CN1668357A - 用于允许镇静和止痛***的无菌操作的***和方法 - Google Patents
用于允许镇静和止痛***的无菌操作的***和方法 Download PDFInfo
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Abstract
本发明涉及镇静和止痛***(22)的无菌操作。本发明提供了一种能够在不污染无菌区域的情况下由涉及医疗过程的临床医师在该无菌区域中操作的镇静和止痛***(22)。对于各种各样的***,本发明提供了一种可以由涉及医疗过程的临床医师在无菌区域中使用的镇静和止痛***(22)。
Description
相关申请的交叉引用
本申请根据35 U.S.C.§119(e)要求2002年5月16日提交的名称为“System and Method for Permitting Sterile Operation of a sedationand analgesia system”(用于允许镇静和止痛***的无菌操作的***和方法)的美国临时专利申请No.60/378,045的优先权,该申请以参考的方式合并入本文。
技术领域
本发明总体上涉及医疗***的无菌操作,更具体地涉及镇静和止痛***的无菌操作。
背景技术
镇静和止痛***已经被开发出来,用于为正在经受痛苦的、不适的或者恐惧的(焦虑吸入:anxiety inspiring)医疗或者手术过程的患者提供一种装置,用于以一种无论得到许可的麻醉提供者是否在场都能降低过度用药风险的方式来安全地接收镇静的、止痛的和/或引起遗忘的药物。通过采用重要的先进技术,镇静和止痛***已经被设计成能安全的在医院和流动环境中使用并且可以由受过训练的麻醉专家以外的个人进行操作,这些受过训练的麻醉专家为,诸如例如注册麻醉护士(CRNA)、麻醉助理、受过训练的医师或者其他受过训练的操作者。镇静和止痛***已经力争去满足不能为每个医疗过程都安排麻醉提供者的医师的需要,在这些医疗过程中安全和有效的镇静和止痛能基本缓解恐惧和疼痛的影响。专注于这些目的镇静和止痛***的出现为这些个人提供了一种被集成到患者监视***中的药物输送***,该药物输送***减少了麻醉机操作所需的认知(cognitive)和人工工作量,但仍使临床医生能够总是保持对患者管理的控制。临床医师保有做出遵循“临床医师了解最多”原则的职责的最终决定。这一先进的技术允许在没有麻醉提供者的情况下以低于一般麻醉的药物水平效果操作镇静和止痛***,从而为患者提供了一种具有成本效率的并且易于获得的镇静、遗忘和/或止痛的手段。
已经付出了重要的努力以避免在手术室和流动医疗环境中由病原微生物和外来物体引起的外科创伤和医疗设备的污染。接触手术区域的器械和纺织品通常在高压消灭菌器中、利用化学药品消毒,或者被暴露在放射线下。化学药品可以被用于对手术过程区域中的患者皮肤进行手术准备。手术小组通常擦洗干净他们的手臂。外衣、帽子和过滤小组成员呼出气体的口罩连同覆盖他们的手的无菌手套一起由手术小组穿戴。其后,手术小组避免直接接触未消毒的物品。进一步,手术室中的空气被不断地变换和过滤。
既便有了所有这些准备和对消毒的注意,还是有很高比例的手术过程导致伤口感染。许多医疗环境污染的起作用的因素在于难于在手术区域内提供可以由临床医师在不污染患者的情况下触摸的无菌仪器。
许多麻醉***的复杂性和对不断的人工控制的需要要求它们由麻醉专家或者CRNA一直监测。由于这种复杂性,进行医疗过程的非麻醉师医师通常被排除在参与麻醉***的操作之外,这常常导致进行涉及麻醉的医疗过程所必需的人员人数的增加。上述镇静和止痛***由于它的部分自动性,可以由包括参与医疗过程的医师在内的任何经过适当训练的临床医师操作。由于它可由任何经过训练的临床医师使用的可操作性和它的操作容易性,镇静和止痛***已经减少了与许多麻醉***的增加的人员需求有关的成本。然而,由涉及医疗过程的临床医师进行使用已经对镇静和止痛***产生了可能在不污染无菌区域的情况下在无菌区域内操作的需求。为确保在随后的医疗过程中患者的安全性,进一步产生了对防止镇静和止痛***污染的手段的需求。
