CN201519339U - Critical care and infusion control diagnosis and treatment integration system - Google Patents
Critical care and infusion control diagnosis and treatment integration system Download PDFInfo
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- CN201519339U CN201519339U CN2009200523121U CN200920052312U CN201519339U CN 201519339 U CN201519339 U CN 201519339U CN 2009200523121 U CN2009200523121 U CN 2009200523121U CN 200920052312 U CN200920052312 U CN 200920052312U CN 201519339 U CN201519339 U CN 201519339U
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Abstract
The utility model discloses a critical care and infusion control diagnosis and treatment integration system and a control method thereof. The system comprises an infusion device, an infusion care base station, a central monitoring server and a medical care PDA; The infusion scheme is formed in the infusion care base station; the open-loop control of the infusion device is performed in a wireless or wired manner, or infusion parameters are adjusted through monitoring and analyzing physiologic parameters of the patient according to the corresponding closed loop algorithm during the infusion execution; and the close-loop control of the infusion device is performed in a wireless or wired manner; the central monitoring server is connected with the infusion care base station in a wireless or wired manner and used for monitoring the running state of the infusion care base station; and the medical care PDA is connected with the infusion care base station and/or the central monitoring server in a wireless or wired manner and used for displaying the infusion status and the infusion management process. The system organically combines the treatment means (intravenous infusion) and the effect (of monitoring physiologic parameters) thereof in a system, thereby realizing close-loop control of one or more infusion devices, and improving the medical quality and the working efficiency of the medical staff.
Description
Technical field
This utility model relates to a kind of armarium, particularly a kind of be applied to ICU (Intensive CareUnit, intensive care unit(ICU)) and operating room, critical illness monitoring and transfusion control diagnosis and treatment integral system and control method thereof.
Background technology
The common state of an illness of the Cavity in Critical Patients of ICU is critical, the physiological status disorder, even serious multiple organ injury is arranged, and conditions of patients is complicated and changeable, and this physiological parameters of patients monitoring has been conventional medical measure; In addition, the patient of ICU 100% needs liquid to control, great majority are multiple medicine and multi-path while drug treatment, and need adjust dosage regimen at any time according to change of illness state, use the infusion pump and the syringe pump administration of a plurality of routines, these pumps are separately independently, and medical personnel operate very inconvenient, and are difficult to satisfy the needs of critical patient's treatment.The anesthesia patient of operating room also needs the multi-path administration, intravenous anesthesia agent, analgesics and the in stable condition medication or the like that earns a bare living.
Patient's liquid undergoing treatment of ICU is as one of important treatment means, and is also very high to the infusion treatment prescription.All generally use infusion pump and syringe pump at present, ICU medical personnel are often to the supervision and the adjustment of infusion of drug, artificial operation is difficult to well critical patient's physiological status is controlled within the target zone sometimes, influence therapeutic effect, and medical personnel's work is very heavy.Since Sheppard, various computer closed loop control automatic chemical feeding algorithms constantly occur, and have obtained than the better effect of dosage regimen that relies on manual adjustment.The computer closed loop control automatic chemical feeding can reduce the drug use accumulated dose significantly when stablizing patient's physiological status better.
Venous transfusion is a kind of the most frequently used clinical treatment method, though more infusion pump, syringe pump and multi-parameter monitor are arranged in the market, many wireless networked critical illness monitor systems are also arranged, also have the transfusion control system of a small amount of networking, but these two systems are separate.Venous transfusion and critical illness monitoring be as ICU, the operating room diagnosis and treatment means of extensive use the most, and it is carried out Comprehensive Control and management is the internal need of clinical position.
The utility model content
This utility model is separated at existing infusion treatment and physiology monitoring, and then can not realize the shortcoming of the real-time closed-loop control of critical patient's infusion treatment process, proposes a kind of critical illness monitoring and transfusion control diagnosis and treatment integral system that is applicable to ICU, operating room.The purpose of this utility model be realize ICU and surgical patient physiological status real-time detection and adjust the speed, infusion total amount etc. of fluid delivery apparatus in real time according to the variation of physiological parameter, reach the closed loop control (also can realize open loop control) of infusion process; Based on the pharmacokinetics and the pharmacodynamics model of medicine, formulate the given way of drug dose, thereby make infusion treatment more effective, realize the scheme of individual administration.Reduce malpractice, improve medical personnel's work efficiency, improve the treatment level of ICU.
