WO2014118944A1 - Intravenous drip probe and infusion pump provided with intravenous drip probe - Google Patents

Intravenous drip probe and infusion pump provided with intravenous drip probe Download PDF

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Publication number
WO2014118944A1
WO2014118944A1 PCT/JP2013/052220 JP2013052220W WO2014118944A1 WO 2014118944 A1 WO2014118944 A1 WO 2014118944A1 JP 2013052220 W JP2013052220 W JP 2013052220W WO 2014118944 A1 WO2014118944 A1 WO 2014118944A1
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WO
WIPO (PCT)
Prior art keywords
infusion
tube
drip
drug
probe
Prior art date
Application number
PCT/JP2013/052220
Other languages
French (fr)
Japanese (ja)
Inventor
伸孝 清水
Original Assignee
テルモ株式会社
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 テルモ株式会社 filed Critical テルモ株式会社
Priority to CN201380045047.3A priority Critical patent/CN104582759B/en
Priority to PCT/JP2013/052220 priority patent/WO2014118944A1/en
Priority to JP2014559436A priority patent/JP6240620B2/en
Publication of WO2014118944A1 publication Critical patent/WO2014118944A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/1411Drip chambers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168Means 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
    • A61M5/16886Means 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 for measuring fluid flow rate, i.e. flowmeters
    • A61M5/1689Drip counters

Definitions

  • the present invention relates to an infusion probe attached to an infusion set of an infusion pump for delivering a drug to a patient, and an infusion pump including the infusion probe.
  • the infusion pump is used in, for example, an intensive care unit (ICU) and the like, and is used to perform a liquid feeding treatment for a patient for a long time with high accuracy.
  • a predetermined drug bag (infusion bag) is arranged on the infusion pump, and an infusion tube lowered from the drug bag is sandwiched between the main body and the door, and the infusion tube is accommodated in the main body.
  • the door is held by closing the door.
  • the outer peripheral surface of the infusion tube set at a fixed position is sandwiched between a plurality of fingers in the main body and the inner surface of the door.
  • This infusion pump is a peristaltic infusion pump that sequentially pushes the outer peripheral surface of an infusion tube along the length direction by operating a drive motor to deliver a medicine (Patent Document 1). reference).
  • the number of infusions dropped from the infusion bag is measured by an infusion probe.
  • This infusion probe is detachably attached to an infusion tube connected to the infusion bag.
  • the medical staff may wear this drip probe upside down with respect to the drip tube.
  • the dropped drug may bounce off the liquid level of the drug accumulated in the drip tube, and the drip probe also detects the drug bounced off the liquid level. End up.
  • the infusion pump cannot obtain information on the correct number of drops of medicine, and the infusion pump may not be able to deliver the correct amount of medicine to the patient. Therefore, the present invention can detect that the medicine is mounted upside down with respect to the drip cylinder, and the drug dripped in the drip cylinder is a rebound phenomenon from the liquid surface of the drug accumulated in the drip cylinder as a droplet. It is an object of the present invention to provide an infusion pump including an infusion probe and an infusion probe that can grasp the correct number of drops of medicine without counting.
  • the infusion probe of the present invention is used in an infusion pump for delivering a medicine in a medicine container to a patient through an infusion cylinder and an infusion tube, and is attached to the infusion cylinder to detect dripping of the medicine in the infusion cylinder.
  • An infusion probe that comprises a main body, a first sensor that is disposed upstream of the infusion tube in the infusion tube and detects the infusion of the medicine, and the main body And a second sensor unit that is disposed on the downstream side of the first sensor unit with respect to the dropping direction of the medicine in the drip tube and detects the dropping of the medicine.
  • the second sensor unit when the drip probe is attached to the drip tube in a normal posture, the second sensor unit can detect the dropping of the drug after the first sensor unit detects the dropping of the drug. There is a time difference between the second sensor unit and the second sensor unit detecting the dropping of the medicine. For this reason, if the infusion probe is mounted incorrectly upside down, after the second sensor unit detects the dropping of the drug, the first sensor unit detects the dropping of the drug. For this reason, it can be detected that it is mounted upside down with respect to the drip tube. In addition, when the drip probe is attached to the drip tube in a normal posture, the phenomenon in which the drug dropped in the drip tube rebounds on the liquid level of the drug accumulated in the drip tube occurs.
  • the first sensor unit After the sensor unit detects the drug that has bounced back, the first sensor unit detects the drug that has bounced back. For this reason, even if there is a drug that has bounced in this way, only when the first sensor detects the drop of the drug after the first sensor detects the drop of the drug, the number of drops as a correct drop of the drug is determined. I can grasp it.
  • the first sensor unit includes a first light emitting unit that generates first light, and a first light receiving unit that receives the first light that has passed through the drip tube
  • the second sensor unit includes: And a second light emitting part for generating the second light and a second light receiving part for receiving the second light that has passed through the drip tube.
  • the infusion pump outputs a first detection signal output from the first light receiving unit when the dropping of the drug is detected and a second detection signal output from the second light receiving unit when the dropping of the drug is detected. It is characterized by being configured to send by wire. With the above configuration, it is possible to send a detection signal by wire from the infusion probe to the infusion pump.
  • the infusion pump outputs a first detection signal output from the first light receiving unit when the dropping of the drug is detected and a second detection signal output from the second light receiving unit when the dropping of the drug is detected. It is characterized in that it is configured to send to the side wirelessly. With the above configuration, a detection signal can be transmitted wirelessly from the infusion probe to the infusion pump.
  • the main body portion moves relative to the first case portion and the first case portion and sandwiches the drip tube together with the first case portion, whereby the main body portion is attached to the drip tube.
  • the display lamp can notify the medical staff that the dropping of the medicine has been detected while the main body of the infusion probe is detachably attached to the infusion tube.
  • the infusion pump of the present invention has the infusion probe.
  • the present invention can detect that the medicine is mounted upside down with respect to the infusion tube, and detects a phenomenon in which the medicine dropped in the infusion tube rebounds on the liquid level of the medicine accumulated in the infusion tube. It is possible to provide an infusion pump including an infusion probe and an infusion probe that can grasp the number of drops.
  • the perspective view which shows preferable 1st Embodiment of the infusion pump of this invention The figure which looked at the infusion pump shown in Drawing 1 from the W direction.
  • FIG. 1 is a perspective view showing an infusion pump including an infusion probe which is a preferred first embodiment of the infusion pump of the present invention.
  • FIG. 2 is a view of the infusion pump shown in FIG. 1 as viewed from the W direction.
  • the infusion pump 1 shown in FIGS. 1 and 2 is used, for example, in an intensive care unit (ICU, CCU, NICU) or the like, and is used for nutrition, such as anticancer agents, anesthetics, chemotherapeutic agents, blood transfusions, etc.
  • This is a micro continuous infusion pump that is used to perform a micro infusion treatment of a drug such as an agent (also referred to as a drug solution) for a relatively long time with high accuracy.
  • This infusion pump 1 is used, for example, for selecting a drug to be used from a drug library and feeding the selected drug.
  • This drug library is drug information which is a drug administration setting group including drug names registered in advance in the drug library database (DB). By using this drug library, a medical worker does not have to perform complicated administration settings each time, and can select a drug and set a drug.
  • DB drug library database
  • a part of the infusion tube 200 of the infusion set 800 including the drip tube 810, clamps (clamps) 802 a and 802 b, and the infusion tube 200 is attached to the tube attachment portion 50 of the infusion pump 1. Yes.
  • the infusion set 800 communicates with a medicine bag 801 as a medicine container, and an infusion probe 900 is detachably attached to the infusion tube 810.
  • the medicine 750 filled in the medicine bag 801 passes through the drip tube 810 and the infusion tube 200 by the operation of the liquid feeding drive unit 60, and the indwelling needle (the distal end of which is placed in the vein of the patient P) ( Alternatively, the liquid can be accurately delivered from the vein of the patient P via the indwelling catheter 172.
  • the infusion pump 1 shown in FIGS. 1 and 2 has a main body cover 2 and a handle 2T, and the handle 2T can be extended in the N direction and stored in the T direction.
  • the main body cover 2 is also called a main body, and is integrally formed of a molded resin material having chemical resistance, so that even if a drug or the like is applied, it can be prevented from entering the infusion pump 1. have.
  • the main body cover 2 has the splash-proof treatment structure because the medicine 750 in the medicine bag 801 disposed above spills or disinfecting liquid used in the vicinity is scattered and attached. Because there is.
  • a display unit 3 and an operation panel unit 4 are arranged on the upper portion 2 ⁇ / b> A of the main body cover 2.
  • the display unit 3 is an image display device, and uses, for example, a color liquid crystal display device. This display unit 3 can display not only information notation in Japanese but also information in a plurality of foreign languages as required.
  • the display unit 3 is disposed on the upper left side of the upper portion 2 ⁇ / b> A of the main body cover 2 and above the opening / closing cover 5.
  • the upper portion 2 ⁇ / b> A of the main body cover 2 is an upper half portion of the main body cover 2.
  • the lower part 2 ⁇ / b> B of the main body cover 2 is a lower half part of the main body cover 2.
  • a display portion 3 for displaying information and an operation panel portion 4 having a plurality of operation buttons are arranged on the upper portion 2A of the body cover 2 of the infusion pump 1, and a lower portion 2B of the body cover 2 of the infusion pump 1 is This is a region where an infusion tube 200 which is a liquid feeding member for feeding a medicine is arranged.
  • the medical worker can perform the liquid feeding operation of the medicine by the infusion pump 1 while confirming the information on the display unit 3 of the upper portion 2A of the main body cover 2.
  • the medical staff can operate the operation buttons on the operation panel unit 4 while checking the information on the display unit 3 of the upper portion 2A of the main body cover 2. For this reason, the operability of the infusion pump 1 is good.
  • the display unit 3 includes, as an example, a display column 3B for a scheduled amount (mL) of drug administration, a display column 3C for an integrated amount (mL) of drug administration, a display column 3D for a charge history, and a flow rate (mL).
  • a display column 3E and the like are displayed, the display contents of the display unit 3 shown in FIG. 1 are omitted for the sake of simplicity of the drawing.
  • the scheduled amount of drug administration can be displayed even in “g system”.
  • the display unit 3 can also display an alarm message.
  • the operation panel unit 4 is disposed on the right side of the display unit 3 in the upper part 2A of the main body cover 2, and the operation panel unit 4 includes, for example, a pilot lamp 4A, a fast-forward switch button 4B, and a start button as illustrated in FIG.
  • a switch button 4C, a stop switch button 4D, a menu selection button 4E, a power switch 4F, and the like are arranged.
  • an opening / closing cover 5 serving as a lid member is provided on the lower portion 2B of the main body cover 2 so as to be openable and closable in the R direction around a rotating shaft 5A.
  • the open / close cover 5 is a plate-like lid member that is formed long along the X direction.
  • the tube mounting part 50 and the liquid feeding drive part 60 are disposed inside the opening / closing cover 5.
  • An infusion tube 200 made of a flexible thermoplastic resin such as soft vinyl chloride is set in the tube mounting portion 50, and the infusion tube 200 is connected to the tube mounting portion 50 by closing the open / close cover 5. , And can be mounted horizontally along the X direction (T direction). Note that the X direction, the Y direction, and the Z direction in FIGS.
  • the X direction is parallel to the T direction, which is the liquid feeding direction, and is the left-right direction of the infusion pump 1.
  • the Y direction is the front-rear direction of the infusion pump 1.
  • FIG. 3 is a perspective view showing a tube mounting portion 50 for opening the opening / closing cover 5 of the infusion pump 1 shown in FIGS. 1 and 2 and mounting the infusion tube 200.
  • the tube mounting part 50 and the liquid feeding drive part 60 are provided on the main body lower part 1B side of the infusion pump 1, and the tube mounting part 50 and the liquid feeding drive part 60 are operated with the display part 3.
  • a lower portion of the panel portion 4 is provided along the X direction.
  • the tube mounting portion 50 can cover the open / close cover 5 with the open / close cover 5 when the open / close cover 5 is closed in the CR direction around the rotation shaft 5A.
  • the tube mounting portion 50 includes a bubble sensor 51, an upstream blockage sensor 52, a downstream blockage sensor 53, a tube clamp portion 270, a first infusion tube guide portion 54 at the right side position, and a left side position.
  • a second infusion tube guide portion 55 is provided.
  • an infusion tube setting direction display unit 150 for clearly displaying the T direction that is the correct liquid feeding direction when the infusion tube 200 is set is provided in the vicinity of the tube mounting unit 50. ing.
  • the infusion tube setting direction display unit 150 includes, for example, a plurality of arrows 151.
  • the infusion tube setting direction display unit 150 is arranged to clearly indicate the correct liquid feeding direction (T direction) of the medicine 750 by the infusion tube 200 set inside the opening / closing cover 5. Accordingly, when the medical staff opens the opening / closing cover 5 of FIG. 3 in the CS direction, opens the tube mounting portion 50, and mounts the infusion tube 200 on the tube mounting portion 50, the infusion tube 200 It is possible to clearly indicate the T direction, which is the direction of drug delivery. For this reason, it can prevent reliably that a medical worker will attach the infusion tube 200 by the reverse direction accidentally.
  • the open / close cover 5 is a plate-like member made of a thin molded resin member in order to reduce the weight of the infusion pump 1. Thereby, the weight of the opening / closing cover 5 can be reduced, and the structure can be simplified.
  • the opening / closing cover 5 has two hinge portions 2H and 2H that allow the tube mounting portion 50 to be covered so as to be openable and closable along the CS direction and the CR direction about the rotation shaft 5A. It is supported with respect to the main body lower part 2B.
  • the two hinge portions 2H and 2H are arranged corresponding to the first hook member 5D and the second hook member 5E, respectively.
  • an opening / closing operation lever 260 is provided at the upper right portion on the surface side of the opening / closing cover 5.
  • an infusion tube pressing member 500 On the inner surface side of the opening / closing cover 5, an infusion tube pressing member 500, a first hook member 5D, and a second hook member 5E are provided.
  • the infusion tube pressing member 500 is disposed as a long rectangular and planar protrusion along the X direction, and the infusion tube pressing member 500 is in a position facing the liquid feeding drive unit 60.
  • the infusion tube pressing member 500 has a flat surface in the X direction along the liquid feeding drive unit 60, and the infusion tube pressing member 500 closes the opening / closing cover 5 in the CR direction, A part of the infusion tube 200 is pressed between them.
  • the medical worker can set the infusion tube 200 on the lower half of the body of the infusion pump 1 along the horizontal direction while confirming the display content displayed on the display unit 3, and the infusion tube 200 is connected to the tube mounting portion. After being set to 50, the opening / closing cover 5 can cover the infusion tube 200.
  • the first hook member 5D and the second hook member 5E are mechanically simultaneously engaged with the fixing portions 1D and 1E on the lower body 1B side, so that the open / close cover 5 is As shown, the tube mounting part 50 of the main body lower part 1B is held in a closed state.
  • the first hook member 5D, the second hook member 5E, and the fixing portions 1D, 1E on the main body lower part 1B side constitute a double hook structure portion 300 of the opening / closing cover 5.
  • the tube clamp part 270 shown in FIG. 3 closes the open / close cover 5 to clamp and close the middle part of the infusion tube 200.
  • the tube clamp portion 270 is disposed in the vicinity of the left fixed portion 1E and at a position corresponding to the left second hook member 5E.
  • the first infusion tube guide portion 54 can be held by fitting the upstream side 200 ⁇ / b> A of the infusion tube 200
  • the second infusion tube guide portion 55 can be held by fitting the downstream side 200 ⁇ / b> B of the infusion tube 200.
  • the infusion tube 200 can be held horizontally along the X direction.
  • the infusion tube 200 held in the horizontal direction is in the T direction along the bubble sensor 51, the upstream block sensor 52, the liquid feed drive unit 60, the downstream block sensor 53, and the tube clamp unit 270. It is fixed by fitting along.
  • the second infusion tube guide portion 55 is a groove portion formed in the side surface portion 1 ⁇ / b> S of the main body lower portion 1 ⁇ / b> B in order to detachably hold a part of the downstream side 200 ⁇ / b> B of the infusion tube 200. is there.
  • the first infusion tube guide portion 54 and the second infusion tube guide portion 55 are provided in the tube attachment portion 50 so that the infusion tube 200 is not sandwiched between the opening / closing cover 5 and the tube attachment portion 50 and crushed. Can be installed securely.
  • the bubble sensor 51 shown in FIG. 3 is a sensor that detects bubbles (air) generated in the infusion tube 200.
  • the bubble sensor 51 flows into the infusion tube 200 from the outside of the infusion tube 200 such as soft vinyl chloride. It is an ultrasonic sensor that monitors bubbles contained in a medicine. By applying ultrasonic waves generated from the ultrasonic wave transmitter of the ultrasonic sensor to the drug flowing in the infusion tube 200, the ultrasonic wave transmittance in the drug and the ultrasonic wave transmittance in the bubbles are different.
  • the receiving unit monitors the presence or absence of bubbles by detecting the difference in transmittance.
  • the bubble sensor 51 has a pressing member 320 and a receiving member 330.
  • the ultrasonic oscillator is disposed on the pressing member 320.
  • the ultrasonic wave receiver is disposed on the receiving member 330.
  • the upstream blockage sensor 52 shown in FIG. 3 is a sensor that detects whether or not the inside of the infusion tube 200 is blocked on the upstream side 200A of the infusion tube 200, and the downstream blockage sensor 53 is an infusion solution on the downstream side 200B of the infusion tube 200. It is a sensor that detects whether or not the inside of the tube 200 is closed.
  • the upstream occlusion sensor 52 and the downstream occlusion sensor 53 have substantially the same configuration, but the upstream occlusion sensor 52 detects the degree of dent of the infusion tube 200 since the infusion tube 200 was first set in the tube mounting portion 50.
  • the downstream blockage sensor 53 detects whether or not the inside of the infusion tube 200 is blocked by detecting the degree of swelling of the infusion tube 200 from when the infusion tube 200 is first set in the tube mounting portion 50. Is detected.
  • the main cause of the blockage of the infusion tube 200 is, for example, forgetting to open the clamp 802a (the state where the clamp on the upstream side of the infusion pump 1 is closed: a dent from when the infusion tube 200 is set).
  • pressing members 452 and 453 are provided on the inner surface side of the opening / closing cover 5 at positions corresponding to the upstream closing sensor 52 and the downstream closing sensor 53, respectively.
  • the infusion pump 1 has a control unit (computer) 100 that controls the overall operation.
  • the control unit 100 is a one-chip microcomputer, for example, and includes a ROM (read only memory) 101, a RAM (random access memory) 102, a nonvolatile memory 103, and a clock 104.
  • the clock 104 can correct the current time by a predetermined operation, and can acquire the current time, measure the elapsed time of a predetermined liquid feeding operation, measure the reference time of liquid feeding speed control, and the like.
  • a temperature sensor 180, an open / close cover (open / close door) sensor 190, and an infusion probe 900 are electrically connected to the control unit 100.
  • the temperature sensor 180 measures the temperature of the environment where the infusion pump 1 is placed and sends a temperature measurement signal TSS.
  • the opening / closing cover sensor 190 sends an opening / closing cover opening / closing signal CRS to the control unit 100 when the opening / closing cover 5 shown in FIG.
  • the infusion probe 900 shown in FIGS. 4 and 2 is detachably attached to the infusion tube 810 of the medicine bag 801 shown in FIG. 2 to detect the dropping state of the medicine 750, and will be described later.
  • the light quantity change detection signal PS1 and the second light quantity change detection signal PS2 are sent to the control unit 100. That is, the drip probe 900 monitors the dropping state of the medicine 750 in the drip cylinder 810, and detects abnormalities in the flow of the medicine 750 detected abnormally, such as a free flow (continuous flow) and an empty liquid (out of liquid). It has a function that can notify a person with an alarm.
  • the control unit 100 supplies a power source PW to the infusion probe 900. The structure and function of the drip probe 900 will be described in detail later.
  • the control unit 100 shown in FIG. 4 is connected to a power switch button 4F and a switch 111.
  • the switch 111 supplies power to the control unit 100 from either the power converter unit 112 or the rechargeable battery 113 by switching between the power converter unit 112 and the rechargeable battery 113 such as a lithium ion battery.
  • the power converter unit 112 is connected to a commercial AC power source 115 via an outlet 114.
  • the display unit driver 130 shown in FIG. 4 drives the display unit 3 according to a command from the control unit 100, and displays information contents and alarm messages exemplified in FIG.
  • the speaker 131 can notify various alarm contents by voice according to a command from the control unit 100.
  • the buzzer 132 can notify various alarms by sound according to commands from the control unit 100.