因此提供一种可以由涉及医疗过程的临床医师在无菌区域中使用的镇静和止痛***是有益的。提供一种在不污染患者、无菌区域和临床医师的情况下可以由涉及医疗过程的临床医师使用的镇静和止痛***是更为有益的。为确保在随后使用中患者的安全性提供一种抗污染的镇静和止痛***也是更为有益的。
发明内容
本发明通过提供用于镇静和止痛***的设备和方法解决了自动药物注入设备的上述缺点,该设备和方法使得***能够在不污染无菌区域或者破坏无菌状态的情况下在无菌区域内操作。使用本发明,即使参与医疗过程的临床医师也能够在不污染无菌区域、正在操作的临床医师或者患者的情况下通过用户接口操作镇静和止痛***。
用于该镇静和止痛***的用户接口的形式可以是触敏计算机监视器、按键键盘或者允许操作者控制***的等同物。在一些实施例中,提供一种无菌屏(screen)或者用柔软且透明的材料制成的套(sleeve),它们允许用户按压屏或者套来操作用户接口。镇静和止痛***可以包括用于部分或全部***的可重复使用的套,该套是抗污染的、可拆除的并且在适当消毒后可重新应用的。
可替换地,该***可以包括用于部分或全部***的一次性套,该套在每次医疗过程后被除去。根据本发明的镇静和止痛***也可以包括用抗菌剂浸渗的一次性用户接口。用如果试图清洗就会降解的材料制造用户接口或无菌屏可以促进这种单次使用特性。
也可以为***设置无菌被单以盖上并保护用户接口或者甚至全套***部件。使用这样的被单允许用户为各种各样的镇静和止痛***结构维持无菌区域。最后,嘎爱***可以结合部分或者全部地由声音识别技术操作的用户接口。
附图说明
图1图示说明了一个框图,该框图描述根据本发明的镇静和止痛***的一个实施例;
图2图示说明了一个透视图,该透视图描述根据本发明的连接至患者的镇静和止痛***的一个实施例;
图3图示说明了根据本发明的无菌用户接口屏的一个实施例的前视图;
图4图示说明了根据本发明的无菌用户接口屏的一个实施例的后视图;
图5图示说明了根据本发明的用于操作镇静和止痛***的无菌远程接口的一个实施例的透视图;
图6图示说明了根据本发明的远程接口的一个实施例;
图7图示说明了根据本发明的围起镇静和止痛***的无菌覆盖物的一个实施例的透视图;以及
图8图示说明了一个流程图,该流程图描述根据本发明的用于提供镇静和止痛***无菌使用的方法的一个实施例。
具体实施方式
图1图示说明了一个方框图,该方框图描述了包含镇静和止痛***22的本发明的一个实施例,镇静和止痛***22具有用户接口12、软件控制的控制器14、***设备15、电源16、外部通信10、远程输出11、患者接口17以及药物输送19,其中镇静和止痛***22由用户13操作以便为患者18提供镇静和/或止痛。镇静和止痛***22在共同受让并且共同未决的1999年6月3日提交的美国专利申请序列号No.09/324,759中公开并实现,该专利申请以参考的方式全部合并入本文。用户接口12的实施例在共同受让并且共同未决的2002年11月1日提交的美国专利申请序列号No.10/285,689中公开并实现,该专利申请以参考的方式全部合并入本文。
申请No.09/324,759的镇静和止痛***包括:患者健康监视器设备,用于与患者相连接并且产生反应患者的至少一个生理状况的信号;药物输送控制器,用于提供一种或多种药物给患者;存储设备,存储反应至少一个被监视的患者生理状况的安全的和不合要求的参数的安全数据集;以及电子控制器,该电子控制器在患者健康监视器、药物输送控制器和存储安全数据集的存储设备之间互连,其中所述电子控制器接收所述信号并且作为响应根据安全数据集管理药物应用。
图2图示说明了连接至患者18的镇静和止痛***22的透视图的一个实施例,其中镇静和止痛***22可以通过药物输送19输送引起遗忘的、镇静的和/或止痛的药物并且通过患者接口17监测患者18。药物输送19包括一个或者多个药瓶、药物注入盒、药物注入管和/或为患者18给药所必需的任何其它合适的设备。患者接口17包括二氧化碳测定计、非侵入性血压缚带、脉搏血氧计、自动响应测试、用于输氧的鼻插管和/或任何其它合适的监测患者18的装置,其中镇静和止痛***22可以根据从患者接口17接收的信息来改变对患者18的药物输送。镇静和止痛***22进一步包括用户接口12,用户接口12可以是任何合适的用于允许用户13与镇静和止痛***22交互的装置,诸如例如触敏液晶显示器(LCD)屏、软按钮、硬按钮和/或部分或者完全语音激活的***。
