WO2004110528A1 - Vorrichtung und verfahren zur überprüfung eines medizinischen gerätes - Google Patents
Vorrichtung und verfahren zur überprüfung eines medizinischen gerätes Download PDFInfo
- Publication number
- WO2004110528A1 WO2004110528A1 PCT/EP2004/005037 EP2004005037W WO2004110528A1 WO 2004110528 A1 WO2004110528 A1 WO 2004110528A1 EP 2004005037 W EP2004005037 W EP 2004005037W WO 2004110528 A1 WO2004110528 A1 WO 2004110528A1
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- WIPO (PCT)
- Prior art keywords
- sound
- medical device
- pump
- medical
- signal
- Prior art date
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Classifications
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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
-
- 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
- A61M5/142—Pressure infusion, e.g. using pumps
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N29/00—Investigating or analysing materials by the use of ultrasonic, sonic or infrasonic waves; Visualisation of the interior of objects by transmitting ultrasonic or sonic waves through the object
- G01N29/14—Investigating or analysing materials by the use of ultrasonic, sonic or infrasonic waves; Visualisation of the interior of objects by transmitting ultrasonic or sonic waves through the object using acoustic emission techniques
-
- 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
- A61M2205/18—General characteristics of the apparatus with alarm
-
- 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
- A61M2205/3375—Acoustical, e.g. ultrasonic, measuring means
-
- 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
- A61M2205/70—General characteristics of the apparatus with testing or calibration facilities
- A61M2205/702—General characteristics of the apparatus with testing or calibration facilities automatically during use
Definitions
- the present invention relates to a device and a method for checking a preferably used extracorporeally medical device, in particular for detecting defects in a medical device, such as e.g. a catheter closure or occlusion, or a gear in an infusion pump damaged by wear or external shocks.
- a medical device such as e.g. a catheter closure or occlusion, or a gear in an infusion pump damaged by wear or external shocks.
- Inf ision pumps can be used extracorporeally and serve the metered supply of substances, e.g. Insulin, or hormones, to a body.
- substances e.g. Insulin, or hormones
- the correct functioning of such an extracorporeal infusion pump is to be monitored in order to ensure correct drug delivery and to generate a warning in the event of a detected error and / or, if necessary, other suitable measures, such as to cause the infusion pump to stop operating.
- the mechanics provided for the metered delivery of a substance are not directly accessible for diagnosis in the conventional infusion pumps.
- Infusion pumps are known in which catheter or needle closures are detected by measuring the gear reaction force or by measuring the current required by the motor.
- measuring the gear reaction force is structurally complex and expensive and adversely affects other parameters of the infusion pump, such as the rigidity of individual components and the size of the infusion pump.
- the detection of a malfunction of the infusion pump via a motor current measurement has a sluggish response, which means that malfunctions of the infusion pump can only be determined relatively late.
- other errors can also occur in the infusion pump, which are the metered delivery of a Affect substance or a drug and can be recognized only inaccurately or not at all by the above-mentioned methods.
- An implantable dosing device is known from US Pat. No. 4,985,015, in which an armature, which is fixedly connected to a piston, is arranged such that an annular upper .
- the surface of the armature is opposed to an annular surface of a cylinder housing, so that a noise is generated when these two surfaces collide, which can be distinguished from a general pumping noise. This ' stop ' sound is used to control and monitor the piston pump.
- An implantable infusion pump is known from EP 0 519 765 B1, an electronic stethoscope being placed on the skin over the implanted infusion pump and an acoustic signal being measured when the pump mechanism is in operation.
- the device according to the invention for checking a preferably extracorporeally used medical device has a sound pickup, which picks up a sound that is preferably emitted by the device during operation.
- This sound which can be recorded both as structure-borne and airborne sound, can be recorded by one or more sound or measurement sensors, which are based on various physical principles, such as electrodynamic, capacitive, piezoelectric or piezoresistive sensors.
- the sound detected by a sound pickup which is caused, for example, by the drive system of an extracorporeal infusion pump, for example of the type of a syringe pump, can be evaluated in an evaluation unit which shows the condition, the operating behavior or, in general, the system behavior of the medical device, such as a pump , detects and can thus determine errors in the medical device and / or in the functioning of the medical device.
