Method and system for controlling patient care
FIELD: system and method for controlling patient care in patient care institution.
SUBSTANCE: device for controlling patient care contains memory for storing a set of database configurations. Each database configuration preferably contains protocols, operation limits, sets of rules and/or working signs, which jointly define operation conditions, or specialization of device. Selection of database configuration is preferably based on information about certain patient, received from any location in distributed network of health care institution. It is possible to program the patient care controlling device to issue medicines to the patient.
EFFECT: increased efficiency of usage of reserves of patient care institution, lower costs of laboratory losses, improved quality of patient care.
6 cl, 7 dwg
This application is a partial continuation of patent application U.S. serial number 09/379212, filed August 23, 1999, which is a continuation of U.S. patent No. 5941846 with the title "Method and apparatus for connecting a power supply in a modular system of patient care" with a filing date of June 9, 1997, which is a partial continuation of U.S. patent No. 5713856 called "Modular patient care" with a filing date of March 13, 1995, the Full contents of these related applications is included in this description.
The technical field to which the invention relates.
This invention relates in General to a system and method for managing patient care in the hospital and, in particular, to a system and method for integrating information from a distributed network for changes in operating characteristics of the device for patient care.
The level of technology
In the field of health care great attention is paid to reduce the incidence of errors in dosing drug therapy and improve the overall quality of patient care. Often errors in the dosage of drug therapy occur because the patient receives the wrong medication, the wrong dose of the right medication, the right dose of the right medication at the wrong time, or the drug exerts harmful interaction is interaction with other drugs. Modern advances in health care have tried to solve these problems and to improve the efficiency and quality of patient care.
Many drugs dispensed to the patient at the appointed time or close to it using a programmable infusion pumps, such as disclosed in U.S. patent No. 5713856 (Eggers and others) and in U.S. patent No. 5041086 (Koenig and others), the content of which is included in this description. Eggers and others disclose a modular system for patient care, is able to provide therapy to the patient and monitoring the patient's condition. In the system of Eggers use Central control module for controlling and monitoring several functional modules, including one or more infusion pumps and devices for the patient.
Most hospitals now have a pharmacy, a computer system for entering, preparation and tracking of prescriptions, management of medicines in stock, check drug compatibility and printing of prescription orders and labels. Usually one or more injections of drugs that must be done for the patient, prescribed by a physician of the patient. The pharmacy prepares the solution infusion in accordance with the prescription and places the solution in intravenous package, syringe or other container. Printed e is Ikeda identifies the contents of the container, patient who prescribed the medication issued to the doctor, to receive and/or other information related to the recipe. The label usually write on a typewriter or print human-readable characters. In some cases, use the bar code to encrypt the information on the label.
After attaching the label to the container is transported to the location of the patient and operatively connected to the infusion pump beside the bed, such as disclosed by Eggers and other Then the nurse or other medical staff programs the infusion system data dispensing with labels, usually by manually entering the parameters of the infusion using the keypad or keyboard of the field. As an alternative solution in some systems attempt to reduce data entry errors by using the device to read a barcode that scans the coded data into the system pumps with labels drug or prescription. Data may include, for example, the rate of infusion, the total volume of infusion and, in a multi-channel or modular systems, such as described by Eggers and others, channel or pump module to be used.
In U.S. patent No. 5153827 issued Coutre, etc. is disclosed a system for providing infusion device parameters infusion of medicinal resources from the Central database of pharmacies. Execution options injections for a particular treatment are printed from the Central database of the pharmacy on a machine-readable labels that are then transferred to the location of the patient and scan in the infusion device beside the bed of the patient. For system Cutre requires that all information used for programming the pump was scanned with a machine-readable label or input by the user manually. Thus, the infusion system Cutre not use information from other sources within the hospital or within the system itself.
In U.S. patent No. 5781442 issued Engleson, etc. is disclosed a control system for patient care, containing a network of computers with different input devices and output for receiving data about a patient and to generate or display any records. The disclosed system monitors incoming orders for patient care, and automatically updates records and, if necessary, issues an alarm. In the example of using identification information of the patient and the medication is scanned in the terminal at berths and transmitted to the Central computer where the data is processed. Then, the Central computer transmits the operating parameters in the terminal, and terminal programs the infusion pump in accordance with operating parameters.
Despite the recent USP is hee in the prior art there is still a need in the system, which facilitates efficient and accurate programming device, medical treatment, while ensuring compliance with prescribed treatment of local and General instructions given patient, at a specific site, and/or specific performance.
This invention relates in General to the transfer of patient information from various sources, so that the patient receives the care of a higher quality, more efficient use reserves provide care institutions and reduced laboratory costs by automating some of the processes that are currently performed manually. Data transfer is usually performed within the network or networks, however, some data are input or output via the ports that convert data formats. The preferred implementation of the present invention is a modular device for patient care, combined with a network of hospitals, with features and performance characteristics of the device change depending on its location within the network.
According to the invention has a system of patient care that contains the unit of patient care and the means to transfer related to the patient information in the device. The device comprises a memory for storing different databases the configuration each of which contains many different groups of operating parameters of the device. Transfer related to the patient information in the device provides a choice of database specific configuration of multiple database configurations based at least partially related to patient information. The system of patient care in accordance with this invention preferably also contains a computer network and communication between the device and the network.
According to the invention additionally created a programming device for the care of the patient for delivery of substances to a patient, including printing coded labels, with the specified label includes a pointer to the Protocol, identifying the first Protocol for delivery of substances to a patient; attaching the label to the container containing the substance; transporting the container to the device for patient care; input pointer to the system for patient care, including the first Protocol in the memory; and programming the function block system for the care of the patient for delivery of substances to a patient in accordance with the first Protocol.
Brief description of drawings
For a better understanding of the nature and details of the invention below is a detailed description with reference to the drawings, which depict:
figure 1 - block diagram of the system is s management of patient care in accordance with this invention;
figure 2 - block diagram of the interface unit according to this invention;
figure 3 - block diagram of the configuration of the database according to this invention;
4 is a block diagram of a multitude of different types of investments supported by the interface unit, in accordance with this invention;
5 is a graphical flow chart of the process of programming the infusion system to perform specific infusion Protocol in accordance with a variant implementation of the present invention;
6 is a block diagram of an alternative implementation of the control system for patient care in accordance with this invention;
7 is a graphical diagram of the process steps used to correlate the programming module with the patient, in accordance with a variant implementation of the invention.
In the drawings the same parts are marked with the same numeric positions.
Description of the invention
Figure 1 shows in General the system for patient care in accordance with one implementation of the present invention. As shown in figure 1, the device 12 for the care of the patient is connected with a network of 10 hospitals, including a system of 34 management of the pharmacy and the server 30 of the information system of the hospital. Each element 12, 30 and 34 connected to the network 10 through the transmitting channel 32. Transmitting the channel 32 is any Prov is denim or wireless transmission channel, for example, wireless local area network 802.11 (LAN). In a preferred embodiment of the present invention, the network 10 also contains a system of computers located in different hospital departments. For example, the network 10 according to Fig 1, preferably includes a computer system associated with the receiving compartment 36, 38 Department billing Department 40 biomedical engineering, clinical laboratory 42, the Central compartment 44 supply, one or more local computers 46 and/or 48 of making medical decisions.
The device 12 for the care of the patient preferably includes a system similar to the system described in U.S. patent No. 5 713 856 issued to Eggers and others, the full content of which is included in this description. As an alternative you can use the solution according to this invention other devices for patient care, such as pumps, physiological monitors (for example, a measure of the frequency of the beating heart, blood pressure, ECG, EEG, pulse oximeter and other monitors), therapeutic devices, and other devices dispensing. The device 12 for the care of the patient preferably contains advanced software module 14, also called the interface unit 14 is connected with one or more functional modules 16, 18, 20, 22. Interfejs the th block 14 has a Central unit 50 of the data processing (CPU), coupled with a memory, such as RAM 58 (RAM), and one or more interface devices, such as an interface unit 54 of the user device 60 of the input encoded data, the network connection 52 and auxiliary interface 62 for connection with additional modules or devices. Interface unit 14 preferably also includes a main unit 56 of the nonvolatile storage device, preferably a computer hard drive, for storing software and data, and one or more internal bus 64 for connection with each other all of the above.
