DE10220031A1 - Infusion dosing - Google Patents

Abstract

An infusion dosing system comprises a portable infusion dosing device (1) with an input interface (20) for receiving signals which represent setting parameters. The setting parameters determine at least one dose setting value of an infusion medication for a predetermined time interval. The infusion metering device (1) can be coupled to an adjusting device (2). The setting device (2) for setting the infusion metering device (1) is also portable, structurally separate from the infusion metering device (1) and can be coupled to its input interface (20) and to an input / output interface of a host computer system. The setting device (2) contains a first interface device (25) for coupling to the host computer system in order to be able to receive therapy specification data. The setting device (2) also contains a memory (24) for storing received therapy specification data, an operator input device (23) for recording operator inputs that characterize at least desired settings of dose values of the infusion drug, one with the first interface device (27), the memory (24 ) and the operator input device (23) coupled processing device (21), which generates output data, which characterize at least one dose setting value of the infusion drug, from the operator inputs depending on the stored therapy specification data, and one with the ...

Description

The invention relates to an adjusting device and a Procedure for setting a portable Infusion dosing device and an infusion dosing system with a host Computer system with an input / output interface, a portable infusion dosing device with a Input interface for receiving signals that Represent setting parameters of the infusion dosing device, and one portable connectable to these interfaces Setting device for setting the portable Infusion dosing.

Portable infusion dosing device for example in pain therapy, chemotherapy, Antibiotic therapies, hormone therapies and desferal therapies are used to one in a reservoir of the infusion dosing device previously filled medication via infusion sets Patient who carries the infusion dosing device with him, supply. A drug is used to supply the drug Infusion pump used (often the entire Infusion dosing device referred to as an infusion pump). The Drug can be in continuously or discontinuously Depends on the time and in the infusion dosing device stored parameters that include a delivery rate and Specify specified time intervals via which the pump Patients are fed. An acquaintance Infusion dosing device ("infusion pump") has a display device (Display) and various input keys on together form a user interface. Via this interface a user can start the infusion pump or switch off, set various parameters, such as for example the dose or time intervals intermittent dosing. In addition, a user can be unique Delivery of the drug (bolus) via the operator interface initiate. After appropriate operator input can in addition, parameters set on the display (Therapy data), a history and operating values (e.g. Fill level of the reservoir).

It would be conceivable to use an infusion pump with a Equip input / output interface to a computer. This interface could be used on the Computer running suitable program the parameters of the Infusion pump set the history of the Drug administration queried and further data exchanged. This Pairing with a computer could be a more convenient Allow setting the parameters of the infusion pump because the computer's user interface more convenient can be designed. However, this would require either disconnect the infusion pump from the patient or the Patients and the portable infusion pump near one appropriate interface of the computer. A another, costly option would be, for example, in a hospital, close to every possible Location of a patient (e.g. close to each Bettes) to arrange an interface with the computer is connected via a data communication network.

Because the well-known infusion pump for the reasons mentioned not paired with a computer, it contains itself a high level of processing intelligence. To the Operator guidance reliable with the given setting options It takes a lot of effort to design Processing intelligence to control the (compared to a Computer display relatively simple) display device and Infusion pump input keys required. this leads to complex and complicated operations in the on the Display device shown menus of the infusion pump and thus to a considerable risk of incorrect operation and / or high training effort for the operator.

The object of the invention is therefore the flexibility when using the infusion pumps to increase and at the same time to minimize the cost of the infusion pump.

This object is achieved by a Setting device for setting a portable infusion Dosing device with the features of claim 1, through an infusion dosing system with the characteristics of Claim 11 or by a method for adjusting a portable infusion dosing device with the features of claim 13 solved.

