CN103816582A - Integrated digital transfusion apparatus and transfusion monitoring and management method thereof - Google Patents
Integrated digital transfusion apparatus and transfusion monitoring and management method thereof Download PDFInfo
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- CN103816582A CN103816582A CN201210380438.8A CN201210380438A CN103816582A CN 103816582 A CN103816582 A CN 103816582A CN 201210380438 A CN201210380438 A CN 201210380438A CN 103816582 A CN103816582 A CN 103816582A
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Abstract
The invention discloses an integrated digital transfusion apparatus and a transfusion monitoring and management method thereof. The integrated digital transfusion apparatus is mainly structurally characterized in that a shell of devices including a control system, a display and the like and a transfusion tube clip and device shell are respectively fixed onto an integrated transfusion support and device shell. A touch display, a microprocessor, a microphone/speaker, a scanner, a wireless network connection device, a miniprinter, a transfusion tube, a Murphy dripper clamping groove, a finger peristaltic pump, a photoelectric droplet detection device, a pressure detector and an ultrasonic bubble detector are mounted on the integrated digital transfusion apparatus. Data acquired by different parts in the transfusion apparatus are used for mutual comparison of transfusion parameters. Software computation and simulation techniques are used during transfusion, and nurses can well know detailed transfusion conditions of each patient in transfusion by directly observing simulated transfusion bottles/bags and tubes and simulated transfusion apparatuses on software of the transfusion apparatuses and software on external computers, setting operation of various transfusion parameters, setting alarm thresholds of the various transfusion parameters and the like.
Description
Technical field
The present invention relates to a kind of medical instruments field, relate in particular to a kind of data of utilizing transfusion tool detection and calculate and combine with analogue technique with computer software, the LAN infusion safety that realization is set up infusion safety monitoring, one or more transfusion instrument and the outer computer of transfusion instrument unit operation and the monitoring of long-range infusion safety.
Background technology
Transfusion is directly to enter one for the treatment of means in body as medicine, and its safety is most important for protection patient's life.At home, common all kinds of infusion alarms of infirmary's transfusion room emerge in an endless stream, large hospital outpatient transfusion room has adopted hand-held PDA/EDA to check the method for patient information more, need to the strict patient who controls transfusion drip speed use infusion pump to infuse, still need to rely on nurse to make an inspection tour observation in patient's major part of ward transfusion.Examine and analyze transfusion flow process, find no matter existing infusion products is simple infusion alarm, hand-held PDA/EDA transfusion system, or intelligentized infusion pump, in flow process, all exist the hidden danger on infusion safety:
1, existing all kinds of infusion alarms are no matter be to adopt which type of principle, its objective is that for can automatic alarm in infusion-completed, prompting nurse and patient infusion be complete, can not carry out monitoring and controlling to all kinds of parameters of infusion process.
2, hand-held PDA/EDA system has in fact only realized the function that flow of infusate and patient's information is checked, can not the own parameter of infusing be monitored and be controlled, can not be infusion-completed automatic alarm prompting nurse and patient's (needing the artificial touch-call nurse of patient).
3, intelligentized infusion pump is along with scientific and technological development, and the type of pump is also more and more, and quality is also become better and better, and the measured peristaltic pump of matter has been eliminated pulsation effect, can stably flow of infusate be clamp-oned in patient body in order.Intelligent peristaltic pump has been equipped with pipeline bubble checkout gear, pressure-detecting device mostly, infrared liquid drop checkout gear.But even if used the intelligent peristaltic pump of above-mentioned various functions, transfusion accident is still continuing generation.2010, the product of multiple internationally famous infusion pump producers was required to recall by FDA Food and Drug Administration (FDA), and the product quantity of recalling is huge, has caused serious transfusion malpractice.FDA reports, the armarium report of the relevant use infusion pump that this innings received at five-year period has 56,000 parts, and wherein about 1% (560) is death report, and 34% (19,040) are severely injured, and all the other are the system failures.
4, in today of hospital digitisation, networking prosperity, lack a kind of software that utilizes all kinds of parameters in transfusion instrument are calculated and the software of simulation process, and parameter to all transfusion instruments and the running status software that carries out networked control and management.
All kinds of transfusion instruments of above-mentioned use can not be eliminated the potential safety hazard that transfusion produces technically completely, and no matter these hidden danger are is greatly little, once occur, are malpracticees.
Summary of the invention
The object of the invention is to: invention Integral digital transfusion instrument, by sensor, the result of infusion pump work is carried out to On line inspection and detect the whether correct operation of infusion program that whether infusion pump is working properly, whether infusion pipeline mates, nurse selects, guaranteed to the full extent the safety of transfusion.
Another object of the present invention is: implement monitoring infusion and the management method of Integral digital transfusion instrument, utilize software in conjunction with transfusion tool detection to Various types of data, realize the object of safe infusion in the omnidistance processing of carrying out information and date of transfusion.
The 3rd object of the present invention is: provide a kind of perfect information of carrying out to check the method feature of the perfect information of transfusion being checked with the method for managing, prevent to input by mistake medicine or input patient by mistake; Detection to Transfusion Prescriptions compatibility and drug use dosage is provided, instructs with the method feature of managing infusion information is carried out to auxiliary judgment, prevent to react to each other between medicine and speed unreasonable.
The 4th object of the present invention is: the method that the monitoring of a kind of infusion process and management be provided to the links in infusion process monitor, the method feature of control and record management, prevent from occurring in infusion process abnormal conditions; Provide a kind of method feature that utilizes transfusion tool interior data mutually to calibrate to realize the true(-)running of accuracy with the transfusion instrument of infusion parameter; A kind of method feature of flow of infusate curve chart trend analysis is provided, help medical personnel control in time transfusion total amount and every kind of medicine instant amount and transfusion trend; A kind of analytical method feature that judges transfusion instrument is provided, helps medical personnel to understand working condition and the service behaviour of transfusion instrument; Provide a kind of and diffuse information to the method feature of transfusion outpatient, help patient to understand about the more drug information of transfusion or other various information; The method feature of realizing bidirectional visual call between a kind of doctors and patients or between medical care is provided, facilitates between doctors and patients and more directly link up sooner.
The 5th object of the present invention is: it is that patient shows the material of various medicines and input medicine the method feature that brings various energy that a kind of infusion-completed is provided, and facilitates patient to understand total material and the energy of this infusion treatment; A kind of method feature that transfusion service is evaluated and fed back is provided, facilitates patient to evaluate transfusion service quality, be conducive to the Continual Improvement of hospital transfusion quality and effectively raising; A kind of feature that information and all kinds of transfusion operation in transfusion overall process is printed to record is provided, facilitates nurse's recorded information on the one hand, offer transfusion outpatient as the report of infusion treatment on the other hand.
The present invention is achieved in that Integral digital transfusion instrument, is fixed with respectively control system and display apparatus shell, infusion pipeline folder door and device housings on described integrated transfusion support and device housings; Inside and outside high-precision weighing sensor, the minisize pick-up head of being separately installed with of crossbearer on this integrated transfusion support and device housings top; In the vertical frame side of described integrated transfusion support and device housings, I end has been fixed infusion apparatus heating device, and II end has been fixed control system and display apparatus shell, and III end has been fixed infusion pipeline folder door and device housings; Touching display screen, microprocessor, mike/loudspeaker, scanning device, wireless network connecting device, mini-printer are installed in described control system and display apparatus shell, have all been connected with microprocessor by circuit; Infusion pipeline and Murphy kettle draw-in groove, finger-like peristaltic pump, photoelectric liquid drop checkout gear, pressure detector, ultrasonic bubble detector are installed in described infusion pipeline folder door and device housings, have been connected with microprocessor by circuit.
The H end that hangs with infusion bottle hook on described infusion support is directly fixed on the R end of high-precision weighing sensor, the R end of high-precision weighing sensor is unsettled, L end is fixed on integrated transfusion support and device housings, and infusion bottle hangs on the o end of infusion bottle hook; The described high-precision weighing sensor being arranged in its top crossbearer of infusion support is one or multiple; When described infusion support ought only have been installed high-precision weighing sensor and other in it and detects and do not comprise the control system of driving pump, in the vertical frame of infusion support, draw-in groove, end frame or other facility for unchangable traditions intelligent peristaltic pump of traditional intelligence infusion pump installed in configuration; Described high-precision weighing sensor has comprised that analog signal sensors and digital transducer and strain chip, condenser type, electromagnetic type are to detect the main various sensors that are changed to of unit interval internal force; This described infusion solution heating device is mainly used in the heating to transfusion bottle/bag/infusion pipeline, or adopts electrical heating, or infrared radiation heating; As apolegamy part, this heating apparatus is with the line being connected with control system or parts, and on Integral digital transfusion instrument, band is useful on the port that connects this heating apparatus line or parts simultaneously.
In the time that Integral digital transfusion instrument disposes two or more high-precision weighing sensor simultaneously, the driving pump in Integral digital transfusion instrument is one or more, control system in described Integral digital transfusion instrument automatically switches to multichannel transfusion control system, in the time a driving pump being only installed in Integral digital transfusion instrument, adopt the infusion pipeline of clinical conventional Multihead liquid feeding, such infusion pipeline has comprised multiple feed liquor pipelines and a fluid pipeline, each feed liquor place on multi-head infusion tube road is connected with each infusion bottle respectively, on Integral digital transfusion instrument, configure multi-head infusion tube an outpost of the tax office groove, be used for laying multi-head infusion tube road, on multi-head infusion tube an outpost of the tax office groove, be provided with respectively the gauge tap for opening and closing each feed liquor pipeline for the place of laying feed liquor pipeline, other place at draw-in groove is provided with the driving pump for driving transfusion, pipeline bubble detector and loine pressure detector, in the time multiple driving pump being installed in Integral digital transfusion instrument, multiple independently infusion pipeline draw-in grooves on Integral digital transfusion instrument, are configured, for laying separately multiple infusion pipelines, in multiple independent draw-in grooves, be provided with respectively infusion pipeline induction apparatus, driving pump system, pipeline bubble detector and loine pressure detector, photoelectric liquid drop detector, transfusion control system at least also comprised the communication interface, memorizer of various auxiliary facilities, with the interface of far-end computer communication, with the communication interface of traditional intelligence infusion pump, when driving pump is not installed in infusion support, when only high precision weight sensor and other all kinds of control system being installed, the essence of this Integral digital transfusion instrument is Integral digital infusion monitor, all kinds of parameters to transfusion are carried out real-time monitoring, and can combine use with outside traditional intelligence infusion pump, when combining use, Integral digital infusion monitor control system can receive the information that existing all kinds of intelligent peristaltic pump provides by connection end.
Described infusion support is mainly by for being supported on ground vertical frame, for hanging the crossbearer of infusion bottle, forming for the pulley at ground moving; For be arranged on the bottom of vertical frame at the pulley of ground moving, crossbearer is arranged on the upper end of vertical frame; Be wherein one or more for hanging the crossbearer of infusion bottle: in the time that infusion support contains a crossbearer, one end of crossbearer or mid portion are fixed in vertical frame, and can horizontally rotate adjusting direction, the other end of crossbearer or two ends hang infusion bottle or for hanging the distribution frame of more infusion bottles; In the time containing multiple crossbearer in infusion support, one end or the mid portion of multiple crossbearers are fixed in vertical frame, and can horizontally rotate adjusting direction, and the other end of multiple crossbearers or two ends hang infusion bottle or for hanging the distribution frame of more infusion bottles; The Integral digital transfusion instrument of simplifying version is made up of described infusion support, infusion test system and transfusion aid system part.
A kind of method of implementing digital transfusion tool monitors and management, combine with transfusion instrument, implement whole process supervision and injection quality to infusing and manage to realize totally digitilized monitoring infusion and the management software of safe infusion, the step that software is implemented whole process supervision and quality management to transfusion is as follows:
Step S01 is all kinds of infusion information that operation nurse inputs patient on transfusion instrument, carry out perfect information by scanner scanning nurse job number, medicine bar code and patient medical record card/wrist strap bar code in transfusion instrument and check, and utilize the mini-printer in transfusion instrument to print various information, step S02 is transfusion operation nurse reminded or arranged in software by transfusion outpatient practical situation transfusion automatically all kinds of operational factors and all kinds of alarm parameters according to doctor's advice, software, and software is preserved the parameter after all kinds of setting and automatically started to control the operation of driving pump and the operation of interior other sensor of transfusion instrument, step S03 is that transfusion instrument shows all kinds of transfusion operational factors, the software mutual calibration function of infusion parameter that brings into operation, and dynamic demonstration transfusion process chart, all kinds of transfusion curve chart, the printer automatic printing " the initial report of infusing " on transfusion instrument, step S04 is that operation nurse and transfusion outpatient can be observed all kinds of infusion parameter of operation and can be reaffirmed or revise all kinds of parameters of operation by transfusion process chart by the touching display screen of transfusion instrument in infusion process, whether the transfusion speed that transfusion instrument automatically detects operation within the scope whether all kinds of infusion parameter and alarm parameters set nurse, actual transfusion speed and setting in infusion process there is flow deviation, automatically play current flow of infusate introduction (pharmaceutical services, Pharmaceutical Care), transfusion education video and other various information introduce, and automatically shows all kinds of warning messages, nurse is maked an inspection tour in transfusion can directly print " report is maked an inspection tour in transfusion " signature on transfusion instrument, the instrument automatic alarm of infusing when infusion parameter extremely or transfusion finishes is reminded on duty/tour nurse and transfusion outpatient, automatically show the input list of substances of medicine and the energy of input, automatic printing " transfusion report ", transfusion marking system is provided simultaneously, is that this transfusion service is marked by patient, step S05 is that one or more transfusion instruments can be networked mutually with outside computer, nurse can be by outer computer by medical personnel's various information, the various information of transfusion outpatient, the various information of medicine sends to by network connection system on the display screen of transfusion instrument, transfusion outpatient and operation nurse can directly check and check infusion information on the touching display screen of transfusion instrument, operate nurse or on transfusion instrument, utilize scanner scanning various kinds of drug bar code by S01 step, patient's wrist strap, nurse's job number card is checked and type information again, step S06 is that transfusion operation nurse is when operating by S02, S03, S04 step, transfusion instrument is synchronized to the Various types of data of generation and operational factor on outer computer by network connection system, totally digitilized monitoring infusion and management software are installed on outer computer, nurse can observe online by software infusion parameter, transfusion flow process figure, the transfusion curve chart category information of each transfusion instrument, thereby recognizes all kinds of infusion information in the transfusion instrument of each transfusion outpatient, step S07 is totally digitilized monitoring infusion and management software synchronous monitoring and the operational factor of managing in each transfusion instrument in outer computer, once find abnormal parameters or infusion-completed, software is reminded the nurse on duty before outer computer automatically, meanwhile, outer computer nurse on duty can enter by different authority levels that alarm parameters arranges interface and transfusion speed arranges interface, reaches the function of Long-distance Control transfusion instrument by different alarm parameters and transfusion speed are set on outside computer software, step S08 be outer computer nurse on duty as required, or online make an inspection tour the directly actual transfusion situation of observation, or carry out video call with transfusion outpatient, in order better to realize infusion information management, all infusion information of the partial database on transfusion instrument and transfusion outpatient or be directly stored on outer computer, finish or directly print all kinds of transfusion reports by the printer on outer computer in transfusion, in the time that this described software is arranged on simple transfusion instrument or infusion monitor, inside do not infuse driving pump or some other detecting sensor, software is monitored the monitoring infusion parameter that other sensor detects equally automatically, and the flow process of pressing monitoring infusion forms the transfusion flow chart of dynamic demonstration, record simultaneously and preserve all infusion parameter, in infusion process, find that infusion parameter exceeds the scope that nurse sets, or infuse by complete, software automatic alarm prompting nurse.
Described combines with transfusion instrument, refers to that software is installed on transfusion instrument itself and/or is installed on the outer computer except transfusion instrument: in the time that software is only installed on transfusion instrument itself, and the each generic operation of software support to single transfusion instrument; Be installed on one or more transfusion instruments simultaneously and be connected with outer computer by diverse network with outer computer, by one or more transfusion instruments while carrying out communication when software is only installed on outer computer or software, by the software on outer computer, the infusion parameter of multiple transfusion instruments is monitored simultaneously and processed; Described manages to realize safe infusion to transfusion enforcement whole process supervision and injection quality, refers to before transfusion the various information inspection of transfusion is checked, and realizes infusion information safety; In infusion process, all kinds of infusion parameter are carried out to automatic monitoring and management, realize infusion parameter safety; After transfusion to the transfusion service quality feedback of mark, promotion infusion safety; Record and preserve the various information of all transfusion outpatients, realize infusion information and can trace to the source.
Perfect information in described step S01 is checked, refer to: on the one hand: operation nurse utilizes scanner scan patients wrist strap bar code/medical record, flow of infusate bar code, the operation nurse card on transfusion instrument, all kinds of infusion information that drug information and nurse are prior-entered on transfusion tool software are compared, and prevent and input medicine by mistake, input by mistake people's phenomenon; On the other hand, transfusion/injectable drug incompatibility data base, drug dose use calculating/mistake minimizing data base, rational use of drug data base, anesthesia medication guide data base and other drug safety Database Systems have been installed on software in transfusion instrument, in the time that flow of infusate is input to transfusion tool software, software moves this type of data base automatically, and whether detection of drugs compatibility exists taboo, the whether correct various medication information of drug dose.
Software in described step S02 is automatically reminded to refer to various kinds of drug transfusion speed data base and transfusion speed computing formula is installed in software, in the time that software detection arrives current flow of infusate title, software is in conjunction with the information of transfusion outpatient, automatically calculate this patient's transfusion speed and be presented on screen, produce prompting message, for operation nurse reference.
