WO1999024093A1 - Medical apparatus - Google Patents

Medical apparatus Download PDF

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Publication number
WO1999024093A1
WO1999024093A1 PCT/JP1998/005056 JP9805056W WO9924093A1 WO 1999024093 A1 WO1999024093 A1 WO 1999024093A1 JP 9805056 W JP9805056 W JP 9805056W WO 9924093 A1 WO9924093 A1 WO 9924093A1
Authority
WO
WIPO (PCT)
Prior art keywords
shock sensor
infusion
shock
switch
main body
Prior art date
Application number
PCT/JP1998/005056
Other languages
French (fr)
Japanese (ja)
Inventor
Akio Kutuzawa
Ikuya Miyashita
Original Assignee
Terumo Kabushiki Kaisha
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Terumo Kabushiki Kaisha filed Critical Terumo Kabushiki Kaisha
Publication of WO1999024093A1 publication Critical patent/WO1999024093A1/en

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Classifications

    • 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
    • A61M5/142Pressure infusion, e.g. using pumps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means
    • A61B2090/0809Indication of cracks or breakages
    • 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
    • A61M2205/21General characteristics of the apparatus insensitive to tilting or inclination, e.g. spill-over prevention
    • A61M2205/215Tilt detection, e.g. for warning or shut-off

Definitions

  • the present invention relates to a medical device having a built-in shock sensor.
  • the device cannot be used anymore due to a fall accident, it can be dealt with by replacing it with another device.However, in many cases, there is no abnormality from the external appearance due to the strong housing. And use it as it is. In other words, if there is no problem in appearance, it is used as it is.
  • shock sensor has sensitivity in only one longitudinal direction, in order to have sensitivity to external force acting in all directions, the direction along the X-Z plane along the horizontal direction of the device and the vertical direction of the device are required. Three shock sensors are provided in all directions along the Y-X plane along the Y-Z plane and along the front-back direction of the device, and amplifiers are wired to each shock sensor. There is a need to.
  • the present invention has been made in view of the above-described problems, and records a history of a case where a shocking external force is applied by a shock sensor even when the power of the device is off.
  • the purpose is to provide a medical device that can be stored and used as information for maintenance inspections, and that can realize cost reduction by providing sensitivity to external forces acting in all directions with one shock sensor.
  • a medical device incorporating a shock sensor in a main body
  • the medical device has a shock sensor built in the main body, and a direction along an X-Z plane along a horizontal direction of the main body.
  • the sensitivity axis direction of the shock sensor is inclined with respect to a direction along the Y-Z plane along the longitudinal direction of the main body and along all directions along the -X plane along the front-rear direction of the main body.
  • a storage means for storing the detection when the shock sensor detects a shock external force of a predetermined value or more by the shock sensor.
  • the medical device is an infusion pump including a peristaltic pump mechanism.
  • the storage means When the power is on, stores a plurality of years, months, days, and times at which a shock external force equal to or greater than a predetermined value is detected. When the power is off, the shock equals or exceeds a predetermined value. It is characterized by storing multiple detections of external force and displaying it on the display unit.
  • the present invention is not limited to the above embodiments, and may be applied to medical devices such as a singe pump, a blood collection device, a dialysis device, an infusion device, a sphygmomanometer, an electrocardiograph, a pulse meter, an oximeter, and a fetal monitoring device. It goes without saying that even if there is a design change or the like within a range not departing from the gist of the present invention, it is included in the present invention. BRIEF DESCRIPTION OF THE FIGURES
  • FIG. 1 is a front view of an infusion pump 1 illustrating an operation switch panel.
  • FIG. 2 is an external perspective view of the infusion pump 1 as viewed from behind.
  • FIG. 3 is a sectional view taken along line X-X of FIG.
  • Figure 4 is an exploded view of the infusion pump.
  • FIG. 5 is an exploded perspective view of the infusion pump.
  • FIG. 6 shows a shock sensor that detects the impact force using a built-in piezoelectric element when an impact load acts on the pump device due to a drop or the like.
  • FIG. 2 is an external perspective view showing a mounting state of “0”.
  • FIG. 7 is a block diagram of an infusion pump.
  • FIG. 8 is a flowchart showing the procedure of use.
  • FIG. 9 (a) is a flowchart for explaining the operation for storing the date of occurrence of the impact force by the shock sensor 140.
  • FIG. 9 (b) is a flowchart for explaining the operation for storing the date and time when the impact force is generated by the shock sensor 140 when the power switch is off.
  • the peristaltic finger system is used.
  • the following description is based on the premise that the liquid is sent with high accuracy by eliminating the problem.
  • the present invention is not limited to this, and it is needless to say that the present invention can be appropriately applied to a conventional peristaltic finger-type infusion pump configured to perform peristaltic movement of the infusion tube by completely crushing the infusion tube.
  • FIG. 1 is a front view of the infusion pump 1 and shows an operation switch panel.
  • a state is shown in which the door base 4 (see FIG. 3) as a door means is closed after the infusion tube 2 is loaded so that the infusion can be started by operating the door lock lever 7.
  • the so-called 7-segment numeric display section shows “8” on the display, which indicates that numerical values, errors, “1”, etc. are displayed.
  • the main body base 3 having the peripheral shape is made of aluminum die-cast to ensure the required strength and accuracy, while the left side of the main body base 3 is placed on the door base 4 centering on rotation.
  • a key panel section 9 in which an operation switch is disposed on a door cosmetic cover 12b and a display section 8 are provided so as to be roughly classified by frame printing.
  • the key panel portion 9 and the display portion 8 have predetermined items printed on the back surface of the transparent resin film, and a resin film processed so as to project forward in a circular shape by embossing covers each key (not shown). It is provided by bonding as described above to prevent chemicals and the like from entering the inside.
  • Each of the above switches is mounted on a common substrate, and the substrate on which the liquid crystal display device of the display unit 8 is mounted is provided with a backlight so that the display can be easily viewed. I have.
  • Each switch key, display device, and lamps are connected to a control unit 200, which will be described later, via a flexible cable. Power supply, drive signals, and the like are transmitted from the cable, and a door decorative cover is transmitted.
  • the power supply for opening and closing the door base 4 provided with the 12b is configured to be able to be performed without any trouble.
  • the key panel section 9 and the display section 8 provided in the door base 4 handle only TTL level electric signals.
  • the power switch 15 located in the lower left corner of the figure is used to turn on and off the main power supply.
  • the power is turned on, and it is controlled so that the power is turned off by holding it down again for a predetermined time (about 2 seconds or more). Care is taken to prevent the power from being turned on and off carelessly.
  • the battery lamp 16 on the right next to this has a green light-emitting diode for displaying in three stages as shown in the figure. Lights when AC or dedicated DC power is connected to indicate that the battery is charging, regardless of whether the battery is turned off. Is displayed at three levels.
  • an AC / DC lamp 1 that is always lit only when the commercial power supply or the DC power supply is used and the power supply is ON.
  • a built-in buzzer sounds when pressed during the infusion, and a stop silence switch 18 for forcibly stopping the infusion is provided.
  • a start switch 19 associated with the start indicator lamp 20 by surrounding it with the same frame.By pressing the start switch 19, the built-in buzzer is activated. A beep sounds, the infusion operation starts, and the green light emitting diode of the start indicator lamp 20 flashes to indicate that it is operating.
  • an up-down switch 22 as a setting means is set so as to be at a position corresponding to the display digit of the expected flow rate display section 33 located below the display section 8 surrounded by the display section 8.
  • a total of six switches are provided, and the up and down switches corresponding to each digit of the up-down switch 22 can be set in the stopped state by pressing the up and down buttons, respectively, to set the flow rate and scheduled volume.
  • pressing the up / down switch 22 changes the display in units of 0.1 m LZ h or 1 m LZ h, and the flow setting range is from 0.1 for the minimum to 12 OO m LZ h for the maximum. It is programmed so that it can be set to.
  • the set volume setting range can be set in the range of 1 to 9999 mL by pressing the up and down buttons corresponding to each digit of the up-down switch 22, and can be set in 1 mL units. Or can be set to free It is programmed to store the set value.
  • an integrated amount remaining time display section 23 surrounded by a separate frame is provided, and the integrated amount of infusion or the remaining time until the completion of infusion is displayed. It is programmed to display in the unit of 0.1 mL or 1 mL so that the range is from 0.0 to 9999 mL.
  • the estimated flow rate display section 3 3 is an LED display
  • the accumulated amount remaining time display section 23 is composed of a liquid crystal display device as described above and cannot emit light.
  • a backlight 58 which is a lighting means, is provided in the background because it cannot be seen without lighting.
  • an alarm display section provided with various alarm characters is arranged so as to be surrounded by a separate frame printing. This alarm display section blinks the word "Complete” The number of drops set when connecting a drip probe (not shown) to the complete display section 24, which is displayed as, or one of the numbers "1 5" or "60".
  • a flow abnormality display part 37 in which the character of ⁇ flow abnormality '' blinks when the flow is abnormal when the drip probe is used, and a normal infusion when a blockage abnormality of the infusion tube 2 is detected
  • the ⁇ closed '' character flashes to prompt the user to take action.
  • the door switch 4 indicates the status.
  • the word "door” Bubble error display that flashes when a bubble of a predetermined length (5 mm) or more is mixed into the infusion tube 2 Part 28 and a battery flashing "battery" when the internal battery voltage drops
  • the abnormal display section 29 is provided so as to be surrounded by the same print frame as shown in the figure.
  • a light emitting diode that displays green in three levels: the high level of H, the middle level of M, and the low level of S
  • An obstruction pressure setting display section 30 arranged in the vertical direction as shown in FIG. 1 is provided, and a preset occlusion detection alarm pressure level is always lit and displayed.
  • These light emitting diodes are mounted on the same mounting board, and are supplied with power via the above-mentioned flexible cable.
  • the flow rate lamp 31 and the planned quantity lamp 32 provided above the above-mentioned planned flow rate display section 33 light up at the time of setting.
  • a scheduled flow rate switch 34 which is a flow rate setting means provided below the expected flow rate display section 33, is pressed when switching between the flow rate setting mode and the scheduled volume setting mode.
  • the accumulated time switch 35 below the expected flow rate switch 34 is switched every time the switch is pressed and released, and the accumulated time and the remaining time are switched and displayed on the accumulated time display section 23. If you hold down the key for more than the specified time (about 2 seconds), the buzzer sounds, the integrated amount is cleared to “0”, and the remaining time returns to the initial value.
  • a fast-forward switch 36 is provided below the accumulated remaining time switch 35, and the beeper sounds intermittently while the switch is pressed in a stopped state. Infusion with.
  • the door base 4 is made of aluminum die-cast similarly to the main body base 3, and has a curved surface, which is a design point, between the side and the front, and a convex operation indicator 6 on the upper surface. It is provided to protect Green inside of this operation indicator 6 A built-in light emitting diode that emits red light and lights according to the operating state. That is, it flashes green during liquid feeding and fast-forwarding. In addition, it flashes red when an alarm is issued, and alternately flashes green and red when the standby function described below is activated, so that a nurse or the like is notified that infusion can be started immediately.
  • FIG. 2 is an external perspective view of the infusion pump 1 as viewed from behind.
