CN201519339U - Critical care and infusion control diagnosis and treatment integrated system - Google Patents

Abstract

The utility model discloses an integrated system of critical care and transfusion control, diagnosis and treatment and a control method thereof, comprising infusion equipment, a monitoring transfusion base station, a central monitoring server and a medical PDA; Open-loop control, or by monitoring and analyzing the patient's physiological parameters during the infusion execution, adjust the infusion parameters according to the corresponding closed-loop algorithm, and control the infusion equipment closed-loop through wireless or wired methods; the central monitoring server connects to the monitoring infusion base station through wireless or wired methods and monitors Its running state; the medical care PDA is connected with the monitoring infusion base station and/or the central monitoring server through wireless means, and is used to display the infusion status and manage the infusion process. The system organically combines the means of treatment (intravenous infusion) and its effect (monitoring of physiological parameters) in one system, so as to realize the closed-loop control of one or more infusion equipment, improve the quality of medical care and the work efficiency of medical staff.

Description

Critical care and infusion control diagnosis and treatment integrated system

technical field

The utility model relates to a medical device, in particular to an integrated critical care and transfusion control diagnosis and treatment system and a control method thereof, which are applied to an ICU (Intensive Care Unit, intensive care unit) and an operating room.

Background technique

Critically ill patients in the ICU are usually in critical condition, disordered in physiological state, and even have severe multi-organ damage. , most of them are multi-drug and multi-channel drug administration at the same time, and the drug regimen needs to be adjusted at any time according to the change of the condition. Multiple conventional infusion pumps and syringe pumps are used for drug administration. These pumps are independent, and the medical staff can operate them Very inconvenient, and difficult to meet the needs of critically ill patients. Anesthetized patients in the operating room also need multi-channel drug delivery, intravenous anesthetics, analgesics, and drugs to maintain a stable life state.

As one of the important treatment methods, fluid therapy for patients in ICU also has high requirements for the quality of infusion therapy. At present, infusion pumps and syringe pumps are widely used. ICU medical staff often monitor and adjust drug infusion. Manual operation is sometimes difficult to control the physiological state of critically ill patients within the target range, which affects the treatment effect. The staff work is very heavy. Since Sheppard, various computerized closed-loop control automatic dosing algorithms have emerged continuously, achieving better results than manually adjusted dosing regimens. Computer closed-loop control of automatic drug administration can significantly reduce the total dosage of drugs while better stabilizing the patient's physiological state.

Intravenous infusion is the most commonly used clinical treatment method. Although there are many infusion pumps, syringe pumps and multi-parameter monitors in the market, there are also many wireless networked critical care systems and a small number of networked infusion control systems. But these two systems are independent of each other. Intravenous infusion and critical care are the most widely used diagnosis and treatment methods in ICU and operating room, and their comprehensive control and management are the inherent needs of clinical work.

Utility model content

The utility model aims at the disadvantage that the existing transfusion therapy and physiological monitoring are separated, and thus cannot realize the real-time closed-loop control of the critical patient transfusion therapy process, and proposes an integrated critical care and transfusion control diagnosis and treatment system suitable for ICU and operating room. The purpose of this utility model is to realize the real-time detection of the physiological state of ICU and surgical patients and real-time adjustment of the speed of the infusion equipment, the total amount of infusion, etc. according to the changes of physiological parameters, so as to achieve the closed-loop control of the infusion process (open-loop control can also be realized) ; Based on the pharmacokinetic and pharmacodynamic models of the drug, formulate the given way of drug dosage, so as to make the infusion therapy more effective and realize the individualized drug administration plan. Reduce medical accidents, improve the work efficiency of medical staff, and improve the diagnosis and treatment level of ICU.

