CN117323501A - Medical intelligent safe fluid infusion inspection system - Google Patents
Medical intelligent safe fluid infusion inspection system Download PDFInfo
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- CN117323501A CN117323501A CN202311428997.6A CN202311428997A CN117323501A CN 117323501 A CN117323501 A CN 117323501A CN 202311428997 A CN202311428997 A CN 202311428997A CN 117323501 A CN117323501 A CN 117323501A
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- 238000001802 infusion Methods 0.000 title claims abstract description 150
- 239000012530 fluid Substances 0.000 title claims abstract description 28
- 238000007689 inspection Methods 0.000 title claims abstract description 23
- 238000001514 detection method Methods 0.000 claims abstract description 56
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims abstract description 38
- 229910052760 oxygen Inorganic materials 0.000 claims abstract description 38
- 239000001301 oxygen Substances 0.000 claims abstract description 38
- 238000012360 testing method Methods 0.000 claims description 74
- 230000036772 blood pressure Effects 0.000 claims description 65
- 239000003814 drug Substances 0.000 claims description 64
- 230000036541 health Effects 0.000 claims description 51
- 229940079593 drug Drugs 0.000 claims description 31
- 230000002159 abnormal effect Effects 0.000 claims description 18
- 229910003798 SPO2 Inorganic materials 0.000 claims description 17
- 101100478210 Schizosaccharomyces pombe (strain 972 / ATCC 24843) spo2 gene Proteins 0.000 claims description 17
- 238000005516 engineering process Methods 0.000 claims description 16
- 230000000172 allergic effect Effects 0.000 claims description 13
- 208000010668 atopic eczema Diseases 0.000 claims description 13
- 238000012544 monitoring process Methods 0.000 claims description 13
- 238000000034 method Methods 0.000 claims description 12
- 206010020751 Hypersensitivity Diseases 0.000 claims description 8
- 208000026935 allergic disease Diseases 0.000 claims description 8
- 230000007815 allergy Effects 0.000 claims description 8
- 239000003978 infusion fluid Substances 0.000 claims description 7
- 239000004973 liquid crystal related substance Substances 0.000 claims description 6
- 239000010985 leather Substances 0.000 claims description 4
- 238000002637 fluid replacement therapy Methods 0.000 claims 9
- 230000003340 mental effect Effects 0.000 abstract description 3
- 210000003462 vein Anatomy 0.000 abstract description 3
- 238000011282 treatment Methods 0.000 description 11
- 230000000694 effects Effects 0.000 description 8
- 230000000474 nursing effect Effects 0.000 description 8
- 230000008569 process Effects 0.000 description 8
- 230000008859 change Effects 0.000 description 7
- 239000007788 liquid Substances 0.000 description 5
- 230000009471 action Effects 0.000 description 3
- 230000033764 rhythmic process Effects 0.000 description 3
- 206010067484 Adverse reaction Diseases 0.000 description 2
- 230000005856 abnormality Effects 0.000 description 2
- 230000006838 adverse reaction Effects 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 230000001502 supplementing effect Effects 0.000 description 2
- 206010013700 Drug hypersensitivity Diseases 0.000 description 1
- 208000036647 Medication errors Diseases 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 230000003466 anti-cipated effect Effects 0.000 description 1
- 239000012141 concentrate Substances 0.000 description 1
- 238000012790 confirmation Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 201000005311 drug allergy Diseases 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means 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
- A61M5/16804—Flow controllers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/024—Detecting, measuring or recording pulse rate or heart rate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
- A61B5/14542—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring blood gases
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/746—Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means 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
- A61M5/16831—Monitoring, detecting, signalling or eliminating infusion flow anomalies
- A61M5/1684—Monitoring, detecting, signalling or eliminating infusion flow anomalies by detecting the amount of infusate remaining, e.g. signalling end of infusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means 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
- A61M5/16886—Means 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 for measuring fluid flow rate, i.e. flowmeters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/18—General characteristics of the apparatus with alarm
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/60—General characteristics of the apparatus with identification means
- A61M2205/6009—General characteristics of the apparatus with identification means for matching patient with his treatment, e.g. to improve transfusion security
Abstract
The invention discloses a medical intelligent safe fluid infusion inspection system, and belongs to the technical field of medical infusion inspection. A medical intelligent safe fluid infusion inspection system comprises a patient end and a nurse end, wherein the patient end comprises an infusion detection monitor and a finger vein oxygen instrument, and the nurse end comprises a PDA and a remote monitor. The invention solves the problem that the condition that the transfusion of the existing patient needs to be continuously patrolled and observed for fluid infusion, and increases the labor pressure and mental burden for both doctors and patients.
Description
Technical Field
The invention relates to the technical field of medical infusion inspection, in particular to a medical intelligent safe fluid infusion inspection system.
Background
Intravenous infusion techniques are a common clinical treatment. However, the transfusion is very time-consuming, in order to prevent accidents in the transfusion process, nurses, patients and accompanying staff need to continuously patrol and observe the condition of fluid infusion, labor pressure and mental burden are increased for both doctors and patients, various transfusion problems can be caused by slight carelessness, the satisfaction degree of the patients is reduced, and even medical accidents and disputes are caused.