For achieving the above object, the technical solution of the utility model is: a kind of critical illness monitoring and transfusion control diagnosis and treatment integral system, it comprises fluid delivery apparatus (fluid delivery apparatus comprises infusion pump and syringe pump), monitoring transfusion base station, central monitoring server and medical care PDA.Fluid delivery apparatus links to each other with the monitoring transfusion base station by wireless or wired communication modes, and the infusion treatment to patient, the status information of concurrent feedback liquid equipment are implemented in the control of reception monitoring transfusion base station.The monitoring transfusion base station has the transfusion control function of physiological parameters of patients monitoring and one or more fluid delivery apparatus, transfusion control can form transfusion plan according to the information of patient, medicine and treatment prescription by medical personnel, realize the open loop of fluid delivery apparatus is controlled by wireless or wired mode, also can be by monitoring and analyze patient's physiological parameter in the transfusion implementation, adjust infusion parameter in real time according to corresponding feedback algorithm, realize closed loop control by wireless or wired mode, patient is carried out the infusion treatment of open loop or close-loop control mode fluid delivery apparatus.Central monitoring server is connected a plurality of monitoring transfusions base station their running status of Centralized Monitoring by wireless with wired mode, and central monitoring server also links to each other with hospital information system, fuses with hospital information system.Medical care PDA is connected with monitoring transfusion base station and/or central monitoring server by wireless mode, can understand transfusion situation and management infusion process.Each inter-module of system is formed a system by cable network or wireless network mode.
Described monitoring transfusion base station comprises as lower module:
Subscriber interface module: be used to offer user's input and finish corresponding human-computer interaction function, show the information of the fluid delivery apparatus of this monitoring transfusion base station control in the infusion process and patient's major physiological parameter monitoring information; Import infusion parameter and form transfusion plan according to the information of patient, medicine and treatment prescription.
Physiology monitoring module: comprise that physiology monitoring detection module reaches, physiology monitoring administration module is used to monitor the real-time monitoring information of physiological parameters such as patient's electrocardio, blood oxygen saturation, body temperature, non-invasive blood pressure, breathing, analyze and preserve monitoring information, for the demonstration of the physiological parameter of subscriber interface module and the transfusion closed loop control of closed loop control module provide information; Physiology monitoring detection module is made up of physiological parameter sensors, signal conditioning circuit, AD conversion, single-chip microcomputer and communication submodule, is used to detect physiologic information; Physiology monitoring administration module is finished the analysis and the hold function of physiological parameter.
Transfusion administration module: be used for management and control fluid delivery apparatus, transfusion plan is converted to the transfusion control instruction, or accept the transfusion control instruction of closed loop control module, and the control instruction of will infusing is fixed time by each and is sent to specified fluid delivery apparatus by the network communication module at interval;
Closed loop control module:, instruct according to feedback algorithm output transfusion, and control instruction is sent to the transfusion administration module by receiving the data of the physiological parameter of measuring patient; This closed loop control module comprises the data fetch submodule, feedback algorithm submodule and control submodule, the data fetch submodule extracts patient's blood pressure data as input from monitoring module, use for the feedback algorithm submodule, the feedback algorithm submodule is analyzed required physiological parameter respectively according to the corresponding closed-loop control algolithm, judge, the result that the feedback algorithm submodule draws sends to the control submodule, which fluid delivery apparatus the control submodule is adjusted according to result's decision of feedback algorithm, and the amplitude of adjusting, form the transfusion control instruction and send to tube for transfusion reason module, implement the closed loop control of transfusion.
Alarm module: the physiological parameter information of patient in infusion process and the information of fluid delivery apparatus are monitored, when physiological parameter exceeds normal range, when perhaps fluid delivery apparatus operation appearance is unusual, in time warning message is presented at user interface, simultaneously warning message is saved to monitoring transfusion base station local data base.
