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WO2001076460A2 - Logiciel de soins infirmiers pour prise en charge de patients, dispositifs d'oxygenation de plaies, et dispositif d'irrigation de plaies a ecoulement regulable - Google Patents

Logiciel de soins infirmiers pour prise en charge de patients, dispositifs d'oxygenation de plaies, et dispositif d'irrigation de plaies a ecoulement regulable Download PDF

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Publication number
WO2001076460A2
WO2001076460A2 PCT/US2001/011847 US0111847W WO0176460A2 WO 2001076460 A2 WO2001076460 A2 WO 2001076460A2 US 0111847 W US0111847 W US 0111847W WO 0176460 A2 WO0176460 A2 WO 0176460A2
Authority
WO
WIPO (PCT)
Prior art keywords
wound
patient
irrigation
nursing
receptacle
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2001/011847
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English (en)
Other versions
WO2001076460A3 (fr
Inventor
Rhoda Zione
Arthur House
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to AU2001253385A priority Critical patent/AU2001253385A1/en
Publication of WO2001076460A2 publication Critical patent/WO2001076460A2/fr
Publication of WO2001076460A3 publication Critical patent/WO2001076460A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M13/00Insufflators for therapeutic or disinfectant purposes, i.e. devices for blowing a gas, powder or vapour into the body
    • A61M13/003Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H70/00ICT specially adapted for the handling or processing of medical references
    • G16H70/20ICT specially adapted for the handling or processing of medical references relating to practices or guidelines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • A61M2205/502User interfaces, e.g. screens or keyboards
    • A61M2205/505Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches

Definitions

  • the present invention relates to medical services for wound and patient service management tools for nurses and physicians.
  • the Patient Management Nursing Software system invention is to provide an effective computer software management system for clinical management of nursing in the delivery of patient services which include: intake, patient education, follow-up and discharge planning.
  • Current software products do not facilitate nurse management for a patients' clinical needs.
  • This software is designed to allow a nurse to receive, based on the patient's ICD9 codes that are entered during the admissions process, information about a patient before the patient even arrives on the nursing floor so as to be better ready for that patient, and to have care plan options, discharge planning factors, patient education materials, automatic links to selected Internet and network resources available upon arrival of the patient.
  • the software provides inspirational messages and messages of support and guidance for the nursing staff and condolences for the nurse to give the patient's family. Furthermore, much has been lost in the "bedside” mannerism of both physicians and nurses today.
  • the described invention fosters empathy and "thoughfulness" in "nurse-client” relations. It allows nursing staff to print or automatically send an electronic (email) care message to a patient or family members, whether it is for a special occasion such as a birthday or anniversary, or merely words of encouragement or greeting to lift a patients' spirits.
  • the design of the wound irrigation is designed to meet the clinical practice guidelines of the Food and Drug Ndniinistrationthat suggest 4-12 PSI should be used as the therapeutic pressure range for wound irrigatioa Additionally, it allows for further investigation of which ranges of pressure are more therapeutic for "which?" types of wounds.
  • Wounds respond well to exposure to oxygen.
  • no present intermittent, wound oxygenation therapies with disposable infusion systems exit or wound dressings which provide vent ports sufficient to deliver 02 while in a closing bandage system.
  • the described wound dressing can meet those needs.
  • the invention may provide for a means for localized hyperbaric therapy to tissues, if determined to be efficacious by the healthcare provider.
  • the pressure and rate of flow of liquid used to irrigate a wound may be adjusted efficiently.
  • the use of a pressure activated membrane or valve within the wound irrigation device can assure delivery of liquids at the desired pressure of 4-12 PSI, without the large variation and pressure, either too high or too low, as exists with a unit used for irrigation that lacks these regulation devices.
  • the use of the battery or electrically operated pressure device as described above has the advantage of delivery of liquid for wound irrigation purposes at a selected pressure while maintaining sterility of the liquid solution used.
  • a further advantage of the device is that fatique that may result in the case of weak, small, aged, or infirm persons attempting to irrigate a wound is avoided by use of the mechanical device for delivery of the irrigation fluid as opposed to the use of a hand-held squeezed device.
  • This Application further expands informatic methodologies and technologies invented by Rhoda Zione ( Utility Application - Title: The Wound Manager System and Wound Dressing - Filing Date - Jan. 20, 2000 ).
  • a Patient Management Nursing Software system that specifically structures nursing and support technical staff care regimens in a hospital or nursing home environment in order to improve nursing and support staff care to patients.
  • System can be operational from a touch screen, PC, Network, Palm Pilot or internet computing technology.
  • the Touch Screen features have touch directives for (which include but are not limited to) care plan, discharge / patient education, and motivational / inspirational message development.
  • the system is prompted to alert the nursing personnel upon a patient's admission (a) the arrival of a new patient, including room location and (b) the admitting diagnoses, with an indication o ⁇ for example, the ICD9 code ( c ) treatment regimen ( i.e. surgery, therapy schedules ).
  • the Patient Management Nursing Software has select automated or self-create ( manual ) features for choosing: (c) a set of care plan options for the patient, (d) generating discharge planning factors, (e) generating patient education information for instructing the patient on proper care pertinent to the patient's condition, (f) providing automatic, embedded, or hyperlinked access to selected Internet or private network resources pertinent to the patient's condition, cultural or language needs, (g) generating motivational messages and messages of support to nurses, nursing technicians and other care personnel, and to patients, and (h) the software has a multi-lingual capability.
  • O__y -Cam & Pad invention consists, generically,
  • the Oxy-Cam is more a soft molded disposable plastic much like a mouth / nasal mask for inhalation therapy. It is designed to fit as a "tent-cam” over the wound with a "one-way” flow valve into the cam that allows for tube connection both inside and out.
  • the external valve has a connection port for connecting, by tubing, to the direct flow values of the oxygen administration units.
  • the internal valve has a connection port for connecting tubing for direct flow of the oxygen into a closed dressing system via a "window” or “macro port.”
  • Oxy-Pad is more a soft molded disposable plastic much like that which is used in urinary bag manufacturing. It's molding design “may or may not” allow for inflation of the "lift rafts” to facilitate oxygen delivery.
  • This system can be designed to have the "lift rafts" pre-inflated. It is designed have adjustable fit capabilities to be used as if an 02 infusing pad -"flat lie” such as over a buttock or hip area or secured and wrapped around an extremity such as a arm or leg. Both the Pad and Cam can be manufactured in different sizes to accommodate the wound size.
  • the Oxy-Pad has the same "one-way" flow for the oxygen administration the same as the Oxy-Cam.
  • Both the Pad & Cam can be used with a "flow canula... a disposable tube consisting of many holes... that can be used to direct 02 into a wound dressing system with a "window or macro port” aperture or with absorption infusion dressings which are place between the cam and the patient's skin and allow for maximal access to the wound.
  • These "window or macro port” aperture wound dressing materials having a length, a width, a thickness, and an edge circumnavigating the sheet of wound dressing.
  • Length and width of the wound dressing is of sufficient dimension to cover and protect a particular wound.
  • the sheet of wound dressing has at least two apertures cut therein and extending therethrough. At least one of these apertures has a width being about 0.25 cm to about 1.25 cm and the length being about 0.25 cm to about 3.5 cm. Said aperture is located at least 2.5 cm from the edge of the sheet of wound dressing. At least one other aperture in the wound dressing is configured to connect to, or to be permanently affixed to, a tube, catheter, or other device for introducing air, oxygen, or some other gas or a mixture of gases, under the wound dressing and in contact with the wound tissue so as to facilitate aeration or oxygenation of the wound to promote healing.
  • the wound dressing can be manufactured with or without a timing device for monitoring of the therapy regimen.
