TWI423060B - 基於計算之需求以提供醫學處理治療的方法和裝置 - Google Patents
基於計算之需求以提供醫學處理治療的方法和裝置 Download PDFInfo
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Description
本發明大體上關於一種基於計算需求以提供一醫學處
理給一病患的醫學處理裝置,且更特別地關於一種用以傳
送由一病患的生理及/或環境狀況所自動觸發及控制的一醫
學處理給一病患的醫學處理管理系統。
對於許多類型的醫學處理而言,該處理的影響及最終
用處視該病患對該處理的忍受度及感應度而定。這類量測
有助於醫生正確且有效地處理病患。然而時至今日,提供
給病患的大部分醫學處理係根據物件量測,而非根據特定
的主體或是主體的環境之實際量測。
例如,用於許多藥物治療的典型醫學處理參數係根據
一般性的全天候系統來提供。在該全天候系統下,該醫學
工業已知再出現植物及動物典型生物功能的時間約相隔24
小時。人類中,生理時鐘係位在交叉視神經上的細胞核
(SCN)中,該視丘下部內發現的一群不同的細胞。該SCN控
制或協調人體中全天候的步調。典型地,一個人全天候的
步調係透過眼睛對光及經由松果體的黑色素分泌對黑暗的
交替作用來校準。
甚至,在一般人類組織中的細胞代謝及增殖顯示出類
似的步調,因而具有可預測的高峰及波谷的幅度及次數。
這類步調影響藥物藥理學、忍受度及最終用處。例如,已
考慮到該全天候步調影響包含癌症處理中忍受度及抗腫瘤
效果的抗癌醫藥的使用及效應。因此,在時間藥理學的干
預中,抗癌藥物係根據一標準全天候步調來傳送,尤其是
化療藥物。例如,藥物Floxuridine的傳送典型地係給予四
種劑量,每一種劑量隨一天中的時間而定:
早上9點到下午3點服用14%的劑量;
下午3點到下午9點服用68%的劑量;
下午9點到早上3點服用14%的劑量;以及
早上3點到早上9點服用4%的劑量。
大致上,傳送醫藥的時間是由醫生客觀地配合病患的
代謝變化來選擇。然而,全天候的步調只是病患代謝變化
的一種估計,並非根據實際的病患代謝。因此,該醫藥傳
送是否真的配合病患實際的代謝既未被評量也未被決定。
此外,不同的醫學處理具有不同的最佳服藥時間數據
圖表。例如,不同的抗腫瘤藥物典型地是在不同的時間服
用:藥物Epirubicin及Daunorubicin典型地是在光療後的2
小時服用;藥物Cyclophasphamide典型地是在光療後的12
小時服用;藥物Cisplatin典型地是在光療後的15小時服用
;以及藥物Vinblastine典型地是在光療後的18小時服用。
如所示,不同藥物具有不同的作用機制。
然而,其它因素也可能影響到正確的醫學處理。例如
,一般組織的最低感應度被認為跟影響藥物代謝(例如,麩
胺酸)之酵素位準有關。這些變數的整體驅動器被認為是病
患的休息-活動週期。因為這些效應,已知實驗室老鼠的研
究應以一12小時光亮及12小時黑暗週期的動物為主。
然而,已知不同病患及有關癌症的處理,即使是不同
腫瘤,並不是全為相同的全天候週期。如此,至少具有二
種型態,其一需要在全天候治療時最佳化:(1)該腫瘤的高
峰感應度;以及(2)一般組織的最小感應度。
標準的時間藥理的干預藉由控制服藥時間及劑量以利
用藥物忍受度中的全天候步調優點。因此,可減少毒性效
應並改善病患的生活品質。甚至,包含化療的許多藥物,
藉由在最少毒素的全天候時間給予較高的最大容忍劑量,
可獲得存活率的改善。然而,如上述,跟隨標準全天候系
統提供醫學處理具有許多缺點。
因此,個人性地決定、觸發及控制一特定病患的醫學
處理傳送的方法及機制係為高度期待的。
本發明用以提供醫學處理治療之方法及裝置係根據實