- an evaluation unit which shows the condition, the operating behavior or, in general, the system behavior of the medical device, such as a pump , detects and can thus determine errors in the medical device and / or in the functioning of the medical device.
- the fact is exploited that both the intensity and the characteristic of the sound, which is emitted by a medical device, such as, for example, a drive system of a pump, are influenced by the condition and the operating situation of the device.
- the sound transducer is advantageously connected to the medical device and particularly advantageously attached to or integrated into this medical device, as a result of which the sound that is transmitted through the body of the medical device can be measured, since such sound measurement is less sensitive to environmental influences, such as, for ; B .. is disturbing ambient noise.
- an extracorporeal infusion pump emits sound through a sound pickup that is not physically connected to the medical device and is at a certain distance therefrom, preferably only air should be between the medical device and the sound pickup.
- a vibration device is provided in or on the medical device, which can generate a known oscillation or vibration pattern, which is transmitted to the medical device and can be detected by a sound transducer.
- an external vibration or vibration device can also transmit vibrations to the device.
- it can be determined whether the vibrations or the sound generated by the vibrating device propagate as is to be expected with an intact and correctly functioning medical device , or whether another vibration or sound pattern occurs, from which a defect or an error in the operation of the device can be concluded.
- vibration or sound patterns of medical devices which have a defect, such as a housing crack, or a malfunction, for example of the drive, for example corresponding sound measurements being carried out on defective or faulty devices and, for example, in a database are stored, the measured sound can be used to determine which malfunction or which defect is present in the medical device.
- a functional check of a vibration alarm can preferably also be carried out.
- a signal output device is advantageously provided on the medical device, which outputs optical and or acoustic signals depending on a detected error or operating state of the medical device, so that, for example, a first signal, e.g. in the form of a green LED if a sound sensor and a downstream evaluation unit determine that the medical device is intact and functioning correctly, e.g. a second signal is output by a yellow LED when it is detected that there are deviations from a predetermined sound pattern and thus possibly a defect or faulty operating state, and a third signal e.g. is indicated by a red LED when it is determined that an error has occurred.
- a first signal e.g. in the form of a green LED if a sound sensor and a downstream evaluation unit determine that the medical device is intact and functioning correctly
- a second signal is output by a yellow LED when it is detected that there are deviations from a predetermined sound pattern and thus possibly a defect or faulty operating state
- a third signal e.g. is indicated by a
- signal tones can also be output or a vibration device present in the medical device can be activated in order to e.g. by warning sounds and / or vibrating of the medical device to indicate that e.g. an action requested by the user is not carried out correctly.
- various errors or faulty operating states can be detected, such as catheter closures or occlusions, worn or dirty threaded rods, which are used in infusion pumps for metered dispensing of a substance, insufficient or missing lubrication, drive errors such as striking bearings or broken teeth.
- the correct functioning of a medical device can also be monitored. For example, the monitoring of the delivery of a substance contained in a pump or ampoule, a check of an alarm device, such as a vibration device, an assessment of the wear or general wear of the medical device or the detection of impacts, which are usually also with the Emission of sound are carried out.
- the invention relates to a diagnostic station for a medical device, the diagnostic station having a receiving or coupling device which is connected to the medical device, for example, by direct contact or, for example, by electromagnetic waves, such as radio, infrared radiation or capacitive or inductive Coupling can be coupled.
- the diagnostic station has an evaluation unit which evaluates sound signals that were recorded by a sound pickup on the medical device or on the diagnostic station.
- a memory can be provided in which, for example, sound patterns of the examined type of medical device are stored, which correspond to an error-free state and optionally certain error states or defects of the medical device, so that a comparison can be made between recorded sound signals and stored sound signals. whether the medical device has defects or is functioning correctly or not, whereby the type of error or malfunction can advantageously be specified.
- the diagnostic station advantageously has a sound recording device which can detect a sound emitted by the medical device and feed it to the evaluation unit.
- the sound pickup of the diagnostic station can be designed in such a way that it detects a sound from the medical device which has been transported by air or can be temporarily or permanently attachable to the " medical device " in order to detect the sound which is emitted by the body of the medical device is transported in order to record as little background noise as possible from the surroundings, which simplifies the evaluation of the recorded sound signals.
