Medical effector system

• US 20060081259A1
• Filed: 06/21/2005
• Published: 04/20/2006
• Est. Priority Date: 08/31/2004
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Katz, Hal H., Donofrio, William T., Burdorff, Mark A., Martin, James F., Nalagatla, Anil K., Niklewski, Paul J., Privitera, Salvatore, Eyster, Curt R., Wuennemann, Jeffery J., Hickle, Randall S., Stevens, Fred B. III, Collins, William L. Jr., Bruggeman, Paul J.
• Granted Patent: US 7,970,631 B2
• Time in Patent Office: Days
• US Class Current: 128/207.180
• CPC Class Codes: A61B 1/00154 using guiding arrangements for insertion
• CPC Class Codes: A61B 5/0836 Measuring rate of CO2 production
• CPC Class Codes: A61B 5/411 Detecting or monitoring allergy or intolerance reactions to an allergenic agent or substance
• CPC Class Codes: A61B 5/6819 Nose
• CPC Class Codes: A61B 5/682 Mouth, e.g., oral cavity; tongue; Lips; Teeth
• CPC Class Codes: A61B 5/7495 using a reader or scanner device, e.g. barcode scanner
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/0493 with means for protecting the tube from damage caused by the patient's teeth, e.g. bite block
• CPC Class Codes: A61M 16/0672 Nasal cannula assemblies for oxygen therapy
• CPC Class Codes: A61M 16/0677 Gas-saving devices therefor
• CPC Class Codes: A61M 16/0688 by means of an adhesive
• CPC Class Codes: A61M 16/0808 Condensation traps
• CPC Class Codes: A61M 16/085 Gas sampling
• CPC Class Codes: A61M 16/0858 Pressure sampling ports
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/1025 the O2 concentration
• CPC Class Codes: A61M 2021/0027 by the hearing sense
• CPC Class Codes: A61M 21/02 for inducing sleep or relaxation, e.g. by direct nerve stimulation, hypnosis, analgesia for massage A61H; electrotherapy A61N, e.g. applying alternating or intermittent electric currents for producing anaesthesia A61N1/36021
• CPC Class Codes: A61M 2202/0208 Oxygen
• CPC Class Codes: A61M 2202/048 : Anaesthetics see also A61M19/00
• CPC Class Codes: A61M 2202/062 : Desiccants
• CPC Class Codes: A61M 2205/05 : combined with other kinds of therapy
• CPC Class Codes: A61M 2205/12 : with interchangeable cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 2205/123 : with incorporated reservoirs
• CPC Class Codes: A61M 2205/13 : with means for the detection of operative contact with patient, e.g. lip sensor
• CPC Class Codes: A61M 2205/14 : Detection of the presence or absence of a tube, a connector or a container in an apparatus
• CPC Class Codes: A61M 2205/273 : preventing reuse, e.g. of disposables
• CPC Class Codes: A61M 2205/3334 : Measuring or controlling the flow rate
• CPC Class Codes: A61M 2205/3553 : remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3561 : local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/3584 : using modem, internet or bluetooth
• CPC Class Codes: A61M 2205/505 : Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 2205/6072 : Bar codes
• CPC Class Codes: A61M 2205/7536 : allowing gas passage, but preventing liquid passage, e.g. liquophobic, hydrophobic, water-repellent membranes
• CPC Class Codes: A61M 2209/084 : Supporting bases, stands for equipment
• CPC Class Codes: A61M 2210/0618 : Nose
• CPC Class Codes: A61M 2210/0625 : Mouth
• CPC Class Codes: A61M 2210/0662 : Ears
• CPC Class Codes: A61M 2230/04 : Heartbeat characteristics, e.g. ECG, blood pressure modulation
• CPC Class Codes: A61M 2230/06 : Heartbeat rate only
• CPC Class Codes: A61M 2230/205 : partial oxygen pressure (P-O2)
• CPC Class Codes: A61M 2230/30 : Blood pressure A61M2230/04 takes precedence
• CPC Class Codes: A61M 2230/432 : partial CO2 pressure (P-CO2)
• CPC Class Codes: A61M 2230/63 : Motion, e.g. physical activity
• CPC Class Codes: A61M 5/142 : Pressure infusion, e.g. using pumps
• CPC Class Codes: A61M 5/14228 : with linear peristaltic action, i.e. comprising at least three pressurising members or a helical member
• CPC Class Codes: A61M 5/162 : Needle sets, i.e. connections by puncture between reservoir and tube ; Connections between reservoir and tube in jet-action syringes A61M5/30; connectors for tubes having sealed ends and a needle for piercing them A61M39/14
• CPC Class Codes: A61M 5/16831 : Monitoring, detecting, signalling or eliminating infusion flow anomalies low-level float-valves causing cut-off A61M5/40; indicating or recording presence, absence or direction of flow in general G01P13/0066
• CPC Class Codes: A61M 5/172 : electrical or electronic A61M5/16804, A61M5/16831 take precedence
• CPC Class Codes: G16H 20/17 : delivered via infusion or injection
• CPC Class Codes: G16H 40/63 : for local operation

Abstract

A medical effector system comprised of a bedside unit and a procedure unit. The bedside unit contains a series of connection points for receiving inputs from a series of patient monitors. The procedure unit contains a patient monitoring and medical effector program, and a drug delivery pump or magnetic flux generator capable of delivering therapeutic energy to a patient. The medical effector system contains the capability to issue and receive a request from a non-sedated patient, issue and receive a request from a sedated patient and then to calculate a time difference. The medical effector program operates the pump or magnetic flux generator based upon at least some of the patient outputs and program inputs including a calculated time difference. A removable umbilical cable connects the two units and allows the output of the patient monitors as well as other information to travel between the two units.