The traditional transfusion inspection has the following forms and disadvantages:
1. the infusion pump is used for monitoring, namely, alarming and reminding are carried out when the infusion is abnormal, but the infusion pump is high in price, and nurses can be reminded only through alarming sounds, so that remote inspection cannot be carried out;
2. the bed/seat calls the bell, namely the patient or the accompanying person is required to pay attention to the transfusion condition at any time, but most of the patient or the accompanying person cannot timely find out that the transfusion is finished due to tired body or frequent dozing, and the patient or the accompanying person manually presses the bell to ask the nurse to replace or treat the transfusion;
3. the manpower cost and accuracy of nurse tour are that each ward nurse is responsible for 8 patients, 5 bags of fluid infusion are needed on average for each patient, the drip speed is required to be counted when the fluid infusion is replaced each time, and the nursing in the middle is performed, so that the conservative estimation is performed, 11.5 hours are used for counting the drip speed within 8 hours of the nurse, the accuracy of manual counting is relatively insufficient, and the cautious and automatic requirements in the nurse work are very high;
4. the traditional transfusion mode can not monitor the transfusion speed of the high risk group in real time, and accidents are very easy to happen when nursing is not carried out for weeks;
5. the patients without accompanying and special physique are not concerned with each other by other patients nearby, sudden unexpected conditions are not easy to be found, and some patients are special in physique and easy to be allergic, or have hidden diseases without self knowledge, so that the change of vital signs cannot be found in the first time when the patients meet the traditional vision;
6. the factors of nurses are that some clinical low-annual nurses are unfamiliar with the properties of the medicines, can not correctly identify the incompatibility and adverse reaction of the medicines, can not correctly guide patients and have the observation of vector, and cause great hidden trouble for the safety of transfusion;
7. the reasonable arrangement of seats is that the traditional infusion tour can not comprehensively and real-time control the fluid infusion time required by each seat patient, but can only judge by manually evaluating individual or small parts, so that each seat number can not be reasonably managed, and the expected time of the patient waiting for the fluid infusion seat can not be given, thereby reducing the satisfaction degree.
Therefore, the prior requirements are not met, and a medical intelligent safe fluid infusion inspection system is provided.
Disclosure of Invention
The invention aims to provide a medical intelligent safe infusion inspection system, which can intuitively and accurately display the dropping speed through an infusion detection monitor, reduce the labor cost of nurses, enable a pulse oxygen indicator to timely find the pulse and SPO2 change of a patient, timely find the state of illness change, confirm the accuracy of patient and medicine information through a PDA, connect the infusion detection monitor and the pulse oxygen indicator with a PDA and a computer of a nurse bar counter at the nurse end through a WiFi or Bluetooth technology, remotely monitor the infusion speed through the PDA and the computer of the nurse bar counter, timely find the infusion drop, actively replace liquid, and simultaneously enable alarm information of the infusion detection monitor and the pulse oxygen indicator to be transmitted to the nurse end so that nurses can timely find abnormal conditions, thereby solving the problems in the background technology.
In order to achieve the above purpose, the present invention provides the following technical solutions: the medical intelligent safe fluid infusion inspection system comprises a patient end and a nurse end, wherein the patient end comprises an infusion detection monitor and a finger vein oxygen instrument, and the nurse end comprises a PDA and a remote monitor;
the infusion detection monitor is used for calculating the time of needed infusion according to the set total infusion amount and the real-time drip speed, setting an upper limit and a lower limit according to the illness state of a patient, giving an alarm if the drip speed exceeds the upper limit and the lower limit, and displaying an alarm at a nurse end;
the pulse finger oximeter is used for displaying the pulse rate of a patient, the analog waveform of pulse and SPO2, setting an upper limit and a lower limit for the pulse rate, alarming if the pulse rate exceeds the upper limit and the lower limit, alarming by setting an alarm lower limit for the pulse finger oximeter, alarming by a nurse end if the pulse finger oximeter is lower than an alarm value, and transmitting all data of the pulse finger oximeter to the nurse end;
the PDA is used for scanning the infusion bag so as to confirm patient and doctor's advice information, and is internally provided with a corresponding medicine compatibility tabu module and a medicine allergy module of the patient so as to identify whether medicines in one bag of infusion liquid and medicines in two adjacent bags of infusion liquid are in compatibility tabu and whether medicines allergic to the patient exist, if so, a nurse is reminded, and when the infusion detection monitor and the finger pulse oxygen instrument have abnormal alarms, the PDA has alarm reminding;
the remote monitor is used for displaying all information of the infusion detection monitor and the finger pulse oxygen instrument, and the remote monitor displays alarm information of the infusion detection monitor and the finger pulse oxygen instrument.
