WO2003092770A1 - Systeme de dosage pour perfusion programmable a distance - Google Patents

Systeme de dosage pour perfusion programmable a distance Download PDF

Info

Publication number
WO2003092770A1
WO2003092770A1 PCT/EP2003/004615 EP0304615W WO03092770A1 WO 2003092770 A1 WO2003092770 A1 WO 2003092770A1 EP 0304615 W EP0304615 W EP 0304615W WO 03092770 A1 WO03092770 A1 WO 03092770A1
Authority
WO
WIPO (PCT)
Prior art keywords
setting
infusion
data
interface
portable
Prior art date
Application number
PCT/EP2003/004615
Other languages
German (de)
English (en)
Inventor
Johannes Kritten
Original Assignee
Pegasus Gmbh Gesellchaft Für Medizinische Geräte
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Pegasus Gmbh Gesellchaft Für Medizinische Geräte filed Critical Pegasus Gmbh Gesellchaft Für Medizinische Geräte
Priority to AU2003233227A priority Critical patent/AU2003233227A1/en
Publication of WO2003092770A1 publication Critical patent/WO2003092770A1/fr

Links

Classifications

    • 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
    • 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
    • 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
    • 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
    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/35—Communication
    • A61M2205/3546—Range
    • A61M2205/3553—Range remote, e.g. between patient's home and doctor's office
    • 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
    • A61M2205/35—Communication
    • A61M2205/3576—Communication with non implanted data transmission devices, e.g. using external transmitter or receiver
    • A61M2205/3584—Communication with non implanted data transmission devices, e.g. using external transmitter or receiver using modem, internet or bluetooth
    • 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