際資料以計算一策略性控制。大體上,本發明之系統包括
一醫學元件、一耦接至該醫學元件之控制演算法及一感測
元件。
根據本發明之一型態,該感測元件自動地接收一信號
並傳送該信號至該控制演算法。該控制演算法處理自該感
測元件所接收之信號,以決定是否應將該醫學處理傳送給
病患。根據所處理信號的結果,該控制演算法發展一回饋
控制以控制給病患的醫學處理之傳送。
根據本發明之另一型態,一醫學裝置係提供以傳送一
處理給病患。該醫學裝置包括具有一醫學處理之醫學元件
及一電性連接至該醫學元件之控制器。該控制器其內儲存
有一控制演算法以動態處理自一感測元件所接收到之信號
。該控制演算法根據處理該信號的結果發展一回饋控制以
決定是否應將醫藥從該醫學元件傳送給病患並提供該回饋
控制給該醫學元件以控制給該病患的醫學處理的傳送。
根據本發明之另一型態,該感測器係耦接至一病患以
接收來自該病患有關該病患生理狀況的資訊。自該感測器
接收之資訊被傳送至該控制演算法,且該資訊被處理以控
制從該醫學元件至該病患的醫藥傳送。
根據本發明之另一型態,有關病患生理狀況的信號係
從下列構成之族群中選出:該病患心跳率、該病患體溫、
該病患活動力、該病患代謝需求、該病患細胞代謝及該病
患增殖。
根據本發明之另一型態,該感測器接收來自該病患環
境的一信號。該感測器傳送該信號至該處理器,其中該處
理器經過一段時間後根據該信號的計算來調整來自該醫學
元件給該病患之醫學處理配置。
根據本發明之另一型態,用以傳送一醫學處理至一病
患之醫學處理管理系統包括一醫學元件及一第一感測器。
該醫學元件具有一處理器以在經過一段時間後根據一來自
該感測器之信號調整給該病患之醫學處理配置。耦接至該
處理器之第一感測器接收來自該病患有關該病患生理狀況
之信號並傳送該信號至該處理器。該處理器接著處理所接
收的信號以調整來自該醫學元件的醫學處理配置。
根據本發明之另一型態,該醫學處理管理系統又包括
一耦接至該處理器之第二感測器。該第二感測器根據該病
患環境狀況得到一信號並傳送該信號至該處理器。根據給
予該病患之特定醫學處理,該處理器要求該第一感測器及
第二感測器其中之一的信號。
根據本發明之另一型態,該處理器要求來自該第一感
測器及第二感測器兩者的信號,且該處理器處理上述信號
並根據所處理信號的累計結果調整來自該醫學元件之醫學
處理配置。
根據本發明之另一型態,該感測器接收來自該病患有
關該病患生理狀況的複數個信號並傳送該些信號至該處理
器。該處理器接收該些信號,處理該些信號並根據所處理
信號的累計結果調整來自該醫學元件之醫學處理配置。
根據本發明之另一型態,該醫學處理管理系統又包括
一第二醫學元件,以傳送一醫學處理給該病患。該處理器
接收來自該第二感測器的一信號、處理該第二信號並調整
從該第二醫學元件給該病患的醫學處理配置。
根據本發明之另一型態,該醫學裝置包括一用以給予
一病患一醫學處理之可程式醫學元件及一控制器。該可程
式醫學元件具有一用以輸入用於該可程式醫學元件之控制
命令之第一輸入元件,而該控制器具有一用以輸入用於該
控制器之控制命令之第二輸入元件。該輸入元件可位於相
同地點,或者,一或更多輸入元件可位於一相同或不同的
遠端地點。
根據本發明之另一型態,本發明感測元件包括一耦接
至該病患之生命現象監視器。該生命現象監視器自該病患
得到一第一信號並傳送一第二信號至該控制器。
根據本發明之另一型態,該感測元件包括一耦接至該
病患之活動感測器。該活動感測器自該病患得到一第一信
號並傳送一第二信號至該控制器。
根據本發明之另一型態,該感測元件根據該病患的細
胞代謝得到一信號。
根據本發明之另一型態,該感測元件根據該病患的細
胞增殖得到一信號。
根據本發明之另一型態,該感測元件包括一耦接至該
控制器之光感測器,該光感測器根據環境光得到一第一信