The setting device according to the invention is used for Setting a portable infusion dosing device with an input interface for receiving signals that Display setting parameters of the infusion dosing device ("Represent" is not limited to "code"). The setting device according to the invention is portable (preferably pocket size) is of the Infusion dosing device structurally separate and at their Input interface as well as to an input / output interface a host computer system (preferably wireless) coupled. The adjustment device, which is preferably a appropriately configured PDA (e.g. Palm ™), (a) has one first interface device for coupling to the Input / output interface of the host computer system to get out receive therapy target data to the host computer system can, (b) a (preferably non-volatile) memory for storing received therapy specification data, (c) one Operator input device for recording operator input, the at least desired settings of dose values of the Label infusion medication, (d) one with the first Interface device, the memory and the Operator input device coupled processing device which in Dependence on the stored therapy specification data the operator inputs output data, which is at least one Label the dose setting value of an infusion drug, generates (and preferably caches), and (e) one second coupled to the processing device Interface device for coupling to the Infusion dosing device, the signals corresponding to the output data Setting parameters of the infusion dosing device represent, generated and outputs to the infusion dosing device, wherein the setting parameters at least the at least one Infusion drug dose setting value for a determine the specified time interval. The first and the second Interface devices can be a common part Hardware and software include. The operator inputs that mark the desired settings of dose values, these dose values can be entered as absolute values (input or Selection of dose values) as well as relative settings (Enter or select a - e.g. percentage - increase or reduction). The one from the output signals shown setting parameters of Infusion dosing device determine the dose setting value of the Infusion medication for a predetermined time interval ("determine" is not limited to "specify" or "code" here, but generally means that the parameters together with other (fixed) influencing variables the dose course to be set define).

It is a basic idea of the invention that Processing intelligence from the infusion dosing device into the to move the portable adjustment device. this leads to at a lower cost since the infusion dosing device is cheaper to manufacture and portable Adjustment device for a variety of Infusion dosing devices can be used. Another basic idea is that the portable adjustment device optimally to the task of data exchange with the infusion Dosing device on the one hand and the host computer system on the other hand, and to be adapted to the operator guidance can. Can on the portable adjustment device for example, an improved (enlarged, higher high-resolution) display, improved input options for the Operator, more convenient processing software and one Pre-processing between the infusion dosing device and data to be transferred to the host computer system be provided. The processing intelligence and the Operator interface of the infusion dosing device can do so far can be reduced to one operator (patient) only limited setting options are available. Only the authorized operator of an inventive one Adjustment devices are conveniently available or all setting options are available. It is moreover, possible in one preferred system, several Setting devices for differently authorized Operator with differently released To provide setting options. The invention Adjustment device thus allows a reduced Time expenditure for the operating personnel and at the same time an increase therapy safety. In addition, the portable adjustment device that is close to the patient can be used, options for supplementary recording of data on therapy results and their course (e.g. the Data collection during a visit). This improves the Documentation and quality control. There one Adjustment device can be used for several patients additional statistical data available on site.

In a preferred setting device, the second interface device a transmission device for wireless transmission of the signals to the Infusion dosing. The transmission device preferably comprises a Infrared transmission device. This makes handling easier.

In the preferred embodiment, the first one Interface device of the setting device a Output device for transferring data to the Host computer system, which is connected to the host computer system transmitted data the at least one dose setting value include characteristic output data. This allows one bidirectional data exchange via an interface and facilitates documentation and statistical analysis on Host computer system. Included in this embodiment preferably also the second interface device Transmitter for wireless transmission of the signals the infusion metering device, the Output device of the first interface device Transmitting device of the second interface comprises. At this Embodiment is a common transmission device for the first and second interface used, the circumstance is exploited that the adjusting device never simultaneously with both the host computer system and the Dosing device is coupled. This allows one less expensive design of the setting device.

In a preferred development of the setting device according to the invention for setting the portable infusion metering device, a third interface device is provided, which is coupled to the processing device, wherein the third interface device can be coupled to at least one sensor that detects vital parameters for receiving vital parameter signals. Sensors that record vital parameters are, for example, sensors that record blood pressure, O ₂ saturation, respiratory rate or parameters of the ECG. The entire hardware and software of the third interface device need not be separate from that of the first and second interface devices; the third interface device can share part of the hardware and software of the first and / or second interface device. In the application in which the setting device remains coupled to an infusion metering device on the patient for a predetermined period of use, the third interface device allows the pump to be controlled as a function of the detected vital parameters and thus a feedback and quick reaction in the event of unexpected, sudden changes patient parameters. An advantageous development of this setting device is characterized in that a fourth interface device is coupled to the processing device, an output and / or remote output device being able to be coupled to the fourth interface device. A printer, for example, serves as the output device. A remote output device is, for example, a telecommunication device (for example a cell phone). This fourth interface device allows, for example, documentation on site. When the fourth interface device is connected to a mobile phone, it is possible to automatically alert the attending doctor / nursing service in the case of outpatient therapy at home if serious disorders occur. The alarm is triggered, for example, depending on the detection of predetermined extreme values in the vital parameters or depending on the output of the infusion dosing device (which, for example, indicate a malfunction).

