JP6117916B2 - 電子患者介護用のシステム、方法、および装置 - Google Patents
電子患者介護用のシステム、方法、および装置 Download PDFInfo
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- 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
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
- A61B5/0022—Monitoring a patient using a global network, e.g. telephone networks, internet
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- 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
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F3/00—Input arrangements for transferring data to be processed into a form capable of being handled by the computer; Output arrangements for transferring data from processing unit to output unit, e.g. interface arrangements
- G06F3/01—Input arrangements or combined input and output arrangements for interaction between user and computer
- G06F3/048—Interaction techniques based on graphical user interfaces [GUI]
- G06F3/0481—Interaction techniques based on graphical user interfaces [GUI] based on specific properties of the displayed interaction object or a metaphor-based environment, e.g. interaction with desktop elements like windows or icons, or assisted by a cursor's changing behaviour or appearance
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- 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
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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- 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
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
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- 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
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/40—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04L—TRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
- H04L45/00—Routing or path finding of packets in data switching networks
- H04L45/02—Topology update or discovery
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04L—TRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
- H04L67/00—Network arrangements or protocols for supporting network services or applications
- H04L67/01—Protocols
- H04L67/02—Protocols based on web technology, e.g. hypertext transfer protocol [HTTP]
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04L—TRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
- H04L67/00—Network arrangements or protocols for supporting network services or applications