- the invention relates to a method for checking a medical device, the sound or vibrations emitted by the device being recorded and analyzed.
- the sound emitted by the device is preferably recorded directly, so that, for example, the sound on the device itself is recorded by a sound pickup attached there, as a result of which the sound pickup can pick up as little ambient noise as possible.
- the recorded sound or sound signal can be evaluated automatically, for example by a computer-aided system, or by an expert who is familiar with the sound patterns or Sound signals, which are emitted by intact or faulty medical devices, are familiar.
- the sound recording is preferably carried out continuously or quasi-continuously, for example with each distribution, in order to test the medical device in order to remove the medical device, e.g. an infusion pump, permanently monitor and detect immediately occurring errors or malfunctions.
- the medical device e.g. an infusion pump
- the recording of the sound can advantageously also be carried out temporarily, that is to say not continuously, for example specifying a period or a time interval after which a sound measurement is carried out. Furthermore, it is also possible for the sound measurement and checking to be carried out when triggered by a user in order to carry out a function test on the medical device. It is also possible that the sound measurement and verification after a certain event, such as a push that is performed automatically.
- a shock detection is preferably carried out, taking advantage of the fact that a shock often generates a certain characteristic sound signal.
- a functional check of the medical device can optionally be carried out, for example activating the drive system and / or a vibration device present in the medical device, which generates vibrations that occur Spread through parts of the device or the entire medical device in order to use the recorded sound pattern to check whether the impact has caused damage or malfunctions, for example, of the drive system or not.
- the medical device can advantageously output a warning signal and / or can also be completely blocked if it is detected that there is a malfunction or an error.
- the recorded sound signals or variables derived therefrom, such as frequency spectra, are preferably stored in order to record the operation and to have possible interference, such as shocks or FeM functions of the medical device, the recorded signals being able to be evaluated in order to check the functionality and operational safety of the medical device.
- the storage can be carried out both in the medical device itself and in an external storage device, for example data being transmitted to an external device via a line or a wireless connection, for example via radio or infrared signals.
- Figure 1 is a schematic view of a non-implantable extracorporeal infusion pump
- Figure 2 is a circuit diagram of a first embodiment of an inventive
- Figure 3 is a circuit diagram of a second embodiment of an inventive
- Figure 4 is a circuit diagram of a third embodiment of an inventive
- FIG. 5 shows a signal of a vibration device of an infusion pump in the time and frequency domain recorded with an airborne sound transducer
- FIG. 7 The running noise recorded in the case of an infusion pump operating correctly and the corresponding power spectrum in the characteristic frequency range;
- FIG. 8 Signals corresponding to FIG. 7 in the event of a tooth break in the transmission of an infusion pump.
- Figure 1 shows an extracorporeally used, non-implantable infusion pump 1, with which e.g. Insulin can be dispensed in doses.
- the insulin pump 1 is of the syringe pump type and preferably has suitable placement points for motor 2, gearbox 3, and lock nut 4 for the placement of sound pickups.
- the sound transducers can be fixedly attached to the pump 1 or can be integrated in it or in a detachable manner, e.g. attached to the pump using suction cups or adhesive wax.
- Figure 2 shows a measuring arrangement with a plurality of sensors 5, a signal switch 6, a preamplifier 7, a filter 8, a playback amplifier 9 and a playback device 10, such as e.g. a headphone or speaker.
- a signal switch 6 e.g. a signal switch 6
- a preamplifier 7 e.g. a filter 8
- a playback amplifier 9 e.g. a playback device 10
- several amplifiers, filters, noise suppression systems or the like can also be used in order to process the sound signal detected by the sensor (s) 5 or to carry out preprocessing. That e.g. by means of a sound signal detected on the insulin pump 1 attached to the insulin pump 1 is output via the playback device 10 and can e.g. be evaluated by an expert. the person who evaluates the signal based on its specialist knowledge and experience with regard to possible abnormalities or a deviation from a target signal.
