What is a smart medical device? Look at Pfizer, the guy who specializes in your pain.

Release date: 2016-05-25

Human wisdom has driven the development of technology, and the development of technology has made equipment more and more intelligent. Technology makes the so-called digitalization of medical devices that data that would otherwise need to be copied into a database directly into the database. Let people lazy not allow the machine to be lazy.

Hospira, the world's largest manufacturer of injection preparations, which was recently acquired by Pfizer for $16 billion in February, recently released a "smart" medical device, the first to automatically access electronic medical records. The patient-controlled analgesia infusion pump, the data generated by the infusion pump will enter the electronic medical record.

The so-called analgesic pump is actually a small medical device. This mechanical device can continuously and intermittently inject the drug. One end of the analgesic pump is connected to a certain amount of analgesic drugs that the anesthesiologist configures for the patient, and the other end is connected to the patient. On the vein or epidural catheter (that is, a small thin tube that comes out on the back).

Under normal circumstances, the drug in the analgesic pump will continue to infuse at a certain rate (such as 1ml / h) to give the patient a small amount of basic analgesia. There is a handle on the analgesia pump (there is no one). When the patient feels pain, the button can be pressed. After pressing, the analgesic pump will inject an analgesic drug (such as 2ml/time) for a single dose to meet The patient's analgesic needs. In order to prevent the patient from repeatedly pressing and causing excessive drug infusion, the anesthesiologist will set a locking time (such as 8 minutes) for the analgesic pump, which means that if the patient's two pressing time is within 8 minutes, the second compression will be considered invalid. The drug will be infused 8 minutes after the first drug infusion to ensure patient safety. This is the most classic and effective mode of postoperative analgesia in patients: patient controlled analgesia (PCA).

The direct consequence of this access to EMR is that when the patient feels pain, there is no need to entangle or use a self-controlled analgesic infusion pump to give him more painkillers. The excess dose will be counted immediately into the medical record. In the future, but in the future, the doctor (骂)╭

The latest announcement of the LifeCare PCA (patient-controlled analgesia) 7.0 infusion system is the first intelligent analgesia pump to access EMR (electronic medical record). A barcode can be attached to the infusion bottle, and the medical staff can determine the dosage of the medicine according to the data and allocate the corresponding medicine and dose to the patient. The amount of liquid input into the patient's body is also automatically counted in the electronic medical record for the convenience of medical personnel. The infusion pump access to the electronic medical record will also greatly reduce the misuse of the drug. In fact, because the data generated by the devices can not be interconnected, it is necessary for the medical staff to manually record and then organize them into the electronic medical record, which will affect the efficiency of the consultation. The data generated by most medical devices still needs to be manually recorded by nurses, which greatly increases the possibility of data errors. Think about the decimal points that are often copied incorrectly... According to statistics, 1.5 million people in the United States suffer from drug misuse every year, losing $21 billion annually. According to a survey conducted by Gary and Mary West Health Institute in the United States, more than half of nurses reported that medical errors occurred mainly because of the inability to communicate between medical devices.

By directly accessing the data of medical devices to electronic files, doctors can see the data without having to go to the patient, which is also conducive to the development of telemedicine.

“He Shengrui is very confident about this PCA intelligent infusion pump that can be directly connected to EMR,” said Juli Sawyer Montgomery, Minister of Infusion Systems at Hospira. “The safety brought by the access to EMR will make the PCA 7.0 system in IV-EMR. Connecting and managing pain treatment has opened up a new phase.

However, when it comes to data interconnection, security is considered. In fact, even the industry leader such as He Shengrui has made a mistake. In 2015, the FDA recommended that hospitals not use the infusion system of Heshengrui, saying that there is a security hole in the system, which may be attacked by the network to achieve remote control of the infusion pump system. Think about it, the whole day's dose of analgesic drugs is controlled by others to inject into your body within 30 seconds, you may really "explode" in an instant. How to solve the security vulnerability problem, has He Shengrui done this time?

Reference material

Pfizer's Hospira launches first patient-controlled pain pump integrated into EMR

FDA releases guidance on post-market steps for improving medical device cybersecurity

Source: Health Point

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