- H04L67/01—Protocols
- H04L67/12—Protocols specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks
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- 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
- A61B5/7465—Arrangements for interactive communication between patient and care services, e.g. by using a telephone network
Description
本出願は、以下の出願に基づく優先権を主張する国際特許出願である。
2012年5月24日出願の、血液処理システム、および方法という名称のPCT出願第PCT/US12/00257号、そして、2012年11月29日に公開された国際特許出願公開第WO/2012/161744号(代理人整理番号J43WO)。
2011年1月21日出願の、電子患者監視システムという名称の米国特許出願第13/011,543号、そして、2011年12月22日に公開された米国特許出願公開第US−2011−0313789−A1号(代理人整理番号I52)、
2011年12月21日出願の、電子患者介護用のシステム、方法、および装置という名称の米国特許出願第13/333,574号、そして、2012年7月19日に公開された米国特許出願公開第US−2012−0185267−A1号(代理人整理番号I97)、
2011年12月21日出願の、電子患者介護用のシステム、方法、および装置という名称のPCT出願第PCT/US11/66588号(代理人整理番号I97WO)、
2011年12月21日出願の、輸液システム、方法、および装置という名称の米国仮特許出願第61/578,649号(代理人整理番号J02)、
2011年12月21日出願の、送液量推定システム、方法、および装置という名称の米国仮特許出願第61/578,658号(代理人整理番号J04)、
2011年12月21日出願の、経口薬調剤システム、方法、および装置という名称の米国仮特許出願第61/578,674号(代理人整理番号J05)、
2012年8月3日出願の、液量の監視、制御、又は管理のためのシステム、方法、および装置という名称の米国仮特許出願第61/679,117号(代理人整理番号J30)、
2012年12月18日出願の、アクティブ整流を用いた流体ライン中の空気を検出するためのシステム、方法、および装置という名称の米国仮特許出願第61/738,447号(代理人整理番号J32)、
2012年12月21日出願の、クランピングのためのシステム、方法、および装置という名称の米国特許出願第13/723,238号(代理人整理番号J47)、
2012年12月21日出願の、経口薬調剤システム、方法、および装置という名称の米国特許出願第13/723,235号(代理人整理番号J74)、
2012年12月21日出願の、経口薬調剤システム、方法、および装置という名称のPCT出願第PCT/US12/71131号(代理人整理番号J74WO)、
2012年12月21日出願の、送液量推定システム、方法、および装置という名称の米国特許出願第13/723,568号(代理人整理番号J75)、
2012年12月21日出願の、輸液システム、方法、および装置という名称の米国特許出願第13/725,790号(代理人整理番号J76)、
2012年12月21日出願の、輸液システム、方法、および装置という名称のPCT出願第PCT/US12/71490号(代理人整理番号J76WO)、
2012年12月21日出願の、電子患者介護用のシステム、方法、および装置という名称の米国特許出願第13/723,239号(代理人整理番号J77)、
2012年12月21日出願の、電子患者介護用のシステム、方法、および装置という名称の米国特許出願第13/723,242号(代理人整理番号J78)、
2012年12月21日出願の、液量の監視、制御、又は管理のためのシステム、方法、および装置という名称の米国特許出願第13/723,244号(代理人整理番号J79)、
2012年12月21日出願の、液量の監視、制御、又は管理のためのシステム、方法、および装置という名称のPCT出願第PCT/US12/71142号(代理人整理番号J79WO)、
2012年12月21日出願の、データを通信するためのシステム、方法、および装置という名称の米国仮特許出願第61/740,474号(代理人整理番号J80)、
2012年12月21日出願の、送液量推定システム、方法、および装置という名称の米国特許出願第13/723,251号(代理人整理番号J81)、
2012年12月21日出願の、送液量推定システム、方法、および装置という名称のPCT出願第PCT/US12/71112号(代理人整理番号J81WO)、
2012年12月21日出願の、電子患者介護用のシステム、方法、および装置という名称の米国特許出願第13/723,253号(代理人整理番号J85)、および
2013年3月15日出願の、輸液システム、方法、および装置という名称の米国特許出願第13/840,339号(代理人整理番号K14)、
2013年3月15日出願の、輸液システム、方法、および装置という名称のPCT出願第PCT/US13/32445号(代理人整理番号K14WO)、