The infusion parameter of described step S03 is calibrated the changing value (Grams Per Minute that refers to high-precision weighing sensor in software real time record transfusion instrument and detect infusion bottle inner liquid medicine weight in the unit interval mutually, g/min), the driving pump speed of service (the ml/min that in the equal unit interval, nurse arranges, ml/min), in the equal unit interval, photoelectric liquid drop detector detects the speed (droplet/point of Murphy kettle inner liquid medicine drippage, gtt/min), by a series of data transaction, calculate, comparison and processing, the data moment that software utilizes data that high-precision weighing sensor detects and photoelectric liquid drop detector to detect automatically monitors that driving pump drives the flow of transfusion whether correct, and automatic alarm is pointed out nurse in the time that three's error in data exceedes the scope of nurse's setting, thereby prevent due to driving pump fault, or tube for transfusion uses the infusion flow generation deviation of not mating and cause with transfusion instrument, simultaneously, the transfusion speed (g/min or ml/min) that utilizes data (g/min) that high-precision weighing sensor detects and nurse to set carries out data and calculates and compare processing, and in the time that sensor detects that transfusion speed that data and nurse set is not inconsistent or exceeds the two data deviation scope that nurse sets or exceeds this medicine normal infusion value range automatic alarm prompting nurse, reach and prevent the wrong transfusion speed that brings due to driving pump fault or nurse's maloperation transfusion instrument, on the other hand, whether software is complete or by complete and realize transfusion instrument automatic safe stopping infusion by high-precision sensor data, photoelectric liquid drop detector data, the transfusion of driving pump service data automatic decision, produces warning reminding nurse and transfusion outpatient on outer computer/transfusion instrument simultaneously, have on the one hand, software also utilizes three's data to carry out COMPREHENSIVE CALCULATING, utilizes two close data to judge another data, reminds the production part of another data may need to calibrate again, in described step S03, dynamic demonstration transfusion process chart refers to and utilizes computer graphical/modeling/virtual technology, in conjunction with all kinds of detections and the operational factor of transfusion instrument, realize each component working state simulation demonstration in infusion bottle and bottle inner liquid medicine capacity dynamic analog display, the demonstration of infusion pipeline state simulation, transfusion instrument/instrument, these dynamic analog demenstration figure are combined by transfusion flow process, form the transfusion process chart of dynamic demonstration, utilize the transfusion process chart of dynamic demonstration to reach the dynamic analog display function to whole actual transfusion flow process, simultaneously, when transfusion outpatient carries out Multi-path synchronous transfusion or continuous transfusion, when in transfusion instrument, software receives two or more infusion parameter, software demonstrates the transfusion process chart that contains two or more dynamic demonstration automatically simultaneously, the transfusion process chart of these dynamic demonstration all with actual infusion process in produce or residing all kinds of state be real-time synchronization, on all four, in described step S03, all kinds of transfusion curve charts refer to the analysis chart of the time dependent weight/volume change of dynamic demonstration flow of infusate curve chart and judgement transfusion driving pump quality index, time dependent weight/the volume change of dynamic demonstration flow of infusate curve chart refers to the computed in software method of utilizing, with time and weight/capacity formation time-weight/capacity two-dimensional coordinate, each weight/volume change of infusion bottle inner liquid medicine produces a data point in this coordinate, and weight/capacity number strong point of medicinal liquid is coupled together and just formed dynamic medicinal liquid input quantity change curve trend graph by curve, by every kind of drug weight/volume change in medicinal liquid respectively time produce data point on m-weight/capacity coordinate, the data point respectively medicine of the same race being produced couples together, and has just formed dynamic every kind of medicine input quantity change curve trend graph, the analysis chart of judgement transfusion driving pump quality index refers to all kinds of infusion parameter of utilizing transfusion tool detection to arrive, in conjunction with reference to medical electrical equipment in national standard about the computational methods to metrology and measurement in the safety requirements of infusion pump, within the cycle of transfusion stabilization, sample dripping speed or flow velocity continuously, to drip speed or flow velocity as vertical coordinate, take transfusion time as abscissa, draw out the ascending curve figure of stable period, within multiple stable transfusion cycles by largest percentage error and minimum percent error in loudspeaker pattern counts method computing cycle and must percentage error, take percentage error as vertical coordinate, take transfusion time as abscissa, draw out tubaeform curve chart, in order to the service behaviour of test and judgement transfusion driving pump, the instrument automatic printing " the initial report of infusing " of infusing in described step S03, content has at least comprised infusion parameter information and the operation nurse identity information that the identity information of transfusion outpatient, current flow of infusate information, nurse set.
Described software implementation modeling/virtual technology method is including but not limited to: figure or lines simulation, three-dimensional animation demonstration, virtual reality, the technology that realizes the method includes but not limited to: computer graphics, computer simulation technique, three-dimensional animation technology, multimedia technology, simulation/virtual machine, virtual software technology, the parameter that described infusion bottle and bottle inner liquid medicine capacity dynamic analog display refer in software utilization transfusion instrument goes out the figure/modelling infusion bottle consistent with actual infusion bottle capacity in conjunction with software graphic simulation technical modelling, utilize the instantaneous weight of the infusion bottle inner liquid medicine that in transfusion instrument, high-precision weighing sensor is consecutively detected, in conjunction with computed in software and analogue technique, on software, continuous analog goes out the lasting medicinal liquid weight figure/model changing of medicinal liquid weight, this medicinal liquid weight figure/model that continues to change is put into figure/modelling infusion bottle, realize the graphics/animation demonstration that figure/modelling infusion bottle inner liquid medicine dynamically declines continuously, reach real-time Simulation and demonstrate the process that actual infusion bottle inner liquid medicine declines, described infusion pipeline state simulation demonstration refers to and utilizes software figure/modelling technique and analogue technique, on software, simulate figure on figure/modeled infusion pipeline and pipeline/modeled Murphy kettle, utilize the instant pressure size of the infusion pipeline that transfusion instrument internal pressure detector is consecutively detected, in conjunction with computed in software and analogue technique, on software, the progressive die is drawn up the lasting pressure figure/model changing of pressure, utilize the instant bubbles volume and size of the infusion pipeline that in transfusion instrument, bubble detector is consecutively detected, in conjunction with computed in software and analogue technique, on software, simulate bubbles volume and big or small figure/model, utilize the speed of dripping of Murphy kettle inner liquid medicine that photoelectricity drop detector head detects, in conjunction with computed in software and analogue technique, motion graphics/model that continuous analog drug drop falls on software, pressure figure/the model that continues to change and bubbles volume and big or small figure/model are put into figure/modeled infusion pipeline, realize the graphics/animation demonstration to figure/modeled infusion pipeline internal pressure and bubbles volume and size state, motion graphics/model that medicinal liquid is dripped is continuously put into figure/modeled Murphy kettle, realize the graphics/animation demonstration of drippage continuously of figure/modeled Murphy kettle inner liquid medicine, reach real-time Simulation and demonstrate actual infusion pipeline internal pressure and bubble value, actual Murphy kettle inner liquid medicine is the state demonstration of drippage continuously, in described transfusion instrument/instrument, each component working state simulation demonstration refers to and adopts software figure/modelling technique and analogue technique, on software, simulate figure/modeled transfusion instrument/tool interior part, all kinds of parameters that parameter while utilizing the interior each component working operation of transfusion instrument/instrument arranges in conjunction with nurse, coordinate computed in software technology, the continuous duty of dynamic demonstration transfusion instrument/tool interior part operation on software, reaches real-time Simulation and demonstrates the object of actual transfusion instrument/tool interior part duty, the figure of figure/modelling infusion pipeline of figure/modelling infusion bottle of dynamic demonstration, dynamic demonstration, dynamic demonstration/modelling transfusion instrument/tool interior part is combined by flow process by transfusion technique, just formed the transfusion process chart of whole dynamic demonstration, when in the scope that all kinds of infusion parameter and operational factor are all set nurse, in transfusion instrument, actual operation parameters is consistent with parameter preset, whole transfusion process chart is rendered as green, if find, the infusion parameter of operation has exceeded the scope that nurse sets, or actual inconsistent with the operational factor prestoring in transfusion instrument, the inconsistent graphical parts of transfusion technological process map parameter are rendered as red and continue flicker, produce and report to the police simultaneously, voice message nurse, by the dynamic demonstration of all kinds of figure/models in whole transfusion process chart/model, reach the dynamic analog display function to whole transfusion flow process, realize the whole transfusion process chart of nurse's online observation dynamic demonstration on transfusion instrument or before outer computer, come the actual state of real time monitoring infusion bottle and pipeline, the whether normal practical situation of working condition of transfusion instrument.
In described figure/modelling infusion bottle, be provided with medicinal liquid and allow the scope set-up function changing in unit interval inner capacities/weight, in the permission excursion whether software arranges nurse by the medicinal liquid volume change of automatically monitoring in the unit interval, outside the alarm range whether medicinal liquid surplus arranges nurse, reach real-time online to actual infusion bottle inner liquid medicine capacity continually varying automatic monitoring and tracking effect; In figure/modeled Murphy kettle, be provided with the upper lower limit value alarm range set-up function of medicinal liquid dropleting speed, software changes within the scope of the upper lower limit value whether arranging nurse by the speed of dripping of automatically monitoring in the unit interval, reaches real-time online actual Murphy kettle inner liquid medicine is dripped to fast automatic monitoring and tracking effect; In figure/modelling infusion pipeline, be provided with infusion pipeline acceptable gas bubble size and quantity alarm range, can accept the set-up function of pressure size and the alarm range of persistent period, software, by within the scope of whether monitoring bubble and pressure are set nurse automatically bubble and pressure limit, reaches automatic monitoring and the tracking effect of real-time online to bubble and pressure in actual infusion pipeline; Be provided with the operational factor ultimate value set-up function of all parts at figure/modeled transfusion instrument/transfusion tool interior part, in the automatic monitoring transfusion instrument of software, whether all parts moves in the operational limit parameter area of nurse or manufacturing firm's setting, reaches the automatic monitoring effect whether real-time online normally works to all parts in transfusion instrument.
In the time dependent weight/volume change of described flow of infusate curve chart, scope set-up function and every kind of scope set-up function that drug capacity/weight changes within the unit interval of unit interval inner liquid medicine total capacity/weight change are set, in the scope whether software is set nurse by automatic monitoring unit interval inner liquid medicine total capacity/weight change, every kind of drug capacity/weight change, reach real-time online the instant amount of reality transfusion medicinal liquid capacity and every kind of medicine input quantity is carried out to automatic monitoring and tracking effect; In the analysis chart of described transfusion driving pump quality index, the various analysis charts that prestored when transfusion driving pump normally moves, in the time that software is tested and judge the service behaviour of transfusion driving pump, automatically the analysis chart of generation and all kinds of normal analysis chart prestoring are compared, remind nurse whether to need transfusion driving pump to carry out external calibration.
In described step S04, automatically play flow of infusate introduction (pharmaceutical services, Pharmaceutical Care)/transfusion education video/other various information introduction, refer in transfusion tool software data base and the flow of infusate education video data base that all kinds of flow of infusate are introduced is installed, or for introducing the data base of other various information, when transfusion, software is automatically identified current flow of infusate and is shown the information introduction of this medicine and the education video information of infusing; The mode of information representation includes but not limited to: word, image, picture, photo, video, audio frequency, animation, and content comprises that drug introduction, hospital are introduced, doctor introduces, the various information that needs are play is introduced by medicine producer; Transfusion is maked an inspection tour report and is referred to the instant infusion information report that tour nurse prints in inspection transfusion outpatient process, its content has at least comprised identity information, drug information, the current all kinds of infusion parameter contents of current transfusion outpatient, and by making an inspection tour nurse's Signature Confirmation; When transfusion finishes, automatically show how many input drug substance inventory and input energy refer to software except the contained various materials of the detailed bill, the medicine itself that automatically show this flow of infusate, and automatically calculate and demonstrate every kind of medicine and material is the energy supplement value that patient brings; Automatic alarm refers in transfusion instrument software and has whether automatic identification parameter is abnormal, the function of transfusion residual capacity, when infusion parameter is abnormal, transfusion residual capacity software automatic alarm when complete reminds nurse and transfusion outpatient; Transfusion marking system refers in transfusion instrument transfusion service evaluation and feedback software database is installed, and the tool screen of infusing in the time that transfusion closes to an end demonstrates the doctor relevant to this transfusion, nurse personnel's information; Transfusion outpatient is on touching display screen or utilize the accessory of transfusion instrument to complete the selection of the service quality scoring to medical personnel or the input of suggestion, and software automatically generates the suggestion of each nurse/doctor's scoring and this transfusion is reported and preserved.
In described step S05, one or more transfusion instruments can be networked mutually with outside computer, refer to: software is installed on transfusion instrument and outside computer simultaneously, between transfusion instrument and outer computer, carries out mutual communication by diverse network; In the time that network using Ethernet LAN connects, multiple transfusion instruments are just set up into take outer computer as Surveillance center with outer computer, and the transfusion state of the each transfusion instrument to networking and all kinds of parameter are carried out the monitoring infusion and management LAN of real time and on line monitoring and management; In the time that network using internet connects, multiple long-range transfusion instruments are connected with outer computer by the Internet, now just set up into the outer Surveillance center of outer computer, the transfusion state of the each long-range transfusion instrument to networking and long-range monitoring infusion and the supervising the network that all kinds of parameter is carried out real time and on line monitoring and management.
In described monitoring infusion and management LAN, on outside computer software, install and multiple infusion module corresponding with transfusion instrument, before transfusion, nurse on duty is by patient's infusion information input outer computer, or utilize scanning device/card reader that information on patient medical record card is read on the outer computer being connected with hospital information system, patient's infusion information on outer computer is sent on corresponding transfusion instrument automatically by infusion module, transfusion outpatient takes a seat and waits for transfusion by the identity prompting showing in transfusion tool screen, operation nurse and transfusion outpatient carry out infusion information according to the various information showing in transfusion tool screen to be checked, operation nurse also can utilize the scanner on transfusion instrument to scan outside flow of infusate bar code, transfusion outpatient medical record/wrist strap bar code is checked identity and drug information, the parameter operation that when transfusion, transfusion instrument is set by nurse, and synchronously all kinds of infusion parameter in transfusion instrument are sent in infusion module corresponding in outer computer, in infusion module in outer computer, software shows and records all kinds of infusion information of patient on corresponding transfusion instrument, synchronous dynamic is demonstrated transfusion process chart, the flow of infusate curve chart of each transfusion outpatient, nurse on duty understands each patient's transfusion process and status by observing each transfusion outpatient process chart of infusing dynamically, understands the input quantity development tendency of each patient's flow of infusate by observing flow of infusate curve chart, as required, nurse on duty can enter infusion parameter by licencing key interface is set, contain at this interface that infusion alarming parameter arranges function online and transfusion speed arranges function online: when nurse enters infusion alarming parameter while online function being set, nurse can reset all kinds of alarm parameters of infusing, can be according to practical situation the surplus alarming value to infusion bottle infusion-completed, in the infusion bottle inner liquid medicine unit interval, change bound alarming value, in every kind of pharmaceutical units time, change bound alarming value, drip fast bound alarming value, the bound alarming value of infusion pipeline internal pressure, the size of the interior bubble of infusion pipeline and quantitatively lower limit alarming value, the least residue amount alarming value of battery, permission highest running speed alarming value and the multiple alarm parameters of transfusion driving pump arrange online, parameter after arranging is sent on the software of transfusion instrument by nurse on duty again in being stored in outer computer, realize the real-time monitoring of outer computer to infusion parameter, once the infusion parameter that in outer computer, software discovery transmits is abnormal, outer computer and transfusion instrument will produce alarm nurse on duty and operation nurse simultaneously, in the time that nurse enters transfusion speed and online function is set, nurse can carry out speed adjusting to the transfusion driving pump of infusing, the safety speed of the current flow of infusate of software automatic-prompting, suggestion nurse arranges in the scope of this safe infusion speed, arrange in rear speed parameter is saved in outer computer and automatically send on transfusion instrument, operation nurse confirms the parameter after adjusting on transfusion instrument, and the software on transfusion instrument is again controlled driving pump and moved by the new infusion parameter receiving, outer computer and/or transfusion instrument record nurse's on duty all kinds of online parameters operation automatically, and by the mini-printer printing report on transfusion instrument, in this monitoring infusion and management LAN, on multiple transfusion instruments of outer computer and networking, minisize pick-up head and mike are all installed, nurse on duty directly checks the virtual condition of state and infusion bottle and the transfusion instrument of transfusion outpatient by opening minisize pick-up head, realize online function of making an inspection tour all transfusion outpatients, also can according to special requirement to infusion process record a video with take pictures after be kept in outer computer, or open the direct and patient of minisize pick-up head and mike and carry out video call, transfusion outpatient also can be by the call button on transfusion instrument, transfusion instrument is opened photographic head and mike automatically, be connected to outer computer by the video and intercom system on software, outer computer is opened photographic head and mike after receiving call request automatically, and produce call information, notify nurse on duty and transfusion outpatient to carry out visual dialog, in this monitoring infusion and management LAN, various kinds of drug has been installed in outer computer uses safety database, drug introduction data base, drug manufacture producer information database, transfusion education video data base, hospital/doctor to introduce data base and other media information data base, transfusion score data storehouse, transfusion is front in the time that outer computer receives the drug information of nurse's input, software moves drug use safety database automatically, and whether detection flow of infusate exists the situation of incompatibility or other medicines improper use, when transfusion, outer computer software detects the information of current flow of infusate automatically, and detects in real time the use safety whether transfusion speed that nurse under this medicine sets meets this medicine, simultaneously, play current flow of infusate introduction (pharmaceutical services, Pharmaceutical Care), current drug manufacture producer information, transfusion education video media information to meet the informational needs of transfusion outpatient by transfusion instrument outer computer software automatic on-line, after transfusion, software moves transfusion score data storehouse automatically, transfusion outpatient carries out satisfaction scoring by operation indicating to transfusion service quality, scoring from low to high, represent that satisfaction is from being unsatisfied with satisfaction, patient also can directly leave a message on transfusion instrument touch screen, input needs improved suggestion, these scorings and suggestion are directly kept on outer computer software, software forms recommendation and grade form automatically, recommendation improves not enough and improves injection quality reference for hospital, and grade form is used for examining nurse's service quality, in this monitoring infusion and management LAN, nurse is maked an inspection tour in transfusion only need to press " make an inspection tour and print " key in making an inspection tour transfusion outpatient on transfusion instrument, the current infusion information of mini-printer automatic printing patient on transfusion instrument, makes an inspection tour nurse's signature, in this monitoring infusion and management LAN, the automatic real time on-line monitoring of software record all kinds of infusion parameter of all transfusion outpatients in outer computer, when infusion-completed, automatic alarm is reminded nurse on duty, the report of the transfusion of the mini-printer automatic printing on transfusion instrument simultaneously.
In described long-range monitoring infusion and supervising the network, multiple transfusion instruments for family transfusion are connected with hospital computer by the Internet; In multiple transfusion instruments for family transfusion, the interconnection device that can access the Internet is all installed; And in multiple family transfusion instruments and hospital computer, software of the present invention is all installed; In hospital computer, on software, be provided with multiple infusion module, corresponding with multiple family transfusion instruments in this institute's registration respectively; When multiple family transfusion instrument transfusion, software is synchronized to information separately respectively in multiple infusion module corresponding in hospital computer; Hospital shift nurse can be in hospital computer understands transfusion state and all kinds of infusion parameter of each family transfusion instrument of answering in contrast by observing various information in each infusion module, realize take hospital computer as Surveillance center the transfusion state of the each family transfusion instrument to networking and long-range monitoring infusion and the management system that all kinds of parameter is carried out real time and on line monitoring and management; Hospital shift nurse also can send various information to single or multiple family transfusion instruments by hospital computer software, or carry out video call by the mike and the photographic head that are arranged on hospital computer and family transfusion instrument by software, carry out scene transfusion and instruct, provide better platform for improving long-range infusion safety.
In described step S06, transfusion instrument is synchronized to the Various types of data of generation and operational factor on outer computer software by network connection system, refer to: in outer computer, on totally digitilized monitoring infusion and management software, be provided with multiple infusion module, corresponding with multiple transfusion instruments respectively, when multiple transfusion instrument transfusion, information is separately sent to respectively in multiple infusion module corresponding on outer computer software automatically; In multiple infusion module, except showing the various information, drug information, infusion parameter of transfusion outpatient, software is also demonstrated transfusion process chart, flow of infusate curve chart and other information of each transfusion outpatient according to the interior software synchronization of the information that transmits and transfusion instrument, facilitate nurse on duty before outer computer can get information about the instant transfusion state of every transfusion outpatient.
Nurse on duty before described step S07 peripheral computer can enter by different authority levels that alarm parameters arranges interface and transfusion speed arranges interface, by being set on outside computer software, different alarm parameters and transfusion speed reach the function of Long-distance Control transfusion instrument, if refer to alarm parameters and speed that nurse on duty needs online modification transfusion, after the mandate that need to obtain higher level allows, just can enter transfusion interface is set, after alarm parameters and transfusion speed are reset on outer computer, on transfusion tool software, there will be information, alarm parameters and transfusion speed that operation nurse before need to transfusion instrument or transfusion outpatient carry out resetting after secondary-confirmation could formal onsets.
