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WO2018065149A1 - Système d'application pour commander des perfusions vers une pluralité de patients - Google Patents

Système d'application pour commander des perfusions vers une pluralité de patients Download PDF

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Publication number
WO2018065149A1
WO2018065149A1 PCT/EP2017/071398 EP2017071398W WO2018065149A1 WO 2018065149 A1 WO2018065149 A1 WO 2018065149A1 EP 2017071398 W EP2017071398 W EP 2017071398W WO 2018065149 A1 WO2018065149 A1 WO 2018065149A1
Authority
WO
WIPO (PCT)
Prior art keywords
infusion
multiplicity
systems
management device
user
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/EP2017/071398
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English (en)
Inventor
Christine DURAND
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.)
Fresenius Vial SAS
Original Assignee
Fresenius Vial SAS
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 Fresenius Vial SAS filed Critical Fresenius Vial SAS
Publication of WO2018065149A1 publication Critical patent/WO2018065149A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G16H20/17—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT 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
    • G16H40/60—ICT 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 operation of medical equipment or devices
    • G16H40/67—ICT 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 operation of medical equipment or devices for remote operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT 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
    • G16H40/20—ICT 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

Definitions

  • the invention relates to an application system for controlling infusions to a multiplicity of patients in a healthcare environment.
  • An application system of this kind comprises a multiplicity of infusion systems for providing infusions to a multiplicity of patients, each infusion system comprising at least one infusion device for administering an infusion to an associated patient and an infusion management device for controlling the at least one infusion device.
  • the infusion management device herein is constituted to output information relating to an infusion and comprises an input device allowing a user to input control commands relating to an infusion.
  • a communication network connects the multiplicity of infusion systems to each other to allow for a transmission of data in between the infusion systems.
  • An application system of this kind may for example be used in a hospital, for example in an intensive care unit of a hospital.
  • the application system herein relates to a scenario in which multiple patients are treated simultaneously throughout the healthcare environment, for example in an intensive care unit, for example in different patient bed rooms of an intensive care unit.
  • an infusion system is arranged for providing one or multiple infusions to the patient, the infusion system for example comprising a multiplicity of infusion devices such as volumetric infusion pumps or syringe infusion pumps for example arranged in an organized fashion on a rack.
  • multiple patients typically are simultaneously treated and are subjected to infusions.
  • one nurse may be responsible for multiple patients at the same time, the nurse having to monitor the state of the patient and the progress of ongoing infusions. For this, the nurse typically spends a certain amount of time with each patient before moving to another patient in order to check on each patient one after the other and to perform necessary actions on the patient.
  • the nurse typically spends a certain amount of time with each patient before moving to another patient in order to check on each patient one after the other and to perform necessary actions on the patient.
  • patients in separate rooms in an intensive care unit Placing patients in individual rooms may help to improve the intimacy of the patients, and furthermore may help to reduce stress for the nurses, the patients and also the relatives of the patients, which ultimately may help to improve the service on the patients and to reduce the amount of errors.
  • the infusion management device of at least one of the multiplicity of infusion systems is constituted to output information relating to an infusion operation carried out by another infusion system of the multiplicity of infusion systems, wherein the input device of a said infusion management device of the at least one of the multiplicity of infusion systems is configured to allow a user to input a control command relating to an infusion operation carried out by said other infusion system.
  • each infusion management system of each of the multiplicity of infusion systems may be constituted to output information relating to an infusion operation carried out by another infusion system, wherein the input device of each infusion management device is configured to allow a user to input a control command relating to an infusion operation carried out by said other infusion system.
  • the multiple infusion systems may be located for example on the bedside of different patients being placed in different rooms of a healthcare environment, for example in an intensive care unit of a hospital.
  • a user in particular a nurse, is enabled to monitor infusions carried out by the multiplicity of infusion systems and to act on the infusions in an easy, comfortable way.