In order to achieve the above object, the technical solution of the present utility model is: a critical care and infusion control diagnosis and treatment integrated system, which includes infusion equipment (infusion equipment includes infusion pump and injection pump), monitoring infusion base station, central monitoring server and medical care PDA . The infusion equipment is connected with the monitoring infusion base station through wireless or wired communication, receives the control of the monitoring infusion base station, implements the infusion treatment for the patient, and sends back the status information of the infusion equipment. The monitoring infusion base station has the functions of monitoring the patient's physiological parameters and infusion control of one or more infusion equipment. The infusion control can be formed by the medical staff according to the information of the patient, medicine and treatment prescription. Loop control can also monitor and analyze the patient's physiological parameters during the infusion execution process, adjust the infusion parameters in real time according to the corresponding feedback algorithm, realize the closed-loop control of the infusion equipment through wireless or wired methods, and perform open-loop or closed-loop control on the patient. Controlled infusion therapy. The central monitoring server is connected to multiple monitoring and infusion base stations through wireless and wired methods to monitor their operating status centrally. The central monitoring server is also connected to the hospital information system and integrated with the hospital information system. The medical care PDA is connected with the monitoring infusion base station and/or the central monitoring server through wireless means, so as to understand the infusion status and manage the infusion process. Each component of the system forms a system through a wired network or a wireless network.

The monitoring infusion base station includes the following modules:

User interface module: used to provide user input and complete the corresponding human-computer interaction function, display the information of the infusion equipment controlled by the monitoring infusion base station during the infusion process and the monitoring information of the patient's main physiological parameters; according to the patient, drug and treatment prescription The information enters the infusion parameters and forms an infusion protocol.

Physiological monitoring module: including the physiological monitoring detection module and the physiological monitoring management module, which is used to monitor the real-time monitoring information of the patient's ECG, blood oxygen saturation, body temperature, non-invasive blood pressure, respiration and other physiological parameters, analyze and save the monitoring information, and provide users with The display of physiological parameters of the interface module and the infusion closed-loop control of the closed-loop control module provide information; the physiological monitoring and detection module is composed of physiological parameter sensors, signal conditioning circuits, AD conversion, single-chip microcomputers and communication sub-modules, used to detect physiological information; physiological monitoring management The module completes the analysis and storage functions of physiological parameters.

Infusion management module: used to manage and control infusion equipment, convert the infusion plan into infusion control instructions, or accept the infusion control instructions from the closed-loop control module, and send the infusion control instructions to the specified infusion through the network communication module at regular intervals equipment;

Closed-loop control module: by receiving the data of measuring the patient's physiological parameters, output infusion instructions according to the feedback algorithm, and send the control instructions to the infusion management module; the closed-loop control module includes a data extraction sub-module, a feedback algorithm sub-module and a control sub-module, The data extraction sub-module extracts the patient's blood pressure data from the monitoring module as input for the feedback algorithm sub-module. The feedback algorithm sub-module analyzes the required physiological parameters according to the corresponding closed-loop control algorithm and makes a judgment. The feedback algorithm sub-module The obtained results are sent to the control sub-module, and the control sub-module decides which infusion device to adjust according to the results of the feedback algorithm, and the adjustment range, forms an infusion control command and sends it to the infusion management module, and implements closed-loop control of infusion.

Alarm module: monitor the physiological parameter information of the patient and the information of the infusion equipment during the infusion process. When the physiological parameters exceed the normal range or the infusion equipment runs abnormally, the alarm information will be displayed on the user interface in time and the alarm information will be saved at the same time. To the local database of the monitoring infusion base station.

Information management module: used to manage basic patient information and basic drug information;

Network communication module: realize the data transmission between the central monitoring server and the monitoring infusion base station, between the monitoring infusion base station and the infusion equipment through wired or wireless means; realize the data transmission between the monitoring infusion base station and the medical care PDA through wireless means.