In described step S08 or directly observe actual transfusion situation as online tour, also can carry out video call with transfusion outpatient, refer on outer computer and multiple transfusion instrument minisize pick-up head and mike are all installed, nurse on duty can directly check the state of transfusion outpatient and the actual status of infusion bottle and transfusion instrument by opening minisize pick-up head, realizes online object of making an inspection tour all transfusion outpatients before computer; Nurse on duty before outer computer click to dial button on computer software, or transfusion outpatient is by the call button on transfusion instrument, transfusion instrument is opened the video call function on mike and photographic head and software automatically, and nurse on duty and transfusion outpatient both sides carry out visual dialogue; In the time that all infusion information of the partial database on software and transfusion outpatient are directly stored on outer computer, flow of infusate is used safety detection on outer computer, to complete, and various kinds of drug introduction/transfusion education video/other video information all or by the nurse on duty on outer computer is specified broadcasting.
The present invention is compared to the good effect of prior art:
1, the integrated design of infusion pump.Existing all infusion pump all need equipment to be fixed on infusion support and to carry out before each transfusion, because infusion pump self is heavier, often likely cause the danger of support tilt when families of patients or nurse accidentally encounter.And this digital infusion pump has adopted integrated design concept, infusion pump and support are combined together, and pulley has been installed in the bottom of equipment, aspect nurse moves.
2, the information that utilize between the interior software of transfusion instrument or outer computer and the interior software of transfusion instrument, coordinates scanner to obtain is carried out cross reference realization transfusion perfect information and is checked.To (perfect information is checked) before transfusion, in (process monitoring and management), rear (suggestion and scoring) whole flow process monitor and manages, guarantee patient's infusion safety.
By observe control system show medicinal liquid capacity in the simulation infusion bottle of screen display and with the comparison of actual infusion bottle inner capacities, and whether the transfusion process chart of dynamic demonstration is normal, whether the service behaviour that can get information about Integral digital transfusion instrument is normal.
3, realized infusion safety third party supervision.By high-precision weighing sensor is independent, the real-time change of infusion bottle inner liquid medicine capacity is carried out to online acquisition, and the pump output data of these data and the driving pump in the equal unit interval are compared in real time, once guarantee that the driving pump amount of pumping into deviation just can be found and be repaired at once.Utilize each parts detect in transfusion instrument data or operational factor in conjunction with software graphic method dynamic demonstration transfusion curve chart, dynamic demonstration flow of infusate total amount and every kind of input quantity variation tendency that medicine is estimated one's own ability, facilitate medical personnel to grasp in time the instant input quantity of every kind of medicine, particularly input anaesthetic or chemotherapeutics specific drugs in mixed solution time, can observe directly easily the independent medicine input quantity change curve of anaesthetic or chemotherapeutics specific drugs, recognize in time the instant input quantity of specific drugs.
4, utilize the mutual calibration function of infusion parameter in transfusion instrument, the information that various kinds of sensors detects in transfusion instrument is carried out on-line monitoring to the actual flow of transfusion driving pump operation, prevents due to the infusion pipeline of transfusion driving pump fault, use and transfusion instrument does not mate, nurse's maloperation causes transfusion actual flow and presets flow generation deviation or wrong infusion flow that maloperation causes.Carry out information recording and information is checked by operating system before to transfusion, guarantee that transfusion outpatient and the medicine of inputting, the speed of transfusion meet doctor's advice and correct.
5, utilize the capacity loss trend of every kind of flow of infusate of Data Dynamic demonstration of high-precision weighing sensor acquisition, help medical personnel to control in time interior variable quantity of unit interval and the instant amount of input of every kind of medicine, assistance nurse or anaesthetist control the use procedure of dangerous drug.Utilize the data of the interior each parts detection of transfusion instrument or the parameter of operation in conjunction with software simulation technology dynamic analog display and the actual consistent transfusion process chart of flow process of infusing, on the one hand, all kinds of infusion parameter in software Real-Time Monitoring transfusion process chart, automatically record and preserve various information and the infusion parameter of transfusion outpatient, once discovery infusion parameter is abnormal or transfusion instrument faults itself, software automatic alarm prompting nurse, has realized infusion information computer automation management; On the other hand, operation nurse is by observing the transfusion process chart of dynamic demonstration before transfusion instrument, and whether the state that can be directly acquainted with all parts operation in transfusion instrument is normal, thereby guarantees patient's infusion safety.
6, utilize printer to print all kinds of infusion information, for infusion treatment provides the operating process of science.The transfusion of printing by objective data is maked an inspection tour report and has greatly been reduced nurse's workload; The dosing report that is recorded and prints has realized the security monitoring to any operation of infusing; After finishing as transfusion, the infusion treatment report of printing consigns to transfusion outpatient, the important component part of infusion safety quality control especially.
7, control system for transfusion outpatient provides, play, drug introduction video playback video information by transfusion education video, improved on the one hand the popular science knowledge of transfusion outpatient, understands scientific and reasonable transfusion content, increases patient's knowledge of medication and infusion treatment knowledge; On the other hand, once there is flow of infusate reaction, the positive cooperation medical personnel that patient can be calm on the basis of understanding knowledge of medication process, and have reduced the contradiction and disputes between doctors and patients, provide favourable basis for doctors and patients get along amiably and peacefully;
8, the transfusion outpatient marking system that control system provides, recognizing of can allowing hospital more can be actual needs the aspect of improving, operation nurse area for improvement in infusion process; By the improvement to not enough place, thereby further promote infusion safety.
9, Integral digital transfusion instrument adopts the use that matches of multiple high-precision sensors and one or more driving pump, Automatic Control while having realized multiple infusion bottle continuous transfusions and synchronous transfusion, change bottle operation midway without nurse, when having reduced nurse job amount, also realized continuous/synchronous security control of infusing of many bottle liquid medicines.
10, Integral digital transfusion instrument can be connected with far-end computer (as nursing station computer) by LAN, forms the safe infusion LAN system that is Surveillance center by far-end computer; In this network system, all Integral digital transfusion systems in the information of far-end computer and this network are realized both-way communication: nurse can send to the medicine on far-end computer and patient information the Integral digital transfusion system of appointment, nurse can observe transfusion process chart and other any information and the transfusion process of every transfusion outpatient before far-end computer, and nurse can carry out visual call several functions with transfusion outpatient.Realize that infusion safety compartmentalization, infusion management are scientific, the infusion safety new standard of controlledization of injection quality, protected to the full extent the infusion treatment safety of transfusion outpatient.
11, utilize outer computer software to complete on-line monitoring, control and management or remote monitoring and the management to one or more transfusion instrument intrinsic parameters and state by networking mode; Software coordinates transfusion instrument to realize that prescription order input computer, information are checked electronization, infusion parameter is moved the multiple advanced transfusion means of controlledization, has protected to the full extent patient's infusion safety.On the other hand, the system of networking has greatly reduced nurse's workload, has improved nurse job efficiency, has reduced the nurses manpower cost of hospital, has realized science transfusion, reasonable transfusion, safe infusion.
12, utilize transfusion instrument or outer computer to provide all kinds of flow of infusate information and transfusion education video out of Memory for transfusion outpatient, facilitate transfusion outpatient to accept more medicine and the universal knowledge of transfusion, visual phone system facilitates doctor and patient to link up in time faster and more easily; Software support carries out all kinds of transfusion reporting printings in each process of transfusion, make an inspection tour report, infusion medicine-feeding report, transfusion reporting printing as infused, be conducive on the one hand the flow process of standard transfusion operation, all kinds of transfusions of printing on the other hand report to doctor and patient all provides the objective evidence of transfusion.
13, utilize software on transfusion instrument or outer computer by the Internet, long-range transfusion instrument to be guarded and management, allow the safety of family transfusion become a reality.Because old people sharply increases, medical treatment cost rises steadily, part patient particularly external transfusion outpatient major part is chosen in family and infuses, and the safety of family transfusion has been protected in appearance of the present invention to the full extent.
Accompanying drawing explanation
Fig. 1 is the perspective view of Integral digital transfusion instrument of the present invention.
Fig. 2 is the perspective view of multichannel list pump Integral digital transfusion instrument of the present invention.
Fig. 3 is the perspective view of many pumps of multichannel Integral digital transfusion instrument of the present invention.
Fig. 4 is that the present invention simplifies an edition wherein a kind of perspective view for Integral digital transfusion instrument
Fig. 5 is the application flow schematic diagram of realizing software of the present invention.
Fig. 6 is that application network of the present invention is opened up cloth schematic diagram.
Fig. 7 realizes the schematic diagram that software inhouse of the present invention divides the curve chart of infusing.
Fig. 8 is that software application of the present invention is in the embodiment schematic diagram of the complicated transfusion instruments such as Integral digital infusion pump.
Fig. 9 is that software application of the present invention is in the LAN application schematic diagram of multiple transfusion instruments and outer computer establishment.
Figure 10 is that software application of the present invention is in the Internet of long-range monitoring infusion monitoring infusion schematic diagram.
Figure 11 can realize the schematic diagram that software inhouse of the present invention divides the process chart of infusing.
The specific embodiment
The perspective view of Integral digital transfusion instrument of the present invention is as shown in Figure 1 known, and Integral digital transfusion instrument primary structure is that the device housings 2 such as control system and display, infusion pipeline folder door and device housings 16 are separately fixed on integrated transfusion support and device housings 1.
Wherein: at inside and outside high-precision weighing sensor 4, the minisize pick-up head 11 installed respectively of top crossbearer of integrated transfusion support and device housings 1.The H end of infusion bottle hook 6 is directly fixed on the R end of high-precision weighing sensor 4 on, and the R end of high-precision weighing sensor 4 is unsettled, L holds and is fixed on integrated transfusion support and device housings 1, and infusion bottle 5 hangs over infusion bottle and links up with on 6 o end.In the vertical frame side of integrated transfusion support and device housings 1, I end has been fixed infrared heating device 37, and II end has been fixed the device housings such as control system and display 2, and III end has been fixed infusion pipeline folder door and device housings 16.At interior touching display screen 3, microprocessor 18, mike/loudspeaker 20, scanning device 19, wireless network connecting device 17, the mini-printer 7 installed of the device housings such as control system and display 2; At infusion pipeline folder door and interior infusion pipeline and Murphy kettle draw-in groove 10, finger-like peristaltic pump 13, photoelectric liquid drop checkout gear 12, pressure detector 14, the ultrasonic bubble detector 15 installed of device housings 16.High-precision weighing sensor 4, minisize pick-up head 11, touching display screen 3, finger-like peristaltic pump 13, photoelectric liquid drop checkout gear 12, pressure detector 14, ultrasonic bubble detector 15, mike/loudspeaker 20,, scanning device 19, wireless network connecting device 17, mini-printer 7, infrared heating device 37 be all connected with microprocessor 18 by circuit.
Start before transfusion, operation nurse utilizes touching display screen 3 input operation nurse numberings, patient information and drug information, and utilizes mini-printer 7 to print infusion information; Or read the various information of transfusion outpatient from outside computer (as nursing station computer) or other network system (as the HIS of hospital) by wireless network connecting device 17, and the various information of transfusion outpatient is directly presented on touching display screen 3, operation nurse can utilize scanning device 19 to scan nurse's job number, transfusion outpatient medical record/wrist strap bar code, flow of infusate bar code again to check all kinds of infusion information of transfusion outpatient.Various information after checking is saved and can prints by mini-printer 7 on microprocessor 18.
While starting to infuse, operation nurse is placed on transfusion bottle/bag 5 on infusion bottle hook 6, high-precision weighing sensor 4 perceives the weight of transfusion bottle/bag 5 on infusion bottle hook 6, and the weight signal of perception is transferred on microprocessor 18 by circuit, microprocessor 18, by computing and software simulation technology, demonstrates figure infusion bottle and the bottle inner capacities of the simulation consistent with actual infusion bottle and bottle inner capacities percentage ratio on touching display screen 3.Whether operation nurse observes infusion bottle and the bottle inner capacities on touch formula display screen 3, simulated consistent with actual transfusion bottle/bag 5 and bottle inner capacities.Meanwhile, operation nurse opens infusion pipeline folder door and device housings 16, infusion pipeline 8 and tube for transfusion Murphy kettle 9 are put into infusion pipeline and Murphy kettle draw-in groove 10 and infusion pipeline folder door and device housings 16 are fastened, and whether infusion pipeline folder door and device housings 16 automatic sensing device housings are closed tight.Now, operation nurse can start transfusion speed calculation procedure according to actual needs, on touching display screen 3, input the various information such as body constitution, body weight of transfusion outpatient according to software prompt, the correct speed needing when microprocessor 18 calculates current medication infusion automatically, regulates/arranges transfusion speed reference for operation nurse, or operation nurse directly inputs transfusion speed at touching display screen 3 by doctor's advice, or computer is automatically by the correct infusion program of medicament selection, after confirming, in touching display screen 3 automatic display systems, the transfusion process chart operational factor of acquiescence (comprises number of bubbles warning limit value, pressure alarm limit value, the various transfusion flow process alarm parameters such as residual capacity of battery alarming value, nurse can reset parameter as required), the transfusion speed that after confirming, microprocessor 18 arranges by operation nurse and the transfusion technological process graph parameter of system default start to control finger-like peristaltic pump 13 and turn round, finger-like peristaltic pump 13 starts effectively to push infusion pipeline 8 by the instruction repertorie in microprocessor 18, medicinal liquid in infusion pipeline 8 is pumped in transfusion outpatient body, mini-printer 7 starts automatic printing Initial Report.On the other hand, microprocessor 18 is processed the instantaneous weight data of transfusion bottle/bag 5 and the data of the tube for transfusion Murphy kettle 9 inner liquid medicine drippages that photoelectric liquid drop checkout gear 12 detects that high-precision weighing sensor 4 detects in real time, microprocessor 18 is compared the operational data of finger-like peristaltic pump 13 in the image data of high-precision weighing sensor 4 in the unit interval and equal unit interval automatically at every turn, coordinate the detection data of photoelectric liquid drop checkout gear 12 in the equal unit interval, by software series of computation, realize many-sided real time on-line monitoring transfusion speed, guarantee the correct also object of safe operation of transfusion speed.Microprocessor 18 automatic on-lines detect the operation of all kinds of infusion parameter, by computed in software and analogue technique, on touching display screen 3, show the transfusion process chart of dynamic demonstration, the transfusion curvilinear trend figure of dynamic demonstration, nurse can recognize by the transfusion process chart of direct observation dynamic demonstration whether all parts in integrated transfusion pump breaks down maybe needs calibration, can recognize instant input quantity and the variation tendency of every kind of flow of infusate by the transfusion curve of direct observation dynamic demonstration, thereby it is correct to realize infusion parameter, integrated transfusion pump moves in controlled safety range.In addition, microprocessor 18 provides transfusion education video and pharmaceutical services (Pharmaceutical care) function, in the time of transfusion stabilization, microprocessor 18 is opened video playback capability automatically, play the points for attention of transfusion and introduce current drug information of infusing (as the knowledge such as pharmacology, toxicity of medicine) to transfusion outpatient to the patient who is infusing, improve the knowledge of medical science of transfusion outpatient.Simultaneously, in ICU transfusion or run into while doing major operation (as organ transplantation) transfusion, nurse can be according to actual needs, by touching display screen 3 to arranging heating-up temperature, the duration of heat etc. of infrared heating device 37, after arranging, control infrared heating device 37 by microprocessor 18 transfusion bottle/bag 5 and infusion pipeline 8 are heated, by helping the fast quick-recovery body temperature of patient in warm medicinal liquid input patient body.Moreover, at the transfusion outpatient special to some, as psychotic forces transfusion, patients with infectious diseases isolation transfusion etc., nurse can be according to actual needs, on touching display screen 3, infusion process is recorded a video, control minisize pick-up head 11 by microprocessor 18 infusion process is carried out to recording monitor, the data of video recording is kept on microprocessor 18.During this period, nurse's dosing, the generation of changing bottle, any actions such as heating of regulating the speed, make an inspection tour, infuse all excite microprocessor 18 to control mini-printer 7 automatic printing various information reports.Microprocessor 18 detects that transfusion is by complete, the automatic control of one side finger-like peristaltic pump 13 is out of service and utilize finger-like peristaltic pump 13 cards to push down infusion pipeline 8, make infusion pipeline 8 inner liquid medicines stop flowing, there is audio alert notice operation nurse by mike/loudspeaker 20 and come for transfusion outpatient service in microprocessor 18 on the other hand.
When transfusion finishes, touching display screen 3 shows transfusion marking system automatically, transfusion outpatient is marked to it by operation nurse service quality: 1 point-dissatisfied, 3 points-be satisfied in the main, 5 points-satisfied, 7 points-very satisfied, the transfusion outpatient all kinds of suggestions of also can directly leaving a message, all scorings and suggestion message are sent to microprocessor 18 and are saved by touching display screen 3; Hospital carries out service quality examination and carries out all kinds of improvement according to suggestion every bit manipulation nurse according to the scoring of preserving and message, thereby improves transfusion service quality, improves infusion safety.Mini-printer 7 automatic printing transfusion conclude reports, consign to transfusion outpatient (or school oneself keep preserve) using the initial report of transfusion of printing continuously, the report of all kinds of transfusion operation, transfusion conclude report as the treatment report of this transfusion by operation nurse.
The equipment structure chart of multichannel list pump Integral digital transfusion instrument of the present invention is as shown in Figure 2 known, when Integral digital transfusion instrument disposes two or more high-precision weighing sensors simultaneously, when a driving pump, multichannel transfusion control system is controlled special infusion pipeline (as Y shape infusion pipeline or other multi-head infusion tube road) and the operation of driving pump by program, realizing the overall process that multiple infusion bottles are infused continuously or synchronously automatically controls and monitors, reach the object that completes continuous safe infusion in infusion process without operation nurse changes bottle.Multichannel list pump Integral digital transfusion instrument primary structure is that the device housings 2 such as multichannel control system and display, Multi-way infusion tube road folder door and device housings 16 are separately fixed on integrated transfusion support and device housings 1 equally.
Wherein: at inside and outside high-precision weighing sensor 4a, high-precision weighing sensor 4b, the minisize pick-up head 11 installed respectively of top crossbearer of integrated transfusion support and device housings 1.The U end of high-precision weighing sensor 4a is directly fixed on integrated transfusion support and device housings 1, and V holds unsettled and is connected with the H end of infusion bottle hook 6a; The W end of high-precision weighing sensor 4b is directly fixed on integrated transfusion support and device housings 1, and Y holds unsettled and is connected with the H end of infusion bottle hook 6b; Transfusion bottle/bag 5a and transfusion bottle/bag 5b are hung in the o end of infusion bottle hook 6a and infusion bottle hook 6b.Minisize pick-up head 11 is directly fixed on the X end of integrated transfusion support and device housings 1.At interior touching display screen 3, microprocessor 18, mini-printer 7, mike/loudspeaker 20, scanning device 19, the radio network device 17 etc. installed of the device housings such as multichannel control system and display 2.At Multi-way infusion tube road folder door and interior photoelectric liquid drop checkout gear 12a, photoelectric liquid drop checkout gear 12b, pipe-line control valve door 39a, pipe-line control valve door 39b, finger-like peristaltic pump 13, pressure detector 14, ultrasonic bubble detector 15, Y shape infusion pipeline and the Murphy kettle draw-in groove 10 ' etc. installed of device housings 16.The Detection & Controling equipment such as high-precision weighing sensor 4a, high-precision weighing sensor 4b, photoelectric liquid drop checkout gear 12a, photoelectric liquid drop checkout gear 12b, pipe-line control valve door 39a, pipe-line control valve door 39b, finger-like peristaltic pump 13, pressure detector 14, ultrasonic bubble detector 15, mini-printer 7, scanning device 19, mike/loudspeaker 20, minisize pick-up head 11, touching display screen 3, radio network device 17 are connected with microprocessor 18 by circuit.High-precision weighing sensor 4a, high-precision weighing sensor 4b are respectively used to the instant variable quantity of monitoring transfusion bottle/bag 5a and transfusion bottle/bag 5b inner liquid medicine weight; Photoelectric liquid drop checkout gear 12a, photoelectric liquid drop checkout gear 12b are respectively used to the interior liquid drop speed of Murphy kettle in monitoring transfusion bottle/bag 5a and transfusion bottle/bag 5b; Pipe-line control valve door 39a, pipe-line control valve door 39b are respectively used to the unlatching and closure of the infusion pipeline of control connection transfusion bottle/bag 5a and transfusion bottle/bag 5b; Finger-like peristaltic pump 13 is for driving infusion pipeline inner liquid medicine; Pressure detector 14 is for detection of the pressure in infusion pipeline; Ultrasonic bubble detector 15 is for detection of the bubble in infusion pipeline; Mini-printer 7 is for printing all kinds of transfusion reports; Scanning device 19 is for scan patients medical record, medicine bar code and nurse's job number; Mike/loudspeaker 20 and minisize pick-up head 11 are for the visual call of doctor and patient; Touching display screen 3 operates for device systems; Microprocessor 18 includes multichannel monitoring infusion and warning system software; Radio network device 17 is for connecting the network of outer computer.
