TWI797359B - 用於提供更新資料至輸液幫浦之系統及方法 - Google Patents

用於提供更新資料至輸液幫浦之系統及方法 Download PDF

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TWI797359B
TWI797359B TW108125227A TW108125227A TWI797359B TW I797359 B TWI797359 B TW I797359B TW 108125227 A TW108125227 A TW 108125227A TW 108125227 A TW108125227 A TW 108125227A TW I797359 B TWI797359 B TW I797359B
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network
infusion pumps
update
update data
channel
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TW202006739A (zh
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班 哈維爾
丹尼斯 克雷伯
賴瑞 恩格
柴塔尼亞 朵斯薩爾
安東尼 伊森澤
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美商Ｉｃｕ 醫學公司
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Abstract

一分散式系統將更新資料提供至一臨床環境內之複數個輸液幫浦。一連接配接器經由該臨床環境外部之一網路而接收針對輸液幫浦之藥物庫更新或操作軟體更新。該連接配接器快取更新資料區塊且使經更新資料區塊經由該臨床環境內之一網路錯開地流式傳輸至該等輸液幫浦。

Description

用於提供更新資料至輸液幫浦之系統及方法
本發明係關於臨床訊息傳遞之領域，且更特定而言，係關於在各種網路環境內及跨越各種網路環境促進臨床訊息傳遞之技術。
現代醫療照護通常涉及使用醫療輸液幫浦將流體及/或流體藥遞送至患者。輸液幫浦准許將流體受控制地遞送至一患者且提供靈活但受控制之遞送排程。輸液幫浦內之藥物庫提供與流體遞送有關之某些限制。輸液幫浦可與經組態以管理個別輸液幫浦之藥物庫更新及操作軟體更新之一伺服器通信。
本文中闡述用於促進與一臨床環境及一雲端環境之通信以及跨越一臨床環境及一雲端環境之通信之各種技術。此等技術可包含：將幫浦訊息轉換成標準化資料集訊息(本文中亦簡稱為「訊息」)；更新藥物庫；更新幫浦操作軟體；偵測健康狀態參數；發送健康狀態參數；以及其他。下文參考圖1至圖9B更詳細地闡述此等及其他實施例。儘管該等實例中之諸多實例係在包含輸液幫浦之一醫院環境之脈絡中闡述，但本文中所闡述之技術可應用於包含其他醫療裝置(例如，經組態以顯示血壓、心 率、血氧等之患者照護監測器)或非醫療裝置或者其任何組合之任何網路環境。
一分散式系統可包含在一臨床環境外部之一伺服器以及在該臨床環境內之一連接配接器及複數個輸液幫浦。該連接配接器可自該伺服器接收將遞送至該等輸液幫浦的一更新(諸如一藥物庫更新或一操作軟體更新)之一位置。該位置可經由一網路之一第一訊息傳遞通信通道而接收，且該更新資料可經由該網路之一第二資料通信通道而接收。該更新資料可儲存於該連接配接器處，使得該更新資料可發送至該等輸液幫浦。
一系統可包含在一臨床環境中之複數個輸液幫浦及一連接配接器。該連接配接器可接收更新資料，諸如一藥物庫更新或一操作軟體更新，且可將更新資料儲存於臨床環境內。該連接配接器可將該更新資料發送至已請求更新之預定數目個輸液幫浦。該等輸液幫浦之至少兩個子組可在大約相同時間接收該更新資料之不同區塊。此外，可在大約相同時間將相同或不同更新資料提供至該等輸液幫浦。
一分散式系統可包含在一臨床環境外部之一伺服器以及在該臨床環境內之一連接配接器及複數個輸液幫浦。該連接配接器可監測量測連接配接器之效能品質之微服務。若效能低於一臨限位準，則可將指示不良效能之一訊息發送至該伺服器。當在一預定時間週期內尚未發送與不良效能有關之一先前訊息時，可發送該訊息。
100:實例性網路環境/系統
102:臨床環境
104:網路
106:雲端環境
202:臨床IT系統/組件
204:輸液幫浦/所選擇輸液幫浦/組件
206:連接配接器/組件
208:雲端使用者介面/組件
302:快取記憶體/區域URL快取記憶體
308:微服務
310:藥物庫更新訊息/訊息
312:輸液幫浦軟體更新訊息/訊息/輸液幫浦操作軟體更新訊息
314:藥物庫更新訊息/訊息/更新訊息
316:軟體更新訊息/輸液幫浦軟體更新訊息/訊息/更新訊息
318:健康請求訊息
322:記憶體/儲存裝置
324:通信引擎/輸液幫浦通信引擎
326:馬達控制器單元/健康請求訊息/輸液幫浦馬達控制器單元
328:健康狀態訊息/狀態訊息/訊息
330:裝置狀態管理器
332:入站佇列/佇列/訊息佇列
334:出站佇列/佇列/出站訊息佇列/訊息佇列
336:變換工作者
402:藥物庫管理器/模組
404:報告管理器/模組
406:裝置管理器/模組
408:資料流管理器/模組
410:雲端管理器/模組
412:資料分析器/模組
414:輸液幫浦軟體更新資料庫/操作軟體更新資料庫/資料庫/輸液幫浦操作軟體/更新/操作軟體更新/儲存裝置
416:藥物庫更新資料庫/資料庫/藥物庫更新/更新/儲存裝置
502:快取記憶體
504:出站佇列
506:健康請求訊息/訊息
508:藥物庫更新訊息/訊息
510:輸液幫浦操作軟體更新訊息/訊息/輸液幫浦軟體更新訊息
512:入站佇列
514:健康狀態訊息/訊息
600:實例性系統/所圖解說明系統/系統
602:方塊
604:方塊
608:方塊
610:方塊
612:方塊
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616:方塊
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624:方塊
626:方塊
628:方塊
630:方塊
632:方塊
634:方塊
636:方塊
650:實例性使用者介面/使用者介面
700:實例性程序/程序
702:方塊
704:方塊
706:方塊
708:方塊
710:方塊
712:方塊
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800:實例性程序/程序
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822:方塊
824:方塊
828:方塊
850:實例性輸液幫浦使用者介面/輸液幫浦使用者介面
860:實例性使用者介面/輸液幫浦使用者介面
870:實例性輸液幫浦使用者介面
880:實例性輸液幫浦使用者介面
900:實例性請求驅動之系統/所圖解說明系統/請求驅動之系統/系統
902:方塊
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906:方塊
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912:方塊
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950:實例性自我報告系統/所圖解說明系統/系統
952:方塊
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962:方塊
964:方塊
在隨附圖式之各圖中以實例方式而非限制方式圖解說明本文中所闡述之實施例，在隨附圖式中，相似元件符號指示類似元件。
圖1係一實例性臨床環境及一實例性雲端環境之一方塊 圖。
圖2係圖解說明一臨床環境之實例性組件之一方塊圖。
圖3係圖解說明一臨床環境之一輸液幫浦及一連接配接器之實例性組件之一示意圖。
圖4係圖解說明一雲端環境之實例性組件之一方塊圖。
圖5係圖解說明一雲端環境之一資料流管理器之實例性組件之一示意圖。
圖6係圖解說明用於減少藥物庫及操作軟體檔案至複數個輸液幫浦之傳送之一實例性系統之一方塊圖。
圖6A圖解說明用於對一軟體更新進行排程之一實例性使用者介面。
圖7係用以減少藥物庫及操作軟體檔案至複數個輸液幫浦之傳送之一實例性程序之一流程圖。
圖8係用以藉由一輸液幫浦而安裝藥物庫及操作軟體更新之一實例性程序之一流程圖。
圖8A圖解說明用於安裝一新藥物庫之一實例性使用者介面。
圖8B圖解說明用於安裝一操作軟體更新之一實例性使用者介面。
圖8C圖解說明用於在起始一操作軟體更新之前輸入適當憑證之一實例性使用者介面。
圖8D圖解說明用於向使用者通知操作軟體安裝之進度之一實例性使用者介面。
圖9A係圖解說明用以檢查連接配接器之狀態之一實例性請求驅動之系統之一方塊圖。
圖9B係圖解說明用以提供連接配接器之狀態之一實例性自我報告系統之一方塊圖。
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實例性網路環境之概述
圖1圖解說明實例性網路環境100，在該實例性網路環境中，臨床環境102經由網路104與雲端環境106通信。臨床環境102可包含一或多個健康照護設施(例如，醫院)。下文參考圖2更詳細地闡述臨床環境102之組件。網路104可係任何有線網路、無線網路或其組合。另外，網路104可係一個人區域網路、區域網路、廣域網路、空中下載廣播網路(例如，用於無線電或電視)、電纜網路、衛星網路、蜂巢式電話網路或其組合。舉例而言，網路104可係鏈接網路之一公開存取性網路，諸如網際網路。用於經由網際網路或其他前述類型之通信網路中之任一者而通信之協定及組件對於熟習此項技術者係熟知的，且因此本文中不進行更詳細闡述。舉例而言，臨床環境102及雲端環境106可各自在一或多個有線及/或無線私人網路上實施，且網路104可係一公用網路(例如，網際網路)，臨床環境102與雲端環境106經由該公用網路而彼此通信。雲端環境106可係經組態以與多個臨床環境通信之一基於雲端之平台。雲端環境106可包含 經由網路104作為web服務而遞送之服務之一集合。下文參考圖4更詳細地闡述雲端環境106之組件。
臨床環境之組件
圖2圖解說明臨床環境102，該臨床環境包含一或多個臨床IT系統202、一或多個輸液幫浦204及一或多個連接配接器206。此外，臨床環境102可經組態以提供雲端使用者介面208(例如，由雲端環境106產生及提供)。臨床IT系統202可包含經設計以管理設施之諸如醫療、行政、財務及法律問題以及對應服務處理等操作之一醫院資訊系統(HIS)。輸液幫浦204係經組態以將藥品遞送至一患者之一醫療裝置。連接配接器206係經組態以與臨床環境102之其他組件通信且亦代表臨床環境102之其他組件而與雲端環境106通信之一網路組件。在某些情形中，連接配接器206係具有有限儲存空間(例如，記憶體及/或持久性儲存裝置)之一網路器具。雲端使用者介面208可經由一瀏覽器應用程式、桌面應用程式、行動應用程式等而提供至臨床環境102中之一使用者。使用者可經由雲端使用者介面208而存取雲端環境106中所儲存之狀態報告及其他資料。
