JP6261864B2 - 携帯式輸液ポンプおよびシステム用の高度ステップ治療送達 - Google Patents
携帯式輸液ポンプおよびシステム用の高度ステップ治療送達 Download PDFInfo
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- JP6261864B2 JP6261864B2 JP2012542037A JP2012542037A JP6261864B2 JP 6261864 B2 JP6261864 B2 JP 6261864B2 JP 2012542037 A JP2012542037 A JP 2012542037A JP 2012542037 A JP2012542037 A JP 2012542037A JP 6261864 B2 JP6261864 B2 JP 6261864B2
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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
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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
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14244—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
-
- 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
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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
- 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
-
- 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
- G16H40/63—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 local operation
-
- 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3334—Measuring or controlling the flow rate
-
- 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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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Anesthesiology (AREA)
- Vascular Medicine (AREA)
- Veterinary Medicine (AREA)
- Medical Informatics (AREA)
- Epidemiology (AREA)
- Primary Health Care (AREA)
- General Business, Economics & Management (AREA)
- Business, Economics & Management (AREA)
- Chemical & Material Sciences (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Medicinal Chemistry (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Description
そのような治療の一つが静注用免疫グロブリン(IVIG)である。IVIGは、主に免疫不全、炎症性および自己免疫疾患、および急性感染の治療に使用される。IVIG治療を受ける患者は通常、送達中にIVIGに対する耐性を高める必要があり、つまり、IVIGは最初は低速で投与され、注入時間が進行するにつれ速度は次第に上昇し、所定量のIVIGが患者に送達されるまで定常状態、すなわち「プラトー」速度が維持される。この種の送達プロファイルを利用する治療は、IVIGだけではない。
Claims (22)
- 注入治療送達機構と、
ステップ送達機能を定義する複数のパラメータを受信するように構成されるグラフィカル・ユーザ・インターフェース(GUI)であって、前記複数のパラメータは、初期速度、プラトー速度、ステップ期間、速度増分、および総注入量を含む、グラフィカル・ユーザ・インターフェース(GUI)と、
前記治療送達機構に接続され、前記複数のパラメータのうち少なくとも一つに基づき注入期間を算出し、前記ステップ送達機能に基づき前記治療送達機構を動作させるように構成されるプロセッサであって、更に、治療送達中において、ユーザが選択的に速度増分量だけ送達速度を上昇させたり、速度増分量だけ送達速度を低下させたり、前記ステップ期間を超える場合でも送達速度を維持したりする場合、前記注入期間が自動的に再計算されて前記総注入量を送達する携帯式輸液ポンプ。 - 前記GUIが、前記治療送達機構の動作中、前記速度増分量だけ送達速度を上昇させるオプションを提示する、請求項1に記載のポンプ。
- 前記GUIが、前記治療送達機構の動作中、前記速度増分量だけ送達速度を低下させるオプションを提示する、請求項1に記載のポンプ。
- 前記プロセッサが、前記治療送達機構の動作中に前記送達速度が低下する場合に前記注入期間を再算出するように構成される、請求項3に記載のポンプ。
- 前記低下後の送達速度は、前記総注入量を送達するために前記注入治療送達機構にとって必要な期間維持される、請求項3に記載のポンプ。
- 前記GUIが、患者管理鎮痛法(PCA)送達機能、連続送達機能、間欠的送達機能、および漸減送達機能から成る群から選択される送達機能を定義する少なくとも一つのパラメータを受信するように構成される、請求項1に記載のポンプ。
- 前記ステップ送達機能が静注用免疫グロブリン(IVIG)治療用である、請求項1に記載のポンプ。
- 前記GUIが前記初期注入期間を表示するように構成される、請求項1に記載のポンプ。
- 前記プロセッサが、前記複数のパラメータのうちの少なくとも一つに基づき前記ステップ送達機能内のステップの総数を算出するように構成される、請求項1に記載のポンプ。
- 初期速度、プラトー速度、ステップ期間、速度増分、および総注入量を受信することと、
少なくとも前記初期速度、前記プラトー速度、前記ステップ期間、前記速度増分、および前記総注入量に基づき注入期間を自動的に決定することと、
