WO2020162858A1 - An infusion tracking and control system - Google Patents

An infusion tracking and control system Download PDF

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Publication number
WO2020162858A1
WO2020162858A1 PCT/TR2020/050075 TR2020050075W WO2020162858A1 WO 2020162858 A1 WO2020162858 A1 WO 2020162858A1 TR 2020050075 W TR2020050075 W TR 2020050075W WO 2020162858 A1 WO2020162858 A1 WO 2020162858A1
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WO
WIPO (PCT)
Prior art keywords
control system
fluid
serum
tracking
infusion
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/TR2020/050075
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French (fr)
Inventor
Halid CEYLAN
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Hem Teknoloji Muehendislik Ltd Sirketi
Original Assignee
Hem Teknoloji Muehendislik Ltd Sirketi
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Filing date
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Publication of WO2020162858A1 publication Critical patent/WO2020162858A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G16H20/17ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01FMEASURING VOLUME, VOLUME FLOW, MASS FLOW OR LIQUID LEVEL; METERING BY VOLUME
    • G01F1/00Measuring the volume flow or mass flow of fluid or fluent solid material wherein the fluid passes through a meter in a continuous flow
    • G01F1/66Measuring the volume flow or mass flow of fluid or fluent solid material wherein the fluid passes through a meter in a continuous flow by measuring frequency, phase shift or propagation time of electromagnetic or other waves, e.g. using ultrasonic flowmeters
    • G01F1/661Measuring the volume flow or mass flow of fluid or fluent solid material wherein the fluid passes through a meter in a continuous flow by measuring frequency, phase shift or propagation time of electromagnetic or other waves, e.g. using ultrasonic flowmeters using light
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01FMEASURING VOLUME, VOLUME FLOW, MASS FLOW OR LIQUID LEVEL; METERING BY VOLUME
    • G01F1/00Measuring the volume flow or mass flow of fluid or fluent solid material wherein the fluid passes through a meter in a continuous flow
    • G01F1/66Measuring the volume flow or mass flow of fluid or fluent solid material wherein the fluid passes through a meter in a continuous flow by measuring frequency, phase shift or propagation time of electromagnetic or other waves, e.g. using ultrasonic flowmeters
    • G01F1/662Constructional details
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01FMEASURING VOLUME, VOLUME FLOW, MASS FLOW OR LIQUID LEVEL; METERING BY VOLUME
    • G01F15/00Details of, or accessories for, apparatus of groups G01F1/00 - G01F13/00 insofar as such details or appliances are not adapted to particular types of such apparatus
    • G01F15/001Means for regulating or setting the meter for a predetermined quantity
    • G01F15/003Means for regulating or setting the meter for a predetermined quantity using electromagnetic, electric or electronic means
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168Means 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
    • A61M5/16831Monitoring, detecting, signalling or eliminating infusion flow anomalies
    • A61M2005/16863Occlusion detection
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/18General characteristics of the apparatus with alarm
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3306Optical measuring means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • A61M2205/502User interfaces, e.g. screens or keyboards
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/58Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/581Means for facilitating use, e.g. by people with impaired vision by audible feedback
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/60General characteristics of the apparatus with identification means
    • A61M2205/6063Optical identification systems
    • A61M2205/6072Bar codes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/82Internal energy supply devices
    • A61M2205/8206Internal energy supply devices battery-operated
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168Means 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
    • A61M5/16831Monitoring, detecting, signalling or eliminating infusion flow anomalies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168Means 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
    • A61M5/172Means 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 electrical or electronic

Definitions

  • the invention is related to an infusion tracking and control system which allows measuring or calculating quantitative values of the fluids such as serum, blood etc. administered to the patients.
  • the invention is particularly related to an infusion tracking and control system which enables tracking, storing and intervening when necessary the relevant data with the fluid by means of creating audial or visual warning within it and within the central control system in terms of the relevant data of the measured or calculated fluid.
  • the infusion is the intravenous administration of the drug or fluids to a patient through a tubing system.
  • the distribution speed of the fluid flow can be adjusted in a manual manner by controlling the fluid drops falling into the dropping chamber of the user in a visual manner and thus by adjusting the clamp, is applied to the patient by various types of pumps with an automatic or manual adjustment.
  • the measurement or calculation of the quantitative values of the fluids such as serum, blood etc. administered to the patients is realized by means of a single sensor system.
  • pointwise region operation is performed.
  • the measurement area consists of only a single plane, in the pointwise operation.
  • the drop to be measured may not pass through the plane region. In this case, it leads to incorrect measurement of the fluid to be measured.
  • the fluids cannot be tracked, measured or calculated when fluids are flowing continuously.