  • the body cover 1 2a On the back side of the infusion pump 1, the body cover 1 2a has an opening 12a-1 on the back side as shown in the figure, and is mounted on the back substrate 13 shown by the broken line in the figure.
  • the probe connector 53, the infusion set switch 54, and the display brightness switch 55 are configured so as to go outside through this opening.
  • a drip-proof cap 56 made of an elastomer is further provided to cover a connector that is not used, thereby preventing a chemical solution or the like from entering the inside of the apparatus.
  • the history switch 50 is pressed when switching between the normal mode and the history mode.
  • Fig. 3 is a sectional view of the infusion pump
  • Fig. 4 is an exploded view of the infusion pump.
  • the main body base 3 integrally has a vertically formed groove 3 m at a substantially central portion as shown in the figure, and the infusion tube 2 is set in the groove 3 m.
  • the pump mechanism 100 is designed to be detachable by removing a total of six screws 110 with a Phillips screwdriver approximately in the middle of the groove 3 m.
  • the pump mechanism 100 is taken out of the main body base 3 and washed with a predetermined detergent to wash out the chemical solution, so that the movement can be returned to normal.
  • each finger 1O-n provided in the pump mechanism 100 is injection-molded from a polyacetal resin material having excellent chemical resistance and chemical resistance, for example.
  • the main body base 3 is made of aluminum die-cast as described above, and the shape part 3 t for detachably accommodating the pump mechanism 100 shown by broken lines in the figure is attached to the above-mentioned jaw part 3 a. And are integrally formed.
  • the jaw 3a is formed to be the same as or slightly higher than the door base 4 to protect the door base.
  • the main body base 3 is a mounting base of each member, and the upper frame portion of the apparatus is formed by fixing an upper plate 111, which is an aluminum die-cast upper plate member, as shown in the figure. ing.
  • a rear plate 1 1 2 which is a rear member processed from an iron plate having a thickness of about 1 to 2 mm, has a screw hole in the upper plate 1 1 1 on a rear portion of the upper plate 1 1 1.
  • the provided mounting portion 111d is fixed with two screws 110 and forms a rear frame portion on the rear side of the device.
  • a lower plate 1 13 as a lower plate member is fixed between the lower portion of the main body base 3 and the rear plate 1 1 2 with screws 110 to form a bottom frame portion of the device. .
  • the main body base 3, the upper plate 111, the rear plate 112, and the lower plate 113 form a strong and closed main body frame.
  • the upper and lower and back plates and the protection plate 118 described later are configured so as to surround the built-in mechanism and the substrate with reference to the main body base 3 having sufficient strength. Ensure sufficient rigidity As a result, the mechanism, circuit board, and other parts can be protected in the event of a fall, while minimizing the effects of electromagnetic waves.
  • an eccentric cam-shaped portion corresponding to the above-mentioned finger 1O-n is integrally formed on the outer peripheral surface of the camshaft 102, and by ensuring the accuracy, an infusion tube with high dimensional accuracy can be used. For example, the flow rate accuracy is guaranteed within ⁇ 5%.
  • This integral camshaft 102 is formed of stainless steel such as SUS304.
  • the same reference numerals are given to the components already described, and the description thereof will be omitted. However, the backlight 58 (see FIG. 3) will not be described. 8 and the lower side of the door base 4 is protected by a jaw 3a.
  • the small radial bearings 120 of the fingers described later are camshafts 102 of the camshafts 102. It is configured to be in contact with the surface 102a.
  • the upper plate 111 is shaped to escape the toothed pulley 104, as shown in the figure, so that the upper plate 111 can be fixed while the shaft is fixed.
  • the camshaft 102 can be fixed even after it is assembled, so that an order mismatch does not occur.
  • the battery unit 1 16 has the shape shown in the figure and is fixed to the lower plate 113.
  • the flexible cable 63 extends from a main mounting board 14, which will be described later, and is configured such that a contact portion appears as shown in the figure through an opening of the main body base 3.
  • the main mounting board 14 which stores a program to be described later and performs predetermined control is provided with a plurality of connectors arranged upward as shown in the figure.
  • the main mounting board 14 which stores a program to be described later and performs predetermined control is provided with a plurality of connectors arranged upward as shown in the figure.
  • it is designed to be strong against external noise, and is used in operating rooms where many devices that generate noise are used. Use is possible.
  • FIG. 6 is an external perspective view showing a mounted state of a shock sensor 140 that detects an impact force by a built-in piezoelectric element when an impact load acts on the pump device due to a drop or the like. This shows that the weight detection in all XYZ directions can be performed by mounting the shock sensor 140 on the main mounting board 14 as shown in the figure.
  • a piezoelectric sensor that captures pressure as a change in an electric signal is applied to the X-axis along the left and right lateral directions of the pump device 1 and the front-back direction.
  • the shock sensor 140 By mounting and fixing the shock sensor 140 at an angle of ⁇ 1, ⁇ ⁇ ⁇ ⁇ 2 with respect to the Z direction and the Y direction along the vertical direction as shown in the figure, one shock sensor 140 The load applied in the vertical and horizontal directions can be detected.
  • the shock sensor 140 recognizes a shock when a shock detection signal is input, the detection method is recognized as a port input (shock sensor signal), and a shock warning is output from the control unit 200. Save (store) in history in the storage unit. The power to release the shock detection latch at the time of saving to the history and to display the shock sensor warning display in the history mode.For details, see the history function and the power to be described later. The mode switches to the reset mode, and the operation history and shock history are displayed together with the date and time.
  • a predetermined angle for example, 45 degrees
  • FIG. 7 is a block diagram of an infusion pump.
  • the main mounting board 14 is provided with a main central control unit 201a and a sub-central control unit 201b composed of a dedicated LSI to be the central processing unit 201.
  • the entire control unit (control means) 200 is configured.
  • a clock unit 203 that receives power for backup from a lithium battery 204 independent of the power supply of the pump device is connected to the central control unit 201, Timing is performed even when power is not supplied from either the power supply or the built-in battery. Further, as described above, the history switch 50 and the display brightness switch 55 provided on the back surface are directly connected to the main central control unit 201a.
  • the SRAM storage unit 205 directly connected to the main central control unit 201 a has a storage unit 206 for storing the set infusion volume and the planned volume, and a usage history unit 200 for storing the usage history. 7 and a shock history that stores the date and time of occurrence of the shock by the shock sensor 140 described above.
  • the external communication unit 211 consisting of the external communication terminal and the external communication circuit indicated by the dashed line is directly connected to the main central control unit 201a, allowing data collection using a personal computer. I have to.
  • the EEPROM 213 stores the set values required for the operation of the infusion pump, and the sub central control unit is the same as the dip switch 214, in which the switches can be set by switching as described later.
  • the nurse call connector 52 is connected to the nurse call circuit 215 so as to call the nurse in response to various alarms generated in the control unit 201.
  • the shock circuit 2 25 is connected to the shock sensor 140, and is generated by the shock sensor 140 for the control unit 201 when an impact force is applied due to the drop or rough handling of the infusion pump 1. By sending an impact generation signal of an impact due to a fall, etc., the date of occurrence of the impact force is stored.
  • a display control circuit 230 for displaying on the display unit 8 an infusion operation such as an infusion volume, an estimated infusion volume, and an infusion accumulated value is connected to the central control unit 201, which will be described later.
  • the display is performed based on the generated code.
  • the above-mentioned rotation detection sensor 108 is connected to a motor rotation detection circuit 231, which is connected to the central control unit 2 ⁇ 1, and outputs an output according to the rotation speed and rotation speed of the stepping motor 106. It is sent to the control unit 201.
  • a motor drive circuit 232 is connected between the stepping motor 106 and the central control unit 201 to drive the pump mechanism 100.
  • FIG. 8 is a flowchart showing a use procedure. In this figure, the case where the above-described infusion pump 1 is used for normal infusion will be described with reference to FIG.
  • step S1 After confirming the medical record or health condition of the patient to be infused, in step S1, an infusion bag containing a predetermined drug described later is hung from the stand, and the infusion tube 2 is connected to the infusion bag. To detect abnormal flow or free flow, connect an infusion probe (not shown) to the infusion probe connector 53, then switch the infusion set switch 54 according to the number of drops in the infusion tube 2, and Attach the probe to a drip tube (not shown).
  • step S2 while the door base 4 is kept open, the power switch 15 is pressed so as to be turned on for a predetermined time (about one second). Subsequently, in step S3, all indications flash three times. At the same time, check that the buzzer sounds and fingers 1 10-n move slightly. If these are not executed, it is judged as a failure and no further operation is performed.
  • step S3 the display characters of air bubbles, obstruction, doors, and blink on and off.
  • steps S 1 to S 4 described above the so-called initialization of the central control unit is performed.
  • step S5 the AC / DC lamp 17 is turned on.
  • step S5 the AC / DC lamp 17 is turned on.
  • the release lever 46 is pushed to release the tube clamp section 4f, then the infusion tube 2 is trimmed, and the infusion tube 2 is in the middle of the infusion tube / Tube holder 5
  • Door lock cover 7 provided with a door lock lever 7 which has been fixed to a and immediately set so that it does not bend into the groove 3 m of the body base 3, and has been moved to the unlocked state in advance 1 2 Rotate the door base 4 with b fixed to the body base 3 side, and move the lever 7 downward to fix the door to the base side.
  • step S7 the flow is set by pressing the upper or lower switch of the up / down switch 22 corresponding to each display digit of the expected flow rate display section 33, thereby setting the expected flow rate switch. 3 Press 4 to complete the setting of ⁇ / melon. At the same time, switch to the set amount setting mode.
  • step S 8 the expected flow rate display
  • step S9 Press the upper or lower key of the up-down switch 22 corresponding to each display digit of 3 to set the expected amount.
  • the clamp is opened in step S9, and the vein needle is punctured into the vein of the patient in step S10.
  • step S11 infusion is started by pressing the start switch 19 in step S11, and the operation indicator 6 flashes green in step S12. Then, in the following step S13, when the infusion of the predetermined volume is completed, the word "Complete" flashes. Subsequently, in step S14, the buzzer is turned on to notify the end of infusion. At this time, keep-in open function is activated and infusion is continued at 1 mL per hour. However, if the flow rate is lower than this, the infusion is continued at the set flow rate.
  • Step S15 by pressing the stop / mute switch 18 in step S15, the alarm is turned off in step S16. At this time, the keep-open function continues.
  • the stop mute switch 18 is pressed again in step S17, the operation indicator 6 turns off, the stop display lamp 21 flashes orange, and at the same time, the stop state is released with the keep-bane open function released.
  • Step S18 The above is the procedure of the basic operation, and the functions described later are activated by the start switch 19 of step S11 being triggered.
  • the analog-to-digital conversion data sent from the upstream occlusion sensor 61 at a predetermined cycle is detected a predetermined number of times (for example, three times) to obtain a moving average.
  • a predetermined cycle for example, 1 OO ms
  • the blockage detection circuit 235 determines the presence of blockage only when it is determined that the moving average is larger than the set blockage value.
  • the moving average means that the transmitted three data are successively updated at a period of 1 OOms to obtain an average.
  • the motor forced stop flag is set and the stepping motor 106 is forcibly stopped.
  • the “blocked” character of the blockage abnormal display section 26 is blinked to indicate that the blockage has occurred, and the processing ends.
  • the moving average is smaller than the blockage setting value.