  • the display unit driver 130 drives the display unit 3 according to a command from the control unit 100, and a warning message “Drip abnormality”. Is displayed.
  • the speaker 131 can give a warning “abnormality of dripping” by voice.
  • the buzzer 132 can issue an alarm sound in response to a command from the control unit 100 when an abnormality is detected in the dropping state of the medicine 750 in the infusion tube 810 by the infusion probe 900.
  • a downstream block signal S3 indicating that the side is blocked is supplied to the control unit 100.
  • the upstream blockage sensor 52 and the downstream blockage sensor 53 can detect a state in which the internal pressure of the infusion circuit exceeds the set pressure in the infusion pump 1 and the medicine cannot be delivered.
  • the reason why the internal pressure of the infusion circuit exceeds the set pressure in the infusion pump 1 is that the infusion tube or the infusion tube 200 is clogged if the clamp 802b is forgotten to be opened (the clamp is kept closed) or the infusion needle for infusion or the infusion tube 200 is clogged. For example, when 200 crushes or kinks (bending) or a high viscosity drug is used.
  • the control unit 100 can communicate bidirectionally with a computer 141 such as a desktop computer through the communication port 140.
  • This computer 141 is connected to a drug database (DB) 160, and drug information MF stored in the drug database 160 is acquired by the control unit 100 via the computer 141, and the non-volatile state of the control unit 100 is acquired. It can be stored in the memory 103.
  • the control unit 100 can display the drug information MF and the like on the display unit 3 shown in FIG. 2, for example, based on the stored drug information MF.
  • the 4 includes a drive motor 61, a cam structure 62 having a plurality of cams that are rotationally driven by the drive motor 61, and a plurality of cam structures 62 that are moved by the cams of the cam structure 62.
  • a finger structure 63 having a plurality of fingers is provided.
  • As the drive motor 61 a step motor is used.
  • the cam structure 62 has a plurality of cams, for example, a plurality of cams 62A to 62F, and the finger structure 63 has a plurality of fingers 63A to 63F corresponding to the plurality of cams 62A to 62F.
  • the plurality of cams 62A to 62F are arranged with a phase difference from each other, and the cam structure 62 is connected to the output shaft 61A.
  • the plurality of fingers 63A to 63F sequentially advance and retreat by a predetermined stroke in the Y direction, so that the infusion tube 200 extends along the T direction. Then, it is pressed against the infusion tube pressing member 500 of the opening / closing cover 5. For this reason, the medicine in infusion tube 200 can be sent in the T direction. That is, the plurality of fingers 63A to 63F are individually driven sequentially, so that the plurality of fingers 63A to 63F sequentially move in a place where the outer peripheral surface of the infusion tube 200 is sequentially pressed along the T direction and completely closed.
  • the sub-control unit 400 controls the peristaltic motion of the plurality of fingers 63A to 63F, thereby causing the fingers 63A to 63F to move forward and backward in sequence, so that the wave is advanced, and the infusion tube 200 is completely moved.
  • the infusion tube 200 can be squeezed and the drug can be delivered in the T direction (ie, in FIG. 5, (A) ⁇ (B) ⁇ (C) ⁇ ( D) ⁇ (E) ⁇ (F) ⁇ (A) is repeated).
  • the liquid feeding drive unit 60 is a full press system (a system in which a plurality of fingers 63A to 63F sequentially and completely close the infusion tube 200 to deliver a medicine).
  • a full press system a system in which a plurality of fingers 63A to 63F sequentially and completely close the infusion tube 200 to deliver a medicine.
  • An example will be described in which the finger structure 63 sends the medicine 750 in the infusion tube 200 by pressing the infusion tube 200.
  • 5 (A) to 5 (D) show that the drug 750 is moved by pressing the inside of the infusion tube 200 by moving the infusion tube 200 in the T direction and moving the completely closed portion in the T direction.
  • the liquid supply drive part 60 which supplies liquid is shown.
  • the infusion tube 200 is completely closed by the fingers 63F and 63A
  • the infusion tube 200 is completely closed by the fingers 63E and 63F
  • the infusion tube 200 is completely closed by the fingers 63D and 63E.
  • the infusion tube 200 is completely closed by the fingers 63C and 63D.
  • the infusion tube 200 is completely closed by fingers 63B and 63C
  • the infusion tube 200 is completely closed by fingers 63A and 63B.
  • the state returns to the state of FIG.
  • the fingers 63A and 63F at both ends may preferably have a rounded patent at the tip so that the infusion tube 200 can be more completely closed.
  • FIG. 6 is a perspective view showing the infusion pump 1 and the drip probe 900.
  • FIG. 7 is a perspective view showing the drip probe 900.
  • FIG. 8 is a front view of the drip probe 900, and
  • FIG. 9 is a plan view of the drip probe 900.
  • FIG. 10 is a view showing an infusion probe 900 attached to the infusion tube 810.
  • the drip probe 900 has a main body 901, a connection plug 902, and a cord 903.
  • the connection plug 902 is electrically connected to a circuit board in the main body 901 using a cord 903.
  • connection plug 902 can be detachably connected to the connection connector 899 on the back side of the infusion pump 1.
  • the drip probe 900 can detect the dropping state of the medicine 750 by wire and send the first light amount change detection signal and the second light amount change detection signal to the control unit 100.
  • the control unit 100 supplies the power supply PW to the drip probe 900.
  • the main body 901 of the drip probe 900 has a first case portion 911, a second case portion 912, and a drip detection display lamp 913, and the weight is about 20 g.
  • the first case portion 911 and the second case portion 912 are made of plastic, for example.
  • the first case portion 911 is also referred to as an outer case, and the second case portion 912 is also referred to as an inner case.
  • the first case portion 911 includes front portions 911A and 911B, a side surface portion 911C, a back surface portion 911D, an upper surface portion 911E, and a lower surface portion 911F.
  • the front portions 911A and 911B, the side surface portion 911C, the back surface portion 911D, the upper surface portion 911E, and the lower surface portion 911F have an insertion space portion 911S for inserting the insertion portion 918 of the second case portion 912.
  • the display portion 921 displays a correct wearing state diagram 911G so that the medical staff can attach the main body 901 of the drip probe 900 to the drip tube 810 in the correct vertical direction. is doing. Accordingly, when the medical staff attaches the main body 901 of the infusion probe 900 to the infusion tube 810, the correct wearing state diagram 911G can be referred to. Therefore, as shown in FIG.
  • the main body 901 of 900 can be attached to the drip tube 810 in the correct vertical direction.
  • the drip tube 810 is standardized into two types of 20 drops / mL (1 mL with 20 drops) and 60 drops / mL (1 mL with 60 drops).
  • the first case portion 911 is a substantially rectangular parallelepiped member.
  • the drip tube 810 shown in FIG. 9 is inserted along the Z direction (vertical direction) over the front portions 911A and 911B, the upper surface portion 911E, and the lower surface portion 911F of the first case portion 911.
  • the opening portions 920 and 920 at the upper and lower positions have an arc portion 920A and straight portions 920B and 920C, respectively.
  • the drip tube 810 can be passed between the straight portions 920B and 920C.
  • the arc portion 920 ⁇ / b> A is a portion that holds the outer peripheral surface of the drip tube 810.
  • the side surface portion 911 ⁇ / b> C is formed with a recess 911 ⁇ / b> H for a medical worker to apply a finger of a hand.
  • a long groove type slide guide portion 911K and a semicircular recess portion 911L are formed on the lower surface portion 911F.
  • the second case portion 912 includes an insertion portion 918 and a protruding portion 930 provided at an end portion of the insertion portion 918.
  • the protruding portion 930 has a front surface portion 930A, a back surface portion 930B, a side surface portion 930C, an upper surface portion 930E, and a lower surface portion 930F.
  • a drop detection display lamp 913 is provided on the front portion 930A.
  • the side surface portion 930 ⁇ / b> C is formed with a recess 930 ⁇ / b> H for a medical worker to apply another finger of the hand.
  • a cord 903 is led out from the take-out portion 930M of the lower surface portion 930F.
  • a guide protrusion 918T is formed so as to protrude.
  • the projecting portion 918T is fitted in the slide guide portion 911K of the first case portion 911.
  • the insertion portion 918 of the second case portion 912 is accommodated in the insertion space portion 911 ⁇ / b> S of the first case portion 911.
  • the insertion portion 918 has an opening portion 940 for inserting the drip tube 810.
  • the opening portion 940 has an arc portion 940C and straight portions 940A and 940B.
  • the drip tube 810 can be passed between the straight portions 940A and 940B.
  • the shape of the opening portion 940 of the insertion portion 918 of the second case portion 912 is the same size as the shape of the opening portion 920 of the first case portion 911, but the formed direction is opposite to the left and right. It has become.
  • a protruding portion 930 is provided at one end portion of the insertion portion 918 of the second case portion 912, and the other end portion 918 ⁇ / b> H of the insertion portion 918 and the side surface portion of the first case portion 911.
  • a spring 949 as an urging member is disposed between the inner surface 911W of 911C. The spring 949 pushes the insertion portion 918 of the second case portion 912 in the V1 direction. In such a state, since the opening portion 920 and the opening portion 940 are in a shifted position, the drip tube 810 cannot be inserted into the opening portion 920 and the opening portion 940.
  • the medical staff applies the two fingers FG and FG of the hand to the concave portion 911 ⁇ / b> H of the first case portion 911 and the concave portion 930 ⁇ / b> H of the second case portion 912 and pushes them toward each other.
  • the insertion portion 918 of the second case portion 912 enters the direction of entering the insertion space portion 911S of the first case portion 911, that is, the V2 direction against the force of the spring 949.
  • the protrusion 918T of the second case portion 912 shown in FIG. 9 can be guided by the slide guide portion 911K of the first case portion 911, the insertion portion 918 of the second case portion 912 is the first case portion 911.
  • a drip tube 810 can be passed through 920 and the opening 940.
  • the medical staff separates the two fingers FG, FG of the hand from the concave portion 911H of the first case portion 911 and the concave portion 930H of the second case portion 912, whereby the spring 949 is inserted into the second case portion 912.
  • the force of the spring 810 presses the drip tube 810 into the opening portion 920 and the opening portion 940. Therefore, as shown in FIG. 10, the drip probe 900 has a function that can be attached to the drip tube 810 by pressing it against the outer peripheral surface using the force of the spring 949.
  • FIG. 10 shows a drug bag 801, an infusion tube 810, and an infusion probe 900 attached to the infusion tube 810 of the infusion set 800.
  • the drip probe 900 is detachably attached to the drip tube 810 in the correct direction (correctly attached state in the vertical direction).
  • the infusion tube 810 has a transparent tube portion 810A, a lid member 810B, and an infusion port portion 810C so that light can pass through.
  • the end portion of the infusion tube 200 is connected to the lower end portion 810F of the cylinder portion 810A.
  • the lid member 810B closes the upper end opening of the cylinder part 810A, and an infusion port part 810C is provided in the cylinder part 810A at the lower part of the lid member 810B.
  • the medicine 750 in the medicine bag 801 is, for example, a drop interval of 10 drops / minute from the drop opening 810C as a drop MS (in this case, for example, in the case of using a drop drop tube 810 of 20 drops / mL, the set flow rate of the medicine) Is set to 30 mL / h; when the 60 drop / mL infusion tube 810 is used, the set flow rate of the drug is set to 10 mL / h), the liquid level LM of the drug 750 in the cylinder portion 810A is It is intended to fall in the Z1 direction.
  • the infusion probe 900 shown in FIG. 10 detects the dropping state of the medicine 750 in the infusion tube 810, detects the dropping state of the medicine 750, and sends the first light quantity change detection signal and the second light quantity change detection signal to the wired line. And sent to the control unit 100.
  • FIG. 11 shows a preferred configuration example of the optical detection unit 950 arranged in the drip probe 900. As shown in FIG. 11, the optical detection unit 950 includes a first sensor unit 951, a second sensor unit 952, a first sensor unit 951, a second sensor unit 952, and substrates 953 and 954. .
  • the first sensor unit 951 has a first light emitting unit 951A and a first light receiving unit 951B.
  • the second sensor unit 952 includes a second light emitting unit 952A and a second light receiving unit 952B.
  • the first light emitting unit 951A and the second light receiving unit 952B are mounted on the substrate 953 on the second case unit 912 side.
  • the first light receiving portion 951B and the second light emitting portion 952A are mounted on the substrate 954 on the first case portion 911 side.
  • the substrate 953 is fixed to the second case portion 912 side.
  • the substrate 954 is fixed to the first case portion 911 side.
  • the first light emitting unit 951A and the first light receiving unit 951B are opposed to each other with the cylinder part 810A interposed therebetween so that the first light L1 generated by the first light emitting part 951A is received by the first light receiving part 951B through the cylinder part 810A.
  • the second light emitting part 952A and the second light receiving part 952B receive the cylindrical part 810A so that the second light L2 generated by the second light emitting part 952A is received by the second light receiving part 952B through the cylindrical part 810A. They are placed opposite to each other.
  • Both the first light emitting unit 951A and the second light emitting unit 952A employ light emitting diodes, for example. Both the first light receiving unit 951B and the second light receiving unit 952B employ photodiodes, for example.
  • the first light emitting unit 951A and the second light emitting unit 952A emit light in response to a command from the control unit 100.
  • the first light receiving unit 951B and the second light receiving unit 952B receive the first light L1 and the second light L2, respectively.
  • a first light amount change detection signal PS1 indicating a change in light amount due to the drop of the droplet MS generated by the first light receiving unit 951B, and a change in light amount due to the drop of the droplet MS generated by the second light receiving unit 952B.
  • the second light quantity change detection signal PS2 shown is sent to the control unit 100.
  • the first light L1 and the second light L2 are, for example, near infrared light.
  • the connection plug 902 is detachably connected to the connection connector 899 on the back side of the infusion pump 1.
  • the drip probe 900 detects the dropping state of the medicine 750 and sends the first light quantity change detection signal PS1 and the second light quantity change detection signal PS2 to the control unit 100 of the infusion pump 1. be able to.
  • the type of the infusion set 800 including the infusion tube 810 shown in FIG. 2 is designated in advance so as to be applied to the infusion pump 1, and the preparation of the infusion set 800 and the infusion tube Priming 200.
  • the opening / closing cover 5 of the infusion pump 1 shown in FIG. 3 is opened in the CS direction, the tube mounting portion 50 is opened, the infusion tube 200 is mounted on the tube mounting portion 50, and then the opening / closing cover 5 is closed.
  • the setting of the dripping condition of the drug in the infusion pump 1 is matched with the dripping condition (20 drops / mL or 60 drops / mL) of the infusion set 800.
  • the drip probe 900 is attached to the drip tube 810 of the infusion set 800. That is, as shown in FIG. 8, the medical staff applies the two fingers FG and FG of the hand to the concave portion 911 ⁇ / b> H of the first case portion 911 and the concave portion 930 ⁇ / b> H of the second case portion 912 and pushes them toward each other. . Accordingly, the insertion portion 918 of the second case portion 912 shown in FIG. 9 enters the insertion space portion 911S of the first case portion 911 into the V2 direction against the force of the spring 949.
  • the insertion portion 918 of the second case portion 912 enters the first case portion 911 in the V2 direction. Get in smoothly.
  • the opening part 920 and the opening part 940 approach each other from the shifted position by compressing the first case part 911 and the second case part 912 in the direction approaching each other, as shown in FIG.
  • the position of the arc portion 920A of 920 and the position of the arc portion 940C of the opening portion 940 substantially coincide with each other. For this reason, the drip tube 810 can be passed through the opening portion 920 and the opening portion 940.
  • the drip probe 900 is detachably attached to the drip tube 810.
  • the first case portion 911 to the second case portion 912 of the drip probe 900 are connected to the drip port portion 810C of the drip tube 810 as shown in FIG.
  • the drip probe 900 is mounted so that the drip tube 810 is vertical so that it is at an intermediate position between the liquid level LM and the liquid level LM.
  • the drip probe 900 is mounted in a correct mounting posture that is in the correct vertical direction with respect to the drip tube 810. That is, as shown in FIG. 11, the first sensor unit 951 is positioned on the upper side (upstream side) with respect to the drop direction (Z1 direction) of the drug droplet MS, and the second sensor unit 952 With respect to the MS falling direction (Z1 direction), it is located on the lower side (downstream side) than the first sensor unit 952.
  • the flow rate of the infusion pump 1 is set, and a predetermined amount of the infusion pump 1 (mL; total amount of medicine to be injected into the patient) is set.
  • the clamp (clamp) 802 in FIG. 2 is opened.
  • the indwelling needle 172 which is a venous needle, is inserted into the patient P. Then, the medicine feeding is started as follows. In FIG.
  • the medicine 750 in the medicine bag 801 is dropped from the instillation port portion 810 ⁇ / b> C as a droplet MS, for example, at a drop interval of 10 drops / minute (in this case, for example, in the case of using a drop drop tube 810 of 20 drops / mL, When using a drip tube 810 with a drug set flow rate of 30 mL / h; 60 drops / mL, the set flow rate of the drug is 10 mL / h) and drops in the Z1 direction onto the liquid level LM of the drug 750 in the cylinder part 810A. .
  • the control unit 100 shown in FIG. 4 issues a command to the motor driver 134 to operate the drive motor 61.
  • the drive motor 61 When the drive motor 61 is operated, the output shaft 161C of the drive motor 61 continuously rotates in the forward rotation direction.
  • the cam structure 62 pushes each finger of the finger structure 63 so that each of the fingers is completely and sequentially closed along the outer circumferential surface of the infusion tube 200 along the T direction. Press (see FIG. 5; FIG. (A) ⁇ (B) ⁇ (C) ⁇ (D) ⁇ (A) (B) ⁇ (C) ⁇ (D)), and the drug in the infusion tube 200 Deliver the solution.
  • the medicine 750 droplet MS in the medicine bag 801 falls from the instillation port portion 810C, and after the droplet MS crosses the first light L1 generated by the first light emitting portion 951A, The droplet MS crosses the second light L2 generated by the second light emitting unit 952A and reaches the liquid level LM of the medicine 750 in the cylinder 810A.
  • the first light L1 generated by the first light emitting unit 951A and the second light L2 generated by the second light emitting unit 952A pass, so that the first light receiving unit 951B can receive light.
  • the amount of light L1 temporarily changes (decreases), and the amount of light L2 that can be received by the second light receiving unit 952B temporarily changes (decreases).
  • the control unit 100 illustrated in FIG. 11 receives the first light amount change detection signal PS1 generated by the first light receiving unit 951B and the second light amount change detection signal PS2 generated by the second light receiving unit 952B, thereby 100 obtains the change in the light amount of the first light L1 from the first light receiving unit 951B and the change in the light amount of the second light L2 from the second light receiving unit 952B in this order.
  • the drop detection display lamp 913 shown in FIG. Notify workers with light. Thereby, the medical staff can recognize visually that the droplet MS has fallen appropriately.
  • the control unit 100 detects the first light quantity change detection signal PS1 generated by the first light receiving unit 951B, The second light quantity change detection signal PS2 generated by the two light receiving portions 952B cannot be obtained. At this time, the control unit 100 is in an air liquid (out of liquid) state, and it is assumed that the flow rate is abnormal.
  • the control unit 100 warns that the flow rate is abnormal by sound with the buzzer 132 shown in FIG. 4, assuming that the flow rate is abnormal and the flow rate is abnormal as necessary. Further, the display unit 3 shown in FIG. 4 displays an alarm indicating “flow rate abnormality”. The issuing of these alarms can be arbitrarily selected.
  • the control unit 100 when the medicine flows from the instillation port portion 810C in a free flow (continuous flow), the control unit 100 generates a first light amount change detection signal PS1 indicating a change in the amount of light generated by the first light receiving unit 951B. Since the second light amount change detection signal PS2 indicating the change in the amount of light generated by the second light receiving unit 952B cannot be obtained, the control unit 100 determines that the flow rate is abnormal, through the speaker 131 shown in FIG. "Sound a warning to the effect.” In addition, the control unit 100 warns that the flow rate is abnormal with a buzzer 132 shown in FIG. Further, an alarm indicating that the state is “free flow state” is displayed on the display unit 3 shown in FIG. 4.
  • the drip probe 900 is attached to the drip tube 810 in the correct orientation (posture).
  • the first light amount change detection signal PS1 indicating the change in the light amount
  • the second light amount change detection signal PS2 indicating the change in the light amount.
  • the control unit 100 determines that the drip probe 900 is correct with respect to the drip cylinder 810.
  • Judged to be worn in the orientation (posture) In this case, for example, on the display unit 3 shown in FIG. 4, a display or sound indicating that “the drip probe 900 is mounted in the correct orientation (posture) with respect to the drip tube 810” according to a command from the control unit 100. Can be notified.