圖2中所圖解說明之組件202-208可與臨床環境102中之其他組件中之一或多者通信。舉例而言，臨床IT系統202及輸液幫浦204中之每一者可經由實體區域網路(LAN)及/或虛擬LAN(VLAN)與連接配接器206通信。組件202-208可經由區域網路之一訊息通道而在臨床環境102中傳遞訊息且可經由區域網路之一資料通道而在臨床環境102中傳遞資料。儘管圖2中未展示，但臨床環境102可包含促進臨床環境102之操作之其他醫療裝置及非醫療裝置。
臨床環境中之訊息傳遞之概述
圖3圖解說明由臨床環境102中之連接配接器206接收、儲存及傳輸之實例性訊息及資料。如圖3中所展示，輸液幫浦204可包含馬達控制器單元(MCU)326及通信引擎(CE)324以及儲存至少一或多個藥物庫及操作軟體之記憶體322。藥物庫包含用於可藉由輸液幫浦而遞送至患者之各種藥品之藥物遞送之界限。操作軟體可包含輸液幫浦之作業系統以及用於執行各種功能之其他軟體。每一類型之輸液幫浦及甚至相同類型之輸液幫浦之不同版本可與一不同作業系統一起操作。MCU 326可使用一不太強大處理器(例如，12MHz)，且CE 324可使用一更強大處理器(例如，400MHz)。
MCU 326可產生幫浦訊息且將幫浦訊息發送至CE 324以供儲存及傳輸至連接配接器206。在某些情形中，該等訊息各自與一訊息ID相關聯。一訊息ID可係一唯一識別符或一順序識別符。幫浦訊息可包含臨床資訊。CE 324可將此等幫浦訊息發送至連接配接器206。經由CE 324而發送至連接配接器206且由MCU 326產生之幫浦訊息可藉由變換工作者336而變換為一標準化資料集訊息(例如，連接配接器206用於與雲端環境106通信之訊息格式，有時在本文中簡稱為一訊息)。
CE 324亦可自連接配接器206接收指示更新(諸如對藥物庫之更新或對操作軟體之更新)可用之訊息，且可將訊息發送至請求該等更新(例如，更新資料)之連接配接器206。CE 324亦可自連接配接器206接收更新資料以供儲存於記憶體322中。更新資料可係藥物庫更新資料或可係操作軟體更新資料。操作軟體更新可包含一裝置組態、一網路組態、憑證、語言包、軟體更新影像、軟體更新修補程式、安全性更新等中之一或多者。更新資料可經由與用於發送或接收訊息之通信通道不同之一通信通 道而提供。
亦如圖3中所展示，連接配接器206可包含變換工作者336、裝置狀態管理器330、快取記憶體302、入站佇列332、出站佇列334及微服務308。變換工作者336可將自輸液幫浦204發送至連接配接器206之訊息變換為標準化資料集訊息。變換工作者336亦可將自連接配接器206發送至輸液幫浦204之訊息變換為可由輸液幫浦204使用之一訊息格式。
微服務308包含執行連接配接器206之操作內之特定服務功能之一或多個程式(例如，MS1、MS2、MS3...)。舉例而言，一微服務308可將訊息發送至出站佇列334，而另一微服務308可接收訊息且將訊息放置至入站佇列332中。除執行服務功能之外，一或多個微服務308亦可監測服務功能之特性。舉例而言，微服務308可監測與一服務功能之執行相關之參數，例如一佇列332、334或其他佇列之大小、潛時、記憶體使用、CPU時間等。當一或多個參數超過一臨限值時，連接配接器206可將參數提供至雲端環境106，或連接配接器206可基於來自雲端環境106之請求而提供參數。
入站佇列332接收且儲存來自雲端環境106之訊息以供由連接配接器206處理。舉例而言，入站佇列332可自雲端環境106接收一健康請求訊息318、一藥物庫更新訊息310及一輸液幫浦軟體更新訊息中之一或多者。健康請求訊息318可係對連接配接器206之健康或狀態之一請求。藥物庫更新訊息310可係針對與連接配接器206相關聯之輸液幫浦204之至少一部分的一藥物庫更新可用之通知。一輸液幫浦軟體更新訊息312可係針對與連接配接器206相關聯之輸液幫浦204之至少一部分的對操作 軟體之一更新可用之一通知。連接配接器206可包括一個以上入站佇列，使得(舉例而言)存在經由網路104自雲端環境106接收之訊息之至少一入站佇列332及經由區域網路自一或多個輸液幫浦204接收之訊息之至少另一入站佇列。入站佇列332中所儲存之訊息可與一或多個訊息識別符(ID)相關聯。一訊息ID可係一唯一識別符或一順序識別符。自雲端環境106接收之訊息可經由與網路104相關聯之一訊息通道而發送。
出站佇列334接收並儲存將自連接配接器206發送之訊息。舉例而言，出站佇列334可接收將經由網路104發送至雲端環境106之一健康狀態訊息328。出站佇列334亦可接收將經由區域網路發送至一或多個輸液幫浦之一藥物庫更新訊息314及一軟體更新訊息316。健康狀態訊息328可係指示連接配接器206之健康之一訊息且可包含來自微服務308之一或多個參數。藥物庫更新訊息314可係對一或多個輸液幫浦204的一藥物庫更新可用之一通知。軟體更新訊息316可係對一或多個輸液幫浦204的對操作軟體之一更新可用之一通知。連接配接器206可包括一個以上出站佇列，使得(舉例而言)存在將經由網路104發送至雲端環境106之訊息之至少一出站佇列334及將經由區域網路發送至一或多個輸液幫浦204之訊息之至少另一出站佇列。出站佇列334中所儲存之訊息可與一或多個訊息識別符(ID)相關聯。一訊息識別符可係一唯一識別符或一順序識別符。自連接配接器206發送至輸液幫浦204之訊息可經由與區域網路相關聯之一訊息通道而發送。
裝置狀態管理器330自雲端環境106接收藥物庫及操作軟體更新且將更新資料之區塊快取於快取記憶體302中。裝置狀態管理器330處理來自入站佇列332之所接收訊息且將訊息發送至出站佇列334以供傳 輸至雲端環境106或輸液幫浦204。自雲端環境106接收之資料可經由與網路104相關聯且獨立於網路104之訊息通道之一資料通道而發送。由於雲端環境中之資料通道獨立於雲端環境中之訊息通道，因此資料傳送不妨礙自連接配接器至雲端環境之臨床訊息傳遞。自快取記憶體302發送至輸液幫浦204之資料可經由與區域網路相關聯且獨立於與區域網路相關聯之訊息通道之一資料通道而發送。由於區域網路中之資料通道獨立於區域網路中之訊息通道，因此資料傳送不妨礙自輸液幫浦至連接配接器之臨床訊息傳遞。因此，雲端環境之訊息通道及區域網路之訊息通道兩者上之擁塞得以減小。
裝置狀態管理器330亦處理由變換工作者336提供之經變換訊息且將經變換訊息中所包含之資料合併至快取記憶體302中以更新快取記憶體302中所儲存的輸液幫浦204之當前狀態。下文提供關於臨床環境102中之訊息傳遞之額外細節。
雲端環境之組件
圖4圖解說明雲端環境106之一實例，雲端環境106包含藥物庫管理器(DLM)402、報告管理器404、裝置管理器406、資料流管理器(DFM)408、雲端管理器(CM)410、資料分析器(DA)412、輸液幫浦(IP)軟體(SW)更新資料庫414及藥物庫更新資料庫416。
DLM 402可提供在建立及管理供與輸液幫浦一起使用之藥物庫時所涉及之一組特徵及功能。此等藥物庫可提供使用者定義之設定以實現幫浦組態及藥物錯誤減少(DERS)。
報告管理器404可提供關於使用者可選擇用於進一步分析之臨床相關輸液資料之各種報告能力，諸如臨床實踐之追蹤及趨勢。
裝置管理器406可監督及管理對輸液幫浦之維護，從而為使用者提供查看及管理資產及操作資料之能力。舉例而言，裝置管理器406可針對輸液幫浦對藥物庫及軟體更新進行排程。
DFM 408可促進資料在相容輸液幫浦、Navajo軟體與相容外部系統之間的儲存、快取及路由。舉例而言，DFM可儲存自輸液幫浦接收之輸液及操作資料、儲存及快取輸液幫浦藥物庫及軟體影像、在雲端環境106與臨床環境102之間轉換及路由網路訊息傳遞、將來自一醫院資訊系統之藥品次序資訊轉換及路由至一輸液幫浦(例如，自動程式化或智慧型幫浦程式化)，及/或將來自輸液幫浦之警示資訊及輸液事件轉換及路由至醫院資訊系統(例如，警報/警示轉送及自動文件製作，或輸液文件製作)。
CM 410可充當用於圖4中所圖解說明之其他模組之一個一般用途計算平台。在功能上，CM 410可類似於Microsoft Windows或Linux作業系統，此乃因CM 410提供以下服務：網路連線、計算、使用者管理及安全性、儲存及監測。
DA 412可提供用於基於由圖4中所圖解說明之其他模組產生及/或接收之資料而產生使用者介面及報告之資料分析工具。
操作軟體更新資料庫414可儲存用於一或多個輸液幫浦204之操作軟體及/或對操作軟體之更新。藥物庫更新資料庫416可儲存輸液幫浦204用於調節藥物遞送態樣之一或多個藥物庫及/或對一或多個藥物庫之更新。
資料庫414、416亦可儲存由雲端環境106之模組402-412產生及/或接收之資料。儘管圖4中未圖解說明，但雲端環境106可提供諸如 處理器、記憶體、磁碟空間、網路等其他資源。模組402-412可係經組態以執行本文中所闡述之技術中之一或多者之硬體組件。另一選擇為，模組402-412可使用實體儲存裝置中所儲存且由一或多個處理器執行之軟體指令而實施。儘管圖解說明為單獨組件，但模組402-412可實施為一或多個硬體組件(例如，一單個組件、個別組件或任何數目個組件)、一或多個軟體組件(例如，一單個組件、個別組件或任何數目個組件)或其任何組合。
雲端環境106可使用一商業雲端服務提供者(例如，Amazon Web Services®、Microsoft Azure®、Google Cloud®等)而實施。雲端環境106可使用由圖4中所展示之模組402-412之提供者及/或開發者管理之網路基礎設施而實施。由模組402-412中之一或多者提供之特徵及服務可作為經由一或多個通信網路可消費之web服務而實施於一或多個硬體計算裝置上。模組402-412中之一或多者可由一主控計算環境中所實施之一或多個虛擬機提供。該主控計算環境可包含一或多個快速佈建及釋放計算資源，諸如計算裝置、網路連線裝置及/或儲存裝置。
雲端環境中之訊息傳遞之概述
圖5圖解說明雲端環境106可如何接收、儲存及傳輸訊息之一實例。如圖5中所展示，DFM 408可包含快取記憶體502、出站佇列504及入站佇列512。出站佇列504可包含將傳輸至臨床環境102之訊息。舉例而言，出站佇列504可包含：一健康請求訊息506；一藥物庫更新訊息508，其提供一藥物庫更新可用之一通知；及一輸液幫浦操作軟體更新訊息510，其提供對輸液幫浦軟體之一更新可用之通知。當將此等訊息506、508、510發送至連接配接器206時，該等訊息分別作為圖3中所展示之訊息310、312而儲存於連接配接器206之入站佇列332中。在其他實例 中，出站佇列504可包含命令訊息(例如，用以更新連接配接器206上之安全性設定之指令)、請求訊息(例如，出於登錄目的，對丟失訊息之請求)、日誌請求、安全性更新等。