In a typical embodiment, the interface device 54 user is a touch screen for displaying information to the user and allow the user to enter information by touching the specified areas of the screen. As an alternative solution interface device 54 may contain any means to display and enter information, such as monitor, printer, keyboard, soft keys, mouse, ball mouse pointer and/or a light pen. The device 60 of the input coded data preferably is a bar code reader that can scan and interpret the data that is printed in barcode format. In to the number of alternative solutions device 60 of the input data can be any device for entering coded data in the computer, such as a device for reading magnetic stripes, smart cards, PCMCIA radio cards, memory modules, MEMORY STICK, CD, DVD, or any other analog or digital information. Other examples of device 60 input data include managed voice device, or device voice recognition, or a portable personal digital assistant (PDA). Depending on the types of interface devices the interface device 54 of the user and the device 60 of the input encoded data may be the same device. As an alternative solution, although the device 60 of the input data, shown in figure 1, must be placed inside the interface unit 14, for specialists in the art will understand that the device 60 of the input data may be an integral part within the pharmacy system 34, or is located outside and is associated with pharmacy system 34 via the serial interface RS-232 or other suitable means of communication. Auxiliary interface 62 is preferably an RS-232 connection, but you can also use any other means for connection with a peripheral device such as a printer, patient monitor, infusion pump or other medical device, without going beyond the scope of this invention.
Network connection is s 52 preferably is a direct connection to the network, such as a T1 connection, the connection to the digital network with integrated services (ISDN)modem, a digital subscriber line (DSL) or cable modem. As an alternative solution you can use any direct or indirect connection to the network, including, but not limited to, a dial-up modem, system MS, RS232 interface, additional interface, optical line, infrared line RF line microwave line or connection WLANS.
Functional modules 16, 18, 20, 22 are any devices to ensure the care of the patient or to monitor a patient's condition. In a preferred embodiment of the present invention at least one of the functional blocks 16, 18, 20, 22 is a module infusion pump, such as pump for intravenous infusion for dispensing or other liquid to the patient. In this case, the function module 16 is a module infusion pump. Each of the functional modules 18, 20, 22 may be any device for the care of the patient or to monitor a patient, including, but not limited to, infusion pump, sprintsovki pump, PCA (controlled by the patient analgesic), epidural pump, small bowel pump, blood pressure monitor, pulse oximeter, ECG monitor, a monitor, an EEG monitor frequency bi is of the heart or monitor intracranial pressure. As an alternative solution of the functional modules 18, 20 and/or 22 may be a printer, scanner or other peripheral device input/output.
Each functional module 16, 18, 20, 22 is connected directly or indirectly with the interface unit 14, while the interface unit 14 provides overall supervision and management device 12. In a preferred embodiment, the functional modules 16, 18, 20, 22 are connected physically and electronically in series with one or both ends of the interface unit 14, as shown in figure 1 and described by Eggers and others But for specialists in the art will understand that you can use other means to connect the functional modules with interface unit, without going beyond the scope of this invention. It is also clear that devices such as pumps or monitors, which provide sufficient programmability and connections that can be connected to the network directly without a separate interface device. As mentioned above, the device 12 for the care of the patient can be connected medical devices or peripheral devices through one or more additional interfaces 62.
Each functional block 16, 18, 20, 22 typically contains module specific components 76, the microprocessor 70, the CN is lozovaia memory 72 and the non-volatile memory 74 for storing information. It should be noted that although figure 1 shows four functional module, to a Central computer 14 may be connected to any number of devices directly or indirectly. The specified number and type of functional units is purely illustrative and does not limit the scope of the present invention. Module specific components 74 include any components necessary for the operation of a particular module, such as a pumping mechanism for a module 16 infusion pump.
Although each functional module is usually able to work at least on some level independently, however, the interface unit 14 monitors and controls the entire operation of the device 12. For example, as will be described in more detail below, interface unit 14 provides program instructions for functional modules 16, 18, 20, 22 and monitors the status of each module.
In a preferred embodiment of the present invention, the device 12 for patient care can operate in several different modes, with each mode is specified by the database configuration. Specific database configuration is selected based, at least partially, related to patient information, such as location of the patient, age, physical characteristics or medical features is key. Medical characteristics include, but are not limited to, the patient's diagnosis, prescription care, medical history, medical records, identification of institutions caring for the patient, the physiological characteristics or psychological characteristics. In this case, related to the patient information also includes information about the person carrying out the treatment (for example, identification of a physician) or information about the location of the device 12 for patient care in the hospital or in a computer network hospital. Information about the patient's care can be entered via the interface device 52, 54, 60 or 62, and it can come from anywhere in the network 10, for example from a pharmacy 34, the admissions Department 36, lab 42, etc.
Data from different data sources can be converted to a compatible network data using existing technology, and the transfer of information between the medical device and the network can be done through various means. For example, the device 12 for patient care and the network 10 may be connected through an automated and/or manual communication. Automated communication may be continuous or discontinuous and may be made through a direct network connection 54 (as shown in figure 1) or, in the alternative, via the RS232 line, the system MIB, radio the data line, such as BLUETOOTH (Amtel Corp., San Jose, California), infrared line, WLANS, digital cable systems, dial-up modems or other means of communication. Manual communication between the device 12 for patient care and the network 10 is carried out using a physical transmission, intermittent or periodic data between systems using, for example, the interface device 54 user, device 60 of the input encoded data, bar codes, personal digital assistants, computer disks, memory cards or other storage media. The preferred means of communication is bilateral with the possibility of obtaining data from the greatest possible number of points distributed data sources. Decision making can be done in many places within the network 10. For example, but not limited to, decisions may be taken in the server 30 of the information system of the hospital, the device 48 decision support, management of hospitals or wards 46, or inside the device 12 for patient care.
As shown in figure 2, in a preferred embodiment of this invention, the interface unit 14 of the device for patient care contains many configuration database 200, 202, 204 and 206 of the data. The configuration database is preferably stored in memory 56 of the interface unit 1, however, one or more databases may be stored within the function module 16, 18, 20, 22. For specialists in the art will understand that although the memory 56 is preferably an internal hard drive, you can use either permanent or removable storage media, including, but not limited to, CD-ROM, EEPROM, floppy disk, tape, external hard drive, memory card, flash memory, etc. Optional part of the configuration database 200, 202, 204, 206 may be stored in volatile memory, such as RAM 58.
Each configuration database 200, 202, 204, 206 data preferably contains the unique ID of the database or index 210, 212, 214, 216 to identify the appropriate database. Each base 200, 202, 204, 206 data contains a set of fields that specify, for example, available treatment protocols, information library of medicine, the outside of the module, the characteristics of the device and possibly other information to determine private operating parameters of the device 12 for patient care. Each configuration database 200, 202, 204, 206 data sets special conditions of operation or mode of the device 12 for patient care. A separate configuration database may be specific to the place of treatment (e.g., intensive care unit, intensive care unit neonatal, Pediatrics, Oncology, and so on), the joint venture is tipichnyj for the stage of the disease (control of intracranial pressure, bone marrow transplantation and so on), user-specific (LPN, RN, physician, etc) or can be created on any rational principle. For example, according to a variant implementation of the present invention, when the device 12 for the care of the patient is in the intensive care unit, it uses the configuration database 200 data, and when the device 12 for the care of the patient is in the intensive care unit for newborns, it uses the configuration database 202 data. Each base 200 and 202 data contains, respectively, the specific operating parameters, treatment protocols, signs, etc. that make the device 12 suitable for use for patients in this hospital.
It should be noted that although figure 2 shows that each database contains the same categories and types of information, the database can vary greatly by type and quantity of the information contained therein. Each selected from a different database configurations specifies at least partially operating conditions of the device 12 and contains many protocols or groups of operating parameters by default.