The second interface device preferably has the setting device for setting the portable Infusion dosing device additionally a receiving device for receiving signals from the Infusion metering device, wherein the received signals at least one in the dose value set in the infusion dosing device represent. The second interface device generates from the received signals the set dose value performing data and passes this to the Processing facility. The processing device compares the set dose value data with the Output data which characterize at least one dose setting value, to check the setting. This increases the Reliability of the setting.

The setting device according to the invention for setting a portable infusion dosing device preferably alternatively with several different patients associated infusion dosing devices can be coupled. In In this case, the therapy specifications include patient-related therapy specification data in association with patient and / or metering device identification information. This allows easy selection of the right ones Therapy specification data by an automatically when coupling performed identification information.

In the inventive method for setting a portable infusion dosing device with a Input interface for receiving signals that Represent setting parameters of the infusion metering device, the Parameters at least one dose for a given Determine the time interval will be a portable setting device coupled to a host computer system to get out of the host Computer system to record therapy specification data and the received therapy specification data in a memory to save. Furthermore, an operator input device of the Adjuster monitors to operator input that at least desired settings of dose values of the Label infusion medication to record. Then from one Processing device of the setting device in Dependence on the stored therapy specification data from the Operator input Output data containing at least one dose Mark the setting value of an infusion drug, generated. The portable adjustment device comes with a Infusion dosing device coupled. From one with the Processing device connected interface device signals that correspond to the output data Display setting parameters of the infusion dosing device, generated and output to the infusion dosing device, wherein the setting parameters at least the at least one Infusion drug dose setting value for a Determine the specified time interval. Eventually they will Corresponding signals representing setting parameters Funding rates and / or times when certain funding rates should be set by the infusion dosing device set. These are preferably the setting parameters representing signals wirelessly, for example via modulated infrared radiation.

In a preferred development of the The method according to the invention are in a new coupling of the portable adjustment device with the host computer system the host computer system transmit the at least one Output data characterizing dose setting value include.

In a further preferred development of the inventive method after setting the Funding rates and / or times when certain funding rates should be set by the Infusion dosing device Signals from the infusion dosing device to the Transfer device that transmit at least one in the Infusion dosing device set dose value represent. Then from the interface device received signals the set dose value representing data generated and sent to the processing device output. Finally, from the processing facility the data representing the set dose value with the Output data containing at least one dose setting flag, compared to check the setting.

Preferred and advantageous developments of Invention are characterized in the subclaims.

In the following the invention is based on one of the Drawings currently shown preferred Embodiment described in more detail. The drawings show:

Fig. 1 is a block diagram of an embodiment of a metering device coupled to an infusion setting means according to the invention; and

Fig. 2 is a schematic representation that illustrates the application of the infusion metering system according to the invention.

Fig. 1 shows the coupling of a setting device according to the invention to an infusion metering device in a schematic form. Fig. 1 shows two main blocks, the infusion dosing device 1 (hereinafter referred to as an infusion pump) and with their coupled adjuster 2.

The infusion pump 1 is a portable infusion pump which, for example, has a flat rectangular housing of approximately 8 × 6 cm in size and approximately 3 cm in thickness and has a weight of less than 200 g. The infusion pump operates on a battery and contains, for example, the following components outlined in FIG. 1. A container 10 designated as a reservoir in FIG. 1 contains an infusion drug and is connected to a pump device 12 via a line 11 . In addition to the pump head acting on the fluid of the infusion drug, the pump device 12 also includes a motor driving it (for example a stepper motor). The infusion drug conveyed by the pump device 12 is transported via line 13 from the infusion pump 1 to the patient. The motor of the pump device 12 is controlled via a driver circuit 14 . The driver circuit 14 operates in dependence on control signals which it receives from a control device 15 . The control device 15 is preferably a digital, program-controlled control device which comprises one or more processors, associated memories for storing programs and data, associated clock generators and input / output interface components. So that the control device 15 can detect that the medicament is being transported in the desired manner, a tachometer generator 16 is coupled to the pump device 12 , for example. In addition, a pressure and / or force sensor can also be coupled to a suitable point on the pump device or the line 13 . The intelligence required for operating the infusion pump 1 is contained in the control device 15 , in particular in the operating programs stored there. The pump device 12 is controlled under the control of the control device 15 as a function of therapy data which are stored in a therapy memory 17 . In addition, the control device 15 is coupled to a series of input devices 18 , for example buttons on the housing of the infusion pump 1 , and to a display device 19 , preferably an LCD display on the housing of the infusion pump. Via the operator interface formed from input devices 18 and display device 19 and the associated interfaces and programs of control device 15 , an operator (patient and / or doctor) can start up and configure the infusion pump 1 in the desired manner, as well as the status and possible errors in the operation of the Query infusion pump 1 . In one embodiment, the control device 15 contains two processors which are program-controlled and cooperate with one another, a first processor processing inputs, managing the therapy memory, controlling the display and thus controlling the therapy. A second processor working under the control of this processor takes over the control of the motor driver for the pump device.