The central monitoring server is hardware with a dual-core server, equipped with an 802.11b wireless network card to realize communication with multiple monitoring infusion base stations and medical care PDAs, including the following modules:

User interface module: used to provide user input and complete the corresponding human-computer interaction functions, to centrally display the main information of each monitoring infusion base station, and also display the main physiological parameters and infusion information of patients in a certain monitoring infusion base station and each infusion equipment ; The monitoring and infusion base station managed by it can input infusion parameters and form an infusion solution according to the information of patients, drugs and treatment prescriptions.

Monitoring and infusion base station management module: remotely and centrally control the work of multiple monitoring and infusion base stations, process the infusion data, alarm information and patient monitoring information of the online infusion equipment of each monitoring and infusion base station, and monitor the working conditions of each monitoring and infusion base station;

Information management module: used to manage basic patient information, basic drug information, basic employee information, bed usage status or patient hospitalization information;

Network communication module: realize the data transmission between the central monitoring server and the monitoring infusion base station, between the central monitoring server and the hospital information system by wired or wireless; realize the data transmission between the central monitoring server and the medical care PDA by wireless .

The infusion equipment includes an infusion pump and a syringe pump:

The injection pump includes a single-chip microcomputer module, a human-computer interaction module, a stepping motor module, an injection mechanical module, a sensor module, a network communication module and a power management module.

The single-chip microcomputer is the core control part of the injection pump. It receives the control command given by the monitoring infusion base station through the network communication module, and controls the operation of the stepping motor, thereby driving the injection mechanical module and pushing the syringe to realize the injection operation; at the same time, the single-chip microcomputer will collect the The status information of the syringe pump is transmitted to the monitoring and infusion base station through the network communication module, so as to realize the real-time monitoring and control of the syringe pump by the monitoring and infusion base station.

The infusion pump includes a single-chip microcomputer module, a human-computer interaction module, a stepping motor module, a finger-like peristaltic mechanical module, a sensor module, a network communication module and a power management module.

The stepper motor of the infusion pump drives the finger-like peristaltic piece of the finger-like peristaltic mechanical module to squeeze the infusion tube to realize the infusion operation. The sensor module of the infusion pump is composed of a stepper motor speed sensor, a pressure sensor and an ultrasonic sensor. The pressure sensor and the ultrasonic sensor Used to detect air bubbles and blockages during infusion.

Network communication module: realize the data transmission between the monitoring infusion base station and the infusion equipment through wired or wireless means

The healthcare PDA:

The medical care PDA is carried by the medical staff, and accesses the monitoring infusion base station and/or the central monitoring server through the wireless network. The medical staff can use the PDA to inquire about the basic status of any monitoring infusion base station at any time, and accept the alarm information and ring or/ And vibration, adjust the control parameters of the infusion equipment, and can be operated remotely. Its hardware system adopts the ARM core, and the main frequency of the CPU is not lower than 300MHZ, which is a handheld computer with a built-in wireless network card. The core part of the software is based on Microsoft's WindowsMobile5.0 embedded operating system.

The network communication structure of the system:

The system adopts a wired and wireless compatible networking method, and the components of the system can communicate through wired or wireless methods. For the wireless networking mode: the IEEE 802.11b/g wireless local area network (WLAN) standard is adopted between the monitoring infusion base station, the central monitoring server and the medical care PDA, which can provide a maximum data transmission rate of 11Mbps; the patient-based monitoring ZigBee technology is used between the infusion base station and the infusion equipment to form a network structure with the monitoring infusion base station as the network coordinator and the infusion equipment as the terminal equipment. Among them, the wireless mode can also use infrared, bluetooth, Wi-Fi, radio frequency technology, ultra-wideband (UWB) technology, etc. to form a wireless local area network, as long as the technology that can realize the wireless communication function between the injection pump and the monitoring infusion base station in the ward is acceptable. use. For the wired network mode: the monitoring infusion base station and the central monitoring server use the existing wired network of the hospital to realize wired communication; the monitoring infusion base station and the infusion equipment use RS-485 bus technology to realize a communication between the centralized control hub and the decentralized control unit . The bus mode can also be realized by other bus technologies such as CAN bus and field bus.