- an insulin pump e.g. after a collision can be checked by falling or the state of wear
- one or more measuring sensors 5 can also be provided in a diagnostic station, into which the pump is inserted or clamped, wherein the components shown in FIG. 2 can also be integrated in the diagnostic station.
- additional measuring devices and diagnostic aids can be integrated or connected, such as a storage device for Documentation.
- An oscilloscope can be provided for the graphical representation of the sound signals in the time or frequency domain.
- the measurement signals can also be fed to an evaluation unit, the sound signals recorded by the measurement sensor or sensors 5 advantageously being digitized and then transmitted to a computer system, where these signals are further processed and classified using software so that no trained experts are required to check the medical device.
- FIG. 3 shows a second embodiment of a device according to the invention, one or more sound pickups 5 being integrated in or attached to the infusion pump 1 and the detected signals being read out for diagnosis via an interface 14.
- the analog sound signal picked up by a measuring sensor 5 in the interior 11 of the pump 1 is digitized by an amplifier 7 and optionally by a filter 8 by an A / D converter 13.
- the signal is transmitted via an interface 14, 15 to an evaluation unit 12, where the signal is converted again into an analog signal in a D / A converter 16 and is fed to a reproduction device 10 for evaluation via a reproduction amplifier 9.
- the interface 14, 15 can be a serial JR interface which is already present in the infusion pump. However, it is also possible to design the interface as a radio, capacitive, inductive or cable interface.
- the transmission can also be carried out analogously, the A / D and D / A converters no longer being required. It is also possible to carry out filtering or, in general, to process or process the sound signal detected by the measuring sensor 5 in the evaluation device 12, this being carried out in addition to signal processing in the interior 11 of the infusion pump I or without prior signal processing or processing in the pump 1 can be, so that only the directly detected sound signal is transmitted from the pump 1 to the evaluation unit 12.
- the recording and / or output of the sound signal can be carried out continuously or by a pump control, which receives a signal from a user, for example, or performs a function check after a detected shock.
- the measured value or sound sensor 5 is integrated directly into the pump, it can be precisely placed directly at a sound source and directly record a sound signal emitted by a specific function group, largely avoiding that the sound signal to be recorded is avoided, for example, by the housing of the Infusion pump 1 is damped and filtered in an undefined way.
- FIG. 4 shows a circuit diagram of a third embodiment of the invention, a measuring arrangement 17 having a measuring sensor 5, an amplifier 7, a filter 8 and an A / D converter 13 corresponding to the arrangement in FIG. 3.
- the sound signal detected by the measuring arrangement 17 is transformed from the time domain into the frequency domain by a fast Fourier transformation (FFT) device 18.
- FFT fast Fourier transformation
- the signal processing element 19 the signal is further processed in the time and / or frequency range, for example digital filtering being carried out or the power spectrum being calculated and / or characteristic parameters such as peak or effective values being determined for checking the infusion pump.
- the analysis part 20 compares the signal processing section 19 calculated or evaluated signals and parameters with comparison and reference data which are stored in a read only memory ROM 21 for example, or have been calculated in the previous measurements and stored as an adaptive reference values in a read / write memory '(RAM) 22 ,
- the memories ROM 21 and / or RAM 22 can both be integrated in the pump 1 and also be arranged in an external analysis and evaluation unit.
- the analysis member 20 carries out the diagnosis of the current system status, ie it is determined whether there is an error status at all or which error status or which operational fault is occurring.
- the result of the analysis carried out by the analysis member 20 is transmitted to the controller 23 of the pump, which, in the event of a fault, initiates, for example, the output of an alarm signal via a user interface 24, such as a display, a buzzer or a vibration device, and further measures in the event of acute errors can cause, such as putting pump 1 out of operation.
- a user interface 24 such as a display, a buzzer or a vibration device
- the third embodiment of the invention shown in FIG. 4 can work both continuously and non-continuously and can be activated as required by the pump control 22, it being possible optionally for individual components of the circuit shown in FIG. 4 to be suitably parameterized ,
- the feature extraction in the case of recorded sound signals can take place in whole or in part in the case of an analog or digital signal by means of suitable circuits, e.g. by using filters, peak rectifiers, average rectifiers or other known devices. Furthermore, it is possible to consider only those fault situations in the pump that require an immediate reaction, e.g. Occlusions or a defect in an alarm device. Additional functions for general diagnostic purposes can be carried out, for example, outside the pump 1 in a diagnostic station, e.g. Signals provided by a sensor 5 arranged in the pump are transmitted to the outside via an interface, as shown in FIG.