  • the analog / digital conversion data sent from the upstream occlusion sensor 61 is lower than the set occlusion pressure, the first data sent from the downstream occlusion sensor 62 after being converted from analog to digital is next to the above data.
  • the downstream occlusion sensor 61 is turned on, and it is determined that the occlusion is in effect.
  • it is determined that the moving average is larger than the blockage set value, it is determined that blockage is present only when it is determined.
  • FIG. 9 (a) is a flow chart for explaining the operation for storing the date and time of occurrence of the impact force by the shock sensor 140 connected to the above-mentioned shock circuit 2 25.
  • FIG. This program starts when infusion pump 1 is started in step SI 1 of FIG.
  • FIG. 9 (b) is a flowchart for explaining the operation for storing the generation of the impact force by the shock sensor 140 when the power switch is in the off state.
  • step S42 the current date in step S42 is updated by receiving a signal from the power on in step S41.
  • This step S42 is repeatedly executed and temporarily stored, and the process returns to step S42 to wait for the execution of step S43 to update the current date.
  • the infusion pump 1 is dropped in step S43 by the shock sensor 140 fixed so as to have sensitivity with one sensor in the X ⁇ Z direction as described above. Or more than the specified impact force due to improper handling (G)
  • step S44 the date and time of the shock occurrence are stored and stored in the history.
  • step S45 the mode is switched to the history mode, and the date, time, and date of the shock occurrence in the shock history are displayed on the display unit 8 together with the operation history.
  • step S47 when the power switch is off, an impact detection signal is generated in step S47 due to the drop or improper handling of the infusion pump 1, and is recognized as a shock sensor signal. Then, only the fact that an impact force has been generated is stored, and the process proceeds to step S49 and ends.
  • the power switch is turned on, the impact generation is stored in the same manner as in FIG. 9 (a). .
  • the shock sensor 140 is set to detect a drop with a height difference equal to or more than a set height difference or the occurrence of a shock due to an external force equal to or more than a predetermined value.
  • the shock sensor built in stores the fact that an external force has been applied to the device, and can be used as information for maintenance and inspection. Further, it is possible to provide a medical device capable of realizing cost reduction by providing a single shock sensor with sensitivity to an external force acting in all directions.

Abstract

A medical apparatus has a shock sensor (140) built in a transfusion pump (1). The shock sensor (140) is so provided that the direction of its sensing axis is inclined with respect to all the directions along the X-Z plane parallel with a horizontal direction, the Y-Z plane parallel with a vertical direction and the Y-X direction parallel with a front-to-rear direction to secure the sensitivity for an external impact force in any direction. If an external impact force exceeding a predetermined value is detected by the shock sensor (140) and even if the power supply is off, the detection of the external impact force is stored and the history data is used as information for maintenance and inspection. Since the sensitivity for an external force exerted from any direction is provided to only one shock sensor, the reduction of the cost of the apparatus can be reduced.

Description

明細書  Specification
技術分野 Technical field
本発明は、 ショックセンサを本体に内蔵した医療機器に関する。 背景技術  The present invention relates to a medical device having a built-in shock sensor. Background art
従来より、 医療機器の内、 例えば輸液ポンプのように頻繁に移動 されて使用されることを前提とした医療機器では、 落下または緊急 時などにおいて思わず乱暴な取リ扱いにより衝撃的な外力が加わる ことがある。 そこで、 筐体を強固なものにするなどして対応してい る。  Conventionally, among medical devices, for example, medical devices that are supposed to be frequently moved and used, such as infusion pumps, a shocking external force is applied due to inadvertently rough handling when dropped or in an emergency Sometimes. Therefore, measures have been taken to strengthen the housing.
落下事故により、 その後の使用が不能となった場合には、 他の機 器に取り替えるなどして対応できるが、 多くの場合筐体が強固であ るなどの理由から、 外観上から異常の有無を判断してそのまま使用 することになる。 すなわち、 外観上において、 支障がない場合には そのまま使用してしまう。  If the device cannot be used anymore due to a fall accident, it can be dealt with by replacing it with another device.However, in many cases, there is no abnormality from the external appearance due to the strong housing. And use it as it is. In other words, if there is no problem in appearance, it is used as it is.
そこで、 ショクセンサ一を機器に内蔵することで、 落下事故をシ ョックセンサで検出して記録として残すことが必要となる。 このシ ョクセンサ一は長手方向の一方向のみ感度を有するので、 あらゆる 方向に作用する外力に対する感度を備えるようにするためには機器 の水平方向に沿う X - Z平面に沿う方向と、 機器の縦方向に沿う Y - Z平面に沿う方向と、 機器の前後方向に沿う Y - X平面に沿う全ての 方向に 3個のショックセンサを設けるとともに、 各ショックセンサ に増幅器を夫々配線するようにして構成する必要がある。  Therefore, by incorporating a shock sensor in the equipment, it is necessary to detect a fall accident with the shock sensor and record it. Since this shock sensor has sensitivity in only one longitudinal direction, in order to have sensitivity to external force acting in all directions, the direction along the X-Z plane along the horizontal direction of the device and the vertical direction of the device are required. Three shock sensors are provided in all directions along the Y-X plane along the Y-Z plane and along the front-back direction of the device, and amplifiers are wired to each shock sensor. There is a need to.
—方、 上記のように各ショックセンサを機器に内蔵しても、 機器 の電源がォフの状態となっている場合には、 ショックセンサは機能 することができないので、 電源オフ時に落下されると、 衝撃的な外 力が作用した場合に何ら履歴が残らないことになる。 —However, even if each shock sensor is built into the device as described above, If the power supply is off, the shock sensor cannot function, so if it is dropped when the power supply is turned off, no history will be recorded if a shocking external force is applied. Become.
しかしながら、 落下事故により、 外観上において支障がない場合 であっても、 また機器の電源がオフの状態となっている場合であつ てもショックセンサにより衝撃的な外力が作用した場合の履歴を残 す必要がある。  However, even if the appearance is not affected by a fall accident, and even if the power of the device is turned off, the history of the case where a shocking external force is applied by the shock sensor remains. Need to be
また、 上記のようにあらゆる方向に作用する外力に対する感度を 備えるようにするために機器の水平方向に沿う X - Z平面に沿う方向 と、 機器の縦方向に沿う Y - Z平面に沿う方向と、 機器の前後方向に 沿う Y - X平面に沿う全ての方向に 3個のショックセンサを設け、 さ らに各ショックセンサに増幅器を配線すると回路構成が非常にコス トアップしてしまう問題がある。  In order to provide sensitivity to external forces acting in all directions as described above, the direction along the X-Z plane along the horizontal direction of the device and the direction along the Y-Z plane along the vertical direction of the device However, if three shock sensors are provided in all directions along the Y-X plane along the front-rear direction of the device and an amplifier is connected to each shock sensor, there is a problem in that the circuit configuration becomes very costly.
したがって、 本発明は上記の問題点に鑑みてなされたものであり、 機器の電源がォフの状態となっている場合であってもショックセン サにより衝撃的な外力が作用した場合の履歴を記憶して、 保守■点 検時の情報とすることができ、 かつまた、 一つのショックセンサで あらゆる方向に作用する外力に対する感度を備えるようにしてコス 卜ダウンを実現できる医療機器の提供を目的としている。 発明の開示  Therefore, the present invention has been made in view of the above-described problems, and records a history of a case where a shocking external force is applied by a shock sensor even when the power of the device is off. The purpose is to provide a medical device that can be stored and used as information for maintenance inspections, and that can realize cost reduction by providing sensitivity to external forces acting in all directions with one shock sensor. And Disclosure of the invention
上述した課題を解決し、 目的を達成するために、 本発明によれば、 ショックセンサを本体に内蔵した医療機器であって、 前記本体の水 平方向に沿う X - Z平面に沿う方向と、 前記本体の縦方向に沿う Y - Z平面に沿う方向と、 前記本体の前後方向に沿う丫 - X平面に沿う全 ての方向に対して前記ショックセンサの感度軸方向を傾斜するよう に配設することで、 あらゆる方向に対する衝撃的外力の感度を確保 するとともに、 前記ショックセンサにより所定値以上の衝撃的外力 を検出したときに、 前記検出を記憶する記憶手段とを具備すること を特徴としている。 According to the present invention, there is provided a medical device incorporating a shock sensor in a main body, wherein the medical device has a shock sensor built in the main body, and a direction along an X-Z plane along a horizontal direction of the main body. The sensitivity axis direction of the shock sensor is inclined with respect to a direction along the Y-Z plane along the longitudinal direction of the main body and along all directions along the -X plane along the front-rear direction of the main body. And a storage means for storing the detection when the shock sensor detects a shock external force of a predetermined value or more by the shock sensor. Features.
また、 前記医療機器は、 蠕動式のポンプ機構を備えた輸液ポンプ であることを特徴としている。  The medical device is an infusion pump including a peristaltic pump mechanism.
そして、 前記記憶手段は、 前記電源がオン状態のときは、 所定値 以上の衝撃的外力を検出した年月日及び時間を複数分記憶し、 電源 がオフ状態のときは、 所定値以上の衝撃的外力を検出したことを複 数分記憶し、 かつまた表示部において表示することを特徴としてい る (?  When the power is on, the storage means stores a plurality of years, months, days, and times at which a shock external force equal to or greater than a predetermined value is detected. When the power is off, the shock equals or exceeds a predetermined value. It is characterized by storing multiple detections of external force and displaying it on the display unit.
尚、 上記の実施形態に限定されるものではなく、 例えばシンンジ ポンプ、 採血装置、 透析装置、 輸液装置、 血圧計、心電計、 脈拍計、 ォキシメータ、 胎児監視装置などの医療機器など、 本発明の要旨を 逸脱しない範囲の設計変更等があっても本発明に含まれることは言 うまでもない。 図面の簡単な説明  It should be noted that the present invention is not limited to the above embodiments, and may be applied to medical devices such as a singe pump, a blood collection device, a dialysis device, an infusion device, a sphygmomanometer, an electrocardiograph, a pulse meter, an oximeter, and a fetal monitoring device. It goes without saying that even if there is a design change or the like within a range not departing from the gist of the present invention, it is included in the present invention. BRIEF DESCRIPTION OF THE FIGURES
第 1図は 操作スィツチパネルを図示した輸液ポンプ 1の正面図 である。  FIG. 1 is a front view of an infusion pump 1 illustrating an operation switch panel.
第 2図は 輸液ポンプ 1 を背後から見た外観斜視図である。  FIG. 2 is an external perspective view of the infusion pump 1 as viewed from behind.
第 3図は 第 1図の X - X線矢視断面図である。  FIG. 3 is a sectional view taken along line X-X of FIG.
第 4図は 輸液ポンプの立体分解図である。  Figure 4 is an exploded view of the infusion pump.
第 5図は 輸液ポンプの分解斜視図である。  FIG. 5 is an exploded perspective view of the infusion pump.
第 6図は 落下などにより衝撃的な加重がポンプ装置に作用した ときに衝撃力を内蔵の圧電素子によリ検出するショックセンサ 1 4 0の取り付け状態を示した外観斜視図である。 Fig. 6 shows a shock sensor that detects the impact force using a built-in piezoelectric element when an impact load acts on the pump device due to a drop or the like. FIG. 2 is an external perspective view showing a mounting state of “0”.