The monitoring infusion base station of the system is also extended to other therapeutic instruments in the ICU or operating room, such as ventilators, anesthesia machines, etc., through wireless and wired methods.

Description of drawings

Fig. 1 system structural composition schematic diagram of the present utility model;

The schematic diagram of the principle of Fig. 2 closed-loop feedback control of the utility model;

The module structure schematic diagram of Fig. 3 central monitoring server;

Fig. 4 is a schematic diagram of the module structure of the monitoring infusion base station;

The structural representation of Fig. 5 syringe pump;

Fig. 6 Schematic diagram of the structure of the infusion pump.

Detailed ways

Below in conjunction with accompanying drawing, the utility model is described in detail.

As shown in Figure 1 and Figure 2, the utility model provides an integrated system of critical care and infusion control, diagnosis and treatment, which includes infusion equipment for real-time closed-loop feedback through a wired or wireless network, monitoring infusion base station and central monitoring server, infusion The equipment is connected with the monitoring infusion base station through wireless or wired communication, receives the control of the monitoring infusion base station, implements infusion therapy for patients, and sends back the status information of the infusion equipment. The monitoring infusion base station has the functions of monitoring the patient's physiological parameters and infusion control of one or more infusion equipment. The infusion control can be formed by the medical staff according to the information of the patient, medicine and treatment prescription. Loop control can also monitor and analyze the patient's physiological parameters during the infusion execution process, adjust the infusion parameters in real time according to the corresponding feedback algorithm, realize the closed-loop control of the infusion equipment through wireless or wired methods, and perform open-loop or closed-loop control on the patient. Controlled infusion therapy. The central monitoring server is connected to multiple monitoring and infusion base stations through wireless and wired methods to monitor their operating status centrally. The central monitoring server is also connected to the hospital information system and integrated with the hospital information system. The medical care PDA is connected with the monitoring infusion base station and/or the central monitoring server through wireless means, so as to understand the infusion status and manage the infusion process. Each component of the system forms a system through a wired network or a wireless network. The system organically combines the means of treatment (intravenous infusion) and its effect (monitoring of physiological parameters) in one system.

This system takes the monitoring infusion base station as the center and integrates multiple infusion equipment to treat patients. A monitoring infusion base station and multiple infusion devices controlled by it form a monitoring infusion treatment unit to serve a patient. The hardware structure of the monitoring infusion base station is mainly based on PC or industrial computer, based on the Windows operating system, supplemented by various embedded software and hardware implementations such as: Wireless Dragon's ZigBee communication module, Xinshun TouchKit SX-104-W4R-F Touch screen, NetGear wireless network card and jog shuttle knob. The Zigbee communication module provides a communication hardware platform between the monitoring infusion base station and the wireless infusion equipment; the touch screen and the shuttle knob provide a convenient and quick interactive interface for the system. The central monitoring server can comprehensively manage the information of several monitoring infusion therapy units. The central monitoring server can also be connected with the hospital information system to share the database information of the hospital information system. Medical staff can remotely access the database system on the central monitoring server on the bedside monitoring infusion base station to check the patients, drugs and related information for infusion treatment. The central monitoring server uses a dual-core server as hardware, and is equipped with an 802.11b wireless network card to realize communication with the entire monitoring infusion base station and medical care PDA. The software of the monitoring server is based on the Windows operating system and developed using WEB technology.

As shown in Figure 3, the monitoring infusion base station includes the following modules:

User interface module: used to provide user input and complete the corresponding human-computer interaction function, display the information of the infusion equipment controlled by the monitoring infusion base station during the infusion process, use the waveform playback function to replay the waveform of the patient's physiological parameters; digitally display the physiological parameters ; Input the infusion parameters and form the infusion scheme according to the information of the patient, medicine and treatment prescription.