  • the wound dressing may also be configured with or without exhaust vents, so as to encompass and contain all or part of a human or animal limb.
  • Zione and House also designed an "adjustable pressure activating valve" which delivers between approximately 4-12 PSI of pressure through fittings that varies the size of the opening or lumen during irrigation.
  • This valve is designed to be placed on wound irrigation units for purposes of delivering a liquid within a pre-set pressure range for wound irrigation. It can be manufactured as an attachment to a syringe or irrigation device.
  • the "adjustable pressure activating valve” can also be manufactured in the design of single unit, hand-held, plastic /disposable wound irrigation system which can be modified for blow-fiH, cell-fill or similar technology, wherein a membrane or the referenced membrane or valve can be set to open at a pre-determined, desired pressure.
  • These "adjustable pressure activating valve” have two designs.
  • Twisting up opens to decrease pressure. Twisting down closed to increase pressure.
  • the second is a dialing structure with 4 positions and numbered 1, 2, 3 and 4.
  • Position 1 is least resistance affording the minimal range ( not less than 4 PSI ) of pressure. As the numbers increase through, 2 and 3 to Position 4, so does the delivery of pressure which affords the maximal range ( not more than 12 PSI ) of pressure.
  • Inventors, Zione and House also designed a means for electronic delivery of the single, hand held, wound irrigation device.
  • This mechanical apparatus can be used by persons with limited neuro-muscular stamina or abilities who can not manually manipulate the hand-help disposable unit.
  • the disposable wound irrigation system/unit can then be placed into a small, stationary or portable, battery-operated or electric-powered which will then compress its contents at a desired pressure for the delivery of effective wound irrigation.
  • the device described may have a dial, gauge, or other common means to select the pressure at which the liquid will be delivered.
  • 1.6 Illustrates the hole through which the closure strap engages.
  • 1.8 Illustrates the "one-way" oxygen flow valve which allows for external or internal attachments to the oxygen administration unit.
  • 1.10 Illustrates the air - filled cells to promote comfort.
  • 1.12 Illustrates the molded dividers of the air-filled cells.
  • 4.10 Illustrates the motorized dome of the device 4.12 Illustrates the ascending and descending plunger from the motorized dome.
  • the Patient Management Nursing Software provides computerized guidance and structure for nurses and nursing technicians engaged in patient care and management, beginning with patient admission, through patient discharge and home care. It comprises:
  • a computer generated nursing plan including but not limited to, regimens of disease or condition-specific protocols based upon the patient's admitting diagnosis as specified in the patient's ICD9 codes;
  • Protocol 0 skincare w/lotions or creams.
  • Protocol 1 Iodosorb Iodoflex Tx for drainage/infection management for persons who are not allergic to Iodine.
  • - Protocol 2 Hydro sorb Tx for drainage/infection management for persons who are allergic to Iodine.
  • d) - Protocol 3 Hydrogel Ointments when possible for hydration therapy.
  • e) - Protocol 4 Accuzyme ointment for enzymatic debridement.
  • f) -Protocol 5 Poly-Mem foam/sponge for hydration and infection management.
  • the software program of our invention enables the delivery of a uniforrri, standardized level of nursing care to similarly situated patients dependent on their condition as determined by a physician upon admission or as observed thereafter and modified. It also, through internet or dial-up access, affords physician immediate access for retriving information regarding patients' admission status, on-going progress and care regimens.
  • Wound oxygenation therapy may be implemented with or without humidifying the 02.
  • the single unit, hand-held, plastic/disposable wound irrigation system which can be modified for manufacture through blow-fill or similar technology, contains a membrane or pressure activated valve placed within or as a separate attachment for the unit for purposes of delivering a liquid within a pre-set pressure range for wound irrigation.
  • the referenced membrane or valve is set to open at a pre-determined, desired pressure.
  • the wound irrigation variable opening device with or without a pressure-activated membrane or pressure valve placed in the unit, is drafted to be used in combination with a single unit, hand-held, squeezable device of disposable plastic, pre-filled with 35 ML of normal saline solution or other liquid.
  • the device is made to variably open and close by means of a threaded female cap piece that is easily twisted down over the threads of a male piece in order to variably open and close the aperture or a dialing device which constricts as it is advanced or dialed from 1 to 4 such that Positionl provides the minimal amount of pressure and Position4 provides the maximal amount of pressure.
  • These devices can also be manufactured or packaged in kits with wound cleaning products to facilitate patient compliance with the wound care regimen.
  • the disposable wound irrigation unit When used in conjunction with the electrically powered delivery device described herein for the delivery of liquid with a constant pressure, the disposable wound irrigation unit may be utilized without the variable opening adjustment described above or the membrane or pressure valve as described for hand-held irrigation.
  • the small, stationary or portable, battery-operated or electric-powered device into which the single unit, squeezable or collapseable device of disposable plastic, pre-filled with 35 ML of normal saline solution or other liquid is placed and which device delivers the contents of the wound irrigation system at a desired pressure for effective wound irrigation, is drafted to have a dial, gauge, or other common means to select the pressure at which the liquid will be delivered.
  • the device operates by "a switch” to start the mechanic function of applying pressure to the pre-filled liquid container by means of a roller, piston, or plate, which in turn forces the liquid out of the container with a pressure sufficient to be effective for wound irrigation.
  • the software described would, for the first time, be geared toward nursing management of patient care regimens from admission through discharge to homecare.
  • the pressure controlled wound irrigator is novel and provides a disposable irrigation system for pressure therapy that allows the user to adjust the control the amount of pressure applied to a wound during treatment. Additionally, for the first time, the wound irrigator mechanical apparatus, through battery or electrical power, would permit physically incapacitated or weak individuals to apply saline or other liquids during wound treatment at therapeutic amounts of pressure.
  • the wound oxygenation devices further enhances patient therapy by providing, for the first time, a means of delivering oxygen or some other gas directly to a wound surface in a sterile, controlled manner for the purpose of enhancing tissue perfusion. It would also permit "localized" hyperbaric therapies to be applied to a wound as opposed to the complete enclosure of the patient in a hyperbaric chamber or oxygen tent with resultant savings in costs and increased in patient safety. Additionally, it can be manufactured with or without a timing device for monitoring of the therapy regimen.