第 7図は 輸液ポンプのブロック図である。  FIG. 7 is a block diagram of an infusion pump.
第 8図は 使用手順を示したフローチャートである。  FIG. 8 is a flowchart showing the procedure of use.
第 9図 (a ) はショックセンサ 1 4 0による衝撃力発生の発生年 月日時間を記憶する動作説明のフローチャートである。 第 9図 (b ) は、 電源スィッチがオフ状態におけるショックセンサ 1 4 0による 衝撃力発生の発生年月日時間を記憶する動作説明のフローチヤ一ト である。 発明を実施するための最良の形態  FIG. 9 (a) is a flowchart for explaining the operation for storing the date of occurrence of the impact force by the shock sensor 140. FIG. 9 (b) is a flowchart for explaining the operation for storing the date and time when the impact force is generated by the shock sensor 140 when the power switch is off. BEST MODE FOR CARRYING OUT THE INVENTION
以下に本発明の好適な実施形態について、 添付図面を参照して詳 細に説明する。 尚、 後述する説明ではペリスタリックフィンガー方 式であって、 各フィンガーで輸液チューブを上流側と下流側のみ完 全に潰し途中部位を完全に潰さないようにすることで輸液チューブ の肉厚の影響をなくし精度良く送液する方式を前提にして述べる。 また、 これに限定されず完全に潰すことで輸液チューブの蠕動運動 を行うように構成された従来からのペリスタリックフィンガ一方式 の輸液ポンプにも適宜適用可能なことも言うまでもない。  Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings. In the following description, the peristaltic finger system is used. The following description is based on the premise that the liquid is sent with high accuracy by eliminating the problem. Further, the present invention is not limited to this, and it is needless to say that the present invention can be appropriately applied to a conventional peristaltic finger-type infusion pump configured to perform peristaltic movement of the infusion tube by completely crushing the infusion tube.
第 1図は輸液ポンプ 1の正面図であり操作スィツチパネルを図示 している。 本図において、 輸液チューブ 2を装填した後にドア手段 であるドアべ一ス 4 (第 3図を参照) を閉じてドアロックレバ一 7 の操作によリ輸液が開始できるようにした状態が示されており、 ま た表示部は所謂 7セグメント数字表示部が全て 「8」 となる表示と なっているが、 これは数値及びエラ一、 「一」 などが表示されること を示している。  FIG. 1 is a front view of the infusion pump 1 and shows an operation switch panel. In this figure, a state is shown in which the door base 4 (see FIG. 3) as a door means is closed after the infusion tube 2 is loaded so that the infusion can be started by operating the door lock lever 7. In addition, the so-called 7-segment numeric display section shows “8” on the display, which indicates that numerical values, errors, “1”, etc. are displayed.
さて、 本図において、 輸液ポンプ 1の基部となるとともに本体外 周縁部形状部を形成した本体べ一ス 3はアルミダイキャス卜製であ り必要な強度と精度を確保する一方、 この本体ベース 3の左側を回 動中心としたドアべ一ス 4上に操作スィツチを図示のようにドア化 粧カバー 1 2 bに配設したキ一パネル部 9と、 表示部 8とが枠印刷 により大別するように設けられている。 これらキーパネル部 9と表 示部 8は透明樹脂フイルムの裏面において所定項目が印刷されると ともに、 エンボス加工により前方に円形に突起するように加工され た樹脂フイルムが不図示の各キーを覆うように接着により設けられ ており、 薬液などが内部に進入することを防止している。 By the way, in this figure, it becomes the base of the infusion pump 1 and The main body base 3 having the peripheral shape is made of aluminum die-cast to ensure the required strength and accuracy, while the left side of the main body base 3 is placed on the door base 4 centering on rotation. As shown in the figure, a key panel section 9 in which an operation switch is disposed on a door cosmetic cover 12b and a display section 8 are provided so as to be roughly classified by frame printing. The key panel portion 9 and the display portion 8 have predetermined items printed on the back surface of the transparent resin film, and a resin film processed so as to project forward in a circular shape by embossing covers each key (not shown). It is provided by bonding as described above to prevent chemicals and the like from entering the inside.
また、 上記の各スィッチキ一は共通の基板上に実装したものを使 用し、 また表示部 8の液晶表示装置を実装した基板にはバックライ 卜が設けられており、 表示が見え易いようにしている。 各スィッチ キーと表示装置及びランプ類は後述する制御部 2 0 0に対してフレ キシブルケーブルを介して接続されており、 このケーブルから電力 供給及び駆動信号等を伝達するようにして、 ドア化粧カバー 1 2 b を設けたドアベース 4の開閉にともなう電力供給が支障なく行える ように構成されている。 また、 このドアべ一ス 4に設けられるキ一 パネル部 9と表示部 8は T T Lレベルの電気信号のみ扱うようにし ている。  Each of the above switches is mounted on a common substrate, and the substrate on which the liquid crystal display device of the display unit 8 is mounted is provided with a backlight so that the display can be easily viewed. I have. Each switch key, display device, and lamps are connected to a control unit 200, which will be described later, via a flexible cable. Power supply, drive signals, and the like are transmitted from the cable, and a door decorative cover is transmitted. The power supply for opening and closing the door base 4 provided with the 12b is configured to be able to be performed without any trouble. In addition, the key panel section 9 and the display section 8 provided in the door base 4 handle only TTL level electric signals.
次に、 各スィッチの機能について述べると、 図示の左下隅に配設 される電源スィツチ 1 5はメイン電源の入 切に使用されるもので あり、 所定秒 (およそ 1秒以上) 押し続けることで、 電源オンとな り、 再度所定秒 (約 2秒以上) 押しつづけることで電源オフとなる ように制御されており、 不用意に電源オン、 オフができないように 配慮されている。 この右隣リのバッ亍リランプ 1 6は図示のように 3段階に表示する緑色発光ダイォ一ドを設けており、 電源のオン、 オフに関係なく交流または専用の直流電源を接続しているときに点 灯して、 充電中であることを知らせるようにしており、 充電中には 充電量をまた内蔵バッテリー使用中には残量を 3段階レベルで表示 するようにしている。 Next, the function of each switch will be described. The power switch 15 located in the lower left corner of the figure is used to turn on and off the main power supply. The power is turned on, and it is controlled so that the power is turned off by holding it down again for a predetermined time (about 2 seconds or more). Care is taken to prevent the power from being turned on and off carelessly. The battery lamp 16 on the right next to this has a green light-emitting diode for displaying in three stages as shown in the figure. Lights when AC or dedicated DC power is connected to indicate that the battery is charging, regardless of whether the battery is turned off. Is displayed at three levels.
このバッテリーランプ 1 6の上方には、 商用電源か直流電源を使 用しているときで、 電源がオンの時のみ、 常時点灯する交流直流ラ ンプ 1 フが設けられている。  Above the battery lamp 16, there is provided an AC / DC lamp 1 that is always lit only when the commercial power supply or the DC power supply is used and the power supply is ON.
続いて、 この上には輸液中に押すことで内蔵のブザーが鳴り、 輸 液を強制停止するための停止消音スィツチ 1 8が設けられている。  Subsequently, a built-in buzzer sounds when pressed during the infusion, and a stop silence switch 18 for forcibly stopping the infusion is provided.
また、 停止消音スィッチ 1 8の右隣りには開始表示ランプ 2 0と ともに同じ枠で囲むことで関連付けされた開始スィッチ 1 9が設け られており、 開始スィッチ 1 9を押すことで内蔵のブザーが鳴り、 輸液動作を開始し、 開始表示ランプ 2 0の緑色発光ダイォードが点 減して動作状態であることを表示する。  Also, to the right of the stop mute switch 18 is a start switch 19 associated with the start indicator lamp 20 by surrounding it with the same frame.By pressing the start switch 19, the built-in buzzer is activated. A beep sounds, the infusion operation starts, and the green light emitting diode of the start indicator lamp 20 flashes to indicate that it is operating.
これら各スィッチの上方には、 表示部 8で囲まれた下方に位置す る流量予定量表示部 3 3の表示桁に対応する位置になるように設定 手段であるアップダウンスィツチ 2 2が図示のように合計で 6個配 設されており、 これらアップダウンスィツチ 2 2の各桁数に対応し た上下ボタンを停止状態で夫々押すことで流量と予定量の設定を設 定できるようにしている。 このときアップダウンスィッチ 2 2を押 すことで 0 . 1 m L Z h、 又は 1 m L Z h単位で表示が変化し、 流 量設定範囲が最小の 0 . 1〜最大の 1 2 O O m L Z hに設定できる ようにプログラムされている。  Above each of these switches, an up-down switch 22 as a setting means is set so as to be at a position corresponding to the display digit of the expected flow rate display section 33 located below the display section 8 surrounded by the display section 8. As shown in the figure, a total of six switches are provided, and the up and down switches corresponding to each digit of the up-down switch 22 can be set in the stopped state by pressing the up and down buttons, respectively, to set the flow rate and scheduled volume. . At this time, pressing the up / down switch 22 changes the display in units of 0.1 m LZ h or 1 m LZ h, and the flow setting range is from 0.1 for the minimum to 12 OO m LZ h for the maximum. It is programmed so that it can be set to.
また、 予定量設定範囲は同じくアツプダウンスィツチ 2 2の各桁 数に対応した上下ボタンを押すことで、 1 〜 9 9 9 9 m Lの範囲で 設定可能であり、 1 m L単位で設定するかまたはフリーに設定でき るようにプログラムされており、 その設定値を記憶するように構成 されている。 Also, the set volume setting range can be set in the range of 1 to 9999 mL by pressing the up and down buttons corresponding to each digit of the up-down switch 22, and can be set in 1 mL units. Or can be set to free It is programmed to store the set value.
この流量予定量表示部 3 3の上方には別枠印刷で囲まれた積算量 残時間表示部 2 3が配設されており、 輸液された積算量または輸液 完了までの残り時間を、 積算量表示範囲が 0 . 0〜 9 9 9 9 m Lの 範囲となるように 0 . 1 m L、 又は 1 m L単位で表示するようにプ ログラムされている。 これらの流量予定量表示部 3 3は L E D表示 であるが、 積算量残時間表示部 2 3は上述のように液晶表示装置か ら構成されているので自己発光できないので、 夜間乃至暗い部屋で は照明なしでは見ることができないので照明手段であるバックライ ト 5 8が背後に設けられている。  Above the expected flow rate display section 3 3, an integrated amount remaining time display section 23 surrounded by a separate frame is provided, and the integrated amount of infusion or the remaining time until the completion of infusion is displayed. It is programmed to display in the unit of 0.1 mL or 1 mL so that the range is from 0.0 to 9999 mL. Although the estimated flow rate display section 3 3 is an LED display, the accumulated amount remaining time display section 23 is composed of a liquid crystal display device as described above and cannot emit light. A backlight 58, which is a lighting means, is provided in the background because it cannot be seen without lighting.