Rights management module: control the use range of legitimate users in the system. Users in the system are divided into different roles, and each role has a different range of system usage. For example, if a user is an administrator, he can view core modules in the system, such as information management module and authority management module, etc. , and perform some operations on these modules; if a user is a general user, he can only query or modify the patient's information, but cannot delete it. With this method of limiting the scope of use of the user, Restrict some low-privileged users from misoperations on the core parts of the system, thereby reducing some unnecessary risks.

Physiological monitoring module: The physiological monitoring module includes a physiological monitoring detection module and a physiological monitoring management module, which are used to monitor the patient's physiological parameters, analyze and save monitoring information to realize the analysis function of monitoring data. The physiological monitoring and detection module is composed of physiological parameter sensors, signal conditioning circuits, AD conversion, single-chip microcomputers and communication sub-modules. Detect the patient's physiological parameters such as ECG, respiration, body temperature, blood oxygen saturation, non-invasive blood pressure, and pulse rate; the physiological monitoring management module keeps all the collected patient physiological parameter data in the monitoring data file, and automatically processes the data Defined trend analysis provides information for the display of physiological parameters of the user interface module and the closed-loop control of infusion in the closed-loop control module;

Infusion management module: used to manage and control infusion equipment, execute infusion plans, convert infusion plans into infusion control instructions, or accept infusion control instructions from the closed-loop control module, and send infusion control instructions through the network communication module at regular intervals To the designated infusion equipment; management of basic drug information; transmit the execution instructions of the infusion plan to the connected infusion equipment through the wireless network and receive, display and save the real-time information fed back by the infusion equipment, such as infusion speed, etc.

Closed-loop control module: According to a preset algorithm, such as a steady-state control algorithm based on vital signs, based on pharmacodynamics, pharmacokinetic models, etc., the closed-loop feedback control of the infusion process is realized. The input of the control is the physiological parameters measured by the patient. Parameter data, the output of the control is the regulation instruction of the infusion; the closed-loop control module includes a data extraction sub-module, a feedback algorithm sub-module and a control sub-module, and the data extraction sub-module extracts the patient's blood pressure and other data from the monitoring module as input for The algorithm in the entire closed-loop feedback module is used. The feedback algorithm sub-module analyzes the required physiological parameters according to the selected algorithm and makes a judgment. The result obtained by the feedback algorithm sub-module is sent to the control module. The control sub-module The results determine which infusion device to adjust and the adjustment range, and then send control commands to the designated infusion management module to implement closed-loop control of infusion, so as to achieve the purpose of integrated diagnosis and treatment and individualized treatment.

Alarm module: alarm scheme design, which can design corresponding alarm schemes for different patients and conditions; monitor the patient's physiological parameter information and infusion equipment information during the infusion process, when the physiological parameters exceed the normal range, or the infusion equipment runs abnormally , the alarm information will be displayed on the user interface in time, and the alarm information will be saved to the local database of the monitoring infusion base station. Obtain the alarm information of each component of the system, display the alarm information on the monitoring terminal in time, and save the alarm data into the warehouse.

Information management module: used to manage basic patient information, basic drug information, and medical staff information. The system performs authority operations and information records for users who operate the system each time;

Network communication module: realize the data transmission between the central monitoring server and the monitoring infusion base station, between the monitoring infusion base station and the infusion equipment through wired or wireless means; realize the data transmission between the monitoring infusion base station and the medical care PDA through wireless means.

As shown in Figure 4, the central monitoring server includes the following modules:

User interface module: used to provide user input and complete the corresponding human-computer interaction functions, to centrally display the main information of each monitoring infusion base station, and also display the main physiological parameters and infusion information of patients in a certain monitoring infusion base station and each infusion equipment ; The monitoring and infusion base station managed by it can input infusion parameters and form an infusion solution according to the information of patients, drugs and treatment prescriptions.