Start before transfusion, operation nurse utilizes touching display screen 3 input operation nurse numberings, patient information and drug information, and utilizes mini-printer 7 to print infusion information; Or read the various information of transfusion outpatient from outside computer (as nursing station computer) or other network system (as the HIS of hospital) by wireless network connecting device 17, and the various information of transfusion outpatient is directly presented on touching display screen 3, operation nurse can utilize scanning device 19 to scan nurse's job number, transfusion outpatient medical record/wrist strap bar code, flow of infusate bar code again to check all kinds of infusion information of transfusion outpatient.Various information after checking is saved and can prints by mini-printer 7 on microprocessor 18.
In the time starting transfusion, operation nurse opens Multi-way infusion tube road folder door and device housings 16, and Y shape infusion pipeline 38 ' is put into Y shape infusion pipeline and Murphy kettle draw-in groove 10 ', and Multi-way infusion tube road folder door and device housings 16 are fastened; According to doctor's advice or actual needs, infusion model (continuous transfusion or synchronously transfusion) and infusion parameter are set.In the time being set to continuous transfusion, infusion program control piper by-pass valve control 39a and pipe-line control valve door 39b open one of them.Under the pattern of continuous transfusion: finger-like peristaltic pump 13 first carries out fast evacuation to the air in Y shape infusion pipeline 38 ' according to nurse operation, emptying rear microprocessor 18 control piper by-pass valve control 39a open, pipe-line control valve door 39b closes, and the correct speed needing while automatically calculating medication infusion in transfusion bottle/bag 5a, for operation nurse regulating transfusion speed reference, or operation nurse by doctor's advice directly at the transfusion speed of touching display screen 3 interior input transfusion bottle/bag 5a and transfusion bottle/bag 5b, or medicine infusion program separately in the interior direct selection transfusion bottle/bag 5a of touching display screen 3 and transfusion bottle/bag 5b, after confirming, the multichannel transfusion technological process graph parameter of touching display screen 3 display system acquiescences (comprises number of bubbles warning limit value, pressure alarm limit value, the various transfusion flow process alarm parameters such as residual capacity of battery alarming value, nurse can reset parameter as required), the transfusion speed that after confirming, microprocessor 18 arranges by operation nurse and the multichannel of system default transfusion technological process graph parameter start to control finger-like peristaltic pump 13 and turn round, finger-like peristaltic pump 13 starts effectively to push Y shape infusion pipeline 38 ' by the instruction repertorie in microprocessor 18, medicinal liquid in the transfusion bottle/bag 5a communicating with Y shape infusion pipeline 38 ' is transfused in patient body.Mini-printer 7 starts automatic printing Initial Report.
During this period, the instantaneous weight data of the microprocessor 18 transfusion bottle/bag 5a that processing high-precision weighing sensor 4a detects in real time and the data that photoelectric liquid drop checkout gear 12a detects, microprocessor 18 is compared the operational data of finger-like peristaltic pump 13 in the image data of high-precision weighing sensor 4a in the unit interval and equal unit interval automatically at every turn, coordinate the detection data of photoelectric liquid drop checkout gear 12a in the equal unit interval, by software series of computation, realize many-sided real time on-line monitoring transfusion speed, guarantee the correct also object of safe operation of transfusion speed.
Microprocessor 18 automatic on-lines detect the operation of all kinds of infusion parameter, on touching display screen 3, show the transfusion process chart of dynamic demonstration, the transfusion curvilinear trend figure of dynamic demonstration, nurse can recognize by the transfusion process chart of direct observation dynamic demonstration whether all parts in integrated transfusion pump breaks down maybe needs calibration, can recognize instant input quantity and the variation tendency of every kind of flow of infusate by the transfusion curve of direct observation dynamic demonstration, realize all parameters of transfusion correct, Integral digital transfusion instrument moves in controlled safety range.Microprocessor 18 provides transfusion education video to play automatically, points for attention and all kinds of safeguard procedures while introducing transfusion, automatically introduce the drug information (pharmaceutical services that current transfusion bottle/bag 5a is infusing simultaneously, Pharmaceutical care) give transfusion outpatient, improve the knowledge of medical science of transfusion outpatient.Medicinal liquid in microprocessor 18 detects transfusion bottle/bag 5a is by infusion-completed, the microprocessor 18 by-pass valve control 39a that automatically blinds off a line, and stop finger-like peristaltic pump 13 and move, open pipeline by-pass valve control 39b simultaneously; High-precision weighing sensor 4b detects the weight change of transfusion bottle/bag 5b, and automatically the data upload changing being arrived to microprocessor 18, microprocessor 18 receives the data of high-precision weighing sensor 4b and by operation nurse, the predefined speed controlling finger-like of transfusion bottle/bag 5b peristaltic pump 13 is brought into operation again.Now the medicinal liquid in transfusion bottle/bag 5b is transfused in patient body.Mini-printer 7 starts the report of automatic printing changing bottle of infusion.Microprocessor 18 is compared the operational data of finger-like peristaltic pump 13 in the image data of high-precision weighing sensor 4b in the unit interval and equal unit interval automatically at every turn, coordinate the detection data of photoelectric liquid drop checkout gear 12b in the equal unit interval, by software series of computation, realize the correct and safe operation of transfusion speed.Microprocessor 18 automatic on-lines detect the operation of all kinds of infusion parameter, on touching display screen 3, show transfusion process chart, the transfusion curvilinear trend figure of dynamic demonstration etc. of dynamic demonstration, all parameters of realization transfusion are correct, Integral digital transfusion instrument moves in controlled safety range.Microprocessor 18 is introduced drug information that current transfusion bottle/bag 5b infusing automatically to transfusion outpatient, improves the knowledge of medical science of transfusion outpatient.When microprocessor 18 detects that transfusion bottle/bag 5b inner liquid medicine is by complete, the microprocessor 18 by-pass valve control 39b that automatically blinds off a line, and stop finger-like peristaltic pump 13 and move, utilize finger-like peristaltic pump 13 cards to push down Y shape infusion pipeline 38 ', make Y shape infusion pipeline 38 ' inner liquid medicine stop flowing, there is audio alert notice operation nurse by mike/loudspeaker 20 and come for transfusion outpatient service in microprocessor 18 on the other hand.
When transfusion finishes, touching display screen 3 shows transfusion marking system automatically, transfusion outpatient is marked to it by operation nurse service quality: 1 point-dissatisfied, 3 points-be satisfied in the main, 5 points-satisfied, 7 points-very satisfied, the transfusion outpatient all kinds of suggestions of also can directly leaving a message, all scorings and suggestion are sent to microprocessor 18 and are saved by touching display screen 3.Mini-printer 7 automatic printing transfusion conclude reports, consign to transfusion outpatient using the initial report of transfusion of printing continuously, all kinds of transfusion operation report (as maked an inspection tour report, dosing report, changing bottle report etc.), transfusion conclude report as this transfusion report by operation nurse.
In the time being set to synchronous transfusion, pipe-line control valve door 39a and pipe-line control valve door 39b are unlocked simultaneously.Finger-like peristaltic pump 13 carries out fast evacuation according to nurse operation to the air in Y shape infusion pipeline 38 ', meanwhile, microprocessor 18 calculates the correct speed that current all medication infusions need automatically, and the correct transfusion speed of every kind of medicine is presented on touching display screen 3, sets rational transfusion speed for referencial use for operation nurse, or operation nurse is by the directly speed parameter in the time that the interior input of touching display screen 3 mixes transfusion of doctor's advice, or select correct mixing infusion program, after confirming, touching display screen 3 shows that the multichannel transfusion technological process graph parameter of acquiescence (comprises number of bubbles warning limit value, pressure alarm limit value, the various transfusion flow process alarm parameters such as residual capacity of battery alarming value, nurse can reset parameter as required), the transfusion speed that after confirming, microprocessor 18 arranges by operation nurse and the multichannel of system default transfusion technological process graph parameter start to control finger-like peristaltic pump 13 and turn round, finger-like peristaltic pump 13 starts effectively to push Y shape infusion pipeline 38 ' by the instruction repertorie in microprocessor 18, medicinal liquid in transfusion bottle/bag 5a and the transfusion bottle/bag 5b communicating with Y shape infusion pipeline 38 ' is inputted in patient body simultaneously.Mini-printer 7 starts automatic printing Initial Report.During this period, microprocessor 18 is compared the operational data of finger-like peristaltic pump 13 in the image data of high-precision weighing sensor 4a in the unit interval and high-precision weighing sensor 4b and equal unit interval automatically at every turn, coordinate the detection data of interior photoelectric liquid drop checkout gear 12a of equal unit interval and photoelectric liquid drop checkout gear 12b, by software series of computation, realize the correct and safe operation of transfusion speed.Microprocessor 18 automatic on-lines detect the operation of all kinds of infusion parameter, on touching display screen 3, show transfusion process chart, the transfusion curvilinear trend figure of dynamic demonstration etc. of dynamic demonstration, all parameters of realization transfusion are correct, Integral digital transfusion instrument moves in controlled safety range.Microprocessor 18 provides transfusion education video automatically, and automatically introduces current drug information of infusing to transfusion outpatient, improves the knowledge of medical science of transfusion outpatient.When microprocessor 18 detects that transfusion bottle/bag 5a or any one bottle/bag inner liquid medicine of transfusion bottle/bag 5b are by complete, microprocessor 18 cuts out the pipe-line control valve door being connected with this transfusion bottle/bag automatically, finger-like peristaltic pump 13 continues operation, until microprocessor 18 detects that another transfusion bottle/bag inner liquid medicine is by complete.Now, pipe-line control valve door 39a and pipe-line control valve door 39b Close All, finger-like peristaltic pump 13 is out of service, and finger-like peristaltic pump 13 cards are pushed down Y shape infusion pipeline 38 ', and Y shape infusion pipeline 38 ' inner liquid medicine stops flowing.Meanwhile, there is audio alert notice operation nurse by mike/loudspeaker 20 and come for transfusion outpatient service in microprocessor 18.
When transfusion finishes, touching display screen 3 shows transfusion marking system automatically, transfusion outpatient is marked to it by operation nurse service quality: 1 point-dissatisfied, 3 points-be satisfied in the main, 5 points-satisfied, 7 points-very satisfied, the transfusion outpatient all kinds of suggestions of also can directly leaving a message, all scorings and suggestion are sent to microprocessor 18 and are saved by touching display screen 3.When transfusion finishes, mini-printer 7 automatic printing transfusion conclude reports, consign to transfusion outpatient using the initial report of transfusion of printing continuously, all kinds of transfusion operation report (as maked an inspection tour report, dosing report, changing bottle report etc.), transfusion conclude report as this transfusion report by operation nurse.
Many pumps of multichannel Integral digital transfusion instrument perspective view of the present invention is as shown in Figure 3 known, when Integral digital transfusion instrument disposes two or more high-precision weighing sensors simultaneously, when two or more driving pump, multichannel transfusion control system in Integral digital transfusion instrument carries out respectively independent control by program to infusion pipeline and driving pump, realizing the overall process that multiple infusion bottles are infused continuously or synchronously by transfusion speed separately automatically controls and monitors, reach in infusion process without nurse operation, the object that the infusion safety that multiple friction speed is carried out in automatic control simultaneously carries out.Its primary structure of many pumps of multichannel Integral digital transfusion instrument is that the device housings 2 such as multichannel control system and display, Multi-way infusion tube road folder door and device housings 16 are separately fixed on integrated transfusion support and device housings 1 too.
Wherein: at inside and outside high-precision weighing sensor 4a, high-precision weighing sensor 4b, the minisize pick-up head 11 installed respectively of top crossbearer of integrated transfusion support and device housings 1.The U end of high-precision weighing sensor 4a is directly fixed on integrated transfusion support and device housings 1, and V holds unsettled and is connected with the H end of infusion bottle hook 5a; The W end of high-precision weighing sensor 4b is directly fixed on integrated transfusion support and device housings 1, and Y holds unsettled and is connected with the H end of infusion bottle hook 5b; Transfusion bottle/bag 5a and transfusion bottle/bag 5b are hung in the o end of infusion bottle hook 5a and infusion bottle hook 5b.Minisize pick-up head 11 is directly fixed on the X end of integrated transfusion support and device housings 1.At interior touching display screen 3, microprocessor 18, mini-printer 7, mike/loudspeaker 20, scanning device 19, the radio network device 17 etc. installed of the device housings such as multichannel control system and display 2.At Multi-way infusion tube road folder door and interior photoelectric liquid drop checkout gear 12a, photoelectric liquid drop checkout gear 12b, finger-like peristaltic pump 13a, finger-like peristaltic pump 13b, pressure detector 14a, pressure detector 14b, ultrasonic bubble detector 15a, ultrasonic bubble detector 15b, infusion pipeline and Murphy kettle draw-in groove 10a, infusion pipeline and the Murphy kettle draw-in groove 10b etc. of having installed of device housings 16.High-precision weighing sensor 4a, high-precision weighing sensor 4b, photoelectric liquid drop checkout gear 12a, photoelectric liquid drop checkout gear 12b, finger-like peristaltic pump 13a, finger-like peristaltic pump 13b, pressure detector 14a, pressure detector 14b, ultrasonic bubble detector 15a, ultrasonic bubble detector 15b, mini-printer 7, scanning device 19, mike/loudspeaker 20, minisize pick-up head 11, touching display screen 3, radio network device 17 equipment such as Detection & Controling such as grade are connected with microprocessor 18 by circuit.High-precision weighing sensor 4a, high-precision weighing sensor 4b are respectively used to the instant variable quantity of monitoring transfusion bottle/bag 5a and transfusion bottle/bag 5b inner liquid medicine weight; Photoelectric liquid drop checkout gear 12a, photoelectric liquid drop checkout gear 12b are respectively used to the interior liquid drop speed of Murphy kettle in monitoring transfusion bottle/bag 5a and transfusion bottle/bag 5b; Finger-like peristaltic pump 13a and finger-like peristaltic pump 13b are respectively used to drive infusion pipeline 38a and infusion pipeline 38b inner liquid medicine, and infusion pipeline 38a communicates with transfusion bottle/bag 5a, and infusion pipeline 38b communicates with transfusion bottle/bag 5b; Pressure detector 14a and pressure detector 14b are respectively used to detect the pressure in infusion pipeline 38a and infusion pipeline 38b; Ultrasonic bubble detector 15a and ultrasonic bubble detector 15b are respectively used to detect the bubble in infusion pipeline 38a and infusion pipeline 38b; Mini-printer 7 is for printing all kinds of transfusion reports; Scanning device 19 is for scan patients medical record, medicine bar code and nurse's job number; Mike/loudspeaker 20 and minisize pick-up head 11 are for the visual call of doctor and patient; Touch formula display screen 3 operates for device systems; Microprocessor 18 includes multichannel monitoring infusion and warning system software; Radio network device 17 is for connecting the network of outer computer.
Start before transfusion, operation nurse utilizes touching display screen 3 input operation nurse numberings, patient information and drug information, and utilizes mini-printer 7 to print infusion information; Or read the various information of transfusion outpatient from outside computer (as nursing station computer) or other network system (as the HI S of hospital) by wireless network connecting device 17, and the various information of transfusion outpatient is directly presented on touching display screen 3, operation nurse can utilize scanning device 19 to scan nurse's job number, transfusion outpatient medical record/wrist strap bar code, flow of infusate bar code again to check all kinds of infusion information of transfusion outpatient.Various information after checking is saved and can prints by mini-printer 7 on microprocessor 18.
