WO2014162483A1 - Pompe médicale, système de pompe médicale et procédé de commande d'une pompe médicale - Google Patents

Pompe médicale, système de pompe médicale et procédé de commande d'une pompe médicale Download PDF

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Publication number
WO2014162483A1
WO2014162483A1 PCT/JP2013/059994 JP2013059994W WO2014162483A1 WO 2014162483 A1 WO2014162483 A1 WO 2014162483A1 JP 2013059994 W JP2013059994 W JP 2013059994W WO 2014162483 A1 WO2014162483 A1 WO 2014162483A1
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WIPO (PCT)
Prior art keywords
information
dose
administration
mode
time
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PCT/JP2013/059994
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English (en)
Japanese (ja)
Inventor
俊弘 藤井
朋子 上村
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テルモ株式会社
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Application filed by テルモ株式会社 filed Critical テルモ株式会社
Priority to PCT/JP2013/059994 priority Critical patent/WO2014162483A1/fr
Publication of WO2014162483A1 publication Critical patent/WO2014162483A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142—Pressure infusion, e.g. using pumps
    • A61M5/14212—Pumping with an aspiration and an expulsion action
    • A61M5/14228—Pumping with an aspiration and an expulsion action with linear peristaltic action, i.e. comprising at least three pressurising members or a helical member
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • A61M5/16831—Monitoring, detecting, signalling or eliminating infusion flow anomalies
    • A61M2005/16863—Occlusion detection
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A61M2205/502—User interfaces, e.g. screens or keyboards
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A61M2205/52—General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient

Definitions

  • the present invention relates to a medical pump such as an infusion pump used in a hospital or the like, a medical pump system, and a medical pump control method.
  • Patent Document 1 when a drug solution is administered to a patient or the like in a hospital or the like and the dose or the like needs to be controlled with high accuracy, a syringe pump, an infusion pump, or the like is used (for example, Patent Document 1).
  • an object of the present invention is to provide a medical pump, a medical pump system, and a control method for the medical pump that are easy to adjust the dosage of a medical solution or the like for each patient.
  • the above object has multiple dose information that is a plurality of different dose information related to a drug to be administered to a patient, and corresponding administration that is administration time information corresponding to the multiple dose information.
  • a medical pump having time information and configured to execute administration of the medicine based on the multiple dose information and the corresponding administration time information.
  • corresponding administration time information (eg, low dose: 30 minutes and high dose: 30 minutes) which is administration time information corresponding to multiple dose information (eg, 10 mL / h, 20 mL / h)
  • administration time information corresponding to multiple dose information (eg, 10 mL / h, 20 mL / h)
  • multiple dose information eg, 10 mL / h, 20 mL / h
  • the infusion pump will automatically administer the prescribed dose of the drug.
  • the apparatus includes a plurality of pieces of dose information, group information including the corresponding administration time information, and repetition information of the group information, and the administration of the medicine is performed based on the group repetition information. It is characterized by being.
  • the group information including the multiple dose information and the corresponding administration time information (for example, first at the low dose (30 minutes), then at the high dose (30 minutes), etc.) Repeated information, and is configured to execute administration of a medicine based on the set repeated information.
  • multiple dose information which is different dose information for example, low dose information and high dose information, and combination information such as cycle information consisting of corresponding dose time information which is the dose time of these multiple dose information, etc.
  • cycle information consisting of corresponding dose time information which is the dose time of these multiple dose information, etc.
  • repetitive information for example, 10 times or the like
  • the multiple dose information includes the dose information in which the dose increases or decreases stepwise over time.
  • the multiple dose information includes the dose information in which the dose increases or decreases in stages as time passes, the drug is automatically administered by a predetermined dose every predetermined time. It can be increased or decreased, and an excessive burden on a medical worker or the like regarding a drug requiring such administration can be reduced.
  • the multiple dose information is two pieces of the dose information, and the dose is increased or decreased as a predetermined time elapses, and the predetermined time is obtained by obtaining priority information. Regardless of the progress of the above, the dose is increased or decreased.
  • the said structure it becomes the structure which performs the increase or decrease of the said dosage irrespective of progress of the said predetermined time by acquisition of priority information (for example, a patient's blood pressure value etc.).
  • priority information for example, a patient's blood pressure value etc.
  • the priority information is, for example, when the drug starts administration at a maximum blood pressure value of 60 mHg or more or stops administration at a maximum blood pressure value of 60 mHg or less, and this condition is met, the increase or decrease of the dose is reduced.