Further, setting an upper limit value and a lower limit value of the dripping speed according to the condition of the patient includes:
performing a first heart rate test and a first blood pressure monitoring on a patient to obtain a first heart rate test result and a first blood pressure result as first health information data;
setting a first interval duration according to the first heart rate test result and the first blood pressure result;
at the end time of the first interval duration, performing a second heart rate test and a second blood pressure monitoring on the patient to obtain a second heart rate test result and a second blood pressure result as second health information data;
setting a second interval duration according to the second heart rate test result and a second blood pressure result;
at the end time of the second interval duration, performing a third heart rate test and a third blood pressure monitoring on the patient to obtain a third heart rate test result and a third blood pressure result as third health information data;
setting an upper limit value and a lower limit value of the dripping speed according to the first health information data, the second health information data and the third health information data;
the first interval duration and the second interval duration are obtained through the following formula:
wherein T is 01 And T 02 Respectively representing a first interval duration and a second interval duration; p represents a first heart rate test result; g represents a first blood pressure result; p (P) i Representing the heart rate test result of the ith heart rate test; g i Representing the high-pressure test result of the ith blood pressure test; g 0 Representing a healthy high pressure value; p (P) 0 Representing a healthy heart rate value; e represents a constant; t (T) 0 Indicating a preset reference time length.
Further, setting an upper limit value and a lower limit value of the drop velocity according to the first health information data, the second health information data, and the third health information data, includes:
extracting a first heart rate test result, a second heart rate test result and a third heart rate test result in the first health information data, the second health information data and the third health information data;
acquiring a first parameter factor according to the first heart rate test result, the second heart rate test result and the third heart rate test result; the first parameter factor is obtained through the following formula:
wherein E is 01 Representing a first parameter factor; p (P) max And P min Respectively representing the maximum value and the minimum value in the first heart rate test result, the second heart rate test result and the third heart rate test result; p i the heart rate test result of the ith heart rate test;
extracting a first blood pressure result, a second blood pressure result and a third blood pressure result in the first health information data, the second health information data and the third health information data;
acquiring a second parameter factor according to the first blood pressure result, the second blood pressure result and the third blood pressure result; wherein the second parameter factor is obtained by the following formula:
wherein E is 02 Representing a second parameter factor; p (P) max And P min Respectively representing the maximum value and the minimum value of high pressure in the first blood pressure result, the second blood pressure result and the third blood pressure result; g di A value representing a low pressure of the first, second and third blood pressure results;
setting an upper limit value and a lower limit value of the dropping speed by using the first parameter factor and the second parameter factor, wherein the upper limit value and the lower limit value of the dropping speed are obtained by the following formula:
wherein V is up And V down Respectively representing an upper limit value and a lower limit value of the dripping speed; v (V) up0 And V down0 Respectively representing a preset reference upper limit value and a preset reference lower limit value of the dripping speed.
Further, the patient end is arranged in a ward or an outpatient infusion room, the nurse end is arranged in a nurse bar counter, and the patient end is connected with the nurse end through a WiF i technology or a Bluetooth technology.
Further, the infusion detection monitor is fixed on a Murphy's dropper of the infusion leather strap, a small liquid crystal screen is arranged on the infusion detection monitor and is used for displaying real-time dropping speed, a warning lamp I and a buzzer I are arranged on the infusion detection monitor, when the dropping speed exceeds the upper limit and the lower limit, the warning lamp I flashes a red light, and the buzzer sounds to give an alarm.
Further, the finger pulse oximeter is connected with a connecting wire, a USB interface matched with the connecting wire is arranged at the armrest of the infusion chair, the finger pulse oximeter is connected with the USB interface at the armrest of the infusion chair through the connecting wire, and if the finger pulse oximeter is arranged in a ward, the finger pulse oximeter is arranged on a device belt at the head of the bed.
Further, the pulse oxygen indicator is provided with a second warning lamp and a second buzzer, when the pulse rate or the SPO2 is abnormal, the second warning lamp flashes to red, and the second buzzer sounds to remind.
Further, the PDA includes:
the medicine compatibility tabu module is used for identifying whether medicines in one bag of fluid infusion and medicines in two adjacent bags of fluid infusion are in incompatibility or not, and reminding if the medicines are abnormal;
and the medicine allergy module is used for identifying whether the medicine allergic to the patient exists or not, and reminding if the medicine allergic to the patient exists abnormally.
Further, a third buzzer is arranged on the PDA, when the infusion detection monitor and the pulse oxygen indicator give an abnormal alarm, the third buzzer on the PDA gives out a buzzing sound to give an alarm prompt, and meanwhile, the corresponding seat number and the alarm content are displayed.
Further, the remote monitor comprises a computer or a tablet, and the computer or the tablet is arranged in a nurse bar counter, and the remote monitor is used for displaying all information of the infusion detection monitor and the finger pulse oxygen instrument, specifically:
all information of the infusion detection monitor, including seat number, patient information, medicine and drip speed input in real time and fluid infusion time required by residual fluid;
all information of the pulse oximeter, including the analog waveforms that preserve pulse rate, SPO2, and pulse during this infusion.
