Referring to the drawings in particular, a medical workstation according to the invention has a central control and display unit 1, which has at least one display area 9 for displaying alarms, warnings and instructions. The control and display unit 1 is connected to a patient monitor module 2 via a communications line 5. The control and display unit 1 is preferably connected to the patient monitor module 2 via a central network element 4 (switch/hub), which makes possible a star-shaped network topology. The medical workstation has an interface for connecting a therapy module 3, which interface is readily accessible to the user. The interface for connecting the therapy module 3 is preferably located at the central network element 4. The therapy module 3 has at least one microprocessor as well as a nonvolatile memory. The results of the most recent testing of the module, i.e., for example, actuator tests, sensor tests, tightness test, alarm tone test, calibration and compensation values, compliance and resistance of the tubing system are stored in the nonvolatile memory of the therapy module 3. The control and display unit 1 has a microprocessor.
To integrate the therapy module 3 within the medical workstation, the module is connected by the user to the system via a communications line 5. If the therapy module 3 has no control and display unit of its own, at least one microprocessor (main microprocessor) is turned off before the therapy module 3 is connected to the system. A second microprocessor (auxiliary microprocessor) is preferably running, and this is supplied from a battery of the therapy module 3. The communications line 5 of the therapy module 3 or the interface intended for this has especially a mechanical securing means 12 in order to prevent accidental disconnection of the therapy module 3. This securing means 12 snaps in when the therapy module 3 is being connected to the system. Disconnection of the therapy module 3 is now possible only by actuating the mechanical securing means 12. After connecting the therapy module 3, the module is recognized by the control and display unit 1. If the therapy module 3 has no control and display unit of its own, this preferably takes place by communication between the auxiliary microprocessor of the therapy module 3 and the control and display unit 1. Immediately after the connection to the therapy module 3 has been recognized, the control and display unit 1 shows an instruction in the display area 9, which informs the user that a therapy module 3 was recognized in the system. If the therapy module 3 has no control and display unit of its own, at least one microprocessor, preferably the main microprocessor, starts its operation in this therapy module 3 after the connection of the therapy module 3. After the therapy module 3 has been connected, this therapy module 3 sends its program version to the control and display unit 1. As an alternative, it is possible that the control and display unit 1 sends its program version to the therapy module 3.
After the program version has been sent, the control and display unit 1 checks the compatibility of its program version with that of the therapy module 3. It is optionally also possible that the therapy module 3 checks the compatibility of its program version with that of the control and display unit 1 and sends the result to the control and display unit 1. In case of incompatibility of the two program versions, the control and display unit 1 shows in the display area 9 an instruction that informs the user that a program incompatibility was recognized.
In case of compatibility of the two program versions, an area 6 becomes visible and able to be operated by the user on the control and display unit 1. As an alternative, this area 6 is always visible, but it becomes able to be operated for the user only in case of compatibility of the two program versions. Area 6 contains graphic elements for performing a function test of the therapy module 3. This test comprises, for example, actuator tests, sensor tests, tightness test, alarm tone test, the determination of calibration and compensation values, the determination of the compliance and resistance of the tubing system. The control knob 7 is used to modify and acknowledge settings. The area 6 also contains graphic elements 8 for displaying and modifying therapy settings. Examples of therapy settings are:
1. For respiration therapy: Respiration mode, tidal volume, respiration rate, inspiration pressure, positive end expiratory pressure (PEEP), inspiration time, percentage of oxygen in the breathing air, and trigger settings.
2. For infusion therapy: Type of syringe, drug, infusion volume, delivery rate, delivery rate rise time, delivery rate decline time, and bolus rate.
3. For thermotherapy: Air temperature, humidity, oxygen content in the air.
In case of a respirator as a therapy module 3, area 6 contains especially graphic elements for input of the configuration of the tubing system being used and the breathing gas humidifier. Area 6 also contains graphic elements for starting and stopping the therapy. In case of compatibility of the two program versions of the control and display unit 1, on the one hand, and the therapy module 3, on the other hand, the control and display unit 1 activates the availability of operating elements for additional functions, for example, for maneuvers such as “Inspiration Hold”, “Expiration Hold”, “P0.1” pressure measurement, which are bound to the presence of a therapy module 3. However, as an alternative, these operating elements may also be located outside the visible area 6 of the control and display unit 1.
After the therapy has been started by the user, the control and display unit 1 automatically displays selected real time curves of measured values of therapy parameters.
After the therapy has been stopped by the user, the control and display unit 1 automatically replaces the display of selected real-time curves and measured values of therapy parameters with the display of other parameters. If the communications line 5 of the therapy module 3 is pulled by the user after stopping the therapy, the control and display unit 1 shows an instruction in the display area 9, which informs the user that the therapy module 3 was disconnected. If the communications line 5 of the therapy module 3 is disconnected after the therapy had been stopped by the user, at least one microprocessor of the therapy module 3, preferably the main microprocessor, is turned off if the therapy module has no control and display unit of its own, and area 6 on the control and display unit 1 becomes invisible for the user. Area 6 remains visible in an alternative variant, and it is deactivated in case of disconnection, i.e., it becomes unable to be operated any longer. If the communications line 5 of the therapy module 3 is disconnected after the therapy had been stopped by the user, the control and display unit 1 additionally deactivates the availability of operating elements for other functions, for example, the above-described maneuvers such as “Inspiration Hold”, “Expiration Hold”, “P0.1” pressure measurement, which are bound to the presence of a therapy module 3. However, these operating elements may, in principle, also be located outside the visible area 6.
It is possible with the system being described to set up the therapy module 3 outside the immediate area of the patient by storing the results of the module test in a nonvolatile memory in the therapy module 3, so that therapy is available faster at the bedside of the patient. It is also possible to perform the self-test even after the connection to the system.
The start-up/shutdown of a therapy module 3 without a control and display unit of its own takes place only on connection/disconnection of the communications line 5 to/from the system, with the consequence of reduced energy demand for the therapy module 3 when this is not connected to the system. The dynamic display of the operating elements for a therapy module 3 on a central control and display unit 1 advantageously takes place as a function of the availability of the therapy module, so that optimal utilization of the available area of the control and display unit 1 is guaranteed. Another advantage is the early recognition of incompatible program versions and the fact that software compatibility is guaranteed. Finally, an accidental disconnection of the therapy module 3 is avoided.
While specific embodiments of the invention have been shown and described in detail to illustrate the application of the principles of the invention, it will be understood that the invention may be embodied otherwise without departing from such principles.
Number | Date | Country | Kind |
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10 2006 049 982.4 | Oct 2006 | DE | national |
This application claims the benefit of priority under 35 U.S.C. §119 of German Patent Application DE 10 2006 049 982.4 filed Oct. 24, 2006, the entire contents of which are incorporated herein by reference.