In the time starting to infuse, operation nurse opens Multi-way infusion tube road folder door and device housings 16, infusion pipeline 38a is put into infusion pipeline and Murphy kettle draw-in groove 10a, infusion pipeline 38b puts into infusion pipeline and Murphy kettle draw-in groove 10b, and Multi-way infusion tube road folder door and device housings 16 are closed, Multi-way infusion tube road folder door and device housings 16 automatically detect close whether qualified; Now nurse, according to doctor's advice or actual needs, arranges infusion model (continuous transfusion or synchronously transfusion) and infusion parameter.In the case, high-precision weighing sensor 4a, photoelectric liquid drop checkout gear 12a, finger-like peristaltic pump 13a, pressure detector 14a, ultrasonic bubble detector 15a monitor and drive as independently detecting with the medicinal liquid in the drive system couple transfusion bottle/bag 5a being connected with infusion pipeline 38a; High-precision weighing sensor 4b, photoelectric liquid drop checkout gear 12b, finger-like peristaltic pump 13b, pressure detector 14b, ultrasonic bubble detector 15b monitor and drive as another set of independently detection with the medicinal liquid in the drive system couple transfusion bottle/bag 5b being connected with infusion pipeline 38b.In the time being set to continuous transfusion pattern, finger-like peristaltic pump 13a controlled by many pumps of multichannel Integral digital transfusion instrument microprocessor 18 in starting working and finger-like peristaltic pump 13b only opens one of them, and therein one another just starts to work on after quitting work, under the pattern of continuous transfusion: finger-like peristaltic pump 13a and finger-like peristaltic pump 13b successively open for the air in emptying infusion pipeline 38a and infusion pipeline 38b under operation nurse's instruction, microprocessor 18 calculates the correct speed of transfusion bottle/bag 5a and interior transfusion bottle/bag 5b medication infusion needs automatically afterwards, for operation nurse regulating transfusion speed reference, or operation nurse directly inputs the speed parameter separately of flow of infusate at touching display screen 3 by doctor's advice, or select correct infusion program separately, after confirming, touching display screen 3 shows that the multichannel transfusion technological process graph parameter of acquiescence (comprises number of bubbles warning limit value in infusion pipeline 38a and infusion pipeline 38b, pressure alarm limit value, the various transfusion flow process alarm parameters such as residual capacity of battery alarming value, nurse can reset parameter as required), the transfusion speed that after confirming, microprocessor 18 arranges by operation nurse and the multichannel of system default transfusion technological process graph parameter start to control transfusion flow process: finger-like peristaltic pump 13a entry into service, finger-like peristaltic pump 13b closes, finger-like peristaltic pump 13a starts effectively to push infusion pipeline 38a by the default infusion program in microprocessor 18, medicinal liquid in the transfusion bottle/bag 5a communicating with infusion pipeline 38a is transfused in patient body.Mini-printer 7 starts automatic printing Initial Report.During this period, high-precision weighing sensor 4a starts the trickle weight change of transfusion bottle/bag 5a inner liquid medicine in the acquisition units time, photoelectric liquid drop checkout gear 12a starts to detect a speed of the upper Murphy kettle inner liquid medicine of infusion pipeline 38a in the unit interval, pressure detector 14 starts to detect the loine pressure size in infusion pipeline 38a, and the pipeline bubble that ultrasonic bubble detector 15a starts to detect in infusion pipeline 38a exists quantity.Microprocessor 18 is compared the operational data of finger-like peristaltic pump 13a in the image data of high-precision weighing sensor 4a in the unit interval and equal unit interval automatically at every turn, coordinate the detection data of photoelectric liquid drop checkout gear 12a in the equal unit interval, by software series of computation, realize the correct and safe operation of transfusion speed.Microprocessor 18 automatic on-lines detect the operation of all kinds of infusion parameter, on touching display screen 3, show transfusion process chart, the transfusion curvilinear trend figure of dynamic demonstration etc. of dynamic demonstration, all parameters of realization transfusion are correct, Integral digital transfusion instrument moves in controlled safety range.Microprocessor 18 provides transfusion education video automatically, and automatically introduces the drug information of infusing in current transfusion bottle/bag 5a to transfusion outpatient, improves the knowledge of medical science of transfusion outpatient.Medicinal liquid in microprocessor 18 detects transfusion bottle/bag 5a is by infusion-completed, and microprocessor 18 stops finger-like peristaltic pump 13a operation automatically, utilizes finger-like peristaltic pump 13a card to push down infusion pipeline 38a, makes infusion pipeline 38a inner liquid medicine stop flowing.Microprocessor 18 is opened finger-like peristaltic pump 13b simultaneously, and high-precision weighing sensor 4b detects the weight change of transfusion bottle/bag 5b, and finger-like peristaltic pump 13b brings into operation by the predefined speed of operation nurse.Now the medicinal liquid in transfusion bottle/bag 5b is transfused in patient body.Mini-printer 7 starts the report of automatic printing changing bottle of infusion.High-precision weighing sensor 4b starts the trickle weight change of transfusion bottle/bag 5b inner liquid medicine in the acquisition units time, photoelectric liquid drop checkout gear 12b starts to detect a speed of the upper Murphy kettle inner liquid medicine of infusion pipeline 38b in the unit interval, pressure detector 14 starts to detect the loine pressure size in infusion pipeline 38b, and the pipeline bubble that ultrasonic bubble detector 15b starts to detect in infusion pipeline 38b exists quantity.Microprocessor 18 is compared the operational data of finger-like peristaltic pump 13b in the image data of high-precision weighing sensor 4b in the unit interval and equal unit interval automatically at every turn, coordinate the detection data of photoelectric liquid drop checkout gear 12b in the equal unit interval, by software series of computation, realize the correct and safe operation of transfusion speed.Microprocessor 18 automatic on-lines detect the operation of all kinds of infusion parameter, on touching display screen 3, show transfusion process chart, the transfusion curvilinear trend figure of dynamic demonstration etc. of dynamic demonstration, all parameters of realization transfusion are correct, Integral digital transfusion instrument moves in controlled safety range.Microprocessor 18 provides transfusion education video automatically, and automatically introduces current drug information of infusing in transfusion bottle/bag 5b and, to transfusion outpatient, improve the knowledge of medical science of transfusion outpatient.When microprocessor 18 detects that transfusion bottle/bag 5b inner liquid medicine is by complete, microprocessor 18 stops finger-like peristaltic pump 13b operation automatically, utilize finger-like peristaltic pump 13b card to push down infusion pipeline 38b, make infusion pipeline 38b inner liquid medicine stop flowing, there is audio alert notice operation nurse by mike/loudspeaker 20 and come for transfusion outpatient service in microprocessor 18 on the other hand.
When transfusion finishes, touching display screen 3 shows transfusion marking system automatically, transfusion outpatient is marked to it by operation nurse service quality: 1 point-dissatisfied, 3 points-be satisfied in the main, 5 points-satisfied, 7 points-very satisfied, the transfusion outpatient all kinds of suggestions of also can directly leaving a message, all scorings and suggestion are sent to microprocessor 18 and are saved by touching display screen 3.Mini-printer 7 automatic printing transfusion conclude reports, consign to transfusion outpatient using the initial report of transfusion of printing continuously, all kinds of transfusion operation report (as maked an inspection tour report, dosing report, changing bottle report etc.), transfusion conclude report as this transfusion report by operation nurse.
In the time being set to synchronous transfusion, finger-like peristaltic pump 13a controlled by microprocessor 18 and finger-like peristaltic pump 13b opens simultaneously.Finger-like peristaltic pump 13a, finger-like peristaltic pump 13b carry out fast evacuation according to nurse operation to the air in infusion pipeline 38a, infusion pipeline 38b, emptying rear microprocessor 18 calculates respectively the correct speed that in current transfusion bottle/bag 5a and transfusion bottle/bag 5b, medication infusion needs automatically, for operation nurse regulating transfusion speed reference; or operation nurse directly inputs the transfusion speed parameter of medicine separately at touching display screen 3 by doctor's advice, or select the correct program of medication infusion separately, after confirming, touching display screen 3 shows that the multichannel transfusion technological process graph parameter of acquiescence (comprises number of bubbles warning limit value in infusion pipeline 38a and infusion pipeline 38b, pressure alarm limit value, the various transfusion flow process alarm parameters such as residual capacity of battery alarming value, nurse can reset parameter as required), the transfusion speed that after confirming, microprocessor 18 arranges by operation nurse and the multichannel of system default transfusion technological process graph parameter start to control finger-like peristaltic pump 13a and finger-like peristaltic pump 13b running, finger-like peristaltic pump 13a and finger-like peristaltic pump 13b start effectively to push respectively infusion pipeline 38a and infusion pipeline 38b by the instruction repertorie in microprocessor 18, medicinal liquid in the transfusion bottle/bag 5a inner liquid medicine communicating with infusion pipeline 38a and the transfusion bottle/bag 5b that communicates with infusion pipeline 38b is inputted in patient body simultaneously.Mini-printer 7 starts automatic printing Initial Report.High-precision weighing sensor 4a starts the trickle weight change of transfusion bottle/bag 5a inner liquid medicine in the acquisition units time, photoelectric liquid drop checkout gear 12a starts to detect a speed of the upper Murphy kettle inner liquid medicine of infusion pipeline 38a in the unit interval, pressure detector 14 starts to detect the loine pressure size in infusion pipeline 38a, and the pipeline bubble that ultrasonic bubble detector 15a starts to detect in infusion pipeline 38a exists quantity; High-precision weighing sensor 4b starts the trickle weight change of transfusion bottle/bag 5b inner liquid medicine in the acquisition units time, photoelectric liquid drop checkout gear 12b starts to detect a speed of the upper Murphy kettle inner liquid medicine of infusion pipeline 38b in the unit interval, pressure detector 14 starts to detect the loine pressure size in infusion pipeline 38b, and the pipeline bubble that ultrasonic bubble detector 15b starts to detect in infusion pipeline 38b exists quantity.Microprocessor 18 compares the operational data of finger-like peristaltic pump 13a in the image data of high-precision weighing sensor 4a in the unit interval and equal unit interval automatically at every turn, in the unit interval, in image data and equal unit interval of high-precision weighing sensor 4b, the operational data of finger-like peristaltic pump 13b is compared, coordinate the detection data of interior photoelectric liquid drop checkout gear 12a of equal unit interval and photoelectric liquid drop checkout gear 12b, by software series of computation, realize the correct and safe operation of transfusion speed.Microprocessor 18 automatic on-lines detect the operation of all kinds of infusion parameter, on touching display screen 3, show transfusion process chart, the transfusion curvilinear trend figure of dynamic demonstration etc. of dynamic demonstration, all parameters of realization transfusion are correct, integrated transfusion pump moves in controlled safety range.Microprocessor 18 provides transfusion education video automatically, and automatically introduces current drug information of infusing to transfusion outpatient, improves the knowledge of medical science of transfusion outpatient.
When microprocessor 18 detects that transfusion bottle/bag 5a or any one bottle/bag inner liquid medicine of transfusion bottle/bag 5b are by complete, the operation of finger-like peristaltic pump 13 on the infusion pipeline that microprocessor 18 stops being connected with this transfusion bottle/bag automatically, and keep this infusion pipeline inner liquid medicine in stopping flow regime, until microprocessor 18 detects that another transfusion bottle/bag inner liquid medicine is when complete, other finger-like peristaltic pump 13 is out of service, finger-like peristaltic pump 13 cards are pushed down corresponding infusion pipeline, and the corresponding infusion pipeline inner liquid medicine making stops flowing.Now, there is audio alert notice operation nurse by mike/loudspeaker 20 and come for transfusion outpatient service in microprocessor 18.
When transfusion finishes, touching display screen 3 shows transfusion marking system automatically, transfusion outpatient is marked to it by operation nurse service quality: 1 point-dissatisfied, 3 points-be satisfied in the main, 5 points-satisfied, 7 points-very satisfied, the transfusion outpatient all kinds of suggestions of also can directly leaving a message, all scorings and suggestion are sent to microprocessor 18 and are saved by touching display screen 3.Mini-printer 7 automatic printing transfusion conclude reports, consign to transfusion outpatient using the initial report of transfusion of printing continuously, all kinds of transfusion operation report (as maked an inspection tour report, dosing report, changing bottle report etc.), transfusion conclude report as this transfusion report by operation nurse.
The present invention as shown in Figure 4 simplifies an edition wherein a kind of perspective view for Integral digital transfusion instrument.In order to save hospital costs, drive system in Integral digital transfusion instrument is removed, only utilize the high-precision weighing sensor (coordinating other detecting sensor) in detection system to realize the function such as instant monitoring, the instant monitoring of unit interval inner liquid medicine variable quantity to infusion bottle inner liquid medicine capacity in infusion process, form a kind of infusion monitor, form the Integral digital transfusion instrument of simplifying version.Simplify the Integral digital transfusion instrument of version and can combine use with the existing all kinds of infusion pump of hospital, the interior variable quantity of infusion bottle inner liquid medicine capacity of unit interval that utilizes high-precision weighing sensor to detect and interior flow of the unit interval of infusion pump carry out data and mutually relatively judge whether the flow of existing infusion pump deviation occurs, thereby realize the function similar with Integral digital transfusion instrument.Simplify the Integral digital transfusion instrument of version, i.e. infusion monitor, by infusion support 1, monitor main frame 2, the touching display screen 3 of equipment, high-precision weighing sensor 4, infusion bottle 5 ', transfusion hook 6, mini-printer 7, infusion pipeline 8 forms.High-precision weighing sensor 4 is arranged on the horizontal end of infusion support 1, and monitor main frame 2 is arranged on the perpendicular end of infusion support 1.Between high-precision weighing sensor 4 and monitor main frame 2, be connected by circuit.Transfusion hook 6 is connected on high-precision weighing sensor 4.Infusion bottle 5 ' hangs on transfusion hook 6, and infusion pipeline 8 is connected with infusion bottle 5 '.
Before transfusion, on the monitoring infusion software of operation nurse in touch formula display screen 3, infuse into the essential information of transfusion outpatient, flow of infusate information, operation nurse information etc., preset the parameter such as warning limit value, the warning limit value of infusion bottle inner liquid medicine surplus of unit interval inner liquid medicine capacity (g/min) excursion.
In transfusion, high-precision weighing sensor 4 detects the weight signal of infusion bottle 5 ' continuous decrease, and the weight signal of continuous decrease is sent to monitor main frame 2.The data that monitoring infusion software in monitor main frame 2 gathers high-precision weighing sensor 4 are processed, and realize several functions: 1, on touching display screen 3, show the variation (g/min) of weight in the infusion bottle unit interval, and moment Monitoring Data variable quantity, exceed the default scope of operation nurse once there is transfusion speed unit interval weight change amount too fast or that cause excessively slowly, software automatic alarm is notified nurse; 2, on touching display screen 3, demonstrate the infusion bottle of simulation, and dynamic demonstration goes out the medicinal liquid residual capacity consistent with reality in the infusion bottle of simulation, once simulation infusion bottle inner liquid medicine capacity occurs by surplus complete or that set lower than nurse, software automatic alarm is notified nurse.
Before transfusion, transfusion in or transfusion finish, the software support mini-printer 7 of monitor main frame 2 is printed any information at any time, comprises patient's name, medicine name, the transfusion speed (g/min) of input, alarm parameters, the transfusion beginning and ending time etc. of all kinds of settings.
In the time of infusion monitor and the current common transfusion pump use in conjunction of hospital, as long as infusion pipeline 8 is placed on common transfusion pump, medicinal liquid volume change value when infusion monitor shows common transfusion pump work automatically in infusion bottle, nurse directly compares mutually by the speed of service of the medicinal liquid volume change value on observation monitor and common transfusion pump, if the two data consistent or just judge common transfusion pump fault-free or without calibration in the scope of error approval, or the infusion pipeline 8 using matches with common transfusion pump; Otherwise judge that infusion flow exists deviation, common transfusion pump need to be calibrated or infusion pipeline 8 does not mate with common transfusion pump, or has nurse's maloperation infusion pump, the monitoring infusion software automatic alarm prompting operation nurse in infusion monitor main frame 2.Meanwhile, in infusion monitor, also can be equipped with FPDP, for being connected with outside common transfusion pump; In the time that outside common transfusion pump and infusion monitor interconnect, monitoring infusion software in infusion monitor main frame 2 is automatically monitored the speed of service of common transfusion pump and is realized data and mutually proofread, automatic alarm prompting operation nurse in the time finding that the two data is inconsistent.
Above-described infusion support refers to support and the shell that can place or hang infusion bottle, inside in outside and can lay the electronic equipment of all kinds of transfusion control system/transfusion drive system/infusion test system/transfusion aid systems etc.; Infusion support is mainly by for being supported on ground vertical frame, for hanging the crossbearer of infusion bottle, forming for the pulley at ground moving; For be arranged on the bottom of vertical frame at the pulley of ground moving, crossbearer is arranged on the upper end of vertical frame.Wherein, be one or more for the crossbearer that hangs infusion bottle: in the time that infusion support contains a crossbearer, one end (or mid portion) of crossbearer is fixed in vertical frame, and can horizontally rotate adjusting direction, the other end (or two ends) of crossbearer hangs infusion bottle or for hanging the distribution frame of more infusion bottles; In the time containing multiple crossbearer in infusion support, one end (or mid portion) of multiple crossbearers is fixed in vertical frame, and can horizontally rotate adjusting direction, the other end (or two ends) of multiple crossbearers hangs infusion bottle or for hanging the distribution frame of more infusion bottles;
Transfusion control system refers to that nurse can carry out operation and setting, equipment to transfusion work and can carry out operation system of software in the circuit arrangement of all kinds of operation controls and equipment; Circuit arrangement comprises all kinds of microcontroller circuit systems (as single-chip microcomputer, ARM, computer etc.), all kinds of touching-type monitor, operation push-button/operation keyboard etc., and in circuit arrangement, operation system of software includes but not limited to: WINCE, LINUX, all kinds of WINDOWS computer operating systems etc.; Transfusion drive system refers to all kinds of transfusion driving pumps and the circuit thereof that drive medicinal liquid to flow in infusion pipeline; Infusion test system refers to weight, the capacity to infusion bottle inner liquid medicine, flow in infusion pipeline, bubble, pressure, medicinal liquid in Murphy kettle drips speed and waits the each base part that carries out data acquisition, includes but not limited to: high-precision weighing sensor, bubble detector, loine pressure detector, photoelectric liquid drop detector etc.; Transfusion aid system refers to all kinds of peripheral facility that can help through transfusion, includes but not limited to: mini-printer, scanning device, photographic head, mike, card reader etc.
The application flow schematic diagram of realizing software of the present invention is as shown in Figure 5 known provides a kind of method of utilizing software to realize safe infusion in conjunction with transfusion instrument.Before transfusion, transfusion perfect information is checked, in transfusion, infusion process is carried out to complete monitoring and management, after transfusion to the transfusion service quality feedback of marking.Monitored patient and medical personnel's information is checked and drug safety information is checked before transfusion.In transfusion, being divided into automatic control and Artificial Control monitors at any time and manages; Wherein automatically control infusion parameter automatic checking and calibration, reproduction transfusion process chart, automatic dynamic transfusion curve demonstration graph, all parameters of on-line monitoring automatic alarm, transfusion pharmaceutical services and the service of transfusion education video automatically; All kinds of infusion parameter are notified and arranged online to Artificial Control doctor and patient video call, all kinds of video playback and information.The feedback of service quality and printing treatment report after transfusion.Whole infusion process quality monitoring and management and links all detect at any time by information recording is printable.
It is known that invention application network is as described in Figure 6 opened up cloth schematic diagram: when software is installed on transfusion tool interior, step S01 is all kinds of infusion information that operation nurse inputs patient on transfusion instrument, carries out perfect information check by scanner scanning nurse job number, medicine bar code and patient medical record card/wrist strap bar code in transfusion instrument; Step S02 is that transfusion operation nurse reminds automatically according to doctor's advice, software or practical situation arranges all kinds of operational factors and all kinds of alarm parameters of transfusion in software, software preserve all kinds of parameters and automatically start to control the operation of driving pump and transfusion instrument in the operation of other sensor; Step S03 is that transfusion instrument shows all kinds of transfusion operational factors, and software brings into operation, and infusion parameter is calibrated mutually, dynamic demonstration is infused process chart, all kinds of transfusion curve chart, the printer automatic printing " the initial report of infusing " on transfusion instrument; Step S04 is that operation nurse and transfusion outpatient can be observed all kinds of infusion parameter and can be reaffirmed the infusion parameter of operation by transfusion instrument in infusion process; Transfusion instrument is automatically play flow of infusate introduction/transfusion education video/other various information introduction, is automatically shown all kinds of warning messages in infusion process; Make an inspection tour nurse and on transfusion instrument, directly print " report is maked an inspection tour in transfusion "; When transfusion finishes, automatically show that input drug substance inventory is how many with input energy, automatic alarm is reminded transfusion outpatient and is printed " transfusion report ", and transfusion marking system is provided simultaneously, is that this transfusion service is marked by patient;
In the time of transfusion instrument and outer computer networking, the network of setting up can be made up of one or more transfusion instruments, outer computer, network connection system etc., wherein: outer computer has comprised nursing station computer and Portable nursing basis, in nursing station computer and Portable nursing basis, software of the present invention has all been installed.Transfusion instrument arrives outer computer (nursing station computer and Portable nursing are originally) networking mutually by network connection system.
Before transfusion, step S05 is that nursing station computer can all send to the various information of medical personnel's various information, transfusion outpatient, drug information on the display screen of transfusion instrument by network connection system, transfusion outpatient and operation nurse can directly check and check infusion information on transfusion instrument, software automatically moves flow of infusate safe handling data base flow of infusate compatibility is carried out to safety detection, and operation nurse also can check again by S01 step scanning various information.
Step S06 is that transfusion operation nurse is when operating by S02, S03, S04 step, transfusion instrument is synchronized to the Various types of data of generation and operational factor on outer computer by network connection system, totally digitilized monitoring infusion and management software are also installed on outer computer, nurse can observe online by software the various information such as infusion parameter, transfusion flow process figure, transfusion curve chart of each transfusion instrument, thereby recognizes all kinds of infusion information in the transfusion instrument of each transfusion outpatient.