Figure 3 shows in more detail an example configuration database 204 data according to this invention. The configuration database 204 contains data Protocol module 230 that contains many protocols 232, 24, 236, 238, 240. Each Protocol includes many fields working default settings. In some cases, the infusion Protocol may contain full detailed instructions for infusion with all the default values for the parameters. Other protocols infusion can be partially specified parameters with additional input data required for the user in place of treatment. For example, shown in figure 3 Protocol And 232 field contains the default values of operating parameters and other data to control the pump for infusion of drugs. The field of this example include the name of the 300 medication, concentration, 304, size (dimensions) 308 of the container, the nominal speed of 312 dose, initial bolus 316, the maximum speed of 320 dose, the minimum speed of 324 dose, the maximum cumulative dose 328, compatibility 332 drugs and the identification field, the pointer 336 records to identify or call log entry. Each field typically contains the values of the default parameters, which together define a special Protocol infusion. Some fields, such as compatibility 332 medications, include a reference or link to another database or library of medicine, contains the relevant information. Such references commonly used data libraries enables sharing of data m is waiting for protocols and/or configuration database with the exception of re-storage and data entry that provides efficient updating database information. Similarly, all of the optional protocols to be stored within each database configuration. Instead, the protocols from different database configurations can be saved in the main database or library, with a separate configuration database contains a reference relationship with private protocols stored in the library. This system is preferred because it eliminates the repeated storage of the same protocols and facilitates the updating of information in the library.
When selected, the Protocol must be provided with certain information. For example, device 12 may request the network 10 on the automatic acquisition of such data, as the weight of the patient from the electronic record of the patient in the ed 36, critical parameters dispensing from the pharmacy system 34 and double check from lab 42 on the results of recent tests that may be contraindications to the prescribed medication. Double check in the pharmacy system 34 of the information encoded on the label prescribed medications, can also be performed automatically. In the alternative, the user may enter data such as patient weight and total weight of the dosage, the device 12 and receive automatically under the affirmation of the selected parameters. In one embodiment, information related to the medication Protocol is a superset of the information in the library of drugs. Therefore, if the user selects the name of the medicine, the account you use certain settings. Such parameters typically include the name of the medication, frequency limit of the holiday units holiday, possible concentration and size of the container. The user can enter or scan the missing data, such as patient weight, number of drugs, volume of solvent, the amount of dosing, dose, and automatically available upon request confirmation of the selected parameters.
Different protocols usually include various fields and/or different parameter values. For example, the Protocol 234 may contain additional fields compared with the Protocol And 232, with additional fields that define instructions and/or parameters for one or more types of fluids, such as primary/secondary infusion, multichannel coordinated infusion and protocols with many doses (see figure 4). In an alternative Protocol In 234 may contain the same fields as the Protocol And 232, and differ only by one or more values in one of the boxes. For example, both protocols are intended for infusion, in addition to the TBA dopamine, one Protocol has a value 304 concentration of 400 mg/250 ml, while another Protocol 304 has a value of concentration of 800 mg/ml
As shown in figure 3, the module 250 installation rules database 204 data contains rules and/or algorithms that can be used to help determine the particular parameters within the database. For example, the module 250 installation rules may contain an algorithm that modifies the maximum rate of infusion or some other parameters based on the data obtained from other sources in the network 10, such as the patient's age, body weight, or history from the admissions Department 36, or the test results from lab 42. Other rules specified in the module 250 installation rules, may issue warnings or recommendations after the emergence of private events inside the pump module 16, such as occlusion of the infusion line.
Other sets of rules within the module 250 may contain algorithms that utilize measurements of one or more functional modules to change another functional module. For example, the module 250 may contain a set of rules that provides monitoring of blood pressure and intracranial pressure of the patient with head injury and calculating the resulting pressure perfusion. Then the system is and alerts the user, when perfusion pressure falls outside a specified range and recommends to adjust the rate of infusion of a therapeutic agent to increase blood pressure or to reduce intracranial pressure.
Module 260 restrictions pumps base 204 data contains information that defines the General operational restrictions for module 16 infusion pump or other pumping devices if they are connected to the interface unit 14. Module 260 restrictions pumps usually contains at least three fields, namely field 262 limits the air supply line, box 264 maximum speed limits and field 268 maximum pressure. Because the module 260 restrictions pumps each configuration database 200, 202, 204, 206 data potentially contains different parameters and values, the module 260 helps to determine the operating characteristics or the mode in which the device 12, is active when a particular configuration database 200, 202, 204, 206 data.
Field 262 limits the air supply line specifies the permissible limit for the amount of air in the infusion line connected to a patient. The permissible limit of the air supply line can be changed for individual patients or for specific places in the hospital. For example, the permissible limit of 50 µl can be set for patients Pediatrics, while p is published by third parties 100-200 µl is used for General adult patients and 500 ál - for operating and injured patients.
Field 264 maximum rate specifies the maximum rate of infusion for infusion pump running specific configuration database 200 data. The value of the specified field 264 maximum speed can vary for classes of patients, conditions, location, etc. for Example, the maximum frequency for a vacation heparin patients Pediatrics can be set equal to 10 units/kg/hour, while adults have a limit of 500-1000 units per hour.
The module 270 permission/prohibition signs of the configuration database 204 data sets which private types of injections or signs are available to the user system 14, when activated configuration database 204 data. In a preferred embodiment of the present invention, the system 14 for the care of the patient will be able to support a wide range of conditions ranging from simple primary injections used for hydration and keeping the vein open, to complex applications for multi-channel dispensing. Figure 4 shows some of the various signs or types of investments, which are supported by the system 14 for patient care, according to a variant implementation of the present invention. These characteristics include, but are not limited to, calculating 402 Lek is rstv, primary/secondary infusion 404, the delay 406 beginning, multiple dose 408, total parenteral nutrition 410, multiple stage 412, multichannel coordinated infusion 414. As mentioned above, each of these characteristics or types of injections can be performed using a specific Protocol stored in the Protocol module 230. Below is a brief description of these features; a more detailed description is provided in U.S. patent No. 5713856.
Calculation 402 medication is a sign that calculate parameters infusion drugs, such as speed or dose based on the patient's weight, units of time and concentration of drugs. For example, the calculation function of the medication system enables the user to enter a desired dose of medicine, and a microprocessor functional block infusion pumps calculates the correct flow rate for the implementation of the desired dose; or to enter the desired flow rate, and a function block pumps calculates the appropriate dose of medication; or to enter the desired bolus dose and duration, and functional block pumps calculates bolus rate and VTBI. The system may further comprise a function 424 calculations medications for Pediatrics, which allows the user to enter, for example, the flow rate, dose and volume of rest is rites. Of these user-entered parameters, the system calculates the amount of the drug to be mixed with the solvent to provide a concentration of the medication corresponding to the selected dose and flow rate. Additional details regarding the basis of calculation 402 medications are given in U.S. patent No. 5713856.
Usually the calculation mode 402 medications used to ensure the accuracy of the data rate of the infusion, when the user enters at least the data portion of an infusion program manually, for example using a touch screen or keypad. For example, the calculation 402 medications can be used in connection with a special for a drug Protocol that is stored in the configuration database. As an alternative solution the characteristic calculation 402 medications can be used in combination with the stored Protocol, which is identified with coded labels, in order to compute the missing values for the parameters or to re-calculate new values (for example, when the recipe contains a deviation from the standard values of the Protocol).
Sign primary/secondary infusion 404 allows the use of protocols that use the primary infusion in connection with the solution of the secondary infusion. Historically, the primary injection secondary injection of the antibiotic can the program by entering the primary and secondary rate and VTBI. According to this invention, the user may simply select a suitable vacation mode antibiotic from the list of protocols infusion and automatically receives the appropriate options. Then the user can simply confirm the settings and start the infusion.
Delay 406 start delay start infusion Protocol or other treatment for a specific period of time or until a specific time of day. As an alternative solution to start can be delayed until a specific event. Such events include, but are not limited to, a signal from the interface unit in response to the measured characteristics of the activity or other physiological parameters, completion of treatment phase by another module, or signal, or data received by the system 14 over the network 10.