Information management module: be used to manage patient's essential information, the medicine essential information;
The network communication module: by wired or wireless mode realize between central monitoring server and the monitoring transfusion base station, transfer of data between monitoring transfusion base station and the fluid delivery apparatus; Realize transfer of data between monitoring transfusion base station and the medical care PDA by wireless mode.
Described central monitoring server is a hardware with the double-core server, is equipped with the 802.11b wireless network card with the communication of realization with a plurality of monitoring transfusions base station and medical care PDA, comprises as lower module:
Subscriber interface module: be used to offer user's input and finish corresponding human-computer interaction function, the main information of each monitoring transfusion base station of centralized displaying also can show the patient of a certain monitoring transfusion base station and the major physiological parameter and the infusion information of each fluid delivery apparatus; Can the monitoring transfusion base station of its management be imported infusion parameter and form transfusion plan according to the information of patient, medicine and treatment prescription.
Monitoring transfusion BTS management module: remote centralized is controlled the work of a plurality of monitoring transfusions base station, handle infusion data, warning message and the patient care information of the online fluid delivery apparatus of each monitoring transfusion base station, the working condition of each monitoring transfusion base station is monitored;
Information management module: be used to manage patient's essential information, medicine essential information, employee's essential information, berth behaviour in service or patient's hospitalization information;
The network communication module: by wired or wireless mode realize between central monitoring server and the monitoring transfusion base station, transfer of data between central monitoring server and the hospital information system; Realize transfer of data between central monitoring server and the medical care PDA by wireless mode.
Described fluid delivery apparatus comprises infusion pump and syringe pump:
This syringe pump comprises one-chip computer module, human-computer interaction module, motor module, injects mechanical module, sensor assembly, network communication module and power management module.
Single-chip microcomputer is the core control section of syringe pump, receives the given control instruction in monitoring transfusion base station through the network communication module, and the operation of control step motor is injected mechanical module thereby drive, pushing syringe, thus realize injection operation; Single-chip microcomputer is sent to the monitoring transfusion base station with the syringe pump status information of gathering through the network communication module simultaneously, realizes real-time monitoring and the control of monitoring transfusion base station to syringe pump.
This infusion pump comprises one-chip computer module, human-computer interaction module, motor module, finger-like wriggling mechanical module, sensor assembly, network communication module and power management module.
Thereby the motor of infusion pump drives the finger-like wriggling sheet extruding tube for transfusion of finger-like wriggling mechanical module and realizes transfusion operation, the sensor assembly of infusion pump is made up of motor speed probe, pressure transducer and sonac, and pressure transducer and sonac are used for detecting the bubble and the obstruction of infusion process.
Network communication module: realize transfer of data between monitoring transfusion base station and the fluid delivery apparatus by wired or wireless mode
Described medical care PDA:
Medical care PDA is carried by medical personnel, by wireless network access monitoring transfusion base station and/or central monitoring server, medical personnel utilize PDA to inquire about the basal conditions of arbitrary monitoring transfusion base station at any time, and accept warning message and jingle bell or/and vibration, regulate the control parameter of carrying out fluid delivery apparatus, can carry out operated from a distance.Its hardware system adopts the ARM kernel, and CPU frequency is not less than the palm PC of the built-in wireless network card of 300MHZ.The software kernels part is based on the WindowsMobile5.0 embedded OS of Microsoft company.
The network communication structure of described system:
This system's employing is wired, the networking mode of wireless compatibility, and each inter-module of system can be communicated by letter by wired or wireless mode.For the wireless networking mode: adopt IEEE 802.11b/g WLAN (WLAN) standard between monitoring transfusion base station, central monitoring server and the medical care PDA, it can provide the message transmission rate that is 11Mbps to the maximum; Be to adopt the ZigBee technology between the monitoring transfusion base station of unit and the fluid delivery apparatus with patient, setting up into one is network coordinator with the monitoring transfusion base station, and fluid delivery apparatus is the network structure of terminal unit.Wherein wireless mode can also adopt infrared, bluetooth, Wi-Fi, wireless radio-frequency, and ultra broadband (UWB) technology or the like is formed WLAN, as long as can realize in the ward that the technology of the radio communication function of syringe pump and monitoring transfusion base station all can adopt.For wired networking mode: utilize the existing cable network of hospital to realize wire communication between monitoring transfusion base station, central monitoring server; Adopt the RS-485 bussing technique to realize that a kind of centralized Control hinge communicates by letter with decentralised control is unitary between monitoring transfusion base station and the fluid delivery apparatus.Wherein bus mode also can adopt other bussing techniques such as CAN bus, fieldbus to realize.