Compared with the prior art, the invention has the beneficial effects that:
1. the infusion detection monitor is fixed on the Murphy's dropper of the infusion leather strip, a small liquid crystal screen on the infusion detection monitor can intuitively and accurately display real-time dropping speed, the labor cost of nurses is reduced, the dropping speed is provided with an upper limit and a lower limit, when the dropping speed exceeds the upper limit and the lower limit, alarm reminding can be sent out, the infusion speed is carried out in a personalized safety range, the pulse oxygen indicator can timely find out the change of pulse and SPO2 of the patient, nurses can timely find out the change of illness state, the pulse rate is provided with the upper limit and the lower limit, and when the pulse rate exceeds the upper limit and the lower limit, alarm reminding can be sent out, and meanwhile, when the infusion detection monitor and the pulse oxygen indicator have abnormal alarm, the nurses can receive alarm reminding, so that nurses can pay attention to the attention and timely deal with, and personalized professional nursing is embodied.
2. The patient end is connected with the nurse end through the WiFi technology or the Bluetooth technology, so that the nurse end can remotely monitor the infusion speed and timely find out that the infusion is empty, the nurse end comprises the PDA and the remote monitor, the PDA can confirm the accuracy of patient and medicine information, and through the medicine compatibility tabu module and the medicine allergy module of the patient, whether medicines in one bag of infusion and medicines in two adjacent bags of infusion are compatible tabu or not and whether medicines allergic to the patient exist or not can be identified, if abnormal, a nurse is reminded, so that the safety of infusion is ensured, and meanwhile, all information of the infusion detection monitor and the finger pulse oxygen instrument and alarm information of the infusion detection monitor and the finger pulse oxygen instrument are displayed on the PDA and the remote monitor, so that the nurse can timely deal with the infusion, the safety of the infusion is ensured, the satisfaction degree of the patient is improved, and the dispute is reduced.
Drawings
Fig. 1 is a schematic diagram of the overall structure of the present invention.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
In order to solve the problem that the existing transfusion process is very time-consuming, and to prevent accidents from occurring in the transfusion process, the condition that nurses, patients and accompanying staff are required to continuously patrol and observe fluid infusion is increased, the labor pressure and mental burden of both doctors and patients are increased, various transfusion problems can be generated by slight carelessness, the satisfaction degree of the patients is reduced, and even medical accidents and disputes are caused, referring to fig. 1, the embodiment provides the following technical scheme:
the medical intelligent safe fluid infusion inspection system comprises a patient end and a nurse end, wherein the patient end comprises an infusion detection monitor and a finger vein oxygen instrument, and the nurse end comprises a PDA and a remote monitor;
the infusion detection monitor is used for calculating the time of needed infusion according to the set total infusion amount and the real-time drip speed, setting an upper limit and a lower limit according to the illness state of a patient, giving an alarm if the drip speed exceeds the upper limit and the lower limit, and displaying an alarm at a nurse end;
the pulse finger oximeter is used for displaying the pulse rate of a patient, the analog waveform of pulse and SPO2, setting an upper limit and a lower limit for the pulse rate, alarming if the pulse rate exceeds the upper limit and the lower limit, alarming by setting an alarm lower limit for the pulse finger oximeter, alarming by a nurse end if the pulse finger oximeter is lower than an alarm value, and transmitting all data of the pulse finger oximeter to the nurse end;
the PDA is used for scanning the infusion bag so as to confirm patient and doctor's advice information, and is internally provided with a corresponding medicine compatibility tabu module and a medicine allergy module of the patient so as to identify whether medicines in one bag of infusion liquid and medicines in two adjacent bags of infusion liquid are in compatibility tabu and whether medicines allergic to the patient exist, if so, a nurse is reminded, and when the infusion detection monitor and the finger pulse oxygen instrument have abnormal alarms, the PDA has alarm reminding;
the remote monitor is used for displaying all information of the infusion detection monitor and the finger pulse oxygen instrument, and the remote monitor displays alarm information of the infusion detection monitor and the finger pulse oxygen instrument.
The technical effects of the above are as follows: the patient end intuitively and accurately displays the dripping speed through the infusion detection monitor, the labor cost of nurses is reduced, the patient end can timely find the change of pulse and SPO2 of the patient through the pulse oxygen indicator, the patient and the medicine information can be timely found out, the nurse end confirms the accuracy of the patient and the medicine information through the PDA, whether the medicines in one bag of the infusion and the medicines in two adjacent bags of the infusion are in incompatibility or not and whether the medicines allergic to the patient exist or not are identified, and the safety of the infusion is further ensured.
Specifically, setting an upper limit value and a lower limit value of the dripping speed according to the illness state of the patient includes:
performing a first heart rate test and a first blood pressure monitoring on a patient to obtain a first heart rate test result and a first blood pressure result as first health information data;
setting a first interval duration according to the first heart rate test result and the first blood pressure result;
at the end time of the first interval duration, performing a second heart rate test and a second blood pressure monitoring on the patient to obtain a second heart rate test result and a second blood pressure result as second health information data;
setting a second interval duration according to the second heart rate test result and a second blood pressure result;
at the end time of the second interval duration, performing a third heart rate test and a third blood pressure monitoring on the patient to obtain a third heart rate test result and a third blood pressure result as third health information data;
setting an upper limit value and a lower limit value of the dripping speed according to the first health information data, the second health information data and the third health information data;
the first interval duration and the second interval duration are obtained through the following formula:
wherein T is 01 And T 02 Respectively representing a first interval duration and a second interval duration; p represents a first heart rate test result; g represents a first blood pressure result; p (P) i Representing the heart rate test result of the ith heart rate test; g i Representing the high-pressure test result of the ith blood pressure test; g 0 Representing a healthy high pressure value; p (P) 0 Representing a healthy heart rate value; e represents a constant; t (T) 0 Indicating a preset reference time length.