また、 積算量残時間表示部 2 3の上方には各種のアラーム文字を 設けたアラーム表示部が別枠印刷で囲まれるように配設されている このアラーム表示部は、 「完了」の文字を点滅で表示する完了表示部 2 4と、 点滴プローブ (不図示) の接続時において設定された滴数 である 「1 5」 と 「6 0」 のいずれかの数字を表示するようにした 滴数表示部 2 5と、 点滴プローブを使用したときの流量異常のとき に 「流量異常」 の文字が点滅するようにした流量異常表示部 3 7と、 輸液チューブ 2の閉塞異常が検出されて正常な輸液ができないとき に 「閉塞」 の文字が点滅するようにして処置を促す閉塞異常表示部 2 6と、 ドアべ一ス 4が本体ベース 3に対して完全に閉じていない ときにその状態をドアスィッチで検出されたときに、 「ドア」の文字 を点滅させるドア開き表示部 2フと、輸液チユーブ 2中に所定長( 5 m m ) 以上の長さの気泡が混入したときに 「気泡」 の印刷文字を点 滅表示するようにした気泡異常表示部 2 8と、 内蔵バッテリーの電 圧が低下したときに 「バッテリ」 を点滅表示するようにしたバッ亍 リ異常表示部 2 9とが図示のように同じ印刷枠で囲まれるようにし て設けられている。 In addition, above the accumulated amount remaining time display section 23, an alarm display section provided with various alarm characters is arranged so as to be surrounded by a separate frame printing. This alarm display section blinks the word "Complete" The number of drops set when connecting a drip probe (not shown) to the complete display section 24, which is displayed as, or one of the numbers "1 5" or "60". Part 25, a flow abnormality display part 37 in which the character of `` flow abnormality '' blinks when the flow is abnormal when the drip probe is used, and a normal infusion when a blockage abnormality of the infusion tube 2 is detected When the door cannot be closed, the `` closed '' character flashes to prompt the user to take action.When the door base 4 is not completely closed with respect to the main body base 3, the door switch 4 indicates the status. When detected, the word "door" Bubble error display that flashes when a bubble of a predetermined length (5 mm) or more is mixed into the infusion tube 2 Part 28 and a battery flashing "battery" when the internal battery voltage drops The abnormal display section 29 is provided so as to be surrounded by the same print frame as shown in the figure.
このアラーム表示部の左隣り側には、 輸液チューブ 2の閉塞検出 警報圧力レベルを 「H」 の高い、 「M」 の中間、 「し」 の低いの 3段 階で緑色表示する発光ダイォードを図示のように上下方向に配設し た閉塞圧設定表示部 3 0が設けられており、 予め設定された閉塞検 出警報圧力レベルを常時点灯表示するようにしている。 これら発光 ダイォードは同じ実装基板上に発光ダイォードが実装されており、 上記のフレキシブルケーブルを介して電力供給を受けるようにして いる。  On the left side of the alarm display section, a light emitting diode that displays green in three levels: the high level of H, the middle level of M, and the low level of S An obstruction pressure setting display section 30 arranged in the vertical direction as shown in FIG. 1 is provided, and a preset occlusion detection alarm pressure level is always lit and displayed. These light emitting diodes are mounted on the same mounting board, and are supplied with power via the above-mentioned flexible cable.
上記の流量予定量表示部 3 3の上方に設けられた流量ランプ 3 1 と予定量ランプ 3 2は、 設定時に点灯する。  The flow rate lamp 31 and the planned quantity lamp 32 provided above the above-mentioned planned flow rate display section 33 light up at the time of setting.
また、 流量予定量表示部 3 3の下方に設けられた流量設定手段で ある流量予定量スィツチ 3 4は、 流量設定モードと予定量設定モー ドの切換を行うときに押される。 また、 流量予定量スィッチ 3 4の 下方の積算残時間スィツチ 3 5は、 このスィツチを押して離すたび に積算量と残り時間が切換えられて積算量残時間表示部 2 3で表示 される。 そして、 所定秒 (約 2秒間) 以上押しつづけるとブザーが 鳴り、 積算量が「0」 にクリアされ、 残り時間は初期値に戻る。 こ の積算残時間スイツチ 3 5の下方には早送りスィッチ 3 6が設けら れており、 停止状態でこのスィッチを押している間、 断続的にブザ 一が鳴り 5 0 O m L Z h以上での流量で輸液する。  Further, a scheduled flow rate switch 34, which is a flow rate setting means provided below the expected flow rate display section 33, is pressed when switching between the flow rate setting mode and the scheduled volume setting mode. The accumulated time switch 35 below the expected flow rate switch 34 is switched every time the switch is pressed and released, and the accumulated time and the remaining time are switched and displayed on the accumulated time display section 23. If you hold down the key for more than the specified time (about 2 seconds), the buzzer sounds, the integrated amount is cleared to “0”, and the remaining time returns to the initial value. A fast-forward switch 36 is provided below the accumulated remaining time switch 35, and the beeper sounds intermittently while the switch is pressed in a stopped state. Infusion with.
また、 ドアべ一ス 4は本体べ一ス 3と同様にアルミダイキャスト 製であり、 デザイン上のポイントとなる曲面を側面と前面の間に形 成するとともに、 上面において凸状の動作インジケータ 6を保護す るように設けられている。 この動作ィンジケータ 6の内部には緑色 と赤色に発光する発光ダイォードが内蔵されており、 動作状態に応 じて点灯する。 すなわち、 送液中と早送り中は緑色に点滅する。 ま た、 警報時は赤色点滅し、 後述するスタンバイ機能が働いている時 は、 緑色と赤色に交互に点滅することで、 輸液を即座に開始できる 状態であることをナース他に知らせる。 The door base 4 is made of aluminum die-cast similarly to the main body base 3, and has a curved surface, which is a design point, between the side and the front, and a convex operation indicator 6 on the upper surface. It is provided to protect Green inside of this operation indicator 6 A built-in light emitting diode that emits red light and lights according to the operating state. That is, it flashes green during liquid feeding and fast-forwarding. In addition, it flashes red when an alarm is issued, and alternately flashes green and red when the standby function described below is activated, so that a nurse or the like is notified that infusion can be started immediately.
次に、 第 2図は輸液ポンプ 1を背後から見た外観斜視図である。 この輸液ポンプ 1の背面において、 本体化粧カバ一 1 2 aは裏面 において開口部 1 2 a - 1を図示のように形成しており、 図中の破線 図示の裏面基板 1 3上に実装された外部通信接続コネクタ 4 8とヒ ユーズホルダ 3 9と交流電源コネクタ (レセプタクル) 4 9とメイ ン実装基板 1 4上に実装されたヒストリースィツチ 5 0と直流コネ クタ 5 1 とナースコールコネクタ 5 2と点滴プローブ接続コネクタ 5 3と輸液セッ トスイッチ 5 4と表示明るさスィツチ 5 5とがこの 開口部を介して外部に出るように構成されている。 また、 図示のよ うにエラストマ製の防滴キャップ 5 6がさらに設けられており、 使 用されない各コネクタにカバーを被せるようにして薬液等が装置内 部に進入することを防止している。  Next, FIG. 2 is an external perspective view of the infusion pump 1 as viewed from behind. On the back side of the infusion pump 1, the body cover 1 2a has an opening 12a-1 on the back side as shown in the figure, and is mounted on the back substrate 13 shown by the broken line in the figure. External communication connector 48, fuse holder 39, AC power supply connector (receptacle) 49, history switch 50 mounted on main mounting board 14, DC connector 51, nurse call connector 52, and drip The probe connector 53, the infusion set switch 54, and the display brightness switch 55 are configured so as to go outside through this opening. Further, as shown in the figure, a drip-proof cap 56 made of an elastomer is further provided to cover a connector that is not used, thereby preventing a chemical solution or the like from entering the inside of the apparatus.
ヒス トリ一スィツチ 5 0は、 通常モードとヒストリーモ一ドを交 互に切り換えるときに押される。  The history switch 50 is pressed when switching between the normal mode and the history mode.
第 3図は輸液ポンプの断面図、 第 4図は輸液ポンプの立体分解図で ある。 Fig. 3 is a sectional view of the infusion pump, and Fig. 4 is an exploded view of the infusion pump.
第 3図から第 5図において、 本体ベース 3は図示のように略中央 部において上下方向に形成される溝部 3 mを一体形成しており、 こ の溝部 3 m内に輸液チューブ 2をセッ卜するようにしている。 また、 この溝部 3 mの略中間部位には合計で 6個のネジ 1 1 0をプラスド ライバーで取り外すことで着脱可能に構成されたポンプ機構 1 0 0 が設けられており、 ポンプ機構 1 0 0を本体ベース 3から取り出し、 所定洗剤で洗浄することで薬液を洗い流し、 動きが正常に復帰でき るように構成されている。 このためにポンプ機構 1 0 0に設けられ る各フィンガ 1 O - nは、 耐薬液、 薬品性に優れる、 例えばポリアセ タール樹脂材料から射出成形されている。 In FIGS. 3 to 5, the main body base 3 integrally has a vertically formed groove 3 m at a substantially central portion as shown in the figure, and the infusion tube 2 is set in the groove 3 m. I am trying to do it. The pump mechanism 100 is designed to be detachable by removing a total of six screws 110 with a Phillips screwdriver approximately in the middle of the groove 3 m. The pump mechanism 100 is taken out of the main body base 3 and washed with a predetermined detergent to wash out the chemical solution, so that the movement can be returned to normal. For this reason, each finger 1O-n provided in the pump mechanism 100 is injection-molded from a polyacetal resin material having excellent chemical resistance and chemical resistance, for example.
次に、 第 1図の X - X線矢視断面図である第 3図において各機構及 び基板の配置について、 第 4図を参照しながら述べる。 まず、 本体 ベース 3は上記のようにアルミダイキャス卜製であって、 図中の破 線図示のポンプ機構 1 0 0を着脱可能に収容するための形状部 3 t を上記の顎部 3 aとともに一体形成している。 この顎部 3 aはドア ベース 4と同じかやや高く成形されており、 ドアべ一スを保護して いる。 また、 本体べ一ス 3は各部材の取り付け基部となっており、 アルミダイキャスト製の上板部材である上プレート 1 1 1 を図示の ように固定することで装置の上面フレーム部分を形成している。 ま た、 この上プレート 1 1 1の背面部分には厚さ 1 ~ 2 m m前後の鉄 板から加工される背面部材である背面プレー卜 1 1 2が、 上プレー ト 1 1 1のネジ孔を設けた取付け部 1 1 1 dにおいて 2本のネジ 1 1 0で固定されており装置背面側の背面フレーム部分を形成してい る。 また、 本体ベース 3の下方部分と背面プレート 1 1 2の間には 下板部材である下プレート 1 1 3がネジ 1 1 0により固定されてお り、 装置の底面フレーム部分を形成している。 こうして、 本体べ一 ス 3と上プレート 1 1 1 と背面プレー卜 1 1 2と下プレート 1 1 3 により頑丈な閉構造の本体フレームが形成されている。  Next, the arrangement of each mechanism and the substrate in FIG. 3, which is a cross-sectional view taken along line XX of FIG. 1, will be described with reference to FIG. First, the main body base 3 is made of aluminum die-cast as described above, and the shape part 3 t for detachably accommodating the pump mechanism 100 shown by broken lines in the figure is attached to the above-mentioned jaw part 3 a. And are integrally formed. The jaw 3a is formed to be the same as or slightly higher than the door base 4 to protect the door base. The main body base 3 is a mounting base of each member, and the upper frame portion of the apparatus is formed by fixing an upper plate 111, which is an aluminum die-cast upper plate member, as shown in the figure. ing. In addition, a rear plate 1 1 2, which is a rear member processed from an iron plate having a thickness of about 1 to 2 mm, has a screw hole in the upper plate 1 1 1 on a rear portion of the upper plate 1 1 1. The provided mounting portion 111d is fixed with two screws 110 and forms a rear frame portion on the rear side of the device. In addition, a lower plate 1 13 as a lower plate member is fixed between the lower portion of the main body base 3 and the rear plate 1 1 2 with screws 110 to form a bottom frame portion of the device. . In this way, the main body base 3, the upper plate 111, the rear plate 112, and the lower plate 113 form a strong and closed main body frame.
