CN106730160A - A kind of electronic transfusion pump combination pain Assessment automatically adjusts the method and system of infusion parameter - Google Patents
A kind of electronic transfusion pump combination pain Assessment automatically adjusts the method and system of infusion parameter Download PDFInfo
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- CN106730160A CN106730160A CN201710040241.2A CN201710040241A CN106730160A CN 106730160 A CN106730160 A CN 106730160A CN 201710040241 A CN201710040241 A CN 201710040241A CN 106730160 A CN106730160 A CN 106730160A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
- A61M5/16831—Monitoring, detecting, signalling or eliminating infusion flow anomalies
- A61M5/16836—Monitoring, detecting, signalling or eliminating infusion flow anomalies by sensing tissue properties at the infusion site, e.g. for detecting infiltration
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4824—Touch or pain perception evaluation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
- A61M5/16877—Adjusting flow; Devices for setting a flow rate
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
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- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
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- Heart & Thoracic Surgery (AREA)
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- Surgery (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
A kind of method that electronic transfusion pump combination pain Assessment automatically adjusts infusion parameter, i.e., after transfusion system triggers automatic dosage, decrement signals, pain Assessment system is introduced before transfusion system is performed and changes operational factor.Dosage assessment system is comprised the steps of：After transfusion system triggers dosage signal, step S1 is performed：Start dosage language assessment system；Step S3：Patient's affirmative acknowledgement, then perform step S6；Patient's negative response, then perform step S5；Step S5：System does not send instruction；Step S6：System sends dosage instruction.Decrement assessment system is comprised the steps of：After transfusion system triggers decrement signals, step S2 is performed：Start decrement language assessment system；Step S4：Patient's affirmative acknowledgement, then perform step S7；Patient's negative response, then perform step S5；Step S5：System does not send instruction；Step S7：System sends decrement instruction.The present invention can safer, accurately automatic change transfusion system operational factor by pain Assessment.
Description
Technical field：
A kind of method and system the present invention relates to automatically adjust infusion parameter after electronic transfusion pump combination pain Assessment.
Background technology：
At present, for the electronic infusion pumping system that can automatically adjust infusion parameter, its principle is, by recording and comparing disease
People reaches auto-increment infusion after default increase infusion parameter condition using the situation of PCA (PCA)；Reach default
Reduce autodecrement infusion after infusion parameter condition；Not up to trigger condition then performs the pattern of original parameter infusion.
But, because different patients are understood PCA and using upper inconsistent, are caused it is possible that situations below：Portion
Patient is divided not use controlled analgesia easily, then meeting autodecrement is transfused after system reaches default reduction infusion parameter condition, as a result
The patient slightly has pain before downshift and still tolerates, and occurs the situation of pain exacerbation after decrement infusion, does not meet decrement infusion
Purpose；Another to have some patientss to use controlled analgesia easily, then system can be carried out automatically after reaching default increase infusion parameter condition
Dosage is transfused, and as a result patient pain before dosage is not also obvious, it is possible that the increased situation of side effect, is not inconsistent after dosage
Close the purpose of dosage infusion.
The content of the invention：
Deficiency for more than, the invention provides a kind of system and method for solving problem above：It is i.e. defeated in analgesia pump
After the automatic dosage of liquid system trigger, decrement signals, pain Assessment system is introduced before transfusion system is performed and changes operational factor, with
Analgesia that may be present deficiency or excessively analgesia that the pain Assessment situation and patient for judging current patient are reflected using PCA
It is whether consistent, if the current pain condition of real reflection patient, the operation in the triggering cycle is not carried out when occurring inconsistent
Parameter adjustment, to avoid the occurrence of the automatic change operational factor of non-optimal, so that increase analgesia pump changes operational factor automatically
Accuracy and reliability.
To achieve the above object, the present invention is adopted the following technical scheme that：
Pain Assessment system is divided into dosage assessment system and decrement assessment system two parts, preferably using voice system.
Dosage assessment system is comprised the steps of：
After infusion pump transfusion system triggers dosage signal, step S1 is performed：Start dosage voice evaluation system, perform and add
Amount Speech Assessment module；
Step S3：Patient's affirmative acknowledgement, then perform step S6；Patient's negative response, then perform step S5.
Step S5：Assessment system does not send instruction, terminates timing and this is assessed；
Step S6：Assessment system sends dosage instruction, terminates timing and this is assessed.