The technical effects of the technical scheme are as follows: personalized treatment: by continuously monitoring the heart rate and blood pressure of the patient, the system can adjust the drip rate according to the actual condition. This helps to provide personalized medical treatments to ensure that the patient gets the most appropriate treatment.
Medical errors are reduced: the automated nature of the system may reduce human medical errors such as improper drug drip rate setting. This may improve the accuracy of the treatment.
And (3) continuously monitoring: the system continuously monitors the health condition of the patient and continuously updates the dripping speed to cope with the change of the illness state. This helps to improve the patient's health and reduce complications.
The work load of medical staff is lightened: the automated functionality of the system may reduce the workload of healthcare workers, enabling them to concentrate on handling other medical tasks.
Improving patient safety: by reducing the likelihood of incorrect setting of the drip rate, this system helps to improve patient safety and reduce treatment risk.
Specifically, setting an upper limit value and a lower limit value of the drop velocity according to the first health information data, the second health information data, and the third health information data, includes:
extracting a first heart rate test result, a second heart rate test result and a third heart rate test result in the first health information data, the second health information data and the third health information data;
acquiring a first parameter factor according to the first heart rate test result, the second heart rate test result and the third heart rate test result; the first parameter factor is obtained through the following formula:
wherein E is 01 Representing a first parameter factor; p (P) max And P min Respectively representing the maximum value and the minimum value in the first heart rate test result, the second heart rate test result and the third heart rate test result; p i the heart rate test result of the ith heart rate test;
extracting a first blood pressure result, a second blood pressure result and a third blood pressure result in the first health information data, the second health information data and the third health information data;
acquiring a second parameter factor according to the first blood pressure result, the second blood pressure result and the third blood pressure result; wherein the second parameter factor is obtained by the following formula:
wherein E is 02 Representing a second parameter factor; p (P) max And P min Respectively representing the maximum value and the minimum value of high pressure in the first blood pressure result, the second blood pressure result and the third blood pressure result; g di A value representing a low pressure of the first, second and third blood pressure results;
setting an upper limit value and a lower limit value of the dropping speed by using the first parameter factor and the second parameter factor, wherein the upper limit value and the lower limit value of the dropping speed are obtained by the following formula:
wherein V is up And V down Respectively representing an upper limit value and a lower limit value of the dripping speed; v (V) up0 And V down0 Respectively representing a preset reference upper limit value and a preset reference lower limit value of the dripping speed.
The technical effects of the technical scheme are as follows: setting the dropping speed based on the health information data: the regimen uses patient health information data, including heart rate test results and blood pressure test results, to automatically set the upper and lower limits of drip rate. This helps to tailor the treatment to the actual health of the patient to provide more personalized medical services.
Continuous monitoring and adjustment: by continuously acquiring and analyzing health information data, the system can make adjustments to the drip rate under varying patient conditions. This helps to maintain the patient in a steady state during treatment.
Reducing the risk of over or under treatment: by setting the upper and lower limits of the drip rate, the system can reduce the risk of excessive or insufficient treatment, improving the safety and effectiveness of the treatment.
Automating and relieving the burden of medical personnel: the automatic function of the system reduces the requirement of medical staff for manually setting the dripping speed, is beneficial to relieving the workload of the medical staff, and enables the medical staff to be more focused on other important medical tasks.
Improving patient safety: by more accurate setting of the drip rate, the system helps to improve patient safety and reduce the likelihood of medication errors.
The patient end is arranged in a ward or an outpatient infusion room, the nurse end is arranged in a nurse bar counter, and the patient end is connected with the nurse end through Wi F i technology or Bluetooth technology.
The technical effects of the above are as follows: the patient end can be connected with the nurse end through the WiFi technology or the Bluetooth technology, and the nurse can remotely monitor the infusion speed through the PDA or the computer and the tablet personal computer through the Wi F i technology or the Bluetooth technology, and can timely find the empty infusion liquid, so that the liquid is actively replaced, and the problem that the nurse cannot comprehensively patrol the infusion is avoided.
The infusion detection monitor is fixed on a Murphy's dropper of an infusion leather strap, a small liquid crystal screen is arranged on the infusion detection monitor and is used for displaying real-time dropping speed, a warning lamp I and a buzzer I are arranged on the infusion detection monitor, when the dropping speed exceeds the upper limit and the lower limit, the warning lamp I flashes red, and the buzzer sounds, so that an alarm is given.