  • the device which is connected to the fluid bag (chamber) and measures the fluid can shift from the chamber in case there is movement. Together with the shift of the device the chamber can close the sensor view with the fluid level. This conditions leads to incorrect measurement.
  • the measured fluid cannot be remotely displayed and controlled.
  • the application is a flow rate adjuster (1 ) mechanism which is mounted on the hoses used in supplementing blood, serum or fluid foods to the patient in the medical sector and provides controlling the flow rate of the fluid, comprising; fluid inlet line (5), fluid outlet line (6), fluid passage part (3) having a cylindrical body (4) positioned between said lines with one open end and one closed end, a flow rate adjustment part (2) which enables the user to intervene the flow rate by means of contacting, has flow rate male cylinder (2.1 ), can be mounted to the fluid passage part by means of the passage of the flow rate male cylinder (2.1 ) to the cylindrical body (4).
  • this application cannot be able to enable tracking, storing and intervening when necessary the relevant data with the fluid by means of creating audial or visual warning within it and within the central control system in terms of the relevant data of the measured or calculated fluid.
  • a flow is obtained as a result of the mechanical process in the operations made with pumps in the present art and in general there is no safety sensor in the pumps.
  • An insufficient volume formation in fluid administration can occur based on the problems experienced in the mechanical operations (narrowing of the pipe diameter due to the crushing of the pipe and thus not forming a sufficient volume in which the fluid can be put etc.).
  • the invention aims to solve the abovementioned disadvantages by being inspired from the current conditions.
  • the main aim of the invention is to enable measurement and calculation by the region scanning process via at least two transmitters and receiver sensor of the fluids such as serum, blood etc. administered to the patients.
  • the aim of the invention is to enable tracking and controlling the drop/mL ratio of the fluids remotely by means of the communication protocols, how long will it take to administer the fluid, determination of the fluid flow rate.
  • Another aim of the invention is to give warning to the person who makes the fluid administration and the tracking-recording system when the fluid exceeds the determined limit value.
  • Another aim of the invention is to enable reporting by storing the data created by controlling the fluid remotely.
  • the invention is an infusion tracking and control system which enables measuring or calculating the quantitative values of the flow in the serum chamber while it passes as a drop through the serum chamber of the fluids administered to the patients, enables the fluid amount to be administered to the patients and adjustment of the time and generates alarm based on the calculated values, comprises a device comprising a retainer front silicone part and a retainer rear silicone part which has a structure that can be opened and closed by the gripping element located between the front face where the display and the button are located and the battery, where the serum chamber is inserted in-between, a transmitter source which is located under the retainer front silicone part, generates light at visible invisible wave lengths, at least two sensors which are located under the rear silicone part, perceives the changing light flux of the waves generated in the transmitter source based on the drops passing through the serum chamber, transmits the signals generated as a result of perceiving for processing and calculating and a server which receives the processed, calculated data based on the signals, reports, class
  • Figure 1 is a general view of the inventive infusion tracking and control system.
  • Figure 2 is a front view of the device generating data according to the fluid flow in inventive infusion tracking and control system.
  • Figure 3 is a side view of the device generating data according to the fluid flow in inventive infusion tracking and control system.
  • Figure 4 is a rear view of the device generating data according to the fluid flow in inventive infusion tracking and control system.
  • Figure 5 is an illustrative view of the device.
  • Figure 6 is an illustrative view of the transmitter source which is located on the retainer front silicone part.
  • Figure 7 is an illustrative view of the receiver sensor located on the retainer rear silicone part.
  • Audio alarm module 81 Speaker 9. Display
  • the inventive infusion control system as seen in Figure 1 in general comprises a device (A), a router (1 1 ), a server (C), and a client (12).
  • the device (A) comprises a main processor (B), a signal processing integrated circuit (3), at least two receiver sensors (1 ), a transmitter source (2), a gripping region (4), a filter (5), a barcode reader (6), battery (7), display (9), button (10), a gripping element (41 ), a retainer front silicone part (14), a retainer rear silicone part (15) and a speaker (81 ).
  • the device (A) has a structure which can be opened and closed by the gripping element (41 ) which is placed between the front face (A1 ) where the display (9) and the button (10) is located and the battery (7).
  • the device (A) is placed in the serum chamber (13.1 ) and generally generates signal according to the flow of the fluid in the serum (13) according to its flow in the serum chamber (13.1 ), processes the generated signals, measures or calculates the processed signals for determining the quantitative values of the fluid, shows the calculation result thereon or transmits thereof to the main server (C) by means of the router (1 1 ) in order to perform recording and monitoring.
  • the gripping region (4) is the region between the retainer front silicone part (14) between the front face (A1 ) and battery (7) and the retainer rear silicone part (15).
