Oximetry monitored, patient controlled analgesia system

• US 5,957,885 A
• Filed: 11/06/1996
• Issued: 09/28/1999
• Est. Priority Date: 11/06/1996
• Status: Expired due to Term

• Current Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Original Assignee: ALARIS Medical Systems, Inc. (Becton, Dickinson & Co)
• Inventors: Bollish, Stephen J., Duffy, Robert J.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): MENDEZ, MANUEL A
• Application Number:
  US08/744,486
• Time in Patent Office: 1,056 Days
• Field of Search: 604/30-31, 604/49, 604/50, 604/65-67, 604/118, 128/DIG. 12, 128/DIG. 13
• US Class Current: 604/67
• CPC Class Codes: A61M 2005/1405 Patient controlled analgesia [PCA]
• CPC Class Codes: A61M 2005/14208 with a programmable infusion control system, characterised by the infusion program
• CPC Class Codes: A61M 2230/06 Heartbeat rate only
• CPC Class Codes: A61M 2230/205 partial oxygen pressure (P-O2)
• 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
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

A patient care system comprising an interface unit, a Patient Controlled Analgesia (PCA) unit, and a pulse oximetry unit is disclosed. The PCA unit provides PCA administration, including administration of a dose of analgesic upon request, and the pulse oximetry unit provides constant monitoring of the patient'"'"'s blood oxygen saturation level and pulse rate. The interface unit provides for communication between and control of the PCA unit and the pulse oximetry unit, and further provides an interface between the user and the system. When the pulse oximetry unit indicates to the interface unit that the patient'"'"'s blood oxygen saturation level and pulse rate has reached a user-specified minimum, the interface unit initiates visual and audio alarms and controls the PCA unit by shutting off the PCA unit. The interface unit also contains communication ports, which the interface unit can use to send signals to external devices, such as to alert alerts medical personnel.

Claims

1. A patient care system, comprising:

a pump capable of intravenous delivery of analgesia to a patient;

patient control means for permitting the patient to self-administer analgesia using said pump; and

a monitor to monitor the patient'"'"'s blood oxygen saturation, said monitor cooperating with said delivery of analgesia to automatically prevent administration of analgesia using the patient control means in response to the patient'"'"'s blood oxygen saturation falling outside predetermined levels as measured by said monitor, said monitor comprising a pulse oximiter.

2. The system according to claim 1, wherein said monitor further monitors patient pulse rate;

and said monitor cooperates with the pump to automatically prevent administration of analgesia using the patient control means when the pulse rate falls outside predetermined levels.

3. The system according to claim 1, further comprising interface means between said pump and said monitor, said interface means including a processor means providing communication between the pump and monitor and providing said cooperation between said delivery of analgesia and said monitor.

4. A patient care system, comprising:

an interface unit;

a first functional unit capable of delivering patient therapies to a patient in accordance with first functional unit specific information, said first functional unit removably connected to the interface unit and communicating therewith; and

a patient therapy request actuator connected to the system and cooperating with the first functional unit, wherein actuation of said patient therapy request actuator normally results in delivery of a predetermined patient therapy by the first functional unit;

a second functional unit capable of monitoring conditions of the patient in accordance with second functional unit specific information, wherein a user specifies limits for the patient conditions, said second functional unit removably connected to the interface unit and communicating therewith;

wherein the interface unit determines if the patient conditions received from the second functional unit are within said user specified limits, and wherein the interface unit executes a termination command to terminate patient therapy delivery by the first functional unit in response to patient conditions outside said user specified limits.

5. The patient care system of claim 4, wherein said termination command locks out operation of the patient therapy request actuator.

6. The patient care system of claim 4, wherein the second functional unit monitors patient blood oxygen saturation level and pulse rate.

7. The patient care system of claim 4, further comprising an audio alarm, wherein when the interface unit determines that the patient conditions are not within said user specified limits, the interface executes an alarm command to activate said audio alarm.

8. The patient care system of claim 4 further comprising at least one visual alarm, and wherein when the interface unit determines that the patient conditions are not within said user specified limits, the interface executes an alarm command to activate said at least one visual alarm.