Decrement assessment system is comprised the steps of：
After infusion pump transfusion system triggers decrement signals, step S2 is performed：Start decrement voice evaluation system, execution subtracts
Amount Speech Assessment module；
Step S4：Patient's affirmative acknowledgement, then perform step S7；Patient's negative response, then perform step S5.
Step S5：Assessment system does not send instruction, terminates timing and this is assessed；
Step S7：Assessment system sends decrement instruction, terminates timing and this is assessed.
Step S1 wherein in dosage assessment system includes following sub-step：
Step S8：System is sent with whether patient's voice dialogue, inquiry patient feel obvious pain at present, it is impossible to born
Receive, influence sleep；
Step S10：Start the timing of response cycle；
Step S11：Whether being responded within time-count cycle for patient judged, is, perform step S3；It is no, perform step
S5 terminates timing simultaneously.
Step S2 wherein in decrement assessment system includes following sub-step：
Step S9：System is sent with whether patient's voice dialogue, inquiry patient do not feel pain at present；
Step S10：Start the timing of response cycle；
Step S12：Whether being responded within time-count cycle for patient judged, is, perform step S4；It is no, perform step
S5 terminates timing simultaneously.
Patient's response bag wherein described in step S3, S4 contains voice answer-back or button response.
The system that a kind of electronic transfusion pump combination pain Assessment automatically adjusts infusion parameter, it is characterized in that：It is comprising assessment
System assessment processing module module and the speech player, phonetic incepting Intelligent Recognition device, the pain selection key that are connected with pump main body：
Speech player, the voice for playing inquiry patient；
Phonetic incepting Intelligent Recognition device, for receiving the voice answering of patient and recognizing that it answers meaning, system obtains disease
The assessment information that people still negates certainly；
Pain selection key, selects to press key certainly and still presses otherwise according to itself pain condition for patient by selection key
Key, system obtains its pain Assessment information；
Assessment system assesses processing module：For performing processing module after the response message for obtaining patient.
Wherein, assessment system assessment processing module includes following submodule：
Dosage Speech Assessment module, after infusion pump transfusion system triggering dosage signal, assessment system inquiry patient's mesh
Preceding pain condition, if feel obvious pain, it is impossible to tolerate, influence sleep；
Decrement Speech Assessment module, after infusion pump transfusion system triggering decrement signals, assessment system inquiry patient's mesh
Preceding pain condition, if do not feel pain；
Timing module：Start timing after starting for assessment system, assessment resets after terminating；
Judge module：Judge that patient does not make any response within time-count cycle, performs processing module 1：Return to waiting for
The trigger signal of next cycle, system does not send instruction, terminates this timing and assessment；Judge that patient does within time-count cycle
Go out response, perform comparing module；
Comparing module：Dosage voice module patient's affirmative acknowledgement, performs processing module 2：Dosage instruction is sent, terminates this
Timing and assessment；Dosage voice module patient's negative response, performs processing module 1：Return to waiting for the triggering letter of next cycle
Number, system does not send instruction, terminates this timing and assessment；Decrement voice module patient's affirmative acknowledgement, performs processing module 3：
Decrement instruction is sent, terminates this timing and assessment；Decrement voice module patient's negative response, performs processing module 1：Return etc.
The trigger signal of next cycle is treated, system does not send instruction, terminates this timing and assessment；
Processing module 1：Return to waiting for the trigger signal of next cycle, system does not send instruction, terminate this timing and
Assessment；
Processing module 2：Dosage instruction is sent, terminates this timing and assessment；
Processing module 3：Decrement instruction is sent, terminates this timing and assessment.
Infusion pump voice evaluation system of the invention and pain selection key the carrying in face of system during Speech Assessment
Ask, the preferable one of which answer-mode of patient, that is, select voice answer-back or button response.Patient does not do within the response cycle
Go out any answer, system automatic is reappraised after setting certain hour, and the another kind for also belonging to patent of the present invention can
Scheme is selected, the protection domain of patent claim of the present invention is each fallen within.
Brief description of the drawings：
Fig. 1 is the schematic flow sheet of patent of the present invention.
Sub-process schematic diagram in the step of Fig. 2 is patent of the present invention S1, step S2.
Fig. 3 is the pain Assessment system evaluation processing module schematic diagram of patent of the present invention.
Fig. 4 is speech player in patent of the present invention, phonetic incepting Intelligent Recognition device, pain selection key and pump main body
Structural representation.