Definitions

  • the invention relates to a setting device and a method for setting a portable infusion metering device and an infusion metering system with a host computer system with an input / output interface, a portable infusion metering device with an input interface for receiving signals, and the setting parameters represent the infusion metering device, and a portable one-piece device that can be coupled to these interfaces for setting the portable infusion metering device.
  • Portable infusion metering devices are used, for example, in pain therapies, chemotherapy, antibiotic therapies, hormone therapies and desferal therapies in order to supply a medication previously filled in a storage container of the infusion metering device to a patient who carries the infusion metering device with him via infusion sets.
  • An infusion pump is used to deliver the medication (the entire infusion dosing device is often also referred to as an infusion pump).
  • the medicament can be supplied to the patient via the pump continuously or discontinuously depending on the time and on parameters stored in the infusion metering device, which specify a delivery rate and predetermined time intervals.
  • a known infusion metering device (“infusion pump”) has a display device (display) and various input keys, which together form a user interface. Via this interface, a user can start up or switch off the infusion pump, set various parameters, such as the dose or time intervals for intermittent dosing. In addition, a user can give one-time administration of the drug (bolus) via the operator interface
  • CONFIRMATION OPEc initiate. After appropriate operator input.
  • parameters therapy data
  • a history and operating values e.g. fill level of the reservoir
  • the infusion pump could be set, the history of the medication administered and further data exchanged via this interface.
  • This coupling to a computer could allow a more comfortable setting of the parameters of the infusion pump, since the user interface of the computer can be made more comfortable. To do this, however, it would be necessary either to separate the infusion pump from the patient or to bring the patient together with the portable infusion pump in the vicinity of a suitable interface of the computer.
  • Another cost-intensive option would be, for example in a hospital, to arrange an interface in the vicinity of every possible location of a patient (for example in the vicinity of each bed) which is connected to the computer via a data communication network.
  • the known infusion pump Since the known infusion pump is not coupled to a computer for the reasons mentioned, it itself contains a high degree of processing intelligence. In order to reliably design the user guidance with the given setting options, a high level of processing intelligence is required to control the display device (which is relatively simple compared to a computer display) and the input keys of the infusion pump. This leads to complex and complicated operating steps in the menus of the infusion pump shown on the display device and thus to a considerable risk of incorrect operation and / or high training expenditure for the operator.
  • the object of the invention is therefore to increase the flexibility when using the infusion pumps and at the same time to minimize the costs of the infusion pump.
  • an adjusting device for adjusting a portable infusion metering device with the features of claim 1 by an infusion metering system with the features of claim 11 or by a method for adjusting a portable infusion metering device with the features of Claim 13 solved.
  • the setting device according to the invention is used to set a portable infusion metering device with an input interface for receiving signals which represent setting parameters of the infusion metering device ("represent” is not limited to "code” here).
  • the setting device according to the invention is portable (preferably has a pocket size), is structurally separate from the infusion dosing device and can be coupled (preferably wirelessly) to its input interface and to an input / output interface of a host computer system.
  • the setting device which is preferably a correspondingly configured PDA (for example Palm TM), has (a) a first interface device for coupling to the input / output interface of the host computer system in order to be able to receive therapy specification data from the host computer system, (b ) a (preferably non-volatile) memory for storing received therapy specification data, (c) an operator input device for recording operator inputs that characterize at least desired settings of dose values of the infusion drug, (d) one coupled to the first interface device, the memory and the operator input device Processing device which, as a function of the stored therapy specification data from the operator inputs, output data which characterize at least one dose setting value of an infusion drug.
  • PDA for example Palm TM
  • the first and the second interface device can partially comprise common hardware and software.
  • the operator inputs which characterize the desired settings of dose values, can identify these dose values both as absolute values (input or selection of dose values) and as relative settings (input or selection of an increase or decrease, for example as a percentage).
  • the setting parameters of the infusion metering device represented by the output signals determine the dose setting value of the infusion medication for a predetermined time interval (“determining” is not limited to “specifying” or “coding” here, but generally means that the parameters together with others (Fixed) influencing variables define the dose course to be set).
  • the portable adjustment device can be optimally adapted to the task of exchanging data with the infusion dosing device on the one hand and the host computer system on the other hand and with the operator guidance.
  • an improved (enlarged, higher-resolution) display improved input options for the operator, more convenient processing software and preprocessing of the data to be transmitted between the infusion dosing device and the host computer system are provided.
  • the processing intelligence and the operator interface of the infusion dosing device can be reduced to such an extent that an operator (patient) has only limited setting options available. Only the authorized operator of a one-piece device according to the invention has additional or all setting options available in a convenient manner. In a preferred system, it is also possible to provide several setting devices for differently authorized operators with differently approved setting options.
  • the adjusting device according to the invention thus allows a reduced expenditure of time for the operating personnel and at the same time an increase in the safety of therapy.
  • the transportable setting device which can be used in the vicinity of the patient, creates opportunities for the additional recording of data on therapy results and their course (eg data collection during a visit). This improves documentation and quality control. Since one setting device can be used for several patients, additional statistical data are available on site.
  • the second interface device comprises a transmission device for wireless transmission of the signals to the infusion metering device.
  • the transmission device preferably comprises a
  • Infrared transmission device This makes handling easier.
