JP2018012038A - 注入サイト情報キャップ - Google Patents
注入サイト情報キャップ Download PDFInfo
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- JP2018012038A JP2018012038A JP2017208332A JP2017208332A JP2018012038A JP 2018012038 A JP2018012038 A JP 2018012038A JP 2017208332 A JP2017208332 A JP 2017208332A JP 2017208332 A JP2017208332 A JP 2017208332A JP 2018012038 A JP2018012038 A JP 2018012038A
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- 238000002347 injection Methods 0.000 title claims abstract description 163
- 239000007924 injection Substances 0.000 title claims abstract description 163
- 239000003814 drug Substances 0.000 claims abstract description 44
- 229940079593 drug Drugs 0.000 claims abstract description 43
- 238000000034 method Methods 0.000 claims abstract description 28
- 238000001802 infusion Methods 0.000 claims description 71
- 230000000694 effects Effects 0.000 claims description 24
- 238000004891 communication Methods 0.000 claims description 21
- 238000013480 data collection Methods 0.000 claims description 21
- 239000006101 laboratory sample Substances 0.000 claims description 16
- 239000000645 desinfectant Substances 0.000 claims description 15
- 238000004659 sterilization and disinfection Methods 0.000 claims description 15
- 238000007726 management method Methods 0.000 claims description 14
- 239000002699 waste material Substances 0.000 claims description 14
- 239000012530 fluid Substances 0.000 claims description 10
- 230000000249 desinfective effect Effects 0.000 claims description 9
- 238000012377 drug delivery Methods 0.000 claims description 8
- 230000037213 diet Effects 0.000 claims description 5
- 235000005911 diet Nutrition 0.000 claims description 5
- 230000000241 respiratory effect Effects 0.000 claims description 5
- 238000012545 processing Methods 0.000 claims description 3
- 239000000243 solution Substances 0.000 abstract description 3
- 238000001990 intravenous administration Methods 0.000 description 9
- 230000036541 health Effects 0.000 description 8
- 230000008878 coupling Effects 0.000 description 6
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- 229940125691 blood product Drugs 0.000 description 1
- 208000037815 bloodstream infection Diseases 0.000 description 1
- 238000002680 cardiopulmonary resuscitation Methods 0.000 description 1
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Classifications
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- 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/20—Closure caps or plugs for connectors or open ends of tubes
-
- 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/0208—Subcutaneous access sites for injecting or removing fluids
-
- 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/10—Tube connectors; Tube couplings
- A61M39/16—Tube connectors; Tube couplings having provision for disinfection or sterilisation
- A61M39/162—Tube connectors; Tube couplings having provision for disinfection or sterilisation with antiseptic agent incorporated within the connector