號並將一第二信號送至該控制器。
根據本發明之另一型態,該感測元件及具有該控制演
算法之控制器係一積分元件。
根據本發明又一型態,提供一方法以提供一病患醫學
處理。該醫學處理的傳送可被該病患的一或更多生理或環
境狀況所觸發。
本發明之其它特徵及優點從結合圖式所產生的下列說
明中顯而易見。
在本發明係可以有許多不同形式之實施例時,在圖式
中所示並配合對本發明揭示係被視為本發明原理的一範例
而不是要限制本發明廣大型態至所示實施例的了解,在此
將述於本發明較佳實施例的詳細說明中。
現在詳細參考圖式,所示為一醫學處理管理系統10,
其使用一醫學處理傳送控制以根據該特定病患狀況及/或該
特定病患環境的變化來配置該醫學處理。如第1圖所示,
該醫學處理管理系統10的一實施例包含一醫學元件12、一
耦接至該醫學元件12之控制演算法26及一耦接至該病患
18之感測器16。該醫學元件可以是各種元件之一,包含但
不限於注射泵、通氣管、胰島素傳送元件及麻醉傳送元件
,然而,一熟知此項技術之人士將了解可使用不偏離本發
明範圍之其它醫學元件。另外,該醫學元件12可以是可程
式化的。
在一實施例中,第9圖所示之一注射泵20係使用做為
給予該病患18一液態藥劑之醫學元件12。典型地,該醫學
元件12具有一醫藥供應器(未顯示)及一用以傳送該醫藥(未
顯示)給病患18之機制。利用該注射泵20,該醫藥供應器
典型地係為一保留於一注射器或IV型袋子中之液態藥劑。
又,利用該注射泵20,用以傳送該醫藥之機制包含一液態
注射元件,常為一適合連接至該病患的中空針或導管、一
連接至該液態注射元件之導管或管子、一用以透過該導管
抽取該液態藥劑及透過該液態注射元件注射至該病患之泵
機構及一用以控制該泵機構之控制器。然而,當使用其它
類型醫學元件時,該醫學處理及用以傳送該處理之機制有
可能會改變以配合該特定醫學元件。例如,一通氣管提供
氧氣給該病患,一胰島素傳送機構傳送胰島素給該病患及
一麻醉元件提供麻醉氣體或麻醉藥劑給該病患,各具有正
確的傳送機制。
在第1圖所示之實施例中,該感測器16係耦接至該病
患18並接收來自該病患有關該病患18生理狀況的資訊。
如一熟知此項技術之人士所了解的,這類生理狀況可包含
但不限定於該病患心跳率、該病患體溫、該病患血壓、該
病患活動程度、該病患細胞代謝、該病患細胞增殖、該病
患代謝需求、該病患食物吸收及該病患SpO2
位準等等。所
了解之這類因素及一熟知此項技術之人士所熟知之其它因
素將觸發該醫學狀況處理中之個人在用於該醫學處理配置
,尤其是藥物治療之事件。又,該感測元件可包括一用以
接收一人工輸入的輸入元件。該人工輸入可由一健康醫療
提供者或該病患來提供。一病患提供用於該感測元件之輸
入例為該醫學元件12係為一胰島素傳送機構的地點。如此
,該病患可提供輸入給該感測器以指示該病患所消耗的食
物類型。
在一實施例中,許多感測器16被包括於一可攜式多參
數生理監視器(未顯示)中,以持續不斷地監視該病患的某些
身體參數。該監視器具有感測器16,包含:心電圖(EKG)電
極、一擴胸感測器、一加速計、一胸部麥克風、一氣壓計
感測器、一體溫感測器及一環境溫度感測器。各感測器提
供一輸出信號至一類比至數位轉換器(ADC)。
在這類實施例中,該感測器16可提供於一體帶(未顯
示)中,其可包括一其上配置各種感測器及支援的電子元件
之胸帶。(那些熟知此項技術之人士會了解一多參數監視元
件也可利用一帶子安裝於該胸部以外的身體某一部分)。該
胸帶係適用於環繞病患18的軀幹。
各種參數感測器16係位在該帶子成為最適合用以偵測
參數(或各參數)。每一個感測器16如習知信號處理所熟知
地提供一電性輸入給過濾及放大該感測器信號的類比電路
,並將它們輸出至可以是控制器硬體一部分的一類比至數
位轉換器。帶中的感測器可為下列:一掛胸前溫度感測器