  • the user is enabled to act on an infusion carried out by a remote infusion system by entering control commands into the infusion management device of an infusion system the user is currently attending to.
  • the user for example a nurse, currently is attending to a patient and hence is in the range of the infusion system associated with that patient, the user is informed about the progress of infusions carried out by other infusion systems via the infusion management device of the infusion system the user is currently dealing with. Via that infusion management device the user may enter control commands relating to the other, remote infusion systems, such that the user may act onto infusions carried out by those other, remote infusion systems. Hence, one infusion system may be controlled from another infusion system. It hence becomes easy to a user to observe all infusions the user is currently responsible for, even if the user currently attends to a patient in an individual room, the other patients hence currently being out of sight.
  • the infusion management system is configurable by the user.
  • the user may select a subset of infusion systems of the multiplicity of infusion systems to output information relating to infusion operations carried out by that subset and to input control commands relating to infusion operations carried out by the subset.
  • a user hence may select those infusion systems which are associated with the patients the user is responsible for.
  • the infusion management system hence selectively displays information relating to the selected infusion systems and allows the user to control infusions carried out by the selected infusion systems.
  • the input device of the infusion management device may for example be constituted by a touch-sensitive display which displays information and allows to enter control commands relating to that information. Control commands herein may for example be input upon authorization of a user by a password.
  • the infusion systems are in communication connection with each other.
  • a communication network such as a network making use of the Internet Protocol, for example constituted as an intranet internal to a hospital, may be used.
  • the communication herein may take place via a central server to which all infusion systems are connected and via which the infusion systems communicate with each other.
  • Other setups however are conceivable, for example setups including a multiplicity of distributed servers, or a direct communication in between the infusion systems.
  • the infusion management system may be constituted to output information relating to an alarm condition of an infusion operation carried out by another infusion system.
  • the input device of the infusion management device may be configured to allow a user to input a control command relating to the alarm condition in order to allow the user to react to the alarm condition.
  • An alarm condition may be arise if anything abnormal during an infusion operation occurs, or if a situation arises which a user needs to attend to.
  • An alarm condition may for example be the presence of an occlusion in an infusion line via which an infusion is administered to a patient, an air alarm indicating that air is present in an infusion line, an end-of-infusion alarm indicating that an infusion approaches its end, or an empty-bag condition indicating that a bag from which medication is taken is empty.
  • Other alarm conditions may relate to operational states of an infusion device, for example a low- power state or the like. With the proposed scheme, an infusion management device of a certain infusion system may display alarm conditions of other, remote infusion systems, and a user may act onto those alarm conditions by inputting control commands into the infusion management device of the infusion system the user is currently attending to.
  • the infusion management device may be constituted to output information relating to the alarm condition occurring at another, remote infusion system prior to the other infusion system actually outputting an indication of the alarm condition.
  • the infusion management device may display the alarm condition to the user prior to an alarm sounding at the other, remote infusion system at which the alarm condition arises. The user hence is informed about the alarm condition and can act onto the alarm condition before an alarm begins to sound at the infusion system at which the alarm condition is present. This may help to avoid unnecessary alarm sounds, because a user can silence an alarm from the location at which the user currently is, before the alarm actually sounds at the infusion system at which the alarm condition is present. This ultimately may help to reduce alarm fatigue.
  • each infusion system may comprise a rack and a multiplicity of infusion devices, in particular infusion pumps, arranged on the rack.
  • the rack mechanically holds the infusion devices in an organized fashion, for example to form a vertical stack of infusion devices, the rack also providing for a communication link to connect the infusion devices to the communication network.
  • the infusion management device also may be connected to the rack, the infusion management device for example having a touch-sensitive display physically arranged on the rack.
  • the infusion systems are located remote from one another, for example in different rooms of a healthcare environment.
  • the infusion systems hence are spatially separated from one another, but are in communication connection with each other via the communication network.
