Abstract

A "dynamically" self-adjusting patient-responsive system for administering liquid medicine such as analgesia to patients as by infusion, with the "demand" of each patient for supplemental doses of drug being taken into account both in providing "on demand" "interval dosing" to supplement a "current rate" of background delivery of the drug to the patient, and in modifying the "current rate" of background delivery of the drug to more correctly correspond to the current needs of a particular patient. While "range" parameters (i.e., "limits" that define acceptable ranges of variance for various characteristics of a program of drug delivery that is intended to meet the very changeable current needs of a particular patient) are preset in accordance with the instructions of a physician, the hour-to-hour manner in which a drug is system-delivered to a particular patient principally is determined on a "dynamic" basis by the extent of the patient's current "demand" for supplemental drug infusion. By requiring that a "target" level of patient "demand" be maintained in order for a current "dynamically determined" level of drug delivery to be maintained (e.g., a certain number of button presses by the patient per pre-set time interval must be kept up, otherwise the infusion rate will be diminished automatically), infusions are automatically reduced as a patient becomes sedated, as healing progresses, or as patient demand lessens for these and/or other reasons, whereby safety is enhanced and infusion is conformed to a minimum that is consistent with current needs of a patient, within physician-prescribed limits.

Other References

• Abbott Laboratories, North Chicago, Il. 60064, Brochure Entitled "PCA PLUS," Bearing Date 20-Oct. 88 and 1988 Copyright Date
• Gillies, G. W. A. & C. S. McArdle, "A Standard Microcomputer Linked to a Volume-Controlled Infusion Pump For Patient-Controlled Analgesia Research", Journal of Medical Engineering & Technology, V.10, No. 2, Mar./Apr. 1986, pp. 55-5