This system monitoring transfusion base station also is extended to the other treatment instrument of ICU or operating room by wireless and wired mode, as respirator, anesthetic machine or the like.
Description of drawings
Fig. 1 system structure of the present utility model is formed sketch map;
The principle schematic of Fig. 2 this utility model closed loop feedback control;
The modular structure sketch map of Fig. 3 central monitoring server;
The modular structure sketch map of Fig. 4 monitoring transfusion base station;
The structural representation of Fig. 5 syringe pump;
The structural representation of Fig. 6 infusion pump.
The specific embodiment
Below in conjunction with accompanying drawing this utility model is described in detail.
As shown in Figure 1 and Figure 2, this utility model provides a kind of critical illness monitoring and transfusion control diagnosis and treatment integral system, fluid delivery apparatus, monitoring transfusion base station and the central monitoring server of closed loop feedback when it comprises by wired or wireless network implementation reality, fluid delivery apparatus links to each other with the monitoring transfusion base station by wireless or wired communication modes, the infusion treatment to patient, the status information of concurrent feedback liquid equipment are implemented in the control of reception monitoring transfusion base station.The monitoring transfusion base station has the transfusion control function of physiological parameters of patients monitoring and one or more fluid delivery apparatus, transfusion control can form transfusion plan according to the information of patient, medicine and treatment prescription by medical personnel, realize the open loop of fluid delivery apparatus is controlled by wireless or wired mode, also can be by monitoring and analyze patient's physiological parameter in the transfusion implementation, adjust infusion parameter in real time according to corresponding feedback algorithm, realize closed loop control by wireless or wired mode, patient is carried out the infusion treatment of open loop or close-loop control mode fluid delivery apparatus.Central monitoring server is connected a plurality of monitoring transfusions base station their running status of Centralized Monitoring by wireless with wired mode, and central monitoring server also links to each other with hospital information system, fuses with hospital information system.Medical care PDA is connected with monitoring transfusion base station and/or central monitoring server by wireless mode, can understand transfusion situation and management infusion process.Each inter-module of system is formed a system by cable network or wireless network mode.This system organically is combined in treatment means (venous transfusion) and effect (physiological parameter monitoring) thereof in the system.
Native system is the center with the monitoring transfusion base station, and a plurality of fluid delivery apparatus are integrated, and patient is treated.It is a service for patients that a plurality of fluid delivery apparatus of a monitoring transfusion base station and its control are formed a monitoring transfusion treatment unit.Monitoring transfusion BTS hardware structure is based on PC or industrial computer, based on the operating system of Windows, be aided with that various Embedded software and hardwares are realized as: the wireless network card of the ZigBee communication module of wireless dragon, prosperous touch screen, NetGear and fly shuttle knob etc. along TouchKit SX-104-W4R-F.The Zigbee communication module provides communication hardware platform between monitoring transfusion base station and the wireless fluid delivery apparatus; Touch screen and to fly the shuttle knob be system's interactive interface efficiently of providing convenience.Central monitoring server can be treated unitary information to several monitoring transfusions and be carried out integrated management.Central monitoring server also can be connected with hospital information system, the database information of shared hospital information system.Medical personnel can be on bedside monitoring be infused the base station, and the Database Systems on the remote access central monitoring server are checked patient, medicine and the relevant information of infusion treatment.Central monitoring server is a hardware with the double-core server, is equipped with the 802.11b wireless network card with the communication of realization with whole monitoring transfusion base station and medical care PDA.The software of monitoring server adopts the WEB technological development based on the operating system of Windows.