  • the serum chamber (13.1 ) is placed to the gripping region (4) by means of a gripping element (41 ) which can be opened and closed having a mechanical force between the retainer front silicone part (14) and the retainer rear silicone part (15) located on the gripping region (4).
  • the gripping element (41 ) can be a spring, a rubber based material.
  • the transmitter source (2) is located under the retainer front silicone part (14), at least two receiver sensors (1 ) are located under the retainer rear silicone part (15) in the gripping region (4).
  • the transmitter source (2) generates wide area narrow angle high lumen EMR (Electronic Magnetic Radiation) waves.
  • the transmitter source (2) can generate light at visible invisible wavelengths.
  • the transmitter source (2) illuminates the serum chamber (13.1 ) and thus facilitates viewing the fluid flow.
  • the retainer front silicone part (14) and the retainer rear silicone part (15) have a perforated structure. The light generated by the transmitter source (2) exits through the holes of the retainer front silicone part (14) enters into the receiver sensors (1 ), enters into the holes of the retainer rear silicone part (15) and thus is perceived.
  • Wide-angle high lumen EMR waves emitted from the transmitter source (2) are refracted when the drop form the fluid is passed through the serum chamber (13.1 ), the flux changes which varies according to the refraction are detected by the receiver sensors (1 ).
  • the signals generated via the receiver sensors (1 ) as a result of the detection made are transmitted to the signal processing integrated circuit (3) located on the device (A).
  • the signal processing integrated circuit (3) becomes significant for the user by means of processing the signals received from the receiver sensors (1 ).
  • the signals which are processed in the signal processing integrated circuit (3) are transmitted to the main processor (B) on the device (A).
  • the main processor (B) performs quantitative calculations in terms of the drops passing through the serum chamber (13.1 ) according to the signals which are processed in the signal processing integrated circuit (3).
  • the calculated data are transmitted to the server (C) by means of the router (1 1 ). While the router (1 1 ) transmits the signals to the server (C), it can make broadcast in RF band such as Wi-Fi, Bluetooth etc.
  • the server (C) reports and records the data related to the signals which are processed in the signal processing integrated circuit (3) and calculated in the main processor (B).
  • the signals which are generated as a result of the detection of the receiver sensors (1 ) can be processed to the server (C) after being processed in the main server (B).
  • the signals transmitted to the server (C) are classified in the server (C) according to the room numbers where the devices (A) are available and according to the floor and room numbers of the hospital where the devices (A) are available.
  • the connection status and the quality of the connection of the device (A) are controlled according to the signals received by the server (C).
  • the signals which are reported by the server (C) and classified according to the floor and room information are transmitted to the client (12) on the determined floor as a result of the classification and thus can be remotely controlled in the client (12).
  • the barcode reader (6) in located at the rear portion of the front face (A1 ) of the device (A).
  • the patient identification wristlets attached to the wrists of the patients are read by the barcode reader (6), the information belong to the patient are transmitted to the server (C) by means of the router (1 1 ) or to the client (12) over the server (C) under the control of the main processor (B).
  • the adjustment of the fluid amount required to be passed within a period of time determined by an authorized person (doctor, nurse etc.), the adjustment of time of the fluid required to be administered to the patient and the adjustment of the droplet size based on the serum set of the fluid are performed over the server (C) or the client (12).
  • the adjustments made are transmitted to the main processor (B) on the device (A) by the router (1 1 ), the fluid amount in relation with the adjustments made and the adjustment of time when the fluid is required to be administered to the patient and the adjustment of the droplet size of the fluid which is coupled to a serum set are shown on the display (9).
  • the barcodes of the materials which are added into the serum and its content can be read by means of the barcode reader (6).
  • the data read by the barcode reader (6) are interpreted by the main processor (B) or the server (C).
  • the interpretation is performed by the artificial intelligence or prescribing.
  • buttons (10) are located on the device (A) and are controlled by means of the main processor (B). Also by means of the buttons (10), the adjustment of the fluid amount required to be passed within a period of time determined by an authorized person (doctor, nurse etc.), the adjustment of time of the fluid required to be administered to the patient and the adjustment of the droplet size based on the serum set of the fluid are performed. The adjustments of room number, device number, Wi-Fi on/off, alarm on/off can be made by means of the buttons (10).
  • the adjustments of the fluid amount and the time setting, droplet size of the fluid coupled to a serum set, room number, device number, Wi-Fi on/off, alarm on/off can also be performed over the server (C).
  • the adjustments made are transmitted to the main processor (B) on the device (A) by means of the router (1 1 ), the fluid amount and the time required to administer the fluid to the patient in relation with the adjustments made, droplet adjustment, room number, device number, Wi-Fi on/off, alarm on/off settings are shown on the display (9) to the authorized person (doctor, nurse etc.).
