Fail-safe module integral with a sedation and analgesia system and method

• US 8,555,876 B2
• Filed: 04/17/2009
• Issued: 10/15/2013
• Est. Priority Date: 02/25/2002
• Status: Active Grant

• Current Assignee: Scott Laboratories, Inc.
• Original Assignee: Scott Laboratories, Inc.
• Inventors: Hickle, Randall S., Derouen, Jason
• Primary Examiner(s): Dixon, Annette
• Application Number:
  US12/425,812
• Publication Number:
  US 20090199851A1
• Time in Patent Office: 1,642 Days
• Field of Search: 128/200.24, 128/202.22, 128/203.12, 128/203.25, 128/204.23, 128/205.11, 128/205.23, 128/DIG.12, 128/DIG.13, 604/31, 604/111
• US Class Current: 128/202.22
• CPC Class Codes: A61M 16/01 specially adapted for anaesthetising A61M16/104, A61M16/18 take precedence
• CPC Class Codes: A61M 2005/1405 Patient controlled analgesia [PCA]
• CPC Class Codes: A61M 2202/0241 Anaesthetics; Analgesics
• CPC Class Codes: A61M 2205/16 with back-up system in case of failure
• CPC Class Codes: A61M 2205/17 with redundant control systems
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/702 automatically during use
• 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

Abstract

The invention provides a fail-safe module (FSM) integral with a sedation and analgesia system that meets the high-reliability needs of sedation and/or analgesia delivered by non-anesthetist practitioners. The FSM may operate in “real-time” in order to ensure optimal patient safety. The FSM may deactivate specific patient interfaces, user interfaces, and/or sedation and analgesia delivery in order to ensure patient safety and has redundant safety systems in order to provide the fail-safe module with an accurate assessment of controller functionality.

Claims

1. A method of safely operating a sedation and analgesia system, wherein the system comprises an electronic controller connected to a fail safe module, to one or more patient interfaces for monitoring the physiological condition of the patient during a medical procedure and to a drug delivery device and wherein the controller monitors the one or more patient interfaces during the operation of the system to confirm a safe physiological condition of the patient, and to control the drug delivery device, the method comprising the steps of:

applying power to said system and commencing the operation of the fail safe module to operate said system in a safe state mode in which drug delivery is disabled, and upon receiving one or more valid signals indicating proper operation of the controller, enabling control of the system by said controller;

electronically managing the delivery of pain or anxiety relieving drugs to a patient and monitoring the operation of the one or more patient interfaces with the controller; and

monitoring the proper operation of the controller with said fail safe module and, in the event of improper operation of said controller, returning said system to said safe state mode of operation.

2. The method of safely operating a sedation and analgesia system according to claim 1, wherein a user interface indicates the system is not functioning properly.

3. The method of safely operating a sedation and analgesia system according to claim 1, wherein the user interface indicates the system is not functioning properly with one or more system state alarms.

4. The method of safely operating a sedation and analgesia system according to claim 1, further comprising the step of powering down the sedation and analgesia system upon the non-receipt by the fail safe module of the one or more valid signals indicating a healthy proper operation of the controller.

5. The method of safely operating a sedation and analgesia system according to claim 1, wherein the fail safe comprises memory, and wherein the fail safe module retains in its memory a signifier upon the non-receipt by the fail safe module of the one or more valid signals indicating proper operation of the controller.

6. The method of safely operating a sedation and analgesia system according to claim 1, wherein the one or more valid signals comprise a strobe delivered or initiated by the controller for receipt by the fail safe module.

7. The method of safely operating a sedation and analgesia system according to claim 6, wherein the strobe is an electrical strobe in the form of a byte, a plurality of bytes, a pulse, or logic signal.

8. The method of safely operating a sedation and analgesia system according to claim 1, further comprising the step of testing the fail safe module prior to the step of commencing operation of the sedation and analgesia system.

9. The method of safely operating a sedation and analgesia system according to claim 8, wherein the steps of initiating a valid test strobe comprises transmitting one strobe or a plurality of strobes from the controller to the fail safe module that fall into a predetermined time window programmed into the fail safe module, wherein such strobe or strobes indicate that the controller is functioning properly.

10. The method of safely operating a sedation and analgesia system according to claim 8, wherein the steps of initiating an invalid test strobe comprises outputting an invalid strobe from the controller to the fail safe module to simulate a failure of the sedation and analgesia system.

11. The method of safely operating a sedation and analgesia system according to claim 8, wherein the invalid strobe comprises rapid strobing or strobing outside of a predetermined time window.

12. A method of safely operating a sedation and analgesia system for delivering a sedative and/or analgesic drug to a patient during a medical and/or surgical procedure, wherein the system comprises an electronic controller, one or more patient interfaces for monitoring the physiological condition of the patient, a drug delivery device and a fail safe module and wherein the controller receives input from the one or more patient interfaces during the operation of the system to confirm that the patient is in a safe physiological condition, the method comprising the steps of:

commencing the operation of the fail safe module comprising the step of the fail safe module outputting safe state data in which drug delivery is disabled until a valid strobe or strobing is received from the controller;

upon reception by the fail safe module of the valid strobe or strobing from the controller, commencing the operation of the sedation and analgesia system;

electronically managing the delivery of the drug delivery device by the controller;

providing signals from said controller to said fail safe device to indicate proper functioning of said controller and a safe physiological condition of the patient, and

returning said system to said safe state mode in the event of improper functioning of said controller.

13. The method of safely operating a sedation and analgesia system according to claim 12, wherein the operation of the fail safe module further comprises resumption of said safe state data output upon receipt of a valid strobe or strobing from the controller.

14. The method of safely operating a sedation and analgesia system according to claim 12, wherein the operation of the fail safe module further comprises

transferring the sedation and analgesia system into a safe state mode upon non-receipt of valid strobe or strobing from the controller.

15. The method of safely operating a sedation and analgesia system according to claim 14, wherein upon receipt of a valid strobe or strobing from the controller, the fail safe module recommences operation of the sedation and analgesia system.