CN101890193B - Intelligent intravenous infusion monitoring system - Google Patents
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- CN101890193B CN101890193B CN2010102259671A CN201010225967A CN101890193B CN 101890193 B CN101890193 B CN 101890193B CN 2010102259671 A CN2010102259671 A CN 2010102259671A CN 201010225967 A CN201010225967 A CN 201010225967A CN 101890193 B CN101890193 B CN 101890193B
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Abstract
The invention provides an intelligent venous transfusion monitoring system, which comprises a PC, a ward-level controller, sickbed-level controllers, infusion supports and a handheld alarming device, wherein the ward-level controller is arranged according to a ward number; the ward-level controller performs wireless communication with the sickbed-level controllers correspondingly arranged in the ward with the ward number; the ward-level controller is connected with the PC by an Ethernet for communication; and each infusion support is provided with a sickbed-level controller correspondingly. The system has the advantages of realizing 24 hour monitoring, avoiding errors made by medical-care personnel due to mistake or fatigue, reducing the labor intensity of the medical-care personnel and making up for the disadvantage of incapability of the medical-care personnel for 24 hour monitoring. In the invention, the real-time monitoring of the whole infusion state as well as abnormal condition alarming and management is realized, and the combination of infusion and ward emergency call and ward management systems. The monitoring system has high feasibility and is built on the basis of mature technology of sensors, electromagnetic valves, wireless communication, Ethernet communication, single chips and the like.
Description
[technical field]
The present invention relates to the intelligent apparatus of optical, mechanical and electronic integration, particularly a kind of intelligent venous transfusion monitoring system.
[background technology]
Venous transfusion is a kind of important and treatment means that generally use is leaned on Artificial Control for a long time always in clinical.In traditional infusion, some abnormal conditions be prone to take place, like pipeline blockage, drip the unusual and transfusion of speed and finish and do not have prompting etc., make medical personnel's labor intensity big, be prone to because medical personnel's carelessness or fatigue cause the phenomenon of error.If these abnormal conditions can not in time come to light, will damage to patient, serious also can cause malpractice.Venous transfusion all need often carry out in outpatient service, ward, but control measures are less, and management level are lower.Except that depending on the nurse, the correlation technique measure is arranged seldom.
Domestic in recent years have correlation technique and product to report and use successively; Like automatic infusion alarm, photoelectric infusion alarm etc., the former is based on Infrared Ray Remote Control Technology, when the liquid in the infusion bottle (transfusion bag) is about to be totally lost; IR remote controller sends signal automatically; The infrared receiving device that is connected in parallel on patient bed other calling set is started working, report to the police, go before the prompting nurse to handle to nurse station.Send caution sound simultaneously and remind patient or entourage, need to change liquid or finish transfusion.The latter is based on the optoelectronic induction technology, and the optoelectronic induction head-clamp is contained in outside the infusion bottle, when the liquid in the infusion bottle (transfusion bag) is totally lost, sends warning, goes before the prompting nurse to handle.Device to help to infuse attaches effect owing to use is inconvenient, issuable, makes application less.
There is following defective in prior art: based on the automatic infusion alarm of Infrared Ray Remote Control Technology; Be installed on the tube for transfusion; The infrared tube direct-injection type is installed in monitoring groove both sides; Position near tested tube for transfusion inwall 0.2mm-0.3mm constitutes the photometry passage, is had relatively high expectations in the thickness of tube for transfusion, the thickness of tube wall, the installation site of tube for transfusion.
Based on the photoelectric infusion alarm of optoelectronic induction technology, the optoelectronic induction head-clamp is contained in outside the infusion bottle, and infusion bottle moulding, transparency are had relatively high expectations; Have, the optoelectronic induction head-clamp is contained on the Murphy type burette, medical personnel is changed medicinal liquid make troubles; There is the influence of illumination to drug effect.
The infusion alarm that also has installs float additional in tube for transfusion, realize the detection to liquid gravity, and this method need be changed the original structure of transfusion device.