  • the adjustment of fluid amount and time can be made over the client (12).
  • the adjustments made over the client (12) are transmitted to the server (C), from the server they are transmitted to the main processor (B) on the device (A) by means of the router (1 1 ).
  • the amount of the fluid and the required time of the fluid to be administered to the patient are shown the the authorized person (doctor, nurse etc.) on the display (9).
  • Audible alarms are generated over the speaker (81 ) by means of the audial warning module (8) operating under the control of the main processor (B) when the fluid amount and time adjustments are made over the server (C) or the client (12) by means of the barcode reader (6) or by means of the server (C) or the client (12) via the buttons (10).
  • the alarm van also be viewed on the display (9) on the device (A).
  • the device (A9 is fed by the battery (7).
  • the battery (7) can be chargeable or non- chargeable.
  • the device (A) can also be connected to an actuator.
  • the fluid flow can be controlled by means of the main processor (B) via said actuator.
  • the actuator can be rotary or linear type.
  • the device (A) comprises an angle sensor which measures its angle with the plane, prevents the losses occur as a result of the measurement.
  • the infusion control system operates in 4 different modes
  • the continuous tracking mode is the mode which is required for starting of the operation of the device (A).
  • the device (A) is located to the serum chamber (13.1 ) by means of compressing the serum chamber (13.1 ) via a gripping element (41 ) which has a mechanical force and can be opened and closed between the retainer front silicone part (14) and the retainer rear silicone part (15) located in the gripping region (4).
  • EMR light waves generated from the transmitter source (2) are detected by means of at least two sensors (1 ).
  • the signals generated as a result of the detection of the receiver sensors (1 ) are transmitted to the signal processing integrated circuit (3) or main processor (B) located on the device (A).
  • the received signals are processed in the signal processing integrated circuit (3) or the processor (B), it is determined that the detected signals through the receiver sensors (1 ) in the signal processing integrated circuit (3) or the main processor (B) are at the same level In an overlapping manner.
  • the drops which pass through the serum chamber (13.1 ) leads to change in the light flux by the refraction of the EMR waves generated through the transmitter source (2).
  • the waves with varying light flux are first of all detected by one of the receiver sensor (1 ) and subsequently by the other receiver sensor (1 ).
  • the signals generated by the receiver sensors (1 ) as a result of the detection are transmitted to the signal processing integrated circuit (3) or the main processor (B).
  • the main processor (B) or the signal processing integrated circuit (3) determines the speed of the drops and the total volume of the fluid by calculating the elapsed time.

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  • Physics & Mathematics (AREA)
  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Electromagnetism (AREA)
  • Fluid Mechanics (AREA)
  • General Physics & Mathematics (AREA)
  • Primary Health Care (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Chemical & Material Sciences (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicinal Chemistry (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

The invention is related to an infusion tracking and control system which enables measuring or calculating the quantitative values of the flow in the serum chamber (13.1) while the fluid in the serum (13) administered to the patient is passing through the serum chamber (13.1) as a drop, enables performing adjustments of the fluid amount to be administered to the patients, time setting, droplet size of the fluid coupled to a serum set, room number, device number, Wi-Fi on/off, alarm on/off settings and generates alarms in relation with the calculated values.

Description

AN INFUSION TRACKING AND CONTROL SYSTEM
Technical Field
The invention is related to an infusion tracking and control system which allows measuring or calculating quantitative values of the fluids such as serum, blood etc. administered to the patients.
The invention is particularly related to an infusion tracking and control system which enables tracking, storing and intervening when necessary the relevant data with the fluid by means of creating audial or visual warning within it and within the central control system in terms of the relevant data of the measured or calculated fluid.
State of the Art
The infusion is the intravenous administration of the drug or fluids to a patient through a tubing system. Today the infusion sets operate with drop adjusting sets. In the typical infusion sets, the distribution speed of the fluid flow can be adjusted in a manual manner by controlling the fluid drops falling into the dropping chamber of the user in a visual manner and thus by adjusting the clamp, is applied to the patient by various types of pumps with an automatic or manual adjustment.
In the present art, the measurement or calculation of the quantitative values of the fluids such as serum, blood etc. administered to the patients is realized by means of a single sensor system. In the system, pointwise region operation is performed. The measurement area consists of only a single plane, in the pointwise operation. In case a movement is made or a movement occurs based on any factor in the fluid bag to which the measurement device is connected, there is a possibility that the drop to be measured may not pass through the plane region. In this case, it leads to incorrect measurement of the fluid to be measured.
In the present art, the fluids cannot be tracked, measured or calculated when fluids are flowing continuously.