Claims

1. A medical effector system comprising:

a) a microprocessor-based bedside monitoring unit having a first series of connection points for receiving patient inputs from patient monitoring connections, having a second series of connection points for outputting patient outputs based on the received inputs, and having a display screen for displaying at least some of the patient outputs;

b) a microprocessor-based procedure room unit having a medical effector, and having a host controller with a memory containing a patient-monitoring and medical-effector-scheduling program which is operatively connected to program inputs based at least in part on at least some of the patient outputs and which controls, and/or advises a user to control, the medical effector based at least in part on the program inputs; and

c) an umbilical cable having a first end attached or attachable to the second series of connection points of the bedside monitoring unit and having a second end attached or attachable to the procedure room unit, wherein at least one of the first and second ends is detachable from the corresponding bedside monitoring unit or the procedure room unit, and wherein the procedure room unit includes an Ethernet and/or a modem connector operatively connected to the host controller.

2. A medical effector system comprising:

a) a microprocessor-based bedside monitoring unit having a first series of connection points for receiving patient inputs from patient monitoring connections, having a second series of connection points for outputting patient outputs based on the received inputs, and having a display screen for displaying at least some of the patient outputs;

b) a microprocessor-based procedure room unit having a medical effector, and having a host controller with a memory containing a patient-monitoring and medical-effector-scheduling program which is operatively connected to program inputs based at least in part on at least some of the patient outputs and which controls, and/or advises a user to control, the medical effector based at least in part on the program inputs; and

c) an umbilical cable having a first end attached or attachable to the second series of connection points of the bedside monitoring unit and having a second end attached or attachable to the procedure room unit, wherein at least one of the first and second ends is detachable from the corresponding bedside monitoring unit or the procedure room unit, and wherein the host controller of the procedure room unit includes Health Level Seven application protocol to electronically send and/or receive communications to and/or from a remote computer.

3. A medical effector system comprising:

a) a microprocessor-based bedside monitoring unit having a first series of connection points for receiving patient inputs from patient monitoring connections, having a second series of connection points for outputting patient outputs based on the received inputs, and having a display screen for displaying at least some of the patient outputs;

b) a microprocessor-based procedure room unit having a medical effector, and having a host controller with a memory containing a patient-monitoring and medical-effector-scheduling program which is operatively connected to program inputs based at least in part on at least some of the patient outputs and which controls, and/or advises a user to control, the medical effector based at least in part on the program inputs; and

c) an umbilical cable having a first end attached or attachable to the second series of connection points of the bedside monitoring unit and having a second end attached or attachable to the procedure room unit, wherein at least one of the first and second ends is detachable from the corresponding bedside monitoring unit or the procedure room unit, and wherein the procedure room unit includes a printer operatively connected to the host controller.

4. A sedation delivery system comprising:

a) a microprocessor-based bedside monitoring unit having a bedside-monitoring-unit host controller which contains a first program which performs the steps of;

issuing a request to a non-sedated patient for a non-sedated patient response;

receiving a signal based on the non-sedated patient response; and

calculating a non-sedated response time for the patient based at least in part on a time difference between issuing the request and receiving the signal;

b) a microprocessor-based procedure room unit having a procedure-room-unit host controller which contains a second program which performs the steps of;

issuing requests through the bedside monitoring unit to a sedated patient for a sedated patient response;

receiving a signal through the bedside monitoring unit based on the sedated patient response;

calculating a sedated response time for the sedated patient, and calculating a response time difference between the non-sedated and sedated response times; and

c) an umbilical cable having a first end attached or attachable to the bedside monitoring unit and having a second end attached or attachable to the procedure room unit, wherein at least one of the first and second ends is detachable from the corresponding bedside monitoring unit or the procedure room unit.

5. The sedation delivery system of claim 4, wherein the procedure room unit has a drug-delivery infusion pump assembly controlled by the procedure-room-unit host controller based at least in part on the response time difference.

6. A medical-effector-delivery-system procedure room unit comprising a procedure-room-unit host controller which contains an oxygen delivery program which performs the steps of receiving a pulse-oximeter signal from a patient undergoing sedation and calculating an oxygen flow rate based at least in part on the received pulse-oximeter signal, wherein the procedure-room-host controller controls a flow of oxygen to the patient based on the calculated oxygen flow rate.