Transfusion starts, on transfusion instrument, software starts to control the operation of transfusion driving pump by the parameter of setting, the instrument of simultaneously infusing is synchronized to the Various types of data of generation and operational factor on outer computer (nursing station computer and Portable nursing are originally) software by network connection system, and on outer computer (nursing station computer and Portable nursing are originally) software, nurse all can observe operational factor, transfusion flow process figure, the various information such as curve chart of infusing in each transfusion instrument online.Simultaneously, the front nurse of outer computer (nursing station computer and Portable nursing this) can enter by different authority levels that alarm parameters arranges interface and transfusion speed arranges interface, reaches the function of Long-distance Control transfusion instrument by different alarm parameters and transfusion speed are set on outer computer (nursing station computer and Portable nursing this) software; The interior software synchronization monitoring of outer computer (nursing station computer and Portable nursing are originally) and the operational factor of managing in each transfusion instrument, once find abnormal parameters or infusion-completed, software goes as transfusion outpatient service before automatically reminding nurse.Be more than that step S07 and step S08 are attached not shown.
The software inhouse of the present invention of realizing as shown in Figure 7 divides the schematic diagram of transfusion curve Figure 36 known, time m-weight/capacity transfusion curvilinear motion figure, medicine A infuses together with medicine B or medicine B be dissolved in medicine A after transfusion:
L01 is weight/volume change curve chart that medicine A produces according to the variation of time, and L02 is weight/volume change curve chart that medicine B produces according to the variation of time.L03 is that transfusion nurse clicks any point on curve chart, and curve chart demonstrates in the instantaneous weight/capacity of this point and the weight/volume change value in the unit interval.L04 and L05 are that nurse can arrange medicine A and medicine B surplus warning limit value separately and the warning limit value of unit interval inner liquid medicine weight/volume change on the coordinate of weight/capacity.As nurse need to be in medicine A residue 20ml alarming value, software warning reminding in the time that medicine A surplus is 20ml; Nurse need to weight/volume change amount can only be 2g/min within the medicine B unit interval, when the weight/volume change amount of medicine B in the unit interval exceedes or software automatic alarm prompting nurse lower than 2g/min time.L06 is the transfusion time warning limit value that nurse can arrange medicine on time coordinate.Remind as nurse need to add medicine B after 1 hour, can on time coordinate, arrange one hour after warning reminding, software automatically reminded nurse to carry out dosing processing after 1 hour.In the figure, weight and capacity can be realized mutual conversion by the density of principal agent thing.
Transfusion nurse or Anesthetist can observe the dynamic tendency of each flow of infusate intuitively in the figure, enter the instant amount of human body and the medicine input trend along with passage of time thereby understand better every kind of medicine.
Software application of the present invention shown in Fig. 8 is known in the embodiment schematic diagram of the complicated transfusion instruments such as Integral digital infusion pump C: Integral digital infusion pump is mainly made up of the device housings 2 such as integrated transfusion support and device housings 1, control system and display, infusion pipeline folder door and device housings 16; The device housings such as control system and display 2 and infusion pipeline folder door and device housings 16 are separately fixed on integrated transfusion support and device housings 1.
Wherein: at inside and outside high-precision weighing sensor 4, the minisize pick-up head 11 installed respectively in the top of integrated transfusion support and device housings 1.The H end of transfusion bottle/bag hook 6 is directly fixed on the R end of high-precision weighing sensor 4, and the R end of high-precision weighing sensor 4 is unsettled, and L end is fixed on integrated transfusion support and device housings 1, and transfusion bottle/bag/bag 5 hangs on the o end of transfusion bottle/bag hook 6.The device housings such as control system and display 2 and infusion pipeline folder door and device housings 16 have been fixed in the side of integrated transfusion support and device housings 1.
At interior touching display screen 3, microprocessor 18, mike/loudspeaker 20, scanning device 19, wireless network connecting device 17, the mini-printer 7 installed of the device housings such as control system and display 2; At infusion pipeline folder door and interior infusion pipeline 8 and Murphy kettle draw-in groove 9, driving pump 13, photoelectric liquid drop checkout gear 12, loine pressure detector 14 and the ultrasonic pipeline bubble detector 15 installed of device housings 16.High-precision weighing sensor 4, touching display screen 3, driving pump 13, photoelectric liquid drop checkout gear 12, loine pressure detector 14, ultrasonic pipeline bubble detector 15, mike/loudspeaker 20, minisize pick-up head 11, scanning device 19, wireless network connecting device 17, mini-printer 7 are all connected with microprocessor 18 by circuit.
When starting transfusion, operation nurse utilizes touching display screen 3 to input nurse operation numbering, patient information and drug information, or is read and checked all kinds of infusion information of transfusion outpatient by the direct scanning nurse of scanning device 19 job number, transfusion outpatient medical record.Various information after reading is transferred on the interior software of microprocessor 18 and is saved by touching display screen 3 or scanning device 19.Operation nurse is placed on transfusion bottle/bag 5 on transfusion bottle/bag hook 6, high-precision weighing sensor 4 perceives the weight of transfusion bottle/bag 5 on transfusion bottle/bag hook 6, and the weight signal of perception is transferred on the interior software of microprocessor 18 by circuit, the interior software of microprocessor 18, by computing and analogue technique, demonstrates figure transfusion bottle/bag and the bottle inner capacities of the simulation consistent with actual transfusion bottle/bag 5 and bottle inner capacities percentage ratio on touching display screen 3.Whether operation nurse observes transfusion bottle/bag and the bottle inner capacities on touching display screen 3, simulated consistent with actual transfusion bottle/bag 5 and bottle inner capacities.Open infusion pipeline folder door and device housings 16 simultaneously, infusion pipeline 8 and tube for transfusion Murphy kettle 9 are put into infusion pipeline and Murphy kettle draw-in groove 10, and infusion pipeline folder door and device housings 16 are fastened.Operation nurse can be according to the information such as body constitution, body weight of software prompt input transfusion outpatient on touching display screen 3, and microprocessor 18 calculates the correct speed that current medication infusion needs automatically, for operation nurse regulating transfusion speed reference, or operation nurse directly inputs infusion parameter at touching display screen 3 by doctor's advice, or select correct infusion program, after confirming, touch formula display screen 3 shows that the transfusion technological process graph parameter setting of acquiescence (comprises number of bubbles warning limit value, pressure alarm limit value, the various transfusion flow process alarm parameters such as residual capacity of battery alarming value), nurse can reset parameter as required, the transfusion speed that after confirming, the interior software of microprocessor 18 arranges by operation nurse and the transfusion technological process graph parameter of system default start to control driving pump 13 and turn round, driving pump 13 starts effectively to push infusion pipeline 8 by the instruction repertorie of microprocessor 18 interior softwares, medicinal liquid in infusion pipeline 8 is pumped in transfusion outpatient body, mini-printer 7 starts automatic printing Initial Report.During this period, the interior software of microprocessor 18 is automatically at every turn compared the operational data of driving pump 13 in the image data of high-precision weighing sensor 4 in the unit interval and equal unit interval, coordinate the detection data of photoelectric liquid drop checkout gear 12 in the equal unit interval, by series of computation, realize the correct and safe operation of transfusion speed.The interior software automatic on-line of microprocessor 18 detects the operation of all kinds of infusion parameter simultaneously, on touching display screen 3, show transfusion process chart, the transfusion curvilinear trend figure of dynamic demonstration etc. of dynamic demonstration, all parameters of realization transfusion are correct, integrated transfusion pump moves in controlled safety range.The interior software of microprocessor 18 provides transfusion education video automatically, and automatically introduces current drug information of infusing to transfusion outpatient, improves the knowledge of medical science of transfusion outpatient.Nurse can according to actual needs, record a video to infusion process by software, utilizes the interior software control minisize pick-up head 11 of microprocessor 18 to carry out recording monitor to infusion process, and the data of video recording is kept on the interior software of microprocessor 18.Nurse's dosing during this period, the generation of changing bottle, any actions such as heating of regulating the speed, make an inspection tour, infuse all excite the 7 automatic printing various information reports of the interior software control mini-printer of microprocessor 18.The interior software detection of microprocessor 18 is to transfusion by complete, and the automatic control of one side driving pump 13 is out of service and utilize driving pump 13 cards to push down infusion pipeline 8, makes infusion pipeline 8 inner liquid medicines stop flowing; There is audio alert notice operation nurse by mike/loudspeaker 20 and come for transfusion outpatient service in the interior software of microprocessor 18 on the other hand.
When transfusion finishes, touching display screen 3 shows transfusion marking system automatically, transfusion outpatient carries out by being unsatisfied with, being satisfied in the main, being satisfied with to very satisfied scoring it by operation nurse service quality, the transfusion outpatient all kinds of suggestions of also can directly leaving a message, all scorings and suggestion are sent to the interior software of microprocessor 18 and are saved by touching display screen 3.Mini-printer 7 automatic printing transfusion conclude reports, consign to transfusion outpatient using the initial report of transfusion of printing continuously, transfusion tour report, the report of all kinds of transfusion operation, transfusion conclude report as this transfusion report by operation nurse.
Software application of the present invention is as shown in Figure 9 known in the LAN application schematic diagram of multiple transfusion instruments and outer computer establishment; Digital transfusion monitoring is mainly made up of hospital transfusion care centre nursing station computer 27 (hereinafter to be referred as nursing station computer), server 26, wireless network connected system 24, one or more Integral digital infusion pump C, doctor's computer 25 etc. with management board's area network system.Wherein:
E1, E2, E3......En have represented multiple Integral digital infusion pump C;
E1, e2, e3......en have represented infusion module in the computer corresponding with actual E1, E2, E3......En, and each e1, e2, e3......en infusion module are corresponding with the Integral digital infusion pump of each E1, E2, E3......En.
Minisize pick-up head 11 and mike/loudspeaker 20 on nursing station computer 27, are also equipped with.E1, E2, E3......En are connected with wireless network connected system 24 by inner separately radio network device 17, and wireless network connected system 24 is connected with server 26 by circuit, and server 26 is connected with nursing station computer 27; Server 26 is connected with doctor's computer 25 by circuit on the other hand.Form take nursing station computer 27 as main website, multiple Integral digital infusion pump C (E1, E2, E3......En) is monitoring infusion and management board's area network system of slave station.At interior totally digitilized monitoring infusion and the warning system software installed of nursing station computer 27, before starting transfusion, the nurse 29 on duty raw computer 25 of all kinds of to patient and medicinal liquid etc. infusion information having been taken up a job as a doctor receives in nursing station computer 27 by server 26, and patient and drug information are sent in corresponding Integral digital infusion pump by wireless network connected system 24.Transfusion outpatient takes a seat and waits for transfusion by the name showing in Integral digital infusion pump.Transfusion operation nurse 21 checks transfusion outpatient and drug information in Integral digital infusion pump, and patient medical card 22, medicine bar code 23 are scanned to cross-check information again on Integral digital infusion pump C scanning device 19, after input nurse operation job number, start to carry out single-set operation by the implementation method of accompanying drawing 2.
Totally digitilized monitoring infusion in nursing station computer 27 starts to automatically receive the various information sending over from corresponding E1, E2, E3......En Integral digital infusion pump C with e1, the e2 of warning system software, e3......en infusion module, comprises the multiple information relevant to transfusion such as transfusion outpatient information/drug information/all kinds of parameters 35, transfusion technological process Figure 34, transfusion curve Figure 36.Nurse 29 on duty is by check transfusion technological process Figure 34 in each e1, e2, e3......en infusion module, transfusion curve Figure 36, transfusion outpatient information/drug information/information such as all kinds of parameters 35 on the display 28 of nursing station computer 27, can real-time online grasps various information, transfusion state and the process of each transfusion outpatient.On the other hand, the infusion parameter that nurse 29 on duty can arrange on the totally digitilized monitoring infusion of login and warning system software by authority arranges interface, can arrange the parameter of each transfusion outpatient online, comprise the speed (transfusion speed) of driving pump 13, drip fast bound alarming value, medicinal liquid surplus alarming value, bubble and pressure alarm value arrange etc., all kinds of parameters after arranging are synchronously kept on the microprocessor 18 of nursing station computer 27 and corresponding Integral digital infusion pump C, the operation of pressing new parameters control driving pump 13 by the microprocessor 18 of this Integral digital infusion pump C.Total digitalization monitoring infusion and warning system software carry out on-line monitoring to all kinds of infusion parameter in e1, e2, e3, e4......en infusion module automatically, once find to drip, speed is abnormal, medicinal liquid surplus deficiency, pipeline exist bubble, transfusion to finish or other departs from the safe operation parameter of setting, in Integral digital infusion pump C automatic speech alarming notice operation nurse 21, the totally digitilized monitoring infusion in nursing station computer 27 and alarm software also while automatic speech alarming are pointed out nurse 29 on duty.In infusion process, nurse 29 on duty can play to all or part of transfusion outpatient the information such as all kinds of transfusion education video, the introduction of flow of infusate information leaving in nursing station computer 27 online by totally digitilized monitoring infusion and alarm software on nursing station computer 27.Nurse 29 on duty can pass through totally digitilized monitoring infusion and alarm software on nursing station computer 27 simultaneously, utilization is arranged on photographic head 11 on Integral digital infusion pump C and mike/loudspeaker 20, carries out online visual call with transfusion outpatient, or as required to the process of transfusion outpatient take, the preservation such as shooting.When transfusion finishes, nurse 29 on duty can view scoring and all kinds of feedback information of each transfusion outpatient, can print multiple transfusion report for transfusion outpatient.
The LAN that software of the present invention also can be applicable to multiple transfusion instruments and the establishment of outside mobile computer moves nursing application.Mainly that nursing station computer 27 can be also the compositions such as Portable nursing basis, wireless network connected system 24, one or more Integral digital infusion pump C.When starting transfusion, totally digitilized monitoring infusion in Portable nursing basis automatically receives with e1, e2, the e3......en infusion module of warning system software the various information sending over from corresponding E1, E2, E3......En Integral digital infusion pump C, comprises the multiple information relevant to transfusion such as transfusion outpatient information/drug information/all kinds of parameters 35, transfusion technological process Figure 34, transfusion curve Figure 36.Mobile transfusion operation nurse/tour nurse, by check the relevant information in each e1, e2, e3......en infusion module on Portable nursing display originally, can grasp at any local real-time online that can receive network signal various information, transfusion state and the process of each transfusion outpatient.Simultaneously, once Portable nursing, on software, the INFORMATION DISCOVERY in any infusion module drips that speed is abnormal in this, medicinal liquid surplus deficiency, pipeline exist bubble, transfusion to finish or other departs from the safe operation parameter of setting, can before the fastest speed, go as transfusion outpatient service transfusion operation nurse/tour nurse of the movement nearest apart from patient.
Software application as of the present invention in Figure 10 is in known as shown in the Internet of long-range monitoring infusion monitoring infusion schematic diagram: digital transfusion monitoring and managing internet network system are mainly made up of hospital's long-range transfusion nursing central station computer 27 ', long-range infusion data service centre 33, U network insertion center/fire wall 32, one or more long-range Integral digital infusion pump C ' etc.Wherein:
EE1, EE2, EE3......EEn have represented multiple for the long-range Integral digital infusion pump C ' at family transfusion;
Ee1, ee2, ee3......en have represented the infusion module in the long-range transfusion nursing central station computer corresponding with actual EE1, EE2, EE3......EEn 27 ', and each ee1, ee2, ee3......en infusion module are corresponding with the long-range Integral digital infusion pump C ' of each EE1, EE2, EE3......EEn.
On long-range transfusion nursing central station computer 27 ', minisize pick-up head 11 and mike/loudspeaker 20 are also equipped with.EE1, EE2, EE3......EEn is connected with U network insertion center/fire wall 32 by the Internet 31 by inner separately the Internet connecting device 30, U network insertion center/fire wall 32 is connected with the long-range infusion data of V service centre 33 by circuit, the long-range infusion data of V service centre 33 is connected with long-range transfusion nursing central station computer 27 ', form take hospital's long-range transfusion nursing central station computer 27 ' as main website, multiple long-range Integral digital infusion pump C ' (EE1, EE2, EE3......EEn) be long-range monitoring infusion and the managing internet network system of slave station.In hospital's long-range transfusion nursing central station computer 27 ', totally digitilized monitoring infusion and warning system software are installed, before starting transfusion, transfusion outpatient or family doctor have utilized all kinds of to patient and medicinal liquid etc. infusion information touch screen 3 or scanning device 19 to be input on corresponding long-range Integral digital infusion pump C ', and utilize the Internet connecting device 30 by the Internet long-range infusion data of 31 successful access V service centre 33, while starting to infuse, long-range Integral digital infusion pump C ' is by the various information of transfusion outpatient or family doctor's input, Various types of data and operational factor etc. that long-range Integral digital infusion pump C ' gathers send in the long-range infusion data of V service centre 33 automatically, the long-range infusion data of V service centre 33 these information of real time record on the one hand, data and parameter, on the other hand synchronously by this category information, data, parameter sends on long-range transfusion nursing central station computer 27 ' simultaneously.Totally digitilized monitoring infusion on long-range transfusion nursing central station computer 27 ' starts to automatically receive the various information sending over from corresponding EE1, EE2, the long-range Integral digital infusion pump of EE3......EEn C ' with ee1, ee2, the ee3......een infusion module in warning system software, comprises the multiple information relevant to transfusion such as transfusion outpatient information/drug information/all kinds of parameters 35, transfusion technological process Figure 34, transfusion curve Figure 36.
Nurse 29 on duty is by check transfusion technological process Figure 34 in each ee1, ee2, ee3......een infusion module, transfusion curve Figure 36, transfusion outpatient information/drug information/information such as all kinds of parameters 35 on the display 28 of nursing station computer 27, can real-time online grasps each family transfusion patient's various information, transfusion state and process.On the other hand, the infusion parameter that nurse 29 on duty can arrange on the totally digitilized monitoring infusion of login and warning system software by authority arranges interface, can arrange the parameter of each transfusion outpatient online, comprise the speed (transfusion speed) of driving pump 13, drip fast bound alarming value, medicinal liquid surplus alarming value, bubble and pressure alarm value arrange etc., all kinds of parameters after arranging are synchronously kept on the microprocessor 18 of nursing station computer 27 and corresponding long-range Integral digital infusion pump C ', the operation of pressing new parameters control driving pump 13 by the microprocessor 18 of this long-range Integral digital infusion pump C '.Total digitalization monitoring infusion and warning system software carry out on-line monitoring to all kinds of infusion parameter in ee1, ee2, ee3, ee4......een infusion module automatically, once find to drip, speed is abnormal, medicinal liquid surplus deficiency, pipeline exist bubble, transfusion to finish or other departs from the safe operation parameter of setting, in long-range Integral digital infusion pump C ' automatic speech alarming notice transfusion outpatient or family doctor, the totally digitilized monitoring infusion in nursing station computer 27 and alarm software also while automatic speech alarming are pointed out nurse 29 on duty.In infusion process, nurse 29 on duty can above play to all or part of transfusion outpatient the information such as all kinds of transfusion education video, the introduction of flow of infusate information leaving in long-range transfusion nursing central station computer 27 ' by totally digitilized monitoring infusion and alarm software online at long-range transfusion nursing central station computer 27 '.Simultaneously nurse 29 on duty can be upper by totally digitilized monitoring infusion and alarm software at long-range transfusion nursing central station computer 27 ', utilize the photographic head 11 that is arranged on long-range Integral digital infusion pump C ' and mike/loudspeaker 20 and transfusion outpatient to carry out that online visual call, transfusion operation are instructed or as required to the process of transfusion outpatient take, the preservation such as shooting.When transfusion finishes, all infusion information of family transfusion patient are stored in the 33 interior confessions of the long-range infusion data of V service centre and inquire about in the future.