In sum, there is following defective in existing venous transfusion device:
1) had relatively high expectations in the thickness of tube for transfusion, the thickness of tube wall, the installation site of tube for transfusion.
2) to change the original structure of transfusion device, increase workload and produced the link of error.
3) make troubles for medical personnel change medicinal liquid, use inconvenient.
4) can only the state that finish be reported to the police to transfusion, realize not real-time monitoring whole transfusion state.
5) exist and to produce the link of attaching effect to medicine.
6) medical personnel's labor intensity is big.
7) function singleness.
8) cost an arm and a leg.
[summary of the invention]
In order to solve existing technical problem; The present invention provides a kind of intelligent venous transfusion monitoring system; It adopts multistage communication construction, is gathered transfusion signal that gravity sensor detects in real time, is compared with the liquid information of setting and date processing, output control electromagnetism valve collar by sick bed level controller, and relevant information is sent to ward level controller; Automatically regulate transfusion speed by the electromagnetism valve collar, thereby realized real-time monitoring, warning and management whole infusion process.
The present invention solves existing technical problem, and a kind of intelligent venous transfusion monitoring system is provided, and said monitoring system comprises PC, ward level controller, sick bed level controller, drip stand and hand-held alarm; The corresponding sick room number setting of one said ward level controller, radio communication between the sick bed level controller of this ward level controller and the interior corresponding setting of this disease room number; Connect and communication through Ethernet between said ward level controller and the said PC; One said drip stand correspondence is provided with a said sick bed level controller; This drip stand comprises support, corresponding to first gravity sensor of a sick bed label, corresponding to the first electromagnetism valve collar of this disease bed label, this first gravity sensor is connected with all corresponding with this drip stand said sick bed level controller of this first electromagnetism valve collar; Said hand-held alarm comprises input module and reminding module, radio communication between said hand-held alarm and a plurality of said sick bed level controller.
The present invention's improvement further is:
Said drip stand comprises that corresponding to second gravity sensor of another sick bed label and the second electromagnetism valve collar this second gravity sensor is connected with the second electromagnetism valve collar said sick bed level controller corresponding with this drip stand.
Said ward level controller, said sick bed level controller and said hand-held alarm include the wireless communication module that is used for radio communication.
Said sick bed level controller comprises body temperature signaling interface, pulse signal interface.
Said drip stand comprises LED lamp and light sensor, and the optical signal transmission that said light sensor detects is delivered to said sick bed level controller, is controlled the brightness of said LED lamp by said sick bed level controller.
This monitoring system comprises emergency call button and ACK button; Said emergency call button is used to send emergency call information; Said ACK button is used to close said LED lamp, confirms said emergency call information or confirms warning message.
Said emergency call button, said ACK button all are connected with the said sick bed level controller signal of telecommunication.
Said emergency call button comprises wireless communication module, itself and said hand-held alarm and said ward controller radio communication.
Said reminding module is at least one in LCD MODULE, auditory tone cues module or the light reminding module; Said input module is the key board module.
Compared to prior art, the invention has the beneficial effects as follows:
1) can carry out the monitoring of 24 hours all-weathers, having solved medical personnel maybe be because carelessness or the tired error that causes alleviate medical personnel's labor intensity, can remedy the deficiency that medical personnel can not the whole day monitoring well.
2) realized real-time monitoring, exceptional state alarm and management to whole transfusion state.
3) realized combining of transfusion and ward urgent call and ward management system.
4) this monitoring system feasibility is strong, its based on pick off, electromagnetic valve, wireless communication technology, ethernet communication technology, singlechip technology etc. all be mature technique.
5) drip stand is easy to use, simple to operate, does not change original infusion set and infusion method.
6) applied widely, can be used for infusion bottle, transfusion bag (100ML, 250ML, 500ML, 1000ML etc.), the tube for transfusion of all size, model.
7) additional interference and the harmful effect that medical care process and patient are not produced other.