As shown in Figure 3, described monitoring transfusion base station comprises as lower module:
Subscriber interface module: be used to offer user's input and finish corresponding human-computer interaction function, show the information of the fluid delivery apparatus of this monitoring transfusion base station control in the infusion process, use the waveform of wave shape playback function playback physiological parameters of patients; Digital form shows physiological parameter; Import infusion parameter and form transfusion plan according to the information of patient, medicine and treatment prescription.
Authority management module: the scope of application of control validated user in system.User in the system is divided into different role, every kind of role has different system's scopes of application, such as certain user's role is the manager, and he can check the module that compares core in the system, such as information management module and authority management module etc., and these modules are carried out some operation; If certain user's role is the general user, he just can only inquire about or revise patient's information so, but can not carry out deletion action, adopt the mode of this limited subscriber scope of application, limit some low rights users the system core is partly produced maloperation, thereby reduce some unnecessary risks.
The physiology monitoring module: the physiology monitoring module comprises physiology monitoring detection module and physiology monitoring administration module, is used to monitor patient's physiological parameter, analyzes and preserve the analytic function that monitoring information realizes the monitoring data.Physiology monitoring detection module is made up of physiological parameter sensors, signal conditioning circuit, AD conversion, single-chip microcomputer and communication submodule.Physiological parameters such as detection patient's electrocardio, breathing, body temperature, blood oxygen saturation, non-invasive blood pressure, pulse frequency; The patient physiological parameter data that physiology monitoring administration module handle collects etc. all is retained in the monitoring data file, and data are carried out self-defining trend analysis, for the demonstration of the physiological parameter of subscriber interface module and the transfusion closed loop control of closed loop control module provide information;
Transfusion administration module: be used for management and control fluid delivery apparatus, carry out transfusion plan, transfusion plan is converted to the transfusion control instruction, or accept the transfusion control instruction of closed loop control module, and the control instruction of will infusing is fixed time by each and is sent to specified fluid delivery apparatus by the network communication module at interval; The management of medicine essential information; The execution command of schedules of infusion is sent to each fluid delivery apparatus of being connected and receives, show and preserve the real time information of fluid delivery apparatus feedback by wireless network, as transfusion speed etc.
Closed loop control module: according to a preset algorithm, as realize the closed loop feedback control of infusion process based on the homeostatic control algorithm of vital sign, based on pharmacodynamics, pharmacokinetic model scheduling algorithm, the input of control is the data of each physiological parameter of measuring of patient, and the output of control is the regulating command of transfusion; This closed loop control module comprises the data fetch submodule, feedback algorithm submodule and control submodule, the data fetch submodule extracts patient's data such as blood pressure as input from monitoring module, use for the algorithm in the whole closed loop feedback module, the feedback algorithm submodule is analyzed required physiological parameter respectively according to selected algorithm, judge, the result that the feedback algorithm submodule draws sends to control module, which fluid delivery apparatus the control submodule is adjusted according to result's decision of feedback algorithm, and the amplitude of adjusting, transmitting control commands is implemented the closed loop control of transfusion to specified transfusion administration module then, reaches the purpose of the integrated and individualized treatment of diagnosis and treatment.
Alarm module: the warning conceptual design, can design corresponding warning scheme to the different state of an illness of different patients; The physiological parameter information of patient in infusion process and the information of fluid delivery apparatus are monitored, when physiological parameter exceeds normal range, when perhaps fluid delivery apparatus operation appearance is unusual, in time warning message is presented at user interface, simultaneously warning message is saved to monitoring transfusion base station local data base.Obtain the warning message of each assembly of system, and in time warning message is presented at monitor terminal, simultaneously alert data is preserved warehouse-in.
Information management module: be used to manage patient's essential information, the medicine essential information, medical personnel's information, system carries out limiting operation and information record for the user of this system of each operation;
The network communication module: by wired or wireless mode realize between central monitoring server and the monitoring transfusion base station, transfer of data between monitoring transfusion base station and the fluid delivery apparatus; Realize transfer of data between monitoring transfusion base station and the medical care PDA by wireless mode.