The infusion pump shown in FIG. 1 has an input / output interface device, the block 20 identifying the interface hardware that is coupled to the control device 15 . In addition to the hardware 20, the interfaces themselves include the associated driver software and further software which are in the program memory of the control device 15 . An input interface and an output interface are formed on the one hand by the hardware 20 and the associated software. Both interfaces preferably allow coupling via a wireless medium, for example via infrared radiation or high frequency. The interface device can, for example, correspond to the Bluetooth standard.

Fig. 1 also shows a schematic representation of the adjustment means 2 of the invention. The setting device 2 can be coupled to the interface device 20 of the infusion pump 1 via a data communication connection 3 . The setting device 2 has, for example, the following components shown in FIG. 1. A processing device 21 , which can process data under program control, is coupled to a data output device in the form of a display 22 and to a data input device 23 . The processing device 21 is also coupled to a memory 24 . Memory 24 includes, for example, read-only memory, non-volatile memory, and random access memory. The memory 24 stores both the operating programs required for the operation of the setting device 2 and the input, output and further data formed during data processing. The processing device 21 is coupled to a first interface device 25 , a second interface device 26 and a third interface device 27 . The first interface device is designed such that the setting device 2 can be coupled to a host computer system via this interface. The setting device 2 receives so-called therapy specification data from the host computer system via this interface device 25 . The therapy specification data and / or data formed therefrom are then stored in the memory 24 .

The processing device 21 processes an operating program on the setting device 2 , which prompts an operator of the setting device 2 via the display device 22 to make corresponding entries via the input device 23 . The requested operator input indicates, among other things, the desired settings of the infusion pump 1 . From the operator input, the processing device 21 generates output data for output to the infusion pump 1 on the basis of which this infusion pump 1 is to be set in the desired manner, taking into account the therapy specification data received and stored from the host computer system. The second interface device 26 is designed in such a way that it generates and outputs signals corresponding to the output data, which represent setting parameters of the infusion pump, to the infusion pump 1 . The data setting the infusion pump 1 is preferably transmitted via a wireless connection according to a standard protocol suitable for the transmission medium used, for example according to the Bluetooth protocol for high-frequency transmission in the short range (up to about 10 m distance).

The setting device 2 thus generates the therapy data which, when they have been transmitted to the infusion pump 1 , control the infusion pump 1 in a corresponding manner. The therapy data are formed from the therapy data entered via the input device 23 , with checks and, if necessary, modifications of the entered therapy data being carried out as a function of the therapy specification data from the memory 24 before the therapy data thus tested / modified is transmitted to the infusion pump 1 . In the simplest case, the therapy specification data could be limit values that the therapy data must not exceed.

The third interface device 27 of the setting device 2 serves on the one hand to output data, for example to print out documentation data or to remotely output (via a mobile phone) messages (for example an alarm). In addition, the third interface device 27 is used to connect sensors that can record vital parameters (for example O ₂ saturation, respiratory rate, blood pressure, ECG, etc.).

The setting device 2 is preferably a portable computer system that is configured with the above-mentioned interfaces and corresponding software. The setting device 2 is preferably a personal digital assistant (PDA) of small size. The same interface hardware is preferably used within the PDA both for coupling to the infusion pump 1 and for coupling to the host computer system and for coupling the sensors and / or the output devices. Standard interface hardware is preferably used, which enables targeted and defined coupling to the various devices and preferably uses standard protocols for data communication, such as a Bluetooth protocol.