  • the first interface device of the one-piece device has an output device for transmitting data to the host computer system, the data transmitted to the host computer system being data comprising the output data characterizing the at least one dose setting value.
  • the second interface device preferably also comprises a transmission device for wireless transmission of the signals to the infusion metering device, the output device of the first interface device comprising the transmission device of the second interface.
  • a common transmission device is used for the first and the second interface, the fact being exploited that the setting device is never coupled to both the host computer system and the metering device at the same time. This allows a cheaper design of the adjustment.
  • a third interface device which is coupled to the processing device, wherein the third interface device can be coupled to at least one sensor that detects vital parameters for receiving vital parameter signals.
  • Sensors that record vital parameters are, for example, sensors that record blood pressure, O 2 saturation, respiratory rate or parameters of the ECG.
  • the entire hardware and software of the third interface device need not be separate from that of the first and second interface devices; the third interface device can be part of the hardware and software of the first and / or second
  • the third interface device allows the pump to be controlled as a function of the situation the detected vital parameters and thus a feedback and quick reaction to unexpected, sudden changes in these patient parameters.
  • a fourth interface device is coupled to the processing device, an output and / or remote output device being able to be coupled to the fourth interface device.
  • a printer for example, serves as the output device.
  • a remote output device is, for example, a telecommunication device (for example a cell phone). This fourth interface device allows, for example, documentation on site.
  • the fourth interface device When the fourth interface device is connected to a mobile phone, it is possible to automatically alert the attending doctor / nursing service in the case of outpatient therapy at home if serious disorders occur.
  • the alarm is triggered, for example, as a function of the detection of predetermined extreme values in the vital parameters or as a function of outputs from the infusion metering device (which, for example, indicate a malfunction).
  • the second interface device of the setting device for setting the portable infusion metering device preferably also has a receiving device for receiving signals from the infusion metering device, the received signals representing at least one dose value set in the infusion metering device.
  • the second interface device generates data representing the set dose value from the received signals and outputs this to the processing device.
  • the processing device compares the data representing the set dose value with the output data which characterize at least one dose set value in order to check the setting. This increases the reliability of the setting.
  • the adjusting device according to the invention for setting a portable infusion metering device can preferably alternatively be coupled to several infusion metering devices assigned to different patients.
  • the therapy specification data comprise patient-related therapy specification data in association with patient and / or dosing device identification information. This allows easy selection of the correct therapy specification data by automatically recording the identification information when connecting.
  • a portable setting device is coupled to a host computer system, in order to record therapy specification data from the host computer system and to store the received therapy specification data in a memory. Furthermore, an operator input device of the setting device is monitored in order to record operator inputs which identify at least the desired settings of dose values of the infusion drug. A processing device of the one-part device then generates output data, which characterize at least one dose setting value of an infusion medication, as a function of the stored therapy specification data from the operator inputs.
  • the portable one-piece device is with. an infusion dosing device coupled.
  • signals corresponding to the output data which represent setting parameters of the infusion dosing device, are generated and output to the infusion dosing device, the setting parameters for at least one dose setting value of the infusion drug for a predefined Determine the time interval.
  • the delivery rates corresponding to the signals representing the setting parameters and / or times in which certain delivery rates are to be set are set by the infusion metering device.
  • the signals representing the setting parameters are preferably transmitted wirelessly, for example via modulated infrared radiation.
  • the infusion metering device transmits signals from the infusion metering device to the one-part device Display infusion dosing device set dose value. Then, the interface device generates data representing the set dose value from the received signals and outputs it to the processing device. Finally, the processing device compares the data representing the set dose value with the output data which characterize at least one dose set value in order to check the setting.
  • FIG. 1 shows a block diagram of an exemplary embodiment of a one-part device according to the invention coupled to an infusion metering device
  • Figure 2 is a schematic representation illustrating the application of the infusion metering system according to the invention.
  • FIG. 1 shows the coupling of a setting device according to the invention to an infusion metering device in a schematic form.
  • FIG. 1 shows two main blocks, the infusion metering device 1 (hereinafter referred to as the infusion pump) and a metering device 2 coupled to it.
  • the infusion pump 1 is a portable infusion pump which, for example, has a flat rectangular housing of approximately 8 ⁇ 6 cm in size and approximately 3 cm in thickness and weighs less than 200g.
  • the infusion pump operates on a battery and contains, for example, the following components outlined in FIG. 1.
  • a container 10 designated as a reservoir in FIG. 1 contains an infusion medication and is connected to a pump device 12 via a line 11.
  • the pump device 12 In addition to the pump head acting on the fluid of the infusion drug, the pump device 12 also includes a motor driving it (for example a stepper motor).
  • the infusion drug conveyed by the pump device 12 is transported via line 13 from the infusion pump 1 to the patient.
  • the motor of the pump device 12 is controlled via a driver circuit 14.
  • the driver circuit 14 operates as a function of control signals which it receives from a control device 15.
  • the control device 15 is preferably a digital, program-controlled control device which comprises one or more processors, associated memories for storing programs and data, associated clock generators and input / output interface components. So that the control device 15 can detect that the medicament is being transported in the desired manner, a tachometer generator 16 is coupled to the pump device 12, for example.
  • a pressure and / or force sensor can be located at a suitable point on the pump device or the line 13 may be coupled.
  • the intelligence required for operating the infusion pump 1 is contained in the control device 15, in particular in the operating programs stored there.