As shown in Figure 4, described central monitoring server comprises as lower module:
Subscriber interface module: be used to offer user's input and finish corresponding human-computer interaction function, the main information of each monitoring transfusion base station of centralized displaying also can show the patient of a certain monitoring transfusion base station and the major physiological parameter and the infusion information of each fluid delivery apparatus; Can the monitoring transfusion base station of its management be imported infusion parameter and form transfusion plan according to the information of patient, medicine and treatment prescription.
Monitoring transfusion BTS management module: remote centralized is controlled the work of a plurality of monitoring transfusions base station, handle infusion data, warning message and the patient care information of the online fluid delivery apparatus of each monitoring transfusion base station, the working condition of each monitoring transfusion base station is monitored;
Information management module: comprise patient information management module, drug information administration module.Be used to manage patient's essential information, medicine essential information, employee's essential information, berth behaviour in service or patient's hospitalization information; As patient information management module and drug information administration module, be used to manage patient's essential information, the medicine essential information, employee's essential information, berth behaviour in service or patient's hospitalization information, satisfying under the prerequisite of system applies, for outpatient service subsystem, pharmacy subsystem, employee's managerial subsystem and the ward management subsystem that connects hospital information system provides interface;
The network communication module: by wired or wireless mode realize between central monitoring server and the monitoring transfusion base station, transfer of data between central monitoring server and the hospital information system; Realize transfer of data between central monitoring server and the medical care PDA by wireless mode.
Described fluid delivery apparatus comprises syringe pump and infusion pump, and as shown in Figure 5, this syringe pump comprises one-chip computer module, human-computer interaction module, motor, injects mechanical module, sensor assembly, network communication module and power management module.
One-chip computer module is the core control section of syringe pump, receives the given control instruction in monitoring transfusion base station through the network communication module, according to the operation of control instruction control step motor, injects the mechanical module pushing syringe thereby drive; The oneself state data of gathering are sent to the monitoring transfusion base station through the network communication module, realize of real-time control and the monitoring of monitoring transfusion base station syringe pump.Human-computer interaction module is regulated the running parameter of infusion pump by the work state information of display screen display device and patient's basic physiological information by button.The motor module comprises motor and drive integrated circult chip thereof, and the drive integrated circult chip internal is integrated with drive circuit, pulsqe distributor, fly-wheel diode and overheating protection circuit, and collection drives and be protected in one.Inject mechanical module and form the threaded engagement of syringe push pedal and screw mandrel by change-speed gearing group, screw mandrel and syringe push pedal.Motor promotes change-speed gearing and rotates, and change-speed gearing drives screw mandrel and rotates, thereby makes the syringe push pedal move.Sensor assembly is made up of motor speed probe, pressure transducer, syringe position sensor and syringe size pick off, the rotating speed of motor when being used to respond to the syringe pump operation, the pressure of liquid-transport pipe-line, the position of syringe and size.Power management module is one-chip computer module, human-computer interaction module, motor and driver module thereof, sensor assembly and network communication module for power supply by power line.The network communication module: syringe pump can carry out communication by wired or wireless mode and monitoring transfusion base station.Between monitoring transfusion base station and the fluid delivery apparatus there be wired mode of communication: communication is carried out by RS485 bus and a plurality of fluid delivery apparatus in the monitoring transfusion base station, also can adopt other bus mastering modes.The wireless mode of network communication module can also adopt Bluetooth Communication Technology, the Wi-Fi wireless local area network technology, wireless radio-frequency, the Zigbee technology, ultra broadband (UWB) technology or the like is as long as can realize in the ICU ward that the technology of the radio communication function of syringe pump and monitoring transfusion base station all can adopt.
As shown in Figure 6, the basic structure of infusion pump is similar to syringe pump, thereby the mechanical module of injecting of infusion pump that different is drives finger-like wriggling sheet extruding tube for transfusion by motor and realizes transfusion to patient, the sensing system of infusion pump is made up of motor speed probe, pressure transducer and sonac, and pressure transducer and sonac are used for detecting the bubble and the obstruction of infusion process.