Various configurations are conceivable for the interaction of the setting device 2 with one or more infusion pumps 1 . In a preferred configuration, an adjustment device 2 is used to adjust a plurality of infusion pumps 1 . In this case, the setting device 2 is temporally coupled via its second interface device 26 to one infusion pump 1 for a predetermined time of data exchange. In this case, setting parameter signals are transmitted to the infusion pump 1 and data signals from the infusion pump 1 are received which describe the functionality, document the previous course of therapy and operation for a predetermined period of time and indicate the success of the settings currently made with this coupling. After the uncoupling of the setting device 2 of each of an infusion pump 1 received from the infusion pump 1 data can be further processed and evaluated in the setting. 2 The data exchange described is carried out successively on a plurality of infusion pumps 1 , which are assigned to patients at different locations. After the successful data exchange with a number of pumps, the received data can also be statistically evaluated in the setting device 2 , whereby several patients who receive a similar infusion supply can be included. In this configuration, the setting device 2 is preferably in the possession of a treating doctor. The treating doctor carries out the necessary evaluations on his setting device 2 and uses the third interface device 27, for example, to output therapy documentation of the different patient and statistical evaluations via a printer. In addition, the attending physician uses the setting device 2 to transfer the data documenting the therapy of the individual patients to a host computer system (for example the computer system of a hospital). To this end, the attending physician couples the setting device 2 to the host computer system via the first interface device 25 and initiates a corresponding data transmission via software called up on the setting device 2 .

In another configuration, an adjustment device 2 is permanently assigned to a nearby infusion pump 1 over a longer period of use. In this configuration, the data exchange between the setting device 2 and the infusion pump 1 takes place continuously, periodically at predetermined times and / or as a function of predetermined events, it being possible for the data communication to be initiated both by the setting device and by the infusion pump. In this configuration, it is provided in a preferred application that 27 sensors for detecting vital parameters (for example blood pressure, oxygen saturation, heart rate, etc.), which are positioned on the patient, are coupled via the third interface device. This allows intelligent pump control as a function of the vital parameters detected (for example the automatic adaptation of the flow rate in the event of symptoms of overdosing), that is to say regulation of a closed loop within predetermined limit parameters. This configuration is particularly advantageous for outpatient therapy in the patient's home area. With this configuration, it is also advantageous to control a device for remote data transmission (for example a cell phone) via the third interface device 27 in order to enable automatic notification of a caring doctor or an outpatient care service in the event of serious disorders or other predetermined events.

Fig. 2 is a schematic diagram illustrating the use of the infusion dosing system according to the invention. The three main components of the infusion dosing system are shown on the right-hand side of FIG. 2: the infusion pump 1 , the setting device 2 and a host computer 4 . On the left-hand side of FIG. 2, those people are shown in association with the three main components, the majority of which interact with the associated component.

The infusion pump 1 is assigned to a patient 5 . 13 patient doses are supplied to the patient 5 via the line described in FIG. 1. The quantity or dose of medication transported from the infusion pump 1 to the patient 5 corresponds to the therapy parameters or therapy data set in the infusion pump 1 . In addition, the infusion pump 1 supplies information about its operation and therapy to the patient 5 via its display device 19 . The patient 5 can also request additional therapy data, which are then displayed to him via the display device 19 (display), via predetermined inputs via the input devices 18 . In addition, the patient 5 can influence the medication dosage via corresponding inputs within the framework of predetermined limits. For example, he can request a bolus if necessary. The infusion pump 1 conveys the medicament depending on the stored therapy data and the inputs of the patient 5 . In addition, the infusion pump stores the entire course of operation and therapy, that is to say the course of the medication dosing, as well as data relating to the functionality of the infusion pump 1 (for example fault messages and similar events) for documentation purposes.

The infusion pump 1 is coupled to the setting device 2 in the form of a PDA or a portable computer via the interfaces 20 and 26 described above, which establish the data communication connection 3 . As already mentioned, this coupling can be permanent, periodic and / or event-dependent for a predefined period of use, or the coupling can be carried out at predefined times of checking the therapy. During the coupling, setting parameter signals, ie tested therapy data, can be transmitted from the setting device 2 to the infusion pump 1 and the data stored in the infusion pump about the therapy history and the history of the pump operation can be read out. If new setting parameter signals are transmitted to the infusion pump 1 , the successful setting of the parameters is checked by reading out associated test parameters that are generated in the infusion pump 1 with the aid of sensors.