7. A medical effector system comprising:

a) the medical-effector-system procedure room unit of claim 6;

b) a bedside monitoring unit; and

c) an umbilical cable having a first end attached or attachable to the bedside monitoring unit and having a second end attached or attachable to the procedure room unit, wherein at least one of the first and second ends is detachable from the corresponding bedside monitoring unit or the procedure room unit, and wherein, when the umbilical cable is attached to the procedure room unit and the bedside monitoring unit, the pulse-oximeter signal flows from the patient through the bedside monitoring unit and through the umbilical cable to the procedure room unit and the flow of oxygen flows through the umbilical cable and the bedside monitoring unit to the patient.

8. A medical effector system comprising:

a) a microprocessor-based bedside monitoring unit having a first series of connection points for receiving patient inputs from patient monitoring connections, having a second series of connection points for outputting patient outputs based on the received inputs, and having a display screen for displaying at least some of the patient outputs;

b) a microprocessor-based procedure room unit having an energy-delivery medical effector, and having a host controller with a memory containing a patient-monitoring and medical-effector-scheduling program which is operatively connected to program inputs based at least in part on at least some of the patient outputs and which controls, and/or advises a user to control, the energy-delivery medical effector based at least in part on the program inputs; and

c) an umbilical cable having a first end attached or attachable to the second series of connection points of the bedside monitoring unit and having a second end attached or attachable to the procedure room unit, wherein at least one of the first and second ends is detachable from the corresponding bedside monitoring unit or the procedure room unit.

9. The medical effector system of claim 8, wherein the energy-delivery medical effector includes at least one magnetic flux generator adapted to deliver a time varying magnetic field to a patient to have a sedative effect on the patient.

10. A medical effector system comprising:

a) a microprocessor-based bedside monitoring unit having a bedside-monitoring-unit host controller, having a first series of connection points for receiving patient inputs from patient monitoring connections, having a second series of connection points for outputting patient outputs based on the received inputs, and having a display screen for displaying at least some of the patient outputs;

b) a microprocessor-based procedure room unit having a medical effector, and having a procedure-room-unit host controller with a memory containing a patient-monitoring and end-effector-scheduling program which is operatively connected to program inputs based at least in part on at least some of the patient outputs and controls, and/or advises a user to control, the medical effector based at least in part on the program inputs; and

c) an umbilical cable having a first end attached or attachable to the second series of connection points of the bedside monitoring unit and having a second end attached or attachable to the procedure room unit, wherein at least one of the first and second ends is detachable from the corresponding bedside monitoring unit or the procedure room unit, and wherein the procedure-room-unit host controller and the bedside-monitoring-unit host controller are operatively connected together when the umbilical cable is attached to the procedure room unit and the bedside monitoring unit.

11. The medical effector system of claim 10, wherein the drug-delivery flow control assembly includes a drug-delivery infusion pump assembly.

12. The medical effector system of claim 10, wherein the procedure room unit (PRU) has an individual PRU identifier and the bedside monitoring unit (BMU) has an individual BMU identifier, and wherein the procedure-room-unit host controller of the procedure-room unit compiles an electronic history of the bedside monitoring unit when attached to the procedure room unit based on the individual BMU identifier.

13. The medical effector system of claim 12, also including a single-patient-use drug-delivery cassette assembly having an individual cassette identifier and operatively connectable to the drug-delivery flow control assembly of the procedure room unit, and further including a single-patient-use cannula assembly having an individual cannula identifier and attachable to the bedside monitoring unit, and wherein the procedure-room-unit host controller of the procedure-room unit compiles an electronic history of the drug-delivery cassette assembly and the cannula assembly based on the individual cassette and cannula identifiers.

14. The medical effector system of claim 10, wherein, when the bedside monitoring unit is attached to the procedure room unit, the bedside-monitoring-unit host controller of a turned-on bedside monitoring unit turns on a turned-off procedure room unit.

15. The medical effector system of claim 14, wherein, when the bedside monitoring unit is attached to the procedure room unit, the procedure-room-unit host controller of a turned-on procedure room unit turns on a turned-off bedside monitoring unit.

16. The medical effector system of claim 10, wherein, when the bedside monitoring unit is attached to the procedure room unit, the procedure-room-unit host controller of a turned-on procedure room unit turns on a turned-off bedside monitoring unit.

17. The medical effector system of claim 10, wherein the bedside monitoring unit displays patient monitoring while not attached to the procedure room unit and displays patient monitoring while attached to the procedure room unit when the procedure-room-unit host controller detects certain faults in the procedure room unit.

18. The medical effector system of claim 10, wherein the procedure-room-unit host controller shuts off the drug-delivery infusion pump assembly when certain faults are detected in an attached bedside monitoring unit and/or in the procedure room unit.

19. The medical effector system of claim 10, wherein the umbilical cable includes a power feed line, and wherein the procedure-room-unit host controller shuts off power to the power feed line of the umbilical cable when the umbilical cable is disconnected from the bedside monitoring unit and/or the umbilical cable is disconnected from the procedure room unit.

20. The medical effector system of claim 19, wherein the bedside monitoring unit includes a bedside-monitoring-unit battery, and wherein power from the procedure room unit charges the bedside-monitoring-unit battery via the power feed line of the umbilical cable.