The technical effects of the above are as follows: the infusion detection monitor can be fixed on an infusion dropper, a small liquid crystal screen arranged on the infusion detection monitor can display real-time drip speed, so that the drip speed of infusion can be displayed visually and accurately, meanwhile, the total infusion quantity is set into the infusion detection monitor through a button on the infusion detection monitor, the infusion detection monitor can calculate the required infusion time according to the total infusion quantity and the real-time drip speed, so that patients, nurses and accompanying personnel are not required to pay attention to and patrol the infusion condition at any time, the infusion nursing becomes accurate nursing, meanwhile, an upper limit and a lower limit are arranged for the drip speed according to the condition of the patients, in the infusion process, if the drip speed exceeds the upper limit and the lower limit, an alarm is given out through a warning lamp I and a buzzer, alarm reminding is given out through a buzzer, the setting of the warning lamp I and the buzzer I are both used for alarming, and the patient and the accompanying personnel are reminded of paying attention if the drip speed does not exceed the upper limit and the lower limit, the infusion nursing is carried out according to a default value, and the infusion nursing speed is enabled to be in an individualized safety range, and professional nursing is realized.
The finger pulse oximeter is connected with a connecting wire, a USB interface matched with the connecting wire is arranged at the armrest of the infusion chair, the finger pulse oximeter is connected with the USB interface at the armrest of the infusion chair through the connecting wire, if the finger pulse oximeter is arranged on a device belt at a bed head in a ward, the finger pulse oximeter is provided with a warning lamp II and a buzzer II, when pulse rate or SPO2 is abnormal, the warning lamp II flashes to red, and the buzzer II sounds to remind.
The technical effects of the above are as follows: the finger pulse oximeter is provided with a connecting wire, the connecting wire on the finger pulse oximeter can be inserted into a USB interface at the armrest of the infusion chair, so that the finger pulse oximeter is connected with the USB interface at the armrest of the infusion chair through the connecting wire, the finger pulse oximeter can display the pulse rate of a patient, the analog waveform of pulse and SPO2, and the upper limit and the lower limit of the pulse rate are arranged, or the pulse rate is automatically defaulted to be +/-20% -30% according to the basic pulse rate of the patient. For alarm threshold, if pulse rate exceeds upper and lower limit, report to the police through warning light two and bee calling organ two, remind patient and accompany the attention of personnel, simultaneously, indicate that all data of pulse oximeter all can transmit the nurse end to the nurse is in time looked over, in case patient pulse rate or SPO2 appear unusual, makes the nurse can discover early and handle.
A PDA, comprising:
the medicine compatibility tabu module is used for identifying whether medicines in one bag of fluid infusion and medicines in two adjacent bags of fluid infusion are in incompatibility or not, and reminding if the medicines are abnormal;
and the medicine allergy module is used for identifying whether the medicine allergic to the patient exists or not, and reminding if the medicine allergic to the patient exists abnormally.
And the PDA is provided with a third buzzer, when the infusion detection monitor and the pulse oxygen indicator have abnormal alarm, the third buzzer on the PDA gives out a buzzing sound to alarm and remind, and the corresponding seat number and alarm content are displayed.
The technical effects of the above are as follows: the PDA can confirm patient information and doctor's advice information through scanning the infusion bag to confirm patient and medicine information's accuracy, need strict control speed to special medicine, or what such medicine needs strict observation when using (such as blood pressure, heart rate variation, serious adverse reaction etc.), can intelligent warning nurse when scanning the infusion bag, thereby ensure infusion's safety, and PDA is through medication compatibility tabu module and medicine allergy module, can distinguish whether medicine in the infusion of a bag and two adjacent bags in the infusion have the incompatibility, whether distinguish and have patient allergic medicine, if have the abnormality, intelligent warning nurse alone, further ensure infusion safety, and ensure the safety of special constitution patient of infusion, when infusion detection monitor and finger pulse oxygen appearance have unusual warning, PDA sends out beeping alarm through the bee calling instrument three, and display corresponding seat number and alarm content, just need press the confirmation key when dealing with, other people just know that someone responded, need not duplicate manual nurse's work burden, and according to the corresponding seat number and accurate alarm content that gives an emergency can be made to nurse accurately.
The remote monitor comprises a computer or a tablet, and the computer or the tablet is arranged in a nurse bar counter, and is used for displaying all information of the infusion detection monitor and the finger pulse oxygen instrument, and specifically comprises:
all information of the infusion detection monitor, including seat number, patient information, medicine and drip speed input in real time and fluid infusion time required by residual fluid;
all information of the pulse oximeter, including the analog waveforms that preserve pulse rate, SPO2, and pulse during this infusion.
The technical effects of the above are as follows: the computer and the flat plate of the nurse bar counter can display all information of the transfusion detection monitor, namely seat numbers, patient information, medicines and dripping speed input in real time and the liquid supplementing time required by residual liquid, can calculate the time of the waiting position according to the information, scientifically manage all the seat numbers and inform the waiting position patient, reduce the contradiction of patient care, avoid judging by only carrying out individual or small part of evaluation manually, lead to the problem that each seat number cannot be reasonably managed, and lead to the problem of reduced satisfaction degree because of the anticipated time of the patient waiting for the liquid supplementing seat, simultaneously, display all the information of the pulse oxygen indicator, reserve the pulse rate, SPO2 and pulse analog waveform during the transfusion, retrospectively predict the current rhythm condition according to the simulated waveform, take the retrospective reason after the unexpected accident as reference, and the alarm information of the transfusion detection monitor and the pulse oxygen indicator is also displayed on the computer and the flat plate.