,以感測該病患胸部的表面溫度;氣壓計的壓力感測器,
以感測該病患四周環境的氣壓;胸部舒張(通氣管)感測器,
以偵測該胸帶上的張力做為該病患胸部舒張及收縮的一指
標;加速計,以偵測該病患身體移動及傾斜;環境溫度感
測器,以感測該病患四周環境的溫度;麥克風,以偵測來
自該病患軀幹內部的聲音;腋下溫度感測器,以感測該病
患軀幹手臂下邊的溫度;及,心電圖電極,以偵測由心臟
肌肉動作所引起的電性信號。該心電圖電極係用以配合接
地或參考電極並被放置以接觸該病患胸部皮膚,以偵測由
該病患心臟肌肉的唧筒運動所產生的電性信號。該EKG(心
電圖)係為醫學領域所熟知的病患心臟活動的指標。
同時,如第1圖所示,除了感測器16,還可提供感測
器17或以感測器17取代感測器16。感測器17得到有關該
病患18環境的資訊。典型地,該感測器16、17分別自動
得到有關該病患的生理狀況及/或該環境狀況的信號,而沒
有來自該病患18的介入。根據該控制演算法26所需的資
訊,多感測器16、17可被先後或同時(第1、4、7及8)使用
。
該感測器16、17可以是能夠接收一信號(也就是,資訊
)的任何元件,不論是來自例如一有關該個人心跳率、體溫
、血壓、活動程度、細胞代謝、細胞增殖、代謝需求、
SpO2
位準、等等個人16的信號,或根據一例如該環境溫度
、環境光狀況、等等的環境狀況信號。如第4及5圖所示
,這類感測器16、17可包含但不限於生命現象監視器、血
壓監視器、光感測器、環境感測器及活動感測器。此外,
如第6圖所示,並非一獨立元件,該感測器16、17可與該
控制器28整合一起。
自該感測器16、17所接收之信號係電性傳送至一控制
演算法26。如第2、3及6圖所示,該控制演算法26可為
該控制器28(也稱之為一處理器)的一部分。此外,如第3
圖所示,該控制器28可以是該醫學元件12的一子件。根
據給予該病患18的特定醫學處理,該控制演算法26會要
求來自一或更多感測器16、17之信號。在了解到一病患的
休息-活動或代謝週期可利用測量包含血細胞計數、皮質醇
的電漿或血清濃度、肝酵素及肌酸之各種成分做侵入性決
定時,其它方法也是可行的。例如,一病患的休息-活動或
代謝週期也可利用該病患的生命現象或活動做非侵入性測
量。此外,已發現,一病患的體溫在晚上會下降,而一病
患的心跳率當該病患正在休息時會下降。為此,這類信號
係由該感測器16、17偵得,且這類資訊被傳送至該控制演
算法26做處理。
了解到,該控制演算法26用於每一個不同醫學處理是
有可能不同的,又再進一步了解到,該控制演算法26用於
不同的病患可以是不同的,即使是用於相同的醫學處理。
一控制演算法26例係示於第10圖。如第10圖所示,該控
制演算法26係用以控制對一病患的醫學傳送做為該病患18
的心跳率函式。在本實施例中,該控制演算法26接收一來
自該感測器16之一病患心跳率信號。該控制演算法26經
由比較該信號與該最大心跳率來處理該信號30。若該心跳
率信號係小於該最大心跳率信號,該控制演算法發展一回
饋控制32以減少該注射泵12的注射率約2%。若該心跳率
信號未小於該最大心跳率信號,該控制演算法再決定該注
射治療是否已完成。若該注射治療尚未完成,回饋控制32
被提供以繼續注射。該心跳率信號的額外處理30接著被繼
續。若該注射治療已完成,回饋控制32被提供以停止該注
射泵12。
在該控制演算法26接收該傳送信號24後,它透過該
控制演算法26處理30信號且所致的回饋控制32被發展。
若多信號自複數個感測器被要求並接收,每一個需求信號
透過該控制演算法26處理成程式化,且所致的回饋控制32
被發展。該回饋控制32操作為一用於該醫學元件12的控
制信號以控制或調整給病患的該醫學處理傳送。
上述係經由傳送已被該控制演算法26所發展的回饋控