In the present art, the device which is connected to the fluid bag (chamber) and measures the fluid can shift from the chamber in case there is movement. Together with the shift of the device the chamber can close the sensor view with the fluid level. This conditions leads to incorrect measurement.
In the present art, after the fluid measurement is made, the doctor cannot be informed.
In the present art, the measured fluid cannot be remotely displayed and controlled.
During a research made in the present art, the application No TR2017/12793 is encountered. The application is a flow rate adjuster (1 ) mechanism which is mounted on the hoses used in supplementing blood, serum or fluid foods to the patient in the medical sector and provides controlling the flow rate of the fluid, comprising; fluid inlet line (5), fluid outlet line (6), fluid passage part (3) having a cylindrical body (4) positioned between said lines with one open end and one closed end, a flow rate adjustment part (2) which enables the user to intervene the flow rate by means of contacting, has flow rate male cylinder (2.1 ), can be mounted to the fluid passage part by means of the passage of the flow rate male cylinder (2.1 ) to the cylindrical body (4). However this application cannot be able to enable tracking, storing and intervening when necessary the relevant data with the fluid by means of creating audial or visual warning within it and within the central control system in terms of the relevant data of the measured or calculated fluid.
A flow is obtained as a result of the mechanical process in the operations made with pumps in the present art and in general there is no safety sensor in the pumps. An insufficient volume formation in fluid administration can occur based on the problems experienced in the mechanical operations (narrowing of the pipe diameter due to the crushing of the pipe and thus not forming a sufficient volume in which the fluid can be put etc.).
Consequently, due to the above-mentioned disadvantages and the insufficiency of the current solutions for the subject matter, a development in the relevant technical field is required.
Aim of the Invention
The invention aims to solve the abovementioned disadvantages by being inspired from the current conditions. The main aim of the invention is to enable measurement and calculation by the region scanning process via at least two transmitters and receiver sensor of the fluids such as serum, blood etc. administered to the patients.
The aim of the invention is to enable tracking and controlling the drop/mL ratio of the fluids remotely by means of the communication protocols, how long will it take to administer the fluid, determination of the fluid flow rate.
Another aim of the invention is to give warning to the person who makes the fluid administration and the tracking-recording system when the fluid exceeds the determined limit value.
Another aim of the invention is to enable reporting by storing the data created by controlling the fluid remotely.
In order to meet the abovementioned aims, the invention is an infusion tracking and control system which enables measuring or calculating the quantitative values of the flow in the serum chamber while it passes as a drop through the serum chamber of the fluids administered to the patients, enables the fluid amount to be administered to the patients and adjustment of the time and generates alarm based on the calculated values, comprises a device comprising a retainer front silicone part and a retainer rear silicone part which has a structure that can be opened and closed by the gripping element located between the front face where the display and the button are located and the battery, where the serum chamber is inserted in-between, a transmitter source which is located under the retainer front silicone part, generates light at visible invisible wave lengths, at least two sensors which are located under the rear silicone part, perceives the changing light flux of the waves generated in the transmitter source based on the drops passing through the serum chamber, transmits the signals generated as a result of perceiving for processing and calculating and a server which receives the processed, calculated data based on the signals, reports, classifies and receives thereof via the router in order to register thereof.
The structural and characteristic features of the present invention will be understood clearly by the following drawings and the detailed description made with reference to these drawings and therefore the evaluation shall be made by taking these figures and the detailed description into consideration. Figures Clarifying the Invention
Figure 1 , is a general view of the inventive infusion tracking and control system.
Figure 2, is a front view of the device generating data according to the fluid flow in inventive infusion tracking and control system.
Figure 3, is a side view of the device generating data according to the fluid flow in inventive infusion tracking and control system.
Figure 4, is a rear view of the device generating data according to the fluid flow in inventive infusion tracking and control system.
Figure 5, is an illustrative view of the device.
Figure 6, is an illustrative view of the transmitter source which is located on the retainer front silicone part.
Figure 7, is an illustrative view of the receiver sensor located on the retainer rear silicone part.
Description of Part References
A. Device
A1. Front face
B. Main processor
C. Server
1. Receiver sensor
2. Transmitter source
3. Signal processing integrated circuit
4. Gripping region
41. Gripping element
5. Filter 6. Barcode reader
7. Battery
8. Audio alarm module 81. Speaker 9. Display
10. Button
11. Router
12. Client
13. Serum 13.1. Serum chamber
14. Front silicone part
15. Rear silicone part
Detailed Description of the Invention
In this detailed description, the preferred embodiments of the infusion tracking and control system subject to the invention are described only for clarifying the subject matter.
The inventive infusion control system as seen in Figure 1 in general comprises a device (A), a router (1 1 ), a server (C), and a client (12).