Realized the present invention software inhouse as shown in figure 11 divides the schematic diagram of the process chart of infusing known: include the pipeline bubble detector M15, the photoelectric liquid drop detector M12 of simulation, the high-precision weighing sensor M4 of simulation, the battery 37 of simulation of loine pressure detector M14, the simulation of driving pump M13, the simulation of infusion pipeline M8, the simulation of Murphy kettle Mm, the simulation of infusion bottle M5, the simulation of simulation, linked together and set up into transfusion technological process Figure 34 by application.
When transfusion, the signal that the high-precision weighing sensor M4 of simulation comes according to real-time Transmission, the volume change figure of the real-time medicinal liquid of dynamic demonstration in the infusion bottle M5 of simulation, nurse can view the residual capacity of infusion bottle M5 any period of inner liquid medicine of simulation on software, and two kinds of alarm parameters can be set on the high-precision weighing sensor M4 of simulation:
1, the warning limit value of infusion bottle 5 inner liquid medicine surpluses.Nurse reports to the police when infusion bottle inner liquid medicine surplus is set to 0g as required, also can prompting be set according to practical situation reports to the police, as: need to when surplus is 100g, be set to prompting and report to the police, prompting nurse carries out dosing processing or the tour etc. of coming when medicinal liquid remains 100g;
2, the changing value warning limit value of 5 unit interval of infusion bottle inner liquid medicine weight.Nurse is the limit value of warning up and down of setting unit time inner liquid medicine weight change as required, exceedes the upper limit or points out nurse lower than lower limit alarm.As nurse can unit interval inner liquid medicine weight change be set to 10～15g/min, when medicinal liquid weight change per minute is lower than 10g or higher than 15g time, software automatic alarm prompting nurse.
When transfusion, the information that the photoelectric liquid drop detector M12 of simulation comes according to real-time Transmission, the Dynamic Graph of dynamic demonstration medicinal liquid drippage in the Murphy kettle Mm of simulation, nurse can view the situation of the Murphy kettle Mm inner liquid medicine drippage of simulation on software, and the limit value of warning up and down of medicinal liquid dropleting speed can be set on the photoelectric liquid drop detector M12 of simulation.Can drip speed as nurse and be set to 20 droplets/point, software automatic alarm prompting nurse below or above 20 droplets/point of time.The data that the driving pump M13 of simulation comes according to real-time Transmission, the duty of automatic demonstrating driving pump 13, nurse can view the actuating speed of driving pump 13 on software, and two kinds of functions can be set on the driving pump M13 of simulation:
1, the limit value of warning up and down of transfusion speed.As nurse can be set to 200ml/h or 10ml/min, 10g/min by transfusion speed, below or above set parameter time software automatic alarm prompting nurse.
2, the on-line control of transfusion speed.Nurse can, by the software setting on outer computer, complete the control to driving pump 13 in transfusion instrument, realizes the function of on-line control driving pump speed, reaches the function of on-line control transfusion speed.
When transfusion, the data that the loine pressure detector M14 of simulation comes according to real-time Transmission, the duty of automatic demonstrating pressure detector 14, on the infusion pipeline M8 that nurse can simulate in software, view the loine pressure of the loine pressure detector M14 real time demonstration of simulation, and the limit value of warning up and down of pressure can be set on the loine pressure detector M14 of simulation, software automatic alarm prompting nurse during below or above the warning limit value of the setting arranging.The data that the pipeline bubble detector M15 of simulation comes according to real-time Transmission simultaneously, the duty of automatic demonstrating bubble detector M15, on the infusion pipeline M8 that nurse can simulate in software, view in the pipeline bubble detector M15 real time demonstration pipeline of simulation and whether have bubble, and can number of bubbles be set on the pipeline bubble detector M15 of simulation and allow the limit value of warning up and down existing, below or above arrange the warning limit value of setting time software automatic alarm prompting nurse.
In infusion process, between the photoelectric liquid drop detector M12 data of the high-precision weighing sensor M4 data of simulation, the driving pump M13 data of simulation, simulation, carry out infusion parameter and check safely calculating.All alarm parameters setting/speed arranges and all needs that nurse is authorized can carry out.37 moment of battery of simulation show the percentage ratio of dump energy, are not enough to support to be totally lost this medicinal liquid, software automatic alarm prompting nurse in electric weight deficiency or the electric weight of depositing.
Other side, the driving pump M13 simulating has prestored in software, the loine pressure detector M14 of simulation, the pipeline bubble detector M15 of simulation, the photoelectric liquid drop detector M12 of simulation, all kinds of normal operational data of the detections such as the high-precision weighing sensor M4 of simulation and driver part, if the driving pump M13 of simulation, the loine pressure detector M14 of simulation, the pipeline bubble detector M15 of simulation, the photoelectric liquid drop detector M12 of simulation, the data of the parts operations such as the high-precision weighing sensor M4 of simulation exceed normal data scope separately, software automatic-prompting fault alarm.
Claims (19)
1. Integral digital transfusion instrument, is characterized in that: on described integrated transfusion support and device housings, be fixed with respectively control system and display apparatus shell, infusion pipeline folder door and device housings; Inside and outside high-precision weighing sensor, the minisize pick-up head of being separately installed with of crossbearer on this integrated transfusion support and device housings top; In the vertical frame side of described integrated transfusion support and device housings, I end has been fixed infusion apparatus heating device, and II end has been fixed control system and display apparatus shell, and III end has been fixed infusion pipeline folder door and device housings; Touching display screen, microprocessor, mike/loudspeaker, scanning device, wireless network connecting device, mini-printer are installed in described control system and display apparatus shell, have all been connected with microprocessor by circuit; Infusion pipeline and Murphy kettle draw-in groove, finger-like peristaltic pump, photoelectric liquid drop checkout gear, pressure detector, ultrasonic bubble detector are installed in described infusion pipeline folder door and device housings, have been connected with microprocessor by circuit.
2. Integral digital transfusion instrument as claimed in claim 1, it is characterized in that: the H end that hangs with infusion bottle hook on described infusion support is directly fixed on the R end of high-precision weighing sensor, the R end of high-precision weighing sensor is unsettled, L end is fixed on integrated transfusion support and device housings, and infusion bottle hangs on the o end of infusion bottle hook; The described high-precision weighing sensor being arranged in its top crossbearer of infusion support is one or multiple; When described infusion support ought only have been installed high-precision weighing sensor and other in it and detects and do not comprise the control system of driving pump, in the vertical frame of infusion support, draw-in groove, end frame or other facility for unchangable traditions intelligent peristaltic pump of traditional intelligence infusion pump installed in configuration; Described high-precision weighing sensor has comprised that analog signal sensors and digital transducer and strain chip, condenser type, electromagnetic type are to detect the main various sensors that are changed to of unit interval internal force; This described infusion solution heating device is mainly used in the heating to transfusion bottle/bag/infusion pipeline, or adopts electrical heating, or infrared radiation heating; As apolegamy part, this heating apparatus is with the line being connected with control system or parts, and on Integral digital transfusion instrument, band is useful on the port that connects this heating apparatus line or parts simultaneously.
3. Integral digital transfusion instrument as claimed in claim 1, in the time that Integral digital transfusion instrument disposes two or more high-precision weighing sensor simultaneously, the driving pump in Integral digital transfusion instrument is one or more, it is characterized in that: the control system in described Integral digital transfusion instrument automatically switches to multichannel transfusion control system, in the time a driving pump being only installed in Integral digital transfusion instrument, adopt the infusion pipeline of clinical conventional Multihead liquid feeding, such infusion pipeline has comprised multiple feed liquor pipelines and a fluid pipeline, each feed liquor place on multi-head infusion tube road is connected with each infusion bottle respectively, on Integral digital transfusion instrument, configure multi-head infusion tube an outpost of the tax office groove, be used for laying multi-head infusion tube road, on multi-head infusion tube an outpost of the tax office groove, be provided with respectively the gauge tap for opening and closing each feed liquor pipeline for the place of laying feed liquor pipeline, other place at draw-in groove is provided with the driving pump for driving transfusion, pipeline bubble detector and loine pressure detector, in the time multiple driving pump being installed in Integral digital transfusion instrument, multiple independently infusion pipeline draw-in grooves on Integral digital transfusion instrument, are configured, for laying separately multiple infusion pipelines, in multiple independent draw-in grooves, be provided with respectively infusion pipeline induction apparatus, driving pump system, pipeline bubble detector and loine pressure detector, photoelectric liquid drop detector, transfusion control system at least also comprised the communication interface, memorizer of various auxiliary facilities, with the interface of far-end computer communication, with the communication interface of traditional intelligence infusion pump, when driving pump is not installed in infusion support, when only high precision weight sensor and other all kinds of control system being installed, the essence of this Integral digital transfusion instrument is Integral digital infusion monitor, all kinds of parameters to transfusion are carried out real-time monitoring, and can combine use with outside traditional intelligence infusion pump, when combining use, Integral digital infusion monitor control system can receive the information that existing all kinds of intelligent peristaltic pump provides by connection end.
4. the Integral digital as described in claim 1,3 transfusion instrument, is characterized in that: described infusion support is mainly by for being supported on ground vertical frame, for hanging the crossbearer of infusion bottle, forming for the pulley at ground moving; For be arranged on the bottom of vertical frame at the pulley of ground moving, crossbearer is arranged on the upper end of vertical frame; Be wherein one or more for hanging the crossbearer of infusion bottle: in the time that infusion support contains a crossbearer, one end of crossbearer or mid portion are fixed in vertical frame, and can horizontally rotate adjusting direction, the other end of crossbearer or two ends hang infusion bottle or for hanging the distribution frame of more infusion bottles; In the time containing multiple crossbearer in infusion support, one end or the mid portion of multiple crossbearers are fixed in vertical frame, and can horizontally rotate adjusting direction, and the other end of multiple crossbearers or two ends hang infusion bottle or for hanging the distribution frame of more infusion bottles; The Integral digital transfusion instrument of simplifying version is made up of described infusion support, infusion test system and transfusion aid system part.
5. implement the method for digital transfusion tool monitors and management for one kind, it is characterized in that: combine with transfusion instrument, implement whole process supervision and injection quality to infusing and manage to realize totally digitilized monitoring infusion and the management software of safe infusion, the step that software is implemented whole process supervision and quality management to transfusion is as follows:
Step S01 is all kinds of infusion information that operation nurse inputs patient on transfusion instrument, carry out perfect information by scanner scanning nurse job number, medicine bar code and patient medical record card/wrist strap bar code in transfusion instrument and check, and utilize the mini-printer in transfusion instrument to print various information;
Step S02 is transfusion operation nurse reminded or arranged in software by transfusion outpatient practical situation transfusion automatically all kinds of operational factors and all kinds of alarm parameters according to doctor's advice, software, and software is preserved the parameter after all kinds of setting and automatically started to control the operation of driving pump and the operation of interior other sensor of transfusion instrument;
Step S03 is that transfusion instrument shows all kinds of transfusion operational factors, the software mutual calibration function of infusion parameter that brings into operation, and dynamic demonstration transfusion process chart, all kinds of transfusion curve chart, the printer automatic printing " the initial report of infusing " on transfusion instrument;
Step S04 is that operation nurse and transfusion outpatient can be observed all kinds of infusion parameter of operation and can be reaffirmed or revise all kinds of parameters of operation by transfusion process chart by the touching display screen of transfusion instrument in infusion process; Whether the transfusion speed that transfusion instrument automatically detects operation within the scope whether all kinds of infusion parameter and alarm parameters set nurse, actual transfusion speed and setting in infusion process there is flow deviation, automatically play current flow of infusate introduction (pharmaceutical services, Pharmaceutical Care), transfusion education video and other various information introduce, and automatically shows all kinds of warning messages; Nurse is maked an inspection tour in transfusion can directly print " report is maked an inspection tour in transfusion " signature on transfusion instrument; The instrument automatic alarm of infusing when infusion parameter extremely or transfusion finishes is reminded on duty/tour nurse and transfusion outpatient, automatically show the input list of substances of medicine and the energy of input, automatic printing " transfusion report ", transfusion marking system is provided simultaneously, is that this transfusion service is marked by patient;
Step S05 is that one or more transfusion instruments can be networked mutually with outside computer, nurse can be by outer computer by medical personnel's various information, the various information of transfusion outpatient, the various information of medicine sends to by network connection system on the display screen of transfusion instrument, transfusion outpatient and operation nurse can directly check and check infusion information on the touching display screen of transfusion instrument, operate nurse or on transfusion instrument, utilize scanner scanning various kinds of drug bar code by S01 step, patient's wrist strap, nurse's job number card is checked and type information again,
Step S06 is that transfusion operation nurse is when operating by S02, S03, S04 step, transfusion instrument is synchronized to the Various types of data of generation and operational factor on outer computer by network connection system, totally digitilized monitoring infusion and management software are installed on outer computer, nurse can observe online by software infusion parameter, transfusion flow process figure, the transfusion curve chart category information of each transfusion instrument, thereby recognizes all kinds of infusion information in the transfusion instrument of each transfusion outpatient;
Step S07 is totally digitilized monitoring infusion and management software synchronous monitoring and the operational factor of managing in each transfusion instrument in outer computer, once find abnormal parameters or infusion-completed, software is reminded the nurse on duty before outer computer automatically; Meanwhile, outer computer nurse on duty can enter by different authority levels that alarm parameters arranges interface and transfusion speed arranges interface, reaches the function of Long-distance Control transfusion instrument by different alarm parameters and transfusion speed are set on outside computer software;
Step S08 be outer computer nurse on duty as required, or online make an inspection tour the directly actual transfusion situation of observation, or carry out video call with transfusion outpatient; In order better to realize infusion information management, all infusion information of the partial database on transfusion instrument and transfusion outpatient or be directly stored on outer computer; Finish or directly print all kinds of transfusion reports by the printer on outer computer in transfusion; In the time that this described software is arranged on simple transfusion instrument or infusion monitor, inside do not infuse driving pump or some other detecting sensor, software is monitored the monitoring infusion parameter that other sensor detects equally automatically, and the flow process of pressing monitoring infusion forms the transfusion flow chart of dynamic demonstration, record simultaneously and preserve all infusion parameter, in infusion process, find that infusion parameter exceeds the scope that nurse sets, or infuse by complete, software automatic alarm prompting nurse.
6. method as claimed in claim 5, it is characterized in that: described combines with transfusion instrument, refer to that software is installed on transfusion instrument itself and/or is installed on the outer computer except transfusion instrument: in the time that software is only installed on transfusion instrument itself, the each generic operation of software support to single transfusion instrument; Be installed on one or more transfusion instruments simultaneously and be connected with outer computer by diverse network with outer computer, by one or more transfusion instruments while carrying out communication when software is only installed on outer computer or software, by the software on outer computer, the infusion parameter of multiple transfusion instruments is monitored simultaneously and processed; Described manages to realize safe infusion to transfusion enforcement whole process supervision and injection quality, refers to before transfusion the various information inspection of transfusion is checked, and realizes infusion information safety; In infusion process, all kinds of infusion parameter are carried out to automatic monitoring and management, realize infusion parameter safety; After transfusion to the transfusion service quality feedback of mark, promotion infusion safety; Record and preserve the various information of all transfusion outpatients, realize infusion information and can trace to the source.
7. method as claimed in claim 5, it is characterized in that: the perfect information in described step S01 is checked, refer to: on the one hand: operation nurse utilizes scanner scan patients wrist strap bar code/medical record, flow of infusate bar code, the operation nurse card on transfusion instrument, all kinds of infusion information that drug information and nurse are prior-entered on transfusion tool software are compared, and prevent and input medicine by mistake, input by mistake people's phenomenon; On the other hand, transfusion/injectable drug incompatibility data base, drug dose use calculating/mistake minimizing data base, rational use of drug data base, anesthesia medication guide data base and other drug safety Database Systems have been installed on software in transfusion instrument, in the time that flow of infusate is input to transfusion tool software, software moves this type of data base automatically, and whether detection of drugs compatibility exists taboo, the whether correct various medication information of drug dose.
8. method as claimed in claim 5, it is characterized in that: the software in described step S02 is automatically reminded to refer to various kinds of drug transfusion speed data base and transfusion speed computing formula are installed in software, in the time that software detection arrives current flow of infusate title, software is in conjunction with the information of transfusion outpatient, automatically calculate this patient's transfusion speed and be presented on screen, produce prompting message, for operation nurse reference.
9. method as claimed in claim 5, it is characterized in that: the infusion parameter of described step S03 is calibrated the changing value (Grams Per Minute that refers to high-precision weighing sensor in software real time record transfusion instrument and detect infusion bottle inner liquid medicine weight in the unit interval mutually, g/min), the driving pump speed of service (the ml/min that in the equal unit interval, nurse arranges, ml/min), in the equal unit interval, photoelectric liquid drop detector detects the speed (droplet/point of Murphy kettle inner liquid medicine drippage, gt t/min), by a series of data transaction, calculate, comparison and processing, the data moment that software utilizes data that high-precision weighing sensor detects and photoelectric liquid drop detector to detect automatically monitors that driving pump drives the flow of transfusion whether correct, and automatic alarm is pointed out nurse in the time that three's error in data exceedes the scope of nurse's setting, thereby prevent due to driving pump fault, or tube for transfusion uses the infusion flow generation deviation of not mating and cause with transfusion instrument, simultaneously, the transfusion speed (g/min or ml/min) that utilizes data (g/min) that high-precision weighing sensor detects and nurse to set carries out data and calculates and compare processing, and in the time that sensor detects that transfusion speed that data and nurse set is not inconsistent or exceeds the two data deviation scope that nurse sets or exceeds this medicine normal infusion value range automatic alarm prompting nurse, reach and prevent the wrong transfusion speed that brings due to driving pump fault or nurse's maloperation transfusion instrument, on the other hand, whether software is complete or by complete and realize transfusion instrument automatic safe stopping infusion by high-precision sensor data, photoelectric liquid drop detector data, the transfusion of driving pump service data automatic decision, produces warning reminding nurse and transfusion outpatient on outer computer/transfusion instrument simultaneously, have on the one hand, software also utilizes three's data to carry out COMPREHENSIVE CALCULATING, utilizes two close data to judge another data, reminds the production part of another data may need to calibrate again, in described step S03, dynamic demonstration transfusion process chart refers to and utilizes computer graphical/modeling/virtual technology, in conjunction with all kinds of detections and the operational factor of transfusion instrument, realize each component working state simulation demonstration in infusion bottle and bottle inner liquid medicine capacity dynamic analog display, the demonstration of infusion pipeline state simulation, transfusion instrument/instrument, these dynamic analog demenstration figure are combined by transfusion flow process, form the transfusion process chart of dynamic demonstration, utilize the transfusion process chart of dynamic demonstration to reach the dynamic analog display function to whole actual transfusion flow process, simultaneously, when transfusion outpatient carries out Multi-path synchronous transfusion or continuous transfusion, when in transfusion instrument, software receives two or more infusion parameter, software demonstrates the transfusion process chart that contains two or more dynamic demonstration automatically simultaneously, the transfusion process chart of these dynamic demonstration all with actual infusion process in produce or residing all kinds of state be real-time synchronization, on all four, in described step S03, all kinds of transfusion curve charts refer to the analysis chart of the time dependent weight/volume change of dynamic demonstration flow of infusate curve chart and judgement transfusion driving pump quality index, time dependent weight/the volume change of dynamic demonstration flow of infusate curve chart refers to the computed in software method of utilizing, with time and weight/capacity formation time-weight/capacity two-dimensional coordinate, each weight/volume change of infusion bottle inner liquid medicine produces a data point in this coordinate, and weight/capacity number strong point of medicinal liquid is coupled together and just formed dynamic medicinal liquid input quantity change curve trend graph by curve, by every kind of drug weight/volume change in medicinal liquid respectively time produce data point on m-weight/capacity coordinate, the data point respectively medicine of the same race being produced couples together, and has just formed dynamic every kind of medicine input quantity change curve trend graph, the analysis chart of judgement transfusion driving pump quality index refers to all kinds of infusion parameter of utilizing transfusion tool detection to arrive, in conjunction with reference to medical electrical equipment in national standard about the computational methods to metrology and measurement in the safety requirements of infusion pump, within the cycle of transfusion stabilization, sample dripping speed or flow velocity continuously, to drip speed or flow velocity as vertical coordinate, take transfusion time as abscissa, draw out the ascending curve figure of stable period, within multiple stable transfusion cycles by largest percentage error and minimum percent error in loudspeaker pattern counts method computing cycle and must percentage error, take percentage error as vertical coordinate, take transfusion time as abscissa, draw out tubaeform curve chart, in order to the service behaviour of test and judgement transfusion driving pump, the instrument automatic printing " the initial report of infusing " of infusing in described step S03, content has at least comprised infusion parameter information and the operation nurse identity information that the identity information of transfusion outpatient, current flow of infusate information, nurse set.