Specific embodiment：
Below in conjunction with accompanying drawing and specific implementation method, the present invention is further elaborated：
Please join Fig. 1, a response cycle time is set, after infusion pump transfusion system triggers dosage signal, starting step
S1：Start dosage voice evaluation system, start simultaneously at the timing of response cycle, system sends and patient's voice dialogue, inquiry patient
Whether feel obvious pain at present, it is impossible to tolerate, influence sleep (pain whether be moderate and more than)；
Step S3：Patient's affirmative acknowledgement, then perform step S6；Patient's negative response, then perform step S5；
Step S5：Assessment system does not send instruction, terminates timing and this is assessed.
This is because the triggering dosage signal prompt patient there may be analgesia deficiency at present, and now pain Assessment has no
Point out the situation of Principle of Pain；Now perform dosage infusion and do not have accuracy and reliability, therefore do not carry out this parameter adjustment,
Wait reappraise next time.
Step S6：Assessment system sends dosage instruction, terminates timing and this is assessed.
This because transfusion system triggering dosage signal prompt patient to there may be analgesia at present not enough, and now pain
Assessment is also prompting Principle of Pain, therefore performing dosage infusion has accuracy and reliability.
Please join Fig. 1, when transfusion system triggers decrement signals, perform step S2：System send with patient's voice dialogue, while
Start the timing of response cycle, whether inquiry patient does not feel pain (painless) at present,
Step S4：Patient's affirmative acknowledgement, then perform step S7；Patient's negative response, then perform step S5.
Step S7：Assessment system sends decrement instruction, terminates timing and this is assessed.
This points out the patient to there may be excessively analgesia at present because triggering decrement signals by transfusion system, and now
Pain Assessment is also painless prompting patient, therefore performing decrement infusion has accuracy and reliability.
Step S5：Assessment system does not send instruction, terminates timing and this is assessed.
This points out the patient to there may be excessively analgesia at present because triggering decrement signals by transfusion system, and now
Pain Assessment prompting patient still feels pain, now performs decrement infusion and does not have accuracy and reliability, therefore does not carry out this time ginseng
Number adjustment, waits the appearance of next trigger signal to reevaluate.
Fig. 2 is referred to, the step S1 in dosage assessment system includes following sub-step：
Step S8：System is sent with whether patient's voice dialogue, inquiry patient feel obvious pain at present, it is impossible to born
Receive, influence sleep；
Step S10：Start the timing of response cycle；
Step S11：Whether being responded within time-count cycle for patient judged, is, perform step S3；It is no, perform step
S5。
Step S2 in decrement assessment system includes following sub-step：
Step S9：System is sent with whether patient's voice dialogue, inquiry patient do not feel pain at present；
Step S10：Start the timing of response cycle；
Step S12：Whether being responded within time-count cycle for patient judged, is, perform step S4；It is no, perform step
S5。
Sub-step S11, step S12 in step S1, step S2 herein：Patient does not respond within time-count cycle, holds
Row step S5：System does not send instruction, while terminating timing and this assessment；Its meaning is when transfusion system triggering dosage, subtracts
Amount signal, points out to there may be the not enough or excessive analgesic situation of pain, and patient does not make any shape in response time
What formula was responded, it is impossible to assess the pain condition of patient, now perform dosage, decrement infusion and do not have accuracy and reliability, therefore
This parameter adjustment is not carried out, therefore waits reappraise next time.
Fig. 3 is referred to, patent of the present invention further relates to a kind of electronic transfusion pump combination pain Assessment and automatically adjusts infusion parameter
System, comprising following structure and module：
Speech player, the voice for playing inquiry patient；
Phonetic incepting Intelligent Recognition device, for receiving the voice answering of patient and recognizing that it answers meaning, system obtains disease
The assessment information that people still negates certainly；
Pain selection key, presses key certainly and still presses otherwise key according to itself pain condition for patient by selection key,
System obtains its pain Assessment information；
Assessment system assesses processing module：For performing processing module after the response message for obtaining patient.
Wherein, assessment system assessment processing module includes following submodule：
Dosage Speech Assessment module, after infusion pump transfusion system triggering dosage signal, assessment system inquiry patient's mesh
Preceding pain condition, if feel obvious pain, it is impossible to tolerate, influence sleep (moderate pain and more than)；
Decrement Speech Assessment module, after infusion pump transfusion system triggering decrement signals, assessment system inquiry patient's mesh
Preceding pain condition, if do not feel pain (painless)；
Timing module：Start timing after starting for assessment system, assessment resets after terminating；
Judge module：Judge that patient does not make any response within time-count cycle, performs processing module 1：Return to waiting for
The trigger signal of next cycle, system does not send instruction, terminates this timing and assessment；Judge that patient does within time-count cycle
Go out response, perform comparing module；
Comparing module：Dosage voice module patient's affirmative acknowledgement, performs processing module 2：Dosage instruction is sent, terminates this
Timing and assessment；Dosage voice module patient's negative response, performs processing module 1：Return to waiting for the triggering letter of next cycle
Number, system does not send instruction, terminates this timing and assessment；Decrement voice module patient's affirmative acknowledgement, performs processing module 3：
Decrement instruction is sent, terminates this timing and assessment；Decrement voice module patient's negative response, performs processing module 1：Return etc.