Multiple dose 408 provides vacation multiple doses of medication over time. The Protocol, including the sign of multiple doses 408, typically contains parameters for the rate of infusion volume/dose, interval between doses, number of doses and time. As for all other protocols stored in the configuration database that is stored Protocol of multiple doses 408 can be selected or activated from the configuration database by simply scanning a coded label medicines containing the ID of the item is otocol (with or without instructions for deviations from the values of the default Protocol). Any missing or different values can then be entered by the user.
Total parenteral nutrition 410 provides vacation complete parenteral nutrition using standard or custom-made ramps and protocols for the release of fluid, known to specialists in this field of technology. For example, a typical Protocol full parenteral nutrition for a vacation 2500 calories for eight hours uses an initial slow speed vacation, with a gradual increase speed to hold for 6-8 hours and subsequent reduction of speed to complete the infusion.
Multiple stage 412 is similar to total parenteral nutrition 410 because it provides vacation substances with different speeds in different volumes during the operation of the Protocol. Standard 430 sets the standard protocols with multiple stages, which are usually used without deviation for different patients. Order 432 specifies the protocols vacation with lots of stages that have to be ordered for private situations. For example, the custom Protocol with the number of stages can be used for tempering of dobutamine to increase the speed of the beating heart during stress testing. This Protocol usually changes the profile of dispensing medications to the patient at a time, using what I weight or age of the patient as a factor in the selection of a private profile. Specialists in the art can define and use any number of custom protocols with many stages.
Multichannel coordinated infusion 414 can be used in conjunction with signs of multiple doses 408 and/or delay 406 for programming integrated and coordinated infusion using different solutions, pour from a variety of modules or channels. Figure 5 shows a graphical diagram of the installation process manually typical multichannel coordinated infusion according to this invention. After you select multichannel coordinated infusion 414 on stage 500 of the operation menu displayed via the interface unit, the user is invited to enter the withholding rate/volume on stage 502. Then the user is prompted, it is desirable or not washing stage 504. If Yes, the user is invited to enter the volume of leaching and its duration on stage 506 before going on stage 508. If rinsing is not required, or after entering the amount and duration of leaching, the user is invited to select continuous or intermediate doses at stage 508. Then, the user is invited to confirm the installation of service at stage 510. The user then selects the channel to use for coordinated vlive the Oia stage 512. At stage 514, the user is queried whether it would be desirable infusion of multiple doses. If this channel, you must use a variety of doses, then the user enters the parameters of multiple doses on stage 516; if multiple dose should not be used, the user is invited to enter the delay time beginning at stage 518. If you want to use a weak solution at stage 520, the user is invited to enter the speed or volume of solvent at the stage 522. After entering all parameters for this channel the user is prompted whether to use additional infusion/channels. If Yes, then stage 512-520 repeat until you have formed all the channels. After forming all of the channels the user is invited to start multichannel coordinated infusion on stage 526.
According to a preferred variant implementation of the present invention, some or all stages of the process, shown in figure 5, and the values to be input can be specified by the Protocol stored in the configuration database. In this case, shown in figure 5 stage can be replaced by simply scanning the coded label comprising an identification of the Protocol, or, in the alternative, select the desired Protocol from the menu and check the values of the parameters.
For specialists in this about the Asti equipment clear what are the signs and types of injections, is shown in figure 4, are intended merely to illustrate the present invention and that the device 12 for the care of the patient may maintain additional or different characteristics than those listed above.
In a preferred embodiment of the present invention many systems 12 for the care of the patient are connected to each other through a local area network (LAN) server on the floor or in the office, as shown in Fig.6. For example, in the intensive care unit for newborns (NICU)with the server 610, many beds 650, 652, 654 and 656 for patient care are connected through a local network 620 to the server 610 office. A similar network servers can be provided throughout the hospital, for example in the Department of Pediatrics 612, office 614 intensive care unit, surgical unit 616 and Oncology unit 618. The server 610 branches may contain configuration information database for this private room. The database configuration in the device 12 for patient care can periodically updated by downloading from a server of the Department. As an alternative solution you can download a server configuration database for use in the system 650, 652, 654 or 656 for patient care. Another alternative may be specific to the Department the Department or unit configuration database, which is automatically loaded into the system 650, 652, 654 or 656 for patient care, when the system is operatively connected to the local network of the Department. In any case, the presence of some or all of the configuration information database stored in the server 610, 612, 614, 616, 618 Department, simplifies the management and updating of the databases. In U.S. patent No. 5 718 442 issued to Anglesey and other content that is included in this description, the described system for the connection of medical devices at the bedside of the patient with a network hospital or network, or networks, which are suitable for use with this invention.
In yet another preferred embodiment of the present invention, the device 12 for patient care are not connected directly to the network 10. Instead, information indirectly transmitted over the network 10 using the device 60 data input interface 54 user auxiliary interface 62 or other means of communication. Such communications include, but are not limited to, line RS232, system MIB, infrared line connection WLANS, portable digital assistants, memory cards, portable storage media, or any other appropriate means of communication. Indirect communication can also be accomplished, for example, using a modem using a standard phone system, with superimposed speech data is or using cell phones. In one example implementation, you can use a portable computer such as a personal digital assistant, for transmission of database information and/or instructions for injections from pharmacy system 34 in the device 12 for patient care. Various possible means direct or indirect ties provide the possibility of continuous or periodic transmission of information between the device for patient care and other systems in the network 10 (e.g., pharmacy system 34, the server 46 Department of laboratory 42 and so on).
As shown in figure 1, regardless of how the device 12 for patient care connected or is connected with the network 10, the characteristic of the present invention is that the information is transmitted, at least periodically, between different departments and systems within the network 10, so that the functionality of the device 12 for patient care are updated using information received from other systems. Such a distributed, coordinated system for patient care ensures efficient use of equipment and improves the quality of patient care through maximum integration and use information from various sources, systems and by limiting opportunities for human error. As mentioned above, an example of changing the setting device is VA 12 for patient care on the basis of information adopted from other sources, is the choice of a specific database configuration specifies a concrete, specific for treatment (for example, the intensive care unit for newborns, Pediatrics, surgery, Oncology and so on) of the operating conditions for a device 12 for patient care. Similarly, the information of the prescription, the patient's history, the incompatibility of drugs and other information from the pharmacy 34 can be used for programming devices 12 and minimize data entry errors.
Other communications between the device 12 for patient care and other departments and divisions 36, 38, 40, 42, 44, 46, 48 within the network 10 are used to improve the quality of care. For example, communications with the Department of biomedical engineering (Biomed 40) helps to ensure the protection and efficiency of the device 12 and to optimize the efficient use of equipment. The location of the property allows you to query the device about its sequence number and the location. As mentioned above, the location of the device 12 can be automatically identified using the identification of the communication device with the network or any other means, and specify its location in the network. Procedure preventive maintenance and diagnostic devices can be done at a distance and without the knowledge on which isolates. When a problem occurs, it is possible for the distance to troubleshoot a device to determine its future behavior. This information can also be collected as information quality control device based on the incoming data. Usage data device can be accumulated for allocation optimization device. When it comes to software updates or maintenance procedures, the corresponding messages can be transmitted to the user interface device indicating the required action. Similarly, the management of resources can be accomplished under the management of the branch 44 of the Central supply. It provides the same benefits as the group of biomedical engineering. The location and use of medical devices to monitor and optimize on the basis of these data.
At the first admission of the patient to the reception area of the data set related to the patient, are introduced into the information system of the hospital, including gender, height, weight, medical condition, allergies towards the medication of the patient, etc. This information may use medical device 12 to indicate to the user for possible problems, such as adverse reactions to medications that are incompatible dosing regimens and impossible destinations is of drugs. This may be a hint for the treating physician or General restrictions for use in addition to the prescribed parameters. When applying for observation here may include recommended limits for declaring alarms, surveillance frequency, etc.