  • the start or the like of the administration is increased or the stop or the like is decreased, so that more effective drug administration can be performed.
  • it has a blockage detection unit that detects blockage of the flow of the medicine, and is configured to output alarm information based on the blockage information of the blockage detection unit.
  • the said structure has the structure which has an obstruction
  • the above object has multiple dose information that is a plurality of different dose information related to a drug to be administered to a patient, and corresponding administration that is administration time information corresponding to the multiple dose information.
  • This is achieved by a method for controlling a medical pump characterized in that it has time information and is configured to execute administration of the medicine based on the multiple dose information and the corresponding administration time information.
  • an object of the present invention is to provide a medical pump, a medical pump system, and a control method for the medical pump that are easy to adjust the dosage of a medical solution or the like for each patient.
  • FIG. 1 It is the schematic which shows an infusion pump system which is a medical pump system which is a medical pump which has an infusion pump, for example.
  • FIG. 1 It is a schematic block diagram which shows the main structures of the "infusion pump” shown in FIG.
  • FIG. It is a schematic block diagram which shows the specific content of an interval mode related information storage part.
  • FIG. 1 is a schematic view showing an infusion pump system 1 that is a medical pump system, for example, a medical pump system having an infusion pump 10.
  • an infusion pump system 1 is disposed on the bedside of a patient or the like in a hospital or the like, and has a medicine bag 3 containing a medicine 2 containing medicine inside, a clamp 8, an infusion tube 4, etc. It has the "infusion pump 10" connected via.
  • the infusion pump 10 is a device for accurately administering the drug solution 2 in the drug bag 3 to the patient P via the infusion tube 4, the indwelling needle or the indwelling catheter 5, and the drug 2 is supplied at a desired flow rate or the like. It becomes the structure which can be administered with respect to the patient P.
  • FIG. 1 A schematic diagram of a device for accurately administering the drug solution 2 in the drug bag 3 to the patient P via the infusion tube 4, the indwelling needle or the indwelling catheter 5, and the drug 2 is supplied at a desired flow rate or the like. It becomes the structure which can be administered with respect to the patient P. FIG.
  • the infusion pump 10 has a “display 11” for displaying various information, and a display change dial 12 that rotates (rotates) in both forward and reverse directions along the direction of the arrow R1. It is equipped. That is, by operating the display change dial 12, information displayed on the display 11 can be changed.
  • the infusion pump 10 has a display selection that allows the user to select a screen for inputting and setting various parameters by variously changing the menu display by the OK button 13 or the display 11.
  • Other input buttons 14 including a button 14a and a start / stop switch 14b are also arranged.
  • the infusion pump 10 includes an upstream blockage sensor 15 and a downstream blockage sensor 16 which are blockage detection units, for example.
  • the upstream occlusion sensor 15 is disposed on the drug bag 3 side that is upstream of the infusion pump 10
  • the downstream occlusion sensor 16 is disposed on the downstream side of the infusion pump 10 that is on the patient P side. And it becomes the structure which can detect whether the flow of the chemical
  • the infusion pump 10 has, as an additional function, a biological information acquisition device that acquires vital information such as blood pressure values such as blood pressure values, for example, a blood pressure monitor 6 and an electrocardiograph 7. Etc. can be connected.
  • the sphygmomanometer 6 and the electrocardiogram measuring instrument 7 are connected to the patient P and have a function of continuously acquiring the blood pressure value and electrocardiogram data of the patient P.
  • the infusion pump 10 shown in FIG. 1 has a computer, and the computer has a CPU (Central Processing Unit), a RAM (Random Access Memory), a ROM (Read Only Memory), etc., which are not shown in the figure. Connected via bus.
  • CPU Central Processing Unit
  • RAM Random Access Memory
  • ROM Read Only Memory
  • FIG. 2 is a schematic block diagram showing a main configuration of the “infusion pump 10” shown in FIG.
  • the infusion pump 10 has a “pump control unit 20”.
  • the pump control unit 20 controls the “pump main body 21” responsible for the basic operation of the infusion pump 10, and the above-mentioned “display 11”, “display change dial 12”, “OK button 13”, “ Other input buttons 14, “upper blockage sensor 15” and “lower blockage sensor 16” are controlled.
  • the pump control unit 20 also controls the “timer 22” and the “alarm 23” shown in FIG. 2, and stores a storage unit and a processing unit (program) for various data related to the infusion pump 10 shown in FIG.