-
- 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/10—Tube connectors; Tube couplings
- A61M2039/1044—Verifying the connection, e.g. audible feedback, tactile feedback, visual feedback, using external light sources
-
- 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/10—Tube connectors; Tube couplings
- A61M2039/1077—Adapters, e.g. couplings adapting a connector to one or several other connectors
-
- 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
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
- A61M2205/502—User interfaces, e.g. screens or keyboards
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- 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
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
- A61M2205/52—General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
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- 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
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- 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
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- 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
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- A61M2205/6054—Magnetic identification systems
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- A—HUMAN NECESSITIES
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- 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
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- A—HUMAN NECESSITIES
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- 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
- A61M2205/6063—Optical identification systems
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- A—HUMAN NECESSITIES
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- 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
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- A61M2205/6063—Optical identification systems
- A61M2205/6081—Colour codes
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- A—HUMAN NECESSITIES
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- 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
- A61M2205/82—Internal energy supply devices
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Epidemiology (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
- Dc Digital Transmission (AREA)
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- Road Signs Or Road Markings (AREA)
- Chemical And Physical Treatments For Wood And The Like (AREA)
- Ac-Ac Conversion (AREA)
Abstract
Description
Claims (34)
- 注入サイトの注入ポートに取り外し可能に結合しかつカバーするように構成される係合部分と、
前記係合部分が、前記注入ポートに結合されているまたは結合されるとき、前記注入サイトの少なくとも1つのセンサによって自動的に感知されるように位置決めされる、キャップ上の少なくとも1つの情報要素と
を備え、
前記キャップは前記注入ポートを消毒するための消毒剤を含み、前記少なくとも1つの情報要素は、前記注入ポートの消毒状態を特徴付けるデータを封入した、近距離通信(NFC)タグ、ラジオ周波数識別(RFID)タグ、少なくとも1つのバーコード、または前記タグおよびバーコードの任意の組合せ、のうちの少なくとも1つを備えることを特徴とするキャップ。 - 前記係合部分は、前記注入ポート上の雄ルアーロックねじ山に結合するように構成される雌ルアーロックねじ山を備えることを特徴とする請求項1に記載のキャップ。