This system also comprises medical care PDA, and PDA shows the situation of arbitrary monitoring transfusion base station by wireless network visit monitoring transfusion base station and central monitoring server, accepts warning message and jingle bell or/and the control parameter of carrying out fluid delivery apparatus is regulated in vibration.
As ambulatory medical device, system adopts wireless communication mode.Wherein, the network structure relative fixed between central monitoring server, monitoring transfusion base station and the medical care PDA exists lot of data mutual, and needs to visit the original cable LAN of hospital sometimes.802.11b be that IEEE formulates also WLAN (WLAN) standard of the global general-use of extensive use, have wired local area network (LAN) the same safety, manageability and scalability, can be well and the cable LAN compatibility, and have higher transmission speed (high transmission speed is 11Mbps).Therefore, adopt the 802.11b communications protocol to form WLAN between central monitoring server, monitoring transfusion base station and the medical care PDA.
The feature of all explanations in this utility model, and equal replacement or the combination done according to method described in the utility model and technical scheme are so these conversion and combination are all within rights protection scope of the present utility model.
Claims (8)
1. a critical illness monitoring and the control diagnosis and treatment integral system of infusing is characterized in that comprising fluid delivery apparatus, monitoring transfusion base station, central monitoring server and medical care PDA;
Fluid delivery apparatus links to each other with the monitoring transfusion base station by wireless or wired communication modes, and the infusion treatment to patient, the status information of concurrent feedback liquid equipment are implemented in the control of reception monitoring transfusion base station;
The monitoring transfusion base station has the transfusion control function of physiological parameters of patients monitoring and one or more fluid delivery apparatus, transfusion control forms transfusion plan by medical personnel according to the information of patient, medicine and treatment prescription, realize the open loop of fluid delivery apparatus is controlled by wireless or wired mode, or in the transfusion implementation by monitoring and analyze patient's physiological parameter, adjust infusion parameter in real time according to corresponding feedback algorithm, realize closed loop control fluid delivery apparatus by wireless or wired mode;
Central monitoring server connects a plurality of monitoring transfusions base station and concentrates their running status of monitoring by wireless or wired mode, and central monitoring server also links to each other with hospital information system;
Medical care PDA is connected with monitoring transfusion base station and/or central monitoring server by wireless mode, is used to show transfusion situation and management infusion process.
2. critical illness monitoring according to claim 1 and transfusion control diagnosis and treatment integral system, it is characterized in that: described monitoring transfusion base station comprises as lower module:
Subscriber interface module: be used to offer user's input and finish corresponding human-computer interaction function, show the information of the fluid delivery apparatus of this monitoring transfusion base station control in the infusion process and patient's physiological parameter monitoring information, also import infusion parameter and form transfusion plan according to the information of patient, medicine and treatment prescription;
Physiology monitoring module: comprise physiology monitoring detection module and physiology monitoring administration module, be used to monitor patient's physiological parameter, analyze and preserve monitoring information, for the demonstration of the physiological parameter of subscriber interface module and the transfusion closed loop control of closed loop control module provide information; Physiology monitoring detection module is made up of physiological parameter sensors, signal conditioning circuit, AD conversion, single-chip microcomputer and communication submodule, is used to detect physiologic information; Physiology monitoring administration module is finished the analysis and the hold function of physiological parameter;
Transfusion administration module: be used for management and control fluid delivery apparatus, transfusion plan is converted to the transfusion control instruction, or accept the transfusion control instruction of closed loop control module, and the control instruction of will infusing is fixed time by each and is sent to specified fluid delivery apparatus by the network communication module at interval;
Closed loop control module:, instruct according to feedback algorithm output transfusion, and control instruction is sent to the transfusion administration module by receiving the data of the physiological parameter of measuring patient; This closed loop control module comprises the data fetch submodule, feedback algorithm submodule and control submodule, the data fetch submodule extracts patient's blood pressure data as input from the physiology monitoring module, use for the feedback algorithm submodule, the feedback algorithm submodule is analyzed required physiological parameter respectively according to the corresponding closed-loop control algolithm, judge, the result that the feedback algorithm submodule draws sends to the control submodule, which fluid delivery apparatus the control submodule is adjusted according to result's decision of feedback algorithm, and the amplitude of adjusting, form the transfusion control instruction and send to tube for transfusion reason module, implement the closed loop control of transfusion.