入站佇列512可包含自臨床環境102接收之訊息。在圖5之實例中，入站佇列512包含提供連接配接器206之狀態之一健康狀態訊息514。圖3圖解說明在連接配接器206之出站佇列334中所儲存之健康狀態訊息328被發送至雲端環境106並作為訊息514儲存於資料流管理器408之入站佇列512中之前的健康狀態訊息328。入站訊息及出站訊息可經由網路104之一訊息通道而發送。來自輸液幫浦軟體更新資料庫414及來自藥物庫更新資料庫416之更新資料可經由可獨立於網路104之訊息通道的網路104之一資料通道而發送。
快取記憶體502可儲存輸液幫浦204之當前狀態。在某些情形中，快取記憶體502中所儲存之當前狀態可與快取記憶體302中所儲存之當前狀態相同。在其他情形中，快取記憶體502中所儲存之當前狀態包含快取記憶體302中未儲存之額外資訊，或反之亦然。
下文參考圖6至圖8D更詳細地闡述減少藥物庫及操作軟體檔案自雲端環境106至輸液幫浦204之傳送之程序。下文參考圖9A及圖9B更詳細地闡述請求健康及接收連接配接器206之健康狀態之程序。
輸液幫浦藥物庫及軟體更新
醫院可具有用於將藥物輸注至患者之數千個輸液幫浦。每一輸液幫浦在將藥物遞送至患者時皆遵循藥物庫中所含有之規則。該等規則為複數種可輸注藥物提供輸注界限及指導，例如，硬劑量限制、軟劑量限制、輸注速率等。經常以新藥物、在設施之新區(例如，新生兒ICU， 即NICU)中輸注之藥物、新輸液療法等來更新藥物庫。期望輸液幫浦包含藥物庫更新以便維持對患者之最高水準之照護。
此外，輸液幫浦包含控制幫浦操作之操作軟體。關於一醫院或健康照護系統，可存在諸多不同類型之輸液幫浦，且每一類型之輸液幫浦可具有不同操作軟體。如同藥物庫，操作軟體經常被更新。該等更新可改變軟體功能性或添加額外特徵。亦期望輸液幫浦運行最新軟體版本以便維持對患者之最高水準之照護。
在一歷史輸液幫浦網路及系統中，每一輸液幫浦可需要存取一醫院伺服器及儲存更新之儲存裝置，並下載藥物庫及操作軟體更新。此係耗時的，且藉由接收更新之可能數千個輸液幫浦而產生之網路訊務量可顯著減慢醫院網路，或顯著影響臨床工作流程。
然而，在本文中所闡述之一實例性幫浦網路及系統中，一連接配接器可自基於雲端之儲存裝置下載藥物庫及操作軟體更新一次且可在輸液幫浦可用於接收更新時將更新分配至輸液幫浦。此減輕了去往伺服器及去往儲存更新之儲存裝置之網路訊務，且減少了經由歷史輸液幫浦網路及系統更新輸液幫浦所需之計算時間。
連接配接器可與複數個輸液幫浦通信。為減少複數個輸液幫浦與連接配接器之間的區域網路擁塞，連接配接器可使更新之區塊錯開地去往輸液幫浦。
連接配接器與雲端環境可經由一第一網路而通信。第一網路係連接配接器與雲端之間建立之網路連接。第一網路具有兩個通道：用以接收更新命令之一第一通道及用以獲得更新資料之一第二通道。連接配接器與複數個輸液幫浦中之每一者經由一第二網路而通信。第二網路係一 輸液幫浦與連接配接器之間建立之一網路連接。第二網路具有兩個通道：用以接收更新命令之一第一通道及用以獲得更新資料(例如，檔案)之一第二通道。此模式適用於附接至所連接配接器之每一輸液幫浦；因此，對於連接配接器，存在多個第二網路連接。
更新資料可僅係操作軟體；僅係藥物庫資料；或係操作軟體及藥物庫資訊兩者。使用者可自雲端環境起始更新。可利用連接配接器然後可更新之更新URL將一訊息自雲端環境中之伺服器發送至區域URL以供由輸液幫浦使用，如下文更詳細地闡述。另一選擇為，輸液幫浦可請求是否存在一可用更新。將訊息路由至雲端環境中之伺服器。若存在一更新，則可以與在自雲端環境起始更新時相同之方式利用連接配接器可更新之更新URL將一訊息自雲端環境發送至區域URL。
為了不淹沒醫院網路，連接配接器可使更新在連接配接器與其所連接裝置之間錯開，該等所連接裝置可係輸液幫浦、藥品調配裝置等。舉例而言，連接配接器1及連接配接器2可各自具有500個需要進行更新之所連接裝置。每一連接配接器可針對所連接裝置之一子組對更新進行排程，例如，一次針對100個裝置對更新進行排程。連接配接器可位於單獨醫院網路內。
在另一實例中，連接配接器1及連接配接器2可各自具有500個需要進行更新之所連接裝置。連接配接器1可通知雲端環境其可處理至多100個更新且連接配接器2太忙而無法處理任何更新。雲端伺服器然後針對連接至連接配接器1之裝置中之100個裝置對更新進行排程。另外，連接配接器1可選擇利用100個裝置之一子組而使更新錯開，如上文所闡述。
在另一實例中，連接配接器1及連接配接器2可各自具有500個需要進行更新之所連接裝置。兩個連接配接器可存在於相同醫院網路上。為了不淹沒醫院網路，雲端伺服器將限制每一連接配接器可同時服務之更新之數目。舉例而言，雲端伺服器可將同時更新之數目限制為100個所連接裝置，然後，雲端伺服器可針對連接配接器1對60個更新進行排程且針對連接配接器2對40個更新進行排程。當更新完成時，可添加額外裝置，使得在醫院網路上一次更新不超過100個所連接裝置。
使用者經由一使用者介面可指定預定數目個要更新之輸液幫浦或所連接裝置。系統可基於網路訊務而指定預定數目個幫浦。系統可將此群組分成更小部分。舉例而言，使用者可針對1000個所連接裝置對一更新進行排程。系統可將預定數目個要更新之所連接裝置重新分配成若干個含100個所連接裝置之塊。使更新錯開地去往所連接裝置之實例性方法可獨立地對請求裝置作出回應、使所連接裝置之群組錯開地接收更新且使更新資料區塊錯開。
連接配接器可在下載更新資料期間判定將接收經快取區塊之一不同子組之特定所連接裝置。在另一實例中，將接收一更新之每一所連接裝置可具備一區域URL，該區域URL係獲得更新資料之位置。然後，所連接裝置獨立於任何其他所連接裝置而連接至連接配接器且流式傳輸更新資料。由於每一所連接裝置可獨立地流式傳輸更新資料，因此與連接配接器通信之一第一所連接裝置可係方塊100，而一第二所連接裝置可係更新之串流區塊50。在另一實例中，連接配接器可延遲開始至發出請求之所連接裝置之若干子組之流式傳輸，以減小網路負載。連接配接器可請求將一更新遞送至所連接裝置，且每一所連接裝置可向連接配接器確認其 是否準備好接收一更新。
參考圖6，更詳細地闡述用於減少藥物庫及操作軟體更新檔案至複數個輸液幫浦(IP)204之傳送之一實例性系統600。所圖解說明系統600包括雲端管理器(CM)410、裝置管理器406、資料流管理器(DFM)408、一或多個連接配接器(CA)206及一或多個輸液幫浦(IP)204。裝置管理器406可經由雲端使用者介面208(參見圖2)與使用者介接。舉例而言，使用者將更新資料載入至CM 410中、登錄至裝置管理器406中且針對與系統相關聯之輸液幫浦204對一更新進行排程。對更新進行排程包含給裝置管理器406提供更新資訊。裝置管理器406偵測更新資料至CM 410上之上傳且儲存更新記錄(例如，一雲端URL)。更新可立即獲得或可排程在一未來時間。更新可係一藥物庫更新416，或更新可係輸液幫浦操作軟體414之一更新。更新不受連接配接器206約束。更新資訊可指定一或多個篩選條件，例如特定輸液幫浦204(亦即，更新輸液幫浦1、2及3)、特定輸液幫浦版本(亦即，將所有輸液幫浦操作軟體版本1.0更新為版本1.1)、輸液幫浦204之類型(亦即，更新所有類型0輸液幫浦204)及/或與更新414、416適用之輸液幫浦204相關聯之設施(亦即，更新設施XYZ中之所有輸液幫浦204，其中XYZ係設施識別符)。
由系統600執行之減少藥物庫及操作軟體更新檔案至複數個輸液幫浦(IP)204之傳送之程序圖解說明實例性演算法，該實例性演算法可使用任何適合程式化環境或語言而程式化，以建立能夠由一CPU或微控制器執行之機器碼。各種實施例可使用組合語言、C語言、OBJECTIVE-C語言、C++語言、JAVA語言或其他人類可讀語言而寫碼，且然後被編譯、組合或以其他方式變換為機器碼，該機器碼可載入至 耦合至CPU或微控制器之唯讀記憶體(ROM)、可抹除可程式化唯讀記憶體(EPROM)或其他可記錄記憶體中，且然後由CPU或微控制器執行。舉例而言，當起始減少藥物庫及操作軟體更新檔案至複數個輸液幫浦(IP)204之傳送之程序時，可將一或多個非暫時性電腦可讀媒體(例如，硬碟機、快閃記憶體、可抽換式媒體等)上所儲存之一組可執行程式指令載入至臨床環境102及/或雲端環境106之一計算裝置之記憶體(例如，隨機存取記憶體或「RAM」)中。可執行指令然後可由計算裝置之一基於硬體之電腦處理器(例如，一中央處理單元或「CPU」)執行。減少藥物庫及操作軟體更新檔案至複數個輸液幫浦(IP)204之傳送之程序或其部分可在多個處理器上連續或並行地實施。
在方塊602處，裝置管理器406可自雲端使用者介面208接收使用者已對一更新進行排程之一訊息。圖6A圖解說明用於對一軟體更新進行排程之一實例性使用者介面650。如所展示，使用者介面650包含用於選擇一裝置類型、選擇一軟體版本、選擇一設施及對一開始時間進行排程的欄位。使用者介面650可提供一更新概述及一裝置清單。
在方塊604處，裝置管理器406可將經排程更新資訊發送至DFM 408。DFM 408可產生用以識別如由使用者針對一或多個幫浦而排程之經排程事件之一唯一密鑰。更新資訊可包含與更新類型(例如，藥物庫更新416或操作軟體更新414)、更新之經排程可用性、用以接收更新之輸液幫浦204、用以接收更新之輸液幫浦204之類型、設施識別符及其他相關聯識別符有關之資訊。DFM 408可等待直至向連接配接器206通知更新可用之經排程時間為止。DFM 408可向連接配接器206通知經排程更新，且連接配接器206可等待直至向輸液幫浦204通知更新可用之經排程 時間為止。
DFM 408可自裝置管理器406接收更新資訊。在方塊608處，DFM 408可將指示一更新可用之一訊息發送至一或多個連接配接器206。該訊息可係藥物庫(DL)更新訊息508或輸液幫浦(IP)軟體(SW)更新訊息510中之一者。該訊息可經由雲端訊息通道而發送。
在方塊610處，DFM 408可向CM 410請求一雲端URL。雲端URL可係雲端環境106內之儲存更新414、416之位置。雲端URL可係具有一經定義壽命之一臨時URL。在方塊612處，CM 410可將雲端URL發送至DFM 408。在方塊614處，DFM 408可將雲端URL發送至連接配接器206。雲端URL可經由雲端資料通道而發送。
連接配接器206可自DFM 408接收指示一更新可用之訊息及雲端URL。所接收訊息可係DL更新訊息310或IP SW更新訊息312中之一者。