  • a central infusion management device may be provided which is connected to the communication network.
  • the central infusion management device herein may be constituted to output information relating to all infusion operations carried out by the infusion systems it is assigned to. Via the central infusion management device a user hence may observe ongoing infusion operations and may act onto the infusion operations by inputting control commands relating to the infusion operations carried out by the infusion systems.
  • the object is also achieved by means of a method for operating an application system for controlling infusions to a multiplicity of patients in a healthcare environment. The method comprises:
  • each infusion system comprising at least one infusion device for administering an infusion to an associated patient and an infusion management device for controlling the at least one infusion device, the infusion management device being constituted to output information relating to an infusion and having an input device allowing a user to input control commands relating to an infusion, communicating data, via a communication network, in between the multiplicity of infusion systems,
  • Fig. 1 shows a schematic set up of an application system comprising a multiplicity of infusion systems
  • Fig. 2 shows a flow chart for operating the application system
  • Fig. 3A, 3B show views of a display of an infusion management device when configuring the infusion management device; and Fig. 4A-4D show views of the display of the infusion management device for observing an infusion of a remote infusion system.
  • Fig. 1 shows a schematic drawing of a setup of an application system 1 comprising a multiplicity of infusion systems 2A, 2B, 2C.
  • the infusion systems 2A, 2B, 2C herein may be located in different locational areas of a healthcare environment, for example an intensive care unit of a hospital, for example in different patient bedrooms or in different operation theaters of a hospital.
  • Each infusion system 2A, 2B, 2C comprises a multiplicity of infusion devices 21 , in particular infusion pumps in the shape of for example volumetric (peristaltic) infusion pumps or syringe infusion pumps, the infusion devices 21 being arranged in an organized fashion on a rack 20.
  • the rack 20 herein mechanically holds the infusion devices 21 and at the same time provides for a communication link to connect the infusion devices 21 with a communication network, for example an internal hospital communication network.
  • the infusion devices 21 serve to provide infusions to patients A, B, C.
  • Each patient A, B, C herein may be subjected to multiple infusions carried out by multiple infusion devices 21 at the same time, the infusion devices 21 serving to administer different medical solutions, such as medications or feeding solutions for the enteral or parenteral feeding.
  • the infusion devices 21 are connected to multiple infusion sets 24 comprising tubes extending in between the infusion devices 21 and the associated patient A, B, C.
  • Each infusion system 2A, 2B, 2C comprises an infusion management device 22 comprising a touch-sensitive display 220 and being connected to the associated rack 20 and the infusion device 21 arranged thereon via a communication connection 23.
  • the infusion management device 22 may for example be arranged on the rack 20 and may be physically connected to the rack 20, or the infusion management device 22 may be arranged in the vicinity of the rack 20 without however being directly connected to the rack 20.
  • the different infusion systems 2A, 2B, 2C are in communication connection with each other.
  • the infusion systems 2A, 2B, 2C may for example be connected, via communication connections 30, to a central server 3, the communication connections 30 for example being part of a communication network such as an intranet internal to a hospital and making use of the Internet Protocol (TCP/IP).
  • TCP/IP Internet Protocol
  • data may be exchanged in between the infusion systems 2A, 2B, 2C.
  • a central infusion management device 4 is provided connected to the central server 3 via a communication connection 40.
  • the central infusion management device 4 may be placed at a central location in a healthcare environment, for example in a central monitoring room (e.g. the nurse room) for example in a ward or in an intensive care unit, allowing for a central control of the infusion systems 2A, 2B, 2C.
  • a user In a hospital, typically a user, in particular a nurse, is responsible for multiple patients A, B, C at the same time. Hence, the user must monitor infusion operations the patient A, B, C is subjected to, and must act onto the infusion operations if a malfunction occurs or any situation arises which requires the attention of the user.
  • the infusion systems 2A, 2B, 2C are placed in separate, individual locations such as individual rooms, the observation of the infusion operations however may not be easy for the user.
  • a user typically spends a substantial amount of time at the bedside of a patient A, B, C, before attending to the next patient A, B, C.
  • infusion operations it however must be ensured that any critical situation at any patient A, B, C can be attended to by the responsible user in a timely fashion.