The network communication module: by wired or wireless mode realize between central monitoring server and the monitoring transfusion base station, transfer of data between monitoring transfusion base station and the fluid delivery apparatus; Realize transfer of data between monitoring transfusion base station and the medical care PDA by wireless mode.
3. critical illness monitoring according to claim 2 and transfusion control diagnosis and treatment integral system, it is characterized in that: described monitoring transfusion base station also comprises as lower module:
Alarm module: the physiological parameter information of patient in infusion process and the information of fluid delivery apparatus are monitored, when physiological parameter exceeds normal range, when perhaps fluid delivery apparatus operation appearance is unusual, in time warning message is presented at user interface, simultaneously warning message is saved to monitoring transfusion base station local data base.
Information management module: be used to manage patient's essential information, the medicine essential information;
4. critical illness monitoring according to claim 3 and transfusion control diagnosis and treatment integral system, it is characterized in that: described central monitoring server comprises as lower module:
Subscriber interface module: be used to offer user's input and finish corresponding human-computer interaction function, the main information of each monitoring transfusion base station of centralized displaying, or show the patient of a certain monitoring transfusion base station and the physiological parameter and the infusion information of each fluid delivery apparatus, and to the monitoring transfusion base station of its management, according to the information input infusion parameter of patient, medicine and treatment prescription and form transfusion plan;
Monitoring transfusion BTS management module: remote centralized is controlled the work of a plurality of monitoring transfusions base station, handle infusion data, warning message and the patient care information of the online fluid delivery apparatus of each monitoring transfusion base station, the working condition of each monitoring transfusion base station is monitored;
Information management module: be used to manage patient's essential information, medicine essential information, employee's essential information, berth behaviour in service or patient's hospitalization information;
The network communication module: by wired or wireless mode realize between central monitoring server and the monitoring transfusion base station, transfer of data between central monitoring server and the hospital information system; Realize transfer of data between central monitoring server and the medical care PDA by wireless mode.
5. critical illness monitoring according to claim 4 and transfusion control diagnosis and treatment integral system, it is characterized in that: described fluid delivery apparatus comprises infusion pump and syringe pump;
This syringe pump comprises single-chip microcomputer, human-computer interaction module, motor, injects mechanical module, sensor assembly, network communication module and power management module; Single-chip microcomputer is the core control section of syringe pump, receives the given control instruction in monitoring transfusion base station through the network communication module, and the operation of control step motor is injected mechanical module thereby drive, pushing syringe, thus realize injection operation; Single-chip microcomputer is sent to the monitoring transfusion base station with the syringe pump status information of gathering through the network communication module simultaneously, realizes real-time monitoring and the control of monitoring transfusion base station to syringe pump;
This infusion pump comprises single-chip microcomputer, human-computer interaction module, motor, finger-like wriggling mechanical module, sensor assembly, network communication module and power management module; Tube for transfusion is realized transfusion operation thereby the motor of infusion pump drives the extruding of finger-like wriggling mechanical module.
6. critical illness monitoring according to claim 5 and transfusion control diagnosis and treatment integral system, it is characterized in that: the sensor assembly of infusion pump comprises motor speed probe, pressure transducer and sonac, and pressure transducer and sonac are respectively applied for bubble and the obstruction that detects in the infusion process.
7. according to each described critical illness monitoring of claim 1 to 6 and transfusion control diagnosis and treatment integral system, it is characterized in that: communication is carried out by bus apparatus and network communication apparatus and a plurality of fluid delivery apparatus in the monitoring transfusion base station.
8. according to each described critical illness monitoring of claim 1 to 6 and transfusion control diagnosis and treatment integral system, it is characterized in that: this system monitoring transfusion base station also is connected to the therapeutic equipments of ICU or operating room by wireless and wired mode, described therapeutic equipments comprises respirator and anesthetic machine.
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| CN2009200523121U CN201519339U (en) | 2009-03-10 | 2009-03-10 | Critical care and infusion control diagnosis and treatment integration system |
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