- 前記少なくとも1つの情報要素は前記少なくとも1つのバーコードを備え、前記キャップは円筒形状を有し、および前記少なくとも1つのバーコードは、前記係合部分を含む、前記キャップの開口端で当該キャップの周りに巻かれ、それによって、前記キャップが当該円周方向に回転されると、前記少なくとも1つのバーコードが前記少なくとも1つのセンサによって感知されることを特徴とする請求項1に記載のキャップ。
- 請求項1に記載のキャップと、
請求項1に記載の前記注入ポートであって、患者に流体的に結合された前記注入ポートと、
を備えたことを特徴とする装置。 - 請求項1に記載のキャップと、
請求項1に記載の前記注入ポートであって、輸液消耗リザーバに流体的に結合された前記注入ポートと、
を備えたことを特徴とする装置。 - 近距離通信(NFC)タグ、ラジオ周波数識別(RFID)タグ、少なくとも1つのバーコード、または前記タグおよびバーコードの任意の組合せ、のうちの少なくとも1つは、前記注入ポートの消毒状態、介護者識別、患者の識別、前記患者のケアに関連して行われる手続きステップ、廃棄物処理の状態、実験室試料の採取、前記患者のための呼吸管理、および前記患者のための食事管理のうちの1つまたは複数を特徴付けるデータを封入することを特徴とする請求項1に記載のキャップ。
- 少なくとも前記キャップの前記カバー部分は、複数の色分類項目の1つで色分けされ、各色分類項目は、介護者識別、患者ケア手続き活動、実験室試料、前記注入ポートの状態、前記注入ポートに注入される輸液、および患者の状態のうちの1つまたは複数を特徴付けることを特徴とする請求項1に記載のキャップ。
- 近距離通信(NFC)タグ、ラジオ周波数識別(RFID)タグ、少なくとも1つのバーコード、または前記タグおよびバーコードの任意の組合せ、のうちの少なくとも1つは、複数の色分類項目の1つで色分けされ、各色分類項目は、介護者識別、患者ケア手続き活動、実験室試料の採取、前記注入ポートの状態、前記注入ポートに注入される輸液、および患者の状態のうちの1つまたは複数を特徴付けることを特徴とする請求項1に記載のキャップ。
- 近距離通信(NFC)タグ、ラジオ周波数識別(RFID)タグ、少なくとも1つのバーコード、または前記タグおよびバーコードの任意の組合せ、のうちの少なくとも1つは、前記カバー部分の外面に貼り付けられることを特徴とする請求項1に記載のキャップ。
- 近距離通信(NFC)タグ、ラジオ周波数識別(RFID)タグ、少なくとも1つのバーコード、または前記タグおよびバーコードの任意の組合せ、のうちの少なくとも1つは、前記カバー部分の外面に一体的であることを特徴とする請求項1に記載のキャップ。
- 第1端および反対側の第2端と、
第1の注入サイトの第1の注入ポートに取り外し可能に結合しかつカバーするように構成されるキャップの前記第1端上の第1の係合部分と、
前記第1の係合部分が、前記第1の注入ポートに結合されているまたは結合されるとき、前記第1の注入サイトの少なくとも1つの第1のセンサによって自動的に感知されるように位置決めされる前記キャップの前記第1の係合部分の外面上の少なくとも1つの第1の情報要素と、
第2の注入サイトの第2の注入ポートに結合しかつカバーするように構成される前記キャップの前記反対側の第2端上の第2の係合部分と、
前記第2の係合部分が、前記第2の注入ポートに結合されているまたは結合されるとき、前記第2の注入サイトの少なくとも1つの第2のセンサによって自動的に感知されるように位置決めされる前記キャップの前記第2の係合部分の外面上の少なくとも1つの第2の情報要素と、
前記第1の係合部が、(i)前記第1の注入ポートに結合しているときの前記第1の注入ポートと、(ii)前記第2の係合部が前記第2の注入ポートに結合しているときの前記第2の注入ポート、の少なくとも1つを消毒するための消毒剤と、
を備え、前記少なくとも1つの第1の情報要素と、前記少なくとも1つの第2の情報要素、の1つ以上は、前記第1または第2の注入ポートの消毒状態を特徴付けるデータを封入した、近距離通信(NFC)タグ、ラジオ周波数識別(RFID)タグ、少なくとも1つのバーコード、または前記タグおよびバーコードの任意の組合せ、のうちの少なくとも1つを備えることを特徴とするキャップ。 - 前記少なくとも1つの第1の情報要素の情報内容は、前記少なくとも1つの第2の情報要素の情報内容と異なることを特徴とする請求項11に記載のキャップ。
- 前記第1の係合部分および前記第2の係合部分の少なくとも1つは、前記注入ポート上の雄ルアーロックねじ山に結合するように構成される雌ルアーロックねじ山を備えることを特徴とする請求項11に記載のキャップ。
- 前記少なくとも1つの第1の情報要素と、前記少なくとも1つの第2の情報要素、の1つ以上は、少なくとも1つのバーコードを備え、前記キャップは円筒形状を有し、および前記少なくとも1つのバーコードは、前記係合部分を含む、前記キャップの開口端で当該キャップの周りに巻かれ、それによって、前記キャップが円周方向に回転されると、前記少なくとも1つのバーコードが前記少なくとも1つの第1のセンサまたは前記少なくとも1つの第1のセンサによって感知されることを特徴とする請求項11に記載のキャップ。
- 請求項11に記載のキャップと、
請求項11に記載の、少なくとも1つの第1の注入口および少なくとも1つの第1の注入口であって、患者に流体的に結合された前記第1の注入ポートおよび前記第2の注入ポートと、
を備えることを特徴とする装置。 - 請求項11に記載のキャップと、
請求項11に記載の、少なくとも1つの第1の注入口および少なくとも1つの第1の注入口であって、輸液消耗リザーバに流体的に結合された前記第1の注入ポートおよび前記第2の注入ポートと、
を備えることを特徴とする装置。 - 近距離通信(NFC)タグ、ラジオ周波数識別(RFID)タグ、少なくとも1つのバーコード、または前記タグおよびバーコードの任意の組合せ、のうちの少なくとも1つは、前記注入ポートの消毒状態、介護者識別、患者の識別、前記患者のケアに関連して行われる手続きステップ、廃棄物処理の状態、実験室試料の採取、前記患者のための呼吸管理、および前記患者のための食事管理のうちの1つまたは複数を特徴付けるデータを封入することを特徴とする請求項11に記載のキャップ。
- 前記キャップの少なくとも一部分は、複数の色分類項目の1つで色分けされ、各色分類項目は、介護者識別、患者ケア手続き活動、実験室試料の採取、前記注入ポートの状態、前記注入ポートに注入される輸液、および患者の状態のうちの1つまたは複数を特徴付けることを特徴とする請求項11に記載のキャップ。