  • the dropped droplet MS bounces off the liquid level LM.
  • the rebounding droplet NV formed by rebounding rises in the Z2 direction to generate the second light L2 generated by the second light emitting unit 952A and the first light L1 generated by the first light emitting unit 951A. pass.
  • the rebounding droplet NV from the liquid level LM falls again, and this droplet NV again causes the first light L1 generated by the first light emitting unit 951A and the second light generated by the second light emitting unit 952A.
  • the control unit 100 originally detects the correct first light amount change detection signal PS1 and second light amount change detection signal PS2 obtained by dropping the droplet MS in the Z1 direction, and the unnecessary light amount indicated by a broken line.
  • Change detection signals RS2T, RS1T, RS3T, and RS4T are obtained. However, the control unit 100 counts the correct first light quantity change detection signal PS1 and second light quantity change detection signal PS2 and counts one droplet MS, but other unnecessary light quantity change detection signals RS2T and RS1T. , RS3T, RS4T are ignored.
  • the control unit 100 incorrectly sets the number of droplets. Since counting is not performed, it is possible to prevent erroneous detection of the number of drug droplets in the drip probe 900.
  • the drip probe 900 is not mounted in the correct orientation (posture) with respect to the drip tube 810, and the drip probe 900 is mistakenly turned upside down. 810 has been installed. That is, the vertical relationship is opposite to the case of FIG. 11, the second sensor unit 952 is positioned on the upper side, and the first sensor unit 951 is positioned on the lower side. In this case, the droplet MS passes through the drip port 810C in the order of the second light L2 generated by the second light emitting unit 952A and the first light L1 generated by the first light emitting unit 952A. For this reason, the control unit 100 receives the first light quantity change detection signal PS1 after receiving the second light quantity change detection signal PS2.
  • the control unit 100 continues to receive the second light amount change detection signal PS2 and the first light amount change detection signal PS1 in the order of two or more times (at one time, from the liquid level LM of the droplet MS when normally mounted). Therefore, it is determined that the drip probe 900 is mounted upside down.
  • a three-axis acceleration sensor (not shown) may be provided to detect the mounting state of the drip probe 900 on the drip tube 800.
  • the LED when the LED is provided and the infusion probe 900 is normally attached, it is displayed in green (blue) until the liquid feeding operation is started, and the infusion probe 900 is attached upside down. In such a case, it may be controlled to display in red (orange) until the liquid feeding operation is started.
  • the control unit 100 shown in FIG. 4 issues a warning to the effect that “the drip probe is reversely attached” through the speaker 131 shown in FIG. Moreover, the control unit 100 warns with a sound by the buzzer 132 shown in FIG. 4 as necessary. Further, the display unit 3 shown in FIG. 4 displays an alarm indicating that “the drip probe is reversely mounted”. Thereby, the medical staff can confirm the reverse mounting state of the drip probe 900 and can immediately mount it again. As shown in FIG. 13, even when the drip probe 900 is mounted upside down, the second light amount change from the receiving unit 952B of the second sensor unit 952 is performed in the control unit 100 as necessary. If the detection signal PS2 and the first light quantity change detection signal PS1 from the receiving unit 951B of the first sensor unit 951 are reversed in time, the number of drops of the medicine can be obtained accurately and injection with high accuracy Can do.
  • FIG. 14 shows a second embodiment of the present invention.
  • the drip probe 900 uses a cord 903 that sends a light amount change detection signal and a connection plug 902 to send it to the infusion pump 1 in a wired manner. Yes.
  • the drip probe 900 transmits the first light quantity change detection signals PS1 and PS2 to the control unit 100 of the infusion pump 1 by wireless communication without using a code. Therefore, the drip probe 900 includes a first sensor unit 951, a second sensor unit 952, a control unit 990, a drip detection display lamp 913, a battery 991, and a communication unit 992.
  • the control unit 990 receives the first light amount change detection signal PS1 from the first sensor unit 951 and the second light amount change detection signal PS2 from the second sensor unit 952.
  • the battery 991 is a battery that supplies power to the control unit 990.
  • the communication unit 992 wirelessly sends the first light amount change detection signal PS1 and the second light amount change detection signal PS2 to the communication unit 993 on the infusion pump 1 side. Then, the communication unit 993 supplies the first light amount change detection signal PS1 and the second light amount change detection signal PS2 to the control unit 100.
  • a battery is mounted and a detection signal can be wirelessly sent to the infusion pump side, and the setting of the code can be omitted, so that the infusion probe can be miniaturized.
  • an alarm display, a voice guide, and a buzzer are generated by the control of the control unit 100.
  • an alarm may be notified.
  • a three-axis acceleration sensor (not shown) may be provided to detect the mounting state of the drip probe 900 on the drip tube 800.
  • the LED is provided and the infusion probe 900 is normally attached, it is displayed in green (blue) until the liquid feeding operation is started, and the infusion probe 900 is attached upside down. In such a case, it may be controlled to display in red (orange) until the liquid feeding operation is started.
  • An infusion probe 900 is used in an infusion pump that delivers a medicine in a medicine container to a patient through an infusion cylinder and an infusion tube.
  • the infusion probe 900 is attached to the infusion cylinder to drop the medicine in the infusion cylinder. It is an infusion probe to detect.
  • the drip probe 900 is disposed upstream of the main body portion and the main body portion with respect to the dropping direction of the drug in the drip tube, and the first sensor unit that detects the dropping of the drug, With respect to the dropping direction of the medicine, a second sensor part is provided which is disposed downstream of the first sensor part and detects dropping of the medicine.
  • the second sensor unit can detect the dropping of the drug after the first sensor unit detects the dropping of the drug.
  • the first sensor unit detects the dropping of the drug.
  • it can be detected that it is mounted upside down with respect to the drip tube.
  • the drip probe is attached to the drip tube in a normal posture, the phenomenon in which the drug dropped in the drip tube rebounds on the liquid level of the drug accumulated in the drip tube occurs.
  • the first sensor unit detects the drug that has bounced back. For this reason, even if there is a drug that has bounced in this way, the number of drops as a correct drug drop is grasped only when the second sensor part detects the drop of the drug after the first sensor part detects the drop of the drug. can do.
  • the first sensor unit includes a first light emitting unit that generates first light, and a first light receiving unit that receives the first light passing through the drip tube, and the second sensor unit generates second light. And a second light receiving unit that receives the second light that has passed through the drip tube. For this reason, it is only necessary to use the 1st sensor part and 2nd sensor part which are optical sensors, and the enlargement of an infusion probe can be avoided.
  • the detection signal output from the first light receiving section and the detection signal output from the second light receiving section when the dropping of the medicine is detected are sent to the infusion pump by wire. For this reason, a detection signal can be sent by wire from the infusion probe to the infusion pump.
  • the detection signal output from the first light receiving unit and the detection signal output from the second light receiving unit when detecting the dropping of the medicine are wirelessly sent to the infusion pump side. For this reason, a detection signal can be sent wirelessly from the drip probe to the infusion pump.
  • the main body part moves relative to the first case part and the second case part that detachably fixes the main body part to the infusion cylinder by sandwiching the infusion cylinder with the first case part.
  • a display lamp that is disposed on the main body portion and displays that the dropping of the medicine has been detected. For this reason, the display lamp can notify the medical staff that the dropping of the medicine has been detected while the main body of the infusion probe is detachably attached to the infusion tube. Since the infusion pump of the present invention has an infusion probe, when the infusion probe is used for the infusion pump, it can detect that the main body of the infusion probe is mounted upside down with respect to the infusion tube. It is possible to detect a phenomenon in which the applied medicine rebounds at the liquid level of the medicine accumulated in the infusion tube and grasps the correct number of drops of the medicine.
  • the liquid feeding drive unit 60 is a full feeding liquid 750 in the infusion tube 200 by pressing the infusion tube 200 without completely crushing it.
  • the press method is illustrated.
  • the present invention is not limited to this, and the liquid feeding drive unit 60 may employ a mid press system that feeds the drug 750 in the infusion tube 200 by completely crushing the infusion tube 200.
  • a part of each configuration of the above embodiment can be omitted, or can be arbitrarily combined so as to be different from the above.

Abstract

[Problem] To provide: an intravenous drip probe which is capable of detecting whether the probe is mounted upside-down on a drip chamber and of detecting a phenomenon where a drug dripping in the drip chamber splashes on the surface of the drug remaining inside the drip chamber so as to determine the accurate number of drops of the drug; and an infusion pump which is provided with the intravenous drip probe. [Solution] An intravenous drip probe (900) is used for an infusion pump (1) and is mounted on a drip chamber (810) to detect drops of the drug inside the drip chamber (810). The intravenous drip probe (900) comprises: a main body part (901); a first sensor part (951) which is disposed inside the main body part (901) upstream with respect to the direction of dripping of the drug (750) inside the drip chamber (810) and detects drops of the drug; and a second sensor part (952) which is disposed inside the main body part (901) downstream of the first sensor part (951) with respect to the direction of dripping of the drug inside the drip chamber (810) and detects drops of the drug.

Description

点滴プローブと点滴プローブを備える輸液ポンプInfusion pump comprising an infusion probe and an infusion probe
 本発明は、薬剤を患者へ送液するための輸液ポンプの輸液セットに装着される点滴プローブとこの点滴プローブを備える輸液ポンプに関する。 The present invention relates to an infusion probe attached to an infusion set of an infusion pump for delivering a drug to a patient, and an infusion pump including the infusion probe.
 輸液ポンプは、例えば集中治療室(ICU)等で使用され、患者に対して薬剤の送液処置を、高い精度で比較的長時間行うことに用いられている。輸液ポンプの上には所定の薬剤バッグ(輸液バッグ)が配置され、本体と開閉扉との間には、薬剤バッグから下げた輸液チューブを挟みこんで、この輸液チューブを本体内に収容して開閉扉を閉じることで保持している。輸液ポンプの本体内では、定位置にセットされた輸液チューブの外周面が、本体内の複数のフィンガと開閉扉の内面との間に挟まれている。この輸液ポンプは、駆動モータを作動することで、複数のフィンガを輸液チューブの外周面を長さ方向に沿って順次押圧して薬剤の送液を行う蠕動式輸液ポンプである (特許文献1を参照)。
 この蠕動式の輸液ポンプでは、輸液バッグから滴下される点滴数は、点滴プローブによって測定する。この点滴プローブは、輸液バッグに接続された点滴筒に対して着脱可能に装着される。点滴プローブにより測定された薬剤の滴下数が、予め定めた滴下数になるように、輸液ポンプ内の駆動部のモータの回転数を制御することで、輸液バッグに収納された薬剤は、輸液チューブを通じて輸液ポンプによって圧送されて、患者に対して薬剤が点滴される。
The infusion pump is used in, for example, an intensive care unit (ICU) and the like, and is used to perform a liquid feeding treatment for a patient for a long time with high accuracy. A predetermined drug bag (infusion bag) is arranged on the infusion pump, and an infusion tube lowered from the drug bag is sandwiched between the main body and the door, and the infusion tube is accommodated in the main body. The door is held by closing the door. In the main body of the infusion pump, the outer peripheral surface of the infusion tube set at a fixed position is sandwiched between a plurality of fingers in the main body and the inner surface of the door. This infusion pump is a peristaltic infusion pump that sequentially pushes the outer peripheral surface of an infusion tube along the length direction by operating a drive motor to deliver a medicine (Patent Document 1). reference).
In this peristaltic infusion pump, the number of infusions dropped from the infusion bag is measured by an infusion probe. This infusion probe is detachably attached to an infusion tube connected to the infusion bag. By controlling the number of rotations of the motor of the drive unit in the infusion pump so that the number of drops of the drug measured by the drip probe becomes a predetermined number of drops, the drug stored in the infusion bag is converted into an infusion tube. The drug is instilled into the patient by being pumped by the infusion pump.
特許第3267404号公報Japanese Patent No. 3267404
 しかし、医療従事者は、この点滴プローブを、点滴筒に対して上下逆向きに装着してしまうおそれがある。また、点滴筒内で薬剤が滴下されると、滴下された薬剤が点滴筒内に溜まっている薬剤の液面で跳ね返る可能性があり、点滴プローブは、液面で跳ね返った薬剤をも検出してしまう。このため、輸液ポンプは、正しい薬剤の滴下数の情報を得られなくなってしまい、輸液ポンプは、正しい量の薬剤を患者に送液できなくなるおそれがある。
 そこで、本発明は、点滴筒に対して上下逆向きに装着したことを検出でき、点滴筒内で滴下された薬剤が点滴筒内に溜まっている薬剤の液面からの跳ね返り現象を液滴としてカウントすることなく、正しい薬剤の滴下数を把握することができる点滴プローブと点滴プローブを備える輸液ポンプを提供することを目的とする。
However, the medical staff may wear this drip probe upside down with respect to the drip tube. In addition, when a drug is dropped in the drip tube, the dropped drug may bounce off the liquid level of the drug accumulated in the drip tube, and the drip probe also detects the drug bounced off the liquid level. End up. For this reason, the infusion pump cannot obtain information on the correct number of drops of medicine, and the infusion pump may not be able to deliver the correct amount of medicine to the patient.
Therefore, the present invention can detect that the medicine is mounted upside down with respect to the drip cylinder, and the drug dripped in the drip cylinder is a rebound phenomenon from the liquid surface of the drug accumulated in the drip cylinder as a droplet. It is an object of the present invention to provide an infusion pump including an infusion probe and an infusion probe that can grasp the correct number of drops of medicine without counting.
 本発明の点滴プローブは、薬剤収容部の薬剤を、点滴筒と輸液チューブを通じて患者に送液する輸液ポンプに用いられ、前記点滴筒に装着されて前記点滴筒内での前記薬剤の滴下を検出する点滴プローブであって、本体部と、前記本体部内で、前記点滴筒内における前記薬剤の滴下方向に関して、上流側に配置されて、前記薬剤の滴下を検出する第1センサ部と、前記本体部内で、前記点滴筒内における前記薬剤の滴下方向に関して、前記第1センサ部よりも下流側に配置されて、前記薬剤の滴下を検出する第2センサ部とを備えることを特徴とする。
 上記構成により、点滴プローブが正常な姿勢で点滴筒に装着された場合に、第1センサ部が薬剤の滴下を検出後に、第2センサ部がこの薬剤の滴下を検出できるので、第1センサ部と第2センサ部がそれぞれ薬剤の滴下を検出するのに時間差が生じる。このため、もし、点滴プローブが上下逆の誤った装着がされた場合には、第2センサ部が薬剤の滴下を検出後に、第1センサ部がこの薬剤の滴下を検出することになる。このため、点滴筒に対して上下逆向きに装着したことを検出できる。
 しかも、点滴プローブが正常な姿勢で点滴筒に装着された場合に、点滴筒内で滴下された薬剤が点滴筒内に溜まっている薬剤の液面で跳ね返る現象が生じた場合には、第2センサ部が跳ね返った薬剤を検出後に、第1センサ部がこの跳ね返った薬剤を検出することになる。このため、このように跳ね返った薬剤があっても、第1センサ部が薬剤の滴下を検出後に、第2センサ部がこの薬剤の滴下を検出した場合だけ、正しい薬剤の滴下としてその滴下数を把握することができる。
The infusion probe of the present invention is used in an infusion pump for delivering a medicine in a medicine container to a patient through an infusion cylinder and an infusion tube, and is attached to the infusion cylinder to detect dripping of the medicine in the infusion cylinder. An infusion probe that comprises a main body, a first sensor that is disposed upstream of the infusion tube in the infusion tube and detects the infusion of the medicine, and the main body And a second sensor unit that is disposed on the downstream side of the first sensor unit with respect to the dropping direction of the medicine in the drip tube and detects the dropping of the medicine.
With the above configuration, when the drip probe is attached to the drip tube in a normal posture, the second sensor unit can detect the dropping of the drug after the first sensor unit detects the dropping of the drug. There is a time difference between the second sensor unit and the second sensor unit detecting the dropping of the medicine. For this reason, if the infusion probe is mounted incorrectly upside down, after the second sensor unit detects the dropping of the drug, the first sensor unit detects the dropping of the drug. For this reason, it can be detected that it is mounted upside down with respect to the drip tube.
In addition, when the drip probe is attached to the drip tube in a normal posture, the phenomenon in which the drug dropped in the drip tube rebounds on the liquid level of the drug accumulated in the drip tube occurs. After the sensor unit detects the drug that has bounced back, the first sensor unit detects the drug that has bounced back. For this reason, even if there is a drug that has bounced in this way, only when the first sensor detects the drop of the drug after the first sensor detects the drop of the drug, the number of drops as a correct drop of the drug is determined. I can grasp it.
 好ましくは、前記第1センサ部は、第1光を発生する第1発光部と、前記点滴筒を通った前記第1光を受光する第1受光部とを有し、前記第2センサ部は、第2光を発生する第2発光部と、前記点滴筒を通った前記第2光を受光する第2受光部とを有することを特徴とする。
 上記構成により、光センサである第1センサ部と第2センサ部を用いるだけですみ、点滴プローブの大型化を避けることができる。
Preferably, the first sensor unit includes a first light emitting unit that generates first light, and a first light receiving unit that receives the first light that has passed through the drip tube, and the second sensor unit includes: And a second light emitting part for generating the second light and a second light receiving part for receiving the second light that has passed through the drip tube.
With the above configuration, it is only necessary to use the first sensor unit and the second sensor unit, which are optical sensors, and an increase in the size of the drip probe can be avoided.
 好ましくは、前記薬剤の滴下を検出すると前記第1受光部から出力される第1検出信号と、前記薬剤の滴下を検出すると前記第2受光部から出力される第2検出信号とを前記輸液ポンプに対して有線で送る構成としたことを特徴とする。
 上記構成により、点滴プローブから輸液ポンプに対して、有線で検出信号を送ることができる。
Preferably, the infusion pump outputs a first detection signal output from the first light receiving unit when the dropping of the drug is detected and a second detection signal output from the second light receiving unit when the dropping of the drug is detected. It is characterized by being configured to send by wire.
With the above configuration, it is possible to send a detection signal by wire from the infusion probe to the infusion pump.
 好ましくは、前記薬剤の滴下を検出すると前記第1受光部から出力される第1検出信号と、前記薬剤の滴下を検出すると前記第2受光部から出力される第2検出信号とを前記輸液ポンプ側に無線で送る構成としたことを特徴とする。
 上記構成により、点滴プローブから輸液ポンプに対して、無線で検出信号を送ることができる。
Preferably, the infusion pump outputs a first detection signal output from the first light receiving unit when the dropping of the drug is detected and a second detection signal output from the second light receiving unit when the dropping of the drug is detected. It is characterized in that it is configured to send to the side wirelessly.
With the above configuration, a detection signal can be transmitted wirelessly from the infusion probe to the infusion pump.
 好ましくは、前記本体部は、第1ケース部と、前記第1ケース部に対して相対的に移動して前記第1ケース部とともに前記点滴筒を挟み込むことで、前記本体部を前記点滴筒に着脱可能に固定させる第2ケース部と、前記本体部に配置されて前記薬剤の滴下を検出したことを表示する表示ランプとを有することを特徴とする請求項1に記載の点滴プローブ。
 上記構成により、点滴プローブの本体部は、点滴筒に対して着脱可能に装着した状態で、表示ランプは、薬剤の滴下を検出したことを医療従事者に対して報知できる。
Preferably, the main body portion moves relative to the first case portion and the first case portion and sandwiches the drip tube together with the first case portion, whereby the main body portion is attached to the drip tube. The infusion probe according to claim 1, further comprising: a second case part that is detachably fixed; and a display lamp that is disposed on the main body part and displays that the dripping of the medicine is detected.
With the above configuration, the display lamp can notify the medical staff that the dropping of the medicine has been detected while the main body of the infusion probe is detachably attached to the infusion tube.
 本発明の輸液ポンプは、前記点滴プローブを有する。
 上記構成により、輸液ポンプに点滴プローブを用いる際に、点滴プローブの本体部を点滴筒に対して上下逆向きに装着したことを検出でき、点滴筒内で滴下された薬剤が点滴筒内に溜まっている薬剤の液面で跳ね返る現象を検出して、正しい薬剤の滴下数を把握することができる。
The infusion pump of the present invention has the infusion probe.
With the above configuration, when an infusion probe is used for an infusion pump, it can be detected that the body of the infusion probe is mounted upside down with respect to the infusion tube, and the drug dripped in the infusion tube accumulates in the infusion tube. It is possible to detect the phenomenon of rebounding on the liquid level of the drug, and to grasp the correct number of drops of the drug.