Monitoring and infusion base station management module: remotely and centrally control the work of multiple monitoring and infusion base stations, process the infusion data, alarm information and patient monitoring information of the online infusion equipment of each monitoring and infusion base station, and monitor the working conditions of each monitoring and infusion base station;

Information management module: including patient information management module and drug information management module. Used to manage basic patient information, basic drug information, basic employee information, bed usage status or patient hospitalization information; such as patient information management module and drug information management module, used to manage basic patient information, basic drug information, basic employee information, bed Use status or patient hospitalization information, on the premise of satisfying the system application, provide interfaces for the outpatient subsystem, pharmacy system, staff management subsystem and ward management subsystem connected to the hospital information system;

Network communication module: realize the data transmission between the central monitoring server and the monitoring infusion base station, between the central monitoring server and the hospital information system by wired or wireless; realize the data transmission between the central monitoring server and the medical care PDA by wireless .

The infusion equipment includes a syringe pump and an infusion pump. As shown in FIG. 5 , the syringe pump includes a single-chip microcomputer module, a human-computer interaction module, a stepping motor, an injection mechanical module, a sensor module, a network communication module and a power management module.

The single-chip microcomputer module is the core control part of the injection pump. It receives the control instructions given by the monitoring infusion base station through the network communication module, and controls the operation of the stepping motor according to the control instructions, thereby driving the injection mechanical module to push the syringe; The network communication module transmits to the monitoring infusion base station to realize the real-time control and monitoring of the syringe pump by the monitoring infusion base station. The human-computer interaction module displays the working status information of the equipment and the basic physiological information of the patient through the display screen, and adjusts the working parameters of the infusion pump through the buttons. The stepper motor module includes a stepper motor and its drive integrated circuit chip. The drive integrated circuit chip is integrated with a drive circuit, pulse distributor, freewheeling diode and overheating protection circuit, integrating drive and protection. The injection injection mechanical module is composed of a speed change gear set, a screw rod and a syringe push plate, and the syringe push plate engages with the screw thread of the screw rod. The stepping motor drives the speed change gear to rotate, and the speed change gear drives the screw rod to rotate, thereby making the syringe push plate move. The sensor module consists of a stepping motor speed sensor, a pressure sensor, a syringe position sensor and a syringe size sensor, which are used to sense the speed of the stepping motor when the syringe pump is running, the pressure of the infusion pipeline, and the position and size of the syringe. The power management module supplies power to the single-chip microcomputer module, the human-computer interaction module, the stepper motor and its drive module, the sensor module and the network communication module through the power cord. Network communication module: The syringe pump can communicate with the monitoring infusion base station through wired or wireless means. The wired methods of communication between the monitoring infusion base station and the infusion equipment include: the monitoring infusion base station communicates with multiple infusion equipment through the RS485 bus, and other bus control methods can also be used. The wireless mode of the network communication module can also adopt Bluetooth communication technology, Wi-Fi wireless local area network technology, radio frequency technology, Zigbee technology, ultra-wideband (UWB) technology, etc., as long as the injection pump and monitoring infusion base station can be realized in the ICU ward. The technology of wireless communication function can be adopted.

As shown in Figure 6, the basic structure of the infusion pump is similar to that of the syringe pump. The difference is that the push-injection mechanical module of the infusion pump drives the finger-shaped peristaltic sheet to squeeze the infusion tube through a stepping motor to realize the infusion of the patient. The sensor of the infusion pump The system consists of a stepping motor speed sensor, a pressure sensor and an ultrasonic sensor, which are used to detect air bubbles and blockage during infusion.

The system also includes a medical PDA, which accesses the monitoring infusion base station and the central monitoring server through the wireless network, displays the status of any monitoring infusion base station, receives alarm information and rings or/and vibrates, and adjusts the control parameters of the infusion equipment.