图3图示说明了包括监视器屏42和按键键盘屏43的无菌用户接口40的一个实施例的前视图。监视器屏42包括第一屏44和边框41,其中在本发明的一个实施例中,第一屏44是由透明的或者半透明的材料诸如例如聚乙烯或聚丙烯构成。在本发明一个实施例中,第一屏44适合于覆盖用户接口12的液晶显示器(LCD)监视器,其中用户13可以按压第一屏44并且操作用户接口12,然而,第一屏44也可以适合与任何合适的用户接口一起使用。在本发明一个实施例中,边框41比第一屏44更刚硬,其中边框41可以支撑第一屏44并且防止第一屏44下垂、起泡和/或否则阻碍用户接口12的视野或者操作。
无菌用户接口40进一步包括按键键盘屏43,其中按键键盘屏43包括第二屏46和边框45。在本发明一个实施例中,第二屏46由透明的或者半透明的材料诸如例如聚乙烯或者聚丙烯构成。第二屏46可以适合于覆盖与用户接口12相关的按键键盘(未显示),其中用户13可以按压第二屏46并且操作用户接口12。在本发明一个实施例中,边框45比第二屏46更刚硬,其中边框45可以支撑第二屏46并且防止第二屏46下垂、起泡和/或否则阻碍用户接口12的视野或者操作。
进一步,在本发明一个特定实施例中,监视器屏42被固定至按键键盘屏43,使得监视器屏42和按键键盘屏43构成一个连续的无菌屏。监视器屏42可以被配置成任何合适的形式以适应任何合适的与镇静和止痛***22的用户接口12相关的视觉接口。按键键盘屏43可以被配置成任何合适的形式以适应任何合适的与镇静和止痛***22的用户接口12相关的视觉、触觉、触摸、指示和电容性的接口。本发明进一步包含提供分别没有边框42和/或边框45的监视器屏42和按键键盘屏43,其中第一屏44和/或第二屏46可以适合于独立于边框42和/或边框45覆盖用户接口12。
图4图示说明了一个无菌用户接口40的特定实施例的后视图,其中无菌用户接口40包含监视器屏42、按键键盘屏43和附连表面47。附连表面47可以包含粘合剂、磁铁、夹子、钩子及圈环固定器或者任何其它合适的将无菌用户接口40可分离地连接至用户接口12和/或镇静和止痛***22的装置。给无菌用户接口40提供附连表面47允许无菌用户接口40被牢固地放置在用户接口12和/或镇静和止痛***22之上,其中无菌用户接口40可以在医疗过程完成之后被分离并丢弃。可以以任何适合于允许在手术过程开始时快速和高效放置无菌用户接口40并且在手术过程结束后除去并处理无菌用户接口40的方式来构造附着平面47。
无菌用户接口40的进一步的实施例可能具有在无菌用户接口40的任何合适的部分上的打印的文本和/或图标,这些文本和/或图标对应于触摸屏按钮、硬按钮、软按钮、视觉显示器或者镇静和止痛***22的其它特征,它们位于屏下方以便使得查看和/或操作镇静和止痛***22对于用户13容易且高效。本发明进一步包括确保无菌用户接口40无菌的其它合适方法,诸如例如用杀真菌剂和/或其它抗微生物剂浸渗无菌用户接口40,以及限制无菌用户接口40为单次使用一次性部件。可以通过用如果试图清洗无菌用户接口40就会降解的材料制造的用户接口40,来促进这种单次使用特性。
图5图示说明了无菌远程接口50的一个实施例的透视图,其中无菌远程接口50包括无菌套52和远程接口51。无菌套52包括封条53,其中封条53基本环绕无菌套52并且在无菌套52内形成口袋54。无菌套52可以一端打开,允许将远程接口51***无菌套52并且保留在口袋54内。无菌套52可以通过系住无菌套52的开口端、折叠开口端或者通过任何其它合适的密封方式而被密封。无菌套52可以由任何合适的材料,诸如例如聚乙烯或者聚丙烯制造。提供无菌远程接口50允许用户13在镇静和止痛***22在无菌区域以外时,操作镇静和止痛***22。将远程接口51封闭在无菌套52内允许用户13在不污染镇静和止痛***22、远程接口51和/或患者18的情况下操作镇静和止痛***22。使用无菌套52还确保患者18不会受到在镇静和止痛***22上和在远程接口51上出现的病原体或者其它外来物体污染。在此将进一步讨论远程接口51的实施例。
