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PCD Infusion Pump WG Containment / Mode / Status Discussion (rev. 3)

PCD Infusion Pump WG Containment / Mode / Status Discussion (rev. 3). Updated: 2012.05.02 Wednesday. DS-IP-xyz Containment/Mode/Status. Discussion Scope: Review proposed containment models for : DS – Infusion Pump – LVP DS – Infusion Pump – Syringe DS – Infusion Pump – PCA

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PCD Infusion Pump WG Containment / Mode / Status Discussion (rev. 3)

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  1. PCD Infusion Pump WGContainment / Mode / Status Discussion (rev. 3) Updated: 2012.05.02 Wednesday

  2. DS-IP-xyz Containment/Mode/Status • Discussion Scope: • Review proposed containment models for : • DS – Infusion Pump – LVP • DS – Infusion Pump – Syringe • DS – Infusion Pump – PCA • Define role and values for pump Mode parameter • Define purpose and values for pump Status parameter

  3. DS-IP-LVP Containment Model Spreadsheet => RTMMS => ICSGenerator • LVP VMD is paired with a generic pump delivery channel • Source Channels package semantics that define / drive the behavior of a Delivery Channel • Multiple source channels can be “active” at any point in time – thus the addition of a “bolus” channel • Source & Delivery Channel definitions consistent across pump types.

  4. DS-IP-SYR Containment Model Spreadsheet => RTMMS => ICSGenerator • Syringe-specific parameters are contained in the Syringe Channel • Source & Delivery Channels are the same as those specified in the General Purpose pump specification.

  5. DS-IP-PCA Model Spreadsheet => RTMMS => ICSGenerator • PCA specific parameters are packaged in a PCA Channel • PCA Channel can be combined with Source Channels as needed • Syringe-based PCA would also include a Syringe Channel (next slide) • PCA Channel may operate exclusively, sequentially or concurrently with one or more Source Channels.

  6. DS-IP-PCA-SYR Model Spreadsheet => RTMMS => ICSGenerator • PCA capability added to a syringe pump • Only difference from the generic PCA pump is the addition of the Syringe Channel parameter package.

  7. Pump Mode & Status Parameters • Discussion Points: • Operational Mode & Status contained in delivery channels • Mode reflects … • what source channels are actively determining the operation of their associated delivery channel • What the user would “see” as the configured “mode” • All source channels OR only currently active source channels? • Status reflects … • primarily what is observed in the distal line • … • ISSUE #1: What do we want these values to be for DS-IP-xyz? • Including active / concurrent source channel indication • ISSUE #2: Harmonization with the 11073-10101:2004 Definitions

  8. X73 Pump “Mode” Parameter • hRTM Group: “Operational Mode”: • pump-mode-nominal • pump-mode-drug-dosing • pump-mode-ramp-taper • pump-mode-multi-step • pump-mode-multi-dosing • pump-mode-bolus • pump-mode-loading-dose • pump-mode-multi-channel • pump-mode-pca • pump-mode-continuous • pump-mode-pca-and-continuous • pump-mode-piggyback • pump-mode-concurrent (from 11073-10101:2004, A.7.7.12) MDC_PUMP_MODE

  9. X73 Pump “Status” Parameter • hRTM Group: “Operational Mode”: • pump-status-ready • pump-status-infusing • pump-status-paused • pump-status-kvo • pump-status-delayed • pump-status-standby • pump-status-vtbi-complete • pump-status-off • pump-status-priming (from 11073-10101:2004, A.7.7.18) MDC_PUMP_STAT

  10. Proposed Resolution • Define two Operational Mode parameters + 1 status parameter • MDC_PUMP_MODE_SETTING (proposed) • Indicates the configured infusion “protocol” • Enumerations include: pump-mode-continuous / -piggyback / -pca / … • Multiple mode “bits” can be set • Example: pump_mode_continuous + pump_mode_pca + pump_mode_bolus • MDC_PUMP_MODE_CURRENT (proposed) • Indicates the actual operational – including simultaneous – mode components (tied to Source Channels) • Example: pump_mode_continuous + pump_mode_pca • MDC_PUMP_STAT (… can we make this _STATUS?) • Indicates what the pumping mechanism is doing • Does NOT include alarm status indication (separate parameter) • Enumerations include: pump-status-ready / -infusing / -paused / -delayed / -standby / -off / …

  11. PCD Rules!

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