Branch 38 billing may be based on information relating to the use of medical devices, in particular in the documentation about using it or about the holiday special drugs for billing the client. The ability to track your actions regardless of their actual source provides cross-validation results efficiency.
Network computer terminals in units 46, such as post nurses in a specific Department of a hospital, provide the ability to perform treatment to remote access from any location connected to the distributed coordinated network 10 for patient care, to information about the treatment and to the vital signs of the patient. Treatment parameters (flow rate, the parameters of the PCA, dose, interval, and so on) can be changed from anywhere in the network when necessary authorization. The history of the reading characteristics of the device, observe in ywaniem and reading back pressure, as well as the parameters of the infusion, the modified parameters and constraints of the observations can be viewed remotely.
Below is as not limiting the scope of the invention example a detailed description of the use of the system for patient care based on the configuration of the device 12 for patient care to ensure the prescribed treatment of the patient.
Most hospitals have an official pharmacological references for drug therapy, which determine the typical course of drug therapy. During the initial installation of the control system for patient care according to this invention can be formed of a hospital Committee to determine how to use the drug formulary in the device 12 for patient care. After agreeing configurations (for example, hospital departments such as intensive care, intensive care for newborns, Pediatrics, Oncology, surgery and so on) are medications and typical protocols injections. Additionally defines all external restrictions or guidelines and conditions. This information is entered into the program editing library of medicine and the program configuration management, such as INFUSION MANAGEMENT SYSTEM (management system infusion) company Alaris Medical Systems, San Que is about, California.
When all the definitions, the configuration is put into effect. Then update the settings of the pumps hospitals by transferring the configuration database in some or all of the pumps. The transmission of information from databases is usually carried out through the network transmission channel 32. As an alternative database solution, you can download or update using remote tools, laptop computers, personal digital assistants or other appropriate means to transmit information in the device 12 for patient care.
Evidence that medical therapy is for the correct patient, is a key element of this system. After admission, each patient usually receives a personal identification number (patient ID) and the corresponding tape on the wrist. On the ribbon, printed or placed inside the tape to the patient ID in the text and in coded form. There are various possibilities for the implementation of the encoded identifier. For example, on the ribbon, use the bar code, magnetic stripe or any other means for storing coded information identifying the patient. On the ribbon for the wrist can be written also desired configuration database. For example, a child may have the tape with an index, you use the database configuration for Pediatrics.
7 shows the process steps performed to configure the device to use a specific database configuration, according to a variant implementation of the invention.
After powering on the device 12 at the stage 700 and perform validation of internal systems at stage 704, the device displays on the interface 54 of the user, information relating to a given patient and/or this place, at stage 708. In one embodiment, this information is called with the last use of the device. In other alternatives, the location of the device and/or identification of the patient can be determined using information received through the connection to the network 10 and/or the local network within the hospital. For example, as shown in figure 5, the device 650, connected through local network 620 to the server 610 in the neonatal intensive care unit, receives information from the server that it should be located at berths 1 and that the bed must be so patient. In accordance with this, the device 650 uses this information as the default information about the patient and place. As an alternative solution, the device 650 automatically determines the place of his is the I inside the hospital using a sensor or other means to uniquely identify the location. When this sensor in this case is defined broadly as any device or process of identifying or detecting the location of the device, including, but not limited to, the address of the network or destination port, network transition unit, instructions programmable accommodation, hospital records indicating the location, infrared sensors or tags, wireless sensors or tags, magnetic sensors or tags or any other means of detecting the location of the device 650.
At stage 712, the device asks the user whether the correct patient information. If the patient is new to the device, or if information is missing or incorrect, the user enters the patient ID on stage 716. The patient ID is normally introduced with the use of the device 60 input, for example, by scanning a coded tape with the wrist of the patient containing the information identifying the patient. In the alternative, the patient ID can be entered manually using the keyboard, keypad or other interface device 54. If at the stage 729 it is determined that the current configuration of the database is missing or incorrect, the user is invited to choose approp who administers the database configuration stage 724 (e.g., in accordance with the location of the patient, doctor and so on). As an alternative solution to the ID of the appropriate configuration database can be entered into the system by scanning the tape identification of the patient or it can be automatically retrieved from memory or from another location in the network 10 after you enter in the device 12 to the patient ID, location or other specific patient information.
When a doctor prescribes intravenous infusion, the recipe usually is first submitted to the pharmacy (where it is entered into the pharmacy system 34 hospitals). Most hospitals have a pharmacy computer system, is able to maintain a record of drug therapy, already prescribed and prescribed for the future. Most commercial pharmacy systems provide a way to check for harmful drug interactions as part of the entry process recipe and dispense medication.
According to a preferred variant implementation of the present invention after entering the order is prepared recipe. If the drug is being prepared or has a pharmacy, the prescribed medication is prepared and placed in the container. Pharmacy system 34 then transfers the order to the infusion of software pharmacy hospital on the label with the scrambled message and accompanying text. The label shall contain at least the following is relevant information: patient ID, the link to the infusion Protocol, Protocol deviations infusion, or Delta, if any, and estimated time of infusion. The label attached to the container with the medication before sending the recipe to the post of nurse. Medicines are preferably transported from the pharmacy to the post nurses, hospital staff, or are contained within boxes in drug distribution near the nursing station. As an alternative solution medicine can be transported with the use of robotic systems such as the PYXIS system (Pyxis Corporation, San Diego, California). If the drug must be distributed as nurses, you may print the same type of cover on the post and attached to the container with the medication.
Then at the appropriate time labeled container with the medication is delivered to the location of the patient. For scanning coded labels medications tape with coded patient ID and identification, caring, and not necessarily for more information recipe or instructions for the configuration of a medical device (including the ID database configuration)printed on the label or on the accompanying recipe, use the device to read a barcode (or other input device). The scanned information store in which Amati 58, while the device 12 is first compares the scanned data to match the patient ID with information about the patient on the label of the medication and verify the timeliness of the appointment of the recipe. After verifying the correct patient, prescription and time the device 12 again calls from the active database configuration Protocol, or other program-specific information indicated by the label of the container. The values of the default parameters are adjusted based on the information about the deviations included in the recipe. The user is invited to type using the touch screen, the device for reading bar code or other suitable means any missing or incomplete data. Optionally, some data can be extracted automatically from the network 10, or from the corresponding server unit on the basis of the entered patient ID, ID, caring, user commands, etc. After entering all the required data, the Central unit 14 displays in sequence or in one or more groups of values for validation by the user. After input and verification of all information interface unit programming function modules to perform the prescribed treatment.
It should be noted that the label with the recipe or other instructions for treatment may specify multiple protocols or other instructions. Many protocols (or one complex Protocol) can specify a set of operations to be performed by the device 12. For example, the label with the recipe or the recipe can specify the Protocol multichannel coordinated infusion using multiple channels and infusion solutions. Additionally, the same recipe can specify the Protocol (or the detailed instructions for programming the function module or auxiliary devices for monitoring physiological parameters of a patient, such as blood pressure, the frequency of heart beat, oxygen saturation, respiratory rate, etc. Interface unit 14 monitors the measured parameters and depending on the set operating rules and other instructions can modify the parameters of infusion based on the signals received from the physiological monitors. Such a feedback system can be useful for the titration of drugs to control anesthesia or to regulate blood pressure.
Above was the description of various embodiments of the invention. Description is illustrative and not restrictive. Thus, for specialists in the art will understand that modifications of the described invention without departing for the scope of the attached claims.
1. Sist the mA for patient care, contains
device for patient care, including memory to store multiple database configurations, with each of these configurations, the database contains many settings for this device
the network associated with the specified device, and including at least one database containing information about a particular patient, and
means for activating the configuration database from multiple database configurations based, at least partially specified information about a specific patient that is passed to the device for patient care, where the device for patient care operates under at least one of a specified set of groups of operating parameters of the activated configuration database.
2. The system according to claim 1, characterized in that the network contains a number of separate databases that are connected manually.
3. The system according to claim 1, characterized in that the network contains a number of separate databases that are connected automatically.