 本発明は、点滴筒に対して上下逆向きに装着したことを検出でき、点滴筒内で滴下された薬剤が点滴筒内に溜まっている薬剤の液面で跳ね返る現象を検出して、正しい薬剤の滴下数を把握することができる点滴プローブと点滴プローブを備える輸液ポンプを提供することができる。 The present invention can detect that the medicine is mounted upside down with respect to the infusion tube, and detects a phenomenon in which the medicine dropped in the infusion tube rebounds on the liquid level of the medicine accumulated in the infusion tube. It is possible to provide an infusion pump including an infusion probe and an infusion probe that can grasp the number of drops.
本発明の輸液ポンプの好ましい第1実施形態を示す斜視図。The perspective view which shows preferable 1st Embodiment of the infusion pump of this invention. 図1に示す輸液ポンプをW方向から見た図。The figure which looked at the infusion pump shown in Drawing 1 from the W direction. 輸液ポンプの開閉カバーを開いた状態を示す斜視図。The perspective view which shows the state which opened the opening-and-closing cover of the infusion pump. 輸液ポンプの電気的な構成例を示す図。The figure which shows the electrical structural example of an infusion pump. 輸液チューブを押圧して輸液チューブ内の薬剤を送液するフルプレス方式の送液駆動部を示す図。The figure which shows the liquid feeding drive part of a full press system which presses an infusion tube and delivers the chemical | medical agent in an infusion tube. 輸液ポンプと点滴プローブを示す斜視図。The perspective view which shows an infusion pump and an infusion probe. 点滴プローブを示す斜視図。The perspective view which shows an infusion probe. 点滴プローブの正面図。The front view of an infusion probe. 点滴プローブの底面図。The bottom view of an infusion probe. 点滴筒に装着された点滴プローブを示す図。The figure which shows the drip probe with which the drip pipe | tube was mounted | worn. 点滴プローブ内に配置されている光学センサの好ましい構成例を示す図。The figure which shows the preferable structural example of the optical sensor arrange | positioned in an infusion probe. 落下した液滴が、液面LMで跳ね返った状態を示す図。The figure which shows the state in which the dropped droplet bounced off the liquid level LM. 点滴プローブが点滴筒に対して正しい向き(姿勢)で装着されてはおらず、点滴プローブは、誤って上下方向が逆向きになって点滴筒に装着されてしまっている状態を示す図。The figure which shows the state by which the drip probe is not mounted | worn with the correct direction (attitude | position) with respect to the drip tube, but the drip probe has been mounted | worn with the drip tube mistakenly up-down direction. 本発明の第2実施形態を示す図。The figure which shows 2nd Embodiment of this invention.
 以下に、本発明の好ましい実施形態を、図面を参照して詳しく説明する。
 尚、以下に述べる実施の形態は、本発明の好適な具体例であるから、技術的に好ましい種々の限定が付されているが、本発明の範囲は、以下の説明において特に本発明を限定する旨の記載がない限り、これらの態様に限られるものではない。
(第1実施形態)
 図1は、本発明の輸液ポンプの好ましい第1実施形態である点滴プローブを備える輸液ポンプを示す斜視図である。図2は、図1に示す輸液ポンプをW方向から見た図である。
Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the drawings.
The embodiments described below are preferred specific examples of the present invention, and thus various technically preferable limitations are given. However, the scope of the present invention is particularly limited in the following description. Unless otherwise stated, the present invention is not limited to these embodiments.
(First embodiment)
FIG. 1 is a perspective view showing an infusion pump including an infusion probe which is a preferred first embodiment of the infusion pump of the present invention. FIG. 2 is a view of the infusion pump shown in FIG. 1 as viewed from the W direction.
 図1と図2に示す輸液ポンプ1は、例えば集中治療室(ICU、CCU,NICU)等で使用され、患者に対して、例えば抗がん剤、麻酔剤、化学療法剤、輸血等、栄養剤等の薬剤(薬液ともいう)の微量注入処置を、高い精度で比較的長時間行うことに用いられる微量持続注入ポンプである。この輸液ポンプ1は、例えば薬剤ライブラリから使用する薬剤を選択して、その選択した薬剤を送液するために用いられる。この薬剤ライブラリは、薬剤ライブラリデータベース(DB)において、予め登録された薬剤名を含む薬剤の投与設定群である薬剤情報である。医療従事者は、この薬剤ライブラリを用いることにより、複雑な投与設定をその都度行わなくても良く、薬剤の選択および薬剤の設定が図れる。 The infusion pump 1 shown in FIGS. 1 and 2 is used, for example, in an intensive care unit (ICU, CCU, NICU) or the like, and is used for nutrition, such as anticancer agents, anesthetics, chemotherapeutic agents, blood transfusions, etc. This is a micro continuous infusion pump that is used to perform a micro infusion treatment of a drug such as an agent (also referred to as a drug solution) for a relatively long time with high accuracy. This infusion pump 1 is used, for example, for selecting a drug to be used from a drug library and feeding the selected drug. This drug library is drug information which is a drug administration setting group including drug names registered in advance in the drug library database (DB). By using this drug library, a medical worker does not have to perform complicated administration settings each time, and can select a drug and set a drug.
 図1と図2に示すように、点滴筒810,クランプ(クレンメ)802a,802b,輸液チューブ200を含む輸液セット800の輸液チューブ200の一部が輸液ポンプ1のチューブ装着部50に装着されている。この輸液セット800は、薬剤収容部としての薬剤バッグ801と連通し、点滴筒810には、点滴プローブ900が着脱可能に装着されている。
 こうして、薬剤バッグ801内に充填された薬剤750は、送液駆動部60の動作により、点滴筒810、輸液チューブ200を経て、その開口先端部が患者Pの静脈に留置されている留置針(または留置カテーテル)172を介して、患者Pの静脈から正確に送液することができる。
As shown in FIGS. 1 and 2, a part of the infusion tube 200 of the infusion set 800 including the drip tube 810, clamps (clamps) 802 a and 802 b, and the infusion tube 200 is attached to the tube attachment portion 50 of the infusion pump 1. Yes. The infusion set 800 communicates with a medicine bag 801 as a medicine container, and an infusion probe 900 is detachably attached to the infusion tube 810.
In this way, the medicine 750 filled in the medicine bag 801 passes through the drip tube 810 and the infusion tube 200 by the operation of the liquid feeding drive unit 60, and the indwelling needle (the distal end of which is placed in the vein of the patient P) ( Alternatively, the liquid can be accurately delivered from the vein of the patient P via the indwelling catheter 172.
 図1と図2に示す輸液ポンプ1は、本体カバー2と取手2Tを有しており、取手2TはN方向に伸ばしたりT方向に収納したりすることができる。この本体カバー2は、本体ともいい、耐薬品性を有する成型樹脂材料により一体成型されており、仮に薬剤等がかかっても輸液ポンプ1の内部に侵入するのを防ぐことができる防沫処理構造を有している。このように、本体カバー2が防沫処理構造を有しているのは、上方に配置されている薬剤バッグ801内の薬剤750がこぼれ落ちたり、周辺で用いる消毒液等が飛散して付着することがあるためである。 The infusion pump 1 shown in FIGS. 1 and 2 has a main body cover 2 and a handle 2T, and the handle 2T can be extended in the N direction and stored in the T direction. The main body cover 2 is also called a main body, and is integrally formed of a molded resin material having chemical resistance, so that even if a drug or the like is applied, it can be prevented from entering the infusion pump 1. have. As described above, the main body cover 2 has the splash-proof treatment structure because the medicine 750 in the medicine bag 801 disposed above spills or disinfecting liquid used in the vicinity is scattered and attached. Because there is.
 まず、輸液ポンプ1の本体カバー2に配置された要素について説明する。
 図1と図2に示すように、本体カバー2の上部分2Aには、表示部3と、操作パネル部4が配置されている。表示部3は、画像表示装置であり、例えばカラー液晶表示装置を用いている。この表示部3は、日本語表記による情報表記だけでなく、必要に応じて複数の外国語による情報の表示を行うことができる。表示部3は、本体カバー2の上部分2Aの左上位置であって、開閉カバー5の上側に配置されている。本体カバー2の上部分2Aは、本体カバー2の上半分の部分である。本体カバー2の下部分2Bは、本体カバー2の下半分の部分である。
First, the elements disposed on the main body cover 2 of the infusion pump 1 will be described.
As shown in FIGS. 1 and 2, a display unit 3 and an operation panel unit 4 are arranged on the upper portion 2 </ b> A of the main body cover 2. The display unit 3 is an image display device, and uses, for example, a color liquid crystal display device. This display unit 3 can display not only information notation in Japanese but also information in a plurality of foreign languages as required. The display unit 3 is disposed on the upper left side of the upper portion 2 </ b> A of the main body cover 2 and above the opening / closing cover 5. The upper portion 2 </ b> A of the main body cover 2 is an upper half portion of the main body cover 2. The lower part 2 </ b> B of the main body cover 2 is a lower half part of the main body cover 2.
 輸液ポンプ1の本体カバー2の上部分2Aには、情報を表示する表示部3と、複数の操作ボタンを有する操作パネル部4が配置され、輸液ポンプ1の本体カバー2の下部分2Bは、薬剤を送液するための送液部材である輸液チューブ200を配置する領域である。これにより、医療従事者は、本体カバー2の上部分2Aの表示部3の情報を確認しながら、輸液ポンプ1による薬剤の送液作業を行うことができる。そして、医療従事者は、本体カバー2の上部分2Aの表示部3の情報を確認しながら、操作パネル部4の操作ボタンを操作することができる。このため、輸液ポンプ1の操作性が良好である。 A display portion 3 for displaying information and an operation panel portion 4 having a plurality of operation buttons are arranged on the upper portion 2A of the body cover 2 of the infusion pump 1, and a lower portion 2B of the body cover 2 of the infusion pump 1 is This is a region where an infusion tube 200 which is a liquid feeding member for feeding a medicine is arranged. Thereby, the medical worker can perform the liquid feeding operation of the medicine by the infusion pump 1 while confirming the information on the display unit 3 of the upper portion 2A of the main body cover 2. Then, the medical staff can operate the operation buttons on the operation panel unit 4 while checking the information on the display unit 3 of the upper portion 2A of the main body cover 2. For this reason, the operability of the infusion pump 1 is good.
 図2では、表示部3には、一例として薬剤投与の予定量(mL)の表示欄3B、薬剤投与の積算量(mL)の表示欄3C、充電履歴の表示欄3D、流量(mL)の表示欄3E等が表示されているが、図1に示す表示部3ではこれらの表示内容の図示は、図面の簡単化のために省略している。薬剤投与の予定量は、「g系」でも表示可能になっている。表示部3は、この他に警報メッセージを表示することもできる。
 操作パネル部4は、本体カバー2の上部分2Aにおいて表示部3の右側に配置され、操作パネル部4には、操作ボタンとしては、図示例では、例えばパイロットランプ4A、早送りスイッチボタン4B、開始スイッチボタン4C、停止スイッチボタン4D、メニュー選択ボタン4E、電源スイッチ4F等が配置されている。
In FIG. 2, the display unit 3 includes, as an example, a display column 3B for a scheduled amount (mL) of drug administration, a display column 3C for an integrated amount (mL) of drug administration, a display column 3D for a charge history, and a flow rate (mL). Although the display column 3E and the like are displayed, the display contents of the display unit 3 shown in FIG. 1 are omitted for the sake of simplicity of the drawing. The scheduled amount of drug administration can be displayed even in “g system”. The display unit 3 can also display an alarm message.
The operation panel unit 4 is disposed on the right side of the display unit 3 in the upper part 2A of the main body cover 2, and the operation panel unit 4 includes, for example, a pilot lamp 4A, a fast-forward switch button 4B, and a start button as illustrated in FIG. A switch button 4C, a stop switch button 4D, a menu selection button 4E, a power switch 4F, and the like are arranged.
 図1に示すように、本体カバー2の下部分2Bには、蓋部材としての開閉カバー5が回転軸5Aを中心として、R方向に開閉可能に設けられている。開閉カバー5は、X方向に沿って長く形成されている板状の蓋部材である。チューブ装着部50と送液駆動部60は、開閉カバー5の内側に配置されている。このチューブ装着部50には、例えば軟質塩化ビニル等の可撓性の熱可塑性樹脂製の輸液チューブ200をセットして、この開閉カバー5を閉じることで、輸液チューブ200は、チューブ装着部50において、X方向(T方向)に沿って水平に装着できる。
 なお、図1と図2におけるX方向、Y方向、Z方向は互いに直交しており、Z方向は上下方向である。X方向は、送液方向であるT方向と平行であり輸液ポンプ1の左右方向である。Y方向は、輸液ポンプ1の前後方向である。
As shown in FIG. 1, an opening / closing cover 5 serving as a lid member is provided on the lower portion 2B of the main body cover 2 so as to be openable and closable in the R direction around a rotating shaft 5A. The open / close cover 5 is a plate-like lid member that is formed long along the X direction. The tube mounting part 50 and the liquid feeding drive part 60 are disposed inside the opening / closing cover 5. An infusion tube 200 made of a flexible thermoplastic resin such as soft vinyl chloride is set in the tube mounting portion 50, and the infusion tube 200 is connected to the tube mounting portion 50 by closing the open / close cover 5. , And can be mounted horizontally along the X direction (T direction).
Note that the X direction, the Y direction, and the Z direction in FIGS. 1 and 2 are orthogonal to each other, and the Z direction is the vertical direction. The X direction is parallel to the T direction, which is the liquid feeding direction, and is the left-right direction of the infusion pump 1. The Y direction is the front-rear direction of the infusion pump 1.
 図3は、図1と図2に示す輸液ポンプ1の開閉カバー5を開いて、輸液チューブ200を装着するためのチューブ装着部50を示す斜視図である。
 図3に示すように、チューブ装着部50と送液駆動部60は、輸液ポンプ1の本体下部1B側に設けられており、チューブ装着部50と送液駆動部60は、表示部3と操作パネル部4の下部においてX方向に沿って設けられている。チューブ装着部50は、図2に示すように開閉カバー5を、回転軸5Aを中心としてCR方向に閉じると開閉カバー5により覆うことができる。
FIG. 3 is a perspective view showing a tube mounting portion 50 for opening the opening / closing cover 5 of the infusion pump 1 shown in FIGS. 1 and 2 and mounting the infusion tube 200.
As shown in FIG. 3, the tube mounting part 50 and the liquid feeding drive part 60 are provided on the main body lower part 1B side of the infusion pump 1, and the tube mounting part 50 and the liquid feeding drive part 60 are operated with the display part 3. A lower portion of the panel portion 4 is provided along the X direction. As shown in FIG. 2, the tube mounting portion 50 can cover the open / close cover 5 with the open / close cover 5 when the open / close cover 5 is closed in the CR direction around the rotation shaft 5A.
 医療従事者は、本体カバー2の上部分2Aの表示部3の情報を確認しながら、チューブ装着部50への輸液チューブ200の装着を行って、開閉カバー5を閉じることができる。そして、医療従事者は、本体カバー2の上部分2Aの表示部3の情報を確認しながら、操作パネル部4の操作ボタンを操作することができる。これにより、医療現場において、輸液ポンプ1の操作性を向上することができる。
 図3に示すように、チューブ装着部50は、気泡センサ51と、上流閉塞センサ52と、下流閉塞センサ53と、チューブクランプ部270と、右側位置の第1輸液チューブガイド部54と左側位置の第2輸液チューブガイド部55を有している。
A medical worker can close the open / close cover 5 by attaching the infusion tube 200 to the tube attachment portion 50 while confirming information on the display portion 3 of the upper portion 2 </ b> A of the main body cover 2. Then, the medical staff can operate the operation buttons on the operation panel unit 4 while checking the information on the display unit 3 of the upper portion 2A of the main body cover 2. Thereby, in the medical field, the operativity of the infusion pump 1 can be improved.
As shown in FIG. 3, the tube mounting portion 50 includes a bubble sensor 51, an upstream blockage sensor 52, a downstream blockage sensor 53, a tube clamp portion 270, a first infusion tube guide portion 54 at the right side position, and a left side position. A second infusion tube guide portion 55 is provided.
 図3に示すように、チューブ装着部50の付近には、輸液チューブ200をセットする際に、正しい送液方向であるT方向を明確に表示するための輸液チューブ設定方向表示部150が設けられている。この輸液チューブ設定方向表示部150は、例えば複数の矢印151により構成されている。輸液チューブ設定方向表示部150は、開閉カバー5の内側にセットされた輸液チューブ200による薬剤750の正しい方向の送液方向(T方向)を明示するために配置されている。これにより、医療従事者が、図3の開閉カバー5をCS方向に開けて、チューブ装着部50を開放して、このチューブ装着部50に対して輸液チューブ200を装着する際に、輸液チューブ200による薬剤の送液方向であるT方向を明示できる。このため、医療従事者が、誤って輸液チューブ200を逆方向に装着してしまうことを確実に防ぐことができる。 As shown in FIG. 3, an infusion tube setting direction display unit 150 for clearly displaying the T direction that is the correct liquid feeding direction when the infusion tube 200 is set is provided in the vicinity of the tube mounting unit 50. ing. The infusion tube setting direction display unit 150 includes, for example, a plurality of arrows 151. The infusion tube setting direction display unit 150 is arranged to clearly indicate the correct liquid feeding direction (T direction) of the medicine 750 by the infusion tube 200 set inside the opening / closing cover 5. Accordingly, when the medical staff opens the opening / closing cover 5 of FIG. 3 in the CS direction, opens the tube mounting portion 50, and mounts the infusion tube 200 on the tube mounting portion 50, the infusion tube 200 It is possible to clearly indicate the T direction, which is the direction of drug delivery. For this reason, it can prevent reliably that a medical worker will attach the infusion tube 200 by the reverse direction accidentally.
 次に、図3に示す開閉カバー5の構造例を説明する。
 図3に示すように、開閉カバー5は、輸液ポンプ1を軽量化するために、薄い成型樹脂部材により作られている板状の部材である。これにより、開閉カバー5の重量を軽減でき、構造を簡単化することができる。開閉カバー5は、チューブ装着部50を、回転軸5Aを中心としてCS方向とCR方向に沿って開閉可能に覆うことができるようにするために、2つのヒンジ部2H、2Hにより本体カバー2の本体下部2Bに対して支持されている。2つのヒンジ部2H、2Hは、第1フック部材5Dと第2フック部材5Eにそれぞれ対応して配置されている。
Next, a structural example of the opening / closing cover 5 shown in FIG. 3 will be described.
As shown in FIG. 3, the open / close cover 5 is a plate-like member made of a thin molded resin member in order to reduce the weight of the infusion pump 1. Thereby, the weight of the opening / closing cover 5 can be reduced, and the structure can be simplified. The opening / closing cover 5 has two hinge portions 2H and 2H that allow the tube mounting portion 50 to be covered so as to be openable and closable along the CS direction and the CR direction about the rotation shaft 5A. It is supported with respect to the main body lower part 2B. The two hinge portions 2H and 2H are arranged corresponding to the first hook member 5D and the second hook member 5E, respectively.
 図2と図3に示すように、開閉カバー5の表面側には、右上部分に開閉操作レバー260が設けられている。開閉カバー5の内面側には、輸液チューブ押さえ部材500と、第1フック部材5Dと第2フック部材5Eが設けられている。この輸液チューブ押さえ部材500は、X方向に沿って長く矩形状かつ面状の突出部として配置されており、輸液チューブ押さえ部材500は、送液駆動部60に対面する位置にある。輸液チューブ押さえ部材500は、送液駆動部60に沿ってX方向に平坦面を有しており、輸液チューブ押さえ部材500は、開閉カバー5をCR方向に閉じることで、送液駆動部60との間で輸液チューブ200の一部分を押し付けて挟むようになっている。
 医療従事者は、表示部3に表示されている表示内容を確認しながら、輸液チューブ200を輸液ポンプ1の本体の下半分の部分に水平方向に沿ってセットでき、輸液チューブ200がチューブ装着部50にセットされた後に、開閉カバー5は輸液チューブ200を覆うことができる。
As shown in FIGS. 2 and 3, an opening / closing operation lever 260 is provided at the upper right portion on the surface side of the opening / closing cover 5. On the inner surface side of the opening / closing cover 5, an infusion tube pressing member 500, a first hook member 5D, and a second hook member 5E are provided. The infusion tube pressing member 500 is disposed as a long rectangular and planar protrusion along the X direction, and the infusion tube pressing member 500 is in a position facing the liquid feeding drive unit 60. The infusion tube pressing member 500 has a flat surface in the X direction along the liquid feeding drive unit 60, and the infusion tube pressing member 500 closes the opening / closing cover 5 in the CR direction, A part of the infusion tube 200 is pressed between them.