10. method as claimed in claim 9, is characterized in that: described software implementation modeling/virtual technology method is including but not limited to: figure or lines simulation, three-dimensional animation demonstration, virtual reality, the technology that realizes the method includes but not limited to: computer graphics, computer simulation technique, three-dimensional animation technology, multimedia technology, simulation/virtual machine, virtual software technology, the parameter that described infusion bottle and bottle inner liquid medicine capacity dynamic analog display refer in software utilization transfusion instrument goes out the figure/modelling infusion bottle consistent with actual infusion bottle capacity in conjunction with software graphic simulation technical modelling, utilize the instantaneous weight of the infusion bottle inner liquid medicine that in transfusion instrument, high-precision weighing sensor is consecutively detected, in conjunction with computed in software and analogue technique, on software, continuous analog goes out the lasting medicinal liquid weight figure/model changing of medicinal liquid weight, this medicinal liquid weight figure/model that continues to change is put into figure/modelling infusion bottle, realize the graphics/animation demonstration that figure/modelling infusion bottle inner liquid medicine dynamically declines continuously, reach real-time Simulation and demonstrate the process that actual infusion bottle inner liquid medicine declines, described infusion pipeline state simulation demonstration refers to and utilizes software figure/modelling technique and analogue technique, on software, simulate figure on figure/modeled infusion pipeline and pipeline/modeled Murphy kettle, utilize the instant pressure size of the infusion pipeline that transfusion instrument internal pressure detector is consecutively detected, in conjunction with computed in software and analogue technique, on software, the progressive die is drawn up the lasting pressure figure/model changing of pressure, utilize the instant bubbles volume and size of the infusion pipeline that in transfusion instrument, bubble detector is consecutively detected, in conjunction with computed in software and analogue technique, on software, simulate bubbles volume and big or small figure/model, utilize the speed of dripping of Murphy kettle inner liquid medicine that photoelectricity drop detector head detects, in conjunction with computed in software and analogue technique, motion graphics/model that continuous analog drug drop falls on software, pressure figure/the model that continues to change and bubbles volume and big or small figure/model are put into figure/modeled infusion pipeline, realize the graphics/animation demonstration to figure/modeled infusion pipeline internal pressure and bubbles volume and size state, motion graphics/model that medicinal liquid is dripped is continuously put into figure/modeled Murphy kettle, realize the graphics/animation demonstration of drippage continuously of figure/modeled Murphy kettle inner liquid medicine, reach real-time Simulation and demonstrate actual infusion pipeline internal pressure and bubble value, actual Murphy kettle inner liquid medicine is the state demonstration of drippage continuously, in described transfusion instrument/instrument, each component working state simulation demonstration refers to and adopts software figure/modelling technique and analogue technique, on software, simulate figure/modeled transfusion instrument/tool interior part, all kinds of parameters that parameter while utilizing the interior each component working operation of transfusion instrument/instrument arranges in conjunction with nurse, coordinate computed in software technology, the continuous duty of dynamic demonstration transfusion instrument/tool interior part operation on software, reaches real-time Simulation and demonstrates the object of actual transfusion instrument/tool interior part duty, the figure of figure/modelling infusion pipeline of figure/modelling infusion bottle of dynamic demonstration, dynamic demonstration, dynamic demonstration/modelling transfusion instrument/tool interior part is combined by flow process by transfusion technique, just formed the transfusion process chart of whole dynamic demonstration, when in the scope that all kinds of infusion parameter and operational factor are all set nurse, in transfusion instrument, actual operation parameters is consistent with parameter preset, whole transfusion process chart is rendered as green, if find, the infusion parameter of operation has exceeded the scope that nurse sets, or actual inconsistent with the operational factor prestoring in transfusion instrument, the inconsistent graphical parts of transfusion technological process map parameter are rendered as red and continue flicker, produce and report to the police simultaneously, voice message nurse, by the dynamic demonstration of all kinds of figure/models in whole transfusion process chart/model, reach the dynamic analog display function to whole transfusion flow process, realize the whole transfusion process chart of nurse's online observation dynamic demonstration on transfusion instrument or before outer computer, come the actual state of real time monitoring infusion bottle and pipeline, the whether normal practical situation of working condition of transfusion instrument.
11. methods as claimed in claim 10, it is characterized in that: in described figure/modelling infusion bottle, be provided with medicinal liquid and allow the scope set-up function changing in unit interval inner capacities/weight, in the permission excursion whether software arranges nurse by the medicinal liquid volume change of automatically monitoring in the unit interval, outside the alarm range whether medicinal liquid surplus arranges nurse, reach real-time online to actual infusion bottle inner liquid medicine capacity continually varying automatic monitoring and tracking effect; In figure/modeled Murphy kettle, be provided with the upper lower limit value alarm range set-up function of medicinal liquid dropleting speed, software changes within the scope of the upper lower limit value whether arranging nurse by the speed of dripping of automatically monitoring in the unit interval, reaches real-time online actual Murphy kettle inner liquid medicine is dripped to fast automatic monitoring and tracking effect; In figure/modelling infusion pipeline, be provided with infusion pipeline acceptable gas bubble size and quantity alarm range, can accept the set-up function of pressure size and the alarm range of persistent period, software, by within the scope of whether monitoring bubble and pressure are set nurse automatically bubble and pressure limit, reaches automatic monitoring and the tracking effect of real-time online to bubble and pressure in actual infusion pipeline; Be provided with the operational factor ultimate value set-up function of all parts at figure/modeled transfusion instrument/transfusion tool interior part, in the automatic monitoring transfusion instrument of software, whether all parts moves in the operational limit parameter area of nurse or manufacturing firm's setting, reaches the automatic monitoring effect whether real-time online normally works to all parts in transfusion instrument.
12. methods as claimed in claim 9, it is characterized in that: in the time dependent weight/volume change of described flow of infusate curve chart, scope set-up function and every kind of scope set-up function that drug capacity/weight changes within the unit interval of unit interval inner liquid medicine total capacity/weight change are set, software is by automatically monitoring unit interval inner liquid medicine total capacity/weight change, in the scope whether every kind of drug capacity/weight change is set nurse, reach real-time online the instant amount of reality transfusion medicinal liquid capacity and every kind of medicine input quantity is carried out to automatic monitoring and tracking effect, in the analysis chart of described transfusion driving pump quality index, the various analysis charts that prestored when transfusion driving pump normally moves, in the time that software is tested and judge the service behaviour of transfusion driving pump, automatically the analysis chart of generation and all kinds of normal analysis chart prestoring are compared, remind nurse whether to need transfusion driving pump to carry out external calibration.
13. methods as claimed in claim 5, it is characterized in that: in described step S04, automatically play flow of infusate introduction (pharmaceutical services, Pharmaceutical Care)/transfusion education video/other various information introduction, refer in transfusion tool software data base and the flow of infusate education video data base that all kinds of flow of infusate are introduced is installed, or for introducing the data base of other various information, when transfusion, software is automatically identified current flow of infusate and is shown the information introduction of this medicine and the education video information of infusing; The mode of information representation includes but not limited to: word, image, picture, photo, video, audio frequency, animation, and content comprises that drug introduction, hospital are introduced, doctor introduces, the various information that needs are play is introduced by medicine producer; Transfusion is maked an inspection tour report and is referred to the instant infusion information report that tour nurse prints in inspection transfusion outpatient process, its content has at least comprised identity information, drug information, the current all kinds of infusion parameter contents of current transfusion outpatient, and by making an inspection tour nurse's Signature Confirmation; When transfusion finishes, automatically show how many input drug substance inventory and input energy refer to software except the contained various materials of the detailed bill, the medicine itself that automatically show this flow of infusate, and automatically calculate and demonstrate every kind of medicine and material is the energy supplement value that patient brings; Automatic alarm refers in transfusion instrument software and has whether automatic identification parameter is abnormal, the function of transfusion residual capacity, when infusion parameter is abnormal, transfusion residual capacity software automatic alarm when complete reminds nurse and transfusion outpatient; Transfusion marking system refers in transfusion instrument transfusion service evaluation and feedback software database is installed, and the tool screen of infusing in the time that transfusion closes to an end demonstrates the doctor relevant to this transfusion, nurse personnel's information; Transfusion outpatient is on touching display screen or utilize the accessory of transfusion instrument to complete the selection of the service quality scoring to medical personnel or the input of suggestion, and software automatically generates the suggestion of each nurse/doctor's scoring and this transfusion is reported and preserved.
14. methods as claimed in claim 5, it is characterized in that: in described step S05, one or more transfusion instruments can be networked mutually with outside computer, refer to: software is installed on transfusion instrument and outside computer simultaneously, between transfusion instrument and outer computer, carries out mutual communication by diverse network; In the time that network using Ethernet LAN connects, multiple transfusion instruments are just set up into take outer computer as Surveillance center with outer computer, and the transfusion state of the each transfusion instrument to networking and all kinds of parameter are carried out the monitoring infusion and management LAN of real time and on line monitoring and management; In the time that network using internet connects, multiple long-range transfusion instruments are connected with outer computer by the Internet, now just set up into the outer Surveillance center of outer computer, the transfusion state of the each long-range transfusion instrument to networking and long-range monitoring infusion and the supervising the network that all kinds of parameter is carried out real time and on line monitoring and management.
15. methods as claimed in claim 14, it is characterized in that: in described monitoring infusion and management LAN, on outside computer software, install and multiple infusion module corresponding with transfusion instrument, before transfusion, nurse on duty is by patient's infusion information input outer computer, or utilize scanning device/card reader that information on patient medical record card is read on the outer computer being connected with hospital information system, patient's infusion information on outer computer is sent on corresponding transfusion instrument automatically by infusion module, transfusion outpatient takes a seat and waits for transfusion by the identity prompting showing in transfusion tool screen, operation nurse and transfusion outpatient carry out infusion information according to the various information showing in transfusion tool screen to be checked, operation nurse also can utilize the scanner on transfusion instrument to scan outside flow of infusate bar code, transfusion outpatient medical record/wrist strap bar code is checked identity and drug information, the parameter operation that when transfusion, transfusion instrument is set by nurse, and synchronously all kinds of infusion parameter in transfusion instrument are sent in infusion module corresponding in outer computer, in infusion module in outer computer, software shows and records all kinds of infusion information of patient on corresponding transfusion instrument, synchronous dynamic is demonstrated transfusion process chart, the flow of infusate curve chart of each transfusion outpatient, nurse on duty understands each patient's transfusion process and status by observing each transfusion outpatient process chart of infusing dynamically, understands the input quantity development tendency of each patient's flow of infusate by observing flow of infusate curve chart, as required, nurse on duty can enter infusion parameter by licencing key interface is set, contain at this interface that infusion alarming parameter arranges function online and transfusion speed arranges function online: when nurse enters infusion alarming parameter while online function being set, nurse can reset all kinds of alarm parameters of infusing, can be according to practical situation the surplus alarming value to infusion bottle infusion-completed, in the infusion bottle inner liquid medicine unit interval, change bound alarming value, in every kind of pharmaceutical units time, change bound alarming value, drip fast bound alarming value, the bound alarming value of infusion pipeline internal pressure, the size of the interior bubble of infusion pipeline and quantitatively lower limit alarming value, the least residue amount alarming value of battery, permission highest running speed alarming value and the multiple alarm parameters of transfusion driving pump arrange online, parameter after arranging is sent on the software of transfusion instrument by nurse on duty again in being stored in outer computer, realize the real-time monitoring of outer computer to infusion parameter, once the infusion parameter that in outer computer, software discovery transmits is abnormal, outer computer and transfusion instrument will produce alarm nurse on duty and operation nurse simultaneously, in the time that nurse enters transfusion speed and online function is set, nurse can carry out speed adjusting to the transfusion driving pump of infusing, the safety speed of the current flow of infusate of software automatic-prompting, suggestion nurse arranges in the scope of this safe infusion speed, arrange in rear speed parameter is saved in outer computer and automatically send on transfusion instrument, operation nurse confirms the parameter after adjusting on transfusion instrument, and the software on transfusion instrument is again controlled driving pump and moved by the new infusion parameter receiving, outer computer and/or transfusion instrument record nurse's on duty all kinds of online parameters operation automatically, and by the mini-printer printing report on transfusion instrument, in this monitoring infusion and management LAN, on multiple transfusion instruments of outer computer and networking, minisize pick-up head and mike are all installed, nurse on duty directly checks the virtual condition of state and infusion bottle and the transfusion instrument of transfusion outpatient by opening minisize pick-up head, realize online function of making an inspection tour all transfusion outpatients, also can according to special requirement to infusion process record a video with take pictures after be kept in outer computer, or open the direct and patient of minisize pick-up head and mike and carry out video call, transfusion outpatient also can be by the call button on transfusion instrument, transfusion instrument is opened photographic head and mike automatically, be connected to outer computer by the video and intercom system on software, outer computer is opened photographic head and mike after receiving call request automatically, and produce call information, notify nurse on duty and transfusion outpatient to carry out visual dialog, in this monitoring infusion and management LAN, various kinds of drug has been installed in outer computer uses safety database, drug introduction data base, drug manufacture producer information database, transfusion education video data base, hospital/doctor to introduce data base and other media information data base, transfusion score data storehouse, transfusion is front in the time that outer computer receives the drug information of nurse's input, software moves drug use safety database automatically, and whether detection flow of infusate exists the situation of incompatibility or other medicines improper use, when transfusion, outer computer software detects the information of current flow of infusate automatically, and detects in real time the use safety whether transfusion speed that nurse under this medicine sets meets this medicine, simultaneously, play current flow of infusate introduction (pharmaceutical services, Pharmaceutical Care), current drug manufacture producer information, transfusion education video media information to meet the informational needs of transfusion outpatient by transfusion instrument outer computer software automatic on-line, after transfusion, software moves transfusion score data storehouse automatically, transfusion outpatient carries out satisfaction scoring by operation indicating to transfusion service quality, scoring from low to high, represent that satisfaction is from being unsatisfied with satisfaction, patient also can directly leave a message on transfusion instrument touch screen, input needs improved suggestion, these scorings and suggestion are directly kept on outer computer software, software forms recommendation and grade form automatically, recommendation improves not enough and improves injection quality reference for hospital, and grade form is used for examining nurse's service quality, in this monitoring infusion and management LAN, nurse is maked an inspection tour in transfusion only need to press " make an inspection tour and print " key in making an inspection tour transfusion outpatient on transfusion instrument, the current infusion information of mini-printer automatic printing patient on transfusion instrument, makes an inspection tour nurse's signature, in this monitoring infusion and management LAN, the automatic real time on-line monitoring of software record all kinds of infusion parameter of all transfusion outpatients in outer computer, when infusion-completed, automatic alarm is reminded nurse on duty, the report of the transfusion of the mini-printer automatic printing on transfusion instrument simultaneously.
16. methods as claimed in claim 14, is characterized in that: in described long-range monitoring infusion and supervising the network, multiple transfusion instruments for family transfusion are connected with hospital computer by the Internet; In multiple transfusion instruments for family transfusion, the interconnection device that can access the Internet is all installed; And in multiple family transfusion instruments and hospital computer, software of the present invention is all installed; In hospital computer, on software, be provided with multiple infusion module, corresponding with multiple family transfusion instruments in this institute's registration respectively; When multiple family transfusion instrument transfusion, software is synchronized to information separately respectively in multiple infusion module corresponding in hospital computer; Hospital shift nurse can be in hospital computer understands transfusion state and all kinds of infusion parameter of each family transfusion instrument of answering in contrast by observing various information in each infusion module, realize take hospital computer as Surveillance center the transfusion state of the each family transfusion instrument to networking and long-range monitoring infusion and the management system that all kinds of parameter is carried out real time and on line monitoring and management; Hospital shift nurse also can send various information to single or multiple family transfusion instruments by hospital computer software, or carry out video call by the mike and the photographic head that are arranged on hospital computer and family transfusion instrument by software, carry out scene transfusion and instruct, provide better platform for improving long-range infusion safety.
17. methods as claimed in claim 5, it is characterized in that: in described step S06, transfusion instrument is synchronized to the Various types of data of generation and operational factor on outer computer software by network connection system, refer to: in outer computer, on totally digitilized monitoring infusion and management software, be provided with multiple infusion module, corresponding with multiple transfusion instruments respectively, when multiple transfusion instrument transfusion, information is separately sent to respectively in multiple infusion module corresponding on outer computer software automatically; In multiple infusion module, except showing the various information, drug information, infusion parameter of transfusion outpatient, software is also demonstrated transfusion process chart, flow of infusate curve chart and other information of each transfusion outpatient according to the interior software synchronization of the information that transmits and transfusion instrument, facilitate nurse on duty before outer computer can get information about the instant transfusion state of every transfusion outpatient.
18. methods as claimed in claim 5, it is characterized in that: the nurse on duty before described step S07 peripheral computer can enter by different authority levels that alarm parameters arranges interface and transfusion speed arranges interface, by being set on outside computer software, different alarm parameters and transfusion speed reach the function of Long-distance Control transfusion instrument, if refer to alarm parameters and speed that nurse on duty needs online modification transfusion, after the mandate that need to obtain higher level allows, just can enter transfusion interface is set, after alarm parameters and transfusion speed are reset on outer computer, on transfusion tool software, there will be information, alarm parameters and transfusion speed that operation nurse before need to transfusion instrument or transfusion outpatient carry out resetting after secondary-confirmation could formal onsets.
19. methods as claimed in claim 5, it is characterized in that: in described step S08 or directly observe actual transfusion situation as online tour, also can carry out video call with transfusion outpatient, refer on outer computer and multiple transfusion instrument minisize pick-up head and mike are all installed, nurse on duty can directly check the state of transfusion outpatient and the actual status of infusion bottle and transfusion instrument by opening minisize pick-up head, realizes online object of making an inspection tour all transfusion outpatients before computer; Nurse on duty before outer computer click to dial button on computer software, or transfusion outpatient is by the call button on transfusion instrument, transfusion instrument is opened the video call function on mike and photographic head and software automatically, and nurse on duty and transfusion outpatient both sides carry out visual dialogue; In the time that all infusion information of the partial database on software and transfusion outpatient are directly stored on outer computer, flow of infusate is used safety detection on outer computer, to complete, and various kinds of drug introduction/transfusion education video/other video information all or by the nurse on duty on outer computer is specified broadcasting.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210380438.8A CN103816582A (en) | 2012-10-10 | 2012-10-10 | Integrated digital transfusion apparatus and transfusion monitoring and management method thereof |
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