4. The system according to claim 1, characterized in that the connection between the network and the device for patient care is provided by the input device, coded data or network connection.
5. The system according to claim 1, characterized in that information about a specific patient sod is RIT patient ID, or location of the patient, or the location of the device for patient care, the patient's age, physical or medical characteristics.
6. The system according to claim 1, characterized in that the said means for activating contain
the processor inside the device for patient care,
the input device information about a specific patient, coupled with the processor, and
stored and the memory of the computer program, executable by the specified computer and including instructions to activate the configuration database from multiple database configurations based on at least partial information about a specific patient.
7. The system according to claim 6, characterized in that information about a specific patient contains the ID of the patient, location of the patient, the location of the device for patient care, the patient's age, physical characteristics, physiological characteristics, psychological characteristics, patient history, medical records of the patient, the patient's diagnosis or the ID of the provider.
8. The system according to claim 6, characterized in that the input device is an input device encoded data or network connection.
9. The system according to claim 1, characterized in that the means for activating the gain the location sensor device for patient care, while activating the configuration database is based at least partially on the location of the device for patient care.
10. The system according to claim 1, characterized in that the operating parameters within at least one configuration from the specified set of configuration databases are organized into many groups.
11. The system of claim 10, characterized in that at least one group from a specified set of groups is a Protocol that specifies the parameters of the device for patient care order delivery of substances to a patient.
12. The system according to claim 1, characterized in that at least one configuration from the specified set of configuration database contains many protocols dispensing at least one of these protocols includes a Protocol identifier and at least one value of the default parameter for the programming of the device for patient care, with the aim of dispensing medicines.
13. The system of item 12, characterized in that it additionally contains
the input device encoded data, functionally associated with the specified device for patient care, and
a container for a drug that has a label that contains the coded instructions for the care of the patient, and the input device SP is really be able to read the coded instructions for the care of the patient with labels in the unit to care for the patient.
14. The system of item 13, characterized in that the coded instructions for the care of the patient contain the Protocol identifier, and the reading of coded instructions for the care of the patient activates the Protocol identified by the Protocol identifier.
15. System 14, characterized in that the coded instructions for the care of the patient additionally contain a deviation from the default setting, so that the device for patient care is programmed to release drug in accordance with deviating argument.
16. The system according to claim 1, characterized in that the device for patient care includes infusion pump, sprintsovki pump, controlled by the patient analgesia, epidural pump, small bowel pump or physiological monitor.
17. The system according to claim 1, characterized in that the device for patient care contains interface unit and at least one functional unit, configured to connect and disconnect from the interface unit, while the interface unit includes a specified memory and functional unit provides patient care in accordance with at least one of a specified set of database configurations.
18. System 17, characterized in that the functional unit content the t infusion pump, sprintsovki pump, controlled by the patient analgesia, epidural pump, small bowel pump or physiological monitor.
19. System for patient care, containing
device for patient care, containing a processor and a memory in which is stored a variety of configurations database, with the specified device for patient care is able to provide therapy to the patient or monitoring a patient's condition in accordance with the operating parameters specified by the database configuration selected from a specified set of database configurations, and
an input device associated with the specified device for the care of the patient, and adapted to enter information about a particular patient in the unit to care for a patient, characterized in that the processor selects the configuration database from the specified set of configuration database in response to information about a particular patient is entered into the unit to care for the patient via the input device.
20. The system according to claim 19, characterized in that the input device is an input device encoded data.
21. The system according to claim 20, characterized in that the input device is a bar code reader.
22. The system according to claim 20, characterized in that the input device are the two who is the reader with the magnetic media or device voice recognition.
23. The system according to claim 19, characterized in that the input device is a network connection.
24. The system according to item 23, characterized in that it further comprises a network including at least one database associated with the network connection interface unit via manual or automatic connection.
25. The system of paragraph 24, characterized in that the network connection is a wireless network connection.
26. The system according to claim 19, characterized in that information about a specific patient contains information about the location.
27. System p, characterized in that the location is the location of the patient, the location of the device for patient care, or network address.
28. The system according to claim 19, characterized in that the device for patient care contains
interface unit, including a processor and memory, with the specified interface unit is connected with the input device
functional unit connected to the interface unit, with the specified functional unit provides treatment of the patient or monitoring a patient's condition in accordance with the operating parameters specified by the selected database configuration.
29. System p, characterized in that the functional unit is connected to the front-end nl the com can be switched off.
30. System p, characterized in that the functional unit is the infusion pump, sprintsovki pump, the pump is controlled by the patient analgesia, epidural pump, small bowel pump, blood pressure monitor, pulse oximeter, ECG monitor, monitor, EEG, monitor the frequency of heart beat or monitor intracranial pressure.
31. System for patient care, containing
the front-end unit comprising a processor and a memory in which is stored a variety of configurations, databases,
an input device associated with the interface unit, and adapted to enter information about a specific patient interface unit,
functional block which is connected with the possibility of switching from the interface unit, while the functional unit is able to provide therapy to the patient in accordance with the database configuration selected from the set configuration database, and
the network associated with the interface unit, and including at least one database containing information about a particular patient and are connected with the interface unit is manually or automatically,
at this point, the processor selects the configuration database from multiple database configurations in response to information about a specific patient that is entered in the interface blockers the input device, and functional unit provides treatment of the patient or monitoring a patient's condition in accordance with the selected database configuration.
32. System p, characterized in that the input device includes a network connection or device input encoded data.
33. System p, characterized in that the functional unit includes a pump for dispensing medication or fluid to a patient, while the functional unit releases the specified substance in accordance with the selected database configuration.
34. System p, characterized in that the selected database configuration contains at least one Protocol for the function block, this function block operates in accordance with the Protocol to ensure the care of the patient or monitor the patient's condition.
35. System p, characterized in that information about a particular patient is the location of the patient, the location of the interface unit, the network address or medical characteristics of the patient.
36. Method of providing patient care, containing
activating the configuration database from multiple database configurations stored in the memory device for patient care, with the specified device for the care of the patient is capable of being in order to provide therapy to the patient or monitoring a patient's condition in accordance with the activated configuration database, when this specified configuration database contains at least one Protocol that specifies the parameters of the device for patient care,
configuring devices for patient care to work in accordance with the activated configuration of the database
select the Protocol for the care of the patient from the activated configuration of the database, and
the operation of the device for patient care in accordance with the operating parameters specified by the selected Protocol to ensure the patient's treatment.
37. The method according to p, characterized in that the activation of the configuration database includes a connection device for patient care to a computer network in a given location, so that an activated configuration database is selected depending on the specified location on the network.
38. The method according to p, characterized in that the activation of the configuration database includes
enter information about the specific patient in the unit to care for the patient using the input device associated with the device for patient care; and
the select database configuration from multiple database configurations based, at least partially specified information about a specific patient.
39. The method according to § 38, characterized in that the input device is an input device encoded data or network connection.
40. The method according to § 38, characterized in that information about a particular patient is the location of the patient, the location of the device for patient care, a network address or medical characteristics of the patient.
41. The method according to p, characterized in that the activation of the configuration database contains the configuration database from multiple database configurations using the input device associated with the device for patient care.
42. The method according to p, characterized in that the selection of the Protocol for the care of the patient contains the entry ID of the Protocol that matches the specified Protocol on patient care, using the input device associated with the device for patient care.
43. The method according to § 42, characterized in that the Protocol for the care of the patient includes the identity of the medication and at least one parameter of the dispensing drugs.
44. The method according to item 43, characterized in that at least one parameter of the dispensing drugs is the concentration, size of container, dose, bolus dose, dose rate, maximum speed dose, minimum dose rate, maximum cumulative dose volume or ID contraindicated medications.
45. The method according to p, characterized in that the selection of channels is La care patient includes selecting a Protocol from the menu of protocols, displayed on the front-end block of the device for patient care, using the input device associated with the device for patient care.
46. The method according to p, characterized in that the device for patient care contains:
the front-end unit comprising a memory and a processor;
an input device associated with the interface unit, the input device adapted to input information about a specific patient interface unit, and
functional unit connected to the interface unit, while the functional unit is capable of providing therapy to a patient or monitoring a patient's condition in accordance with the activated configuration database.