  • the “interval mode related information storage unit 30”, “step mode related information storage unit 50”, “timer mode related information storage unit 70”, and the like are also controlled.
  • 3, 4 and 5 are schematic blocks showing specific contents of the “interval mode related information storage unit 30”, “step mode related information storage unit 50” and “timer mode related information storage unit 70”, respectively. FIG. Specific contents thereof will be described later.
  • FIGS. 6 to 15 are schematic flowcharts showing an operation example of the “infusion pump 10” according to the present embodiment.
  • FIG. 7 to FIG. 9 are schematic flowcharts showing an operation example of “interval mode”
  • FIG. 10 to FIG. 12 are schematic flowcharts showing an operation example of “step mode”.
  • 15 is a schematic flowchart showing an operation example of the “timer mode”.
  • the flow rate of the administered medicinal solution 2 is The case where it changes with time is demonstrated to an example.
  • normal continuous administration normal mode; administration of a predetermined scheduled amount (mL) at a predetermined flow rate (mL / h)
  • program injection modes three so-called program injection modes described below, The “interval mode”, “step mode”, and “timer mode” can be selected.
  • the “interval mode” is the first dose (mL / h), which is the first dose (infusion amount) (mL / h), and one cycle as the administration parameter to be set and input. This set information is repeated with the execution time (minutes), interval time (minutes), and cycle number (times) as one set. The number of cycles, for example, the number of cycles is also specified by the prescription.
  • the second dose (mL / h) is the final dose (mL / h).
  • FIG. 16 is a schematic explanatory diagram showing the interval mode. That is, in the present embodiment, the second dose (mL / h) which is the final dose (mL / h) is 20 mL / h, the execution time of one cycle is 60 minutes, and the interval time 30 (minutes) is 1 As a set, the number of cycles is 10, and the first dose (mL / h), which is the first dose (mL / h), is 0 mL.
  • the first dose (mL / h) and the second dose (mL / h) are examples of “multiple dose information”, and the first dose (mL / h) and the second dose (mL / h) Is an example of “corresponding administration time information”.
  • the final dose (mL / h) is the second dose (mL / h) is 0 mL / h, the duration of one cycle is 60 minutes, and the interval time 30 (minutes) is one set.
  • the first dose (mL / h), which is the first dose (mL / h), may be set to 20 mL / h 10 times.
  • the “step mode” has a second dose (mL / h) that is the final dose (mL / h) as the administration parameter to be set and input, and the time until the first dose is reached. (Minutes), the number of steps (number) to reach the first dose.
  • the first dose (mL / h), which is the first dose (mL / h), is a smaller dose than the second dose (mL / h).
  • Multiple dose information eg, first dose (mL / h), second dose (mL / h), and these first dose (mL / h) and second dose (mL / h)
  • the prescription information includes dosage information of each step in which the dosage changes, for example, increases step by step.
  • FIG. 17 is a schematic explanatory diagram showing the step mode. That is, in the present embodiment, the first dose (mL / h) is 20 mL / h, the time (minutes) to reach the first dose is 75 minutes, and the number of steps to reach the first dose is 5 After the first dose (mL / h) reaches 20 mL / h, continuous administration at the first dose of 20 mL / h is performed.
  • the “timer mode” is a final input dose (mL / h) as a dose parameter to be set and input, and biometric information is based on the final dose (mL / h).
  • a condition for starting the administration for example, a condition is set so that the final dose (mL / h) is started on the condition that the blood pressure value has decreased by a predetermined value (the maximum blood pressure is 60 mmHg in FIG. 18A). is there. It has multi-dose information, no-dose information and dose information, and the dosage increases after the delay time information, which is the elapse of a predetermined time, and administration at the final dose (mL / h) starts. It is the composition to do.
  • FIG. 18A is a schematic explanatory diagram showing the timer mode.
  • FIG. 18B shows an example of a configuration in which each of the two infusion pumps 100 and 10 administers different drugs to the same patient.
  • the biometric information is set as a condition for starting administration at the final dose (mL / h).
  • the condition that the blood pressure value has decreased to a predetermined value or less in FIG. 18A, the maximum blood pressure is 60 mmHg)
  • To stop the administration by the infusion pump 100 that administers the first drug, and to start the administration by the infusion pump 10 that is the second infusion pump at the final dose (mL / h) Is set to Note that it is not always necessary to set administration in cooperation with biological information.