Working principle: the patient end comprises an infusion detection monitor and a pulse oxygen indicator, a small liquid crystal screen on the infusion detection monitor can intuitively and accurately display real-time dripping speed, an upper limit and a lower limit can be set for the dripping speed according to the condition of a patient, if the dripping speed exceeds the upper limit and the lower limit in the infusion process, an alarm is sent out through a warning lamp I and a buzzer, so that the alarm reminding is carried out, the pulse oxygen indicator is connected with a USB interface at an armrest of an infusion chair through a connecting wire, the pulse oxygen indicator can display the pulse rate of the patient, the analog waveform of pulse and SPO2, the upper limit and the lower limit are set for the pulse rate, if the pulse rate exceeds the upper limit and the lower limit, the alarm is carried out through a warning lamp II and a buzzer II, and meanwhile, all data of the pulse oxygen indicator are transmitted to a nurse end, once the pulse rate of the patient or the SPO2 is abnormal, the nurse can discover and process early, the patient end is connected with the nurse end through WiFi technology or Bluetooth technology, so that the nurse end can remotely monitor the infusion speed, the nurse end comprises a PDA and a remote monitor, the PDA can confirm patient information and doctor's advice information by scanning the infusion bag, if a patient is a patient with special physique, the PDA can intelligently remind the nurse under abnormality through the drug compatibility tabu module and the drug allergy module, thereby confirming the accuracy of the patient and the drug information, when the infusion detection monitor and the finger pulse oxygen instrument have abnormal alarm, the PDA sends out beeping alarm reminding through the buzzer III, displays corresponding seat numbers and alarm contents, the nurse can accurately deal with emergency according to the displayed corresponding seat numbers and alarm contents, the remote monitor can display all information of the infusion detection monitor and the finger pulse oxygen instrument, so that the nurse can calculate the time of the waiting position, all seat numbers are scientifically managed, the satisfaction degree of a patient is improved, all information of the pulse oximeter is displayed on the remote monitor, a nurse can retrospectively predict the current heart rhythm condition according to the information, so that the retrospective reason is used as a reference after an unexpected accident, and meanwhile, alarm information of the infusion detection monitor and the pulse oximeter is displayed on a computer and a tablet so that the nurse can treat the heart rhythm according to the alarm information in time.
It is noted that relational terms such as first and second, and the like are used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Moreover, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made therein without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (10)
1. The medical intelligent safe fluid infusion inspection system is characterized by comprising a patient end and a nurse end, wherein the patient end comprises an infusion detection monitor and a pulse oxygen indicator, and the nurse end comprises a PDA and a remote monitor;
the infusion detection monitor is used for calculating the time of needed infusion according to the set total infusion amount and the real-time drip speed, setting an upper limit and a lower limit according to the illness state of a patient, giving an alarm if the drip speed exceeds the upper limit and the lower limit, and displaying an alarm at a nurse end;
the pulse finger oximeter is used for displaying the pulse rate of a patient, the analog waveform of pulse and SPO2, setting an upper limit and a lower limit for the pulse rate, alarming if the pulse rate exceeds the upper limit and the lower limit, alarming by setting an alarm lower limit for the pulse finger oximeter, alarming by a nurse end if the pulse finger oximeter is lower than an alarm value, and transmitting all data of the pulse finger oximeter to the nurse end;
the PDA is used for scanning the infusion bag so as to confirm patient and doctor's advice information, and is internally provided with a corresponding medicine compatibility tabu module and a medicine allergy module of the patient so as to identify whether medicines in one bag of infusion liquid and medicines in two adjacent bags of infusion liquid are in compatibility tabu and whether medicines allergic to the patient exist, if so, a nurse is reminded, and when the infusion detection monitor and the finger pulse oxygen instrument have abnormal alarms, the PDA has alarm reminding;
the remote monitor is used for displaying all information of the infusion detection monitor and the finger pulse oxygen instrument, and the remote monitor displays alarm information of the infusion detection monitor and the finger pulse oxygen instrument.
2. The medical intelligent safety fluid replacement inspection system according to claim 1, wherein: setting an upper limit value and a lower limit value of the dripping speed according to the illness state of a patient, wherein the method comprises the following steps:
performing a first heart rate test and a first blood pressure monitoring on a patient to obtain a first heart rate test result and a first blood pressure result as first health information data;
setting a first interval duration according to the first heart rate test result and the first blood pressure result;
at the end time of the first interval duration, performing a second heart rate test and a second blood pressure monitoring on the patient to obtain a second heart rate test result and a second blood pressure result as second health information data;
setting a second interval duration according to the second heart rate test result and a second blood pressure result;
at the end time of the second interval duration, performing a third heart rate test and a third blood pressure monitoring on the patient to obtain a third heart rate test result and a third blood pressure result as third health information data;
setting an upper limit value and a lower limit value of the dripping speed according to the first health information data, the second health information data and the third health information data;
the first interval duration and the second interval duration are obtained through the following formula:
wherein T is 01 And T 02 Respectively representing a first interval duration and a second interval duration; p represents a first heart rate test result; g represents a first blood pressure result; p (P) i Representing the heart rate test result of the ith heart rate test; g i Representing the high-pressure test result of the ith blood pressure test; g 0 Representing a healthy high pressure value; p (P) 0 Representing a healthy heart rate value; e represents a constant; t (T) 0 Indicating a preset reference time length.