8) this monitoring system is cheap, reliability is high, can effectively improve the management level of hospital.
The present invention solves existing technical problem, and a kind of intelligent venous transfusion method for supervising is provided, and this method for supervising comprises the steps: to preset infusion parameter through the input module of hand-held alarm to the sick bed level controller corresponding to a sick bed label; Gravity sensor detects the weight signal of infusion bottle, and this signal is transferred to sick bed level controller; This sick bed level controller collection, handle this weight signal, and compare and handle with preset infusion parameter; Said sick bed level controller sends to said ward level controller and said hand-held alarm with result, is sent to said PC by said ward level controller; When result is unusual for infusing; Said sick bed level controller is controlled said electromagnetic valve gyration and is done; Close tube for transfusion, wait for that medical personnel handle, and send corresponding informance extremely said PC warning of level controller through said ward; Perhaps, said sick bed level controller transmission corresponding informance to said hand-held alarm is reported to the police.
Compared to prior art, the invention has the beneficial effects as follows:
Preset infusion parameter is gathered the transfusion signal in real time, relatively with handle after unusual circumstance in real time, and make handled automatically, avoided malpractice.Simultaneously, during unusual circumstance, the medical personnel of PC or hand-held alarm are given in reaction in time, occur please handling immediately unusually with the prompting medical personnel.
[description of drawings]
Fig. 1 is the principle schematic of intelligent venous transfusion monitoring system of the present invention;
Fig. 2 is the scheme of installation of said monitoring system;
Fig. 3 is the structural representation of said drip stand.
[specific embodiment]
Below in conjunction with the description of drawings and the specific embodiment the present invention is further specified.
Extremely shown in Figure 3 like Fig. 1, a kind of intelligent venous transfusion monitoring system, said method for supervising is applied to this monitoring system, and monitoring system comprises PC 11, ward level controller 12, sick bed level controller 13, drip stand 14 and hand-held alarm 15.This PC 11 is attended computer or supervisor, and it can be one or more.Drip stand 14 is convenient to the patient infusion use near being placed in sick bed.Hand-held alarm 15 is disposed at medical personnel, checks and accepts transfusion state when being convenient in fact.One sick room number correspondence is provided with a ward level controller 12, and a plurality of sick room number correspondences are provided with a plurality of wards level controller 12.Be in radio communication between sick bed level controller 13 in the sick room number ward level controller 12 corresponding with this disease room number; The sick bed level controller 13 that is in this disease room number can be for one or more, connect and communication through Ethernet between ward level controller 12 and the PC 11; One drip stand, 14 correspondences are provided with a sick bed level controller 13; Sick bed level controller 13 and corresponding ward level controller 12 radio communications, ward level controller 12 and PC 11 ethernet communications like this, the transfusion signal that receives of sick bed level controller 13 passes through multistage communications to PC 11 and stores or show like this; Simultaneously, sick bed level controller 13 also can directly be convenient to medical personnel with hand-held alarm 15 communications transfusion signal has the monitoring at any time that is directed against.Be matched with the multistage communication and the live signal collection of this monitoring system; Drip stand 14 of the present invention comprises support, corresponding to first gravity sensor 142 of a sick bed label, corresponding to the first electromagnetism valve collar 143 of this disease bed label; This first gravity sensor 142 all is connected with these drip stand 14 corresponding sick bed level controllers 13 with this first electromagnetism valve collar 143; The weight signal that such first gravity sensor 142 detects is sent to sick bed level controller 13 in real time; And by comparison and the result automatic state of controlling first electromagnetism valve collar 143 of this sick bed level controller 13, to regulate transfusion speed according to this weight signal and preset input parameter.When 13 detections of sick bed level controller have abnormal conditions; Send corresponding informance to PC 11 or hand-held alarm 15; At this moment; Medical personnel for the ease of hand-held alarm 15 in time understand abnormal conditions, on this hand-held alarm 15, are provided with reminding module, in time inform medical personnel's abnormal conditions through modes such as sound, light, demonstration information; The hand-held alarm 15 of this monitoring system also comprises input module, radio communication between hand-held alarm 15 and a plurality of sick bed level controller 13, the infusion parameter that medical personnel can each sick bed of wireless setting like this and inquire about the transfusion state of each sick bed.