在方塊630處，連接配接器206可將一更新可用之一訊息發送至所選擇輸液幫浦204。連接配接器206可使更新通知錯開地去往所選擇輸液幫浦204。舉例而言，若100個輸液幫浦204經排程以接收一更新，則連接配接器206可僅通知50個輸液幫浦204，且在完成個別更新下載時，針對其餘輸液幫浦204對新更新進行排程。訊息可係DL更新訊息314或IP SW更新訊息316中之一者。訊息可經由區域訊息通道而發送。所選擇輸液幫浦204可係意欲接收藥物庫或操作軟體更新之輸液幫浦。
在方塊616處，連接配接器206可產生一區域URL且將雲端URL映射至區域URL。區域URL可係識別臨床環境102內之連接配接器206中之一位置之一URL。在方塊618處，連接配接器206可將區域URL發 送至更新可用訊息中所識別之輸液幫浦204。區域URL可經由區域資料通道而發送。
在方塊620處，連接配接器206可打開一雲端URL串流以接收雲端URL處所儲存之更新資料。更新資料可經由雲端資料通道自雲端URL處之儲存裝置414、416流式傳輸。連接配接器206與DFM 408之間的訊息傳遞可發生於獨立於雲端資料通道之雲端訊息通道上。因此，由於發生於一單獨通道上之資料串流不妨礙輸液幫浦臨床訊息傳遞，因此雲端資料通道可解決資料封包優先化之問題。此外，雲端資料通道可藉由允許輸液幫浦204經由未暴露於公用網路之一安全經隔離虛擬區域網路(VLAN)接收資料而加強及簡化網路之安全性。有利地，若連接配接器206與雲端環境106之間的網路連接變得不可用，則輸液幫浦204可向連接配接器206請求更新資料且接收更新資料，此乃因更新係儲存於連接配接器206處。
連接配接器206可被預先通知一可用更新、在經排程更新時間之前流式傳輸更新資料及在經排程時間向輸液幫浦204通知可用更新。此亦可提供在與雲端環境106之網路連接在經排程更新時間變得不可用之情況下能夠在經排程更新時間更新輸液幫浦204之優點。
在方塊622處，連接配接器206可將串流更新資料之區塊快取於快取記憶體302中。連接配接器206可使快取記憶體302中之資料與區域URL相關聯。一旦更新儲存於連接配接器206處之快取記憶體302中，便可不再需要連接配接器206與DFM 408之間的雲端資料通道。此可減少網路活動，此乃因不需要存取雲端環境106來個別地更新每一輸液幫浦204。
在方塊632處，所選擇輸液幫浦204可自連接配接器206接 收一更新可用之訊息314、316。在方塊634處，輸液幫浦204可自連接配接器206接收區域URL。
在方塊636處，所選擇輸液幫浦204可向連接配接器206請求區域URL處之更新資料。該請求可包含一HTTP多部分GET請求。每一輸液幫浦204在其可用於接收更新資料時可請求更新資料。
自連接配接器206至輸液幫浦204之更新資料可經由區域網路內之區域資料通道而流式傳輸。連接配接器206與輸液幫浦204之間的訊息傳遞可經由獨立於區域資料通道之區域訊息通道而發生。因此，由於發生於一單獨通道上之資料串流不妨礙區域訊息通道上之臨床輸液幫浦訊息傳遞，因此區域或醫院網路內之區域資料通道亦可解決資料封包優先化之問題。將訊息及資料分別分離至一區域訊息通道及一區域資料通道上之另一優點可係允許輸液幫浦CE 324將大檔案(舉例而言，其可為300MB或更大)主動下載至其儲存裝置322中，而不中斷執行臨床功能之輸液幫浦MCU 326。一旦完成臨床功能，使用者便可起始更新而無需等待下載更新資料。
在方塊624處，連接配接器206可打開區域URL串流。在方塊626處，連接配接器206可使更新資料區塊經由區域URL之流式傳輸錯開。連接配接器206可藉由獨立地對來自輸液幫浦204群組之請求作出回應而使區塊中之更新資料錯開。舉例而言，輸液幫浦204A可自區域URL快取記憶體302下載區塊5且輸液幫浦204B可自區域URL快取記憶體302下載區塊7，而連接配接器206可自雲端URL下載區塊10。
如上文在方塊630處所闡述，連接配接器206可使更新通知錯開地去往輸液幫浦204。舉例而言，若100個輸液幫浦204經排程以接收 一更新，則連接配接器206可僅通知50個輸液幫浦204，且在完成個別更新下載時，針對其餘輸液幫浦204對新更新進行排程。
輸液幫浦204亦可包含用以避免網路減速之功能性。輸液幫浦204可在其記憶體322內進行檢查以判定是否已存在可用更新。若更新可用，則輸液幫浦204可不請求更新。輸液幫浦204可在其通信引擎324內進行檢查(舉例而言)以判定另一更新是否已在等待。若另一更新正在等待，則輸液幫浦204可不請求更新。系統600可不准許一藥物庫更新及一操作軟體更新同時或接近同時發生。
在向連接配接器206請求更新資料時，輸液幫浦204可利用一指數倒回程序。舉例而言，當輸液幫浦204對更新資料之請求未被滿足或被忽略時，輸液幫浦204可根據一程序(諸如用以防止網路擁塞之一指數倒回程序)重新請求更新資料。在一指數倒回程序中，可逐漸降低輸液幫浦204發送重新請求之速率以便找到一可接受請求速率。輸液幫浦204可隨機地重新請求更新資料以防止網路擁塞。
在方塊628處，輸液幫浦204可接收更新資料區塊且將更新資料區塊儲存於記憶體322中。如上文所論述，更新資料可係一經更新或新藥物庫、輸液幫浦204之經更新操作軟體(其可包含應用程式軟體、語言包、安全性更新及裝置組態中之一或多者)、數位憑證等。
輸液幫浦204可在未被通知一可用更新之情況下向連接配接器206發起對更新資料之請求，諸如一經更新藥物庫。舉例而言，輸液幫浦204可向連接配接器206發送對一已知丟失藥物庫之一請求，或詢問一更新是否可用。連接配接器206可儲存複數個藥物庫，包含藥物庫之歷史版本。
參考圖7，更詳細地闡述用以減少藥物庫及操作軟體檔案至複數個輸液幫浦204之傳送之一實例性程序700。程序700圖解說明一實例性演算法，該實例性演算法可使用任何適合程式化環境或語言而程式化，以建立能夠由一CPU或微控制器執行之機器碼。各種實施例可使用組合語言、C語言、OBJECTIVE-C語言、C++語言、JAVA語言或其他人類可讀語言而寫碼，且然後被編譯、組合或以其他方式變換為機器碼，該機器碼可載入至耦合至CPU或微控制器之唯讀記憶體(ROM)、可抹除可程式化唯讀記憶體(EPROM)或其他可記錄記憶體中，且然後由CPU或微控制器執行。舉例而言，當起始程序700時，可將一或多個非暫時性電腦可讀媒體(例如，硬碟機、快閃記憶體、可抽換式媒體等)上所儲存之一組可執行程式指令載入至臨床環境102及/或雲端環境106之一計算裝置之記憶體(例如，隨機存取記憶體或「RAM」)中。可執行指令然後可由計算裝置之一基於硬體之電腦處理器(例如，一中央處理單元或「CPU」)執行。程序700或其部分可在多個處理器上連續或並行地實施。為方便起見，將實例性程序700之步驟闡述為由連接配接器206執行。
在方塊702處，連接配接器206可接收藥物庫更新訊息310或輸液幫浦操作軟體更新訊息312。
連接配接器206可向輸液幫浦204通知在區域URL處一更新可用。連接配接器206可經由與區域網路相關聯之區域訊息通道而發送一藥物庫更新訊息314或一軟體更新訊息316。連接配接器206可藉由通知所選擇輸液幫浦204之一部分及在完成個別更新下載時通知所選擇輸液幫浦204之後續部分而錯開地通知輸液幫浦204。
在方塊704處，連接配接器206可自輸液幫浦204接收對區 域URL處之更新資料之請求。
在方塊706處，連接配接器206可自DFM 408接收雲端URL。雲端URL可具有一期滿時間。
在方塊708處，連接配接器206可指派一區域URL。連接配接器206可產生區域URL。在方塊710處，連接配接器206可將雲端URL映射至區域URL。
在方塊712處，連接配接器206可判定雲端URL是否已期滿。若雲端URL有效，則程序700可移動至方塊716。
若雲端URL已期滿，則程序可移動至方塊714。在方塊714處，連接配接器206可請求DFM 408重構雲端URL。DFM可判定一新雲端URL且可將新雲端URL發送至連接配接器206。程序700可移動至方塊704且針對新雲端URL重複進行區塊704-712。
在方塊716處，連接配接器206可打開雲端URL串流，且在方塊718處，可經由與網路104相關聯之雲端資料通道而快取URL串流中之更新資料區塊。
在方塊720處，回應於自輸液幫浦204接收到對更新資料之請求，連接配接器206可打開區域URL串流。在方塊722處，連接配接器206可將更新資料區塊流式傳輸至輸液幫浦204之經錯開群組。更新資料區塊可經由區域資料通道而流式傳輸至輸液幫浦204。錯開可以多種方式執行。舉例而言，連接配接器206可將資料區塊並行地流式傳輸至輸液幫浦204之一小群組。若輸液幫浦對資料之初始請求被拒斥或忽略，則輸液幫浦204可以如藉由一指數倒回程序而判定之一速率重新請求更新資料。
如上文所闡述，更新可包含操作軟體更新或藥物庫更新。 當輸液幫浦204正操作時，更新資料區塊之接收及儲存可在背景中發生。然而，更新之安裝及運行可在受控制條件下發生，諸如在輸液幫浦204未用於將藥品輸注至患者時發生。
參考圖8，更詳細地闡述輸液幫浦204安裝藥物庫及操作軟體更新之一實例性程序800。程序800圖解說明一實例性演算法，該實例性演算法可使用任何適合程式化環境或語言而程式化，以建立能夠由一CPU或微控制器執行之機器碼。各種實施例可使用組合語言、C語言、OBJECTIVE-C語言、C++語言、JAVA語言或其他人類可讀語言而寫碼，且然後被編譯、組合或以其他方式變換為機器碼，該機器碼可載入至耦合至CPU或微控制器之唯讀記憶體(ROM)、可抹除可程式化唯讀記憶體(EPROM)或其他可記錄記憶體中，且然後由CPU或微控制器執行。舉例而言，當起始程序800時，可將一或多個非暫時性電腦可讀媒體(例如，硬碟機、快閃記憶體、可抽換式媒體等)上所儲存之一組可執行程式指令載入至臨床環境102之一計算裝置之記憶體(例如，隨機存取記憶體或「RAM」)中。可執行指令然後可由計算裝置之一基於硬體之電腦處理器(例如，一中央處理單元或「CPU」)執行。程序800或其部分可在多個處理器上連續或並行地實施。為方便起見，將實例性程序800之步驟闡述為由輸液幫浦204執行。
在方塊802處，輸液幫浦204可自連接配接器206接收一更新訊息314、316。在方塊804處，輸液幫浦204可自連接配接器206接收區域URL。在方塊806處，輸液幫浦204可向連接配接器206請求區域URL處之更新資料。在方塊810處，輸液幫浦204可經由區域資料通道而接收更新資料之區塊，且可將自連接配接器206接收之更新資料區塊儲存於記憶 體322中。
在方塊812處，輸液幫浦204可判定更新係包括一藥物庫更新還是一操作軟體更新。自連接配接器206接收之更新可用訊息可包含關於更新之類型(諸如一操作軟體更新或一資料庫更新)之資訊。
當更新係一藥物庫更新時，程序800可移動至方塊814。在方塊814處，輸液幫浦204可在其顯示器上向使用者顯示一藥物庫更新可用之一訊息。在關閉電源後，輸液幫浦204旋即可顯示一藥物庫可用之訊息，且可提供用以接受或拒絕藥物庫更新之一使用者提醒(是/否)。使用者可拒絕更新藥物庫達預定數目次嘗試。藥物庫更新可在輸液幫浦204關閉電源後旋即自動發生。