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

Abstract

La présente invention concerne un logiciel de soins infirmiers et un équipement médical destiné à traiter des plaies. Ce système logiciel de soins infirmiers pour prise en charge de patients fournit un système efficace de gestion par logiciel informatique permettant de réaliser une gestion clinique de soins infirmiers en vue d'une prestation de services destinés aux patients, tels que l'admission, l'éducation des patients, les interactions infirmière-patient, le suivi et la planification des sorties. Cette invention favorise l'empathie et la prévenance dans les relations infirmière-patient, ce qui contribue à préserver l'art des soins infirmiers. Ledit équipement médical destiné au traitement de plaies comprend des irrigateurs à pression réglable (Fig. 5 & 6), des applicateurs d'oxygénation (Fig. 1, 2, 3, 7 & 8), des kits d'irrigation de plaies profondes (Tableau: kits pour plaies), ainsi qu'un dispositif mécanique destiné à une irrigation (Fig. 4). Le traitement efficace des plaies contribue à réduire les complications et les coûts qui leur sont associés. Cette invention vise à favoriser la cicatrisation des plaies, à réduire les coûts et la quantité de déchets, et à prévenir les infections liées à l'utilisation d'équipements contaminés. Ces traitements d'oxygénation de plaies font intervenir des orifices de ventilation suffisamment importants pour acheminer de l'oxygène vers le tissu, d'où une augmentation de l'irrigation tissulaire. Des dispositifs jetables en plastique destinés à irriguer des plaies permettent de réaliser une irrigation à pression réduite. On peut ainsi opérer une stimulation vasculaire et une élimination de tissu nécrotique à partir de la surface de la plaie, ce qui favorise la cicatrisation. Ces kits d'irrigation de plaies profitent également aux patients et au personnel de santé du fait de l'organisation préalable de l'équipement requis en vue d'une opération et de la réduction des déchets et du risque d'infection lié à un équipement contaminé. L'utilisation d'une batterie ou d'un dispositif mécanique à actionnement électrique permet aux personnes infirmes ou de petite taille d'être assistées, d'où l'irrigation facilitée d'une plaie.
PCT/US2001/011847 2000-04-11 2001-04-11 Logiciel de soins infirmiers pour prise en charge de patients, dispositifs d'oxygenation de plaies, et dispositif d'irrigation de plaies a ecoulement regulable Ceased WO2001076460A2 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU2001253385A AU2001253385A1 (en) 2000-04-11 2001-04-11 Patient management nursing software; wound oxygenation devices: oxy-pad and cam;and adjustable flow wound irrigation device