制32至該醫學元件12來完成。該回饋控制32提供該醫學
元件12操作用的命令。該回饋控制32典型地提供二信號
或命名其中之一至該醫學元件12:傳送36醫學處理至該病
患18或不傳送38醫學處理至該病患。若該回饋控制32提
供一信號以傳送36該醫學處理,它也可提供一信號至該醫
學元件以指示提供給該病患18的處理量及速率。這類信號
可包含增加或減少該醫學傳送速率。
如第7圖所示,多醫學元件12a、12b可被運用以傳送
36醫學處理給該病患18。該特定醫學處理可為相同的,也
可只是服用劑量不同,或每一醫學元件12a、12b可傳送一
不同醫學處理給該病患18。再者,如第7圖同時顯示的,
獨立控制演算法26a、26b可被分別運用於每一醫學元件
12a、12b。第7圖實施例運用二不同控制演算法26a、26b
及許多感測器16a、16b及17。感測器16a、17傳送24信
號至控制演算法26a,其根據傳送36給該病患18的處理可
處理30來自該感測器16a、17之一或兩者的信號,以發展
所致的回饋控制32a。感測器16b傳送24一信號至類似處
理30該信號並發展所致的回饋控制32b的控制演算法26b
。回饋控制32a被送至該第一醫學元件12a以控制給該病
患18的醫學處理傳送36a,而回饋控制32b被送至該第二
醫學元件12b以控制給同一病患18的醫學處理傳送36b。
相反地,如第8圖所示,一控制演算法26可控制多醫
學元件12a、12b。在本實施例中,一控制演算法26配合複
數個感測器16a、16b及17被運用。感測器16a、16b及17
傳送24信號至該控制演算法26,其根據傳送36給該病患
18的處理可處理30來自該感測器16a、16b及17之一或更
多的信號,以發展一或更多所致的回饋控制32a、32b。回
饋控制32a被送至該第一醫學元件12a以控制給該病患18
的醫學處理傳送36a,而回饋控制32b被送至該第二醫學元
件12b以控制給同一病患18的醫學處理傳送36b。據上述
,在本實施例中,用於該第一醫學元件12a之控制演算法
26係同於用於該第二醫學元件12b之控制演算法26。
因為該醫學處理裝置10可配合不同處理治療來運用,
該控制演算法26大致上於每一不同處理治療會被修改或改
變。如此,如第1及2圖所示,一輸入元件42大致上被提
供以調整並設定該控制演算法26的控制參數44。該輸入元
件42可被耦接至該控制器28或直接耦接至該控制演算法
26。在該控制演算法26可以是人工輸入時,它也可主動自
一資料庫或網路下載。
再者,如第1圖所示,該醫學元件12也可具有一用於
其上的輸入元件48。用於該醫學元件12的輸入元件48允
許一使用者,典型地為一經授權的臨床醫生輸入控制命令
50以調整或設定用於該醫學元件12的控制參數。在另一實
施例中,用於該醫學元件12的輸入元件係相同於用於該控
制器/控制演算法之輸入元件。
如第2圖所示,一遠端控制器46(也就是,一遠端輸入
元件)可被提供以遠端調整或設定該控制演算法26及/或控
制器28的控制參數。轉讓給本發明受讓人的美國專利號
5,885,245在其它事物中揭示一遠端控制器,在此特別整合
參考之並成為本說明的一部分。該遠端控制器46係置於遠
離該醫學元件12所在(也就是第一地點)之房室地點的一房
室地點(也就是一第二地點)。該遠端控制器46可被置於該
醫學元件12所在之相同建築物中的一不同房室或一與該醫
學元件12所在地點不同的建築物中。該遠端控制器46透
過一資料連結54連接至一傳統語音/資料數據機52,而該
數據機52同時也透過一語音連結58連接至一電話56。該
醫學元件12透過一資料連結62連接至一傳統語音/資料數
據機60,而該數據機60透過一語音連結66連接至一電話