3. The medical intelligent safety fluid replacement inspection system according to claim 2, wherein: setting an upper limit value and a lower limit value of the drop velocity according to the first health information data, the second health information data, and the third health information data, including:
extracting a first heart rate test result, a second heart rate test result and a third heart rate test result in the first health information data, the second health information data and the third health information data;
acquiring a first parameter factor according to the first heart rate test result, the second heart rate test result and the third heart rate test result; the first parameter factor is obtained through the following formula:
wherein E is 01 Representing a first parameter factor; p (P) max And P min Respectively representing the maximum value and the minimum value in the first heart rate test result, the second heart rate test result and the third heart rate test result; pi represents the heart rate test result of the ith heart rate test;
extracting a first blood pressure result, a second blood pressure result and a third blood pressure result in the first health information data, the second health information data and the third health information data;
acquiring a second parameter factor according to the first blood pressure result, the second blood pressure result and the third blood pressure result; wherein the second parameter factor is obtained by the following formula:
wherein E is 02 Representing a second parameter factor; p (P) max And P min Respectively representing the maximum value and the minimum value of high pressure in the first blood pressure result, the second blood pressure result and the third blood pressure result; g di Representing a first blood pressure result, a second blood pressure result and a third blood pressure resultA value of low pressure in (a);
setting an upper limit value and a lower limit value of the dropping speed by using the first parameter factor and the second parameter factor, wherein the upper limit value and the lower limit value of the dropping speed are obtained by the following formula:
wherein V is up And V down Respectively representing an upper limit value and a lower limit value of the dripping speed; v (V) up0 And V down0 Respectively representing a preset reference upper limit value and a preset reference lower limit value of the dripping speed.
4. The medical intelligent safety fluid replacement inspection system according to claim 1, wherein: the patient end is arranged in a ward or an outpatient infusion room, the nurse end is arranged in a nurse bar counter, and the patient end is connected with the nurse end through a WiFi technology or a Bluetooth technology.
5. The medical intelligent safety fluid replacement inspection system according to claim 1, wherein: the infusion detection monitor is fixed on a Murphy's dropper of an infusion leather strap, a small liquid crystal screen is arranged on the infusion detection monitor and is used for displaying real-time dropping speed, a warning lamp I and a buzzer I are arranged on the infusion detection monitor, when the dropping speed exceeds the upper limit and the lower limit, the warning lamp I flashes red, and the buzzer sounds, so that an alarm is given.
6. The medical intelligent safety fluid replacement inspection system according to claim 1, wherein: the finger pulse oximeter is connected with a connecting wire, a USB interface matched with the connecting wire is arranged at the armrest of the infusion chair, the finger pulse oximeter is connected with the USB interface at the armrest of the infusion chair through the connecting wire, and if the finger pulse oximeter is arranged in a ward, the finger pulse oximeter is arranged on a device belt at the head of the bed.
7. The medical intelligent safety fluid replacement inspection system according to claim 1, wherein: and the pulse oxygen indicator is provided with a second warning lamp and a second buzzer, when the pulse rate or the SPO2 is abnormal, the second warning lamp flashes to red, and the second buzzer sounds to remind.
8. The medical intelligent safety fluid replacement inspection system according to claim 1, wherein: the PDA includes:
the medicine compatibility tabu module is used for identifying whether medicines in one bag of fluid infusion and medicines in two adjacent bags of fluid infusion are in incompatibility or not, and reminding if the medicines are abnormal;
and the medicine allergy module is used for identifying whether the medicine allergic to the patient exists or not, and reminding if the medicine allergic to the patient exists abnormally.
9. The medical intelligent safety fluid replacement inspection system according to claim 1, wherein: and when the infusion detection monitor and the pulse oxygen indicator have abnormal alarm, the buzzer III on the PDA gives out a buzzing sound to alarm and remind, and simultaneously displays the corresponding seat number and alarm content.
10. The medical intelligent safety fluid replacement inspection system according to claim 1, wherein: the remote monitor comprises a computer or a tablet, and the computer or the tablet is arranged in a nurse bar counter, and the remote monitor is used for displaying all information of the infusion detection monitor and the finger pulse oxygen instrument, and specifically comprises:
all information of the infusion detection monitor, including seat number, patient information, medicine and drip speed input in real time and fluid infusion time required by residual fluid;
all information of the pulse oximeter, including the analog waveforms that preserve pulse rate, SPO2, and pulse during this infusion.
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