  • the pump device 12 is controlled under the control of the control device 15 as a function of therapy data which are stored in a therapy memory 17.
  • the control device 15 is coupled to a series of input devices 18, for example buttons on the housing of the infusion pump 1, and to a display device 19, preferably an LCD display on the housing of the infusion pump.
  • control device 15 Via the operator interface formed from input devices 18 and display device 19 as well as the associated interfaces and programs of control device 15, an operator (patient and / or doctor) can put the infusion pump 1 into operation and configure it in the desired manner, as well as the status and possible errors in the operation of the Query infusion pump 1.
  • the control device 15 contains two processors which are program-controlled and cooperate with one another, a first processor processing inputs, managing the therapy memory, controlling the display and thus controlling the therapy. A second processor working under the control of this processor takes over the control of the motor driver for the pump device.
  • the infusion pump shown in FIG. 1 has an input / output interface device, the block 20 identifying the interface hardware that is coupled to the control device 15.
  • the interfaces themselves include the associated driver
  • FIG. 1 also shows a schematic illustration of the one-piece device 2 according to the invention.
  • the one-piece device 2 can be coupled to the interface device 20 of the infusion pump 1 via a data communication connection 3.
  • the setting device 2 has, for example, the following components shown in FIG. 1.
  • a processing device 21, which can process data under program control, is coupled to a data output device in the form of a display 22 and to a data input device 23.
  • the processing device 21 is also coupled to a memory 24.
  • Memory 24 includes, for example, read-only memory, non-volatile memory, and random access memory.
  • the memory 24 stores both the operating programs required for the operation of the setting device 2 and the input, output and other data formed during data processing.
  • the processing device 21 is coupled to a first interface device 25, a second interface device 26 and a third interface device 27.
  • the first interface device is designed such that the setting device 2 can be coupled to a host computer system via this interface.
  • the setting device 2 receives so-called therapy specification data from the host computer system via this interface device 25.
  • the therapy specification data and / or data formed therefrom are then stored in the memory 24.
  • the processing device 21 processes an operating program on the setting device 2, which an operator of the setting device 2 uses the display device 22 to make corresponding entries via the input device. facility 23 prompts.
  • the requested operator inputs indicate, among other things, desired settings of the infusion pump 1.
  • the processing device 21 uses the operator inputs to generate output data for output to the infusion pump 1, taking into account the therapy specification data received and stored from the host computer system, on the basis of which this infusion pump 1 is set in the desired manner shall be.
  • the second interface device 26 is designed in such a way that it generates and outputs signals corresponding to the output data, which represent setting parameters of the infusion pump, to the infusion pump 1.
  • the data setting the infusion pump 1 is preferably transmitted via a wireless connection in accordance with a standard protocol suitable for the transmission medium used, for example in accordance with the Bluetooth protocol for high-frequency transmission in the short range (up to approximately 10 m distance).
  • the setting device 2 thus generates the therapy data which, when they have been transmitted to the infusion pump 1, control the infusion pump 1 in a corresponding manner.
  • the therapy data are formed from the therapy data entered via the input device 23, checks and, if necessary, modifications of the entered therapy data being carried out as a function of the therapy specification data from the memory 24 before the therapy data tested / modified in this way are transmitted to the infusion pump 1.
  • the therapy specification data could be limit values that the therapy data must not exceed.
  • the third interface device 27 of the setting device 2 is used on the one hand to output data, for example to print out documentation data or to output messages (for example an alarm) remotely (via a mobile phone).
  • the third interface device 27 is used to connect sensors, can record the vital parameters (e.g. 0 2 saturation, respiratory rate, blood pressure, ECG, etc.).
  • the setting device 2 is preferably a portable computer system that is configured with the above-mentioned interfaces and corresponding software.
  • the one-piece device 2 is preferably a personal digital assistant (PDA) of small size.
  • PDA personal digital assistant
  • the same interface hardware is preferably used within the PDA both for coupling to the infusion pump 1 and for coupling to the host computer system and for coupling the sensors and / or the output devices.
  • Standard interface hardware is preferably used, which enables targeted and defined coupling to the different devices and preferably uses standard data communication protocols, such as a Bluetooth protocol.
  • an adjustment device 2 is used to adjust a plurality of infusion pumps 1.
  • the adjusting device 2 is coupled in time via its second interface device 26 to one infusion pump 1 for a predetermined time of data exchange.
  • setting parameter signals are transmitted to the infusion pump 1 and data signals from the infusion pump 1 are received which describe the functionality, document the previous course of therapy and operation for a predetermined period of time and show the success of the settings currently made with this coupling.
  • the data received from the infusion pump 1 can be further processed and evaluated in the setting device 2.
  • the data exchange described is carried out in succession on several infusion pumps 1 made that are assigned to patients in different locations. After the successful data exchange with a number of pumps, the received data can also be statistically evaluated in the one-part device 2, whereby several patients who receive a similar infusion supply can be included.
  • the adjusting device 2 is preferably in the possession of a treating doctor.
  • the treating doctor carries out the necessary evaluations on his setting device 2 and uses the third interface device 27, for example, to output therapy documentation of the different patient and statistical evaluations via a printer.
  • the attending doctor uses the setting device 2 in order to transmit the data documenting the therapy of the individual patients to a host computer system (for example the computer system of a hospital).
  • the attending physician couples the setting device 2 to the host computer system via the first interface device 25 and initiates a corresponding data transmission via software called up on the setting device 2.
  • an adjustment device 2 is permanently assigned to a nearby infusion pump 1 over a longer period of use.
  • the data exchange between the setting device 2 and the infusion pump 1 takes place continuously, periodically at predetermined times and / or as a function of specified events, it being possible for the data communication to be initiated both by the setting device and by the infusion pump.