The medical worker can set the infusion tube 200 on the lower half of the body of the infusion pump 1 along the horizontal direction while confirming the display content displayed on the display unit 3, and the infusion tube 200 is connected to the tube mounting portion. After being set to 50, the opening / closing cover 5 can cover the infusion tube 200.
 図3に示すように、第1フック部材5Dと第2フック部材5Eは、本体下部1B側の固定部分1D、1Eに対してそれぞれ機械的に同時に掛かることにより、開閉カバー5は、図2に示すように、本体下部1Bのチューブ装着部50を閉鎖した状態に保持する。この第1フック部材5Dと第2フック部材5Eと、本体下部1B側の固定部分1D、1Eは、開閉カバー5のダブルフック構造部300を構成している。
 図3に示すチューブクランプ部270は、開閉カバー5を閉じることにより、輸液チューブ200の途中部分をクランプして閉塞させる。チューブクランプ部270は、左側の固定部分1Eの近傍であって、左側の第2フック部材5Eに対応する位置に配置されている。医療従事者が輸液チューブ200をX方向に水平にセットして、医療従事者が開閉カバー5をCR方向に閉じると、チューブクランプ部270は、輸液チューブ200の途中の一部分を閉塞できる。
As shown in FIG. 3, the first hook member 5D and the second hook member 5E are mechanically simultaneously engaged with the fixing portions 1D and 1E on the lower body 1B side, so that the open / close cover 5 is As shown, the tube mounting part 50 of the main body lower part 1B is held in a closed state. The first hook member 5D, the second hook member 5E, and the fixing portions 1D, 1E on the main body lower part 1B side constitute a double hook structure portion 300 of the opening / closing cover 5.
The tube clamp part 270 shown in FIG. 3 closes the open / close cover 5 to clamp and close the middle part of the infusion tube 200. The tube clamp portion 270 is disposed in the vicinity of the left fixed portion 1E and at a position corresponding to the left second hook member 5E. When the medical worker sets the infusion tube 200 horizontally in the X direction and the medical worker closes the opening / closing cover 5 in the CR direction, the tube clamp portion 270 can block a part of the infusion tube 200 in the middle.
 図3に示すように、第1輸液チューブガイド部54は、輸液チューブ200の上流側200Aをはめ込むことで保持でき、第2輸液チューブガイド部55は、輸液チューブ200の下流側200Bをはめ込むことで保持でき、輸液チューブ200をX方向に沿って水平方向に保持するようになっている。このように、水平方向に保持された輸液チューブ200は、気泡センサ51と、上流閉塞センサ52と、送液駆動部60と、下流閉塞センサ53と、そしてチューブクランプ部270に沿って、T方向に沿ってはめ込んで固定される。 As shown in FIG. 3, the first infusion tube guide portion 54 can be held by fitting the upstream side 200 </ b> A of the infusion tube 200, and the second infusion tube guide portion 55 can be held by fitting the downstream side 200 </ b> B of the infusion tube 200. The infusion tube 200 can be held horizontally along the X direction. Thus, the infusion tube 200 held in the horizontal direction is in the T direction along the bubble sensor 51, the upstream block sensor 52, the liquid feed drive unit 60, the downstream block sensor 53, and the tube clamp unit 270. It is fixed by fitting along.
 図3に示すように、第2輸液チューブガイド部55は、輸液チューブ200の下流側200Bの一部分を着脱可能に挟んで保持するために、本体下部1Bの側面部分1Sに形成された溝部分である。第1輸液チューブガイド部54と第2輸液チューブガイド部55は、輸液チューブ200を開閉カバー5とチューブ装着部50との間に挟み込んで潰してしまうことが無いように、チューブ装着部50内に確実に装着できる。
 図3に示す気泡センサ51は、輸液チューブ200内に生じる気泡(空気)を検出するセンサであり、例えば気泡センサ51は、軟質塩化ビニルなどの輸液チューブ200の外側から、輸液チューブ200内に流れる薬剤中に含まれる気泡を監視する超音波センサである。超音波センサの超音波発信部から発生する超音波を輸液チューブ200内に流れる薬剤に当てることで、薬剤における超音波の透過率と、気泡における超音波の透過率とが異なることから、超音波受信部は、その透過率の差を検出して気泡の有無を監視する。気泡センサ51は、押し当て部材320と受け部材330を有している。超音波発振部は押し当て部材320に配置されている。超音波受信部は受け部材330に配置されている。
As shown in FIG. 3, the second infusion tube guide portion 55 is a groove portion formed in the side surface portion 1 </ b> S of the main body lower portion 1 </ b> B in order to detachably hold a part of the downstream side 200 </ b> B of the infusion tube 200. is there. The first infusion tube guide portion 54 and the second infusion tube guide portion 55 are provided in the tube attachment portion 50 so that the infusion tube 200 is not sandwiched between the opening / closing cover 5 and the tube attachment portion 50 and crushed. Can be installed securely.
The bubble sensor 51 shown in FIG. 3 is a sensor that detects bubbles (air) generated in the infusion tube 200. For example, the bubble sensor 51 flows into the infusion tube 200 from the outside of the infusion tube 200 such as soft vinyl chloride. It is an ultrasonic sensor that monitors bubbles contained in a medicine. By applying ultrasonic waves generated from the ultrasonic wave transmitter of the ultrasonic sensor to the drug flowing in the infusion tube 200, the ultrasonic wave transmittance in the drug and the ultrasonic wave transmittance in the bubbles are different. The receiving unit monitors the presence or absence of bubbles by detecting the difference in transmittance. The bubble sensor 51 has a pressing member 320 and a receiving member 330. The ultrasonic oscillator is disposed on the pressing member 320. The ultrasonic wave receiver is disposed on the receiving member 330.
 図3に示す上流閉塞センサ52は、輸液チューブ200の上流側200Aにおいて輸液チューブ200内が閉塞しているかどうかを検出するセンサであり、下流閉塞センサ53は、輸液チューブ200の下流側200Bにおいて輸液チューブ200内が閉塞しているか否かを検出するセンサである。上流閉塞センサ52と下流閉塞センサ53は、ほぼ同じ構成であるが、上流閉塞センサ52では、初めにチューブ装着部50に輸液チューブ200をセットした時からの輸液チューブ200のへこみの度合いを検出することで、一方、下流閉塞センサ53では、初めにチューブ装着部50に輸液チューブ200をセットした時からの輸液チューブ200の膨らみの度合いを検出することで、輸液チューブ200内が閉塞しているかどうかを検出する。なお、輸液チューブ200が閉塞する主な原因としては、例えば、クランプ802aの開け忘れ(輸液ポンプ1より上流側のクランプを閉じたままの状態:輸液チューブ200をセットした時からのへこみを生じた状態),クランプ802bの開け忘れ(輸液ポンプ1より下流側のクランプを閉じたままの状態:輸液チューブ200をセットした時からの輸液チューブ200の膨らみを生じた状態)や輸液チューブ200のつぶれやキンク(折れ曲がり)、その他の場合として、送液しようとする薬剤の粘度が高いか、薬剤の濃度が高い等の場合である。
 図3に示すように、開閉カバー5の内面側には、上流閉塞センサ52と下流閉塞センサ53の対応する位置に、それぞれ押圧部材452、453が設けられている。医療従事者が、図3に示すようにチューブ装着部50に輸液チューブ200をセットした後に、図2に示すように開閉カバー5を閉じると、開閉カバー5側の押圧部材452と押圧部材453が輸液チューブ200の一部分を上流側閉塞センサ52と下流側閉塞センサ53側にそれぞれ押し当てることができる。
The upstream blockage sensor 52 shown in FIG. 3 is a sensor that detects whether or not the inside of the infusion tube 200 is blocked on the upstream side 200A of the infusion tube 200, and the downstream blockage sensor 53 is an infusion solution on the downstream side 200B of the infusion tube 200. It is a sensor that detects whether or not the inside of the tube 200 is closed. The upstream occlusion sensor 52 and the downstream occlusion sensor 53 have substantially the same configuration, but the upstream occlusion sensor 52 detects the degree of dent of the infusion tube 200 since the infusion tube 200 was first set in the tube mounting portion 50. On the other hand, the downstream blockage sensor 53 detects whether or not the inside of the infusion tube 200 is blocked by detecting the degree of swelling of the infusion tube 200 from when the infusion tube 200 is first set in the tube mounting portion 50. Is detected. The main cause of the blockage of the infusion tube 200 is, for example, forgetting to open the clamp 802a (the state where the clamp on the upstream side of the infusion pump 1 is closed: a dent from when the infusion tube 200 is set). State), forgetting to open the clamp 802b (the state where the clamp on the downstream side of the infusion pump 1 is closed: the state in which the infusion tube 200 has been swollen since the infusion tube 200 was set), the collapse of the infusion tube 200, Kink (bending), and other cases include cases where the viscosity of the drug to be fed is high or the concentration of the drug is high.
As shown in FIG. 3, pressing members 452 and 453 are provided on the inner surface side of the opening / closing cover 5 at positions corresponding to the upstream closing sensor 52 and the downstream closing sensor 53, respectively. When the medical worker sets the infusion tube 200 in the tube mounting portion 50 as shown in FIG. 3 and then closes the opening and closing cover 5 as shown in FIG. 2, the pressing member 452 and the pressing member 453 on the opening and closing cover 5 side A part of the infusion tube 200 can be pressed against the upstream blockage sensor 52 and the downstream blockage sensor 53 side, respectively.
 図4に示すように、輸液ポンプ1は、全体的な動作の制御を行う制御部(コンピュータ)100を有している。この制御部100は、例えばワンチップのマイクロコンピュータであり、ROM(読み出し専用メモリ)101,RAM(ランダムアクセスメモリ)102、不揮発性メモリ103、そしてクロック104を有する。クロック104は、所定の操作により現在時刻の修正ができ、現在時刻の取得や、所定の送液作業の経過時間の計測、送液の速度制御の基準時間の計測等ができる。
 この制御部100には、温度センサ180と、開閉カバー(開閉ドア)センサ190と、点滴プローブ900が電気的に接続されている。温度センサ180は、輸液ポンプ1が置かれている環境の温度を測定して、温度測定信号TSSを送る。
 開閉カバーセンサ190は、図1に示す開閉カバー5を開くと、開閉カバー開閉信号CRSを制御部100に送る。
As shown in FIG. 4, the infusion pump 1 has a control unit (computer) 100 that controls the overall operation. The control unit 100 is a one-chip microcomputer, for example, and includes a ROM (read only memory) 101, a RAM (random access memory) 102, a nonvolatile memory 103, and a clock 104. The clock 104 can correct the current time by a predetermined operation, and can acquire the current time, measure the elapsed time of a predetermined liquid feeding operation, measure the reference time of liquid feeding speed control, and the like.
A temperature sensor 180, an open / close cover (open / close door) sensor 190, and an infusion probe 900 are electrically connected to the control unit 100. The temperature sensor 180 measures the temperature of the environment where the infusion pump 1 is placed and sends a temperature measurement signal TSS.
The opening / closing cover sensor 190 sends an opening / closing cover opening / closing signal CRS to the control unit 100 when the opening / closing cover 5 shown in FIG.
 図4と図2に示す点滴プローブ900は、図2に示す薬剤バッグ801の点滴筒810に対して、着脱可能に装着されて、薬剤750の滴下状態を検出して、後で説明する第1光量変化検出信号PS1と第2光量変化検出信号PS2を制御部100に送る。すなわち、点滴プローブ900は、点滴筒810内での薬剤750の滴下状態を監視して、異常検出した薬剤750のフリーフロー(連続流)、空液(液切れ)等の流量異常を、医療従事者に対して警報で知らせることができる機能を有する。また、制御部100は、点滴プローブ900に対して電源PWを供給する。この点滴プローブ900の構造と機能は、後で詳しく説明する。 The infusion probe 900 shown in FIGS. 4 and 2 is detachably attached to the infusion tube 810 of the medicine bag 801 shown in FIG. 2 to detect the dropping state of the medicine 750, and will be described later. The light quantity change detection signal PS1 and the second light quantity change detection signal PS2 are sent to the control unit 100. That is, the drip probe 900 monitors the dropping state of the medicine 750 in the drip cylinder 810, and detects abnormalities in the flow of the medicine 750 detected abnormally, such as a free flow (continuous flow) and an empty liquid (out of liquid). It has a function that can notify a person with an alarm. In addition, the control unit 100 supplies a power source PW to the infusion probe 900. The structure and function of the drip probe 900 will be described in detail later.
 図4に示す制御部100は、電源スイッチボタン4Fと、スイッチ111が接続されている。スイッチ111は、電源コンバータ部112と例えばリチウムイオン電池のような充電池113を切り換えることで、電源コンバータ部112と充電池113のいずれかから制御部100に電源供給する。電源コンバータ部112は、コンセント114を介して商用交流電源115に接続されている。 The control unit 100 shown in FIG. 4 is connected to a power switch button 4F and a switch 111. The switch 111 supplies power to the control unit 100 from either the power converter unit 112 or the rechargeable battery 113 by switching between the power converter unit 112 and the rechargeable battery 113 such as a lithium ion battery. The power converter unit 112 is connected to a commercial AC power source 115 via an outlet 114.
 図4に示す表示部ドライバ130は、制御部100の指令により表示部3を駆動して、図2に例示する情報内容や警報メッセージを表示する。スピーカ131は、制御部100の指令により各種の警報内容を音声により告知することができる。ブザー132は、制御部100の指令により各種の警報を音により告知することができる。
 この表示部ドライバ130は、点滴プローブ900による点滴筒810内での薬剤750の滴下状態の異常検出があると、制御部100の指令により表示部3を駆動して、「滴下異常」の警報メッセージを表示する。スピーカ131は、点滴プローブ900による点滴筒810内での薬剤750の滴下状態の異常検出があると、音声で「滴下異常」と警報を出すことができる。同様にして、ブザー132は、点滴プローブ900による点滴筒810内での薬剤750の滴下状態の異常検出があると、制御部100の指令により、警報音を発報することができる。
The display unit driver 130 shown in FIG. 4 drives the display unit 3 according to a command from the control unit 100, and displays information contents and alarm messages exemplified in FIG. The speaker 131 can notify various alarm contents by voice according to a command from the control unit 100. The buzzer 132 can notify various alarms by sound according to commands from the control unit 100.
When there is an abnormality detection of the dropping state of the medicine 750 in the infusion tube 810 by the infusion probe 900, the display unit driver 130 drives the display unit 3 according to a command from the control unit 100, and a warning message “Drip abnormality”. Is displayed. When there is an abnormality detection of the dropping state of the medicine 750 in the infusion tube 810 by the infusion probe 900, the speaker 131 can give a warning “abnormality of dripping” by voice. Similarly, the buzzer 132 can issue an alarm sound in response to a command from the control unit 100 when an abnormality is detected in the dropping state of the medicine 750 in the infusion tube 810 by the infusion probe 900.
 図4において、気泡センサ51からの気泡検出信号S1と、上流閉塞センサ52からの輸液チューブ200の上流側が閉塞したことを示す上流閉塞信号S2と、そして下流閉塞センサ53からの輸液チューブ200の下流側が閉塞したことを示す下流閉塞信号S3は、制御部100に供給される。上流閉塞センサ52と下流閉塞センサ53は、輸液回路の内圧が輸液ポンプ1内の設定圧を越えて、薬剤を送液できない状態を検出することができる。輸液回路の内圧が輸液ポンプ1内の設定圧を越える原因としては、クランプ802bの開け忘れ(クランプを閉じたままの状態)、輸液用の留置針や輸液チューブ200が詰まっている場合、輸液チューブ200のつぶれやキンク(折れ曲がり)、高粘度の薬剤を使用している場合等である。 In FIG. 4, the bubble detection signal S <b> 1 from the bubble sensor 51, the upstream block signal S <b> 2 indicating that the upstream side of the infusion tube 200 from the upstream block sensor 52 is blocked, and the downstream of the infusion tube 200 from the downstream block sensor 53. A downstream block signal S3 indicating that the side is blocked is supplied to the control unit 100. The upstream blockage sensor 52 and the downstream blockage sensor 53 can detect a state in which the internal pressure of the infusion circuit exceeds the set pressure in the infusion pump 1 and the medicine cannot be delivered. The reason why the internal pressure of the infusion circuit exceeds the set pressure in the infusion pump 1 is that the infusion tube or the infusion tube 200 is clogged if the clamp 802b is forgotten to be opened (the clamp is kept closed) or the infusion needle for infusion or the infusion tube 200 is clogged. For example, when 200 crushes or kinks (bending) or a high viscosity drug is used.
 図4において、制御部100は、通信ポート140を通じて、例えば、デスクトップコンピュータのようなコンピュータ141に対して双方向に通信可能である。このコンピュータ141は、薬剤データベース(DB)160に接続されており、薬剤データベース160に格納されている薬剤情報MFは、コンピュータ141を介して、制御部100に取得して、制御部100の不揮発性メモリ103に記憶させることができる。制御部100は、記憶した薬剤情報MFを基にして、例えば図2に示す表示部3には薬剤情報MF等を表示することができる。 In FIG. 4, the control unit 100 can communicate bidirectionally with a computer 141 such as a desktop computer through the communication port 140. This computer 141 is connected to a drug database (DB) 160, and drug information MF stored in the drug database 160 is acquired by the control unit 100 via the computer 141, and the non-volatile state of the control unit 100 is acquired. It can be stored in the memory 103. The control unit 100 can display the drug information MF and the like on the display unit 3 shown in FIG. 2, for example, based on the stored drug information MF.
 図4に示す送液駆動部60は、駆動モータ61と、この駆動モータ61により回転駆動される複数個のカムを有するカム構造体62と、このカム構造体62の各カムにより移動される複数のフィンガを有するフィンガ構造体63を有している。駆動モータ61としては、ステップモータを用いている。
 カム構造体62は、複数のカム、例えば複数のカム62A~62Fを有しており、フィンガ構造体63は、複数のカム62A~62Fに対応して複数のフィンガ63A~63Fを有している。複数のカム62A~62Fは互いに位相差を付けて配列されており、カム構造体62は、出力軸61Aに連結されている。
4 includes a drive motor 61, a cam structure 62 having a plurality of cams that are rotationally driven by the drive motor 61, and a plurality of cam structures 62 that are moved by the cams of the cam structure 62. A finger structure 63 having a plurality of fingers is provided. As the drive motor 61, a step motor is used.
The cam structure 62 has a plurality of cams, for example, a plurality of cams 62A to 62F, and the finger structure 63 has a plurality of fingers 63A to 63F corresponding to the plurality of cams 62A to 62F. . The plurality of cams 62A to 62F are arranged with a phase difference from each other, and the cam structure 62 is connected to the output shaft 61A.
 図4に示す制御部100の指令により、駆動モータ61の出力軸61Aが回転すると、複数のフィンガ63A~63Fが順番にY方向に所定ストローク分進退することで、輸液チューブ200はT方向に沿って開閉カバー5の輸液チューブ押さえ部材500に対して押し付けられる。このため、輸液チューブ200内の薬剤は、T方向に送液することができる。すなわち、複数のフィンガ63A~63Fが順次個別駆動されることで、複数のフィンガ63A~63Fが、輸液チューブ200の外周面をT方向に沿って順次押圧して完全に圧閉する箇所を順次移動させることで輸液チューブ200内の薬剤の送液を行う。このように、副制御部400が、複数のフィンガ63A~63Fの蠕動運動を制御することにより、フィンガ63A~63Fを順次前後進させ、あたかも波動が進行するようにして、輸液チューブ200を完全に閉塞する箇所をT方向に移動させることで、輸液チューブ200をしごいて薬剤をT方向に送液することができる(即ち、図5において、(A)→(B)→(C)→(D)→(E)→(F)→(A)の状態を繰り返す)。 When the output shaft 61A of the drive motor 61 rotates in response to a command from the control unit 100 shown in FIG. 4, the plurality of fingers 63A to 63F sequentially advance and retreat by a predetermined stroke in the Y direction, so that the infusion tube 200 extends along the T direction. Then, it is pressed against the infusion tube pressing member 500 of the opening / closing cover 5. For this reason, the medicine in infusion tube 200 can be sent in the T direction. That is, the plurality of fingers 63A to 63F are individually driven sequentially, so that the plurality of fingers 63A to 63F sequentially move in a place where the outer peripheral surface of the infusion tube 200 is sequentially pressed along the T direction and completely closed. By doing so, the drug in the infusion tube 200 is fed. In this way, the sub-control unit 400 controls the peristaltic motion of the plurality of fingers 63A to 63F, thereby causing the fingers 63A to 63F to move forward and backward in sequence, so that the wave is advanced, and the infusion tube 200 is completely moved. By moving the portion to be blocked in the T direction, the infusion tube 200 can be squeezed and the drug can be delivered in the T direction (ie, in FIG. 5, (A) → (B) → (C) → ( D) → (E) → (F) → (A) is repeated).