This monitoring system, a sick bed level controller 13 can be monitored a drip stand 14, and corresponding to a sick bed label, then a sick bed level controller 13 is monitored a sick bed as if a drip stand 14; If a drip stand 14 is corresponding to two sick bed labels, then a sick bed level controller 13 is monitored two sick beds.One hand-held alarm 15 and a plurality of sick bed level controller 13 radio communications, hand-held alarm 15 of the present invention can receive the information of 16 sick bed controllers, promptly can monitor 32 patients' infusion information.
When a drip stand 14 during corresponding to two sick beds; This drip stand 14 comprises that corresponding to second gravity sensor 144 of the second sick bed label and the second electromagnetism valve collar 145 this second gravity sensor 144 is connected with these drip stand 14 corresponding sick bed level controllers 13 with the second electromagnetism valve collar 145; First gravity sensor 142 corresponding to the first sick bed label also is connected with sick bed level controller 13 with the first electromagnetism valve collar 143 simultaneously.Particularly night,, LED lamp and light sensor are set on drip stand 14 preferably in order to reduce the interference of light to patient; Light sensor is delivered to sick bed level controller 13 with the optical signal transmission that detects, and by the brightness of sick bed level controller 13 control LED lamps, the LED lamp kept the light-off state when light was enough; Only at insufficient light, and when detecting the patient of sick bed there is something special, this LED lamp is initiatively opened; Make things convenient for medical personnel's subsequent operation, also reduce interference as far as possible other patient.This drip stand 14 comprises support; This support comprises base 1413 again, be fixed in the setting expansion link 1412 of base 1413, be fixed in expansion link 1412 tops cross-arm 1417, be fixed in the hook of cross-arm 1417; This expansion link 1412 is provided with governor motion 1414; Rationally to regulate the length of expansion link 1412 according to actual needs, cooperate this hook that gravity sensor is set.With a drip stand 14 corresponding two sick beds is example: drip stand 14 comprises first hook, 1415, first gravity sensor 142, the first electromagnetism valve collar 143 and a LED lamp 146 that is close to a sick bed; Be close to second hook, 1416, second gravity sensor 144, the second electromagnetism valve collar 145 and the 2nd LED lamp 147 of another sick bed, such drip stand 14 promptly can be used for the monitoring infusion of two sick beds.For the ease of moving freely of drip stand 14, pulley 1411 is set below base 1413 preferably.Medical personnel manage transfusion state for ease; ACK button 148 preferably is set on drip stand 14; This ACK button 148 links to each other with sick bed level controller 13 corresponding to this drip stand 14, directly closes the LED lamp, confirms the urgent call and the transfusion warning message of sick bed through ACK button 148.Sick bed level controller 13 of the present invention is preferably mounted at the inboard of the base 1413 of drip stand 14, because sick bed level controller 13 comprises wireless communication module 150, a drip stand 14 is corresponding to a wireless communication module 150 so.
This monitoring system is except infusion monitoring information; Expanded function according to actual needs; As monitor body temperature or pulse information, thus preferably on sick bed level controller 13, be provided for body temperature signaling interface, the pulse signal interface of function expansion, or other common interfaces.
This monitoring system can satisfy patient's active call request; Emergency call button promptly is set; This emergency call button 149 preferably is connected with sick bed level controller 13 signals of telecommunication, is about to emergency call button 149 and is installed on the drip stand 14, makes things convenient for patient's urgent call.In addition, pattern removable, radio communication that this emergency call button can also be processed is like a bracelet; Be specially adapted to seriously ill patient, it is not easy to moving of health, so this bracelet formula emergency call button is enclosed within on hand; When call request; Directly start this button, the call request of this button transmission promptly transfers to the hand-held alarm 15 of a correspondence then, by the reminding module prompting medical personnel of this hand-held alarm 15.