  • 27 sensors for detecting vital parameters for example blood pressure, oxygen saturation, heart rate, etc.
  • This allows an intel- Ligente pump control depending on the vital parameters recorded (for example, the automatic adjustment of the flow rate in the event of symptoms of an overdose), ie a closed loop regulation within predetermined limit parameters.
  • This configuration is particularly advantageous for outpatient therapy in the patient's home area.
  • a device for remote data transmission for example a mobile phone
  • the third interface device 27 in order to enable automatic notification of a caring doctor or an outpatient care service in the event of serious malfunctions or other predetermined events.
  • FIG. 2 is a schematic illustration which illustrates the use of the infusion metering system according to the invention.
  • the three main components of the infusion dosing system are shown on the right-hand side of FIG. 2: the infusion pump 1, the one-part device 2 and a host computer 4.
  • the infusion pump 1 the infusion pump 1
  • the one-part device 2 the one-part device 2
  • a host computer 4 the host computer 4.
  • those people are shown in association with the three main components which mostly interact with the associated component.
  • the infusion pump 1 is assigned to a patient 5.
  • the patient 5 is supplied with 13 drug doses via the line described in FIG.
  • the quantity or dose of medication transported from the infusion pump 1 to the patient 5 corresponds to the therapy parameters or therapy data set in the infusion pump 1.
  • the infusion pump 1 supplies information about its operation and therapy to the patient 5 via its display device 19.
  • the patient 5 can also request, via predetermined inputs via the input devices 18, to view further therapy data which is then provided to him via the display device 19 (display). are displayed.
  • the patient 5 can make appropriate entries in the frame predefined limits influence the drug dosage. For example, he can request a bolus if necessary.
  • the infusion pump 1 conveys the medicament as a function of the stored therapy data and the inputs of the patient 5.
  • the infusion pump stores the entire course of operation and therapy, ie the course of the medication dosing, and data relating to the functionality of the infusion pump 1 for documentation purposes (e.g. fault messages and similar events).
  • the infusion pump 1 is above that described
  • Interfaces 20 and 26, which establish the data communication link 3, are coupled to the setting device 2 in the form of a PDA or a portable computer.
  • this coupling can be permanent, periodic and / or event-dependent for a specified period of use, or the coupling can be carried out at predetermined times when the therapy is being checked.
  • both setting parameter signals i.e. tested therapy data
  • transmitted from the setting device 2 to the infusion pump 1 and the data stored in the infusion pump about the therapy history and the history of the pump operation are read out. If new setting parameter signals are transmitted to the infusion pump 1, the successful setting of the parameters is checked by reading out associated test parameters that are generated in the infusion pump 1 with the aid of sensors.
  • the patient data and therapy specification data relevant to the therapy are stored.
  • the setting device 2 determines the parameters to be set for the further therapy from these patient and therapy default data, the data of the previous course of therapy read from the infusion pump 1 and the inputs from a treating doctor 6, under the control of appropriate programs. meters and transmits them to the infusion pump 1.
  • a further influencing variable for the setting parameters calculated in the setting device 2 and transmitted to the infusion pump 1 can be the output signals from sensors 7 detecting vital parameters, which are received via the interface device 27.
  • the data entered by the attending physician 6 via the input device 23 of the setting device 2 determine the further therapy within the framework of specifications that result from therapy specification data.
  • the therapy specification data are stored in a memory of the one-part device 2.
  • the attending physician needs a range of information. On the one hand, he obtains this information from the output of the setting device 2 via its display device 22.
  • the treating doctor obtains further information during the diagnosis of the patient and from the communication with the patient (shown by the arrow 8 in FIG. 2).
  • the attending doctor receives 6 specifications from the responsible (chief) doctor, the so-called therapy standards (shown in FIG. 2 by an arrow from doctor 9 to doctor 6).
  • the setting device 2 contains a comfortable screen output device 22, by means of which not only the currently set parameters of the infusion pump 1, but also the therapy history and further information about the patient can be displayed.
  • the setting device 2 can contain software with which, based on the existing data, a simulation of the future course depending on fictitious specifications of adjustable therapy data can be generated and displayed on the screen 22.
  • An output device possibly a remote output device, can also be coupled to the interface device 27 (as described above). The course of therapy, the set parameters, simulation results and other evaluations are output, for example printed out.
  • the dividing device 2 can be coupled to a host computer 4 via the interface device 25.
  • the host computer 4 usually a stationary computer system, contains the software with which therapy standards or guidelines of the responsible chief physician 9 can be recorded and managed.
  • the host computer is also used for the administration and administration of the authorized users of the system. With the help of the software processed on the host computer, therapy goals and documentation parameters are defined and patient-related therapy data is documented and evaluated.
  • the host computer 4 accesses electronic patient files. When the treatment is complete, the patient files are stored in an electronic archive (also shown in FIG. 2).
  • the doctor responsible 9 determines the scope of the documentation relating to the patient by the inputs into the host computer
  • the documentation is improved by the transfer of the data of the course of therapy from the infusion pump into the one-part device 2 and the transfer of this data or the data formed therefrom by processing into the host computer 4.
  • This and the central specification of therapy standards lead to a system with high therapy security.
  • device 2 permits improved documentation of the therapy results. With the help of the system, the previously defined therapy goals, the documented course of operation and therapy, the therapy results as well as side effects and well-being of the patient can be used seamlessly and almost tamper-proof for quality assurance.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Epidemiology (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • General Business, Economics & Management (AREA)
  • Business, Economics & Management (AREA)
  • Vascular Medicine (AREA)
  • Anesthesiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Medicinal Chemistry (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Chemical & Material Sciences (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