The device (A) comprises a main processor (B), a signal processing integrated circuit (3), at least two receiver sensors (1 ), a transmitter source (2), a gripping region (4), a filter (5), a barcode reader (6), battery (7), display (9), button (10), a gripping element (41 ), a retainer front silicone part (14), a retainer rear silicone part (15) and a speaker (81 ). The device (A) has a structure which can be opened and closed by the gripping element (41 ) which is placed between the front face (A1 ) where the display (9) and the button (10) is located and the battery (7).
The device (A) is placed in the serum chamber (13.1 ) and generally generates signal according to the flow of the fluid in the serum (13) according to its flow in the serum chamber (13.1 ), processes the generated signals, measures or calculates the processed signals for determining the quantitative values of the fluid, shows the calculation result thereon or transmits thereof to the main server (C) by means of the router (1 1 ) in order to perform recording and monitoring.
The gripping region (4) is the region between the retainer front silicone part (14) between the front face (A1 ) and battery (7) and the retainer rear silicone part (15).
The serum chamber (13.1 ) is placed to the gripping region (4) by means of a gripping element (41 ) which can be opened and closed having a mechanical force between the retainer front silicone part (14) and the retainer rear silicone part (15) located on the gripping region (4). The gripping element (41 ) can be a spring, a rubber based material.
The transmitter source (2) is located under the retainer front silicone part (14), at least two receiver sensors (1 ) are located under the retainer rear silicone part (15) in the gripping region (4). The transmitter source (2) generates wide area narrow angle high lumen EMR (Electronic Magnetic Radiation) waves. The transmitter source (2) can generate light at visible invisible wavelengths. Also, the transmitter source (2) illuminates the serum chamber (13.1 ) and thus facilitates viewing the fluid flow. The retainer front silicone part (14) and the retainer rear silicone part (15) have a perforated structure. The light generated by the transmitter source (2) exits through the holes of the retainer front silicone part (14) enters into the receiver sensors (1 ), enters into the holes of the retainer rear silicone part (15) and thus is perceived.
There is filter (5) on or in front of the receiver sensors (1 ). Filtering is performed based on the light incidence angle and colors of the EMR waves coming to the receiver sensors (1 ) from the transmitter source (2) by means of a filter (5). Therefore, the device (A) is not influenced by the external factor EMR sources.
Wide-angle high lumen EMR waves emitted from the transmitter source (2) are refracted when the drop form the fluid is passed through the serum chamber (13.1 ), the flux changes which varies according to the refraction are detected by the receiver sensors (1 ).
The signals generated via the receiver sensors (1 ) as a result of the detection made are transmitted to the signal processing integrated circuit (3) located on the device (A). The signal processing integrated circuit (3) becomes significant for the user by means of processing the signals received from the receiver sensors (1 ).
The signals which are processed in the signal processing integrated circuit (3) are transmitted to the main processor (B) on the device (A). The main processor (B) performs quantitative calculations in terms of the drops passing through the serum chamber (13.1 ) according to the signals which are processed in the signal processing integrated circuit (3). The calculated data are transmitted to the server (C) by means of the router (1 1 ). While the router (1 1 ) transmits the signals to the server (C), it can make broadcast in RF band such as Wi-Fi, Bluetooth etc. The server (C) reports and records the data related to the signals which are processed in the signal processing integrated circuit (3) and calculated in the main processor (B).
The signals which are generated as a result of the detection of the receiver sensors (1 ) can be processed to the server (C) after being processed in the main server (B).
The signals transmitted to the server (C) are classified in the server (C) according to the room numbers where the devices (A) are available and according to the floor and room numbers of the hospital where the devices (A) are available. The connection status and the quality of the connection of the device (A) are controlled according to the signals received by the server (C).
The signals which are reported by the server (C) and classified according to the floor and room information are transmitted to the client (12) on the determined floor as a result of the classification and thus can be remotely controlled in the client (12).
The barcode reader (6) in located at the rear portion of the front face (A1 ) of the device (A). The patient identification wristlets attached to the wrists of the patients are read by the barcode reader (6), the information belong to the patient are transmitted to the server (C) by means of the router (1 1 ) or to the client (12) over the server (C) under the control of the main processor (B). The adjustment of the fluid amount required to be passed within a period of time determined by an authorized person (doctor, nurse etc.), the adjustment of time of the fluid required to be administered to the patient and the adjustment of the droplet size based on the serum set of the fluid are performed over the server (C) or the client (12). The adjustments made are transmitted to the main processor (B) on the device (A) by the router (1 1 ), the fluid amount in relation with the adjustments made and the adjustment of time when the fluid is required to be administered to the patient and the adjustment of the droplet size of the fluid which is coupled to a serum set are shown on the display (9).