图6图示说明了无菌远程接口50的一个实施例,其中远程接口51可以包括报警命令60、投药命令61、统计(stat)命令62和数据输入及操作命令54等之中的任何一个或者多个。远程接口51可以通过红外、蓝牙无线技术或者通过任何其它合适的传输装置与镇静和止痛***22进行通信。数据输入及操作命令54可以包括数字键59、制表(Tab)键55、回退键56、取消键57和OK键58等等之中的任何一个或多个。数字键59可以是罗马数字、***数字或者任何其它合适的用户13可以识别以便输入适当的值至镇静和止痛***22中的数字指示符。数字键59也可以包括小数点键、星号键(*)、百分号键(%)或者任何其它合适的对于输入或操作与镇静和止痛***22有关的数据有帮助的符号或文本。制表键56可以被用来扫描通过与镇静和止痛***22的用户接口12相关的输入框。回退键56可以被用来查看前一显示屏、提示,和/或返回前一输入框。取消键57可以取消显示屏、提示、前一输入命令,和/或中断或者禁止任何其它合适的与镇静和止痛***22相关的特征。OK键58可以被用来由用户13确认输入项,被用来前进通过一系列显示和/或提示,被用来确认用户13已经被通知报警状况,和/或用于确认任何其它合适的镇静和止痛***22的特征。
报警命令60包括静音键63,静音键63可以由用户13激活以使与镇静和止痛***22相关的报警消音。在本发明的一个实施例中,用户13可以按下静音键63以使报警消音,并且再次按下静音键63以恢复与镇静和止痛***22相关的报警的声音。报警命令60可以进一步包括任何其它合适的对于为用户13提供控制镇静和止痛***22有益的报警键。此处所描述的显示屏、键、输入框、提示、确认和报警等等的例子在2002年11月1日提交的美国专利申请序列号No.10/285,689中描述。
在本发明的一个实施例中,投药命令61包括正常键66、剂团(bolus)键67、统计键68、净化键69和停止键70。正常键66可以使与镇静和止痛***22相关的药物输送返回至初始目标注入率。例如,用户13可以启动统计药物注入(stat drug infusion),其中用户13增加投放药物的目标作用位置浓度。在统计注入之后,用户13可以确定初始目标作用位置浓度是合乎需要的,并且可以按下正常键66,返回初始目标作用位置浓度。剂团键67允许用户13在医疗过程中在任何点输送剂团药物注入,其中用户13可以通过数字键59和/或通过多次按下剂团键67输入剂团水平,其中剂团键67的每一次按下对应于目标作用位置浓度的预定增加,可以要求用户13在剂团键67被按下或者否则被启动之后通过按OK键58来确认每次顺序增加。
在本发明的一个实施例中,统计键68增加目标作用位置浓度,目标作用位置浓度可以是预定的或者是通过数字键59输入的。在本发明的一个实施例中,净化键69启动任何剩余药物的药物注入管(未视出)的自动清洁。例如,可以在医疗过程完成时按下净化键69以从药物输送19中除去任何残留药物。停止键70可以被用来停止药物输送。
统计命令62包括血压缚带键71、自动响应测试键72和打印键73,其中统计命令62允许用户13激活任何合适的镇静和止痛***22的***设备,诸如例如血压缚带,以在医疗过程期间任何期望点立即读取或者输出数据。尽管镇静和止痛***22可以通过与患者接口17关联的血压缚带获得周期性的血压测量,然而用户13可能发现进行附加测量对确保患者18健康来说是较理想的。通过按下血压缚带键71,用户13可以在医疗过程期间任何期望点获得血压读取。自动响应测试键72允许用户13在医疗过程期间任何期望点查明患者18的响应水平。例如,按下自动响应测试键72可以引起镇静和止痛***22要求患者18挤压传感器(未显示)或者否则指示此人是有意识的。打印键73包括打印出任何合适的与医疗过程相关的历史数据,诸如例如被监测患者参数、报警情况、药物注入水平或者任何其它合适的数据。尽管镇静和止痛***22可以以预定时间间隔打印预选择的数据,然而打印键72允许用户13生成与患者18和/或镇静和止痛***22相关的任何合适的数据的立即的打印输出。