L'invention concerne un système de dosage pour perfusion portable comprenant un dispositif de dosage pour perfusion (1) doté d'une interface d'entrée (20) destinée à recevoir des paramètres de réglage, par exemple une valeur de réglage d'une dose d'un médicament administré par perfusion dans un intervalle de temps prédéterminé. Un dispositif de commande (2) destiné à commander ledit dispositif de dosage pour perfusion (1) est également portable, séparé du dispositif de dosage pour perfusion (1) et pouvant être couplé à son interface d'entrée (20) ainsi qu'à une interface d'entrée/sortie d'un système informatique hôte. Ledit dispositif de commande (2) comprend un premier dispositif d'interface (25) permettant le couplage au système informatique hôte, et ainsi la réception des données allouées pour la thérapie. Ledit dispositif de commande (2) comprend, de plus, une mémoire (24) destinée à enregistrer les données allouées pour la thérapie reçues, un dispositif d'entrée utilisateur (32) destiné à saisir les entrées d'utilisateur et un dispositif de traitement (21) couplé au premier dispositif d'interface (25), à la mémoire (24) et au dispositif d'entrée utilisateur (23).
PCT/EP2003/004615 2002-05-04 2003-05-02 Systeme de dosage pour perfusion programmable a distance WO2003092770A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU2003233227A AU2003233227A1 (en) 2002-05-04 2003-05-02 Remote-programmed infusion dosing system