In the setting device 2 , the patient data and therapy specification data relevant to the therapy (which were obtained from the host computer 4 ) are stored. The setting device 2 determines the parameters to be set for the further therapy from these patient and therapy default data, the data of the previous course of therapy read from the infusion pump 1 and the inputs of a treating doctor 6 under the control of appropriate programs and transmits these to the infusion pump 1 . A further influencing variable for the setting parameters calculated in the setting device 2 and transmitted to the infusion pump 1 can be the output signals from sensors 7 detecting vital parameters, which are received via the interface device 27 . The data entered by the attending physician 6 via the input device 23 of the setting device 2 determine the further therapy within the framework of specifications that result from therapy specification data. The therapy specification data are stored in a memory of the setting device 2 . In order to be able to make the necessary entries, the attending doctor needs a number of information. On the one hand, it obtains this information from the expenditure of the setting device 2 via its display device 22 . The attending physician obtains further information during the diagnosis on the patient and from the communication with the patient (represented by the arrow 8 in FIG. 2). In addition, the attending doctor receives 6 specifications from the responsible (chief) doctor, the so-called therapy standards (shown in FIG. 2 by an arrow from doctor 9 to doctor 6 ). The setting device 2 contains a comfortable screen output device 22 , by means of which not only the currently set parameters of the infusion pump 1 , but also the therapy history and further information about the patient can be displayed. In addition, the setting device 2 can contain software with which, based on the existing data, a simulation of the future course depending on fictitious specifications of adjustable therapy data can be generated and displayed on the screen 22 . An output device, possibly a remote output device, can also be coupled to the interface device 27 (as described above). The therapy course, the set parameters, simulation results and further evaluations can be output, for example printed out, via this output device.

As has already been described with reference to FIG. 1, the setting device 2 can be coupled to a host computer 4 via the interface device 25 . The host computer 4 , usually a stationary computer system, contains the software with which therapy standards or guidelines of the responsible chief physician 9 can be recorded and managed. The host computer is also used for the administration and administration of the authorized users of the system. With the help of the software processed on the host computer, therapy goals and documentation parameters are defined and patient-related therapy data are documented and evaluated. As indicated in FIG. 2, the host computer 4 accesses electronic patient files. When the treatment is complete, the patient files are stored in an electronic archive (also shown in FIG. 2). The doctor responsible 9 determines the scope of the documentation relating to the patient, the access authorizations and the data of the therapy standards by means of the inputs into the host computer.

The documentation is improved by transferring the data of the course of therapy from the infusion pump into the setting device 2 and transferring this data or the data formed therefrom by processing to the host computer 4 . By eliminating the manual data transmission in the patient files, a source of error is also eliminated. This and the central specification of therapy standards leads to a system with high therapy safety. The interposition of the setting device 2 between the infusion pump 1 and the host computer 4 at the patient's site and the connection of the automatic recording of the previous course of therapy from the infusion pump 1 with the prompt recording of patient-related data by the attending physician and their input into the setting device 2 are permitted improved documentation of the therapy results. With the help of the system, the previously defined therapy goals, the documented course of operation and therapy, the therapy results as well as side effects and well-being of the patient can be used seamlessly and almost tamper-proof for quality assurance.

Claims (23)

