body position changes of a user and objects around the body, and the intelligent analgesia module can judge the shape of the hypersomnia so as to send a 'hypersomnia' signal to the intelligent analgesia module.
2. The intelligent electronic analgesia system of claim 1, wherein said drive means comprises a controller, solenoid valves and peristaltic pumps, wherein the peristaltic pump head is pressed against said infusion line, said controller converting speed instructions received from said intelligent analgesia module or input/output device into solenoid valve opening to control peristaltic pump pumping speed and dosage of drug solution.
3. The intelligent electronic analgesia system of claim 2, wherein said input/output device is a touch display screen, and the set touch keys include but are not limited to: patient pain grading, pain PCA key, exhaust key, determination key, infusion speed regulating key, infusion data of double medicine bags, administration period, locking time, dosage of different medicine bag analgesics which need to be increased when analgesia is insufficient, nausea and/or vomiting coping regulating key, somnolence coping regulating key, respiratory depression coping regulating key, constipation coping regulating key, alarm of reaching use limit amount in unit time of analgesic, skin itch coping regulating key, and when a user presses a key, an input/output device sends corresponding signals to the intelligent analgesia module, and the intelligent analgesia module controls administration dosage and speed of the driving device according to the signals.
4. The intelligent electronic analgesia system of claim 3, wherein said fluid storage device comprises a first and a second drug bag connected to a first and a second infusion tube, respectively.
5. The intelligent electronic analgesia system according to claim 4, wherein said intelligent analgesia module, if receiving an automatic control analgesia press signal more than 3 times of intervals greater than the second time within a preset first time, displays "analgesia insufficient" on a display screen, and when a user presses an "analgesia insufficient" button, sends a first medicine bag output acceleration information to a driving device; if the continuous self-control analgesic pressing signals with the interval more than 3 times and longer than the second time are continuously received in the preset first time again, the first medicine bag output speed increasing information is sent to the driving device again; after the first medicine bag is continuously and intelligently adjusted twice to output speed increasing information, the second medicine bag is sent to the driving device to output speed increasing information when the self-control analgesic pressing signal is still received or the using dose of the opioid analgesic used in unit time reaches the limiting dose.
6. The intelligent electronic analgesia system of claim 4, wherein said intelligent analgesia system periodically requires the patient to enter pain scores and then draws pain profiles, and if the information suggested by the pain profiles is pain exacerbation, then sends first and second drug sacs output acceleration information to said drive device.
7. The intelligent electronic analgesia system of claim 4, wherein if said intelligent analgesia module receives the "nausea and/or vomiting" signal sent by said display screen, then sending a first drug capsule output deceleration information and a second drug capsule output acceleration information to a drive device;
if the intelligent analgesia module receives a respiratory depression signal sent by the display screen, sending alarm information and sending first medicine bag output deceleration information and second medicine bag output deceleration information to the driving device;
if the intelligent analgesia module receives a constipation signal sent by the display screen, the intelligent analgesia module sends first medicine bag output deceleration information and second medicine bag output acceleration information to a driving device;
if the intelligent analgesia module receives an alarm signal of the limit quantity of the use within the unit time of the analgesic sent by the display screen, alarm information is sent out and the deceleration information is output to a medicine bag where the alarm medicine is positioned;
and if the intelligent analgesia module receives the skin itch signal sent by the display screen, the intelligent analgesia module sends first medicine bag output deceleration information and second medicine bag output acceleration information to the driving device.
8. The intelligent electronic analgesia system of claim 4, wherein said intelligent analgesia module is wirelessly connectable to a body detection module capable of monitoring a user's basic vital signs, heart rate, respiration rate, blood pressure, body temperature, and capable of assisting in detecting nausea and/or vomiting events to send a "nausea and/or vomiting" signal, or a "respiratory depression" signal to said intelligent analgesia module.
9. The intelligent electronic analgesia system of claim 4, wherein said driving device is capable of transmitting said infusion rate information to said intelligent analgesia module, said intelligent analgesia module determines whether said infusion rate meets a predetermined rate, thereby determining that an output pipeline has a bend or a blockage or a large number of bubbles, if the output pipeline has a bend or a blockage or a large number of bubbles, transmitting information to a display screen and alarming, and simultaneously, said intelligent analgesia module transmits a medicine bag corresponding to a catheter which is not abnormal to the driving device to output speed increasing information, and recovering said predetermined rate after the abnormality of the output pipeline is released.
10. The intelligent electronic analgesia system of claim 7, wherein said intelligent analgesia module is capable of calculating the dosage and remaining metering of the drug sac, or sending a drug solution signal to said intelligent analgesia module via a level sensor disposed in the drug sac, and when the drug solution is insufficient or no, the intelligent analgesia module sends a signal to the intelligent screen and gives an alarm display on the intelligent screen.
CN202210838797.7A 2022-07-18 2022-07-18 Intelligent electronic pain relieving system Active CN115154747B (en)

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CN202751646U (en) * 2012-03-15 2013-02-27 南京市妇幼保健院 Analgesia pump for program-control dual-liquid-storage device
CN204582144U (en) * 2015-04-24 2015-08-26 江苏人先医疗科技有限公司 A kind of analgesia pump control appliance realizing intelligent transfusion
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CN208741647U (en) * 2018-02-10 2019-04-16 成都医学院第一附属医院 A kind of capsule Multimodal analgesia pumps double at times
CN211705484U (en) * 2019-12-24 2020-10-20 上海交通大学医学院附属第九人民医院 Time-interval double-bag multi-mode analgesia pump
CN215537294U (en) * 2021-04-20 2022-01-18 河北医科大学第二医院 Double-bag patient self-control analgesia pump capable of pumping different medicines separately

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202751646U (en) * 2012-03-15 2013-02-27 南京市妇幼保健院 Analgesia pump for program-control dual-liquid-storage device
CN204582144U (en) * 2015-04-24 2015-08-26 江苏人先医疗科技有限公司 A kind of analgesia pump control appliance realizing intelligent transfusion
CN205515792U (en) * 2016-02-03 2016-08-31 南京市妇幼保健院 Pulse formula analgesia pump of dosing
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