JP4327459B2 - 筋弛緩剤を患者に投与する方法およびシステム - Google Patents
筋弛緩剤を患者に投与する方法およびシステム Download PDFInfo
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- JP4327459B2 JP4327459B2 JP2002565661A JP2002565661A JP4327459B2 JP 4327459 B2 JP4327459 B2 JP 4327459B2 JP 2002565661 A JP2002565661 A JP 2002565661A JP 2002565661 A JP2002565661 A JP 2002565661A JP 4327459 B2 JP4327459 B2 JP 4327459B2
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- Prior art keywords
- patient
- value
- muscle
- control
- controller
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
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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
- 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
- A61M5/172—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 electrical or electronic
- A61M5/1723—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 electrical or electronic using feedback of body parameters, e.g. blood-sugar, pressure
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
- G16H20/17—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
- A61B5/1104—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb induced by stimuli or drugs
- A61B5/1106—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb induced by stimuli or drugs to assess neuromuscular blockade, e.g. to estimate depth of anaesthesia
-
- 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
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M2005/14208—Pressure infusion, e.g. using pumps with a programmable infusion control system, characterised by the infusion program
-
- 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
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M2005/14288—Infusion or injection simulation
- A61M2005/14292—Computer-based infusion planning or simulation of spatio-temporal infusate distribution
-
- 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
- A61M2209/00—Ancillary equipment
- A61M2209/02—Equipment for testing the apparatus
-
- 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
- A61M5/142—Pressure infusion, e.g. using pumps
Description
Claims (13)
- 筋弛緩剤を患者に投与するシステムであって、
前記筋弛緩剤を患者に送出するように構成された注入ポンプと、
少なくとも1つの受信した入力値に基づいて、前記注入ポンプの動作を制御するように構成されたコントローラと、
前記筋弛緩剤が患者に及ぼす影響を継続的に測定し、かつ前記入力値として前記測定された影響を表す値を前記コントローラに供給するように構成された測定手段とを含み、前記少なくとも1つの入力値に基づいて、前記コントローラは、前記注入ポンプを制御するために使用される値として、所定の制御値セットから制御値を選択するように構成され、前記測定手段は、多数の連続電気または磁気パルスにより患者の筋肉を刺激し、その結果生じる筋肉反応パルスを測定し、かつ前記入力値として筋肉反応パルス数を使用するように構成されたことを特徴とする、システム。 - 前記所定の制御値セットを保有する1次元以上のアレイを有するメモリを含み、前記コントローラは、前記少なくとも1つの入力値および/または該少なくとも1つの入力値から得られた少なくとも1つの値により、前記アレイを指標付けることにより、前記制御値セットから制御値を選択するように構成されたことを特徴とする、請求項1に記載のシステム。
- 前記アレイは、多数の前記制御値の表現として1つ以上の数学関数を含むように構成されたことを特徴とする、請求項2に記載のシステム。
- 前記コントローラは、2つ以上前に受信した入力値から得られた少なくとも1つの指標値に基づいて、制御値または該制御値の表現を選択するように構成されたことを特徴とする、請求項1から3のいずれか一項に記載のシステム。
- 前記少なくとも1つの指標値は、2つ以上前に受信した入力値の平均値として得られた値を含むことを特徴とする、請求項4に記載のシステム。
- 前記測定手段は、前記測定された筋肉反応パルスのうちの2つ以上のパルスを、2つ以上の対応する参照筋肉反応パルスまたは該対応する参照筋肉反応パルスの表現と比較し、かつ直接的な筋肉刺激の影響として測定された筋肉反応パルスと参照筋肉反応パルスとの間の差を決定するように構成されたことを特徴とする、請求項1から5のいずれか一項に記載のシステム。
- 前記システムは、直接的な筋肉刺激の前記影響を、患者に送出された前記筋弛緩剤の測定された影響から差し引くように構成されたことを特徴とする、請求項1から6のいずれか一項に記載のシステム。
- 前記注入ポンプは、筋弛緩剤を含む容器を取り込み、かつ前記容器から患者に筋弛緩剤を送出するように構成され、さらに、注入ポンプに取り込まれた容器を識別するように構成された識別手段を含むことを特徴とする、請求項1から7のいずれか一項に記載のシステム。
- 前記コントローラは、複数の制御値セットを含み、前記コントローラは、注入ポンプに取り込まれた容器の識別に基づいて使用される制御値セットを選択するように構成されたことを特徴とする、請求項8に記載のシステム。
- 前記コントローラは、複数の制御値セットを含み、前記コントローラは、行われた診療行為または行われる予定の診療行為のタイプを表す受信した値に基づいて、使用される制御値セットを選択するように構成され、ある患者特有の特徴に応じることを特徴とする、請求項8または9に記載のシステム。
- 請求項1に記載の筋弛緩剤を患者に投与するシステムにおける動作をテストするために使用されるように構成されたテスト装置であって
前記システムから筋弛緩剤を受けるように構成された入力エミュレータと、
前記システムからテスト信号を受信するように構成されたテスト信号受信器と、
前記装置によりシミュレートされた患者の現在の弛緩レベルを表す値を、注入された弛緩剤の量と注入からの経過時間に基づいて、継続的に決定するように構成されたテストコントローラと、
前記受信したテスト信号に応答して、現在の弛緩状態を反映した出力信号を発生するように構成された応答エミュレータとを含むことを特徴とする、テスト装置。 - 前記入力エミュレータは、計量器具または流量測定デバイスであることを特徴とする、請求項11に記載のテストシステム。