Said reminding module is at least one in LCD MODULE, auditory tone cues module or the light reminding module.LCD MODULE can inform that situation appears in the patient of specific sick room number, specific sick bed with the mode of literal, numeral, color, flicker; The auditory tone cues module can point out medical personnel to have patient situation to occur with alarm sound; The light reminding module is through light prompting medical personnel concern monitoring system, in time checking monitoring information.
Each assembly of monitoring system of the present invention can adopt following concrete model:
1) sick bed level controller 13 is the SCM system based on AVR MEA16 or other type;
2) the LED lamp is the intelligent lighting lamp;
3) cordless communication network is that its transmission ultimate range is 100 meters based on the wireless remote control module cc1101 of 315MHZ P2262 hardware encoding and the cordless communication network of nRF24L01 new single chip radio-frequency receiving-transmitting device formation;
4) gravity sensor JZ725, range 1000kg, precision is 0.02%;
5) stroke is the electromagnetic valve ZH0-1245 of 10mm;
6) ward level controller 12 is the SCM system based on STC 89C52RC or other type, has radio communication and ethernet communication function;
7) danger button, outpatient service are wired button, and the ward is a wireless buttons.Wireless buttons resembles wrist-watch one belt transect on wrist, and based on the wireless remote control module cc1101 of 315MHZ P2262 hardware encoding, this type of alarm is used for the severe disease home-bound patient.
8) hand-held alarm 15 is the hand-held alarm 15 of portable liquid crystal screen.
9) drip stand mechanism adopts aluminium alloy extrusions.The concrete installation method of monitoring system of the present invention is following:
This monitoring system can realize following function:
1) sets and the function of revising infusion parameter.According to present hospital medicine commonly used, the material and the specification (100ML, 250ML, 500ML, 1000ML etc.) of infusion bottle (or transfusion bag); Sick bed level controller 13 of the present invention has stored the canonical reference weight of the liquid and the container of 30 kinds of regular sizes, can select through hand-held alarm 15 during use; Also can set the liquid special, that do not store and the canonical reference weight of container temporarily.And can set and revise the alarm liquid level of each infusion bottle (or transfusion bag) simultaneously.
2) the real-time monitoring and the warning of transfusion state.During transfusion, weight, the flow velocity of liquid are monitored and analyzed, and then judge actual liquid level, and liquid level and sick bed, sick room number are presented on hand-held alarm 15 and the PC on duty 11 through gravity sensor.When liquid level arrived setting value (alarming value), system alarm also sent to information on hand-held alarm 15 and the PC 11 on duty, reminds medical personnel; When liquid level arrived lower limit (no liquid), tube for transfusion was closed in the electromagnetic valve action, prevented that the air admission blood vessel from playing protection patient's effect, sends to information on hand-held alarm 15 and the PC 11 on duty simultaneously.When taking place to stop up, when dripping situation such as speed is unusual, on hand-held alarm 15, carry out sound and light alarm, and send prompt messages such as infusion pipeline, simultaneously transfusion state is controlled, close infusion set automatically, wait for that medical personnel handle.
3) urgent call.When patient is in an emergency, can call for help through two kinds of type of alarms.The first, to call out through the fixedly alarm button that is installed in drip stand 14 (or head of a bed), send information through wireless network this moment, and medical personnel learn concrete room number and berth through hand-held alarm 15 with PC 11 on duty.The second, through calling out by the radio alarming button of involuntary movements bracelet one belt transect on wrist, this mode is used for the severe disease home-bound patient.
4) intelligentized management function.In whole infusion process, medical personnel also can import corresponding sick bed, address, ward, request for information on hand-held alarm 15.The important patient's who is chosen by PC on duty 11 monitoring in real time and management transfusion states, and store relevant warning message, as the convenient inquiry in the future of historical data, improve hospital the MCA level.