无菌远程接口50可以进一步包括用于操作任何与镇静和止痛***22的用户接口12相关的功能的装置,其中由临床医师在无菌区域中直接无菌的使用是令人期望的。本发明进一步包括要求用户13确认按下与报警命令60、投药命令61和/或统计命令62相关的按钮。
无菌远程接口50可以用任何合适的材料制造,诸如例如丙烯腈-丁二烯-苯乙烯(ABS),并且可以由任何合适的电源诸如例如电池供电。与无菌远程接口50相关联的键可以是硬按钮、软按钮、触敏LCD按钮或者任何其它合适的输入数据的装置。这些键可以被设置在无菌远程接口50的任何合适的构造中,比如根据任何合适的形式、语言、颜色和/或次序为用户13提供易用性。本发明进一步包括具有有线连接诸如例如RS-232连接(未显示)的无菌远程接口50,其中接口50和有线连接两者都可以被密封在无菌套中。
图7图示说明了无菌覆盖物73的一个实施例,其中无菌覆盖物73可以适合于覆盖镇静和止痛***22。在本发明的一个实施例中,无菌覆盖物73包括被单70,被单70可以被盖在用户接口12和/或镇静和止痛***22的任何其它合适的部件上。无菌覆盖物73可以适合于完全包裹镇静和止痛***22或者仅覆盖那些可能会潜在地污染无菌区域的地方。无菌覆盖物73进一步包括开口端71,开口端71可以被拉过镇静和止痛***22以确保用户13不污染镇静和止痛***22并且镇静和止痛***22不污染用户13和/或患者18。无菌覆盖物73进一步包括在被单70中的一个或多个开口,组件,诸如例如药物注入管可以通过该开口。在本发明的一个实施例中,无菌覆盖物73由透明的或者半透明的材料,诸如例如聚丙烯或者聚乙烯制造,使得用户13可以通过被单70查看和/或操作用户接口12和/或镇静和止痛***22的其它特征。
图8图示说明了用于使用户13实现对使用镇静和止痛***22的使用同时维持无菌区域的方法100的一个实施例。方法100的步骤101包括为镇静和止痛***22提供用户接口12,用户接口12可以是远程接口50或者任何其它合适的查看和/或操作镇静和止痛***22的装置。在步骤101之后,方法100可以进行到步骤102。
在本发明的一个实施例中,步骤102包括将用户接口12封闭在无菌屏中,其中无菌屏可以是无菌用户接口40、无菌套52、无菌覆盖物73或者任何其它合适的允许在无菌区域中使用镇静和止痛***22的装置。步骤102进一步包括覆盖与镇静和止痛***22相关的任何或者所有特征或者确保其无菌。在步骤102之后,方法100可以进行到步骤103。
在本发明的一个实施例中,步骤103包括用户13在无菌区域中操作镇静和止痛***22。镇静和止痛***22的使用可以通过用户接口12、无菌远程接口50或者由任何其它合适的查看和/或操作镇静和止痛***22的装置来完成。在步骤103之后,方法100可以进行到步骤104。
步骤104包括完成涉及镇静和止痛***22的过程,用户13可以断开患者接口17、药物输送19,和/或任选地关闭镇静和止痛***22的电源。在涉及镇静和止痛***22的过程完成之后,方法100可以进行到步骤105。
在本发明的一个实施例中,步骤105包括抛弃无菌用户接口40、无菌套52、无菌覆盖物73或者任何其它合适的被提供以确保用户13不污染镇静和止痛***22并且镇静和止痛***22不污染患者18和/或用户13的装置。可以进一步设想,用户接口40、无菌套52、无菌覆盖物73和/或其它的确保无菌的装置可以在适当消毒后被重复使用。
尽管本文中显示和描述了本发明的示例性实施例,但本领域的技术人员应该明白,这些实施例仅仅以示例方式提供。在不脱离此处由申请人公开的本发明的范围的情况下,大量的非实质性的变型、改变和替换现在对于本领域的技术人员来说也是显而易见的。因此,本发明意图仅由被许可时的权利要求的精神和范围所限定。
Claims (35)
1、一种镇静和止痛***,包括:
患者健康监视器设备,用于与患者相连接并且产生反应患者的至少一个生理状况的信号;