- the power in the pass band of the bandpass filter can be viewed absolutely and in relation to the total power of the sound signal, which also the infusion pump 1 or a vibration alarm device can be checked for errors.
- An acoustic alarm device can also be checked using the same procedure. This check can advantageously be carried out either during each self-test of the pump, e.g. after changing or inserting a medication ampoule, or when activated by the pump controller 23.
- FIG. 6 shows the effective power of a recorded sound signal resulting from a running noise of a drive, which is equivalent to the square of the effective value of the signal voltage, as a function of the amount of insulin delivered or the occlusion volume in the case of an occlusion in two examples.
- the effective value rises in the area indicated by arrow 27 after the occlusion has occurred, which in principle means that an occlusion can be recognized.
- Two operating states of the infusion pump can advantageously be distinguished for the detection.
- measurements of the effective sound power are carried out over the entire running time of the motor and are stored in the memory 22. It is assumed that an occlusion occurs if there is a significantly increasing trend in the individual measured values of the effective sound power, as shown by way of example in FIG. 6.
- Different methods can be used to detect the trend, with a simple variant being an alarm e.g. is triggered when the individual measured values of the effective sound power each increase by more than a predeterminable minimum value.
- the one-time or repeated exceeding of a limit value of the effective sound power can be checked, this limit value either being stored in the fixed value memory 21 of the pump 1 or being stored as an adaptive variable in the memory 22.
- the limit value for the Performance for example, based on the sound measurement at the first distribution (priming) after inserting a new medication ampoule.
- analog methods can be used, the measured values being e.g. a sequence of successive distributions can be used.
- an analysis of the spectral composition can be carried out after a Fourier transformation by the FFT element 18.
- an increase in the high frequency components in the amplitude or power spectrum in particular is characteristic of an occlusion and can be recognized by an expert or by suitable software.
- the amplitude or frequency spectrum can also be compared with one or more reference spectra to e.g. not only to detect the occurrence of the occlusion, but also to be able to make more detailed statements about the occlusion occurring or to recognize other error states.
- the recorded sound signal e.g. be examined for fluctuations in the noise level.
- contamination e.g. due to the penetration of foreign particles into the drive system
- This noise level can easily be increased by comparing the effective value of the recorded sound signal with a predetermined limit value. As already mentioned above, this limit value can be set or selected adaptively.
- the fluctuation range of the sound emission can e.g. by a statistical analysis of the effective value or another suitable parameter, e.g. a peak value of the sound signal or power spectrum can be determined.
- the analysis of the sound signal can either be carried out several times during a distribution Use measurements or several successive distributions as measured values. An analysis of the fluctuations in the noise level in the frequency range is also possible.
- Defects in the drive system can have similar effects on the running noise of the infusion pump as contamination.
- Such defects are often e.g. in the case of broken teeth characterized by pulse-like noises, the frequency of which corresponds to the speed of the respective gear stage.
- FIG. 7 shows the running noise recorded in the time domain with a fault-free pump, as well as the associated power spectrum in the characteristic frequency range from 2 kHz to 20 kHz.
- Figure 8 shows the same sizes as shown in Figure 7, but there is a tooth break in the gear of the infusion pump.
- the sound pickup was arranged in area 3 in FIG. 1.
- the pulses 28 that occur when the defective tooth engages are clearly visible in the time signal. In the frequency spectrum, these pulses cause a significant increase in power in the upper frequency range from 10 kHz to about 20 kHz, as shown by arrow 29.
- the detection of such pulses can e.g. by high-pass filtering in the time or frequency domain with a subsequent threshold value comparison.