  • the administration parameter to be set is the final dose (mL / h), and the biological information is a condition for starting administration with the final dose (mL / h).
  • the first infusion pump 100 shows a “timer mode” in which an anticancer agent is initially administered and administration is stopped after a delay time has elapsed.
  • FIG. 2 discloses a configuration in which the second infusion pump 10 starts administration of the pressor after the delay time has elapsed.
  • blood pressure value information which is one of the biological information, which is one of the priority information
  • FIG. 18B is a schematic explanatory diagram illustrating another example of the timer mode.
  • FIG. 6 is a schematic flowchart showing the selection process of each mode.
  • the nurse connects the drug bag 3 and the like to the “infusion pump 10” of FIG. 1 arranged beside the bed of the patient P, and infuses the patient P via the indwelling needle or the indwelling catheter 5.
  • the tube 4 and the like are connected, and the infusion tube 4 is disposed in the “infusion pump 10”.
  • the switch of the infusion pump 10 is turned on.
  • the nurse visually recognizes the “display 11” and operates the display change dial 12 or the like to display it on the “display 11” as shown in FIG. 1 (B), and FIGS.
  • One of “interval mode”, “step mode” and “timer mode” shown in the operation flow of a) is selected.
  • step ST (hereinafter referred to as “ST”) 1 in FIG. 3, “display 11” of the infusion pump 10 has various modes of liquid feeding, “normal mode / interval mode (repetition (cycle))”. , Step mode (increase / decrease in drug stepwise), timer mode (start / stop administration after delay time elapses) "are displayed, and the nurse presses the display change dial 12, display selection button 14a, and confirm button One mode is selected by an operation of a certain “OK button 13”.
  • the process proceeds to ST3.
  • the selected mode is stored in the “dose mode selection result information storage unit 31” in FIG. That is, the “dose mode selection result information storage unit 31” stores information on the selected “normal mode”, “interval mode”, “step mode”, and “timer mode”.
  • any one of “normal mode”, “interval mode”, “step mode”, and “timer mode” is controlled by the pump control unit 20.
  • a screen for selecting is displayed on the “display 11” as shown in FIG.
  • step mode it is determined whether or not the selected mode is “step mode” with reference to “dose mode selection result information storage unit 31”. If “step mode”, the process proceeds to ST6. move on. In ST6, the “step mode” is executed, and the operation will be described later.
  • the process proceeds to ST7.
  • ST7 it is determined whether or not the selected mode is “timer mode” with reference to “dose mode selection result information storage unit 31”. If “timer mode”, the process proceeds to ST8. The “timer mode” is executed, and the operation will be described later.
  • the numerical value of the “final dose (mL / h)” to be set and input is set by rotating the display change dial 12. Therefore, after the numerical value is increased or decreased, the determined predetermined value is changed to the normal administration. Unlike the flow rate at the time, the flow rate is highlighted so that it is displayed on the display 11, and then, when the prescribed prescribed numerical value is reached, the OK button 13, which is a confirmation button, is pressed to The setting of the first dose (mL / h) as the numerical value of the dose (mL / h) is completed.
  • ST13 a numerical value of the final dose (mL / h), for example, 20 mL / h is stored in the “interval mode information storage unit 32” of FIG.
  • an input screen of “one cycle execution time (minutes)” is displayed on the display 11 under the control of the pump control unit 20.
  • the nurse makes the numerical value highlighted on the display 11 under the control of the pump control unit 20 by the rotation operation of the display change dial 12, and inputs the setting “the execution time of one cycle (minutes)”
  • the OK button 13 which is a confirmation button, if the predetermined prescribed numerical value is increased / decreased, the “one cycle execution time (minutes)” is set. Input is complete.
  • an input screen of “interval time (minutes)” is displayed on the display 11 under the control of the pump control unit 20.
  • the numerical value of “interval time (minutes)” to be inputted by the nurse is set on the screen so that the numerical value is highlighted on the display 11 under the control of the pump control unit 20 by the rotation operation of the display change dial 12.
  • the OK button 13 which is a confirmation button, is pressed to complete the setting input of “one cycle execution time (minutes)” To do.
  • ST18 it is determined whether or not the input of “interval time (minutes)” has been completed. If completed, the process proceeds to ST19.
  • Information of “interval time (minutes)”, for example, 30 minutes (see FIG. 16) is stored in the “interval mode information storage unit 32” of FIG.
  • an input screen of “repetition count (cycle count)” is displayed on the display 11 under the control of the pump control unit 20.