As a mobile medical device, the system uses wireless communication. Among them, the network structure between the central monitoring server, monitoring infusion base station and medical PDA is relatively fixed, there is a large amount of data interaction, and sometimes it is necessary to access the original wired LAN of the hospital. 802.11b is a global wireless local area network (WLAN) standard formulated by IEEE and widely used. It has the same security, manageability and scalability as wired local area network (LAN), and can be well compatible with wired LAN. It also has a high transmission speed (the highest transmission speed is 11Mbps). Therefore, the central monitoring server, the monitoring infusion base station and the medical care PDA adopt the 802.11b communication protocol to form a wireless local area network.

All the features described in the utility model, as well as equivalent replacements or combinations made according to the methods and technical solutions described in the utility model, so these transformations and combinations are within the protection scope of the utility model.

Claims (8)

1. a critical illness monitoring and the control diagnosis and treatment integral system of infusing is characterized in that comprising fluid delivery apparatus, monitoring transfusion base station, central monitoring server and medical care PDA;

Fluid delivery apparatus links to each other with the monitoring transfusion base station by wireless or wired communication modes, and the infusion treatment to patient, the status information of concurrent feedback liquid equipment are implemented in the control of reception monitoring transfusion base station;

The monitoring transfusion base station has the transfusion control function of physiological parameters of patients monitoring and one or more fluid delivery apparatus, transfusion control forms transfusion plan by medical personnel according to the information of patient, medicine and treatment prescription, realize the open loop of fluid delivery apparatus is controlled by wireless or wired mode, or in the transfusion implementation by monitoring and analyze patient's physiological parameter, adjust infusion parameter in real time according to corresponding feedback algorithm, realize closed loop control fluid delivery apparatus by wireless or wired mode;

Central monitoring server connects a plurality of monitoring transfusions base station and concentrates their running status of monitoring by wireless or wired mode, and central monitoring server also links to each other with hospital information system;

Medical care PDA is connected with monitoring transfusion base station and/or central monitoring server by wireless mode, is used to show transfusion situation and management infusion process.

2. critical illness monitoring according to claim 1 and transfusion control diagnosis and treatment integral system, it is characterized in that: described monitoring transfusion base station comprises as lower module:

Subscriber interface module: be used to offer user's input and finish corresponding human-computer interaction function, show the information of the fluid delivery apparatus of this monitoring transfusion base station control in the infusion process and patient's physiological parameter monitoring information, also import infusion parameter and form transfusion plan according to the information of patient, medicine and treatment prescription;

Physiology monitoring module: comprise physiology monitoring detection module and physiology monitoring administration module, be used to monitor patient's physiological parameter, analyze and preserve monitoring information, for the demonstration of the physiological parameter of subscriber interface module and the transfusion closed loop control of closed loop control module provide information; Physiology monitoring detection module is made up of physiological parameter sensors, signal conditioning circuit, AD conversion, single-chip microcomputer and communication submodule, is used to detect physiologic information; Physiology monitoring administration module is finished the analysis and the hold function of physiological parameter;

Transfusion administration module: be used for management and control fluid delivery apparatus, transfusion plan is converted to the transfusion control instruction, or accept the transfusion control instruction of closed loop control module, and the control instruction of will infusing is fixed time by each and is sent to specified fluid delivery apparatus by the network communication module at interval;

Closed loop control module:, instruct according to feedback algorithm output transfusion, and control instruction is sent to the transfusion administration module by receiving the data of the physiological parameter of measuring patient; This closed loop control module comprises the data fetch submodule, feedback algorithm submodule and control submodule, the data fetch submodule extracts patient's blood pressure data as input from the physiology monitoring module, use for the feedback algorithm submodule, the feedback algorithm submodule is analyzed required physiological parameter respectively according to the corresponding closed-loop control algolithm, judge, the result that the feedback algorithm submodule draws sends to the control submodule, which fluid delivery apparatus the control submodule is adjusted according to result's decision of feedback algorithm, and the amplitude of adjusting, form the transfusion control instruction and send to tube for transfusion reason module, implement the closed loop control of transfusion.