圖8A圖解說明用於安裝一新藥物庫之一實例性輸液幫浦使用者介面850。如所展示，輸液幫浦使用者介面850可向使用者通知一新藥物庫可用、提供對安裝時間之一估計及提供用於現在安裝或在輸液幫浦204停工時安裝新藥物庫之欄位。
在方塊816處，輸液幫浦204可接收用以安裝藥物庫之使用者輸入，且在方塊818處，輸液幫浦可安裝藥物庫。藥物庫可在輸液幫浦204之一再啟動之後可用。
當更新係一操作軟體更新時，程序800可移動至方塊820。在方塊820處，輸液幫浦204可在其顯示器上向使用者顯示一操作軟體更新可用之一訊息。在關閉電源後，輸液幫浦204旋即可顯示操作軟體更新可用之訊息，且可提供用以請求更新之一使用者提醒。使用者可拒絕更新操作軟體達預定數目次嘗試。操作軟體更新可在輸液幫浦204關閉電源後旋即自動發生。使用者可在輸液幫浦204正以一臨床模式操作時起始操作 軟體更新。輸液幫浦204可在使用者可起始一操作軟體更新之前進入一非臨床操作模式。非臨床操作模式可稱為Biomed模式。
圖8B圖解說明用於安裝一操作軟體更新之一實例性使用者介面860。如所展示，輸液幫浦使用者介面860可顯示輸液幫浦204之序號，且可提醒使用者「選擇預防性維護」、「設定時間及日期」、「管理語言」、「顯示日誌」、「輸液器設定」、「管理網路」、「出廠預設」及「軟體請求」。
在更新操作軟體時，可期望輸液幫浦204不處於臨床使用。在方塊822處，輸液幫浦204可接收使用者執行之動作。舉例而言，使用者可在執行軟體更新操作之前使用適當憑證而進入「Biomed」模式。圖8C圖解說明在起始一操作軟體更新之前用於進入適當憑證之一實例性輸液幫浦使用者介面870。
在方塊824處，輸液幫浦204可安裝操作軟體更新，且在方塊828處，輸液幫浦204可再啟動。圖8D圖解說明用於向使用者通知操作軟體安裝之進度之一實例性輸液幫浦使用者介面880。輸液幫浦204可經由顯示器向使用者通知操作軟體已更新。
連接配接器之健康狀態
太慢作出回應之連接配接器可影響系統100之總體效能。此外，連接配接器206與輸液幫浦204之間的通信對於為輸液幫浦204提供經修訂操作軟體及經更新藥物庫可係重要的。不適當地操作連接配接器206可過度填充佇列，且利用額外計算時間。監測連接配接器206之健康及校正任何問題以減少計算時間及記憶體使用可係重要。
參考圖9A，更詳細地闡述用以檢查連接配接器206之狀態或健康之一實例性請求驅動之系統900。所圖解說明系統900可包括雲端管理器(CM)410、資料流管理器(DFM)408及一或多個連接配接器(CA)206。舉例而言，CM 410可經由雲端使用者介面208與使用者介接。每一連接配接器206可包含一或多個微服務308及一裝置狀態管理器(DSM)330。每一微服務308可監測與連接配接器206之操作相關聯之一參數。微服務308可建立與所監測參數相關聯之非結構化資料之容器。
每一微服務308可執行與連接配接器206之操作相關聯之一功能或服務，且可監測彼功能或服務之效能。舉例而言，一微服務308可操作及監測連接配接器206之出站訊息佇列334。與出站訊息佇列334相關聯之微服務308可接收出站訊息、將訊息寫入至出站訊息佇列334、設置與DFM 408或輸液幫浦204之通信及發送訊息。與出站訊息佇列334相關聯之微服務308亦可監測潛時、基於一所接收應答而判定傳出訊息多久能被接收、追蹤出站訊息佇列334之大小等。
與連接配接器206之操作相關聯之微服務308之其他實例可為但不限於：用以管理連接配接器資源之資源管理器；用以管理連接配接器狀態之裝置狀態服務；用以管理連接配接器206處所儲存之藥物庫之藥物庫服務；及用以管理連接配接器之組態之組態管理器。微服務308亦可監測與其功能相關聯之參數，諸如但不限於：平均訊息速率、尖峰訊息速率、來自DFM 408之訊息之回應速率、來自輸液幫浦204之訊息之回應速率、訊息佇列332、334之長度、潛時、CPU負載、磁碟空間、可用記憶體、記憶體使用量、頻寬、錯誤等級等。
圖9A中所圖解說明之請求驅動之系統900可被視為一需求 驅動之系統。使用者可經由雲端使用者介面208而請求臨床環境102內之連接配接器206之至少一部分之一當前狀態。
由系統900執行之檢查連接配接器206之狀態或健康之程序圖解說明實例性演算法，該實例性演算法可使用任何適合程式化環境或語言而程式化，以建立能夠由一CPU或微控制器執行之機器碼。各種實施例可使用組合語言、C語言、OBJECTIVE-C語言、C++語言、JAVA語言或其他人類可讀語言而寫碼，且然後被編譯、組合或以其他方式變換為機器碼，該機器碼可載入至耦合至CPU或微控制器之唯讀記憶體(ROM)、可抹除可程式化唯讀記憶體(EPROM)或其他可記錄記憶體中，且然後由CPU或微控制器執行。舉例而言，當起始檢查連接配接器206之狀態或健康之程序時，可將一或多個非暫時性電腦可讀媒體(例如，硬碟機、快閃記憶體、可抽換式媒體等)上所儲存之一組可執行程式指令載入至臨床環境102及/或雲端環境106之一計算裝置之記憶體(例如，隨機存取記憶體或「RAM」)中。可執行指令然後可由計算裝置之一基於硬體之電腦處理器(例如，一中央處理單元或「CPU」)執行。檢查連接配接器206之狀態或健康之程序或其部分可在多個處理器上連續或並行地實施。
在方塊902處，CM 410可接收對使用者對連接配接器206之當前狀態之請求之一指示。在方塊904處，CM 410可將對連接配接器之當前狀態之請求發送至DFM 408。在方塊906處，DFM 408可接收來自CM 410之請求且可將對所監測參數之一請求(諸如健康請求訊息506)發送至連接配接器206。DFM 408可將健康請求訊息506發送至臨床環境102內之連接配接器206中之每一者。DFM 408可將健康請求訊息506發送至使用者請求中所指定之連接配接器206之一子組。
在方塊908處，連接配接器206之DSM 330可接收對參數之請求，諸如健康請求訊息318，且可在內部向在連接配接器206內操作之微服務308請求所監測參數。在方塊910處，微服務308中之每一者可接收參數請求且可將參數資訊發送至DSM 330。
在方塊912處，DSM 330可自微服務308接收參數資訊且可將具有參數資訊之一或多個狀態訊息(諸如健康狀態訊息328)發送至DFM 408。DSM 330可自微服務308接收參數資訊且可將參數資訊組合至一單個狀態訊息328中。DSM 330可使用一般資料集訊息格式且可將參數資訊格式化為一個一般資料集訊息。DSM 330可將多個狀態訊息328發送至DFM 408，其中多個狀態訊息328中之每一者可包含來自一或多個參數之資訊。
在方塊914處，DFM 408可自連接配接器206接收一或多個狀態訊息，且可將狀態訊息發送至CM 410。在方塊916處，CM 410可接收狀態訊息。在方塊918處，雲端環境106可分析連接配接器206之狀態且將該狀態報告給使用者。使用者可自雲端環境106接收一電子郵件、一SMS訊息等。
CM 410可將參數報告給使用者。CM 410可分析參數且將連接配接器206之狀態報告給使用者。舉例而言，若參數在一臨限值內，則CM 410可將狀態報告為「健康的」，且若一或多個參數大於一臨限值，則CM 410可將狀態報告為「不健康的」。臨限值可係所監測參數之一數值，或臨限值可係指示針對所監測參數而發生之事件之一數目之一事件臨限值。
參考圖9B，更詳細地闡述用以提供連接配接器206之狀態 之一實例性自我報告系統950。類似於圖9A，圖9B之所圖解說明系統950可包括雲端管理器(CM)410、資料流管理器(DFM)408及一或多個連接配接器(CA)206，且每一連接配接器206可包含一或多個微服務308及裝置狀態管理器(DSM)330，如上文闡述。
圖9B中所圖解說明之自我報告系統可被視為一供應驅動之系統。代替藉由雲端使用者介面208處之使用者而產生之狀態請求，連接配接器206可儲存組態臨限值，且在滿足一臨限值時，連接配接器206可將參數資訊發送至CM 410，CM 410又可將連接配接器206之狀態或健康報告給使用者。臨限值可係所監測參數之一數值，或臨限值可係指示針對所監測參數而發生之事件之一數目之一事件臨限值。由系統950執行之報告連接配接器206之狀態或健康之程序圖解說明實例性演算法，該實例性演算法可使用任何適合程式化環境或語言而程式化，以建立能夠由一CPU或微控制器執行之機器碼。各種實施例可使用組合語言、C語言、OBJECTIVE-C語言、C++語言、JAVA語言或其他人類可讀語言而寫碼，且然後被編譯、組合或以其他方式變換為機器碼，該機器碼可載入至耦合至CPU或微控制器之唯讀記憶體(ROM)、可抹除可程式化唯讀記憶體(EPROM)或其他可記錄記憶體中，且然後由CPU或微控制器執行。舉例而言，當起始報告連接配接器206之狀態或健康之程序時，可將一或多個非暫時性電腦可讀媒體(例如，硬碟機、快閃記憶體、可抽換式媒體等)上所儲存之一組可執行程式指令載入至臨床環境102及/或雲端環境106之一計算裝置之記憶體(例如，隨機存取記憶體或「RAM」)中。可執行指令然後可由計算裝置之一基於硬體之電腦處理器(例如，一中央處理單元或「CPU」)執行。報告連接配接器206之狀態或健康之程序或其部分可在 多個處理器上連續或並行地實施。
在方塊952處，微服務308可正監測其相關聯參數，且所監測參數中之一或多者可超過一臨限值。在方塊954處，與已超過臨限值之一或多個參數相關聯之微服務308可將一或多個參數之參數資訊發送至DSM 330。在方塊956處，DSM 330可至少部分地基於所監測參數而判定連接配接器206之狀態。在方塊958處，DSM 330可發送具有一或多個微服務308之參數資訊之一狀態訊息，諸如健康狀態訊息328。
舉例而言，連接配接器206可包含具有所監測參數之臨限值之一組態檔案。微服務308可查詢組態檔案。當滿足一所監測參數之臨限值時，可通知DSM 330將一狀態訊息發送至DFM 408。
DSM 408可自微服務308接收參數資訊且將參數資訊組合至一單個狀態訊息328中。DSM 330可使用一般資料集訊息格式且將參數資訊格式化為一個一般資料集訊息。當觸發一事件臨限值時，DSM可發送個別狀態訊息328。
當參數在臨限值周圍波動時，為控制發送狀態訊息，DSM 330可監測狀態訊息328，且若正重複一最近發送之訊息，則捨棄狀態訊息328。此可避免在一短時間內針對相同錯誤發送複數個訊息(此可使網路減速)。舉例而言，若臨限值為79，且參數在78與80之間波動，則在發送彼參數之另一狀態訊息328之前，DSM 330可等待一定量之時間。在將訊息328發送至DFM 408之前，DSM 330可等待直至針對相同參數之若干個狀態訊息發生為止。
DSM 330可重設已報告滿足或超過一臨限值之參數之微服務308。此可在將狀態訊息328發送至DFM 408之前或在將狀態訊息328發 送至DFM 408之後發生。當參數資訊指示滿足或超過一或多個參數臨限值時，連接配接器206自身可重設。