以上のように、 十分な強度を有する本体ベース 3を基準として上 下と背面のプレートおよび、 後述する保護板 1 1 8とで、 内蔵され る機構と基板とを取り囲むように構成することで、 十分な剛性を確 保してあることから、 万が一の落下時において機構と回路基板他を 保護できるとともに、 電磁波などの影響を最小にできるようにして いる。 As described above, the upper and lower and back plates and the protection plate 118 described later are configured so as to surround the built-in mechanism and the substrate with reference to the main body base 3 having sufficient strength. Ensure sufficient rigidity As a result, the mechanism, circuit board, and other parts can be protected in the event of a fall, while minimizing the effects of electromagnetic waves.
また、 カムシャフト 1 0 2の外周面には上記のフィンガ一1 O - n に相当する偏芯カム形状部が一体加工されており、 精度を確保する ことで、 寸法精度の良い輸液チューブを用いれば、 例えば流量精度 ± 5 %以内を保証している。 この一体型カムシャフト 1 0 2は、 S U S 3 0 4などのステンレス鋼で形成されている。  Also, an eccentric cam-shaped portion corresponding to the above-mentioned finger 1O-n is integrally formed on the outer peripheral surface of the camshaft 102, and by ensuring the accuracy, an infusion tube with high dimensional accuracy can be used. For example, the flow rate accuracy is guaranteed within ± 5%. This integral camshaft 102 is formed of stainless steel such as SUS304.
ドアべ一ス 4側の構成については、 既に説明済みの構成部品につ いては同様の符号を附して説明を割愛するが、バックライ 卜 5 8 (第 3図を参照) は上記の表示部 8の背後に配設されており、 またドア ベース 4の下側は顎部 3 aで保護される位置関係となっている。 また、 上記のポンプ機構 1 0 0は形状部 3 tに対して 6本のネジ 1 1 0で固定された後には、 後述するフィンガーの小型ラジアルべ ァリング 1 2 0がカムシャフ卜 1 0 2のカム面 1 0 2 aに当接する 状態になるように構成されている。 また、 上プレート 1 1 1は図示 のように歯付きプーリ 1 0 4を逃げる形状となっており、 力厶シャ フトを固定した状態で上プレート 1 1 1 を固定できるようにして組 み立て時においてカムシャフト 1 0 2を組み立て後でも固定できる ようにして、 順番の不整合が生じないようにしている。 バッテリー ユニッ ト 1 1 6は図示のような形状であり下プレー卜 1 1 3に固定 される。 一方、 フレキシブルケーブル 6 3は後述するメイン実装基 板 1 4から延設されており、 本体ベース 3の開口部を通過して接点 部が図示のように現れるように構成されている。  Regarding the configuration of the door base 4 side, the same reference numerals are given to the components already described, and the description thereof will be omitted. However, the backlight 58 (see FIG. 3) will not be described. 8 and the lower side of the door base 4 is protected by a jaw 3a. After the pump mechanism 100 is fixed to the shape portion 3 t with six screws 110, the small radial bearings 120 of the fingers described later are camshafts 102 of the camshafts 102. It is configured to be in contact with the surface 102a. The upper plate 111 is shaped to escape the toothed pulley 104, as shown in the figure, so that the upper plate 111 can be fixed while the shaft is fixed. In this case, the camshaft 102 can be fixed even after it is assembled, so that an order mismatch does not occur. The battery unit 1 16 has the shape shown in the figure and is fixed to the lower plate 113. On the other hand, the flexible cable 63 extends from a main mounting board 14, which will be described later, and is configured such that a contact portion appears as shown in the figure through an opening of the main body base 3.
以上のようにして、 ネジ 1 1 0を用いて組み立てられて第 5図に 図示の外観斜視図のように組み立てられる。 また、 後述するプログラムを記憶するとともに所定制御を司るメ ィン実装基板 1 4は図示のように上方に向かうように配設された複 数のコネクタを設けており、 このメイン実装基板 1 4は、 接地バタ ーンを広く設定したり、 各電子部品の実装パターンを配慮すること で外部ノイズに対して強くなるように配慮されており、 ノイズ発生 のともなう機器が多数使用される手術室内での使用を可能にしてい る。 As described above, it is assembled using the screws 110 and assembled as shown in the external perspective view shown in FIG. The main mounting board 14 which stores a program to be described later and performs predetermined control is provided with a plurality of connectors arranged upward as shown in the figure. In addition, by setting a wide grounding pattern and by considering the mounting pattern of each electronic component, it is designed to be strong against external noise, and is used in operating rooms where many devices that generate noise are used. Use is possible.
第 6図は、 落下などにより衝撃的な加重がポンプ装置に作用した ときに衝撃力を内蔵の圧電素子により検出するショックセンサ 1 4 0の取り付け状態を示した外観斜視図であって、 1個のショックセ ンサ 1 4 0を上記のメイン実装基板 1 4に図示のように実装するこ とで X Y Z方向全ての加重検出が行えることを示している。  FIG. 6 is an external perspective view showing a mounted state of a shock sensor 140 that detects an impact force by a built-in piezoelectric element when an impact load acts on the pump device due to a drop or the like. This shows that the weight detection in all XYZ directions can be performed by mounting the shock sensor 140 on the main mounting board 14 as shown in the figure.
すなわち、 ショックセンサ 1 4 0がその長手方向に感度を有する 場合であって、 圧力を電気信号の変化として捕らえる圧電センサを、 ポンプ装置 1の左右の横方向に沿う X軸と、 前後方向に沿う Z方向 と、 上下方向に沿う Y方向に対して図示のように角度、 Θ 1 、 Θ 2 となる傾斜状態でショックセンサ 1 4 0を実装固定することで、 1 個のショックセンサ 1 4 0で上下左右前後方向に加わった荷重検出 を行うことができるようになる。  That is, when the shock sensor 140 has sensitivity in the longitudinal direction, a piezoelectric sensor that captures pressure as a change in an electric signal is applied to the X-axis along the left and right lateral directions of the pump device 1 and the front-back direction. By mounting and fixing the shock sensor 140 at an angle of 、 1, に 対 し て 2 with respect to the Z direction and the Y direction along the vertical direction as shown in the figure, one shock sensor 140 The load applied in the vertical and horizontal directions can be detected.
このように 1個のショックセンサ 1 4 0により全ての方向の加重 検出すると各方向の感度は傾斜角度分少なくなるが、 ショックセン サ 1 4 0に接続される増幅回路なども 1個でよいのでコストダウン に貢献できる。  In this way, when the weight in all directions is detected by one shock sensor 140, the sensitivity in each direction is reduced by the tilt angle, but only one amplifier circuit etc. connected to the shock sensor 140 is required. It can contribute to cost reduction.
ショックセンサ 1 4 0の傾斜角度 Θ 1 、 Θ 2が夫々所定角度 (例 えば 4 5度) となるように設ければ、 すべての方向の加重が検出で き、 コストダウンも達成できる。 このショクセンサ 1 4 0では衝撃検知信号が入力したときに、 ショ ックを認識するようにしており、 検出方法はポート入力 (ショック センサ信号) として認識され、 ショック警告は制御部 2 0 0の記憶 部にヒス トリ (履歴) に保存 (記憶) する。 ヒス トリに保存した時 点でショック検知のラッチを解除するとともに、 ヒストリモード時 にショックセンサ警告表示を行なう力 その詳細はヒストリ一機能 ととともに後述する力 ヒストリ一スィッチ 5 0を押すと、 ヒス卜 リ一モードに切り換わり、 運転動作履歴とともにショック履歴を日 時とともに表示する。 If the inclination angles Θ 1 and Θ 2 of the shock sensor 140 are set to be a predetermined angle (for example, 45 degrees), weights in all directions can be detected, and cost reduction can be achieved. The shock sensor 140 recognizes a shock when a shock detection signal is input, the detection method is recognized as a port input (shock sensor signal), and a shock warning is output from the control unit 200. Save (store) in history in the storage unit. The power to release the shock detection latch at the time of saving to the history and to display the shock sensor warning display in the history mode.For details, see the history function and the power to be described later. The mode switches to the reset mode, and the operation history and shock history are displayed together with the date and time.
次に、 第 7図は輸液ポンプのブロック図である。 本図において、 上記のメイン実装基板 1 4には中央処理部 2 0 1 となる専用 L S I からなるメイン中央制御部 2 0 1 aとサブ中央制御部 2 0 1 bが実 装されており、 この中央制御部 2 0 1に対して図示のような各回路 構成を接続することで制御部 (制御手段) 2 0 0の全体を構成して いる。  Next, FIG. 7 is a block diagram of an infusion pump. In this figure, the main mounting board 14 is provided with a main central control unit 201a and a sub-central control unit 201b composed of a dedicated LSI to be the central processing unit 201. By connecting each circuit configuration as shown to the central control unit 201, the entire control unit (control means) 200 is configured.
第 7図の左上からポンプ装置の電源とは独立したリチウム電池 2 0 4によるバックアツプ用の電力供給を受けるようにした時計部 2 0 3が中央制御部 2 0 1に接続されており、 外部電源、 内蔵バッ亍 リのいずれからも電力供給されない場合でも、 計時を行うようにし ている。 また、 上述したように裏面に配設されるヒス トリ一スイツ チ 5 0と表示明るさスィッチ 5 5とはメイン中央制御部 2 0 1 aに 直に接続されている。  From the upper left of FIG. 7, a clock unit 203 that receives power for backup from a lithium battery 204 independent of the power supply of the pump device is connected to the central control unit 201, Timing is performed even when power is not supplied from either the power supply or the built-in battery. Further, as described above, the history switch 50 and the display brightness switch 55 provided on the back surface are directly connected to the main central control unit 201a.
メイン中央制御部 2 0 1 aに直に接続される S R A M記憶部 2 0 5は、 設定された輸液量と予定量を記憶する記憶部 2 0 6と、 使用 履歴を記憶する使用ヒストリ部 2 0 7と、 上記のショックセンサ 1 4 0による衝撃の発生年月日及び時間を記憶するショックヒス トリ 部 2 0 8と、 閉塞状態が発生したときに閉塞を記憶する閉塞記憶部 2 0 9と、 ガンマ量や時間を記憶するその他の記憶部 2 1 0とから 構成されており、 記憶を行えるようにしている。 The SRAM storage unit 205 directly connected to the main central control unit 201 a has a storage unit 206 for storing the set infusion volume and the planned volume, and a usage history unit 200 for storing the usage history. 7 and a shock history that stores the date and time of occurrence of the shock by the shock sensor 140 described above. A storage unit 209 for storing a blockage when a blockage state occurs, and another storage unit 210 for storing a gamma amount and time, so that storage can be performed. I have to.