2013年3月15日出願の、シリンジ・ポンプおよびシリンジ法という名称の米国特許出願第13/833,432号(代理人整理番号K21)、
2013年3月15日出願の、電子患者介護用のシステム、および装置という名称の米国特許出願第13/836,497号(代理人整理番号K22)、
2013年3月15日出願の、クランピングのためのシステム、方法、および装置という名称の米国特許出願第13/833,712号(代理人整理番号K23)、および、
2013年3月15日出願の、液量の監視、制御、又は管理のためのシステム、方法、および装置という名称の米国特許出願第13/834,030号(代理人整理番号K28)。
実施形態では、通信モジュールは、患者介護デバイス・インターフェースと、患者介護デバイス・インターフェースに結合され、患者介護デバイスに電力を供給するように構成された電源と、プロセッサと、患者介護デバイスおよび別のデバイスに対する通信を可能にするように構成された患者介護デバイス・インターフェースに結合された送受信機とを備えている。プロセッサは、いくつかの特定の実施形態では、アラーム状態にある場合に、患者介護デバイスを無効にするように構成することができる。
さらに別の実施形態では、電子患者介護システムは、患者に関する情報を受信および記憶するように構成された第1のモジュールであって、前記情報が患者に接続されたデバイスによって測定された患者の第1のパラメータに関連するデータ、および患者に関する情報を含む第1のデータベースから受信した患者の第2のパラメータに関連するデータを含む第1のモジュールと、第2のモジュールに関連付けられたユーザ・インターフェースを介してユーザからの薬剤指示を受信するように構成され、さらに前記治療指示を第1のモジュールに伝達するように構成された第2のモジュールとを備えており、前記第1のモジュールはさらに、a)第2のデータベースから前記薬剤または他の薬物に関する薬剤情報であって、このような薬剤が普通に投与される制限を提供するデータを含む薬剤情報を取得し、b)薬剤指示を(この特定の実施形態では)、薬剤情報、第1のパラメータの値、および第2のパラメータの値に基づいて第2のモジュールによって確認しなければならないかどうか判定し、c)ユーザ・インターフェース上に表示するために、前記薬剤指示の受容性を確認する、またはそれに関して警告する予め確立したメッセージを第1のモジュールから第2のモジュールに伝達するように構成されている。
さらに別の実施形態では、タブレットは、1つ以上のプロセッサ及びメモリを含む。メモリは、物理的接続を介してタブレットがベースと接続されているかどうかを判断させること、物理的接続を介してタブレットとベースとの間に第1の通信リンクを確立させること、必要に応じて、第1の通信リンクを介してタブレット上のインターフェース・プログラムを更新させること、第1の通信リンクを用いてタブレットとベースとの間に第2の通信リンクを確立させること、及び、第2の通信リンクを用いてベースからタブレットにデータを伝送させることを1つ以上のプロセッサにさせるように構成された、プロセッサにより実行可能な命令の動作セットを有する。
前に記載したように、医療的治療の指示および送達などの総合的介護を患者に提供する過程は、いくつかの重要な問題が関連している。例えば、重要な情報が誤って通信される、治療決定が完全な情報へのアクセスの準備なしで行なわれる、および/または不必要な冗長かつ不十分な処置による処方箋の実施の遅延に対する大きな潜在性がある。
図1に示すように、電子患者介護システム100は、それぞれ個別の患者2に物理的に近接して割り当てることができる1つまたは複数の監視クライアント1、4と、いくつかの様々な監視クライアント1、4から情報をアップロードし、様々なソースから監視クライアント1、4に情報および指示をダウンロードする遠隔監視サーバ3とを備えている。患者の部屋の場合、ヘルスケア・プロバイダは、患者2に関する情報を得るために、または患者2に関する指示を入力するために、監視クライアント1と直接相互作用することができる。多数の監視クライアント1は、単一の監視サーバ3と相互作用することができる。監視サーバ3は、ミドルウェア(例えば、図1の監視サーバ3上のミドルウェア)を備えることができる。それに加えて、または代替として、遠隔位置(例えば、医者の事務所、ナース・ステーション5、病院の薬局6)でのプロバイダは、監視サーバ3との通信リンクを通して、または各監視クライアント1、4をノードとして有する病院ローカル・エリア・ネットワークを介して直接、個別の監視クライアント1と相互作用することができる。
推測された残留量が所定の量に到達すると、監視クライアント1は、その流量を減らして患者の静脈内アクセス35を乾燥させないようにするために、注入ポンプ7に信号を送ることができる。例えば、監視クライアント1は、看護師が特定の時間にバッグを交換するために戻るようにスケジュールされているかどうか判定することができ、静脈内流体が看護師のスケジュールされた戻りの前になくなることを警告する、および/またはそのアラームを送信するよりはむしろ、監視クライアント1は、看護師が到着したときに、または看護師のスケジュールされた戻り時間から所定の時間後に静脈内バッグが空になるように注入速度を遅くするように、注入ポンプ7に信号を送ることができる。また、静脈内バッグ17の補充を薦める通知を看護師の監視クライアント11に送信することができる。