9. The patient care system of claim 4, wherein said interface unit comprises:

a user interface adapted to provide an interface between the system and the user of the system;

an interface display; and

an interface keyboard, including a plurality of softkeys interacting with the interface display such that the user interface is configured in accordance with the functional unit specific information to provide predetermined command options to the user corresponding to said functional unit;

wherein the interface unit permits the user to input the user specified limits for the patient conditions into the system.

10. A patient care system, comprising:

an interface including a microprocessor and a user interface adapted to provide an interface between the system and a user of the system, said interface including means for receiving patient condition limits and dosage parameters;

a dosage request actuator;

a pump unit communicating with said interface for delivering intravascular analgesics to a patient in response to actuation of said dosage request actuator, said delivery being in accordance with dosage parameters received from said interface;

a patient monitoring unit communicating with said interface, said monitoring unit including a sensor contactable with the patient for monitoring conditions of the patient including blood oxygen saturation level and pulse rate, said monitoring unit providing at least one signal to the interface indicative of said patient conditions;

wherein the interface microprocessor compares said patient condition signal to patient condition limits input by a user and terminates analgesic delivery by the pump unit in response to patient conditions outside said patient condition limits.

11. The patient care system of claim 10, further comprising at least one alarm wherein when the interface microprocessor determines that the patient conditions are outside specified limits, the interface microprocessor executes an alarm command to activate said alarm.

12. The patient care system of claim 10, wherein said dosage parameters comprise bolus dose delivery parameters including bolus dose, duration, and rate.

13. The patient care system of claim 12, wherein the dosage parameters further comprise one or more patient request dosage limits, selected from the group comprising minimum interval of time between doses, maximum total number of doses, maximum number of bolus doses over a predetermined period of time, and maximum total volume of patient therapy to be infused.

14. The patient care system of claim 12, wherein the pump unit additionally delivers a continuous infusion to the patient and wherein the dosage parameters further comprise continuous infusion rate and volume to be infused.

15. A method for controlling patient self-administration of fluid infusions comprising,

monitoring patient conditions by connecting a patient monitoring unit to the patient, wherein the patient monitoring unit is capable of monitoring conditions of the patient;

connecting the monitoring unit to an interface unit including a microprocessor and a user interface adapted to provide an interface with a user;

inputting patient condition limits into the interface unit;

comparing monitored patient conditions to patient condition limits in said interface and generating a signal indicative of said comparison;

connecting the patient to an infusion unit, wherein the infusion unit communicates with the interface unit, said infusion unit is capable of performing fluid infusion to the patient in accordance with infusion unit specific information;

requesting fluid infusions from the infusion unit by patient activation of the infusion unit;

performing fluid infusion with the infusion unit in accordance with a predetermined infusion protocol in response to said patient activation and in response to a signal from the interface unit representative of the monitored patient conditions being within said patient condition limits; and

disabling the infusion unit and terminating the fluid infusion in response to a signal from the interface unit representative of the monitored patient conditions being outside the patient condition limits.

16. The method of claim 15, wherein the monitoring step comprises monitoring the patient'"'"'s blood oxygen saturation level and pulse rate;

and wherein the patient condition limits are minimum blood oxygen saturation level and minimum pulse rate.

17. The method of claim 15, wherein the monitoring step comprises monitoring the patient'"'"'s blood oxygen saturation level and pulse rate;

and wherein the patient condition limits are maximum blood oxygen saturation level and maximum pulse rate.

18. The method of claim 15, wherein the predetermined infusion protocol for the infusion unit comprises bolus dose delivery parameters including bolus dose, duration of bolus dose infusion, and rate of bolus dose infusion.

19. The method of claim 15, wherein the predetermined infusion protocol for the infusion unit further comprises one or more patient request dosage limits, selected from the group comprising minimum interval of time between doses, maximum total number of doses, maximum number of bolus doses over a predetermined period of time, and maximum total volume of patient therapy to be infused.

20. The method of claim 15 further comprising the step of providing a continuous infusion by the infusion unit.

21. A method for controlling patient use of analgesia in systems where the patient self-administers analgesia utilizing a patient dose request actuator to actuate a patient actuatable pump, comprising:

continuously monitoring patient conditions including pulse rate and blood oxygen saturation level;

identifying at least one of said patient conditions as being outside predetermined acceptable levels; and

automatically disabling, without clinical intervention, at least one of the patient dose request actuator and pump in response to said identification, to prevent patient actuation of the patient actuatable pump.