The barcodes of the materials which are added into the serum and its content can be read by means of the barcode reader (6). The data read by the barcode reader (6) are interpreted by the main processor (B) or the server (C). The interpretation is performed by the artificial intelligence or prescribing.
The buttons (10) are located on the device (A) and are controlled by means of the main processor (B). Also by means of the buttons (10), the adjustment of the fluid amount required to be passed within a period of time determined by an authorized person (doctor, nurse etc.), the adjustment of time of the fluid required to be administered to the patient and the adjustment of the droplet size based on the serum set of the fluid are performed. The adjustments of room number, device number, Wi-Fi on/off, alarm on/off can be made by means of the buttons (10).
The adjustments of the fluid amount and the time setting, droplet size of the fluid coupled to a serum set, room number, device number, Wi-Fi on/off, alarm on/off can also be performed over the server (C). The adjustments made are transmitted to the main processor (B) on the device (A) by means of the router (1 1 ), the fluid amount and the time required to administer the fluid to the patient in relation with the adjustments made, droplet adjustment, room number, device number, Wi-Fi on/off, alarm on/off settings are shown on the display (9) to the authorized person (doctor, nurse etc.).
The adjustment of fluid amount and time can be made over the client (12). The adjustments made over the client (12) are transmitted to the server (C), from the server they are transmitted to the main processor (B) on the device (A) by means of the router (1 1 ). In relation with the adjustments made on the client (12), the amount of the fluid and the required time of the fluid to be administered to the patient are shown the the authorized person (doctor, nurse etc.) on the display (9). Audible alarms are generated over the speaker (81 ) by means of the audial warning module (8) operating under the control of the main processor (B) when the fluid amount and time adjustments are made over the server (C) or the client (12) by means of the barcode reader (6) or by means of the server (C) or the client (12) via the buttons (10). The alarm van also be viewed on the display (9) on the device (A).
The device (A9 is fed by the battery (7). The battery (7) can be chargeable or non- chargeable.
The device (A) can also be connected to an actuator. The fluid flow can be controlled by means of the main processor (B) via said actuator. The actuator can be rotary or linear type.
The device (A) comprises an angle sensor which measures its angle with the plane, prevents the losses occur as a result of the measurement.
Operation principle of the invention
The infusion control system operates in 4 different modes;
Mode 1 , Continuous Trackino Mode: The continuous tracking mode is the mode which is required for starting of the operation of the device (A). The device (A) is located to the serum chamber (13.1 ) by means of compressing the serum chamber (13.1 ) via a gripping element (41 ) which has a mechanical force and can be opened and closed between the retainer front silicone part (14) and the retainer rear silicone part (15) located in the gripping region (4). EMR light waves generated from the transmitter source (2) are detected by means of at least two sensors (1 ). The signals generated as a result of the detection of the receiver sensors (1 ) are transmitted to the signal processing integrated circuit (3) or main processor (B) located on the device (A). The received signals are processed in the signal processing integrated circuit (3) or the processor (B), it is determined that the detected signals through the receiver sensors (1 ) in the signal processing integrated circuit (3) or the main processor (B) are at the same level In an overlapping manner.
Mode 2, The drops which pass through the serum chamber (13.1 ) leads to change in the light flux by the refraction of the EMR waves generated through the transmitter source (2). The waves with varying light flux are first of all detected by one of the receiver sensor (1 ) and subsequently by the other receiver sensor (1 ). The signals generated by the receiver sensors (1 ) as a result of the detection are transmitted to the signal processing integrated circuit (3) or the main processor (B). The main processor (B) or the signal processing integrated circuit (3) determines the speed of the drops and the total volume of the fluid by calculating the elapsed time.
Mode 3, Continuous Flow Mode: Since the drops that passes through the serum chamber (13.1 ) are in continuous flow (not in droplet form), the light flux based on the refraction of the waves generated from the transmitter source (2) does not change. The waves generated from the transmitter source (2) are detected as soon as the flow starts and ends in the receiving sensors (1 ). The receiver sensors (1 ) transmits the signals generated as a result of the detection to the signal processing integrated circuit (3) or the main processor (B). The speed and volume of the fluid is calculated by the signals processed in the signal processing integrated circuit (3) and the main processor (B) depending on the duration between the start and finish of the continuous flow.