  • the nurse turns the display change dial 12 so that the numerical value is highlighted on the display 11 under the control of the pump control unit 20, and the “repetition count (cycle count)” for inputting the setting is displayed.
  • the numerical value is increased or decreased, and “repetition count (cycle count)” (for example, a numerical value of 10 cycles (see FIG. 16)) is displayed on the display 11 according to the doctor's prescription on this screen.
  • the OK button 13 which is a confirmation button, is pressed, that is, how many times the repetition is executed is input as the number of cycles.
  • ST21 it is determined whether or not the number of repetitions has been input. If the input has been completed, the process proceeds to ST22.
  • “interval mode information storage unit 32” in FIG. 3 stores “repetition count (cycle count) information”, for example, 10 times.
  • an “administration start time information” input screen is displayed on the display 11.
  • the nurse inputs the time information for performing administration in the interval mode, for example, time information of 13:00 by operating the display change dial 12 or the like as required by the doctor on this screen.
  • Step24 it is determined whether or not the input of the administration start time is completed.
  • the process proceeds to ST25.
  • “administration start time information”, for example, 13:00 is stored in the “interval mode information storage unit 32” of FIG.
  • the “interval mode information storage unit 32” in FIG. 3 stores “20 mL / h” as the “final dose (mL / h)” shown in FIG. "For 60 minutes,” interval time (minutes) “for 30 minutes, and” repetition count (cycle count) “for” 10 times ".
  • the process proceeds to ST27.
  • the “interval administration operation processing unit (program) 33” in FIG. 3 operates, and the interval administration operation of the “infusion pump 10” is executed with reference to the “interval mode information storage unit 32”.
  • “administration start time information” is not stored in the “interval mode information storage unit 32”
  • the drug administration to the patient P in the interval mode is started by pressing the start / stop switch 14b.
  • the final dose (mL / h) is “20 mL / h”
  • the “one cycle execution time (minutes)” is 60 minutes
  • the “interval time (minutes)” is 30 minutes.
  • the administration of “10 times” is executed as the “repetition number (cycle number)”.
  • the process proceeds to ST28.
  • ST28 whether or not the “upper blockage sensor 15” and / or “lower blockage sensor 16” in FIG. 1 detects the blockage of the drug solution 2 in the “infusion tube 4” and outputs a blockage signal (blockage information).
  • the infusion pump 10 detects it.
  • the process proceeds to ST29, where the “alarm device 23” outputs an alarm signal to notify the nurse or the like that the infusion pump 10 has been blocked.
  • the nurse in charge of the patient P can quickly know the occlusion of the infusion pump 10 and can take quick action, and can administer the drug solution 2 more safely.
  • the process proceeds to ST30.
  • ST30 it is determined whether the “interval administration operation processing unit (program) 33” of FIG. 2 has been operated and the “cycle count (for example, 10 times)” in the “interval mode information storage unit 32” has been executed. When it is executed 10 times, the process proceeds to ST31 and the liquid feeding operation of the infusion pump 10 is stopped. It should be noted that, while monitoring the living body such as the blood pressure value, when the blood pressure value falls outside the predetermined range, control may be performed to stop the liquid feeding operation of the infusion pump 10.
  • step mode operation in ST7 will be described with reference to FIGS.
  • a step mode in which the administration flow rate increases stepwise will be described as an example.
  • the present invention is not limited to this and includes a case where the flow rate decreases stepwise.
  • the final dose (mL / h), the final dose as input parameters to be set and input, which are all dose parameters in the step mode, are displayed on the display 11.
  • the time (minutes) to reach the dose and the number of steps (number) to reach the final dose are displayed.
  • the final dose (mL / h), the execution time of one cycle (min; minutes), the interval time (min; minutes), and the number of cycles are displayed in a list.
  • an input screen for the final dose (mL / h) that is the flow rate of the drug solution 2 is displayed on the display 11.
  • the nurse sets the numerical value of “final dose (mL / h)” to be set and input by rotating the display change dial 12 as prescribed by the doctor.
  • the determined predetermined value is displayed on the display 11 in such a manner that the flow rate is highlighted, and then a predetermined button is a confirmation button.
  • the OK button 13 is pressed, the setting input of the numerical value of “final dose (mL / h)” is completed.
  • ST33 it is determined whether or not the input of the “final dose (mL / h)” flow rate has been completed.
  • the process proceeds to ST34.