- 前記応答エミュレータは、加速度発生器、力発生器、音発生器、または筋電図記録発生器であることを特徴とする、請求項11または12に記載のテストシステム。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP01610012A EP1232762A1 (en) | 2001-02-19 | 2001-02-19 | A method and a system for administering muscle relaxant to a patient |
PCT/DK2002/000111 WO2002066103A1 (en) | 2001-02-19 | 2002-02-19 | A method and a system for administering muscle relaxant to a patient |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2004532055A JP2004532055A (ja) | 2004-10-21 |
JP4327459B2 true JP4327459B2 (ja) | 2009-09-09 |
Family
ID=8183516
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2002565661A Expired - Fee Related JP4327459B2 (ja) | 2001-02-19 | 2002-02-19 | 筋弛緩剤を患者に投与する方法およびシステム |
Country Status (10)
Country | Link |
---|---|
US (1) | US7169125B2 (ja) |
EP (2) | EP1232762A1 (ja) |
JP (1) | JP4327459B2 (ja) |
AT (1) | ATE363305T1 (ja) |
AU (1) | AU2002233165B2 (ja) |
CA (1) | CA2438592C (ja) |
DE (1) | DE60220378T2 (ja) |
DK (1) | DK1363688T3 (ja) |
ES (1) | ES2286221T3 (ja) |
WO (1) | WO2002066103A1 (ja) |
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US9069887B2 (en) | 2000-05-18 | 2015-06-30 | Carefusion 303, Inc. | Patient-specific medication management system |
US10062457B2 (en) | 2012-07-26 | 2018-08-28 | Carefusion 303, Inc. | Predictive notifications for adverse patient events |
US20050171815A1 (en) * | 2003-12-31 | 2005-08-04 | Vanderveen Timothy W. | Centralized medication management system |
US9427520B2 (en) | 2005-02-11 | 2016-08-30 | Carefusion 303, Inc. | Management of pending medication orders |
US9741001B2 (en) | 2000-05-18 | 2017-08-22 | Carefusion 303, Inc. | Predictive medication safety |
WO2001088828A2 (en) | 2000-05-18 | 2001-11-22 | Alaris Medical Systems, Inc. | Distributed remote asset and medication management drug delivery system |
US11087873B2 (en) | 2000-05-18 | 2021-08-10 | Carefusion 303, Inc. | Context-aware healthcare notification system |
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DE10350764A1 (de) * | 2003-10-30 | 2005-05-25 | Dräger Medical AG & Co. KGaA | Vorrichtung und Verfahren zur Regelung eines nummerischen Werts für die medikamentöse Muskelerschlaffung |
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JP7450915B2 (ja) | 2020-02-17 | 2024-03-18 | 国立大学法人福井大学 | 麻酔補助プログラム、麻酔補助装置、麻酔補助システム及び麻酔補助方法 |
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-
2001
- 2001-02-19 EP EP01610012A patent/EP1232762A1/en not_active Withdrawn
-
2002
- 2002-02-19 AU AU2002233165A patent/AU2002233165B2/en not_active Ceased
- 2002-02-19 CA CA002438592A patent/CA2438592C/en not_active Expired - Fee Related
- 2002-02-19 AT AT02700173T patent/ATE363305T1/de not_active IP Right Cessation
- 2002-02-19 JP JP2002565661A patent/JP4327459B2/ja not_active Expired - Fee Related
- 2002-02-19 DK DK02700173T patent/DK1363688T3/da active
- 2002-02-19 DE DE60220378T patent/DE60220378T2/de not_active Expired - Lifetime
- 2002-02-19 ES ES02700173T patent/ES2286221T3/es not_active Expired - Lifetime
- 2002-02-19 EP EP02700173A patent/EP1363688B1/en not_active Expired - Lifetime
- 2002-02-19 WO PCT/DK2002/000111 patent/WO2002066103A1/en active IP Right Grant
- 2002-02-19 US US10/468,312 patent/US7169125B2/en not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
---|---|
ES2286221T3 (es) | 2007-12-01 |
US20040068229A1 (en) | 2004-04-08 |
DE60220378D1 (de) | 2007-07-12 |
DE60220378T2 (de) | 2008-02-07 |
EP1232762A1 (en) | 2002-08-21 |
US7169125B2 (en) | 2007-01-30 |
ATE363305T1 (de) | 2007-06-15 |
AU2002233165B2 (en) | 2006-11-02 |
CA2438592C (en) | 2009-08-04 |
EP1363688B1 (en) | 2007-05-30 |
CA2438592A1 (en) | 2002-08-29 |
JP2004532055A (ja) | 2004-10-21 |
DK1363688T3 (da) | 2007-09-10 |
EP1363688A1 (en) | 2003-11-26 |
WO2002066103A1 (en) | 2002-08-29 |
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