64。該二數據機52、60透過一例如一電話線之通訊連結68
互連至雙向語音及數據通訊。此外,該遠端控制器46可透
過一外部網路、一內部網路與一無線網路來與該控制演算
法26通訊。甚至,該遠端控制器26可以是一伺服器。
特定實施例已經過圖示及說明,可明瞭在不偏離本發
明精神下會出現許多修改,而保護範圍只由後附申請專利
範圍所限制。
10 醫學處理管理系統
12、12a、12b 醫學元件
16、16a、16b、17 感測器
18 病患
20 注射泵
26、26a、26b 控制演算法
28、46 控制器
42、48 輸入元件
52、60 數據機
56、64 電話
(一)圖式部分
為了解本發明,現在將藉由例子參考附圖來說明,其
中:
第1圖係一本發明醫學處理管理系統方塊圖;
第2圖係一包含遠端控制的第1圖醫學處理管理系統
的一變化例方塊圖;
第3圖係第1圖醫學處理管理系統的另一變化例方塊
圖,包含其中該控制器係為該醫學元件的一子件;
第4圖係一包含各種感測元件的第1圖醫學處理管理
系統的另一變化例方塊圖;
第5圖係一包含各種感測元件的第1圖醫學處理管理
系統的另一變化例方塊圖;
第6圖係一包含該控制器及該感測元件係為一積分元
件的第1圖醫學處理管理系統的另一變化例方塊圖;
第7圖係一包含複數個醫學處理元件的第1圖醫學處
理管理系統的另一變化例方塊圖;
第8圖係一包含一用於複數個醫學處理元件之處理器
的第7圖醫學處理管理系統的另一變化例方塊圖;
第9圖係一本發明所使用之一注射泵的一實施例前視
圖;以及
第10圖係一本發明之控制演算法其中一種型態的方塊
圖。
無
Claims (33)
- 一種用以提供醫藥給一病患的醫學處理裝置,包括:一具有一醫藥供應器及一用以傳送該醫藥給該病患的機制之醫學元件、一耦接至該醫學元件之控制演算法及一耦接至一病患以接收來自該病患有關該病患生理狀況之資訊之感測器,該資訊係自該感測器傳送至該控制演算法,以及另一個感測器,其從病人的環境接收環境資訊,該環境資訊係傳送至該控制演算法,其中該控制演算法係處理由連接至該病人的感測器及接收環境資訊之感測器而來之資訊,以控制來自該醫學元件至該病患之醫藥傳送。
- 如申請專利範圍第1項之醫學處理裝置,又包括一用以調整該控制演算法參數之輸入元件。
- 一種用以傳送一處理給一病患之醫學裝置,包括:一具有一醫學處理之醫學元件及一電性連接至該醫學元件之控制器,該控制器動態處理一接收自一連接至該病患之第一感測元件之第一信號,以及接收自第二感測元件之第二信號,該第二信號係有關於該病人之環境資訊,該控制器根據處理該第一信號與第二信號的結果而發展一回饋控制,以決定是否應將醫藥自該醫學元件傳送給該病患,並提供該回饋控制至該醫學元件,以控制給該病患之醫學處理傳送。
- 如申請專利範圍第3項之醫學裝置,又包括一電性連接至該控制器之控制演算法,其中,該控制演算法處理自該感測元件所接收之信號,且其中,該控制演算法根據用 以傳送醫藥至該病人之信號處理結果發展一回饋控制。
- 如申請專利範圍第4項之醫學裝置,其中,用於該控制器之控制演算法係下載至該控制器。
- 如申請專利範圍第3項之醫學裝置,其中,該醫學元件具有一將傳送給該病患之醫藥供應器。
- 如申請專利範圍第3項之醫學裝置,其中,該第一信號係自動從該病患的一生理狀況中得到而無來自該病患的干預。
- 如申請專利範圍第3項之醫學裝置,其中,該第二信號係主動自該第二感測元件中得到而無來自該病患的干預。
- 如申請專利範圍第3項之醫學裝置,其中,該控制器為該醫學元件的一子件。
- 如申請專利範圍第3項之醫學裝置,又包括一耦接至該控制器之輸入元件,提供上述輸入元件以允許一經授權使用者操縱該控制演算法。
- 如申請專利範圍第10項之醫學裝置,其中,該輸入元件為位在一不同於一第一地點的一第二地點所在的一遠端控制器,且其中,該醫學元件係位在該第一地點。