  • the “step mode information storage unit 51” in FIG. 4 stores the flow rate of “final dose (mL / h)”, for example, 20 mL / h.
  • the nurse increases or decreases the numerical value, and then determines the determined predetermined numerical value.
  • the numerical value is highlighted and displayed on the display 11, and then, when a predetermined prescribed numerical value, for example, five times is displayed, an OK button 13 that is a confirmation button. By pressing, the setting input of “step count” 5 times is completed.
  • the nurse makes the numerical value highlighted on the display 11 under the control of the pump control unit 20 by the rotation operation of the display change dial 12 on this screen, and inputs the setting “the final dose” In order to set the numerical value of “time to reach (minutes)”, by pressing the OK button 13 which is a confirmation button when the predetermined numerical value is increased / decreased, the “final dose” Setting input for “Time to reach (minutes)” is completed.
  • step mode information storage unit 51 in FIG. 4 stores “time until reaching the final dose (minutes)”, for example, 75 minutes.
  • an “administration start time information” input screen is displayed on the display 11.
  • the nurse inputs time information for executing the “step mode” shown in FIG. 17, for example, 13:00 by operating the display change dial 12 or the like according to the doctor's prescription (“administration start” If the “time” is not set, the process proceeds to ST44, and the start / stop switch 14b is pressed to start administration of the drug to the patient P in the step mode.)
  • Step42 it is determined whether or not the input of the administration start time is completed.
  • the process proceeds to ST43 in FIG.
  • “administration start time information”, for example, 13:00 is stored in the “step mode information storage unit 51” of FIG.
  • the “step mode information storage unit 51” in FIG. 4 stores “20 mL / h” as the “final dose (mL / h)” shown in FIG. 75 minutes is stored as “time to reach (minutes)”.
  • the infusion pump 10 of FIG. 1 can automatically administer the liquid medicine 2 in the step mode. For this reason, when the nurse performs step mode administration of the medicinal solution 2 to the patient P, it is not necessary to turn each infusion pump 10 at the time of each step to change the dose, etc. The system does not impose an excessive burden.
  • the setting of the step mode in the infusion pump 10 suffices if a nurse or the like inputs necessary information in accordance with the display on the display 11, so that the setting is extremely easy, and lack of information input or the like hardly occurs. ing.
  • the infusion pump 10 has a configuration in which it is easy to adjust the dose and the like of the drug solution P of the patient P.
  • ST44 whether or not the current time is the “administration start time” based on “time administration device 22” in FIG. 2 and “administration start time information (eg, 13:00)” in the “steple mode information storage unit 51”. Determine whether.
  • step administration operation processing unit (program) 55” in FIG. 4 operates, and the “step infusion pump 10” step administration operation is executed with reference to the “step mode information storage unit 51”.
  • the nurse in charge of the patient P can quickly know the occlusion of the infusion pump 10 and can take quick action, and can administer the drug solution 2 more safely.
  • the process proceeds to ST48.
  • the “step administration operation processing unit (program) 55” of FIG. 4 operates to determine whether or not the execution of the step mode administration in the “step mode information storage unit 51” has been completed. When it is determined, the process proceeds to ST49, and the administration operation of the infusion pump 10 is stopped.
  • control may be performed to stop the liquid feeding operation of the infusion pump 10.
  • the “on-timer” or “off-timer” mode is an example of “a configuration in which the dose increases or decreases with the passage of a predetermined time”.
  • ST62 the selected “on timer” or “off timer” is stored in the “timer mode information storage unit 71” of FIG.
  • ST63 an input screen of, for example, delay time information (minutes), which is information on “final dose (mL / h)” and “elapsed predetermined elapsed time”, which are necessary items in the “on-timer”, is displayed on the display 11. Is displayed. Therefore, as shown in FIG. 18 (a), the nurse sets the “final dose (mL / h)” to “20 mL / h” and the “delay time information (minutes)” as shown in FIG. "Is entered as” 90 minutes ". That is, in the present embodiment, a medicine, for example, “pressor agent” is administered immediately after starting a predetermined administration start time, and “20 mL / h” is administered after 90 minutes.
  • delay time information minutes
  • ST64 the nurse or the like determines whether or not the input of “dose (dose)” and “delay time” has been completed, and when the input is completed, the process proceeds to ST65.
  • “timer mode information storage unit 71” in FIG. 5 stores flow rate (mL / h) information of “dose (dose)”, for example, 20 mL / h and delay time information (for example, 90 minutes). Is done.