患者監視システムの機能は、指示プロバイダが患者に対する新しい薬剤処方箋を入力する実施例によって例示することができる。このシナリオでは、内科医は、適切なセキュリティ・パス・コードを入力した後に、自分の手持ち式デバイス上で許可された患者のリストを見ることができる。本実施例では、内科医の患者は、図97に示すように、例えば年齢、診断、および診療録番号などの、各患者に関する限定されたユーザ選択可能情報26でリスト化することができる。例えば、患者2に対する指示が不完全であり、看護師が注意のために患者にフラッグを付けた場合、または監視クライアント1が、内科医通知のために所定の閾値を超えたという入力をデータベースまたは患者監視デバイス14〜17から受信した場合は、警告記号27を監視クライアント1によって内科医のデバイス11に伝達することができる。
Claims (4)
- プロセッサにより実行するよう構成されたプロセッサで実行可能な命令の動作セットに組み込まれた方法であって、該方法は、
監視クライアントが物理的接続を介して患者介護デバイスと接続されているかどうかを判断するステップと、
前記監視クライアントと前記患者介護デバイスとの間に第1の通信リンクを前記物理的接続を介して確立するステップと、
前記監視クライアント上又は前記患者介護デバイス上のインターフェース・プログラムが最新のものでない場合、前記インターフェース・プログラムを前記第1の通信リンクを介して更新するステップと、
前記第1の通信リンクを用いて、前記監視クライアントと前記患者介護デバイスとの間に第2の通信リンクを確立するステップと、
前記第2の通信リンクを用いて、前記患者介護デバイスから前記監視クライアントへデータの通信を行うステップと、
前記第2の通信リンクのリンク品質値が所定の閾値より小さくなったとき、前記監視クライアント又は前記患者介護デバイスをヘッドレス状態にするステップと、
を備え、
前記ヘッドレス状態においても前記患者介護デバイスは動作を続けることを特徴とする方法。 - 監視クライアントと患者介護デバイスとの間で通信を行うためのシステムであって、該システムは、更新コンポーネントを有する患者介護デバイスを備え、該更新コンポーネントは、
物理的接続を介して前記監視クライアントが前記患者介護デバイスに接続されているかどうかを判断し、
前記物理的接続を介して前記監視クライアントと前記患者介護デバイスとの間の第1の通信リンクを確立し、
前記監視クライアント上又は前記患者介護デバイス上のインターフェース・プログラムが最新のものでない場合、前記インターフェース・プログラムを前記第1の通信リンクを介して更新し、
前記第1の通信リンクを用いて前記監視クライアントと前記患者介護デバイスとの間の第2の通信リンクを確立し、
前記第2の通信リンクを介して前記患者介護デバイスから前記監視クライアントへデータの通信を行い、
前記第2の通信リンクのリンク品質値が所定の閾値より小さくなったとき、前記監視クライアント又は前記患者介護デバイスをヘッドレス状態にし、
前記ヘッドレス状態においても前記患者介護デバイスは動作を続けるよう構成されていることを特徴とするシステム。 - 電子患者介護を可能とするシステムであって、該システムは、
患者介護デバイスと物理的接続を介して接続されている監視クライアントを備え、前記監視クライアント及び前記患者介護デバイスのうちの少なくとも1つは、
前記監視クライアントと前記患者介護デバイスとの間の前記物理的接続を介した第1の通信リンクの確立と、
前記監視クライアント上又は前記患者介護デバイス上のインターフェース・プログラムが最新のものでない場合、前記インターフェース・プログラムの、前記第1の通信リンクを介した更新と、
前記第1の通信リンクを用いた、前記監視クライアントと前記患者介護デバイスとの間の第2の通信リンクの確立と、
のうちの少なくとも1つを行い、
前記第2の通信リンクのリンク品質値が所定の閾値より小さくなったとき、前記監視クライアント又は前記患者介護デバイスをヘッドレス状態にし、
前記ヘッドレス状態においても前記患者介護デバイスは動作を続けるよう構成されたプロセッサを有することを特徴とするシステム。 - タブレットであって、
少なくとも1つのプロセッサと、
物理的接続を介して前記タブレットが患者介護デバイスと接続されているかどうかを判断すること、
前記物理的接続を介して前記タブレットと前記患者介護デバイスとの間に第1の通信リンクを確立させること、
前記タブレット上のインターフェース・プログラムが最新のものでない場合、前記タブレット上の前記インターフェース・プログラムを前記第1の通信リンクを介して更新すること、
前記第1の通信リンクを用いて前記タブレットと前記患者介護デバイスとの間に第2の通信リンクを確立すること、及び、
前記第2の通信リンクを用いて前記患者介護デバイスから前記タブレットにデータの通信を行うこと、
を少なくとも1つのプロセッサにさせるように構成された、プロセッサにより実行可能な命令の動作セットを有するメモリと、
を備え、
前記第2の通信リンクのリンク品質値が所定の閾値より小さくなったとき、前記監視クライアント又は前記患者介護デバイスをヘッドレス状態にし、
前記ヘッドレス状態においても前記患者介護デバイスは動作を続けるよう構成されていることを特徴とするタブレット。
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JP2016187561A (ja) * | 2012-05-24 | 2016-11-04 | デカ・プロダクツ・リミテッド・パートナーシップ | 電子患者介護用のシステム、方法、および装置 |
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