- 如申請專利範圍第3項之醫學裝置,其中,該第一感測元件包括一耦接至該病患之生命現象監視器,該生命現象監視器自該病患得到一信號。
- 如申請專利範圍第3項之醫學裝置,其中,該第一感測元件包括一耦接至該病患之活動感測器,該活動感測 器自該病患得到一信號。
- 如申請專利範圍第3項之醫學裝置,其中,該第二感測元件包括一耦接至該控制器之光感測器,該光感測器根據該環境光得到一信號。
- 如申請專利範圍第3項之醫學裝置,其中,該第二感測元件包括一耦接至該控制器之環境感測器,該環境感測器根據該病患環境之一環境因素得到一第一信號並傳送一第二信號至該控制器。
- 一種用以傳送一醫學處理給一病患之醫學處理管理系統,包括:一醫學元件,用以傳送一醫學處理給一病患,該醫學元件具有一處理器以在經過一段時間後調整給該病患之醫學處理配置;及一耦接至該處理器之第一感測器,該第一感測器接收一來自該病患有關該病患生理狀況之信號並傳送該信號至該處理器,一連接至該病患環境之第二感測器,該第二感測器接收自病患環境的一信號並且傳送該信號至該處理器,該處理器係接收來自第一與第二感測器之信號並且處理該些信號以調整來自該醫學元件的醫學處理配置。
- 如申請專利範圍第16項之醫學處理管理系統,其中,該第一感測器為一輸入元件,用以接收人工輸入。
- 如申請專利範圍第17項之醫學處理管理系統,其中,該病人提供該人工輸入。
- 如申請專利範圍第16項之醫學處理管理系統,其中 ,該生理狀況係選自下列所構成之族群:該病患心跳率、該病患體溫、該病患活動力、該病患代謝需求、該病患細胞代謝及該病患細胞增殖。
- 如申請專利範圍第16項之醫學處理管理系統,其中,該處理器具有一控制演算法,用以從該第一與第二感測器其中至少之一者處理該信號。
- 如申請專利範圍第16項之醫學處理管理系統,又包括一用以控制該處理器之輸入元件。
- 如申請專利範圍第16項之醫學處理管理系統,其中,根據將給予該病患之特定醫學處理,該處理器處理來自該第一感測器及第二感測器其中之一的信號。
- 如申請專利範圍第16項之醫學處理管理系統,其中,根據將給予該病患之特定醫學處理,該處理器處理來自該第一感測器及第二感測器兩者的信號,且其中,該處理器根據所處理信號的累計結果調整來自該醫學元件之醫學處理配置。
- 如申請專利範圍第16項之醫學處理管理系統,其中,該第一感測器接收來自該病患有關該病患生理狀況的複數個信號並傳送該些信號至該處理器,且其中,該處理器接收該些信號,處理該些信號並根據所處理信號的累計結果調整來自該醫學元件之醫學處理配置。
- 如申請專利範圍第16項之醫學處理管理系統,其中,該第一感測器包含一用以監視該病患體溫並發展一用以送至該處理器之信號之活動感測器,及一用以監視該病患 心跳率並發展一用以送至該處理器之信號的生命現象監視器,並且其中,根據將給予該處理器之特定醫學處理,該處理器要求來自該活動監視器及該生命現象監視器其中之一的信號。
- 如申請專利範圍第17項之醫學處理管理系統,又包括一第二醫學元件,以傳送一醫學處理給該病患,其中,該控制演算法接收來自該第一感測器之信號,處理該信號並調整自該第二醫學元件給該病患之醫學處理配置。
- 如申請專利範圍第26項之醫學處理管理系統,其中,用於該第一醫學元件的控制演算法係不同於用於該第二醫學元件的控制演算法。
- 一種用以傳送一醫學處理給一病患之醫學處理管理系統,包括:一醫學元件,以傳送一醫學處理給一病患;一耦接至該醫學元件之電子處理器;及一耦接至該處理器之感測器,該感測器接收來自該病患環境之一信號,該感測器再傳送該信號至該處理器,其中,該處理器在經過一段時間後基於該信號的一計算調整自該醫學元件給該病患之醫學處理配置。