在方塊960處，DFM 408可自連接配接器206之DSM 330接收狀態訊息，且可將具有連接配接器206之狀態之一狀態訊息發送至CM 410。在方塊962處，CM 410可接收狀態訊息。在方塊964處，CM 410可將參數資訊報告給使用者。CM 410可分析參數資訊且將參數資訊報告給使用者。使用者可自CM 410接收一電子郵件、一SMS訊息等。
一旦偵測到連接配接器之不良效能，連接配接器或雲端伺服器或者連接配接器及雲端伺服器兩者便可回應於所偵測參數超過一臨限值而自動執行任務。舉例而言，連接配接器自身可重設，雲端伺服器可致使連接配接器重設。雲端伺服器可包含一演算法，在因連接配接器之所偵測到不良效能而跳閘時，該演算法可將用以再啟動之一信號或訊息發送至連接配接器，此可校正問題。另一自動化任務可係在磁碟空間不足時發送一電子郵件。另外，當觸發某些臨限值時，CA自身可重設。一旦所連接裝置之數目超過一臨限值，連接配接器便可向雲端伺服器發送一通知，且連接配接器可開始拒斥來自新裝置之連接。在另一實例中，若佇列大小超過一臨限值，則系統開始將所連接裝置斷開連接，直至佇列恢復至低於臨限值之一位準為止。
實例
一種系統可經組態以將更新資料提供至一臨床環境內之複數個輸液幫浦。該系統可包括：複數個輸液幫浦，其經組態以將藥品遞送至一或多個患者，其中該複數個輸液幫浦中之每一各別輸液幫浦可包括經組態以儲存操作軟體及一或多個藥物庫之一記憶體；一資產生命週期管理 器，其包括電腦硬體且可經組態以接收包括更新資訊之使用者輸入，該更新資訊包含更新資料之至少一位置，該更新資料係一操作軟體更新及一藥物庫更新中之一者；一資料流管理器，其包括電腦硬體且經組態以自該資產生命週期管理器接收一更新通知及與該更新資料之該位置相關聯之一雲端URL；及一連接配接器，其包括電腦硬體及經組態以至少儲存該更新資料之記憶體。
該連接配接器可經由一臨床環境內之一第一網路與該複數個輸液幫浦通信，且該連接配接器可進一步經由該臨床環境外部之一第二網路與該資料流管理器通信。該連接配接器可經組態以：經由該第二網路之一第一通信通道自該資料流管理器接收該更新通知及該雲端URL；將該雲端URL映射至一區域URL；打開一串流以接收該雲端URL處所儲存之該更新資料，該更新資料可經由該第二網路之一第二通信通道而接收；將與該區域URL相關聯之該更新資料之區塊快取於該連接配接器記憶體中；經由該第一網路之一第一通信通道自該複數個輸液幫浦中之至少一個輸液幫浦接收對該區域URL處之該更新資料之一請求；及使該更新資料之區塊經由該第一網路之一第二通信通道錯開地流式傳輸至該至少一個輸液幫浦。
該連接配接器可進一步經組態以將該更新通知及與該更新資料之該位置相關聯之該區域URL發送至該複數個輸液幫浦之至少一部分。該更新資訊可進一步包含指示該更新資料何時可用之一排程。可在一持續時間內存取該雲端URL。
使更新資料區塊錯開地流式傳輸可包括將更新資料區塊並行地流式傳輸至該一或多個輸液幫浦之經錯開群組。該一或多個輸液幫浦 可進一步經組態以重新請求該更新資料，直至該更新資料被發送為止，重新請求之一頻率係根據一指數倒回程序而發生。該一或多個輸液幫浦可進一步經組態以在請求該更新資料之前判定與該一或多個輸液幫浦中之各別輸液幫浦相關聯之該記憶體是否包含該更新資料。舉例而言，若輸液幫浦204具有記憶體322中所儲存之操作軟體更新，則輸液幫浦204不需要自連接配接器206下載該更新。CE 324可利用記憶體322中所儲存之更新資料來更新MCU 326。
該連接配接器可進一步經組態以發送與在該連接配接器內操作之微服務相關聯之狀態參數。該連接配接器可進一步經組態以接收對狀態之一請求，且回應於對狀態之該請求，可發送與在該連接配接器內操作之微服務相關聯之狀態參數。該連接配接器可進一步經組態以在至少一個狀態參數超過一臨限值時發送與在該連接配接器內操作之微服務相關聯之狀態參數。
一種方法可將更新資料提供至一臨床環境內之複數個輸液幫浦。該方法可包括：接收包括更新資訊之使用者輸入，該更新資訊包含一雲端環境中之更新資料之至少一位置，其中該更新資料係一操作軟體更新及一藥物庫更新中之一者，且其中該雲端環境中之該更新資料之該位置與一雲端URL相關聯；回應於該使用者輸入而接收一更新通知且經由與該雲端環境相關聯之一網路之一第一通信通道而接收該雲端URL；及將該雲端URL映射至一區域URL；打開一串流以接收該雲端URL處所儲存之該更新資料，其中該更新資料係經由與該雲端環境相關聯之該網路之一第二通信通道而接收；該方法可進一步包括：將與該區域URL相關聯之該更新資 料之區塊快取於記憶體中；經由與一臨床環境相關聯之一網路之一第一通信通道自複數個輸液幫浦中之至少一個輸液幫浦接收對該區域URL處之該更新資料之一請求。該複數個輸液幫浦可經組態以將藥品遞送至一或多個患者。該複數個輸液幫浦中之每一各別輸液幫浦可包括經組態以儲存操作軟體及一或多個藥物庫之一記憶體。該方法可進一步包括：使該更新資料之區塊經由與該臨床環境相關聯之網路之一第二通信通道錯開地流式傳輸至該至少一個輸液幫浦。
本發明之實施例可由以下非限制性條款定義：
條款1.一種經組態以將更新資料提供至一臨床環境內之複數個輸液幫浦之系統，該複數個輸液幫浦經組態以將藥品遞送至一或多個患者，該複數個輸液幫浦中之每一輸液幫浦包括經組態以儲存操作軟體及一或多個藥物庫之記憶體，該系統包括：一伺服器，其經組態以接收包括更新資料之至少一第一位置之使用者輸入，該第一位置位於該臨床環境外部；及一設備，其包括電腦硬體及經組態以至少儲存該更新資料之記憶體，該設備經由一第一網路與該伺服器通信，該第一網路提供該臨床環境外部之通信，該記憶體進一步儲存指令，該等指令在由該電腦硬體執行時將該設備組態成：經由該第一網路之一第一通信通道自該伺服器接收該更新資料之該第一位置；經由該第一網路之一第二通信通道自該第一位置接收該更新資料；及將該更新資料之區塊儲存於該臨床環境內之一第二位置處，其中該 等所儲存更新資料區塊可用於經由該臨床環境內之一第二網路而傳輸至該複數個輸液幫浦中之一或多個輸液幫浦。
條款2.如條款1之系統，其中該等所儲存資料區塊儲存於快取記憶體中。
條款3.如條款1之系統，其中該更新資料係一操作軟體更新及一藥物庫更新中之至少一者。
條款4.如條款1之系統，其中該第一位置對應於一雲端URL且該第二位置對應於一區域URL，該設備進一步經組態以將該雲端URL映射至該區域URL。
條款5.如條款4之系統，其中該雲端URL係具有一經定義壽命之一臨時URL。
條款6.如條款4之系統，其中該複數個輸液幫浦不對該雲端URL進行網路存取，該區域URL提供對該更新資料之存取。
條款7.如條款1之系統，其中該第一位置係具有一經定義壽命之一臨時位置。
條款8.如條款1之系統，其中該設備進一步經組態以回應於接收到對該更新資料之一請求而打開一區域URL串流。
條款9.如條款1之系統，其中該設備進一步經組態以向該一或多個輸液幫浦之至少一部分通知該更新資料可用。
條款10. 如條款8之系統，其中該使用者輸入進一步包含篩選條件資訊，且其中該設備進一步經組態以至少部分地基於該篩選條件資訊而判定該一或多個輸液幫浦之至少一部分。
條款11. 如條款10之系統，其中篩選條件資訊包含對一 特定輸液幫浦之一指示、對一輸液幫浦之一特定版本之一指示或對一特定設施之一指示中之至少一者。
條款12. 如條款1之系統，其中該使用者輸入進一步包含指示該更新資料何時可用之一排程。
條款13. 一種用以將更新資料提供至一臨床環境內之複數個輸液幫浦之方法，該複數個輸液幫浦經組態以將藥品遞送至一或多個患者，該複數個輸液幫浦中之每一輸液幫浦包括經組態以儲存操作軟體及一或多個藥物庫之記憶體，該方法包括：接收包括更新資料之至少一第一位置之使用者輸入，該第一位置位於該臨床環境外部；在經組態以經由該臨床環境內之一第一網路與該複數個輸液幫浦通信之一設備處：經由一第二網路之一第一通信通道而接收該更新資料之該第一位置，該第二網路提供該臨床環境外部之通信；經由該第二網路之一第二通信通道自該第一位置接收該更新資料；及將該更新資料之區塊儲存於該臨床環境內之一第二位置處，其中該等所儲存更新資料區塊可用於經由該臨床環境內之該第一網路而傳輸至該複數個輸液幫浦中之一或多個輸液幫浦。
條款14. 如條款13之方法，其中該使用者輸入進一步包含指示該更新資料何時可用之一排程。
條款15. 如條款13之方法，其中該設備進一步經組態以向該一或多個輸液幫浦之至少一部分通知該更新資料可用。
條款16. 如條款15之方法，其中該使用者輸入進一步包含篩選條件資訊，且其中該設備進一步經組態以至少部分地基於該篩選條件資訊而判定該一或多個輸液幫浦之至少一部分。
條款17. 如條款16之方法，其中該篩選條件資訊包含對一特定輸液幫浦之一指示、對一輸液幫浦之一特定版本之一指示或對一特定設施之一指示中之至少一者。
條款18. 一種用以將更新資料提供至一臨床環境內之複數個輸液幫浦之方法，該複數個輸液幫浦經組態以將藥品遞送至一或多個患者，該複數個輸液幫浦中之每一輸液幫浦包括經組態以儲存操作軟體及一或多個藥物庫之記憶體，該方法包括：在經組態以經由該臨床環境內之一第一網路與該複數個輸液幫浦通信之一設備處：請求更新資料，該更新資料具有在該臨床環境外部之一第一位置；經由一第二網路之一第一通信通道而接收該更新資料之該第一位置，該第二網路提供該臨床環境外部之通信；經由該第二網路之一第二通信通道自該第一位置接收該更新資料；及將該更新資料之區塊儲存於該臨床環境內之一第二位置處，其中該等所儲存更新資料區塊可用於經由該臨床環境內之該第一網路而傳輸至該複數個輸液幫浦中之一或多個輸液幫浦。
條款19. 如條款18之方法，其中該第一位置對應於一雲端URL且該第二位置對應於一區域URL，該設備進一步經組態以將該雲端URL映射至該區域URL。
條款20. 如條款19之方法，其中該雲端URL係具有一經定義壽命之一臨時URL。
條款21. 如條款10之方法，其中該複數個輸液幫浦不對該雲端URL進行網路存取，該區域URL提供對該更新資料之存取。
條款22. 如條款18之方法，其中該第一位置係具有一經定義壽命之一臨時位置。
條款23. 一種用以將更新資料提供至一臨床環境內之複數個輸液幫浦之設備，該複數個輸液幫浦經組態以將藥品遞送至一或多個患者，該複數個輸液幫浦中之每一輸液幫浦包括經組態以儲存操作軟體及一或多個藥物庫之記憶體，該設備包括：一處理器，其包括一或多個硬體電腦；及一記憶體，其儲存指令，該等指令在由該處理器執行時將該設備組態成：經由一第一網路之一第一通信通道而接收更新資料之一第一位置，該第一網路提供該臨床環境外部之通信；經由該第一網路之一第二通信通道自該第一位置接收該更新資料；及將該更新資料之區塊儲存於該臨床環境內之一第二位置處，其中該等所儲存更新資料區塊可用於經由該臨床環境內之一第二網路而傳輸至該複數個輸液幫浦中之一或多個輸液幫浦。
條款24. 如條款23之設備，其中該等所儲存資料區塊儲存於快取記憶體中。
條款25. 如條款23之設備，其中該更新資料係一操作軟 體更新及一藥物庫更新中之至少一者。