 次に、図5の模式図を参照して、フルプレス方式(複数のフィンガ63A~63Fが輸液チューブ200を順次完全に圧閉することで薬剤を送液する方式)で、送液駆動部60のフィンガ構造体63が、輸液チューブ200を押圧することで、輸液チューブ200内の薬剤750を送液する例を説明する。
 図5(A)から図5(D)は、輸液チューブ200をT方向にしごくことで、輸液チューブ200内を押圧して、完全に閉塞する箇所をT方向に移動させることで、薬剤750を送液する送液駆動部60を示している。
Next, referring to the schematic diagram of FIG. 5, the liquid feeding drive unit 60 is a full press system (a system in which a plurality of fingers 63A to 63F sequentially and completely close the infusion tube 200 to deliver a medicine). An example will be described in which the finger structure 63 sends the medicine 750 in the infusion tube 200 by pressing the infusion tube 200.
5 (A) to 5 (D) show that the drug 750 is moved by pressing the inside of the infusion tube 200 by moving the infusion tube 200 in the T direction and moving the completely closed portion in the T direction. The liquid supply drive part 60 which supplies liquid is shown.
 図5(A)では、輸液チューブ200は、フィンガ63Fと63Aにより完全に閉塞されており、図5(B)では、輸液チューブ200は、フィンガ63Eと63Fにより完全に閉塞されており、図5(C)では、輸液チューブ200は、フィンガ63Dと63Eにより完全に閉塞されており、さらに、図5(D)では、輸液チューブ200は、フィンガ63Cと63Dにより完全に閉塞されており、図5(E)では、輸液チューブ200は、フィンガ63Bと63Cにより完全に閉塞されており、図5(F)では、輸液チューブ200は、フィンガ63Aと63Bにより完全に閉塞されている。その後、図5(A)の状態に戻る。
 なお、両端のフィンガ63Aと63Fのフィンガは、好ましくは、先端に丸みを帯びた特許を持たせて、輸液チューブ200をより完全に閉塞できるようにしてもよい。
5A, the infusion tube 200 is completely closed by the fingers 63F and 63A, and in FIG. 5B, the infusion tube 200 is completely closed by the fingers 63E and 63F. In (C), the infusion tube 200 is completely closed by the fingers 63D and 63E. Furthermore, in FIG. 5 (D), the infusion tube 200 is completely closed by the fingers 63C and 63D. In (E), the infusion tube 200 is completely closed by fingers 63B and 63C, and in FIG. 5 (F), the infusion tube 200 is completely closed by fingers 63A and 63B. Thereafter, the state returns to the state of FIG.
It should be noted that the fingers 63A and 63F at both ends may preferably have a rounded patent at the tip so that the infusion tube 200 can be more completely closed.
 次に、点滴プローブ900の好ましい構造例を、図6から図10を参照して説明する。
 図6は、輸液ポンプ1と、点滴プローブ900を示す斜視図である。図7は、点滴プローブ900を示す斜視図である。図8は、点滴プローブ900の正面図であり、図9は、点滴プローブ900の平面図である。図10は、点滴筒810に装着された点滴プローブ900を示す図である。
 図6に示すように、点滴プローブ900は、本体部901と、接続プラグ902と、コード903を有している。接続プラグ902はコード903を用いて本体部901内の回路基板に電気的に接続されている。接続プラグ902は、輸液ポンプ1の背面側の接続コネクタ899に対して着脱可能に接続することができる。これにより、図4に示すように、点滴プローブ900は、有線で、薬剤750の滴下状態を検出して、第1光量変化検出信号と第2光量変化検出信号を、制御部100に送ることができるとともに、制御部100は、点滴プローブ900に対して電源PWを供給する。
Next, a preferred structure example of the drip probe 900 will be described with reference to FIGS.
FIG. 6 is a perspective view showing the infusion pump 1 and the drip probe 900. FIG. 7 is a perspective view showing the drip probe 900. FIG. 8 is a front view of the drip probe 900, and FIG. 9 is a plan view of the drip probe 900. FIG. 10 is a view showing an infusion probe 900 attached to the infusion tube 810.
As shown in FIG. 6, the drip probe 900 has a main body 901, a connection plug 902, and a cord 903. The connection plug 902 is electrically connected to a circuit board in the main body 901 using a cord 903. The connection plug 902 can be detachably connected to the connection connector 899 on the back side of the infusion pump 1. As a result, as shown in FIG. 4, the drip probe 900 can detect the dropping state of the medicine 750 by wire and send the first light amount change detection signal and the second light amount change detection signal to the control unit 100. In addition, the control unit 100 supplies the power supply PW to the drip probe 900.
 図7に示すように、点滴プローブ900の本体部901は、第1ケース部911と、第2ケース部912と、滴下検出表示ランプ913を有し、重さは20g程度である。第1ケース部911と第2ケース部912は、例えばプラスチック製である。第1ケース部911は外ケースともいい、第2ケース部912は内ケースともいう。
 まず、第1ケース部911の構造を説明する。
 図8と図9に示すように、第1ケース部911は、正面部911A,911B、側面部911C、背面部911D、上面部911E、下面部911Fを有している。これらの正面部911A,911B、側面部911C、背面部911D、上面部911E、下面部911Fは、第2ケース部912の挿入部分918を挿入するために挿入空間部911Sを有している。
As shown in FIG. 7, the main body 901 of the drip probe 900 has a first case portion 911, a second case portion 912, and a drip detection display lamp 913, and the weight is about 20 g. The first case portion 911 and the second case portion 912 are made of plastic, for example. The first case portion 911 is also referred to as an outer case, and the second case portion 912 is also referred to as an inner case.
First, the structure of the first case portion 911 will be described.
As shown in FIGS. 8 and 9, the first case portion 911 includes front portions 911A and 911B, a side surface portion 911C, a back surface portion 911D, an upper surface portion 911E, and a lower surface portion 911F. The front portions 911A and 911B, the side surface portion 911C, the back surface portion 911D, the upper surface portion 911E, and the lower surface portion 911F have an insertion space portion 911S for inserting the insertion portion 918 of the second case portion 912.
 図8に示す表示部分921は、正面部911Bに設けられている。この表示部分921は、図2に示すように、医療従事者が、点滴プローブ900の本体部901を点滴筒810に対して正しい上下の向きに装着できるように、その正しい装着状態図911Gを表示している。これにより、医療従事者が、点滴プローブ900の本体部901を点滴筒810に対して装着する際に、この正しい装着状態図911Gを参照することができるので、図2に示すように、点滴プローブ900の本体部901を点滴筒810に対して正しい上下の向きに装着することができる。なお、点滴筒810は、20滴/mL(20滴で1mL),60滴/mL(60滴で1mL)の2種類に規格化されている. 8 is provided in the front portion 911B. As shown in FIG. 2, the display portion 921 displays a correct wearing state diagram 911G so that the medical staff can attach the main body 901 of the drip probe 900 to the drip tube 810 in the correct vertical direction. is doing. Accordingly, when the medical staff attaches the main body 901 of the infusion probe 900 to the infusion tube 810, the correct wearing state diagram 911G can be referred to. Therefore, as shown in FIG. The main body 901 of 900 can be attached to the drip tube 810 in the correct vertical direction. In addition, the drip tube 810 is standardized into two types of 20 drops / mL (1 mL with 20 drops) and 60 drops / mL (1 mL with 60 drops).
 図7から図9に示すように、第1ケース部911は、ほぼ直方体形状の部材である。図8と図9に示すように、第1ケース部911の正面部911A,911B、上面部911E、下面部911Fにかけて、図9に示す点滴筒810をZ方向(上下方向)に沿って挿入して保持するための上下位置の開口部分920,920と、表示部分921と、コード903を受ける受け部922を有している。図9に示すように、上下位置の開口部分920,920は、それぞれ円弧部分920Aと直線部分920B、920Cを有している。直線部分920B、920Cの間には、点滴筒810を通すことができる。円弧部分920Aは、点滴筒810の外周面を保持する部分である。
 図7と図9に示すように、側面部911Cには、医療従事者が手の指を当てるための凹部911Hが形成されている。この他に、図9に示すように、下面部911Fには、長溝型のスライド案内部911Kと、半円形状の凹部911Lが形成されている。
As shown in FIGS. 7 to 9, the first case portion 911 is a substantially rectangular parallelepiped member. As shown in FIGS. 8 and 9, the drip tube 810 shown in FIG. 9 is inserted along the Z direction (vertical direction) over the front portions 911A and 911B, the upper surface portion 911E, and the lower surface portion 911F of the first case portion 911. Open portions 920 and 920 in the upper and lower positions for holding, a display portion 921, and a receiving portion 922 that receives a code 903. As shown in FIG. 9, the opening portions 920 and 920 at the upper and lower positions have an arc portion 920A and straight portions 920B and 920C, respectively. The drip tube 810 can be passed between the straight portions 920B and 920C. The arc portion 920 </ b> A is a portion that holds the outer peripheral surface of the drip tube 810.
As shown in FIGS. 7 and 9, the side surface portion 911 </ b> C is formed with a recess 911 </ b> H for a medical worker to apply a finger of a hand. In addition, as shown in FIG. 9, a long groove type slide guide portion 911K and a semicircular recess portion 911L are formed on the lower surface portion 911F.
 次に、第2ケース部912の構造を説明する。
 図7から図9に示すように、第2ケース部912は、挿入部分918と、この挿入部分918の端部に設けられている突出部分930を有している。図8と図9に示すように、突出部分930は、正面部930Aと、背面部930Bと、側面部930Cと、上面部930Eと、下面部930Fを有している。正面部930Aには、滴下検出表示ランプ913が設けられている。側面部930Cには、医療従事者が手の別の指を当てるための凹部930Hが形成されている。下面部930Fの取出し部930Mからは、コード903が導出されている。第2ケース部912の挿入部分918の裏面には、ガイド用の突起部918Tが突出して形成されている。この突起部918Tは、第1ケース部911のスライド案内部911K内に嵌っている。
Next, the structure of the second case portion 912 will be described.
As shown in FIGS. 7 to 9, the second case portion 912 includes an insertion portion 918 and a protruding portion 930 provided at an end portion of the insertion portion 918. As shown in FIGS. 8 and 9, the protruding portion 930 has a front surface portion 930A, a back surface portion 930B, a side surface portion 930C, an upper surface portion 930E, and a lower surface portion 930F. A drop detection display lamp 913 is provided on the front portion 930A. The side surface portion 930 </ b> C is formed with a recess 930 </ b> H for a medical worker to apply another finger of the hand. A cord 903 is led out from the take-out portion 930M of the lower surface portion 930F. On the back surface of the insertion portion 918 of the second case portion 912, a guide protrusion 918T is formed so as to protrude. The projecting portion 918T is fitted in the slide guide portion 911K of the first case portion 911.
 図9に示すように、第2ケース部912の挿入部分918は、第1ケース部911の挿入空間部911S内に収容されている。挿入部分918は、点滴筒810を挿入するための開口部分940を有している。図9に示すように、開口部分940は、円弧部分940Cと直線部分940A、940Bを有している。直線部分940A、940Bの間には、点滴筒810を通すことができる。第2ケース部912の挿入部分918の開口部分940の形状は、第1ケース部911の開口部分920の形状と比べえると、大きさは同じであるが形成されている向きが、左右反対になっている。 As shown in FIG. 9, the insertion portion 918 of the second case portion 912 is accommodated in the insertion space portion 911 </ b> S of the first case portion 911. The insertion portion 918 has an opening portion 940 for inserting the drip tube 810. As shown in FIG. 9, the opening portion 940 has an arc portion 940C and straight portions 940A and 940B. The drip tube 810 can be passed between the straight portions 940A and 940B. The shape of the opening portion 940 of the insertion portion 918 of the second case portion 912 is the same size as the shape of the opening portion 920 of the first case portion 911, but the formed direction is opposite to the left and right. It has become.
 図9に示すように、この第2ケース部912の挿入部分918の一端部には、突出部分930が設けられており、挿入部分918の他端部918Hと、第1ケース部911の側面部911Cの内面911Wとの間には、付勢部材としてのスプリング949が配置されている。このスプリング949は、第2ケース部912の挿入部分918を、V1方向に押している。このような状態では、開口部分920と開口部分940は、ずれた位置にあるので、点滴筒810は開口部分920と開口部分940内には入れることができない。 As shown in FIG. 9, a protruding portion 930 is provided at one end portion of the insertion portion 918 of the second case portion 912, and the other end portion 918 </ b> H of the insertion portion 918 and the side surface portion of the first case portion 911. A spring 949 as an urging member is disposed between the inner surface 911W of 911C. The spring 949 pushes the insertion portion 918 of the second case portion 912 in the V1 direction. In such a state, since the opening portion 920 and the opening portion 940 are in a shifted position, the drip tube 810 cannot be inserted into the opening portion 920 and the opening portion 940.
 しかし、図8に示すように、医療従事者が、手の2本の指FG、FGを第1ケース部911の凹部911Hと第2ケース部912の凹部930Hに当てて、互いに近づく方向に押すことで、第2ケース部912の挿入部分918は、スプリング949の力に抗して、第1ケース部911の挿入空間部911S内へ入る方向に、すなわちV2方向に入り込むようになっている。この際に、図9に示す第2ケース部912の突起部918Tは、第1ケース部911のスライド案内部911Kにより案内できるので、第2ケース部912の挿入部分918は、第1ケース部911内へV2方向にスムーズに入り込む。これにより、開口部分920と開口部分940は、ずれた位置から互いに近づくので、開口部分920の円弧部分920Aの位置と開口部分940の円弧部分940Cの位置と、がほぼ一致することにより、開口部分920と開口部分940内に点滴筒810を通すことができる。 However, as illustrated in FIG. 8, the medical staff applies the two fingers FG and FG of the hand to the concave portion 911 </ b> H of the first case portion 911 and the concave portion 930 </ b> H of the second case portion 912 and pushes them toward each other. Thus, the insertion portion 918 of the second case portion 912 enters the direction of entering the insertion space portion 911S of the first case portion 911, that is, the V2 direction against the force of the spring 949. At this time, since the protrusion 918T of the second case portion 912 shown in FIG. 9 can be guided by the slide guide portion 911K of the first case portion 911, the insertion portion 918 of the second case portion 912 is the first case portion 911. Enter smoothly in the V2 direction. As a result, the opening portion 920 and the opening portion 940 come closer to each other from the shifted position, so that the position of the arc portion 920A of the opening portion 920 and the position of the arc portion 940C of the opening portion 940 substantially coincide with each other. A drip tube 810 can be passed through 920 and the opening 940.
 そして、医療従事者が、手の2本の指FG、FGを第1ケース部911の凹部911Hと第2ケース部912の凹部930Hから離すことにより、スプリング949が第2ケース部912の挿入部分918を、第1ケース部911に対して、V1方向に押すことにより、スプリング810の力は、開口部分920と開口部分940内に点滴筒810を押し付ける。従って、図10に示すように、点滴プローブ900は、スプリング949の力を用いて点滴筒810に外周面に押し付けて装着することができる機能を有する。 Then, the medical staff separates the two fingers FG, FG of the hand from the concave portion 911H of the first case portion 911 and the concave portion 930H of the second case portion 912, whereby the spring 949 is inserted into the second case portion 912. By pushing 918 against the first case portion 911 in the V1 direction, the force of the spring 810 presses the drip tube 810 into the opening portion 920 and the opening portion 940. Therefore, as shown in FIG. 10, the drip probe 900 has a function that can be attached to the drip tube 810 by pressing it against the outer peripheral surface using the force of the spring 949.
 図10には、輸液セット800の薬剤バッグ801と点滴筒810と、点滴筒810に装着された点滴プローブ900を示している。
 図10では、点滴プローブ900は、点滴筒810に対して、正しい向き(正しい上下方向の装着状態)で着脱可能に装着されている。点滴筒810は、光を通すことができるように透明の筒部810Aと、蓋部材810Bと、点滴口部810Cを有している。筒部810Aの下端部810Fには、輸液チューブ200の端部が接続されている。蓋部材810Bは、筒部810Aの上端開口部を閉じており、蓋部材810Bの下部には、点滴口部810Cが筒部810A内に設けられている。薬剤バッグ801内の薬剤750は、点滴口部810Cから、液滴MSとして、例えば10滴/分の滴下間隔(この場合、例えば、20滴/mLの点滴筒810の使用では、薬剤の設定流量が30mL/hに設定された場合;60滴/mLの点滴筒810の使用では、薬剤の設定流量が10mL/hに設定された場合)で、筒部810A内の薬剤750の液面LMに向けて、Z1方向に落下するようになっている。
FIG. 10 shows a drug bag 801, an infusion tube 810, and an infusion probe 900 attached to the infusion tube 810 of the infusion set 800.
In FIG. 10, the drip probe 900 is detachably attached to the drip tube 810 in the correct direction (correctly attached state in the vertical direction). The infusion tube 810 has a transparent tube portion 810A, a lid member 810B, and an infusion port portion 810C so that light can pass through. The end portion of the infusion tube 200 is connected to the lower end portion 810F of the cylinder portion 810A. The lid member 810B closes the upper end opening of the cylinder part 810A, and an infusion port part 810C is provided in the cylinder part 810A at the lower part of the lid member 810B. The medicine 750 in the medicine bag 801 is, for example, a drop interval of 10 drops / minute from the drop opening 810C as a drop MS (in this case, for example, in the case of using a drop drop tube 810 of 20 drops / mL, the set flow rate of the medicine) Is set to 30 mL / h; when the 60 drop / mL infusion tube 810 is used, the set flow rate of the drug is set to 10 mL / h), the liquid level LM of the drug 750 in the cylinder portion 810A is It is intended to fall in the Z1 direction.
 図10に示す点滴プローブ900は、点滴筒810内での薬剤750の滴下状態を検出し、薬剤750の滴下状態を検出して、第1光量変化検出信号と第2光量変化検出信号を、有線で、制御部100に送る。図11は、点滴プローブ900内には配置されている光学検出部950の好ましい構成例を示している。
 図11に示すように、光学検出部950は、第1センサ部951と、第2センサ部952と、第1センサ部951と、第2センサ部952と、基板953,954を有している。第1センサ部951は、第1発光部951Aと第1受光部951Bを有している。第2センサ部952は、第2発光部952Aと第2受光部952Bを有している。第1発光部951Aと第2受光部952Bは、第2ケース部912側の基板953に搭載されている。第1受光部951Bと第2発光部952Aは、第1ケース部911側の基板954に搭載されている。基板953は、第2ケース部912側に固定されている。基板954は、第1ケース部911側に固定されている。
The infusion probe 900 shown in FIG. 10 detects the dropping state of the medicine 750 in the infusion tube 810, detects the dropping state of the medicine 750, and sends the first light quantity change detection signal and the second light quantity change detection signal to the wired line. And sent to the control unit 100. FIG. 11 shows a preferred configuration example of the optical detection unit 950 arranged in the drip probe 900.
As shown in FIG. 11, the optical detection unit 950 includes a first sensor unit 951, a second sensor unit 952, a first sensor unit 951, a second sensor unit 952, and substrates 953 and 954. . The first sensor unit 951 has a first light emitting unit 951A and a first light receiving unit 951B. The second sensor unit 952 includes a second light emitting unit 952A and a second light receiving unit 952B. The first light emitting unit 951A and the second light receiving unit 952B are mounted on the substrate 953 on the second case unit 912 side. The first light receiving portion 951B and the second light emitting portion 952A are mounted on the substrate 954 on the first case portion 911 side. The substrate 953 is fixed to the second case portion 912 side. The substrate 954 is fixed to the first case portion 911 side.
 第1発光部951Aが発生する第1光L1が、筒部810Aを通して第1受光部951Bに受光するように、第1発光部951Aと第1受光部951Bは、筒部810Aを挟んで対向して配置されている。同様にして、第2発光部952Aが発生する第2光L2が、筒部810Aを通して第2受光部952Bに受光するように、第2発光部952Aと第2受光部952Bは、筒部810Aを挟んで対向して配置されている。 The first light emitting unit 951A and the first light receiving unit 951B are opposed to each other with the cylinder part 810A interposed therebetween so that the first light L1 generated by the first light emitting part 951A is received by the first light receiving part 951B through the cylinder part 810A. Are arranged. Similarly, the second light emitting part 952A and the second light receiving part 952B receive the cylindrical part 810A so that the second light L2 generated by the second light emitting part 952A is received by the second light receiving part 952B through the cylindrical part 810A. They are placed opposite to each other.