- 一種用以提供用於一病患之醫學處理之方法,包括下列步驟:提供一醫學處理元件;提供一控制演算法;提供一第一感測器; 提供一第二感測器;運用該第二感測器以測量該病患環境之至少一個環境參數,並且傳送該測量後環境參數至該控制演算法;運用該第一感測器以測量該病患的一生理參數狀況,傳送該測量生理狀況參數至該控制演算法;及輸入該測量生理狀況參數以及該環境參數至該控制演算法,發展一結果,根據來自該控制演算法之結果發展回饋控制及根據該回饋控制操縱該醫學處理元件以傳送處理給該病患。
- 如申請專利範圍第29項之用以提供醫學處理給一病患之方法,又包括:提供一用於該控制演算法之輸入元件及操縱該輸入元件以修改該控制演算法。
- 如申請專利範圍第29項之用以提供醫學處理給一病患之方法,其中,該醫學處理元件為一注射泵。
- 一種用以提供用於一病患之醫學處理的方法,其中該醫學處理之傳送係由一或更多個環境狀況所觸發,包括下列步驟:提供一醫學處理元件;提供一控制演算法;提供一感測器;及運用該感測器以測量該病患環境的一環境狀況,傳送該測量狀況至該控制演算法並輸入該測量狀況至該控制演算法,發展一結果,根據來自該控制演算法之結果發展回 饋控制及根據該回饋控制操縱該醫學處理元件以傳送處理給該病患。
- 如申請專利範圍第32項之用以提供醫學處理給一病患之方法,又包括:提供一用於該控制演算法之遠端輸入元件及操縱該輸入元件以修改該控制演算法。
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- 2002-12-05 JP JP2003559581A patent/JP4610901B2/ja not_active Expired - Fee Related
- 2002-12-05 AU AU2002351242A patent/AU2002351242B2/en not_active Ceased
- 2002-12-05 CA CA2472007A patent/CA2472007C/en not_active Expired - Fee Related
- 2002-12-11 TW TW091135804A patent/TWI423060B/zh not_active IP Right Cessation
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2003
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2005
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US20030125662A1 (en) | 2003-07-03 |
TW200302427A (en) | 2003-08-01 |
AU2002351242B2 (en) | 2008-06-19 |
US20050182355A1 (en) | 2005-08-18 |
JP2009101243A (ja) | 2009-05-14 |
JP2006503596A (ja) | 2006-02-02 |
CA2472007A1 (en) | 2003-07-24 |
US8545435B2 (en) | 2013-10-01 |
CA2472007C (en) | 2011-11-01 |
WO2003059421A1 (en) | 2003-07-24 |
AR038264A1 (es) | 2005-01-12 |
AU2002351242A1 (en) | 2003-07-30 |
JP4610901B2 (ja) | 2011-01-12 |
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