  • the process proceeds to ST66.
  • the “priority information” is information for starting or stopping the administration of the drug regardless of the delay time information, and in the present embodiment, it is the maximum blood pressure information (for example, 60 mHg) among the blood pressure values of the patient. is there. That is, as shown in FIG. 18 (a), when the patient's systolic blood pressure falls to 60 mHg or less, the administration is started regardless of the passage of delay time information of 90 minutes.
  • the nurse or the like inputs “priority information” as “60 mHg or less” as shown in FIG.
  • the process proceeds to ST67.
  • ST67 it is determined whether or not the input of “priority information” by a nurse or the like is completed. If it is determined that the input is completed, the process proceeds to ST68.
  • ST68 as “priority information”, for example, information indicating that “the patient's systolic blood pressure is 60 mHg or less” is stored in the “timer mode information storage unit 71” of FIG. By this input, “timer mode (on timer)” data as shown in FIG. 18A is input.
  • an “administration start time information” input screen is displayed on display 11.
  • the nurse operates the display change dial 12 etc. according to the doctor's prescription, the time for executing the “timer mode (on-timer)” shown in FIG. Enter with.
  • ST70 it is determined whether or not the input of the administration start time is completed.
  • the process proceeds to ST71.
  • “administration start time information”, for example, 13:00 is stored in the “timer mode information storage unit 71” of FIG.
  • the “timer mode information storage unit 71” in FIG. 5 stores “30 mL / h” as “dose”, “90 minutes” as “delay time information”, “priority information” shown in FIG. "The patient's systolic blood pressure is 60 mHg or less” and the “administration start time information” is "13:00".
  • the infusion pump 10 of FIG. 1 can automatically administer the drug solution 2 such as a pressure increasing agent in the timer mode. For this reason, when the nurse performs step mode administration of the drug solution 2 to the patient P, it is not necessary to turn each infusion pump 10 to start the administration for “delay time information”. The system does not impose an excessive burden.
  • the administration of the drug solution 2 as a pressor can be started even before the delay time elapses. Work that accelerates administration according to the blood pressure of the patient can also be reduced.
  • the setting of the step mode in the infusion pump 10 suffices if a nurse or the like inputs necessary information in accordance with the display on the display 11, so that the setting is extremely easy, and lack of information input or the like hardly occurs. ing.
  • the infusion pump 10 has a configuration in which it is easy to adjust the dose and the like of the drug solution P of the patient P.
  • the current time is “delay time (90 from administration start time) based on“ administration start time information (eg, 13:00) ”in“ timer 22 ”and“ timer mode information storage unit 71 ”in FIG. Judge whether or not a minute) has elapsed.
  • the process proceeds to S74.
  • the “timer administration operation processing unit (program) 72” of FIG. 5 operates and refers to the “timer mode information storage unit 71”, which is a timer administration operation of the infusion pump 10, for example, a delay of 90 minutes
  • a flow rate of “dose” of 20 mL / h is administered for a predetermined time.
  • ST73 it is determined whether or not the maximum blood pressure value acquired from the “blood pressure monitor 6” of the patient in FIG. 1 corresponds to “maximum blood pressure of 60 mHg or less” that is “priority information”. Specifically, the “priority information determination processing unit (program) 73” in FIG. 5 operates, and the maximal blood pressure value of the sphygmomanometer 6 and the “priority information (patient maximal blood pressure value) of the“ timer mode information storage unit 71 ”. Is less than 60 mHg) ”to determine whether or not this is the case.
  • the “timer administration operation processing unit (program) 72” in FIG. 5 operates, and referring to the “timer mode information storage unit 71” in FIG. 5, 20 mL which is the timer administration operation of the infusion pump.
  • the administration of the chemical solution 2 of / h is executed before the delay time elapses. Therefore, administration of the medicinal solution 2 such as a pressor appropriate for the patient's condition can be automatically started, and the burden on the nurse or the like can be greatly reduced.
  • the 3 performs the vital data such as the blood pressure value of the sphygmomanometer 6 and the electrocardiogram of the electrocardiograph 7 and the vital data reference range of the “vital data reference storage unit 28”. It is determined whether the blood pressure value obtained from the sphygmomanometer 6 or the like is within the reference range by comparing with the data.
  • step 75 If it is determined in ST75 that the vital data such as the blood pressure value is not within the data range of the “vital data reference storage unit 35”, the process proceeds to ST76.