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Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/553,538 US20070273792A1 (en) | 2003-06-17 | 2004-04-16 | Converter and Method for Converting Digital Signals Received in the Form of Modulated and Multiplex Signals |
EP04732109A EP1633415A1 (de) | 2003-06-17 | 2004-05-11 | Vorrichtung und verfahren zur überprüfung eines medizinischen gerätes |
CA002525815A CA2525815A1 (en) | 2003-06-17 | 2004-05-11 | Device and method for examining a medical device |
JP2006515766A JP2006527608A (ja) | 2003-06-17 | 2004-05-11 | 医療用装置をチェックする装置および方法 |
US11/304,505 US20060135907A1 (en) | 2003-06-17 | 2005-12-15 | Device and method for checking a medical device |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE10327261A DE10327261B4 (de) | 2003-06-17 | 2003-06-17 | Infusionspumpe und Verfahren zur Überprüfung einer Infusionspumpe |
DE10327261.5 | 2003-06-17 |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US11/304,505 Continuation US20060135907A1 (en) | 2003-06-17 | 2005-12-15 | Device and method for checking a medical device |
Publications (1)
Publication Number | Publication Date |
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WO2004110528A1 true WO2004110528A1 (de) | 2004-12-23 |
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ID=33520661
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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PCT/EP2004/005037 WO2004110528A1 (de) | 2003-06-17 | 2004-05-11 | Vorrichtung und verfahren zur überprüfung eines medizinischen gerätes |
Country Status (6)
Country | Link |
---|---|
US (2) | US20070273792A1 (de) |
EP (1) | EP1633415A1 (de) |
JP (1) | JP2006527608A (de) |
CA (1) | CA2525815A1 (de) |
DE (1) | DE10327261B4 (de) |
WO (1) | WO2004110528A1 (de) |
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DE102007039581A1 (de) | 2007-08-22 | 2009-02-26 | Fresenius Medical Care Deutschland Gmbh | Vorrichtung und Verfahren zur Überwachung eines Zugangs zu einem Patienten |
US9782532B2 (en) | 2009-02-06 | 2017-10-10 | Fresenius Medical Care Deutschland Gmbh | Apparatus and method for the vibratory stimulation of at least one portion of a vascular access device for its monitoring |
WO2018029162A1 (en) | 2016-08-09 | 2018-02-15 | Roche Diabetes Care Gmbh | Ambulatory infusion device |
US10383996B2 (en) | 2004-10-21 | 2019-08-20 | Novo Nordisk A/S | Injection device with a processor for collecting ejection information |
CN117091787A (zh) * | 2023-10-18 | 2023-11-21 | 济南市人民医院 | 一种具有模拟路况振动功能的呼吸机振动实验箱 |
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WO2006045523A1 (en) * | 2004-10-21 | 2006-05-04 | Novo Nordisk A/S | Medication delivery system with a detector for providing a signal indicative of an amount of an ejected dose of drug |
US9514746B2 (en) * | 2006-09-26 | 2016-12-06 | Storz Endoskop Produktions Gmbh | System and method for hazard mitigation in voice-driven control applications |
US7880624B2 (en) * | 2008-01-08 | 2011-02-01 | Baxter International Inc. | System and method for detecting occlusion using flow sensor output |
DK2241344T3 (en) | 2009-04-16 | 2014-03-03 | Hoffmann La Roche | Portable infusion with feel-testing device |
US8885728B2 (en) * | 2009-10-13 | 2014-11-11 | General Instrument Corporation | Decoding apparatus for a set-top box |
US20110163880A1 (en) * | 2010-01-07 | 2011-07-07 | Lisa Halff | System and method responsive to an alarm event detected at an insulin delivery device |
US8803688B2 (en) * | 2010-01-07 | 2014-08-12 | Lisa Halff | System and method responsive to an event detected at a glucose monitoring device |
US8693530B2 (en) | 2010-02-05 | 2014-04-08 | Comcast Cable Communications, Llc | Modulation analysis and distortion identification |
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Also Published As
Publication number | Publication date |
---|---|
CA2525815A1 (en) | 2004-12-23 |
DE10327261A1 (de) | 2005-01-13 |
US20060135907A1 (en) | 2006-06-22 |
EP1633415A1 (de) | 2006-03-15 |
DE10327261B4 (de) | 2006-03-02 |
US20070273792A1 (en) | 2007-11-29 |
JP2006527608A (ja) | 2006-12-07 |
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