破線で囲うように示した外部通信端子と外部通信回路から構成さ れる外部通信部 2 1 1 はメイン中央制御部 2 0 1 aに直に接続され ることで、 パソコンを用いたデータ収集を可能にしている。  The external communication unit 211 consisting of the external communication terminal and the external communication circuit indicated by the dashed line is directly connected to the main central control unit 201a, allowing data collection using a personal computer. I have to.
E E P R O M 2 1 3は輸液ポンプの動作に必要となる設定値を記 憶しており、 スィッチを後述のように切換えるようにして設定でき るようにしたディップスィッチ 2 1 4と同じにサブ中央制御部 2 0 1 bに接続されている。 ナ一スコールコネクタ 5 2はナ一スコール 回路 2 1 5に接続されており、 制御部 2 0 1 において発生される各 種アラームに応じて、 ナースへの呼び出しを行うようにしている。  The EEPROM 213 stores the set values required for the operation of the infusion pump, and the sub central control unit is the same as the dip switch 214, in which the switches can be set by switching as described later. Connected to 201b. The nurse call connector 52 is connected to the nurse call circuit 215 so as to call the nurse in response to various alarms generated in the control unit 201.
ショック回路 2 2 5はショックセンサ 1 4 0に接続されており、 輸液ポンプ 1の落下ないし乱暴な取り扱いなどで衝撃力が作用した ときに制御部 2 0 1に対してショックセンサ 1 4 0で発生した落下 などによる衝撃の衝撃発生信号を送るようにして、 衝撃力発生の発 生年月日時間を記憶するようにしている。  The shock circuit 2 25 is connected to the shock sensor 140, and is generated by the shock sensor 140 for the control unit 201 when an impact force is applied due to the drop or rough handling of the infusion pump 1. By sending an impact generation signal of an impact due to a fall, etc., the date of occurrence of the impact force is stored.
次に、 輸液量と輸液予定量および輸液累積値など、 輸液動作に関 する表示を表示部 8において行うための表示制御回路 2 3 0が中央 制御部 2 0 1に接続されており、 後述のように発生するコードに基 づき表示を行うようにしている。 上記の回転検出センサ 1 0 8には 中央制御部 2◦ 1 に接続されるモータ回転検出回路 2 3 1が接続さ れており、 ステッピングモータ 1 0 6の回転数、 回転速度に応じた 出力を制御部 2 0 1に送るようにしている。 上記のステッピングモ —タ 1 0 6と中央制御部 2 0 1の間にはモータ駆動回路 2 3 2が接 続されており、 ポンプ機構 1 0 0の駆動を行うようにしている。 次に、 第 8図は、 使用手順を示したフローチャートである。 本図 において、 上述した輸液ポンプ 1を通常の輸液に用いる場合につい て第 1図を参照しながら述べる。 Next, a display control circuit 230 for displaying on the display unit 8 an infusion operation such as an infusion volume, an estimated infusion volume, and an infusion accumulated value is connected to the central control unit 201, which will be described later. The display is performed based on the generated code. The above-mentioned rotation detection sensor 108 is connected to a motor rotation detection circuit 231, which is connected to the central control unit 2◦1, and outputs an output according to the rotation speed and rotation speed of the stepping motor 106. It is sent to the control unit 201. A motor drive circuit 232 is connected between the stepping motor 106 and the central control unit 201 to drive the pump mechanism 100. Next, FIG. 8 is a flowchart showing a use procedure. In this figure, the case where the above-described infusion pump 1 is used for normal infusion will be described with reference to FIG.
輸液が行われる患者のカルテ、 ないし健康状態を確認した後に、 ステップ S 1において後述する所定薬剤入りの輸液バッグをスタン ドに吊設するとともに、 輸液チューブ 2を輸液バッグに接続する。 また、 流量異常やフリーフローを検出したい場合は、 点滴プローブ (不図示) を点滴プローブ接続コネクタ 5 3に接続した後、 輸液セ ットスィツチ 5 4を輸液チューブ 2の滴数に合わせて切り替えて、 点滴プローブを点滴筒 (不図示) に装着する。 次に、 ステップ S 2では、 ドアベース 4を開いたままで、 電源スィッチ 1 5を所定秒 (約 1秒間) オンするように押す。 これに続き、 ステップ S 3では 全ての表示が 3回点滅する。 また、 同時にブザーが鳴り、 フィンガ 一 1 0— nが少し動くことを確認する。 これらが実行されない場合 は、 故障と判断して、 それ以降の操作は行わない。 ステップ S 3に 続いて、 ステップ S 4では、 気泡、 閉塞、 ドア、 の表示文字が点滅 するので、 これを確認する。  After confirming the medical record or health condition of the patient to be infused, in step S1, an infusion bag containing a predetermined drug described later is hung from the stand, and the infusion tube 2 is connected to the infusion bag. To detect abnormal flow or free flow, connect an infusion probe (not shown) to the infusion probe connector 53, then switch the infusion set switch 54 according to the number of drops in the infusion tube 2, and Attach the probe to a drip tube (not shown). Next, in step S2, while the door base 4 is kept open, the power switch 15 is pressed so as to be turned on for a predetermined time (about one second). Subsequently, in step S3, all indications flash three times. At the same time, check that the buzzer sounds and fingers 1 10-n move slightly. If these are not executed, it is judged as a failure and no further operation is performed. After step S3, in step S4, the display characters of air bubbles, obstruction, doors, and blink on and off.
以上のス亍ップ S "1から 4で上記の中央制御部の所謂初期化が行 なわれる。  In steps S 1 to S 4 described above, the so-called initialization of the central control unit is performed.
続く、 ステップ S 5では、 交流直流ランプ 1 7が点灯される。 ま た、プローブを使用する場合には輸液セットの滴数表示部 2 5の n In step S5, the AC / DC lamp 17 is turned on. When using a probe, set the n
5」 または 「6 0」 のいずれかの文字を表示することで、 点滴プロ ーブが正常に接続されたことを知らせる。 An indication of either a “5” or “60” indicates that the IV probe has been successfully connected.
次のステップ S 6では、 解除レバー 4 6を押して、 チューブクラ ンプ部 4フを解除した後に、 輸液チューブ 2のプラインミングを行 し、、 輸液チュ一ブ 2の輸液/ \ッグからの途中部位をチューブホルダ 5 aに固定し本体べ一ス 3の溝部 3 m内に曲がらないようにまつす ぐにセッ卜して、 予め非係止状態に移動しているドアロックレバ一 7を設けたドア化粧カバ一 1 2 bを固定したドアべ一ス 4を本体べ —ス 3側に回動するようにして、 レバー 7を下方に移動してドアを ベース側に固定する。 以上で輸液チューブ 2のセッ トが終了したの で、 続いて閉塞圧を 3段階のいずれかに設定するために流量予定量 スィッチ 3 3を押し続けながら、 同時にアップダウンスィッチ 2 2 の右下側のキーを押すと、 流量予定量表示部 3 3に 「P r E S」 と 表示されて、 閉塞圧の設定モードになるので、 そのまま流量予定量 スィッチ 3 3を押し続けながら、 同時にアップダウンスィッチ 2 2 の下側中央のキーを押すたびに、 圧力レベルが 3段階に切り換わる ので、 所望の閉塞圧の点灯により閉塞圧を設定する。 In the next step S6, the release lever 46 is pushed to release the tube clamp section 4f, then the infusion tube 2 is trimmed, and the infusion tube 2 is in the middle of the infusion tube / Tube holder 5 Door lock cover 7 provided with a door lock lever 7 which has been fixed to a and immediately set so that it does not bend into the groove 3 m of the body base 3, and has been moved to the unlocked state in advance 1 2 Rotate the door base 4 with b fixed to the body base 3 side, and move the lever 7 downward to fix the door to the base side. Now that the infusion tube 2 has been set, continue to hold down the planned flow rate switch 3 3 to set the occlusion pressure to one of three levels, and at the same time, the lower right side of the up-down switch 2 2 When the key is pressed, “Pr ES” is displayed on the expected flow rate display section 3 3 and the blockage pressure setting mode is set. While holding down the expected flow rate switch 3 3, simultaneously press the up / down switch 2 Each time the lower center key of 2 is pressed, the pressure level switches in three steps. Set the desired occlusion pressure by lighting the desired occlusion pressure.
次に、 ステップ S 7に進み、 流量予定量表示部 3 3の各表示桁に 対応したアップダウンスィツチ 2 2の上下いずれかのキーを押すこ とで、 流量の設定を行ない、 流量予定量スィッチ 3 4を押して^ /瓜. の設定が終了するとともに、 予定量設定モ一ドに切り換わる。  Next, proceeding to step S7, the flow is set by pressing the upper or lower switch of the up / down switch 22 corresponding to each display digit of the expected flow rate display section 33, thereby setting the expected flow rate switch. 3 Press 4 to complete the setting of ^ / melon. At the same time, switch to the set amount setting mode.
このステップ Sフに続き、 ステップ S 8では流量予定量表示部 3 Following this step S step, in step S 8 the expected flow rate display
3の各表示桁に対応したァップダウンスィッチ 2 2の上下いずれか のキーを押すことで、 予定量の設定を行う。 以上の設定の後に、 ステップ S 9においてクレンメを開いて、 ステップ S 1 0で患者の 静脈に静脈針を穿刺する。 Press the upper or lower key of the up-down switch 22 corresponding to each display digit of 3 to set the expected amount. After the above settings, the clamp is opened in step S9, and the vein needle is punctured into the vein of the patient in step S10.
この後に、 ステップ S 1 1 において開始スィッチ 1 9を押すこと で輸液が開始されて、 ステップ S 1 2において動作インジケータ 6 の緑色の点滅が行われる。 そして、 続くステップ S 1 3では、 予定 量の輸液が完了すると 「完了」 の文字が点滅表示される。 これに続 きステップ S 1 4では、 ブザーがオンされて輸液終了を知らせる。 このときキープべインオープン機能が働き時間当たり 1 m Lで輸液 が継続される。 ただし、 これ以下の流量の場合にはその設定流量で 輸液が継続される。 Thereafter, infusion is started by pressing the start switch 19 in step S11, and the operation indicator 6 flashes green in step S12. Then, in the following step S13, when the infusion of the predetermined volume is completed, the word "Complete" flashes. Subsequently, in step S14, the buzzer is turned on to notify the end of infusion. At this time, keep-in open function is activated and infusion is continued at 1 mL per hour. However, if the flow rate is lower than this, the infusion is continued at the set flow rate.
その後、 ステップ S 1 5で停止消音スィッチ 1 8を押すことでス 亍ップ S 1 6でアラームがオフされるが、 このときキープべインォ ープン機能が継続する。 次に、 ステップ S 1 7で停止消音スィッチ 1 8をもう一度押すと動作インジケータ 6が消灯し、 停止表示ラン プ 2 1が橙色に点滅し、 同時にキープべインオープン機能が解除さ れた停止状態になる (ステップ S 1 8 )。 以上が基本操作の手順であ つて、 後述する機能はステップ S 1 1の開始スィッチ 1 9オンをト リガーにして各プログラムが起動する。  Then, by pressing the stop / mute switch 18 in step S15, the alarm is turned off in step S16. At this time, the keep-open function continues. Next, when the stop mute switch 18 is pressed again in step S17, the operation indicator 6 turns off, the stop display lamp 21 flashes orange, and at the same time, the stop state is released with the keep-bane open function released. (Step S18). The above is the procedure of the basic operation, and the functions described later are activated by the start switch 19 of step S11 being triggered.