The network communication module: by wired or wireless mode realize between central monitoring server and the monitoring transfusion base station, transfer of data between monitoring transfusion base station and the fluid delivery apparatus; Realize transfer of data between monitoring transfusion base station and the medical care PDA by wireless mode.

3. critical illness monitoring according to claim 2 and transfusion control diagnosis and treatment integral system, it is characterized in that: described monitoring transfusion base station also comprises as lower module:

Alarm module: the physiological parameter information of patient in infusion process and the information of fluid delivery apparatus are monitored, when physiological parameter exceeds normal range, when perhaps fluid delivery apparatus operation appearance is unusual, in time warning message is presented at user interface, simultaneously warning message is saved to monitoring transfusion base station local data base.

Information management module: be used to manage patient's essential information, the medicine essential information;

4. critical illness monitoring according to claim 3 and transfusion control diagnosis and treatment integral system, it is characterized in that: described central monitoring server comprises as lower module:

Subscriber interface module: be used to offer user's input and finish corresponding human-computer interaction function, the main information of each monitoring transfusion base station of centralized displaying, or show the patient of a certain monitoring transfusion base station and the physiological parameter and the infusion information of each fluid delivery apparatus, and to the monitoring transfusion base station of its management, according to the information input infusion parameter of patient, medicine and treatment prescription and form transfusion plan;

Monitoring transfusion BTS management module: remote centralized is controlled the work of a plurality of monitoring transfusions base station, handle infusion data, warning message and the patient care information of the online fluid delivery apparatus of each monitoring transfusion base station, the working condition of each monitoring transfusion base station is monitored;

Information management module: be used to manage patient's essential information, medicine essential information, employee's essential information, berth behaviour in service or patient's hospitalization information;

The network communication module: by wired or wireless mode realize between central monitoring server and the monitoring transfusion base station, transfer of data between central monitoring server and the hospital information system; Realize transfer of data between central monitoring server and the medical care PDA by wireless mode.

5. critical illness monitoring according to claim 4 and transfusion control diagnosis and treatment integral system, it is characterized in that: described fluid delivery apparatus comprises infusion pump and syringe pump;

This syringe pump comprises single-chip microcomputer, human-computer interaction module, motor, injects mechanical module, sensor assembly, network communication module and power management module; Single-chip microcomputer is the core control section of syringe pump, receives the given control instruction in monitoring transfusion base station through the network communication module, and the operation of control step motor is injected mechanical module thereby drive, pushing syringe, thus realize injection operation; Single-chip microcomputer is sent to the monitoring transfusion base station with the syringe pump status information of gathering through the network communication module simultaneously, realizes real-time monitoring and the control of monitoring transfusion base station to syringe pump;

This infusion pump comprises single-chip microcomputer, human-computer interaction module, motor, finger-like wriggling mechanical module, sensor assembly, network communication module and power management module; Tube for transfusion is realized transfusion operation thereby the motor of infusion pump drives the extruding of finger-like wriggling mechanical module.

6. critical illness monitoring according to claim 5 and transfusion control diagnosis and treatment integral system, it is characterized in that: the sensor assembly of infusion pump comprises motor speed probe, pressure transducer and sonac, and pressure transducer and sonac are respectively applied for bubble and the obstruction that detects in the infusion process.

7. according to each described critical illness monitoring of claim 1 to 6 and transfusion control diagnosis and treatment integral system, it is characterized in that: communication is carried out by bus apparatus and network communication apparatus and a plurality of fluid delivery apparatus in the monitoring transfusion base station.

8. according to each described critical illness monitoring of claim 1 to 6 and transfusion control diagnosis and treatment integral system, it is characterized in that: this system monitoring transfusion base station also is connected to the therapeutic equipments of ICU or operating room by wireless and wired mode, described therapeutic equipments comprises respirator and anesthetic machine.

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