Fluid Bolus Delivery

• US 20140276548A1
• Filed: 03/14/2013
• Published: 09/18/2014
• Est. Priority Date: 03/14/2013
• Status: Abandoned Application

• Current Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Original Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Inventors: Bollish, Stephen, Guerra, Jesse J.
• Application Number:
  US13/831,407
• Publication Number:
  US 20140276548A1
• Time in Patent Office: Days
• US Class Current: 604/503
• CPC Class Codes: A61M 2205/3553 remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 5/172 electrical or electronic A61M5/16804, A61M5/16831 take precedence
• CPC Class Codes: A61M 5/1723 using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00
• CPC Class Codes: G16H 20/17 delivered via infusion or injection

Abstract

The subject matter described herein relates to controlling and automating a delivery of one or boluses of a fluid medication to a patient. A user interface can display lists of parameters, such as a list of types of fluid in the fluid medication, a list of modes for delivery of the one or more boluses, a list of flow rates of each bolus delivery, a list of durations corresponding to each bolus, a list of initiation times of each bolus, and a list of initiation events for each bolus. In response, a clinician can select and/or specify parameters for the one or more boluses. Subsequently, the infusion device can deliver the one or more boluses based on the selected or specified parameters. Related apparatus, systems, techniques and articles are also described.

Claims

1. A method comprising:

displaying, in a graphical user interface, a list of possible flow rates of one or more boluses of a fluid medication to be delivered to a patient and a list of possible durations for the one or more boluses, and a list of possible initiation times for the one or more boluses;

receiving, from the graphical user interface and by a controller connected to the graphical user interface, selections of one or more flow rates from the list of possible flow rates for the one or more boluses, one or more durations from the list of possible durations for the one or more boluses, and one or more initiation times from the list of possible initiation times for the one or more boluses, the selections being performed via the graphical user interface by a clinician; and

delivering, by an infusion device actuated by the controller based on the selections, the one or more boluses to the patient.

2. The method of claim 1, wherein the infusion device prior to the delivery of the one or more boluses infuses the fluid medication at a first rate and the infusion device immediately subsequent to the delivery of the one or more boluses automatically and without human intervention infuses the fluid medication at the first rate, the first rate being different than a flow rate for the one or more boluses.

3. The method of claim 1, further comprising:

displaying, in the graphical user interface, a list of possible types of fluid in the fluid medication; and

receiving, from the graphical user interface and by the controller, a selection of a type of fluid to be used in the fluid medication.

4. The method of claim 1, further comprising:

displaying, in the graphical user interface, a list of possible modes for delivery of the one or more boluses, the modes comprising a single bolus mode and a multiple bolus mode, the single bolus mode characterizing that a single bolus of fluid medication is to be delivered, the multiple bolus mode characterizing that two or more boluses are to be delivered; and

receiving, from the graphical user interface and by the controller, a selection of a mode to be used for delivering the one or more boluses.

5. The method of claim 1, further comprising:

displaying, in the graphical user interface, a list of possible initiation events for each bolus;

receiving, from the graphical user interface and by the controller, a selection of an initiation event; and

delivering, by the infusion device, at least one of the one or more boluses when the initiation event occurs.

6. The method of claim 5, wherein the initiation events comprise one or more of:

decrease of blood pressure below a first threshold, increase of blood pressure above a second threshold, decrease of heart rate below a third threshold, increase of heart rate above a fourth threshold, decrease of respiratory rate below a fifth threshold, and increase of respiratory rate above a sixth threshold.

7. The method of claim 1, further comprising:

displaying, in the graphical user interface, a graphical waveform characterizing the selections of the one or more flow rates, the one or more durations, and the one or more initiation times.

8. The method of claim 1, further comprising:

generating, by an alarm device actuated by the controller, one or more alarms when a volume of a delivered bolus of the fluid medication either drops below a lower limit threshold or exceeds an upper limit threshold.

9. A system comprising:

a user interface device to display a list of possible flow rates of one or more boluses of a fluid medication to be delivered to a patient, a list of possible durations for the one or more boluses, and a list of possible initiation times for the one or more boluses, the user interface device receiving selections of one or more flow rates of corresponding one or more boluses, one or more durations of the corresponding one or more boluses, and one or more initiation times of the corresponding one or more boluses;

a controller to receive the selections from the user interface device; and

an infusion device to receive at least one control signal from the controller based on the selections, the at least one control signal actuating the infusion device to deliver the one or more boluses to the patient.