  • a user may in particular be informed about any alarm conditions arising on any infusion systems 2A, 2B, 2C the user is responsible for, such that the user may immediately react to that alarm condition, even if the user currently is located remote from the infusion system 2A, 2B, 2C at which the alarm condition has arisen.
  • Fig. 2 shows a flow chart illustrating a potential workflow.
  • a user N may configure, at the infusion management device 22 of a particular infusion system 2A, 2B, 2C, which infusion systems 2A, 2B, 2C shall be monitored remotely.
  • the infusion management device 22 hence can be configured such that on the infusion management device 22 information relating to those infusion systems 2A, 2B, 2C are displayed for which the user N is responsible.
  • step S2 the information relating to infusion operations carried out by the selected infusion systems 2A, 2B, 2C are then displayed on the infusion management device 22.
  • step S3 the user N may select a particular infusion system 2A, 2B, 2C associated with a patient A, B, C to obtain information about infusion operations carried out by said infusion system 2A, 2B, 2C.
  • an infusion device 21 may be selected in order to obtain information about the infusion operation carried out by that infusion device 21 in order to possibly act onto the infusion operation.
  • step S3 also additional information relating to a patient A, B, C may be displayed on the infusion management device 22, for example information relating to the health status of the patient A, B, C, for example an EEG reading or the like.
  • step S4 If, as indicated in step S4, an alarm condition arises on a remote infusion system 2A, 2B, 2C, the infusion management device 22 of the infusion system 2A, 2B, 2C the user N is currently dealing with displays information relating to that alarm condition. In this way the user N is warned of the alarm and, in step S5, can open on the infusion management device 22 a view displaying information about the infusion device 21 of the infusion system 2A, 2B, 2C on which the alarm condition has arisen and, in step S6, can attend to the alarm condition possibly by pausing the alarm or by leaving the patient A, B, C the user N is currently attending in order to attend the patient A, B, C to which the alarm relates.
  • control command herein may for example only be allowed upon entering of a password. Only an authorized user N hence may input a control command relating to the infusion operation of another infusion system 2A, 2B, 2C.
  • Fig. 3A and 3B show views of the touch-sensitive display 220 of an infusion management device 22 during configuration of the infusion management device 22 by a user.
  • the user may configure the infusion management device 22 to display information relating to other, remote infusion systems 2A, 2B, 2C associated with other patients A, B, C in order to monitor those infusion systems 2A, 2B, 2C and to possibly act onto those infusion systems 2A, 2B, 2C remotely.
  • the display 220 displays a view indicating different patients, which the user may select, as illustrated in Fig.
  • the patients may be displayed in different fields having different colors, and possibly are arranged on the view in a way such that the arrangement of the patients corresponds to the distribution of the patients throughout a care area, for example an intensive care unit.
  • the infusion management device 22 will display information relating to the infusion systems 2A, 2B, 2C associated with the selected patients A, B, C such that the user is informed about infusion operations carried out by the infusion systems 2A, 2B, 2C.
  • a user may, as illustrated in Fig. 4A, select a patient and hence an infusion system 2A, 2B, 2C associated with that patient, upon which the infusion devices 21 of the selected infusion system 2A, 2B, 2C are displayed, denoted in Fig. 4A by "pump 1 " to "pump 7" constituting active infusion devices 21 and “pump 8" to "pump 12" constituting currently inactive, non-used infusion devices.
  • the user may select a particular infusion device 21 , for example "pump 6", by tapping onto the field associated with that infusion device 21 , upon which information relating to an infusion operation carried out by that infusion device 21 ("pump 6") is displayed as illustrated in Fig. 4B.
  • pump 6 information relating to an infusion operation carried out by that infusion device 21
  • the drug infused, the infusion rate, the volume left and the time left may be displayed to the user.
  • the alarm condition may be displayed on the infusion management device 22 the user is currently attending prior to an alarm signal being raised at the remote infusion system 2A, 2B, 2C.
  • the user may silence the alarm before an alarm signal even sounds at the remote infusion system 2A, 2B, 2C, such that unnecessary alarm signals are avoided at the remote infusion system 2A, 2B, 2C.
  • different infusion systems may use different infusion devices such as a volumetric infusion pumps or syringe infusion pumps to carry out different infusions, for example to administer a medication or a nutritional solution or any other medical solution to a patient.
  • infusion devices such as a volumetric infusion pumps or syringe infusion pumps to carry out different infusions, for example to administer a medication or a nutritional solution or any other medical solution to a patient.
  • Different alarm conditions herein may arise and may cause different alarm signals, such as visual alarms or acoustic alarms.
  • the invention herein may allow to pause an acoustic alarm and/or a visual alarm such that an alarm condition may be attended to remotely.