治療送達中において、ユーザが選択的に速度増分量だけ送達速度を上昇させたり、速度増分量だけ送達速度を低下させたり、前記ステップ期間を超える場合でも送達速度を維持したりする場合、前記注入期間を自動的に再計算することと、
を備える、携帯式注入システム用のステップ送達機能を設定する方法。 - 送達速度低下要求を受信することをさらに備える、請求項10に記載の方法。
- 前記速度増分の量だけ現在の送達速度を低下させることをさらに備える、請求項11に記載の方法。
- 前記初期速度、前記プラトー速度、前記ステップ期間、前記速度増分、および前記総注入量の入力の促進を提供することをさらに備える、請求項10に記載の方法。
- 受信することが、前記初期速度、前記プラトー速度、前記ステップ期間、前記速度増分、および前記総注入量をユーザインタフェース入力として受信することをさらに備える、請求項13に記載の方法。
- 前記注入期間をグラフィカル・ユーザ・インターフェースに表示することをさらに備える、請求項10に記載の方法。
- 患者管理鎮痛法(PCA)送達機能、連続送達機能、間欠的送達機能、漸減送達機能、およびステップ送達機能から成る群から前記ステップ送達機能を選択することをさらに備える、請求項10に記載の方法。
- 前記ステップ送達機能にしたがい薬剤を送達することをさらに備える、請求項10に記載の方法。
- 薬剤を送達することが静注用免疫グロブリン(IVIG)薬剤を送達することを備える、請求項16に記載の方法。
- 初期速度設定と、
プラトー速度設定と、
ステップ期間設定と、
速度増分設定と、
総注入量設定と、
前記初期速度設定、前記プラトー設定、前記ステップ期間設定、前記速度増分設定、および前記総注入量設定にしたがい自動的に設定され、かつ治療送達中において、ユーザが選択的に速度増分量だけ送達速度を上昇させたり、速度増分量だけ送達速度を低下させたり、前記ステップ期間を超える場合でも送達速度を維持したりする場合、自動的に再計算される注入期間設定と、
を備える注入システム。 - 前記初期速度設定、前記プラトー設定、前記ステップ期間設定、前記速度増分設定、前記総注入量設定、および前記注入期間設定によって定義されるステップ機能にしたがい薬剤を送達するように動作可能なポンピング機構を有する携帯式輸液ポンプをさらに備える、請求項19に記載のシステム。
- 前記薬剤が静注用免疫グロブリン(IVIG)薬剤である、請求項20に記載のシステム。
- 前記ポンプが前記薬剤の送達速度の変更前に通知を提供するように動作可能な通知システムを備える、請求項20に記載のシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/631,076 | 2009-12-04 | ||
US12/631,076 US8882701B2 (en) | 2009-12-04 | 2009-12-04 | Advanced step therapy delivery for an ambulatory infusion pump and system |
PCT/US2010/056226 WO2011068647A2 (en) | 2009-12-04 | 2010-11-10 | Advanced step therapy delivery for an ambulatory infusion pump and system |
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Publication Number | Publication Date |
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JP2013512732A JP2013512732A (ja) | 2013-04-18 |
JP6261864B2 true JP6261864B2 (ja) | 2018-01-17 |
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JP2012542037A Expired - Fee Related JP6261864B2 (ja) | 2009-12-04 | 2010-11-10 | 携帯式輸液ポンプおよびシステム用の高度ステップ治療送達 |
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Country | Link |
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US (4) | US8882701B2 (ja) |
EP (2) | EP2506894A4 (ja) |
JP (1) | JP6261864B2 (ja) |
KR (1) | KR20120116955A (ja) |
CN (2) | CN108704190A (ja) |
AU (1) | AU2010326338B2 (ja) |
CA (1) | CA2782673C (ja) |
WO (1) | WO2011068647A2 (ja) |
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EP4035708A1 (en) | 2022-08-03 |
EP2506894A4 (en) | 2015-05-13 |
US20220016342A1 (en) | 2022-01-20 |
AU2010326338A1 (en) | 2012-06-21 |
JP2013512732A (ja) | 2013-04-18 |
CA2782673C (en) | 2014-10-14 |
CA2782673A1 (en) | 2011-06-09 |
WO2011068647A2 (en) | 2011-06-09 |
US10016559B2 (en) | 2018-07-10 |
US20110137239A1 (en) | 2011-06-09 |
KR20120116955A (ko) | 2012-10-23 |
US8882701B2 (en) | 2014-11-11 |
CN102753215A (zh) | 2012-10-24 |
US11090432B2 (en) | 2021-08-17 |
CN108704190A (zh) | 2018-10-26 |
US20150045770A1 (en) | 2015-02-12 |
EP2506894A2 (en) | 2012-10-10 |
AU2010326338B2 (en) | 2016-05-19 |
WO2011068647A3 (en) | 2011-09-09 |
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