  • ST76 as in ST26 described above, “alarm 23” in FIG. 3 operates to notify a nurse or the like that an abnormality has occurred in the vital data of patient P.
  • the nurse in charge of the patient P can quickly know abnormalities such as vital data, can take quick measures, etc., and can safely administer the medicinal solution 2.
  • the process proceeds to ST77.
  • ST77 as in ST27 described above, the “upper blockage sensor 15” and / or “lower blockage sensor 16” in FIG. 1 detects the blockage of the drug solution 2 in the “infusion tube 4”, and a blockage signal (blockage information). Is detected by the infusion pump 10.
  • the process proceeds to ST76 as described above, and the “alarm device 23” outputs an alarm signal to notify the nurse or the like that the blockage has occurred in the infusion pump 10.
  • the nurse in charge of the patient P can quickly know the occlusion of the infusion pump 10 and can take quick action, and can administer the drug solution 2 more safely.
  • the process proceeds to ST78.
  • the “timer administration operation processing unit (program) 72” of FIG. 5 operates to determine whether or not the execution of the timer mode administration in the “timer mode information storage unit 71” has been completed. When it is determined, the process proceeds to ST79 and the operation of the infusion pump 10 is stopped.
  • the timer mode is described as an example of an on-timer.
  • the present invention is not limited to this, and as shown in FIG. 18 (b), an infusion pump 10 and two infusion pumps 100, different infusion pumps 100 can be operated in different modes (on-timer and off-timer).
  • the infusion pump 100 is set so that an anticancer agent (for example, paclitaxel) is delivered, and the medicinal solution 2, for example, the infusion pump 10 in the above example, Set so that the pressurizer is delivered.
  • an anticancer agent for example, paclitaxel
  • the medicinal solution 2 for example, the infusion pump 10 in the above example
  • the infusion pump 100 sets so that administration of a chemical
  • the infusion pump 10 is set to administer the infusion after 90 minutes have elapsed in the on-timer.
  • the infusion pump 100 stops administration of a chemical
  • medical solution anticancer agent, paclitaxel
  • the infusion pump 10 is set to start administration of a drug solution (pressor) when the patient's systolic blood pressure becomes 60 mHg or less.
  • the present invention is not limited to the above-described embodiment.
  • the infusion pump 10 has been described as an example of a medical device.
  • the present invention is not limited to this, and the present invention can also be suitably applied to medical devices such as other liquid delivery devices such as a syringe pump.
  • Interval administration operation processing unit program
  • 50 ... Step mode related information storage unit, 51 ... Su Mode information storage unit, 55 ... step administration operation processing unit (program), 70 ... timer mode related information storage unit, 71 ... timer mode information storage unit, 72 ... timer administration operation processing unit (program) ), 73... Priority information determination processing unit (program)

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  • Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

Le problème selon la présente invention consiste à proposer une pompe médicale, etc., permettant d'ajuster facilement, etc., le dosage, etc., d'un médicament liquide, etc., pour chaque patient, etc. La solution selon l'invention consiste en une pompe médicale (10) conçue pour disposer de plusieurs informations de dosage qui correspondent à plusieurs informations de dosage différentes concernant un médicament administré à un patient, ladite pompe étant également conçue pour disposer des informations correspondantes concernant le moment d'administration, c'est-à-dire des informations concernant le moment d'administration qui correspondent aux différentes informations de dosage et ladite pompe étant encore conçue pour assurer l'administration d'un médicament (2) sur la base des informations de dosage et des informations correspondantes concernant le moment d'administration.
PCT/JP2013/059994 2013-04-01 2013-04-01 Pompe médicale, système de pompe médicale et procédé de commande d'une pompe médicale WO2014162483A1 (fr)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH06277283A (ja) * 1993-03-30 1994-10-04 Sharp Corp 輸液装置
JP2009101234A (ja) * 2002-01-03 2009-05-14 Baxter Internatl Inc リモート制御による医療装置
JP2012061053A (ja) * 2010-09-14 2012-03-29 Yuuki Kitaoka 投薬装置、投薬装置の作動方法及び投薬方法

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH06277283A (ja) * 1993-03-30 1994-10-04 Sharp Corp 輸液装置
JP2009101234A (ja) * 2002-01-03 2009-05-14 Baxter Internatl Inc リモート制御による医療装置
JP2012061053A (ja) * 2010-09-14 2012-03-29 Yuuki Kitaoka 投薬装置、投薬装置の作動方法及び投薬方法

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