Mode 4, Safety Mode: In case the serum (13) finishes and compresses blood in a reverse manner, in case the device (A) shifts from the serum chamber (13.1 ), the receiver sensors (1 ) terminates the measurement process and passes to the safety mode. The waves generated by the transmitter source (2) are not detected by the receiver sensors (1 ) because one of the views of the receiver sensors (1 ) is closed. In this case, signal voltage generated as a result of the detection of one of the receiver sensors (1 ) occurs in a minimum manner. In case the other receiver sensor (1 ) makes detection, because a comparison cannot be made between the receiver sensors (1 ) in the main processor (B) or the signal processing integrated circuit (3), measurement process cannot be performed. In case there is a high voltage shift in one of the receiver sensors (1 ) or in case one of the receiver sensors (1) is totally inactivated, the main processor (B) generates warning in the device (A) by means of determining this as a fault.

Claims

1. An infusion tracking and control system which enables measuring or calculating the quantitative values of the flow in the serum chamber (13.1 ) while the fluid in the serum (13) is administered to the patients passes as a drop through the serum chamber (3.1 ), enables the adjustment of fluid amount to be administered to the patients and adjustment of the time and generates alarm based on the calculated values, characterized in comprising;
• A device (A) comprising; o a retainer front silicone part (14) and a retainer rear silicone part (15) which has a structure that can be opened and closed by the gripping element (41 ) located between the front face (A1 ) where the display (9) and the button (10) are located and the battery (7), to which the serum chamber (13.1 ) is inserted in-between by means of the gripping element (41 ), o a transmitter source (2) which is located under the retainer front silicone part (14), generates light at visible invisible wave lengths, o at least two sensors (1 ) which are located under the rear silicone part (15), perceives the changing light flux of the waves generated in the transmitter source (2) based on the drops passing through the serum chamber (13.1 ), transmits the signals generated as a result of perceiving for processing and calculating,
• a server (C) which receives the processed, calculated data based on the signals, reports, classifies and receives thereof via the router (1 1 ) in order to register thereof.
2. The infusion tracking and control system according to claim 1 , characterized in comprising a main processor (B) which receives signals from the receiver sensor (1 ), processes the received signals for making quantitative calculations related to the drops that passes through the serum chamber (13.1 ) and transmits thereof to said server (C).
3.The infusion tracking and control system according to claim 1 , characterized in comprising a signal processing integrated circuit (3) which receives the signals from the receiver sensors (1 ), processes the received signals for making quantitative calculations related to the drops that passes through the serum chamber (13.1 ) and transmits thereof to said server (C).
4. The infusion tracking and control system according to claim 2 or 3, characterized in comprising a client (12) which performs the adjustments of the fluid amount, time setting of the fluid required to be administered to the patient, droplet size of the fluid connected to a serum set, room number, device number, Wi-Fi on/off, alarm on/off settings by remote control and has a tracking display.
5. The infusion tracking and control system according to claim 4, characterized in comprising an audible warning module (8) which generates audible alarms over the speaker (81 ) under the control of the main processor (B) when the fluid amount and time setting is performed.
6. The infusion tracking and control system according to claim 1 , characterized in comprising a filter (5) which is located at least two receiver sensors (1 ), prevents the device (A) from being influenced by the external effects by making filtering to the receiver sensors (1 ).
7. The infusion control system according to claim 1 characterized in comprising a battery (7) which enables feeding the device (A), is rechargeable or non- rechargeable.
8. The infusion tracking and control system according to claim 1 characterized in comprising a barcode reader (6) which is found in the device (A), reads the patient identification wristlets attached on the wrists of the patients and the barcodes of the serum and the ingredient materials, transmits the data.
9. The infusion tracking and control system according to claim 8, characterized in comprising a barcode reader (6) which transmits the information of the patient to the server (C) by means of the router (1 1 ) or to the client (12) over the server (C) under the control of the main processor (B) by means of reading the patient identification wristlets attached on the wrists of the patients.
10. The infusion tracking and control system according to claim 8, characterized in comprising a main processor (B) which receives the data read by said barcode reader (6), interprets the read data by means of the artificial intelligence.
11. The infusion tracking and control system according to claim 8, characterized in comprising a client (12) which receives the data read by said barcode reader (6), interprets the read data by means of the artificial intelligence.
12. The infusion tracking and control system according to claim 4, characterized in comprising an actuator which controls the fluid flow according to the adjustments made.
13. The infusion tracking and control system according to claim 1 , characterized in comprising an angle sensor which measures the angles of the device (A) that is made with the plane, prevents losses occur as a result of the measurement.
PCT/TR2020/050075 2019-02-08 2020-02-05 An infusion tracking and control system Ceased WO2020162858A1 (en)

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TR2019/01924 2019-02-08
TR2019/01924A TR201901924A2 (en) 2019-02-08 2019-02-08 INFUSION MONITORING AND CONTROL SYSTEM

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CN110989437B (en) * 2019-12-03 2023-10-24 湖南小枰建材有限责任公司 Infusion monitor circuit, device and monitoring method

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