47. The method of controlling the device for the care of the patient for delivery of substances to a patient, including
printing coded labels, which includes a Protocol identifier vacation substances
attaching the label to the container containing the substance,
transporting the container to the device for patient care,
enter the Protocol ID release substances into the device for patient care,
retrieving from the memory device for patient care Protocol vacation substances identified using the identifier, if e is ω specified Protocol vacation substance contains many parameters vacation with standard values, and
actuation device for patient care, with the aim of dispensing substances to a patient in accordance with the Protocol vacation substances.
48. The method according to p, characterized in that it further includes selecting the configuration database from multiple database configurations stored in the memory device for patient care, with the selected configuration database includes a specified Protocol.
49. The method according to p, characterized in that the selected configuration database contains additional information that specifies the operating conditions for the device, with the specified information includes a Protocol, a set of rules that limit the operation of the device or the characteristics of the device.
50. The method according to p, characterized in that the selection of the configuration database includes the transmission of information about a particular patient in the device for patient care to ensure the configuration database from multiple database configurations based, at least partially specified information about a specific patient.
51. The method according to item 50, characterized in that the transmission of information about a particular patient includes entering information about a particular patient in the unit to care for the patient using the input device, the encrypted information or network connections
52. The method according to § 51, characterized in that the input stage includes scanning a coded label with the input device, the coded data connected with this system for patient care.
53. The method according to paragraph 52, characterized in that the input device is a bar code reader.
54. The method according to p, characterized in that the selection of the configuration database contains the device's connection to patient care in a predetermined location in the computer network and the configuration database according to the specified location.
55. The method according to p, characterized in that the encoded label further comprises a deviation from the specified Protocol, in this stage of the actuation device for the care of the patient includes the actuation of this device for delivery of substances to a patient in accordance with the deviation from the specified Protocol.
56. The method according to p, characterized in that the encoded label further comprises auxiliary information, however this information includes the patient ID, the deviation from the first Protocol and the planned start time of the delivery of substances to a patient.
57. The method according to p, characterized in that it additionally contains
functional the identifying code of the patient,
attached to the patient, confirm that the patient ID on the label of the container corresponds to the identification code of the patient, and
the input auxiliary information with coded labels,
in this stage of the actuation device for the care of the patient contains the actuation of this device for delivery of substances to a patient in accordance with the deviation from the specified Protocol at the scheduled time of release.
58. The method according to § 57, characterized in that it further comprises scanning an identification code provider.
59. The method of dispensing medication or fluid to a patient, containing
obtaining information about a particular patient from the database in the hospital network
the transmission of information about a particular patient in the unit to care for the patient using the input device associated with the device for patient care, where the device for patient care contains a memory in which is stored a set of database configurations for configuring the devices for patient care for the treatment of the patient;
activating the configuration database from multiple database configurations in response to information about a particular patient, with an activated configuration database includes m is these protocols;
select the Protocol of the multiple protocols, with the specified Protocol includes at least one parameter for the programming of the device for patient care, with the aim of dispensing the substance or fluid to the patient;
programming the specified device to release drugs or fluids to a patient in accordance with the selected Protocol; and
leave the medication or fluid to a patient in accordance with the selected Protocol.
60. The method according to p, characterized in that the device for patient care contains:
the front-end unit comprising a memory and a processor, with the specified interface unit is connected with the input device; and
functional block which is connected with the possibility of switching to the specified interface unit, while the functional unit includes a pump for dispensing medication or fluid to a patient.
FIELD: engineering of systems for storage and processing of data during purchasing of goods by client.
SUBSTANCE: system contains: mobile system with keyboard for client and output terminal for seller, mobile device and terminal, including devices for two-side data exchange between them during purchase. Mobile system includes devices for storing information about behavior line of client and his preferences, devices for renewing such information on basis of data received from terminal and means for transferring aforementioned information from terminal for renewal and displaying of the information, and also navigation systems. Terminal includes means for transferring bonuses received during execution of certain predetermined requirements to character of data during information renewal.
EFFECT: increased efficiency of trading.
2 cl, 4 dwg
FIELD: game devices.
SUBSTANCE: portable game device may receive and transfer information to remote game server device, which generates game data, transfers game data to portable game device and receives information, such as one inputted by player, from portable game device. Ticket processing server checks trustworthiness of payment and confirms the right of player for playing via portable game device. Portable game device includes ticket reading device, used by payment transaction processing server during check of assigned cost for confirmation of user's right to play.
EFFECT: expanded territorial accessibility of games with usage of personal game devices and tickets with allocated value.
2 cl, 7 dwg
FIELD: automated product distribution equipment for execution of a set of physical orders.
SUBSTANCE: device for execution of a set of physical orders contains information system and at least one center, formed by at least one sorting section, equipped with identification reading device like barcode reading device and a cabinet having a set of positions for placing products in set positions, each one of which positions is marked by a signaling means, aforementioned information system, realizing the stage of processing by computer means, and aforementioned center allow realization of stages of regrouping, grouping, final division and possible identification in accordance to the method for executing a set of physical orders.
EFFECT: accelerated execution of a set of physical orders.
2 cl, 15 dwg
FIELD: usage of authentication methods with usage of zero knowledge proof as base for providing protection in computerized betting game system.
SUBSTANCE: technical result is achieved due to realization of architecture and method of betting game by protected storage and verification of game code and other data, providing for possible protected exchange of game code in computerized betting game system and/or network system.
EFFECT: possible identification of game software code as certified by state game control committee or other controlling agencies; invention also realizes these and other functions with usage of encryption, arithmetic modulus operations, hash functions and other cryptographic methods.
6 cl, 5 dwg
FIELD: automation of record keeping for various services, operations, and other actions subject to recording.
SUBSTANCE: method for recording given parameters during provision of services includes providing individual information carriers to each specialist and each client involved in provision of services, for recording the data required for later record keeping. Certain keeping modes are set on basis of given parameters. By means of local terminals, simultaneously with provision of services automatic record keeping for given parameters is realized in parallel on information carriers of clients who receive the services, information carriers of specialists who directly provide the services, information carriers of organizer, by agreement with whom specialists service clients and which acts as representative for clients, in determined cases on fiscal information carriers.
EFFECT: automation of procedures for recording given parameters when automating record keeping processes.
8 cl, 2 dwg
SUBSTANCE: in playing complex, portable playing machine in form of mobile phone by means of wireless phone network is connected to playing electronic device, encoded game access signal is sent and game is realized using keyboard of mobile phone, game information is generated together with winning combination by means of random events generator and encoded signals, corresponding to game information in form of text and/or graphic message, are transferred to mobile phone of player, game is displayed on display of aforementioned phone, by means of mobile phone keyboard video game process is realized, winning combination is transferred via mobile communications and compared to winning combination created by random events generator, result is determined and recorded, and signal containing corresponding information about the result is dispatched to mobile phone of player.
EFFECT: expanded functional capabilities of electronic betting game with random events generation based on wireless communications, simplified and accelerated video game processes using mobile phone.
FIELD: engineering of systems for producing, storing and processing electronic vouchers of clients using mobile communications or personal digital assistant.
SUBSTANCE: mobile system includes devices for exchanging information in process of purchasing from a terminal which is used for payment. In the system, electronic vouchers, corresponding to discounts, are offered to clients. As soon as an electronic voucher is received, it is stored in mobile system storage. Codes of sold product units are read on terminal used to make purchases, and the list of vouchers stored in mobile system is transferred to purchasing terminal. List of vouchers is compared to list of sold product units and, if voucher is present for one or several product units, a total of discounts of aforementioned vouchers is automatically subtracted from total sum of purchase.
EFFECT: increased efficiency of trading operations.
2 cl, 2 dwg
FIELD: engineering of devices for personal identification of clients during conduction of transactions with usage of mobile communication networks, in particular, invention may be used for authentication when making a payment with bank card using a mobile phone.