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US19615400P 2000-04-11 2000-04-11
US60/196,154 2000-04-11

Publications (2)

Publication Number Publication Date
WO2001076460A2 true WO2001076460A2 (fr) 2001-10-18
WO2001076460A3 WO2001076460A3 (fr) 2002-05-30

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PCT/US2001/011847 Ceased WO2001076460A2 (fr) 2000-04-11 2001-04-11 Logiciel de soins infirmiers pour prise en charge de patients, dispositifs d'oxygenation de plaies, et dispositif d'irrigation de plaies a ecoulement regulable

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AU (1) AU2001253385A1 (fr)
WO (1) WO2001076460A2 (fr)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10370175B2 (en) 2012-07-30 2019-08-06 P.C.O.A. Devices Ltd. Receptacle for containing and dispensing solid medicinal pills
US10399725B2 (en) 2012-07-05 2019-09-03 P.C.O.A. Devices Ltd. Medication dispenser
US10456332B2 (en) 2014-06-22 2019-10-29 P.C.O.A. Devices Ltd. Controlled dosage form-dispensing system
CN112156364A (zh) * 2020-09-17 2021-01-01 张文娟 一种降低术后感染的护理装置
US10952928B2 (en) 2015-04-20 2021-03-23 Dosentrix Ltd. Medication dispenser depilling mechanism
US11264125B2 (en) 2015-10-15 2022-03-01 Dosentrx, Ltd. Image recognition-based dosage form dispensers
US11458072B2 (en) 2015-11-02 2022-10-04 Dosentrx Ltd. Lockable advanceable oral dosage form dispenser containers

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1995000914A1 (fr) * 1993-06-28 1995-01-05 Scott & White Memorial Hospital And Scott, Sherwood And Brindley Foundation Registre medical electronique utilisant une base de donnees textuelles
US5517405A (en) * 1993-10-14 1996-05-14 Aetna Life And Casualty Company Expert system for providing interactive assistance in solving problems such as health care management
US5899998A (en) * 1995-08-31 1999-05-04 Medcard Systems, Inc. Method and system for maintaining and updating computerized medical records
US6117073A (en) * 1998-03-02 2000-09-12 Jones; Scott J. Integrated emergency medical transportation database system

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10399725B2 (en) 2012-07-05 2019-09-03 P.C.O.A. Devices Ltd. Medication dispenser
US10370175B2 (en) 2012-07-30 2019-08-06 P.C.O.A. Devices Ltd. Receptacle for containing and dispensing solid medicinal pills
US10456332B2 (en) 2014-06-22 2019-10-29 P.C.O.A. Devices Ltd. Controlled dosage form-dispensing system
US10952928B2 (en) 2015-04-20 2021-03-23 Dosentrix Ltd. Medication dispenser depilling mechanism
US11264125B2 (en) 2015-10-15 2022-03-01 Dosentrx, Ltd. Image recognition-based dosage form dispensers
US11458072B2 (en) 2015-11-02 2022-10-04 Dosentrx Ltd. Lockable advanceable oral dosage form dispenser containers
US12115131B2 (en) 2015-11-02 2024-10-15 Dosentrx Ltd. Lockable advanceable oral dosage form dispenser containers
CN112156364A (zh) * 2020-09-17 2021-01-01 张文娟 一种降低术后感染的护理装置

Also Published As

Publication number Publication date
WO2001076460A3 (fr) 2002-05-30
AU2001253385A1 (en) 2001-10-23

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