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE10220031A DE10220031A1 (de) 2002-05-04 2002-05-04 Infusions-Dosiersystem
DE10220031.9 2002-05-04

Publications (1)

Publication Number Publication Date
WO2003092770A1 true WO2003092770A1 (fr) 2003-11-13

Family

ID=29265089

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2003/004615 WO2003092770A1 (fr) 2002-05-04 2003-05-02 Systeme de dosage pour perfusion programmable a distance

Country Status (3)

Country Link
AU (1) AU2003233227A1 (fr)
DE (1) DE10220031A1 (fr)
WO (1) WO2003092770A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1804872A4 (fr) * 2004-08-31 2009-11-25 Ethicon Endo Surgery Inc Systeme effecteur medical

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU2021267324A1 (en) * 2020-05-04 2022-12-15 CareFusion 303 Inc. System and method for asynchronous communication of infusion information and obtaining remote assistance for an ongoing infusion

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020002326A1 (en) * 1998-08-18 2002-01-03 Causey James D. Handheld personal data assistant (PDA) with a medical device and method of using the same
US20020029776A1 (en) * 2000-08-02 2002-03-14 Blomquist Michael L. Processing program data for medical pumps

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5376070A (en) * 1992-09-29 1994-12-27 Minimed Inc. Data transfer system for an infusion pump
US5772635A (en) * 1995-05-15 1998-06-30 Alaris Medical Systems, Inc. Automated infusion system with dose rate calculator
DE19740387A1 (de) * 1997-09-08 1999-03-25 Metis Intelligente Systeme Gmb Vorrichtung und Verfahren zur dosierten Abgabe von Medikamenten
DE19842722C2 (de) * 1998-09-18 2002-07-18 Tricumed Medizintechnik Gmbh Infusionspumpe mit einem Rechner zum Berechnen der jeweils höchstzulässigen Abgabemenge
FR2792841A1 (fr) * 1999-04-30 2000-11-03 Medtronic Inc Procede et dispositif pour detecter une temperature dans une pompe implantable

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020002326A1 (en) * 1998-08-18 2002-01-03 Causey James D. Handheld personal data assistant (PDA) with a medical device and method of using the same
US20020029776A1 (en) * 2000-08-02 2002-03-14 Blomquist Michael L. Processing program data for medical pumps