 第1発光部951Aと第2発光部952Aは、共に例えば発光ダイオードを採用している。第1受光部951Bと第2受光部952Bは、共に例えばフォトダイオードを採用している。第1発光部951Aと第2発光部952Aは、制御部100からの指令により発光するが、第1受光部951Bと第2受光部952Bがそれぞれ第1光L1と第2光L2を受光すると、第1受光部951Bが発生する液滴MSが落下することによる光量の変化を示す第1光量変化検出信号PS1と、第2受光部952Bが発生する液滴MSが落下することによる光量の変化を示す第2光量変化検出信号PS2は、制御部100に送られるようになっている。第1光L1と第2光L2は、例えば近赤外光である。 Both the first light emitting unit 951A and the second light emitting unit 952A employ light emitting diodes, for example. Both the first light receiving unit 951B and the second light receiving unit 952B employ photodiodes, for example. The first light emitting unit 951A and the second light emitting unit 952A emit light in response to a command from the control unit 100. When the first light receiving unit 951B and the second light receiving unit 952B receive the first light L1 and the second light L2, respectively. A first light amount change detection signal PS1 indicating a change in light amount due to the drop of the droplet MS generated by the first light receiving unit 951B, and a change in light amount due to the drop of the droplet MS generated by the second light receiving unit 952B. The second light quantity change detection signal PS2 shown is sent to the control unit 100. The first light L1 and the second light L2 are, for example, near infrared light.
 次に、上述した輸液ポンプ1と点滴プローブ900の動作例を説明する。
 まず、図6に示すように、接続プラグ902は、輸液ポンプ1の背面側の接続コネクタ899に対して着脱可能に接続する。これにより、図4に示すように、点滴プローブ900は、薬剤750の滴下状態を検出して、第1光量変化検出信号PS1と第2光量変化検出信号PS2を輸液ポンプ1の制御部100に送ることができる。
 次に、図2に示す点滴筒810を含む輸液セット800の種類が、当該輸液ポンプ1に適用するように予め指定されたものであることを確認して、輸液セット800の準備と、輸液チューブ200のプライミングをする。そして、図3に示す輸液ポンプ1の開閉カバー5をCS方向に開けて、チューブ装着部50を開放して、このチューブ装着部50に対して輸液チューブ200を装着後、開閉カバー5を閉じる。
Next, an operation example of the infusion pump 1 and the drip probe 900 described above will be described.
First, as shown in FIG. 6, the connection plug 902 is detachably connected to the connection connector 899 on the back side of the infusion pump 1. Thereby, as shown in FIG. 4, the drip probe 900 detects the dropping state of the medicine 750 and sends the first light quantity change detection signal PS1 and the second light quantity change detection signal PS2 to the control unit 100 of the infusion pump 1. be able to.
Next, it is confirmed that the type of the infusion set 800 including the infusion tube 810 shown in FIG. 2 is designated in advance so as to be applied to the infusion pump 1, and the preparation of the infusion set 800 and the infusion tube Priming 200. Then, the opening / closing cover 5 of the infusion pump 1 shown in FIG. 3 is opened in the CS direction, the tube mounting portion 50 is opened, the infusion tube 200 is mounted on the tube mounting portion 50, and then the opening / closing cover 5 is closed.
 輸液ポンプ1では、輸液ポンプ1における薬剤の滴下条件の設定を、輸液セット800の滴下条件(20滴/mLまたは60滴/mL)に合わせる。点滴プローブ900を輸液セット800の点滴筒810に装着する。すなわち、医療従事者が、図8に示すように、手の2本の指FG、FGを第1ケース部911の凹部911Hと第2ケース部912の凹部930Hに当てて、互いに近づく方向に押す。これにより、図9に示す第2ケース部912の挿入部分918を、スプリング949の力に抗して、第1ケース部911の挿入空間部911S内へ、V2方向に入り込む。 In the infusion pump 1, the setting of the dripping condition of the drug in the infusion pump 1 is matched with the dripping condition (20 drops / mL or 60 drops / mL) of the infusion set 800. The drip probe 900 is attached to the drip tube 810 of the infusion set 800. That is, as shown in FIG. 8, the medical staff applies the two fingers FG and FG of the hand to the concave portion 911 </ b> H of the first case portion 911 and the concave portion 930 </ b> H of the second case portion 912 and pushes them toward each other. . Accordingly, the insertion portion 918 of the second case portion 912 shown in FIG. 9 enters the insertion space portion 911S of the first case portion 911 into the V2 direction against the force of the spring 949.
 この際に、第2ケース部912の突起部918Tは、第1ケース部911のスライド案内部911Kにより案内できるので、第2ケース部912の挿入部分918は、第1ケース部911内へV2方向にスムーズに入り込む。このため、第1ケース部911と第2ケース部912を互いに近づく方向に押し縮めることにより、開口部分920と開口部分940は、ずれた位置から互いに近づくので、図9に示すように、開口部分920の円弧部分920Aの位置と開口部分940の円弧部分940Cの位置と、がほぼ一致する。このため、開口部分920と開口部分940内に点滴筒810を通すことができる。 At this time, since the projection 918T of the second case portion 912 can be guided by the slide guide portion 911K of the first case portion 911, the insertion portion 918 of the second case portion 912 enters the first case portion 911 in the V2 direction. Get in smoothly. For this reason, since the opening part 920 and the opening part 940 approach each other from the shifted position by compressing the first case part 911 and the second case part 912 in the direction approaching each other, as shown in FIG. The position of the arc portion 920A of 920 and the position of the arc portion 940C of the opening portion 940 substantially coincide with each other. For this reason, the drip tube 810 can be passed through the opening portion 920 and the opening portion 940.
 図10と図11に示すように、点滴筒810が開口部分920と開口部分940内に入ると、医療従事者は、2つの指FGを離すことで、図9に示すスプリング949が第1ケース部911と第2ケース部912を互いに離れるように相対的に移動するので、点滴筒810の外周囲部分には開口部分920と開口部分940が突き当たる状態を維持できる。これにより、点滴プローブ900は、点滴筒810に対して着脱可能に装着する。
 このように点滴プローブ900を点滴筒810に対して装着する場合に、図10に示すように、点滴プローブ900の第1ケース部911から第2ケース部912は、点滴筒810の点滴口部810Cと、液面LMと、の中間位置になるように、しかも点滴筒810が垂直になるように、点滴プローブ900を装着する。
As shown in FIGS. 10 and 11, when the drip tube 810 enters the opening portion 920 and the opening portion 940, the medical worker releases the two fingers FG, so that the spring 949 shown in FIG. Since the part 911 and the second case part 912 move relatively away from each other, the state in which the opening part 920 and the opening part 940 abut against the outer peripheral part of the drip tube 810 can be maintained. Thereby, the drip probe 900 is detachably attached to the drip tube 810.
When the drip probe 900 is thus attached to the drip tube 810, the first case portion 911 to the second case portion 912 of the drip probe 900 are connected to the drip port portion 810C of the drip tube 810 as shown in FIG. The drip probe 900 is mounted so that the drip tube 810 is vertical so that it is at an intermediate position between the liquid level LM and the liquid level LM.
 図10と図11では、点滴プローブ900が、点滴筒810に対して正しい上下の向きである正しい装着姿勢で装着されている。つまり、図11に示すように、第1センサ部951が、薬剤の液滴MSの落下方向(Z1方向)に関して、上側(上流側)に位置され、第2センサ部952は、薬剤の液滴MSの落下方向(Z1方向)に関して、第1センサ部952に比べて下側(下流側)に位置されている。 10 and 11, the drip probe 900 is mounted in a correct mounting posture that is in the correct vertical direction with respect to the drip tube 810. That is, as shown in FIG. 11, the first sensor unit 951 is positioned on the upper side (upstream side) with respect to the drop direction (Z1 direction) of the drug droplet MS, and the second sensor unit 952 With respect to the MS falling direction (Z1 direction), it is located on the lower side (downstream side) than the first sensor unit 952.
 輸液ポンプ1の流量を設定して輸液ポンプ1の予定量(mL;患者へ注入する薬剤の総量)を設定する。図2のクランプ(クレンメ)802を開く。静脈針である留置針172を患者Pに対して刺す。そして、薬剤の送液を、次のようにして開始する。
 図11において、薬剤バッグ801内の薬剤750は、点滴口部810Cから、液滴MSとして、例えば10滴/分の滴下間隔(この場合、例えば、20滴/mLの点滴筒810の使用では、薬剤の設定流量が30mL/h;60滴/mLの点滴筒810の使用では、薬剤の設定流量が10mL/h)で、筒部810A内の薬剤750の液面LMに、Z1方向に落下させる。
The flow rate of the infusion pump 1 is set, and a predetermined amount of the infusion pump 1 (mL; total amount of medicine to be injected into the patient) is set. The clamp (clamp) 802 in FIG. 2 is opened. The indwelling needle 172, which is a venous needle, is inserted into the patient P. Then, the medicine feeding is started as follows.
In FIG. 11, the medicine 750 in the medicine bag 801 is dropped from the instillation port portion 810 </ b> C as a droplet MS, for example, at a drop interval of 10 drops / minute (in this case, for example, in the case of using a drop drop tube 810 of 20 drops / mL, When using a drip tube 810 with a drug set flow rate of 30 mL / h; 60 drops / mL, the set flow rate of the drug is 10 mL / h) and drops in the Z1 direction onto the liquid level LM of the drug 750 in the cylinder part 810A. .
 そこで、医療従事者が、図4に示す電源スイッチ4Fを押してスイッチオンすると、図4に示す制御部100がモータドライバ134に指令を出して、駆動モータ61を作動する。駆動モータ61を作動すると、駆動モータ61の出力軸161Cが正転方向に連続回転する。これにより、カム構造体62がフィンガ構造体63の各フィンガを押すことにより、各フィンガは、輸液チューブ200の外周面をT方向に沿って、輸液チューブ200が順次完全に圧閉されるように押圧して(図5参照;図(A)→(B)→(C)→(D)→(A)(B)→(C)→(D)の繰り返し)、輸液チューブ200内の薬剤の送液を行う。 Therefore, when the medical staff pushes the power switch 4F shown in FIG. 4 to switch on, the control unit 100 shown in FIG. 4 issues a command to the motor driver 134 to operate the drive motor 61. When the drive motor 61 is operated, the output shaft 161C of the drive motor 61 continuously rotates in the forward rotation direction. As a result, the cam structure 62 pushes each finger of the finger structure 63 so that each of the fingers is completely and sequentially closed along the outer circumferential surface of the infusion tube 200 along the T direction. Press (see FIG. 5; FIG. (A) → (B) → (C) → (D) → (A) (B) → (C) → (D)), and the drug in the infusion tube 200 Deliver the solution.
 図11に戻ると、薬剤バッグ801内の薬剤750液滴MSが、点滴口部810Cから落下して、液滴MSが、第1発光部951Aの発生する第1光L1を横切った後、さらに液滴MSが、第2発光部952Aが発生する第2光L2を横切って、筒部810A内の薬剤750の液面LMに達する。このように、液滴MSが落下すると、第1発光部951Aが発生する第1光L1と、第2発光部952Aが発生する第2光L2を通過するので、第1受光部951Bが受光できる光L1の光量が一時的に変化(低下)し、第2受光部952Bが受光できる光L2の光量が一時的に変化(低下)する。 Returning to FIG. 11, the medicine 750 droplet MS in the medicine bag 801 falls from the instillation port portion 810C, and after the droplet MS crosses the first light L1 generated by the first light emitting portion 951A, The droplet MS crosses the second light L2 generated by the second light emitting unit 952A and reaches the liquid level LM of the medicine 750 in the cylinder 810A. As described above, when the liquid droplet MS falls, the first light L1 generated by the first light emitting unit 951A and the second light L2 generated by the second light emitting unit 952A pass, so that the first light receiving unit 951B can receive light. The amount of light L1 temporarily changes (decreases), and the amount of light L2 that can be received by the second light receiving unit 952B temporarily changes (decreases).
 従って、図11に示す制御部100は、第1受光部951Bが発生する第1光量変化検出信号PS1と、第2受光部952Bが発生する第2光量変化検出信号PS2を受けることで、制御部100は、第1受光部951Bからの第1光L1の光量の変化と第2受光部952Bからの第2光L2の光量の変化を、この順番で得る。
 このように、点滴口部810Cから、液滴MSが適正に落下している場合には、液滴MSが落下する度に、図10に示す滴下検出表示ランプ913が緑色に発光して、医療従事者に対して光で通知する。これにより、医療従事者は、液滴MSが適切に落下していることを目視で認識できる。
Accordingly, the control unit 100 illustrated in FIG. 11 receives the first light amount change detection signal PS1 generated by the first light receiving unit 951B and the second light amount change detection signal PS2 generated by the second light receiving unit 952B, thereby 100 obtains the change in the light amount of the first light L1 from the first light receiving unit 951B and the change in the light amount of the second light L2 from the second light receiving unit 952B in this order.
As described above, when the droplet MS is properly dropped from the drip mouth portion 810C, the drop detection display lamp 913 shown in FIG. Notify workers with light. Thereby, the medical staff can recognize visually that the droplet MS has fallen appropriately.
 もし、点滴口部810Cから、液滴MSが落下しない場合は、空液(液切れ)であるので、制御部100では、第1受光部951Bが発生する第1光量変化検出信号PS1と、第2受光部952Bが発生する第2光量変化検出信号PS2が得られない。この時には、制御部100は、空液(液切れ)状態であり、流量異常であるとして、図4に示すスピーカ131を通じて、「流量異常」である旨の警報を音声で出す。制御部100は、必要に応じて、空液(液切れ)状態であり、流量異常であるとして、図4に示すブザー132により音で流量異常であることを警報する。また、図4に示す表示部3には、「流量異常」である旨の警報を表示する。これらの警報を出すことは、任意に選択できる。 If the liquid droplet MS does not fall from the drip port portion 810C, it is an empty liquid (run-out), so the control unit 100 detects the first light quantity change detection signal PS1 generated by the first light receiving unit 951B, The second light quantity change detection signal PS2 generated by the two light receiving portions 952B cannot be obtained. At this time, the control unit 100 is in an air liquid (out of liquid) state, and it is assumed that the flow rate is abnormal. The control unit 100 warns that the flow rate is abnormal by sound with the buzzer 132 shown in FIG. 4, assuming that the flow rate is abnormal and the flow rate is abnormal as necessary. Further, the display unit 3 shown in FIG. 4 displays an alarm indicating “flow rate abnormality”. The issuing of these alarms can be arbitrarily selected.
 また、点滴口部810Cから、薬剤がフリーフロー(連続流)で流れている場合には、制御部100は、第1受光部951Bが発生する光量の変化を示す第1光量変化検出信号PS1と、第2受光部952Bが発生する光量の変化を示す第2光量変化検出信号PS2が得られないので、制御部100は、流量異常であるとして、図4に示すスピーカ131を通じて、「フリーフロー状態」である旨の警報を音声で出す。しかも、制御部100は、必要に応じて、流量異常であるとして、図4に示すブザー132により音で流量異常であることを警報する。また、図4に示す表示部3には、「フリーフロー状態」である旨の警報を表示する。 Further, when the medicine flows from the instillation port portion 810C in a free flow (continuous flow), the control unit 100 generates a first light amount change detection signal PS1 indicating a change in the amount of light generated by the first light receiving unit 951B. Since the second light amount change detection signal PS2 indicating the change in the amount of light generated by the second light receiving unit 952B cannot be obtained, the control unit 100 determines that the flow rate is abnormal, through the speaker 131 shown in FIG. "Sound a warning to the effect." In addition, the control unit 100 warns that the flow rate is abnormal with a buzzer 132 shown in FIG. Further, an alarm indicating that the state is “free flow state” is displayed on the display unit 3 shown in FIG. 4.
 図10と図11に示す例では、点滴プローブ900は、点滴筒810に対して正しい向き(姿勢)で装着されている。この場合には、図11に示すように、点滴口部810Cから、液滴MSが落下すると、光量の変化を示す第1光量変化検出信号PS1と光量の変化を示す第2光量変化検出信号PS2がこの順番で得られる。このように、液滴MSが落下により生じる光量の変化を示す第1光量変化検出信号PS1、PS2がこの順番で得られれば、制御部100は、点滴プローブ900は、点滴筒810に対して正しい向き(姿勢)で装着されていると判断する。この場合には、例えば図4に示す表示部3には、制御部100の指令により、「点滴プローブ900が点滴筒810に対して正しい向き(姿勢)で装着されている」旨の表示や音声で報知することができる。 10 and FIG. 11, the drip probe 900 is attached to the drip tube 810 in the correct orientation (posture). In this case, as shown in FIG. 11, when the droplet MS falls from the drip port portion 810C, the first light amount change detection signal PS1 indicating the change in the light amount and the second light amount change detection signal PS2 indicating the change in the light amount. Are obtained in this order. As described above, if the first light quantity change detection signals PS1 and PS2 indicating the change in the quantity of light caused by the drop of the droplet MS are obtained in this order, the control unit 100 determines that the drip probe 900 is correct with respect to the drip cylinder 810. Judged to be worn in the orientation (posture). In this case, for example, on the display unit 3 shown in FIG. 4, a display or sound indicating that “the drip probe 900 is mounted in the correct orientation (posture) with respect to the drip tube 810” according to a command from the control unit 100. Can be notified.
 図12に示す例では、点滴プローブ900は、点滴筒810に対して正しい向き(姿勢)で装着されている場合に、落下した液滴MSが、液面LMで跳ね返った状態を示している。この場合には、跳ね返って形成された跳ね返りの液滴NVが、Z2方向に上がって、第2発光部952Aが発生する第2光L2と、第1発光部951Aが発生する第1光L1を通過する。そして、再度、液面LMからの跳ね返りの液滴NVが落下して、この液滴NVが、再度第1発光部951Aが発生する第1光L1と、第2発光部952Aが発生する第2光L2を通過するおそれがある。図12に示すように、制御部100は、本来液滴MSがZ1方向に落下することで得られる正しい第1光量変化検出信号PS1と第2光量変化検出信号PS2と、破線で示す不要な光量変化検出信号RS2T、RS1T、RS3T、RS4Tを得る。
 しかし、制御部100は、正しい第1光量変化検出信号PS1と第2光量変化検出信号PS2をカウントして、1個の液滴MSをカウントするが、他の不要な光量変化検出信号RS2T、RS1T、RS3T、RS4Tを無視する。これにより、落下した液滴MSが、液面LMで跳ね返って、跳ね返りの液滴NVが第1光L1と第2光L2を通過しても、制御部100は、液滴の数を誤ってカウントすることが無くなるので、点滴プローブ900における薬剤の液滴の数の誤検出を防ぐことができる。
In the example shown in FIG. 12, when the drip probe 900 is attached to the drip tube 810 in the correct orientation (posture), the dropped droplet MS bounces off the liquid level LM. In this case, the rebounding droplet NV formed by rebounding rises in the Z2 direction to generate the second light L2 generated by the second light emitting unit 952A and the first light L1 generated by the first light emitting unit 951A. pass. Then, the rebounding droplet NV from the liquid level LM falls again, and this droplet NV again causes the first light L1 generated by the first light emitting unit 951A and the second light generated by the second light emitting unit 952A. There is a risk of passing through the light L2. As shown in FIG. 12, the control unit 100 originally detects the correct first light amount change detection signal PS1 and second light amount change detection signal PS2 obtained by dropping the droplet MS in the Z1 direction, and the unnecessary light amount indicated by a broken line. Change detection signals RS2T, RS1T, RS3T, and RS4T are obtained.
However, the control unit 100 counts the correct first light quantity change detection signal PS1 and second light quantity change detection signal PS2 and counts one droplet MS, but other unnecessary light quantity change detection signals RS2T and RS1T. , RS3T, RS4T are ignored. As a result, even if the dropped droplet MS bounces off the liquid level LM and the bounced droplet NV passes through the first light L1 and the second light L2, the control unit 100 incorrectly sets the number of droplets. Since counting is not performed, it is possible to prevent erroneous detection of the number of drug droplets in the drip probe 900.
