[Improved ambulatory syringe pump system for pain control therapy at home].

UNLABELLED: Terumo Corporation has been developing products for use at home, such as the Cafty pump, based on the opionions and suggestions received through Home-Joint. This time we improved the ambulatory syringe pump TE-361 PCA, so that patients could use it at home. RESULTS: We had patients 49 to 78 years of age use it, continuously, at an injecting speed of 0.1 to 1 ml/h for 5 to 26 days. Patients requiring large volumes of a medicine were offered two or more pumps pre-filled with the medicine. Drug transportation problems were not reported, because of the doctor in charge transported the medicine constantly. Terumo call center did not receive any incidence of trouble, and no trouble was reported in the collected questionnaire. From these facts, it was suggested that this apparatus can be used safely for in-home medical treatment. CONCLUSION: The burden of expenses when two or more pumps are required and installation of the back-up equipment, etc. are problems that should be coped with separately. Moreover, a cooperation system is required in preparation for troubles. We want to establish a system that can be used with confidence by the patients.

[The present situation and subject].

Terumo Corporation has been supporting the regional medical network, developing new products for home health care and providing service through the Home-Joint system in the fields of HPN, HEN, and HOT. In the chain of servicing, we are carrying out call center operations that can receive inquiries regarding machine operation and machine trouble from the patients, for 24 hours a day, all year round. Most inquiries are settled then and there, but some cases need further treatment. The principal cases are, Lowness mastery degree of patients or tenders, wants of knowledge of the person in charge of answering inquiries, and coming under the medical treatment. It is indispensable to connect closely with Hospitals, the visiting nurse, and agencies. Today's Subject: Pursuit of simplicity and safety of equipment based on On-Call experience. Thorough, careful confirmation for several days from the start. Standardization of On-call information and sharing with the agency and hospital. Advancement of knowledge for answering inquiries. Making a system to cope with medical facilities.