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  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Biomedical Technology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicinal Chemistry (AREA)
  • Chemical & Material Sciences (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

Système d'application (1) pour commander des perfusions vers une pluralité de patients (A-C) dans un environnement de soins de santé comprenant une pluralité de systèmes de perfusion (2A, 2C) pour fournir des perfusions à une pluralité de patients (A-C), chaque système de perfusion (2A, 2C) comprenant au moins un dispositif de perfusion (21) pour administrer une perfusion à un patient associé (A-C) et un dispositif de gestion de perfusion (22) pour commander le ou les dispositifs de perfusion (21), le dispositif de gestion de perfusion (22) étant conçu pour délivrer des informations relatives à une perfusion et étant pourvu d'un dispositif de saisie (220) permettant à un utilisateur (N) de saisir des instructions de commande concernant une perfusion. Un réseau de communication relie la pluralité de systèmes de perfusion (2A, 2C) pour permettre une transmission de données entre les systèmes de perfusion (2A, 2C). Le dispositif de gestion de perfusion (22) d'au moins l'un de la pluralité de systèmes de perfusion (2A, 2C) est conçu pour délivrer des informations relatives à une opération de perfusion effectuée par un autre système de perfusion (2A, 2C) de la pluralité de systèmes de perfusion (2A, 2C), le dispositif de saisie (220) dudit dispositif de gestion de perfusion (22) du ou des systèmes de perfusion de la pluralité de systèmes de perfusion (2A, 2C) est configuré pour permettre à un utilisateur (N) de saisir une instruction de commande relative à une opération de perfusion effectuée par ledit autre système de perfusion (2A, 2C). De cette manière, l'invention concerne un système d'application qui, d'une manière facile et intuitive, permet à un utilisateur, en particulier à une infirmière, de surveiller de multiples perfusions fournies par de multiples systèmes de perfusion différents en même temps.
PCT/EP2017/071398 2016-10-05 2017-08-25 Système d'application pour commander des perfusions vers une pluralité de patients Ceased WO2018065149A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EP16306303.5 2016-10-05
EP16306303 2016-10-05

Publications (1)

Publication Number Publication Date
WO2018065149A1 true WO2018065149A1 (fr) 2018-04-12

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PCT/EP2017/071398 Ceased WO2018065149A1 (fr) 2016-10-05 2017-08-25 Système d'application pour commander des perfusions vers une pluralité de patients

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Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000072180A2 (fr) * 1999-05-20 2000-11-30 St. Louis University Infrastructure de reseau pour salle d'operation
WO2005050524A2 (fr) * 2003-11-12 2005-06-02 Draeger Medical Systems, Inc Systeme de soin medical modulaire

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000072180A2 (fr) * 1999-05-20 2000-11-30 St. Louis University Infrastructure de reseau pour salle d'operation
WO2005050524A2 (fr) * 2003-11-12 2005-06-02 Draeger Medical Systems, Inc Systeme de soin medical modulaire

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