輸液ポンプの動作中に、 所定周期 (例えば 1 O O m s ) の周期で 上流閉塞センサ 6 1から送られるアナログ■デジタル変換データを 所定回数 (例えば 3回) 検出して移動平均を得ることで、 上記の閉 塞設定圧との比較を行い、 移動平均が閉塞設定値よりも大きいこと が判断されると初めて閉塞検出回路 2 3 5で閉塞有りを判断する。  During the operation of the infusion pump, the analog-to-digital conversion data sent from the upstream occlusion sensor 61 at a predetermined cycle (for example, 1 OO ms) is detected a predetermined number of times (for example, three times) to obtain a moving average. When the moving average is determined to be larger than the set blockage value, the blockage detection circuit 235 determines the presence of blockage only when it is determined that the moving average is larger than the set blockage value.
ここで、 この移動平均とは送られてくる 3個のデータを 1 O O m sの周期で次々とアップデー卜して平均を得ることを言う。 閉塞有 りが判断されるとモータ強制停止のフラグが立ち、 ステッピングモ —タ 1 0 6を強制停止する。 これに前後して、 閉塞異常表示部 2 6 の 「閉塞」 の文字を点滅させて閉塞が発生したことを知らせること で終了する。  Here, the moving average means that the transmitted three data are successively updated at a period of 1 OOms to obtain an average. When it is determined that the motor is blocked, the motor forced stop flag is set and the stepping motor 106 is forcibly stopped. Before or after this, the “blocked” character of the blockage abnormal display section 26 is blinked to indicate that the blockage has occurred, and the processing ends.
また、 移動平均が閉塞設定値よりも小さいことが判断される。 一方、 上流閉塞センサ 6 1から送られるアナログ ·デジタル変換 データは閉塞設定圧以下である場合には、 次に下流閉塞センサ 6 2 からアナログ■デジタル変換されて送られる最初のデータを上記の 閉塞設定圧と比較して設定圧よりも高い値であると判断されると下 流閉塞センサ 6 1力 「オン」 であって、 閉塞状態であることを判断 して、 上流閉塞センサ 6 1 と同様に移動平均が閉塞設定値よりも大 きいことが判断されると初めて閉塞有りを判断する。 Also, it is determined that the moving average is smaller than the blockage setting value. On the other hand, if the analog / digital conversion data sent from the upstream occlusion sensor 61 is lower than the set occlusion pressure, the first data sent from the downstream occlusion sensor 62 after being converted from analog to digital is next to the above data. When it is determined that the pressure is higher than the set pressure compared to the set pressure, the downstream occlusion sensor 61 is turned on, and it is determined that the occlusion is in effect. Similarly, when it is determined that the moving average is larger than the blockage set value, it is determined that blockage is present only when it is determined.
また、 移動平均が閉塞設定値よりも小さいことが判断されると突 発的な閉塞であつたと判断される。  If it is determined that the moving average is smaller than the blockage setting value, it is determined that the blockage is sudden.
このように、 ポンプ機構 1 0 0を間にして上流側と下流側で輸液 チューブ 2の閉塞を常にモニターすることにより、 より安全な送液 を行うことができるようになり、 特にポンプ機構 1 0 0を間にして 上流側と下流側で輸液チューブ 2の閉塞を常にモニタ一することが 必要な場合に対応することもできる。  In this way, by monitoring the blockage of the infusion tube 2 on the upstream side and the downstream side with the pump mechanism 100 interposed therebetween, it becomes possible to perform safer liquid feeding. It is also possible to cope with the case where it is necessary to constantly monitor the blockage of the infusion tube 2 on the upstream side and the downstream side with 0 in between.
次に、 第 9図 (a ) は上記のショック回路 2 2 5に接続されるシ ョックセンサ 1 4 0による衝撃力発生の発生年月日時間を記憶する 動作説明のフローチャートであって、 第 8図のステップ S I 1で輸 液ポンプ 1が起動されるとこのプログラムが起動する。 また、 第 9 図 (b ) は、 電源スィッチがオフ状態におけるショックセンサ 1 4 0による衝撃力発生の発生を記憶する動作説明のフローチャートで あ 。  Next, FIG. 9 (a) is a flow chart for explaining the operation for storing the date and time of occurrence of the impact force by the shock sensor 140 connected to the above-mentioned shock circuit 2 25. FIG. This program starts when infusion pump 1 is started in step SI 1 of FIG. FIG. 9 (b) is a flowchart for explaining the operation for storing the generation of the impact force by the shock sensor 140 when the power switch is in the off state.
先ず、 第 9図 (a ) において、 ステップ S 4 1において電源オン による信号を受けることで、 ステップ S 4 2の現在の年月日時間が 更新される。 このステップ S 4 2は常時繰返し実行されて一時記憶 され、 ステップ S 4 3の実行を待つようにしてステツプ S 4 2に戻 り現在の年月日時間が更新される。 このようにして更新しつつ待機 して、 ステップ S 4 3で、 上記のように X丫 Z方向に 1つのセンサ で感度を有するように固定されたショクセンサ 1 4 0により、 輸液 ポンプ 1の落下ないし不当な取り扱いにより所定以上の衝撃力 ( G ) により衝撃検知信号が発生して、 ショックセンサ信号として認識さ れると、 ステップ S 4 4において、 衝撃発生の年月日時間が記憶さ れヒストリに保存される。 First, in FIG. 9 (a), the current date in step S42 is updated by receiving a signal from the power on in step S41. This step S42 is repeatedly executed and temporarily stored, and the process returns to step S42 to wait for the execution of step S43 to update the current date. In this way, while waiting while updating, the infusion pump 1 is dropped in step S43 by the shock sensor 140 fixed so as to have sensitivity with one sensor in the X 丫 Z direction as described above. Or more than the specified impact force due to improper handling (G) Then, when a shock detection signal is generated and recognized as a shock sensor signal, in step S44, the date and time of the shock occurrence are stored and stored in the history.
その後、 ステップ S 4 5で、 ヒストリースイッチ 5 0が押される と、 ヒス トリ一モードに切り換わり、 運転動作履歴とともにショッ ク履歴の衝撃発生の年月日時間が表示部 8に表示される。  Thereafter, when the history switch 50 is pressed in step S45, the mode is switched to the history mode, and the date, time, and date of the shock occurrence in the shock history are displayed on the display unit 8 together with the operation history.
一方、 第 9図 (b ) において、 電源スィッチがオフ状態では、 ス 亍ップ S 4 7において輸液ポンプ 1の落下ないし不当な取り扱いに より衝撃検知信号が発生して、 ショックセンサ信号として認識され ると、 衝撃力発生があったことのみが記憶されて、 ステップ S 4 9 に進み終了し、 電源スィッチがオンとなったときに、 第 9図 (a ) と同様に衝撃発生が記憶される。  On the other hand, in FIG. 9 (b), when the power switch is off, an impact detection signal is generated in step S47 due to the drop or improper handling of the infusion pump 1, and is recognized as a shock sensor signal. Then, only the fact that an impact force has been generated is stored, and the process proceeds to step S49 and ends. When the power switch is turned on, the impact generation is stored in the same manner as in FIG. 9 (a). .
以上のように衝撃力発生を電源オンのみならず、 電源オフの場合 にも常時監視、記憶することにより、 輸液ポンプ 1の動作に不具合が 発生したときに、 その原因究明の助けとなるようにすることができ る。 尚、 ショクセンサ 1 4 0は設定された高低差以上の落下または これに相当する所定以上の外力によリ衝撃発生を検出するように設 定されている。  As described above, by constantly monitoring and storing the impact force generation not only when the power is turned on, but also when the power is turned off, if a malfunction occurs in the operation of the infusion pump 1, it will help to identify the cause. can do. The shock sensor 140 is set to detect a drop with a height difference equal to or more than a set height difference or the occurrence of a shock due to an external force equal to or more than a predetermined value.
尚、 本発明においてはペリスタリックフィンガー方式の輸液ポン プについて説明したが、 例えばシンンジポンプ、 採血装置、 透析装 置、 輸液装置、 血圧計、心電計、 脈拍計、 ォキシメータ、 胎児監視装 置等、 本発明の要旨を逸脱しない範囲の設計変更等があっても本発 明に含まれる。 産業上の利用可能性  In the present invention, a peristaltic finger type infusion pump has been described. Even if there is a design change or the like within a range not departing from the gist of the present invention, it is included in the present invention. Industrial applicability
以上説明したように、 本発明によれば、 機器の落下事故により、 機器の電源がォフの状態となっている場合であっても内蔵されるシ ョックセンサにより衝撃的な外力が作用したことを記憶して、 保 守 '点検時の情報とすることができ、 かつまた、 一つのショックセ ンサであらゆる方向に作用する外力に対する感度を備えるようにし てコストダウンを実現できる医療機器を提供することができる。 As described above, according to the present invention, when a device is accidentally dropped, Even when the power of the device is off, the shock sensor built in stores the fact that an external force has been applied to the device, and can be used as information for maintenance and inspection. Further, it is possible to provide a medical device capable of realizing cost reduction by providing a single shock sensor with sensitivity to an external force acting in all directions.

Claims

請求の範囲 The scope of the claims
1 . ショックセンサを本体に内蔵した医療機器であって、  1. A medical device with a built-in shock sensor,
前記本体の水平方向に沿う X -Z平面に沿う方向と、 前記本体の縦 方向に沿う Y - z平面に沿う方向と、 前記本体の前後方向に沿う Y - X平面に沿う全ての方向に対して前記ショックセンサの感度軸方向 を傾斜するように配設することで、 あらゆる方向に対する衝撃的外 力の感度を確保するとともに、  For all directions along the X-Z plane along the horizontal direction of the main body, along the Y-z plane along the vertical direction of the main body, and along the Y-X plane along the front-rear direction of the main body. By arranging the shock sensor so that the sensitivity axis direction is inclined, the sensitivity of shock external force in all directions is secured,
前記ショックセンサにより所定値以上の衝撃的外力を検出した ときに、 前記検出を記憶する記憶手段とを具備することを特徴とす る医療機器。  A medical device comprising: a storage unit for storing the detection when a shock external force equal to or more than a predetermined value is detected by the shock sensor.
2 . 前記医療機器は、 蠕動式のポンプ機構を備えた輸液ポンプで あることを特徴とする請求項 1に記載の医療機器。  2. The medical device according to claim 1, wherein the medical device is an infusion pump provided with a peristaltic pump mechanism.
3 . 前記記憶手段は、 前記電源がオン状態のときは、 所定値以上 の衝撃的外力を検出した年月日及び時間を複数分記憶し、 また、 電 源がオフ状態のときは、 所定値以上の衝撃的外力を検出したことを 複数分記憶し、 かつ表示部において表示することを特徴とする請求 項 1または請求項 2のいずれかに記載の医療機器。  3. The storage means stores, when the power supply is on, a plurality of years, months, days and times when a shocking external force of a predetermined value or more is detected, and stores a predetermined value when the power supply is off. 3. The medical device according to claim 1, wherein the detection of the impact external force is stored for a plurality of times, and is displayed on a display unit.
PCT/JP1998/005056 1997-11-12 1998-11-10 Medical apparatus WO1999024093A1 (en)

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