用户接口,用于允许用户将输入内容输入,其中所述输入内容在不破坏无菌状态的情况下被输入;
药物输送控制器,用于提供一种或多种药物给患者;
存储设备,用于存储安全数据集,该安全数据集反应至少一个被监视的患者生理状况的安全的和不合需要的参数;以及
电子控制器,互连在患者健康监视器、药物输送控制器和存储安全数据集的存储设备之间,其中所述电子控制器接收所述信号并且作为响应根据安全数据集管理药物应用。
2、如权利要求1所述的镇静和止痛***,其中所述用户接口由进行医疗过程的临床医师在无菌区域内使用。
3、如权利要求1所述的镇静和止痛***,其中所述用户接口是无菌用户接口。
4、如权利要求3所述的镇静和止痛***,其中所述用户接口是抗污染的。
5、如权利要求3所述的镇静和止痛***,其中所述无菌用户接口包括监视器、监视器屏、按键键盘和按键键盘屏,所述屏中的每一个覆盖所述用户接口的操作期间通常被接触的表面。
6、如权利要求5所述的镇静和止痛***,其中所述屏的至少一部分是透明的。
7、如权利要求6所述的镇静和止痛***,其中所述屏由聚乙烯和聚丙烯之中的至少一个制造。
8、如权利要求5所述的镇静和止痛***,其中所述屏的至少一部分是半透明的。
9、如权利要求8所述的镇静和止痛***,其中所述屏由聚乙烯和聚丙烯之中的至少一个制造。
10、如权利要求5所述的镇静和止痛***,其中所述屏中的每一个包括单独的边框,所述边框中的每一个比所述屏更刚硬以便在预定方向上支撑所述屏。
11、如权利要求5所述的镇静和止痛***,其中所述监视器屏和所述按键键盘屏包括一个连续的无菌屏。
12、如权利要求5所述的镇静和止痛***,还包括用于将所述无菌用户接口可分离地连接至所述镇静和止痛***的附连表面。
13、如权利要求5所述的镇静和止痛***,还包括用于将所述监视器屏可分离地连接至所述监视器以及将所述按键键盘屏可分离地连接至所述按键键盘的附连表面。
14、如权利要求13所述的镇静和止痛***,其中所述屏在医疗过程完成之后被除去并被抛弃。
15、如权利要求14所述的镇静和止痛***,其中所述屏用一材料制造,其中该材料在试图清洗所述屏时就会降解。
16、如权利要求13所述的镇静和止痛***,其中所述屏在医疗过程完成之后被除去并被再消毒。
17、如权利要求5所述的镇静和止痛***,其中所述监视器屏和所述按键键盘屏被抗微生物剂浸渗。
18、如权利要求1所述的镇静和止痛***,其中所述用户接口包括远程接口和无菌套。
19、如权利要求18所述的镇静和止痛***,其中所述无菌套是透明的并且包括环绕所述套以便在所述无菌套内形成口袋的封条。
20、如权利要求19所述的镇静和止痛***,其中所述远程接口包括报警命令、投药命令、统计命令和数据输入及操作命令之中的至少一个。
21、如权利要求19所述的镇静和止痛***,其中所述套在医疗过程完成之后被除去并被抛弃。
22、如权利要求1所述的镇静和止痛***,其中所述用户接口包括无菌被单,该无菌被单可以被盖在所述镇静和止痛***的合适的部分上以便防止可能的污染接触所述用户和所述患者。
23、如权利要求22所述的镇静和止痛***,其中所述无菌被单完全包裹所述镇静和止痛***。
24、一种操作镇静和止痛***的方法,包括如下步骤:
将药物输送设备连接至患者,该药物输送设备具有提供一种或多种药物的药物输送控制器,所述药物输送控制器被连接至电子控制器,该电子控制器控制给所述患者的药物输送;
连接至少一个患者健康监视器设备至患者,该健康监视器设备产生反映患者的至少一个生理状况的值并且被连接至所述电子控制器;
用无菌覆盖物覆盖用于所述镇静和止痛***的至少部分用户接口;
通过所述用户接口和无菌覆盖物操作所述镇静和止痛***;
访问存储有反映至少一个患者生理状况的参数的安全数据集的存储设备;以及
根据所述安全数据集输送药物给所述患者。
25、如权利要求24所述的方法,其中所述用户接口包括显示器和按键键盘,它们中的每一个在所述用户接口的操作期间通常被用户接触。
26、如权利要求25所述的方法,其中所述无菌覆盖物的至少一部分是透明的。
27、如权利要求25所述的方法,其中所述覆盖物包括用于将所述无菌覆盖物可分离地连接至所述用户接口的附连表面。