5) intelligent lighting function.The LED lantern festival is opened the work that cooperates medical personnel automatically when liquid level is lower than setting value, also can carry out ON/OFF through hand-held alarm 15, and the brightness of LED lamp is simultaneously regulated according to intensity of illumination automatically; Be mainly used in night, can effectively reduce to bother other patients.
6) hand-held alarm 15.Do not disturb with emergency call button, all radio communications are passive type, the strong and environmental protection of lithium battery power supply, flying power; 32 road signals can be discerned, the state of a plurality of wards and sick bed can be monitored.
7) radio communication function.Efficient working range is 100m, based on nRF24.L01 new single chip radio-frequency receiving-transmitting device, works in 2.4GHz~2.5GHz ISM band, GFSK modulation, has practiced thrift set-up time and cost greatly.
8) TCP/IP Ethernet interface.
9) autgmentability.Reserve 7 road A/D interfaces, can be used for the signaling interface of pick offs such as body temperature, pulses measure.
Effect of the present invention is:
1) can carry out the monitoring of 24 hours all-weathers, having solved medical personnel maybe be because carelessness or the tired error that causes alleviate medical personnel's labor intensity, can remedy the deficiency that medical personnel can not the whole day monitoring well.
2) realized real-time monitoring, exceptional state alarm and management to whole transfusion state.
3) realized combining of transfusion and ward urgent call and ward management system.
4) this monitoring system feasibility is strong, its based on pick off, electromagnetic valve, wireless communication technology, singlechip technology etc. all be mature technique.
5) drip stand 14 is easy to use, simple to operate, does not change original infusion set and infusion method.
6) adjusting range of drip stand expansion link is 1100~1800mm.
7) applied widely, can be used for infusion bottle, transfusion bag (100ML, 250ML, 500ML, 1000ML etc.), the tube for transfusion of all size, model.
8) additional interference and the harmful effect that medical care process and patient are not produced other.
9) this monitoring system is cheap, reliability is high, can effectively improve the management level of hospital.
The present invention solves existing technical problem; A kind of intelligent venous transfusion method for supervising is provided; This method for supervising is used above-mentioned monitoring system, and this method for supervising comprises the steps: to preset infusion parameter through the input module of hand-held alarm 15 to the sick bed level controller 13 corresponding to a sick bed label; Gravity sensor detects the weight signal of infusion bottle, and this signal is transferred to sick bed level controller 13; This sick bed level controller 13 is handled this weight signal, and compares and handle with preset infusion parameter; When relatively being transfusion when unusual with result, sick bed level controller 13 send corresponding informances through the ward level controller 12 to PC 11, perhaps, sick bed level controller 13 sends corresponding informances to hand-held alarm 15.The present invention presets infusion parameter, gathers in real time the transfusion signal, relatively with handle after unusual circumstance in real time, and make handled automatically, avoided malpractice.The present invention can inquire about the transfusion state of each sick bed through hand-held alarm 15, but the important patient's who sets through PC 11 historical querys transfusion state, warning and call information.Simultaneously, during unusual circumstance, the medical personnel of PC 11 or hand-held alarm 15 are given in reaction in time, occur please handling immediately unusually with the prompting medical personnel.
Existing infusion set can't be realized monitoring in real time to whole transfusion state, report to the police and management; Also can't be with the monitoring of the transfusion of ward, outpatient service, report to the police and management, with the urgent call in ward, and other management system of ward combine; Can't realize setting and modification to liquid parameter.
This monitoring system integrates Computer Control Technology, electromechanical integration technology, sensor technology, wireless communication technology, network technology and software engineering.
Above content is to combine concrete preferred implementation to the further explain that the present invention did, and can not assert that practical implementation of the present invention is confined to these explanations.For the those of ordinary skill of technical field under the present invention, under the prerequisite that does not break away from the present invention's design, can also make some simple deduction or replace, all should be regarded as belonging to protection scope of the present invention.
Claims (9)
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