- 近距離通信(NFC)タグ、ラジオ周波数識別(RFID)タグ、少なくとも1つのバーコード、または前記タグおよびバーコードの任意の組合せ、のうちの少なくとも1つは、複数の色分類項目の1つで色分けされ、各色分類項目は、介護者識別、患者ケア手続き活動、実験室試料の採取、前記注入ポートの状態、前記注入ポートに注入される輸液、および患者の状態のうちの1つまたは複数を特徴付けることを特徴とする請求項11に記載のキャップ。
- 近距離通信(NFC)タグ、ラジオ周波数識別(RFID)タグ、少なくとも1つのバーコード、または前記タグおよびバーコードの任意の組合せ、のうちの少なくとも1つは、前記係合部分を含む、前記キャップの開口端で前記キャップの外面に貼り付けられることを特徴とする請求項11に記載のキャップ。
- 近距離通信(NFC)タグ、ラジオ周波数識別(RFID)タグ、少なくとも1つのバーコード、または前記タグおよびバーコードの任意の組合せ、のうちの少なくとも1つは、前記キャップの外面に一体的であることを特徴とする請求項11に記載のキャップ。
- 請求項11に記載のキャップと、
請求項11に記載の、少なくとも1つの第1の注入口および少なくとも1つの第1の注入口であって、互いに物理的に接続される前記第1の注入サイトおよび前記第2の注入サイトと、
を備えることを特徴とする装置。 - 前記少なくとも1つの第1の情報要素の情報内容および前記少なくとも1つの第2の情報要素の情報内容は、同一であることを特徴とする請求項11に記載のキャップ。
- 前記少なくとも1つの第1の情報要素の情報内容および前記少なくとも1つの第2の情報要素の情報内容は、異なることを特徴とする請求項11に記載のキャップ。
- 前記第1の係合部分は、前記第2の係合部分の反対側に位置決めされることを特徴とする請求項11に記載のキャップ。
- 前記第1の係合部分は、前記第2の係合部分の中心線と比較してある角度で位置決めされることを特徴とする請求項11に記載のキャップ。
- 前記キャップは、柔軟であることを特徴とする請求項11に記載のキャップ。
- 第1端および反対側の第2端と、
注入ポートをカバーするように構成されるキャップの前記第1端上の第1の係合部分と、
前記第1の係合部分が、前記注入ポートに結合されているまたは結合されるとき、注入サイトの少なくとも1つの第1のセンサによって自動的に感知されるように位置決めされる前記キャップの前記第1の係合部分の外面上の少なくとも1つの情報要素と、
前記注入ポートをカバーするように構成される前記キャップの前記反対側の第2端上の第2の係合部分と、
前記第2の係合部分が、前記注入ポートに結合されているまたは結合されるとき、前記注入サイトの少なくとも1つの第2のセンサによって自動的に感知されるように位置決めされる前記キャップの前記第2の係合部分の外面上の少なくとも1つの第2の情報要素と、
前記第1の係合部または前記第2の係合部が、前記注入ポートに結合しているときの前記注入ポートを消毒するための消毒剤と、
を備え、
前記少なくとも1つの第1の情報要素と、前記少なくとも1つの第2の情報要素、の1つ以上は、前記注入ポートの消毒状態を特徴付けるデータを封入した、近距離通信(NFC)タグ、ラジオ周波数識別(RFID)タグ、少なくとも1つのバーコード、または前記タグおよびバーコードの任意の組合せ、のうちの少なくとも1つを備えることを特徴とするキャップ。 - 1つまたは複数のデータプロセッサによる実施のための方法であって、
少なくとも1つのデータプロセッサによって、薬剤配送装置の注入ポートをカバーするキャップ上の少なくとも1つの情報要素が含む情報を前記薬剤配送装置から受け取るステップであって、前記キャップは前記注入ポートを消毒するための消毒剤を備え、前記少なくとも1つの情報要素は、前記注入ポートの消毒状態を特徴付けるデータを封入した、近距離通信(NFC)タグ、ラジオ周波数識別(RFID)タグ、少なくとも1つのバーコード、または前記タグおよびバーコードの任意の組合せ、のうちの少なくとも1つを備える、ステップと、
少なくとも1つのデータプロセッサによって、前記受け取られた情報を、前記注入ポートの消毒状態を含むデータと関連付けるステップと、
前記関連付けられたデータに次の処理を実行するステップと
を備えることを特徴とする方法。 - 前記薬剤配送装置は、
キャップと、
少なくとも部分的に前記キャップ内に延び、薬剤容器内の薬剤を患者に配送するように構成される輸液導管と、
前記キャップの外部表面から延び、前記薬剤容器の輸液出口に結合されるように構成される注入ポートであって、前記輸液導管に流体的にかつ直接的に結合される前記注入ポートと、
前記キャップ上の前記少なくとも1つの情報要素を感知するために前記キャップ内に配置される少なくとも1つのセンサと
を備えることを特徴とする請求項29に記載の方法。 - 前記薬剤配送装置は、
前記少なくとも1つのセンサによって生成される情報を遠隔データ収集システムに無線で送信するための前記キャップ内の送信機と、
前記少なくとも1つのセンサおよび前記送信機に電力を供給する前記キャップ内の内蔵型電力源と
をさらに備えることを特徴とする請求項30に記載の方法。 - 前記関連付けられたデータに次の処理を実行するステップは、前記関連付けられたデータを表示するステップ、前記関連付けられたデータを物理的記憶デバイスに記憶するステップ、前記関連付けられたデータをメモリにロードするステップ、および前記関連付けられたデータを遠隔計算システムに送信するステップのうちの少なくとも1つを備えることを特徴とする請求項29に記載の方法。
- 前記係合部分は、流体経路の遠位端における入口から当該流体経路において前記遠位端の反対側の近位端における出口まで延在する当該流体経路を含む前記注入サイトの前記注入ポートに対して、取り外し可能に結合し、流体的に密閉し、かつカバーするよう構成され、前記キャップは、前記係合部分が前記注入ポートに対して、結合し、流体的に密閉し、かつカバーするとき、前記流体経路の前記入口より当該流体経路の内部に入り込まないことを特徴とする請求項1に記載のキャップ。
- 注入ポートの流体経路の遠位端における入口から当該流体経路において前記遠位端の反対側の近位端における出口まで延在する当該流体経路を含む前記注入ポートと、
前記注入ポートに取り外し可能に構成された係合部分を備えたキャップと、
前記キャップ上の少なくとも1つの情報要素と、
前記キャップが当該周方向に回転されるときに、前記係合部分が前記注入ポートに結合されているまたは結合されるとき、前記少なくとも1つの情報要素を自動的に感知するよう構成された、前記注入サイトの少なくとも1つのセンサと、
を備え、
前記キャップは、前記注入ポートを消毒するための消毒剤を含み、前記少なくとも1つの情報要素は、前記注入ポートの消毒状態を特徴付けるデータを封入していることを特徴とする装置。
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