28、如权利要求25所述的方法,还包括在医疗过程完成之后除去并抛弃所述无菌覆盖物。
29、如权利要求25所述的方法,其中所述无菌覆盖物被抗微生物剂浸渗。
30、一种在对患者所实施的医疗过程期间维持无菌区域的同时由用户使用镇静和止痛***的方法,包括如下步骤:
为镇静和止痛***提供用户接口、患者接口、药物输送***和电源;
将所述用户接口封闭在无菌屏内,以便允许在无菌区域内使用所述镇静和止痛***;
在无菌区域内操作所述镇静和止痛***;
完成涉及所述镇静和止痛***的过程,所述完成步骤包括断开所述患者接口和断开所述药物输送***;以及
除去所述无菌屏使得所述用户不污染所述镇静和止痛***、所述患者和所述用户中的任何一个。
31、如权利要求30所述的方法,其中所述用户接口是远程接口、LCD显示器、按键键盘或者其它合适的查看和/或操作镇静和止痛***的装置之中的一个。
32、如权利要求30所述的方法,其中所述无菌屏包括无菌用户接口、无菌套和无菌覆盖物之中的至少一个。
33、如权利要求30所述的方法,还包括覆盖与所述镇静和止痛***相关联的所有特征或者确保其无菌的步骤。
34、如权利要求30所述的方法,还包括抛弃所述无菌屏的步骤。
35、如权利要求30所述的方法,进一步包括再消毒所述无菌屏和使得所述屏可用于将来使用的步骤。
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US37804502P | 2002-05-16 | 2002-05-16 | |
US60/378,045 | 2002-05-16 |
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CN1668357A true CN1668357A (zh) | 2005-09-14 |
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Application Number | Title | Priority Date | Filing Date |
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CNA038168006A Pending CN1668357A (zh) | 2002-05-16 | 2003-05-16 | 用于允许镇静和止痛***的无菌操作的***和方法 |
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US (1) | US20040034287A1 (zh) |
EP (1) | EP1531892A4 (zh) |
JP (2) | JP2005525873A (zh) |
CN (1) | CN1668357A (zh) |
AU (1) | AU2003241479B2 (zh) |
CA (1) | CA2486123A1 (zh) |
MX (1) | MXPA04011420A (zh) |
WO (1) | WO2003097111A2 (zh) |
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JP2005525873A (ja) | 2005-09-02 |
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JP2010094541A (ja) | 2010-04-30 |
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US20040034287A1 (en) | 2004-02-19 |
WO2003097111A2 (en) | 2003-11-27 |
MXPA04011420A (es) | 2005-02-17 |
AU2003241479A1 (en) | 2003-12-02 |
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