INFUSION SYSTEM

20230138189 ยท 2023-05-04

    Inventors

    Cpc classification

    International classification

    Abstract

    An infusion system includes an infusion pump configured to convey a fluid to be administered through a fluid conduit, a number of sensors for producing associated sensor data, and an AI unit configured to calculate a number of target variables depending on the number of sensor data using a statistical model as a basis, the statistical model having been trained using training data.

    Claims

    1. An infusion system comprising: an infusion pump configured to convey a fluid to be administered through a fluid conduit; one or more sensors for producing a number of sensor data; and an AI unit configured to calculate a number of target variables depending on the number of sensor data using a statistical model as a basis, the statistical model having been trained using training data.

    2. The infusion system according to claim 1, wherein the one or more sensors comprise one or more of: pressure sensors configured to produce pressure data in the fluid conduit; force sensors configured to produce force data of a pump force produced by the infusion pump; motor current sensors configured to produce motor current data of an electric drive motor of the infusion pump; and position sensors configured to produce position data of a syringe piston of the infusion pump.

    3. The infusion system according to claim 1, wherein the number of target variables comprise one or more of: an absolute pressure in the fluid conduit; a probability of an occlusion in the fluid conduit; and a location of the occlusion in the fluid conduit.

    4. The infusion system according to claim 1, wherein the AI unit is configured to calculate the number of target variables based on one or more of medicament data, patient data, data from a second infusion pump, therapy data, ambient data and vital parameter data using the statistical model.

    5. The infusion system according to claim 1, further comprising an alarm unit configured to verify whether an alarm condition is satisfied based on the number of target variables and to produce an alarm when the alarm condition is satisfied.

    6. The infusion system according to claim 5, further comprising a correlation analysis unit configured to calculate weight factors based on at least one of: at least one of the number of sensor data; and at least one of the number of target variables, wherein the alarm unit is further configured to verify whether the alarm condition is satisfied based on the weight factors.

    7. The infusion system according to claim 5, wherein the alarm unit is configured to stop the infusion pump when the alarm condition is satisfied.

    Description

    BRIEF DESCRIPTION OF THE DRAWINGS

    [0027] The present disclosure is described in detail below with reference to the drawings. In this case:

    [0028] FIG. 1 very schematically shows an infusion system according to the present disclosure,

    [0029] FIG. 2 very schematically shows an injection pump for use in an infusion system according to the present disclosure, and

    [0030] FIG. 3 very schematically shows a peristaltic pump for use in an infusion system according to the present disclosure.

    DETAILED DESCRIPTION

    [0031] FIG. 1 very schematically shows an infusion system 1 according to the present disclosure comprising a conventional infusion pump 2, which is configured to convey a fluid 3 to be administered through a fluid conduit 4. In this respect, reference is also made to the relevant literature in the art.

    [0032] The infusion system 1 comprises further sensors 5, 6, 7, 8 (see also FIG. 2) for producing associated sensor data S1, S2, S3, S4. The sensor data 5, 6, 7, 8 can be analogue or digital sensor data.

    [0033] The infusion system 1 further comprises an AI unit 9, which may be embodied as a microprocessor system in conjunction with suitable software, for example. The AI unit 9 is configured to calculate a first target variable M1, a second target variable M2 and a third target variable M3 depending on the number of sensor data S1, S2, S3, S4 using a statistical model as a basis, the statistical model having been trained in advance using training data.

    [0034] The number of sensors comprise: a pressure sensor 5 configured to produce sensor data in the form of pressure data 51 in the fluid conduit 4 of the fluid 3 to be administered, a force sensor 6 (see FIG. 2) configured to produce sensor data in the form of force data S2 of a pump force F produced by means of the infusion pump 2, a motor current sensor 7 configured to produce sensor data in the form of motor current data S3 of an electric drive motor 10 of the infusion pump 2 and a position sensor 8 (see FIG. 2) configured to produce sensor data in the form of position data S4 of a syringe piston 11 of the infusion pump 2.

    [0035] The number of target variables comprise: a first target variable M1 in the form of an absolute or real pressure in the fluid conduit 4, a second target variable M2 in the form of a probability of an occlusion V in the fluid conduit 4 and a third target variable M3 in the form of a location of the occlusion V in the fluid conduit 4.

    [0036] The AI unit 9 may be configured to calculate the target variables M1, M2, M3 further depending on medicament data, patient data, data of further infusion pumps, therapy data, ambient data and/or vital parameter data using the statistical model as a basis.

    [0037] Further, the infusion system 1 comprises an alarm unit 12 configured to verify on the basis of target variables M1, M2, M3 whether an alarm condition has been satisfied and produce an alarm should the alarm condition have been satisfied.

    [0038] Further, the infusion system 1 comprises a correlation analysis unit 13 configured to calculate weight factors G on the basis of at least some of the sensor data S1, S2, S3, S4 and/or on the basis of at least some of the target variables M1, M2, M3, the alarm unit 12 being configured to verify also on the basis of the weight factors G whether the alarm condition has been satisfied. The alarm unit 12 is configured to stop infusion pump 2 when the alarm condition occurs.