The trigger signal of next cycle is treated, system does not send instruction, terminates this timing and assessment；
Processing module 1：Return to waiting for the trigger signal of next cycle, system does not send instruction, terminate this timing and
Assessment.
Processing module 2：Dosage instruction is sent, terminates this timing and assessment.
Processing module 3：Decrement instruction is sent, terminates this timing and assessment.
For a person skilled in the art, can be according to technical scheme described above and design, that makes is various
It is corresponding to change, can for example point out patient that the side such as assessment need to be made to current pain condition by bright indicator lamp or hair prompt tone
Method, also falls into the protection domain of patent requirements of the present invention.
Claims (9)
1. a kind of method that electronic transfusion pump combination pain Assessment automatically adjusts infusion parameter, it is characterized in that：Touched in transfusion system
After dynamic dosage, decrement signals, pain Assessment system is introduced before transfusion system is performed and changes operational factor, to judge this
Whether actual response analgesia is not enough or the excessive situation of analgesia for the change of infusion parameters.
2. the method that a kind of electronic transfusion pump combination pain Assessment according to claim 1 automatically adjusts infusion parameter, its
It is characterized in：The system is divided into dosage assessment system and decrement assessment system two parts.
3. the method that a kind of electronic transfusion pump combination pain Assessment according to claim 1 and 2 automatically adjusts infusion parameter,
It is characterized in that：Dosage assessment system is comprised the steps of：
After infusion pump transfusion system triggers dosage signal, step S1 is performed：Start dosage voice evaluation system, perform dosage language
Sound evaluation module；
Step S3：Patient's affirmative acknowledgement, then perform step S6；Patient's negative response, then perform step S5.
Step S5：Assessment system does not send instruction, terminates timing and this is assessed；
Step S6：Assessment system sends dosage instruction, terminates timing and this is assessed.
4. the method that a kind of electronic transfusion pump combination pain Assessment according to claim 1 and 2 automatically adjusts infusion parameter,
It is characterized in that：Decrement assessment system is comprised the steps of：
After infusion pump transfusion system triggers decrement signals, step S2 is performed：Start decrement voice evaluation system, perform decrement language
Sound evaluation module；
Step S4：Patient's affirmative acknowledgement, then perform step S7；Patient's negative response, then perform step S5.
Step S5：Assessment system does not send instruction, terminates timing and this is assessed；
Step S7：Assessment system sends decrement instruction, terminates timing and this is assessed.
5. a kind of electronic transfusion pump combination pain Assessment according to claim 1 or 2 or 3 automatically adjusts the side of infusion parameter
Method, it is characterized in that：Step S1 includes following sub-step：
Step S8：System is sent with whether patient's voice dialogue, inquiry patient feel obvious pain at present, it is impossible to stood, shadow
Ring sleep；
Step S10：Start the timing of response cycle；
Step S11：Whether being responded within time-count cycle for patient judged, is, perform step S3；It is no, perform step S5.
6. a kind of electronic transfusion pump combination pain Assessment according to claim 1 or 2 or 4 automatically adjusts the side of infusion parameter
Method, it is characterised in that：Step S2 includes following sub-step：
Step S9：System is sent with whether patient's voice dialogue, inquiry patient do not feel pain at present；
Step S10：Start the timing of response cycle；
Step S12：Whether being responded within time-count cycle for patient judged, is, perform step S4；It is no, perform step S5.
7. a kind of electronic transfusion pump combination pain Assessment according to claim 1 or 2 or 3 or 4 automatically adjusts infusion parameter
Method, the patient's response described in its step S3, S4, it is characterized in that：Comprising voice answer-back or button response.