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1804872A4 (fr) * 2004-08-31 2009-11-25 Ethicon Endo Surgery Inc Systeme effecteur medical

Also Published As

Publication number Publication date
DE10220031A1 (de) 2003-11-20
AU2003233227A1 (en) 2003-11-17

Similar Documents

Publication Publication Date Title
DE60315443T2 (de) Patientenkontrollierte aktivierung von implantierbaren vorrichtungen zur verabreichung von arzneien
DE102004011264B4 (de) Dialysestation
EP2207582B1 (fr) Systeme et procede pour controler et reguler des taux de glycemie
DE69307123T2 (de) Tragbare programmierbare infusionspumpe
EP1899878B1 (fr) Systeme de traitement medical comportant un dispositif pour preparer des donnees specifiques de patients
DE69502936T2 (de) Anordnung zur fernüberwachung von steuerbaren einrichtungen
DE69329774T2 (de) Infusionspumpe mit elektronisch ladbarer medikamentenbibliothek
EP0384155B1 (fr) Combination d'un dispositif médical avec contrôleur superflu pour perfusion thérapeutique ou traitement de sang et d'un dispositif de programmation
EP1576972B2 (fr) Méthode et ensemble d'appareillage de validation des données entrées par un utilisateur dans un appareil médical
DE19823240A1 (de) Vorrichtung zur zentralen Steuerung und/oder Überwachung von Infusionspumpen
EP0107150B2 (fr) Dispositif d'administration de médicaments
DE3855745T2 (de) Anordnung eines Multimoden-Medikamenteninfusionssystems für klinische Zwecke
EP1486218B1 (fr) Système de commande à distance et de surveillance d'un dispositif d'administration de médicaments
DE60017943T2 (de) Kommunikationssystem für eine implantierbare vorrichtung und einen arzneimittelspender
EP2141620B1 (fr) Pompe à insuline et procédé de commande d'une interface utilisateur d'une pompe à insuline
DE60022441T2 (de) Vorrichtung zur automatischen regelung der medikamentenabgabe
DE69626813T2 (de) Medizinische infusionsvorrichtung mit eingabe von blutglukosedaten
DE60220378T2 (de) Gerät zur Verabreichung einer muskelrelaxierenden Arznei an Patienten
EP1936524B1 (fr) Dispositif de traitement de sang
EP1195708A1 (fr) Systeme de traitement extracorporel du sang
DE3812584A1 (de) Vorrichtung zur biofeedbackkontrolle von koerperfunktionen
EP2542276A1 (fr) Système et méthode d'administration de médicaments à un patient
DE69210873T2 (de) Peristaltische intravenöse Infusionspumpe mit Anzeige einer gewählten Anwendung
EP2146296A2 (fr) Implant médical doté d'au moins deux canaux de communication de données
WO2004028606A1 (fr) Appareil d'aerosoltherapie

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A1

Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BY BZ CA CH CN CO CR CU CZ DE DK DM DZ EC EE ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX MZ NI NO NZ OM PH PL PT RO RU SC SD SE SG SK SL TJ TM TN TR TT TZ UA UG US UZ VC VN YU ZA ZM ZW

AL Designated countries for regional patents

Kind code of ref document: A1

Designated state(s): GH GM KE LS MW MZ SD SL SZ TZ UG ZM ZW AM AZ BY KG KZ MD RU TJ TM AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IT LU MC NL PT RO SE SI SK TR BF BJ CF CG CI CM GA GN GQ GW ML MR NE SN TD TG

121 Ep: the epo has been informed by wipo that ep was designated in this application
REG Reference to national code

Ref country code: DE

Ref legal event code: 8642

122 Ep: pct application non-entry in european phase
NENP Non-entry into the national phase

Ref country code: JP

WWW Wipo information: withdrawn in national office

Country of ref document: JP