 また、図13に示す例では、点滴プローブ900は、点滴筒810に対して正しい向き(姿勢)で装着されてはおらず、点滴プローブ900は、誤って上下方向が逆向きになって、点滴筒810に装着されてしまっている。すなわち、図11の場合とは上下関係が反対であり、第2センサ部952が上側に位置され、第1センサ部951は下側に位置されている。
 この場合には、点滴口部810Cから液滴MSは、第2発光部952Aが発生する第2光L2と、第1発光部952Aが発生する第1光L1の順番で通過する。このため、制御部100は、第2光量変化検出信号PS2を受けてから、その後第1光量変化検出信号PS1を受けることになる。制御部100が、第2光量変化検出信号PS2と第1光量変化検出信号PS1の順番に受けることが2回以上続く(1回では、正常に装着された場合において液滴MSの液面LMからの跳ね返りによる検出があるため)と、点滴プローブ900が、上下が逆に装着されていると判断する。
 なお、3軸加速度センサ(不図示)を設けて点滴プローブ900の点滴筒800への装着状態を検出するようにしてもよい。さらに、LEDを設けて、正常に点滴プローブ900が装着されている場合には、送液動作が開始されるまで、緑(青)色で表示させ、上下逆に点滴プローブ900が装着されている場合には、送液動作が開始されるまで、赤(橙)色で表示させるように制御してもよい。
In the example shown in FIG. 13, the drip probe 900 is not mounted in the correct orientation (posture) with respect to the drip tube 810, and the drip probe 900 is mistakenly turned upside down. 810 has been installed. That is, the vertical relationship is opposite to the case of FIG. 11, the second sensor unit 952 is positioned on the upper side, and the first sensor unit 951 is positioned on the lower side.
In this case, the droplet MS passes through the drip port 810C in the order of the second light L2 generated by the second light emitting unit 952A and the first light L1 generated by the first light emitting unit 952A. For this reason, the control unit 100 receives the first light quantity change detection signal PS1 after receiving the second light quantity change detection signal PS2. The control unit 100 continues to receive the second light amount change detection signal PS2 and the first light amount change detection signal PS1 in the order of two or more times (at one time, from the liquid level LM of the droplet MS when normally mounted). Therefore, it is determined that the drip probe 900 is mounted upside down.
A three-axis acceleration sensor (not shown) may be provided to detect the mounting state of the drip probe 900 on the drip tube 800. In addition, when the LED is provided and the infusion probe 900 is normally attached, it is displayed in green (blue) until the liquid feeding operation is started, and the infusion probe 900 is attached upside down. In such a case, it may be controlled to display in red (orange) until the liquid feeding operation is started.
 これにより、図4に示す制御部100は、図4に示すスピーカ131を通じて、「点滴プローブが逆装着」である旨の警報を音声で出す。しかも、制御部100は、必要に応じて、図4に示すブザー132により音で警報する。また、図4に示す表示部3には、「点滴プローブが逆装着」である旨の警報を表示する。これにより、医療従事者は、点滴プローブ900の逆装着状態を確認して、直ちに装着し直すことができる。
 なお、図13に示すように、点滴プローブ900が上下逆に装着された場合であっても、必要に応じて、制御部100において、第2センサ部952の受信部952Bからの第2光量変化検出信号PS2と、第1センサ部951の受信部951Bからの第1光量変化検出信号PS1と、を時間的に逆にすれば、薬剤の滴下数を正確に得ることができ、精度の高い注入ができる。
As a result, the control unit 100 shown in FIG. 4 issues a warning to the effect that “the drip probe is reversely attached” through the speaker 131 shown in FIG. Moreover, the control unit 100 warns with a sound by the buzzer 132 shown in FIG. 4 as necessary. Further, the display unit 3 shown in FIG. 4 displays an alarm indicating that “the drip probe is reversely mounted”. Thereby, the medical staff can confirm the reverse mounting state of the drip probe 900 and can immediately mount it again.
As shown in FIG. 13, even when the drip probe 900 is mounted upside down, the second light amount change from the receiving unit 952B of the second sensor unit 952 is performed in the control unit 100 as necessary. If the detection signal PS2 and the first light quantity change detection signal PS1 from the receiving unit 951B of the first sensor unit 951 are reversed in time, the number of drops of the medicine can be obtained accurately and injection with high accuracy Can do.
(第2実施形態)
 図14は、本発明の第2実施形態を示している。
 図6から図11に示す本発明の第1実施形態では、点滴プローブ900は、光量変化検出信号を送るコード903と接続プラグ902を用いて、輸液ポンプ1に対して有線で送るようになっている。
 しかし、図14に示す例では、点滴プローブ900は、コードを用いずに、無線通信で第1光量変化検出信号PS1、PS2を、輸液ポンプ1の制御部100に送信するようになっている。そこで、点滴プローブ900は、第1センサ部951と第2センサ部952と、制御部990と、滴下検出表示ランプ913と、バッテリ991と、通信部992を有している。
(Second Embodiment)
FIG. 14 shows a second embodiment of the present invention.
In the first embodiment of the present invention shown in FIGS. 6 to 11, the drip probe 900 uses a cord 903 that sends a light amount change detection signal and a connection plug 902 to send it to the infusion pump 1 in a wired manner. Yes.
However, in the example shown in FIG. 14, the drip probe 900 transmits the first light quantity change detection signals PS1 and PS2 to the control unit 100 of the infusion pump 1 by wireless communication without using a code. Therefore, the drip probe 900 includes a first sensor unit 951, a second sensor unit 952, a control unit 990, a drip detection display lamp 913, a battery 991, and a communication unit 992.
 制御部990は、第1センサ部951からの第1光量変化検出信号PS1と第2センサ部952からの第2光量変化検出信号PS2を受ける。バッテリ991は、制御部990に電源供給する電池である。通信部992は、輸液ポンプ1側の通信部993に対して、無線で第1光量変化検出信号PS1と第2光量変化検出信号PS2を送るようになっている。そして、通信部993は、第1光量変化検出信号PS1と第2光量変化検出信号PS2を制御部100に供給する。
 このように点滴プローブ900では、電池を搭載して無線で検出信号を輸液ポンプ側に送ることができ、コードの設定を省略できるので、点滴プローブの小型化が図れる。
 この場合、輸液ポンプ1の制御部100が無線での受信ができない場合、点滴プローブ900の電池の残存量が少ない場合等には、制御部100の制御により、警報表示,音声ガイド,ブザーの発生などでアラームの報知を行うようにしてもよい。
また、3軸加速度センサ(不図示)を設けて点滴プローブ900の点滴筒800への装着状態を検出するようにしてもよい。さらに、LEDを設けて、正常に点滴プローブ900が装着されている場合には、送液動作が開始されるまで、緑(青)色で表示させ、上下逆に点滴プローブ900が装着されている場合には、送液動作が開始されるまで、赤(橙)色で表示させるように制御してもよい。
The control unit 990 receives the first light amount change detection signal PS1 from the first sensor unit 951 and the second light amount change detection signal PS2 from the second sensor unit 952. The battery 991 is a battery that supplies power to the control unit 990. The communication unit 992 wirelessly sends the first light amount change detection signal PS1 and the second light amount change detection signal PS2 to the communication unit 993 on the infusion pump 1 side. Then, the communication unit 993 supplies the first light amount change detection signal PS1 and the second light amount change detection signal PS2 to the control unit 100.
As described above, in the infusion probe 900, a battery is mounted and a detection signal can be wirelessly sent to the infusion pump side, and the setting of the code can be omitted, so that the infusion probe can be miniaturized.
In this case, when the control unit 100 of the infusion pump 1 cannot receive wirelessly, or when the remaining amount of the battery of the infusion probe 900 is small, an alarm display, a voice guide, and a buzzer are generated by the control of the control unit 100. For example, an alarm may be notified.
Further, a three-axis acceleration sensor (not shown) may be provided to detect the mounting state of the drip probe 900 on the drip tube 800. In addition, when the LED is provided and the infusion probe 900 is normally attached, it is displayed in green (blue) until the liquid feeding operation is started, and the infusion probe 900 is attached upside down. In such a case, it may be controlled to display in red (orange) until the liquid feeding operation is started.
 本発明の実施形態の点滴プローブ900は、薬剤収容部の薬剤を、点滴筒と輸液チューブを通じて患者に送液する輸液ポンプに用いられ、点滴筒に装着されて点滴筒内での薬剤の滴下を検出する点滴プローブである。この点滴プローブ900は、本体部と、本体部内で、点滴筒内における薬剤の滴下方向に関して、上流側に配置されて、薬剤の滴下を検出する第1センサ部と、本体部内で、点滴筒内における薬剤の滴下方向に関して、第1センサ部よりも下流側に配置されて、薬剤の滴下を検出する第2センサ部を備える。 An infusion probe 900 according to an embodiment of the present invention is used in an infusion pump that delivers a medicine in a medicine container to a patient through an infusion cylinder and an infusion tube. The infusion probe 900 is attached to the infusion cylinder to drop the medicine in the infusion cylinder. It is an infusion probe to detect. The drip probe 900 is disposed upstream of the main body portion and the main body portion with respect to the dropping direction of the drug in the drip tube, and the first sensor unit that detects the dropping of the drug, With respect to the dropping direction of the medicine, a second sensor part is provided which is disposed downstream of the first sensor part and detects dropping of the medicine.
 これにより、点滴プローブが正常な姿勢で点滴筒に装着された場合に、第1センサ部が薬剤の滴下を検出後に、第2センサ部がこの薬剤の滴下を検出できるので、第1センサ部と第2センサ部がそれぞれ薬剤の滴下を検出するのに時間差が生じる。このため、もし、点滴プローブが上下逆の誤った装着がされた場合には、第2センサ部が薬剤の滴下を検出後に、第1センサ部がこの薬剤の滴下を検出することになる。このため、点滴筒に対して上下逆向きに装着したことを検出できる。
 しかも、点滴プローブが正常な姿勢で点滴筒に装着された場合に、点滴筒内で滴下された薬剤が点滴筒内に溜まっている薬剤の液面で跳ね返る現象が生じた場合には、第2センサ部が跳ね返った薬剤を検出後に、第1センサ部がこの跳ね返った薬剤を検出することになる。このため、このように跳ね返った薬剤があっても、第1センサ部が薬剤の滴下を検出後に、第2センサ部がこの薬剤の滴下を検出した場合だけ正しい薬剤の滴下としてその滴下数を把握することができる。
Thereby, when the drip probe is mounted on the drip tube in a normal posture, the second sensor unit can detect the dropping of the drug after the first sensor unit detects the dropping of the drug. There is a time difference between the second sensor units detecting the dropping of the medicine. For this reason, if the infusion probe is mounted incorrectly upside down, after the second sensor unit detects the dropping of the drug, the first sensor unit detects the dropping of the drug. For this reason, it can be detected that it is mounted upside down with respect to the drip tube.
In addition, when the drip probe is attached to the drip tube in a normal posture, the phenomenon in which the drug dropped in the drip tube rebounds on the liquid level of the drug accumulated in the drip tube occurs. After the sensor unit detects the drug that has bounced back, the first sensor unit detects the drug that has bounced back. For this reason, even if there is a drug that has bounced in this way, the number of drops as a correct drug drop is grasped only when the second sensor part detects the drop of the drug after the first sensor part detects the drop of the drug. can do.
 第1センサ部は、第1光を発生する第1発光部と、点滴筒を通った第1光を受光する第1受光部と、を有し、第2センサ部は、第2光を発生する第2発光部と、点滴筒を通った第2光を受光する第2受光部と、を有する。このため、光センサである第1センサ部と第2センサ部を用いるだけですみ、点滴プローブの大型化を避けることができる。
 薬剤の滴下を検出すると第1受光部から出力される検出信号と、薬剤の滴下を検出すると第2受光部から出力される検出信号を、輸液ポンプに対して有線で送る構成である。このため、点滴プローブから輸液ポンプに対して、有線で検出信号を送ることができる。
 薬剤の滴下を検出すると第1受光部から出力される検出信号と、薬剤の滴下を検出すると第2受光部から出力される検出信号を、輸液ポンプ側に無線で送る構成である。このため、点滴プローブから輸液ポンプに対して、無線で検出信号を送ることができる。
The first sensor unit includes a first light emitting unit that generates first light, and a first light receiving unit that receives the first light passing through the drip tube, and the second sensor unit generates second light. And a second light receiving unit that receives the second light that has passed through the drip tube. For this reason, it is only necessary to use the 1st sensor part and 2nd sensor part which are optical sensors, and the enlargement of an infusion probe can be avoided.
When the dropping of the medicine is detected, the detection signal output from the first light receiving section and the detection signal output from the second light receiving section when the dropping of the medicine is detected are sent to the infusion pump by wire. For this reason, a detection signal can be sent by wire from the infusion probe to the infusion pump.
When detecting the dropping of the medicine, the detection signal output from the first light receiving unit and the detection signal output from the second light receiving unit when detecting the dropping of the medicine are wirelessly sent to the infusion pump side. For this reason, a detection signal can be sent wirelessly from the drip probe to the infusion pump.
 本体部は、第1ケース部と、第1ケース部に対して相対的に移動して第1ケース部とともに点滴筒を挟み込むことで、本体部を点滴筒に着脱可能に固定させる第2ケース部と、本体部に配置されて薬剤の滴下を検出したことを表示する表示ランプと、を有することを特徴とする。このため、点滴プローブの本体部は、点滴筒に対して着脱可能に装着した状態で、表示ランプは、薬剤の滴下を検出したことを医療従事者に対して報知できる。
 本発明の輸液ポンプは、点滴プローブを有するので、輸液ポンプに点滴プローブを用いる際に、点滴プローブの本体部を点滴筒に対して上下逆向きに装着したことを検出でき、点滴筒内で滴下された薬剤が点滴筒内に溜まっている薬剤の液面で跳ね返る現象を検出して、正しい薬剤の滴下数を把握することができる。
The main body part moves relative to the first case part and the second case part that detachably fixes the main body part to the infusion cylinder by sandwiching the infusion cylinder with the first case part. And a display lamp that is disposed on the main body portion and displays that the dropping of the medicine has been detected. For this reason, the display lamp can notify the medical staff that the dropping of the medicine has been detected while the main body of the infusion probe is detachably attached to the infusion tube.
Since the infusion pump of the present invention has an infusion probe, when the infusion probe is used for the infusion pump, it can detect that the main body of the infusion probe is mounted upside down with respect to the infusion tube. It is possible to detect a phenomenon in which the applied medicine rebounds at the liquid level of the medicine accumulated in the infusion tube and grasps the correct number of drops of the medicine.
 本発明は、上記実施形態に限定されず、特許請求の範囲を逸脱しない範囲で種々の変更を行うことができる。
 本発明の輸液ポンプの実施形態では、図5において、送液駆動部60としては、輸液チューブ200を完全には押し潰さずに押圧することで、輸液チューブ200内の薬剤750を送液するフルプレス方式を例示している。しかし、これに限らず送液駆動部60としては、輸液チューブ200を完全に押し潰すことで輸液チューブ200内の薬剤750を送液するミッドプレス方式を採用しても良い。
 上記実施形態の各構成は、その一部を省略したり、上記とは異なるように任意に組み合わせることができる。
The present invention is not limited to the above embodiment, and various modifications can be made without departing from the scope of the claims.
In the embodiment of the infusion pump of the present invention, as shown in FIG. 5, the liquid feeding drive unit 60 is a full feeding liquid 750 in the infusion tube 200 by pressing the infusion tube 200 without completely crushing it. The press method is illustrated. However, the present invention is not limited to this, and the liquid feeding drive unit 60 may employ a mid press system that feeds the drug 750 in the infusion tube 200 by completely crushing the infusion tube 200.
A part of each configuration of the above embodiment can be omitted, or can be arbitrarily combined so as to be different from the above.
 1・・・輸液ポンプ、3・・・表示部、100・・・制御部、200・・・輸液チューブ、801・・・薬剤バッグ(薬剤収容部)、810・・・点滴筒、900・・・点滴プローブ、901・・・点滴プローブの本体部、911・・・第1ケース部、912・・・第2ケース部、913・・・滴下検出表示ランプ(表示ランプ)、920,940・・・開口部分、949・・・スプリング(付勢部材)、949・・・スプリング、951・・・第1センサ部、951A・・・第1発光部、951B・・・第1受光部、952・・・第2センサ部、952A・・・第2発光部、952B・・・第2受光部、LM・・・薬剤の液面、MS・・・薬剤の液滴、L1・・・第1光、L2・・・第2光、PS1・・・第1光量変化検出信号、PS2・・・第2光量変化検出信号 DESCRIPTION OF SYMBOLS 1 ... Infusion pump, 3 ... Display part, 100 ... Control part, 200 ... Infusion tube, 801 ... Drug bag (medicine accommodating part), 810 ... Infusion tube, 900 ...・ Infusion probe, 901... Body part of infusion probe, 911... First case part, 912... Second case part, 913 .. drop detection display lamp (display lamp), 920, 940. Opening portion, 949... Spring (biasing member), 949... Spring, 951... First sensor portion, 951A... First light emitting portion, 951B. .... Second sensor part, 952A ... second light emitting part, 952B ... second light receiving part, LM ... liquid level of medicine, MS ... liquid drop of medicine, L1 ... first light , L2 ... second light, PS1 ... first light quantity change detection signal, PS2 · Second light quantity change detection signal

Claims (6)

  1.  薬剤収容部の薬剤を、点滴筒と輸液チューブを通じて患者に送液する輸液ポンプに用いられ、前記点滴筒に装着されて前記点滴筒内での前記薬剤の滴下を検出する点滴プローブであって、
     本体部と、
     前記本体部内で、前記点滴筒内における前記薬剤の滴下方向に関して、上流側に配置されて、前記薬剤の滴下を検出する第1センサ部と、
     前記本体部内で、前記点滴筒内における前記薬剤の滴下方向に関して、前記第1センサ部よりも下流側に配置されて、前記薬剤の滴下を検出する第2センサ部と、
     を備えることを特徴とする点滴プローブ。
    A drip probe that is used in an infusion pump that delivers a medicine in a medicine container to a patient through an infusion tube and an infusion tube, and that is attached to the infusion tube and detects the dropping of the medicine in the infusion tube,
    The main body,
    In the main body, with respect to the dropping direction of the drug in the drip tube, a first sensor unit that is disposed upstream and detects the dropping of the drug;
    A second sensor unit that is disposed downstream of the first sensor unit and detects the dropping of the drug in the main body unit with respect to the dropping direction of the drug in the infusion tube,
    An infusion probe comprising:
  2.  前記第1センサ部は、第1光を発生する第1発光部と、前記点滴筒を通った前記第1光を受光する第1受光部とを有し、前記第2センサ部は、第2光を発生する第2発光部と、前記点滴筒を通った前記第2光を受光する第2受光部とを有することを特徴とする請求項1に記載の点滴プローブ。 The first sensor unit includes a first light emitting unit that generates first light and a first light receiving unit that receives the first light that has passed through the drip tube, and the second sensor unit includes a second light receiving unit. The drip probe according to claim 1, further comprising: a second light emitting unit that generates light; and a second light receiving unit that receives the second light that has passed through the drip tube.
  3.  前記薬剤の滴下を検出すると前記第1受光部から出力される第1検出信号と、前記薬剤の滴下を検出すると前記第2受光部から出力される第2検出信号とを、前記輸液ポンプに対して有線で送る構成としたことを特徴とする請求項2に記載の点滴プローブ。 A first detection signal output from the first light receiving unit when the dropping of the drug is detected and a second detection signal output from the second light receiving unit when the dropping of the drug is detected are sent to the infusion pump. The drip probe according to claim 2, wherein the drip probe is configured to be sent by wire.
  4.  前記薬剤の滴下を検出すると前記第1受光部から出力される第1検出信号と、前記薬剤の滴下を検出すると前記第2受光部から出力される第2検出信号とを前記輸液ポンプ側に無線で送る構成としたことを特徴とする請求項2に記載の点滴プローブ。 When the dropping of the medicine is detected, the first detection signal output from the first light receiving unit and the second detection signal output from the second light receiving unit when the dropping of the medicine is detected are wirelessly transmitted to the infusion pump side. The drip probe according to claim 2, wherein the drip probe is configured to be sent by a step.
  5.  前記本体部は、第1ケース部と、前記第1ケース部に対して相対的に移動して前記第1ケース部とともに前記点滴筒を挟み込むことで、前記本体部を前記点滴筒に着脱可能に固定させる第2ケース部と、前記本体部に配置されて前記薬剤の滴下を検出したことを表示する表示ランプとを有することを特徴とする請求項1に記載の点滴プローブ。 The main body part moves relative to the first case part and the first case part and sandwiches the infusion tube together with the first case part, so that the main body part can be attached to and detached from the infusion tube. The drip probe according to claim 1, further comprising: a second case part to be fixed; and a display lamp arranged on the main body part to display that the dropping of the medicine is detected.
  6.  請求項1ないし5のいずれかに記載の前記点滴プローブを有することを特徴とする輸液ポンプ。 An infusion pump comprising the infusion probe according to any one of claims 1 to 5.
PCT/JP2013/052220 2013-01-31 2013-01-31 Intravenous drip probe and infusion pump provided with intravenous drip probe WO2014118944A1 (en)

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CN105079923A (en) * 2015-09-16 2015-11-25 苏州市力得医疗器械设备厂 Bubble removing device and application thereof
KR20190030446A (en) * 2017-09-14 2019-03-22 주식회사 메디유케어 Monitoring device for ringer solution
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