條款26. 一種經組態以將更新資料提供至一臨床環境內之複數個輸液幫浦之系統，該系統包括：複數個輸液幫浦，其經組態以將藥品遞送至一臨床環境內之一或多個患者，該複數個輸液幫浦中之每一輸液幫浦包括經組態以儲存操作軟體及一或多個藥物庫之記憶體；及一設備，其包括電腦硬體及經組態以至少儲存該更新資料之記憶體，該設備經由該臨床環境內之一第一網路與該複數個輸液幫浦通信，該記憶體進一步儲存指令，該等指令在由該電腦硬體執行時將該設備組態成：經由一第二網路而接收該更新資料，該第二網路提供該臨床環境外部之通信；將該更新資料作為更新資料區塊儲存於該臨床環境內；經由該第一網路之一第一通信通道自該複數個輸液幫浦中之一或多個輸液幫浦接收對該更新資料之一請求；及經由該第一網路之一第二通信通道將該等所儲存更新資料區塊流式傳輸至一發出請求之輸液幫浦群組，其中該發出請求之輸液幫浦群組包括少於全部該複數個輸液幫浦之預定數目個輸液幫浦，其中該等指令將該設備進一步組態成藉由以下方式而將該等所儲存更新資料區塊流式傳輸至該發出請求之輸液幫浦群組：將一第一更新資料區塊流式傳輸至該發出請求之輸液幫浦群組之一第一子組，且將大約同時地將與該第一更新資料區塊不同之一第二更新資料區塊流式傳輸至該發出請求之輸液幫浦群組之一第二子組。
條款27. 如條款26之系統，其中該等所儲存資料區塊儲存於快取記憶體中。
條款28. 如條款26之系統，其中該更新資料係一操作軟體更新及一藥物庫更新中之至少一者。
條款29. 如條款26之系統，其中該設備進一步經組態以回應於接收到對該更新資料之該請求而打開一區域URL串流。
條款30. 如條款26之系統，其中該設備進一步經組態以向該一或多個輸液幫浦通知該更新資料可用。
條款31. 如條款30之系統，其中該設備進一步經組態以至少部分地基於篩選條件資訊而判定該一或多個輸液幫浦。
條款32. 如條款31之系統，其中該篩選條件資訊包含對一特定輸液幫浦之一指示、對一輸液幫浦之一特定版本之一指示或對一特定設施之一指示中之至少一者。
條款33. 如條款26之系統，其中該將該等所儲存更新資料區塊流式傳輸至該發出請求之輸液幫浦部分包括：使更新資料區塊至該發出請求之輸液幫浦部分之該流式傳輸錯開。
條款34. 如條款33之系統，其中使更新資料區塊至該發出請求之輸液幫浦部分之流式傳輸錯開包括：將更新資料區塊並行地流式傳輸至該發出請求之輸液幫浦部分之經錯開群組。
條款35. 如條款26之系統，其中該一或多個輸液幫浦進一步經組態以重新請求該更新資料，直至該更新資料被發送為止，重新請求之一頻率係根據一指數倒回程序而發生。
條款36. 如條款26之系統，其中該一或多個輸液幫浦經 組態以在請求該更新資料之前判定與該一或多個輸液幫浦中之各別輸液幫浦相關聯之該記憶體是否包含該更新資料。
條款37. 一種用以將更新資料提供至一臨床環境內之複數個輸液幫浦之方法，該複數個輸液幫浦經組態以將藥品遞送至一或多個患者，該複數個輸液幫浦中之每一輸液幫浦包括經組態以儲存操作軟體及一或多個藥物庫之記憶體，該方法包括：經由一第二網路而接收該更新資料，該第二網路提供該臨床環境外部之通信；將該更新資料作為更新資料區塊儲存於該臨床環境內；經由一第一網路之一第一通信通道自該複數個輸液幫浦中之一或多個輸液幫浦接收對更新資料之一請求，該第一網路位於該臨床環境內；及使該等所儲存更新資料區塊經由該第一網路之一第二通信通道至一發出請求之輸液幫浦群組之流式傳輸錯開，其中該發出請求之輸液幫浦群組包括少於全部該複數個輸液幫浦之預定數目個輸液幫浦。
條款38. 如條款37之方法，其中該等所儲存資料區塊儲存於快取記憶體中。
條款39. 如條款37之方法，其中該更新資料係一操作軟體更新及一藥物庫更新中之至少一者。
條款40. 一種用以將更新資料提供至一臨床環境內之複數個輸液幫浦之設備，該複數個輸液幫浦經組態以將藥品遞送至一或多個患者，該複數個輸液幫浦中之每一輸液幫浦包括經組態以儲存操作軟體及一或多個藥物庫之記憶體，該設備包括：一處理器，其包括一或多個硬體電腦；及 一記憶體，其儲存指令，該等指令在由該處理器執行時將該設備組態成：經由一第二網路而接收該更新資料，該第二網路提供該臨床環境外部之通信；將該更新資料作為更新資料區塊儲存於該臨床環境內；經由一第一網路之一第一通信通道自該複數個輸液幫浦中之一或多個輸液幫浦接收對更新資料之一請求，該第一網路位於該臨床環境內；及使該更新資料之經快取區塊經由該第一網路之一第二通信通道至一發出請求之輸液幫浦群組之流式傳輸錯開，其中該發出請求之輸液幫浦群組包括少於全部該複數個輸液幫浦之預定數目個輸液幫浦。
條款41. 如條款40之設備，其中該設備進一步經組態以回應於接收到對該更新資料之該請求而打開一區域URL串流。
條款42. 如條款40之設備，其中該設備進一步經組態以向該一或多個輸液幫浦通知該更新資料可用。
條款43. 如條款42之設備，其中該設備進一步經組態以至少部分地基於篩選條件資訊而判定該一或多個輸液幫浦。
條款44. 如條款43之設備，其中該篩選條件資訊包含對一特定輸液幫浦之一指示、對一輸液幫浦之一特定版本之一指示或對一特定設施之一指示中之至少一者。
條款45. 一種經組態以自一伺服器接收操作軟體更新及藥物庫更新且將該等操作軟體更新及藥物庫更新傳遞至一臨床環境內之複數個輸液幫浦之設備，該複數個輸液幫浦將藥品遞送至一或多個患者，該設備進一步經組態以判定該設備之通信效能品質，該設備包括： 一處理器，其包括計算硬體；及一記憶體，其儲存指令，該等指令在由該處理器執行時將該設備組態成：監測與一或多個微服務相關聯之複數個參數，每一微服務經組態以判定與該設備之操作相關聯之功能性，每一參數與一各別微服務相關聯；判定至少一個參數超過一臨限值；判定在一第一時間週期內傳輸至該伺服器之訊息不包含該至少一個參數超過該臨限值之一指示；將包含該至少一個參數超過該臨限值之一指示之一訊息格式化；及將該經格式化訊息傳輸至該伺服器且重設與該至少一個參數相關聯之至少一個各別微服務。
條款46. 如條款45之設備，其中該等指令進一步將該設備組態成：僅在預定數目個參數超過其各別臨限值之後將該經格式化訊息傳輸至該伺服器。
條款47. 如條款45之設備，其中該複數個參數包含一佇列大小、潛時、記憶體大小、磁碟空間、對所連接裝置之一數目之一指示或CPU時間中之至少一者。
條款48. 如條款45之設備，其中該一或多個微服務中之每一微服務經組態以建立與該複數個參數中之一所監測參數相關聯之非結構化資料之容器。
條款49. 如條款45之設備，其中該伺服器經組態以自一使用者接收對該設備之一狀態之一請求。
條款50. 如條款45之設備，其中該伺服器經組態以自一 使用者接收對該設備之一狀態之一請求，且回應於接收到該請求，經由該網路將對該複數個參數中之至少一個參數之狀態之一請求傳輸至該設備。
條款51. 如條款45之設備，其中該伺服器經組態以接收且分析該所傳輸訊息。
條款52. 如條款51之設備，其中該伺服器進一步經組態以將該分析報告給一使用者。
條款53. 如條款51之設備，其中該伺服器進一步經組態以基於該分析而自動引起一再啟動。
條款54. 如條款45之設備，其中該伺服器經組態以致使該至少一個各別微服務重設。
條款55. 一種用以驗證一設備之效能品質之方法，該設備經組態以將操作軟體更新及藥物庫更新自一伺服器傳遞至一臨床環境內之複數個輸液幫浦，該複數個輸液幫浦將藥品遞送至一或多個患者，該方法包括：監測與一或多個微服務相關聯之複數個參數，該一或多個微服務監測與該設備之操作相關聯之功能性，每一參數與一各別微服務相關聯；判定至少一個參數超過一臨限值；判定在一第一時間週期內傳輸至該伺服器之訊息不包含該至少一個參數超過該臨限值之一指示；將包含該至少一個參數超過該臨限值之一指示之一訊息格式化；及將該經格式化訊息傳輸至該伺服器且重設與該至少一個參數相關聯之至少一個各別微服務。
條款56. 如條款55之方法，其中該複數個參數包含一佇 列大小、潛時、記憶體大小、磁碟空間、對所連接裝置之一數目之一指示或CPU時間中之至少一者。
條款57. 如條款55之方法，其中該一或多個微服務中之每一微服務經組態以建立與該複數個參數中之一所監測參數相關聯之非結構化資料之容器。
條款58. 如條款55之方法，其中該伺服器經組態以自一使用者接收對該設備之一狀態之一請求。
條款59. 如條款55之方法，其中該伺服器經組態以自一使用者接收對該設備之一狀態之一請求，且回應於接收到該請求，經由該網路將對該複數個參數中之至少一個參數之狀態之一請求傳輸至該設備。
條款60. 如條款55之方法，其中該伺服器經組態以接收且分析該所傳輸訊息。
條款61. 如條款60之方法，其中該伺服器進一步經組態以將該分析報告給一使用者。
條款62. 如條款60之方法，其中該伺服器進一步經組態以基於該分析而自動引起一再啟動。
條款63. 如條款55之方法，其中該伺服器經組態以致使該至少一個各別微服務重設。
條款64. 如條款55之方法，其中該設備經組態以致使該至少一個各別微服務重設。
其他考量
應理解，未必可根據本文中所闡述之任一特定實施例來達成所有目標及優點。因此，舉例而言，熟習此項技術者應認識到，某些實 施例可經組態而以達成或最佳化如本文中所教示之一個優點或優點群組而不必達成如本文中可教示或建議之其他目的或優點之一方式操作。
依據本揭示內容將明瞭除本文中所闡述之彼等變化形式之外的諸多其他變化形式。舉例而言，取決於實施例，本文中所闡述之演算法中之任一者之某些動作、事件或功能可以一不同順序執行、可被添加、被合併或被完全忽視(例如，並非所有所闡述動作或事件皆係演算法之實踐所必需的)。此外，在某些實施例中，動作或事件可同時執行，例如，透過多線程處理、中斷處理或者多個處理器或處理器核心，或在其他並行架構上執行，而非循序執行。另外，不同任務或程序可由可一起運行之不同機器及/或計算系統執行。
連同本文中所揭示之實施例一起闡述之各種說明性邏輯區塊、模組及演算法元素可實施為電子硬體、電腦軟體或兩者之組合。為清楚圖解說明硬體與軟體之此可互換性，上文通常已就其功能性闡述了各種說明性組件、區塊、模組及元件。此功能性係實施為硬體還是軟體取決於特定應用及強加於總體系統之設計約束。所闡述功能性可針對每一特定應用以不同方式實施，但此等實施決策不應解釋為導致背離本發明之範疇。
結合本文中所揭示之實施例而闡述之各種說明性邏輯區塊及模組可由一機器實施或執行，該機器諸如一個一般用途處理器、一數位信號處理器(DSP)、一特殊應用積體電路(ASIC)、一場可程式化閘陣列(FPGA)或其他可程式化邏輯裝置、離散閘或電晶體邏輯、離散硬體組件或經設計以執行本文中所闡述之功能之其任何組合。一個一般用途處理器可係一微處理器，但在替代方案中，處理器可係一控制器、微控制器或狀態機、其組合等。一處理器可包含經組態以處理電腦可執行指令之電路。 在另一實施例中，一處理器包含一FPGA或執行邏輯操作而不處理電腦可執行指令之其他可程式化裝置。一處理器亦可實施為計算裝置之一組合，例如，一DSP與一微處理器之一組合、複數個微處理器之一組合、一或多個微處理器與一DSP核心之一組合，或任何其他此類組態。儘管本文中主要相對於數位技術進行闡述，但一處理器亦可主要包含類比組件。舉例而言，本文中所闡述之信號處理演算法中之某些或全部演算法可在類比電路或混合式類比與數位電路中實施。一計算環境可包含任何類型之電腦系統，包含但不限於基於一微處理器、一大型電腦、一數位信號處理器、一可攜式計算裝置、一裝置控制器或一器具內之一計算引擎(僅舉幾例)之一電腦系統。