8. the system that a kind of electronic transfusion pump combination pain Assessment automatically adjusts infusion parameter, it is characterized in that：Comprising following structure
And module：
Speech player, the voice for playing inquiry patient；
Phonetic incepting Intelligent Recognition device, for receiving the voice answering of patient and recognizing that it answers meaning, system obtains patient and agrees
Fixed or negative assessment information；
Pain selection key, presses key certainly and still presses otherwise key, system according to itself pain condition for patient by selection key
Obtain its pain Assessment information；
Assessment system assesses processing module：For performing processing module after the response message for obtaining patient.
9. a kind of electronic transfusion pump combination pain Assessment automatically adjusts the assessment system assessment processing module of the system of infusion parameter,
It is characterized in that：Comprising following submodule：
Dosage Speech Assessment module, after analgesia pump transfusion system triggering dosage signal, inquiry patient is current for assessment system
Pain condition, if feel obvious pain, it is impossible to tolerate, influence sleep；
Decrement Speech Assessment module, after analgesia pump transfusion system triggering decrement signals, inquiry patient is current for assessment system
Pain condition, if do not feel pain；
Timing module：Start timing after starting for assessment system, assessment resets after terminating；
Judge module：Judge that patient does not make any response within time-count cycle, performs processing module 1：System does not send finger
Order, terminates this timing and assessment；Judge that within time-count cycle patient responds, perform comparing module；
Comparing module：Dosage voice module patient's affirmative acknowledgement, performs processing module 2：Dosage instruction is sent, terminates this timing
And assessment；Dosage voice module patient's negative response, performs processing module 1：System does not send instruction, terminates this timing and comments
Estimate；Decrement voice module patient's affirmative acknowledgement, performs processing module 3：System sends decrement instruction, terminates this timing and comments
Estimate；Decrement voice module patient's negative response, performs processing module 1：System does not send instruction, terminates this timing and assessment；
Processing module 1：System does not send instruction, terminates this timing and assessment；
Processing module 2：System sends dosage instruction, terminates this timing and assessment；
Processing module 3：System sends decrement instruction, terminates this timing and assessment.
Priority Applications (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710040241.2A CN106730160A (en) | 2017-01-16 | 2017-01-16 | A kind of electronic transfusion pump combination pain Assessment automatically adjusts the method and system of infusion parameter |
| JP2019559152A JP7008965B2 (en) | 2017-01-16 | 2018-01-15 | Infusion parameter adjustment method, system, pump stop notification method considering pain evaluation |
| PCT/CN2018/072591 WO2018130215A1 (en) | 2017-01-16 | 2018-01-15 | Method and system for adjusting infusion parameters in combination with pain assessment, and pump withdrawal prompting method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710040241.2A CN106730160A (en) | 2017-01-16 | 2017-01-16 | A kind of electronic transfusion pump combination pain Assessment automatically adjusts the method and system of infusion parameter |
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| CN106730160A true CN106730160A (en) | 2017-05-31 |
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| CN201710040241.2A Pending CN106730160A (en) | 2017-01-16 | 2017-01-16 | A kind of electronic transfusion pump combination pain Assessment automatically adjusts the method and system of infusion parameter |
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| WO2018130215A1 (en) * | 2017-01-16 | 2018-07-19 | 马挺 | Method and system for adjusting infusion parameters in combination with pain assessment, and pump withdrawal prompting method |
| CN108427917A (en) * | 2018-02-12 | 2018-08-21 | 南京鼓楼医院 | A kind of smart electronics pain scores system and methods of marking |
| CN109411035A (en) * | 2018-08-23 | 2019-03-01 | 江苏人先医疗科技有限公司 | Ease pain evaluation method, server, ward terminal and computer readable storage medium |
| CN112190233A (en) * | 2020-10-20 | 2021-01-08 | 黄淮学院 | Remote analysis management system for observing postoperative pain at home of patient |
| WO2023046049A1 (en) * | 2021-09-24 | 2023-03-30 | 杭州兰马医疗科技有限公司 | Infusion apparatus and control method therefor |
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| WO2018130215A1 (en) * | 2017-01-16 | 2018-07-19 | 马挺 | Method and system for adjusting infusion parameters in combination with pain assessment, and pump withdrawal prompting method |
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| WO2023046049A1 (en) * | 2021-09-24 | 2023-03-30 | 杭州兰马医疗科技有限公司 | Infusion apparatus and control method therefor |
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Address after: 6-2204, zone 1, Zhonghai Yudao, Sijiqing street, Jianggan District, Hangzhou City, Zhejiang Province Applicant after: Ma Ting Address before: Hangzhou City, Zhejiang province 310021 Jianggan District Jianqiao Street Grove Heights 91-2-502 Applicant before: Ma Ting |
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Application publication date: 20170531 |