    [0039] FIG. 2 very schematically shows an infusion pump 2 in the form of a conventional injection pump for use in an infusion system 1 according to the present disclosure.

    [0040] The force sensor 6 measures the resultant force F that is exerted on a piston plate of the syringe piston 11 of the infusion pump 2. This force F is composed of the force of the (fluid) pressure acting over the internal cross section of the syringe, that is to say the force of the first target variable M1, and disturbance variables superposed thereon. Disturbance variables include: position- and temperature-dependent static/dynamic friction effects, patient- and therapy-specific variables (diameter of the access, multiple infusions, type of access, movement as a result of repositioning, etc.), physical properties of the fluid to be conveyed (viscosity, temperature, etc.) and effects caused by ambient conditions (ambulance, helicopter, humidity, atmospheric pressure, etc.).

    [0041] If there is an occlusion the pressure increases over the course of the conveyance. The increase in pressure is a function of the length of the fluid conduit 4 to the occlusion, that is to say the location of the occlusion or target variable M3, of the material employed and of the dimensions of the transmission system, the temperature and the conveyed volume once the occlusion occurs. An increasing force F on the drive head results in a greater motor current. As an alternative or in addition to the force sensor, said motor current can be detected and evaluated by means of the optional motor current sensor 7.

    [0042] FIG. 3 shows a volumetric infusion pump or peristaltic pump 14, in which two pressure sensors 5a and 5b are arranged along the fluid conduit 4, each pressure sensor measuring the force exerted by the pressure in the fluid conduit 4 on the respective pressure sensor 5a and 5b, respectively, via the wall of said conduit. On account of peristalsis, there are different pressures on the upstream side (pump input/storage container) and downstream side (pump outlet/patient), and this is why two independent pressure sensors 5a and 5b, which generate the sensor data S1a and S1b, respectively, are used.

    [0043] The force measured by means of the pressure sensors 5a and 5b is composed of the force of the fluid pressure acting of the internal cross section of the fluid conduit 4, that is to say the first target variable, and the disturbance variables superposed thereon. Disturbance variables include: temperature-dependent and use duration-dependent material properties, conditions on the upstream side (height and type of container, employed drip chamber, etc.), patient- and therapy-specific variables (diameter of the access, multiple infusions, type of access, movement as a result of repositioning, etc.), physical effects of the pumping principle (pattern during the normal conveyance, pattern as a result of mechanical pressure relief in the case of an occlusion, etc.), physical properties of the fluid to be conveyed (viscosity, temperature, etc.) and effects caused by ambient conditions (ambulance, helicopter, humidity, atmospheric pressure, etc.).

    [0044] If there is an occlusion the pressure of the liquid increases over the course of the conveyance. The increase in pressure is a function of the length of the conduit to the location of the occlusion, i.e., the third target variable, of the material employed and of the dimensions of the transmission system, the temperature and the conveyed volume once the occlusion occurs.

    [0045] According to the present disclosure, the overall system of a bay may be considered in addition to the sensor data S1 to S4 by virtue of all data of the involved infusion pumps, information about the medication and available patient data (e.g., from other medical equipment) being related to one another.

    [0046] Examples of usable patient data include, e.g., vital parameters (blood pressure, pulse rate, respiratory frequency, body temperature, etc.) and further physiological parameters (oxygen saturation, blood sugar levels, blood count, size, age, weight, sex, hereditary factors, previous diseases, diagnoses, etc.). The properties of the conveyed fluids (medicament and its criticality, half-life/duration of effect, etc.) can be determined from the information about the medication.

    [0047] The correlation analysis unit 13 describes interactions between the measured/evaluated variables and implements a correlation analysis of these variables. By way of example, this may inter alia allow an occlusion to be identified earlier, for example by virtue of identifying a correlation between too little of a medicament being conveyed and the other available patient data. An example would be a falling blood pressure and heart rate when adrenaline is administered.

    [0048] Raising the alarm can be implemented more intelligently in the sense that the sensitivity level of the occlusion identification is increased if a correlation is present, and hence the alarm is raised earlier than provided for in the original settings. Moreover, the reverse case can avoid alarms in the case of uncritical predicaments, reducing the user's stress as a result of unnecessary alarms.

    [0049] A change in certain vital parameters or specific threshold values being exceeded when certain medicaments/food are/is administered may indicate an occlusion. Alarm priorities can be reduced or alarm thresholds can be increased for uncritical medicaments/fluids. Interactions of various pumps at the same port can be taken into account in a dedicated fashion and during the occlusion identification.

    [0050] The AI system for the bay may be realized as a central server application, which may also provide an interface to a cloud. The data obtained may subsequently be incorporated in the optimization of the occlusion identification within the scope of further developments, or customer-specific occlusion patterns may be set.

    [0051] A specific bay is the transportation in an ambulance or rescue aircraft, in which input variables of the ambient conditions are present. In this case, navigation data may be used in order to compensate centrifugal forces, for example, which act on the fluid (curves/pitch), in the system.