結合本文中所揭示之實施例一起闡述之一方法、程序或演算法之元素可直接以硬體、以一或多個記憶體裝置中所儲存且由一或多個處理器執行之一軟體模組或以兩者之一組合體現。一軟體模組可駐存於RAM記憶體、快閃記憶體、ROM記憶體、EPROM記憶體、EEPROM記憶體、暫存器、硬碟機、一可抽換式磁碟、一CD-ROM或此項技術中已知之任何其他形式之非暫時性電腦可讀儲存媒體、媒體或實體電腦儲存裝置中。一實例性儲存媒體可耦合至處理器，使得該處理器可自儲存媒體讀取資訊並將資訊寫入至該儲存媒體中。在替代方案中，該儲存媒體可與處理器成一體。該儲存媒體可係揮發性或非揮發性的。處理器及儲存媒體可駐存於一ASIC中。ASIC可駐存於一使用者終端機中。在替代方案中，處理器及儲存媒體可作為離散組件駐存於一使用者終端機中。
除非另外具體陳述或另外在內容脈絡內如所使用而理解，否則本文中所使用之條件語言(諸如「可(can、might、may)」、「等 (e.g.)」及諸如此類，以及其他)通常旨在傳達某些實施例包含而其他實施例不包含某些特徵、元件及/或狀態。因此，此條件語言通常不旨在暗示一或多項實施例以任何方式需要特徵、元件及/或狀態或一或多項實施例必然包含在有或沒有作者輸入或提示之情況下決定在任一特定實施例中是否包含或執行此等特徵、元件及/或狀態的邏輯。術語「包括」、「包含」、「具有」及諸如此類係同義詞且以一開放式方式包含性地使用，且不排除額外元件、特徵、動作、操作等。此外，術語「或」係在其包含性意義上(而非在其排他性意義上)使用，使得在用於(舉例而言)連接一系列元件時，術語「或」意指清單中之元件中之一個、某些或全部元件。此外，如本文中所使用，術語「每一」除具有其普通意義外亦可意指術語「每一」應用於的一組元件中之任何子組。
除非另外具體指明，否則諸如片語「X、Y或Z中之至少一者」之析取語言在內容脈絡內被理解為通常用於呈現一項目、項等可係X、Y或Z，或其任一組合(例如，X、Y及/或Z)。因此，此類析取語言通常不意欲且不應暗示某些實施例需要各自呈現X中之至少一者、Y中之至少一者或Z中之至少一者。
除非另外明確指明，否則諸如「一(a、an)」或「該(等)(the)」之冠詞通常應解釋為包含一或多個所闡述項目。因此，諸如「經組態以。。。之一裝置」之片語意欲包含一或多個所陳述裝置。此類一或多個所陳述裝置亦可共同地經組態以實施所指明陳述內容。舉例而言，「經組態以實施陳述內容A、B及C之一處理器」可包含經組態以實施陳述內容A之一第一處理器連同經組態以實施陳述內容B及C之一第二處理器一起工作。
雖然以上詳細說明已展示、闡述且指出如應用於各種實施例之新穎特徵，但將理解，可在不背離本發明之精神之情況下在所圖解說明之裝置或演算法之形式及細節方面做出各種省略、替換及改變。如將認識到，本文中所闡述之某些實施例可在不提供本文中所陳述之所有特徵及益處之一形式內實施，此乃因某些特徵可獨立於其他特徵而使用或實踐。在本文中，所有此類修改及變化形式皆意欲包含在本發明之範疇內。此外，在本文中，藉由組合本文中所闡述之一或多項實施例之任何兩個或多於兩個特徵或技術而形成之額外實施例亦意欲包含在本發明之範疇內。
102:臨床環境
204:輸液幫浦/所選擇輸液幫浦/組件
206:連接配接器/組件
302:快取記憶體/區域URL快取記憶體
308:微服務
310:藥物庫更新訊息/訊息
312:輸液幫浦軟體更新訊息/訊息/輸液幫浦操作軟體更新訊息
314:藥物庫更新訊息/訊息/更新訊息
316:軟體更新訊息/輸液幫浦軟體更新訊息/訊息/更新訊息
318:健康請求訊息
322:記憶體/儲存裝置
324:通信引擎/輸液幫浦通信引擎
326:馬達控制器單元/健康請求訊息/輸液幫浦馬達控制器單元
328:健康狀態訊息/狀態訊息/訊息
330:裝置狀態管理器
332:入站佇列/佇列/訊息佇列
334:出站佇列/佇列/出站訊息佇列/訊息佇列
336:變換工作者

Claims (12)

  1. 一種經組態以將更新資料提供至複數個輸液幫浦之系統，該系統包括：複數個輸液幫浦之一輸液幫浦子集，各輸液幫浦位於一或多個臨床環境內且經組態以根據操作軟體及一或多個藥物庫將藥品遞送至一或多個患者；一伺服器，其位於該一或多個臨床環境之外部，該伺服器經組態以接收包括更新資料之一位置之使用者輸入，該更新資料包含更新該操作軟體及更新該一或多個藥物庫之一或多者；及一連接配接器，其包括一第一介面及一第二介面，該第一介面用於經由位於該一或多個臨床環境內的一第一網路與該輸液幫浦子集通信，該第一介面經組態以經由該第一網路之一第一通道傳遞多個訊息並經由該第一網路之一第二通道傳遞資料，該第二介面用於經由在該一或多個臨床環境之外部並與該第一網路分開之一第二網路與該伺服器通信，該第二介面經組態以經由該第二網路之一第一通道傳遞多個訊息並經由該第二網路之一第二通道傳遞資料，該連接配接器進一步包括電腦硬體及具有一出站訊息佇列並經組態以至少儲存該更新資料之記憶體，該記憶體進一步儲存當由該電腦硬體執行時組態該連接配接器執行以下步驟之多個指令：自該輸液幫浦子集經由該第一網路之該第一通道接收多個訊息，該等訊息包含臨床資訊；經由該第二網路之該第一通道寄送多個經轉換訊息至該伺服器， 該等經轉換訊息至少部分基於包含來自該輸液幫浦子集之該臨床資訊之經接收之該等訊息；自該伺服器經由提供該一或多個臨床環境之外部通信之該第二網路之該第二通道接收該更新資料，其中該第二網路之該第二通道與該第二網路之該第一通道分開以使該更新資料之該接收避免與包含來自該輸液幫浦子集之該臨床資訊之該等經轉換訊息之干擾；將該更新資料儲存於該連接配接器之該記憶體內以作為多個更新資料區塊；自該輸液幫浦子集之一或多個輸液幫浦經由該第一網路之該第一通道接收針對該更新資料之一請求；基於該出站訊息佇列之潛時及大小判定該第一介面之一狀態；及至少部分基於該狀態經由該第一網路之該第二通道流式傳輸(stream)經儲存之該等更新資料區塊至請求多個輸液幫浦之一群組，其中該第一網路之該第二通道與該第一網路之該第一通道分開以使經儲存之該等更新資料區塊至請求多個輸液幫浦之該群組之該流式傳輸避免與包含來自該輸液幫浦子集之該臨床資訊之經接收之該等訊息之干擾，其中請求多個輸液幫浦之該群組包括少於所有該複數個輸液幫浦之一預定數目之輸液幫浦，其中該等指令進一步組態該該連接配接器以藉由流式傳輸一第一更新資料區塊至請求多個輸液幫浦之該群組之一第一子集並近乎同時流式傳輸不同於該第一更新資料區塊之一第二更新資料區塊至請求多個輸液幫浦之該群組之一第二子集來流式傳輸經儲存之該等更新資料區塊至請求多個輸液幫浦之該群組。
  2. 如請求項1之系統，其中該等所儲存更新資料區塊儲存於快取記憶體中。
  3. 如請求項1之系統，其中該更新資料係一操作軟體更新及一藥物庫更新中之至少一者。
  4. 如請求項1之系統，其中該連接配接器進一步經組態以回應於接收到針對該更新資料之該請求而打開一區域URL串流。
  5. 如請求項1之系統，其中該連接配接器進一步經組態以向該一或多個輸液幫浦通知該更新資料可用。
  6. 如請求項5之系統，其中該連接配接器進一步經組態以至少部分地基於篩選條件資訊而判定該一或多個輸液幫浦。
  7. 如請求項6之系統，其中該篩選條件資訊包含對一特定輸液幫浦之一指示、對一輸液幫浦之一特定版本之一指示或對一特定設施之一指示中之至少一者。
  8. 如請求項1之系統，其中該將該等所儲存更新資料區塊流式傳輸至請求多個輸液幫浦之一部分包括：使更新資料區塊至請求多個輸液幫浦之該部分之該流式傳輸錯開。
  9. 如請求項8之系統，其中使更新資料區塊至請求多個輸液幫浦之該部分之該流式傳輸錯開包括：將更新資料區塊並行地流式傳輸至請求多個輸液幫浦之該部分之多個經錯開群組。
  10. 如請求項1之系統，其中該一或多個輸液幫浦進一步經組態以重新請求該更新資料，直至該更新資料被發送為止，重新請求之一頻率係根據一指數倒回程序而發生。
  11. 如請求項1之系統，其中該一或多個輸液幫浦經組態以在請求該更新資料之前判定與該一或多個輸液幫浦中之各別輸液幫浦相關聯之該記憶體是否包含該更新資料。
  12. 一種用以將更新資料提供至複數個輸液幫浦之方法，該複數個輸液幫浦經組態以根據操作軟體及一或多個藥物庫將藥品遞送至一或多個患者，該複數個輸液幫浦中之每一輸液幫浦位於一或多個臨床環境內，該方法包括：於一伺服器接收包括更新資料之一位置之使用者輸入，該更新資料包含輸液幫浦操作軟體之更新及一或多個藥物庫之更新之一或多者，該伺服器位於一或多個臨床環境之外部；在一連接配接器之一第一介面處自該複數個輸液幫浦之一子集經由一第一網路之一第一通道接收多個訊息，該等訊息包含臨床資訊，該第一網路在該一或多個臨床環境之至少一者內，該第一介面經組態以經由該第 一網路之該第一通道傳遞多個訊息並經由該第一網路之一第二通道傳遞資料，該連接配接器進一步包括電腦硬體及具有一出站訊息佇列並經組態以至少儲存該更新資料之記憶體；經由一第二網路之一第一通道透過該連接配接器之一第二介面寄送多個經轉換訊息至該伺服器，該第二介面用於經由在該一或多個臨床環境之外部並與該第一網路分開之該第二網路與該伺服器通信，該等經轉換訊息至少部分基於包含來自該輸液幫浦子集之該臨床資訊之經接收之該等訊息，該第二介面經組態以經由該第二網路之該第一通道傳遞多個訊息並經由該第二網路之一第二通道傳遞資料；以該連接配接器經由提供該一或多個臨床環境之外部通信之該第二網路之該第二通道接收該更新資料，其中該第二網路之該第二通道與該第二網路之該第一通道分開以避免該更新資料之接收干擾包含來自該輸液幫浦子集之該臨床資訊之該等經轉換訊息；以該連接配接器將該更新資料儲存於該連接配接器之該記憶體內以作為多個更新資料區塊；在該連接配接器處自該輸液幫浦子集之一或多個輸液幫浦經由該第一網路之該第一通道接收針對該更新資料之一請求，該第一網路係在該一或多個臨床環境內；在該連接配接器處基於該出站訊息佇列之潛時及大小判定該第一介面之一狀態；及以該連接配接器至少部分基於該狀態錯開經儲存之該等更新資料區塊至請求多個輸液幫浦之一群組之一流式傳輸(streaming)，其中該第一網路之該第二通道與該第一網路之該第一通道分開以使經儲存之該等更新資 料區塊至請求多個輸液幫浦之該群組之該流式傳輸避免與包含來自該輸液幫浦子集之該臨床資訊之經接收之該等訊息之干擾，其中請求多個輸液幫浦之該群組包括少於所有該輸液幫浦子集之一預定數目之輸液幫浦。
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