10. The system of claim 9, wherein the infusion device prior to the delivery of the one or more boluses infuses the fluid medication at a first rate and the infusion device immediately subsequent to the delivery of the one or more boluses automatically and without human intervention infuses the fluid medication at the first rate, the first rate being different than a flow rate for the one or more boluses.

11. The system of claim 9, wherein the user interface device:

displays a list of possible types of fluid in the fluid medication;

displays a list of possible modes for delivery of the one or more boluses, the modes including a single bolus mode and a multiple bolus mode, the single bolus mode characterizing that a single bolus of fluid medication is to be delivered, the multiple bolus mode characterizing that a plurality of boluses are to be delivered; and

displays a list of possible initiation events for each bolus.

12. The system of claim 11, wherein the user interface device:

receives a selection of a type of fluid to be used in the fluid medication;

receives a selection of a mode to be used for delivering the one or more boluses; and

receives a selection of an initiation event, the controller actuating the infusion device when the initiation event occurs so as to deliver at least one of the one or more boluses.

13. The system of claim 12, wherein the initiation event comprises at least one of:

decrease of blood pressure below a first threshold, increase of blood pressure above a second threshold, decrease of heart rate below a third threshold, increase of heart rate above a fourth threshold, decrease of respiratory rate below a fifth threshold, and increase of respiratory rate above a sixth threshold.

14. The system of claim 12, wherein the user interface device comprises a graphical display area that displays a graphical waveform characterizing the selections of the one or more flow rates, the one or more durations, the one or more initiation times, the type of fluid, the mode, and the initiation event.

15. The system of claim 10, further comprising:

an alarm device that generates one or more alarms when a volume of a delivered bolus of the fluid medication either drops below a lower limit threshold or exceeds an upper limit threshold.

16. The system of claim 15, wherein the alarm comprises at least one of:

a pop-up message displayed on the graphical user interface device, a loud sound, a short messaging service notification, an email, and a social network message.

17. A non-transitory computer program product storing instructions that, when executed by at least one programmable processor, cause the at least one programmable processor to perform operations comprising:

displaying, in a graphical user interface of a user interface device, a list of possible flow rates of a bolus of a fluid medication to be delivered to a patient and a list of possible durations for the bolus;

receiving, from the graphical user interface and by a controller connected to the graphical user interface, selections of a flow rate of the bolus from the list of possible flow rates, and a duration of the bolus from the list of possible durations, the selections being performed on the graphical user interface by a clinician; and

delivering, by an infusion device actuated by the controller and based on the selections, the bolus to the patient.

18. The computer program product of claim 17, wherein:

the infusion device infuses, prior to the delivery of the bolus, the fluid medication at a first rate, the first rate being different than a flow rate for the one or more boluses; and

the infusion device infuses, immediately subsequent to the delivery of the bolus automatically and without human intervention, the fluid medication at the first rate.

19. The computer program product of claim 17, wherein the operations further comprise:

displaying, in the graphical user interface, a list of possible types of fluid in the fluid medication; and

receiving, from the graphical user interface and by the controller, a selection of a type of fluid to be used in the fluid medication.

20. The computer program product of claim 17, wherein the operations further comprise:

displaying, in the graphical user interface, a list of possible initiation events for the bolus;

receiving, from the graphical user interface and by the controller, a selection of an initiation event; and

delivering, by the infusion device, the bolus when the initiation event occurs.

22. The computer program product of claim 17, wherein the operations further comprise:

displaying, in the graphical user interface, a graphical waveform characterizing the selections of the flow rate and the duration.

23. The computer program product of claim 17, wherein the operations further comprise:

generating, by an alarm device actuated by the controller, one or more alarms when a volume of a delivered bolus of the fluid medication either drops below a lower limit threshold or exceeds an upper limit threshold.

21. The computer program product of claim 21, wherein the initiation events comprise one or more of:

decrease of blood pressure below a first threshold, increase of blood pressure above a second threshold, decrease of heart rate below a third threshold, increase of heart rate above a fourth threshold, decrease of respiratory rate below a fifth threshold, and increase of respiratory rate above a sixth threshold.