SUBSTANCE: during conduction of inter-bank financial transaction in international payment system in accordance to 3-D Secure specification protocol, four transaction phases are conducted successively with condition of multi-factor strict client authentication with usage of mobile phone in mobile communication environment: initiation of operation; generator and delivery of authentication request; generation and delivery of response to authentication request; execution of operation, generation and delivery of notification about operation results. During conduction of each phase, signal messages are transferred between system participants using 3-D Secure specification components.
EFFECT: ensured privacy of conducted operations.
3 cl, 2 dwg
FIELD: data protection.
SUBSTANCE: proposed personal cryptoprotection system designed for data ciphering and deciphering, authentication of electronic documents using electronic numeric signature, protection of electronic documents against copying, exchange of electronic documents protected against copying, accounting by means of electronic exchange media, protection of computer programs and databases against unauthorized copying has code medium (cassette) incorporating input/output ports for cryptographic data protection, and terminal device for communication with peripheral devices (personal computer, telephone set, card reader); cassettes of personal cryptographic protection systems have unified architecture, common software, and similar secret parent code in the form of plurality of random numbers recorded by protected method precluding their copying to other media and their changing; cassette protective shell has light-reflecting surface; program checking protective shell for integrity after attempt of unauthorized access erases parent code, data processing program checks input open information for service characters functioning as most important means for various cryptographic operations; user's personal data including user's electronic digital signature are entered in ROM; this procedure is made after personal cryptoprotection system user has acquired officinal register, this information including individual number of personal cryptoprotection system being entered in database at the same time.
EFFECT: enlarged functional capabilities.
13 cl, 45 dwg
FIELD: rendering of advertisement, informational services or mass communication means services.
SUBSTANCE: individual mail office has information input-output unit connected to units for feeding and transportation of material and package. Said units are connected respectively to device for putting of colored stamps on various materials and device for putting of colored stamps on various packages, said devices being connected to device for putting of material into package, the latter device being connected to correspondence sorting device.
EFFECT: increased efficiency in delivery of correspondence.
FIELD: computer science, in particular, system for situational analysis of passenger transportation.
SUBSTANCE: system has block for selection of database addresses, block for forming recording signals and reading server database, block for controlling selection of data, first and second registers, block for comparing codes, five blocks for selecting record parameters, memory block, first group memory block, second group memory block, third group memory block.
EFFECT: higher speed of operation of system due to localization of range of data search addresses in server database using voyage group identifiers and given time period.
FIELD: technologies for realization of an additional useful effect during purchase of consumer goods.
SUBSTANCE: method for realization of additional useful effect includes dispensing an individual code to consumer, providing access to commonly accessed data transfer network by means of appropriate data processing device, while wherein a software storage is present. Access to storage is performed by means of individual code, launched selected software remains accessible for a certain time, and after anticipated number of accesses individual code is blocked for any further access.
EFFECT: expanded functional capabilities and range of technical means of communication network for users, purchasing goods.
SUBSTANCE: method involves selling goods by way of selling system comprising stores, distributing center and selling terminal chain; transmitting signals from buyer communication means to store communication means, said signals containing information on goods ordered by buyers, and transmitting signals from buyer communication means to store and/or distributing center, said signals containing information on selling terminals selected by buyers; preparing in stores ordered goods for sending and sending said goods to distributing center and further from distributing center to selling terminals selected by buyers; also transmitting signals from store communication means to selling terminal communication means, said signals containing information on buyers orders, and/or transmitting information carriers from stores to selling terminals, said information carriers containing information on buyers orders, with goods being stored in selling terminals and dispensed therefrom to buyers. Also disclosed is goods remote selling system.
EFFECT: reduced time and costs, increased turnover of merchandize and simplified construction of delivery means.
4 cl, 3 dwg
FIELD: method and system for data exchange for facilitating upholding of laws and standards on information transfers and confidentiality of individuals.
SUBSTANCE: method includes stages: transferring from system to user computer a notification, that object confirmed agreement to sanctioned confidentiality and data protection rules; receipt by system of confirmation of individual of receipt of object by server or confirmation, that object will receive and use personal data in accordance to laws active in the country where individual or object is located; transferring by system to server of data object about agreement of individual to aforementioned receipt; receipt of data object from server, containing personal data of individual; periodical check of agreement of object.
EFFECT: improved reliability of information exchanges.
2 cl, 15 dwg
FIELD: engineering of educational equipment, in particular, technology for performing exams with use of computer-based equipment.
SUBSTANCE: method includes forming on machine-readable carrier of database of simplified informative-mathematical models of operation of industries or organizations, aforementioned carrier is given to examinee with notification of variant, data are selected from database for forming more precise model of operation of organization or industry. From server along Internet network information about current values of macro- and micro-economical coefficients of country and the world are received, on basis of which examinee develops dependencies, allowing process calculations pertaining to financial and managing activities of organization or industry in given time interval, recording aforementioned dependencies on machine-readable carrier and checking these by examiner.
EFFECT: improved objectivity of estimation of knowledge of examinees.
FIELD: engineering of systems for producing individually optimized products in accordance to request from client.
SUBSTANCE: device is made for producing care products for house pets in accordance to client requests, including food for house pets, wherein integrated client interface is used, based on the Internet, and controlling process for a series of actions, device is configured for receipt of individual data about house pets, receipt of orders for appropriate care product for house pets for each buyer, controlling equipment operation during production for processing each request, care products for house pets in accordance to requirements of each client, and for tracking product delivery through delivery system to house of client.
EFFECT: possible processing of orders from clients for food for house pets and presentation of care scheme data in accordance to individual data pertaining to house pets.
7 cl, 3 dwg
FIELD: engineering of information accumulation system, in particular - technology for performing an interactive game.
SUBSTANCE: each user is provided with means for identification as game participant, provided with a mark. As a mark, optical signal source is used. Positioning of device for receiving optical signals is performed relatively to multiple users. Source position of identification means of game participant is held relatively to means for receiving optical signals in accordance to game conditions. Game objects and rules are given to participants and game start signal is given. User targets his mark to appropriate means for receiving optical signals. Optical signals are received from game participants and received optical signals are registered in registration device. Signals are processed in accordance to given program and results are outputted on an information carrier.
EFFECT: possible polling of large group of participants and detection of winners, while maintaining anonymousness of results.
FIELD: engineering of equipment for processing documents.
SUBSTANCE: device has detector system for detecting characteristic signs of documents, controlling system for realization functions, connected to information, received by detector system and/or to documents processing method, aforementioned system includes memorizing device for storing a set of codes, each of which corresponds to appropriate function, and is made with possible permission of function use, if it is confirmed that transferred permitting code corresponds to one of stored function codes.
EFFECT: simplified adjustment processes of software-hardware equipment complex.
3 cl, 6 dwg
FIELD: engineering of computerized information-analytic trading means, possible use for negotiating orders for buying and selling during performing of trade operations with cashless payment using communication network.
SUBSTANCE: system has authorization and registration block, roles block, block for controlling price offers, price forming block, block for controlling formulas, logistics block, block for controlling agreements, block for finding goods and making agreements, ordering block, block for accepting, block for forming goods movement graphs, display block, block for forming characteristics of goods and goods batches, block for controlling goods, block for purchasing goods, payment block, block for registering goods at warehouses, balances block, notifications block, documents registration block, block for payments and determining payments, automatic procedures block, activation block, analytics block, goods card block, marketing block, participants block, sells block.
EFFECT: expanded functional capabilities due to control over deliveries and quality of goods and services.
FIELD: computer science, in particular, engineering of information effect system of information-marketing centers in integrated electronic trading infrastructure.
SUBSTANCE: system has three registration devices, two adders, block for selecting supporting recording address, block for selecting supporting reading address, block for selecting query source address, block for selecting current record address, block for forming temporal period address, block for forming database addresses, block for controlling recording and reading of data and data dispensing block.
EFFECT: improved system speed of operation by excluding renewable data search across whole database of electronic trading and localizing search only by temporal and individual signs of goods identifiers.