1. Setting device for setting a portable infusion metering device, the portable infusion metering device having an input interface for receiving signals that represent setting parameters of the infusion metering device,
the setting device being transportable, structurally separate from the infusion metering device and being connectable to its input interface and to an input / output interface of a host computer system,
the adjusting device comprising:
a first interface device for coupling to the input / output interface of the host computer system in order to be able to receive therapy specification data from the host computer system,
a memory for storing received therapy specification data,
an operator input device for recording operator inputs which characterize at least the desired settings of dose values of the infusion drug,
a processing device, which is coupled to the first interface device, the memory and the operator input device and which, depending on the stored therapy specification data, generates output data from the operator inputs which characterize at least one dose setting value of an infusion drug, and
a second interface device coupled to the processing device for coupling to the infusion dosing device, which generates and outputs signals corresponding to the output data, which represent setting parameters of the infusion dosing device, to the infusion dosing device, the setting parameters at least the at least one dose setting value of the infusion drug determine for a given time interval. 2. Setting device for setting a portable Infusion metering device according to claim 1, characterized characterized in that the second interface device a Transmitting device for wireless transmission of the signals to the Infusion metering device includes. 3. Setting device for setting a portable Infusion metering device according to claim 2, characterized characterized in that the transmitting device is an infrared or HF Sending device includes. 4. Setting device for setting a portable Infusion metering device according to claim 1, characterized characterized in that the first interface device a Output device for transferring data to the Host computer system, which to the host computer system transmitted data the at least one Dose setting value characteristic output data include. 5. Setting device for setting a portable Infusion metering device according to claim 4, characterized characterized in that the second interface device a Transmitting device for wireless transmission of the signals to the Infusion dosing device includes and that the Output device of the first interface device Transmitting device of the second interface comprises. 6. Setting device for setting a portable Infusion metering device according to claim 1, characterized characterized in that a third interface device with the Processing device is coupled, the third Interface device with at least one Sensor recording vital parameters for receiving Vital parameter signals can be coupled. 7. Setting device for setting a portable Infusion metering device according to claim 6, characterized characterized in that a fourth interface device with the Processing device is coupled, with the fourth interface device an output and / or Remote output device can be coupled. 8. Setting device for setting a portable infusion metering device according to claim 1, characterized in that
that the second interface device additionally has a receiving device for receiving signals from the infusion metering device, the received signals representing at least one dose value set in the infusion metering device,
that the second interface device generates the data representing the set dose value from the received signals and outputs it to the processing device, and
that the processing device compares the data representing the set dose value with the output data which characterize at least one dose set value in order to check the setting. 9. Setting device for setting a portable Infusion dosing device according to claim 1, the alternative associated with several different patients Infusion metering devices can be coupled, thereby characterized that the therapy specification data patient-related Therapy specification data in association with patient and / or Dispenser identification information includes. 10. Setting device for setting a portable Infusion metering device according to claim 1, characterized characterized that the therapy specification data limit values defining data, the limit values being upper and / or lower limit values of delivery rates to be set and / or Times when certain funding rates are set should represent. 11. Setting device for setting a portable Infusion metering device according to claim 1, characterized characterized in that the operator inputs additional information include current therapeutic effects. 12. Setting device for setting a portable Infusion metering device according to claim 11, characterized characterized that the therapy target data therapy goals defining data. 13. Infusion dosing system with
a host computer system with an input / output interface,
a portable infusion dosing device with an input interface for receiving signals representing setting parameters of the infusion dosing device, the setting parameters determining at least one dose setting value of an infusion drug for a predetermined time interval, and
an adjusting device according to one of claims 1 to 12. 14. Infusion metering system according to claim 13, characterized characterized in that the portable infusion dosing device a memory for storing set dose values and an output interface for outputting signals that represent the set dose values to which Has adjustment device. 15. A method for setting a portable infusion metering device with an input interface for receiving signals which represent setting parameters of the infusion metering device, the parameters determining at least one dose for a predetermined time interval, where:
a portable setting device is coupled to a host computer system in order to receive therapy specification data from the host computer system and to store the received therapy specification data in a memory,
an operator input device of the setting device is monitored in order to record operator inputs which characterize at least the desired settings of dose values of the infusion drug,
output data, which characterize at least one dose setting value of an infusion drug, are generated by a processing device of the setting device as a function of the stored therapy specification data from the operator inputs,
the portable setting device is coupled to an infusion metering device,
from an interface device connected to the processing device, signals corresponding to the output data, which represent setting parameters of the infusion dosing device, are generated and output to the infusion dosing device, the setting parameters determining at least one dose setting value of the infusion drug for a predetermined time interval, and
The delivery rates and / or times in which certain delivery rates are to be set are set by the infusion metering device in accordance with the signals representing the setting parameters. 16. Procedure for setting a portable infusion Dosing device according to claim 15, characterized in that the signals representing the setting parameters wireless, for example via modulated infrared radiation, be transmitted. 17. Procedure for setting a portable infusion Dosing device according to claim 15, characterized in that the generated by the processing device Output data before pairing the portable adjustment device with the infusion metering device in the memory of the Setting device can be cached. 18. Procedure for setting a portable infusion Dosing device according to claim 15, characterized in that when pairing the portable again Setting device with the host computer system data to the Host computer system are transmitted to the at least one Output data characterizing dose setting value include. 19. A method for setting a portable infusion metering device according to claim 15, characterized in that after the setting of the delivery rates and / or times in which certain delivery rates are to be set, signals from the infusion metering device to the setting device by the infusion metering device are transmitted which represent at least one dose value set in the infusion metering device,
the interface device generates data representing the set dose value from the received signals and outputs it to the processing device, and
the processing device compares the data representing the set dose value with the output data which characterize at least one dose set value in order to check the setting. 20. Procedure for setting a portable infusion Dosing device according to claim 15 using a Adjustment device, alternatively with several infusion dosing devices assigned to different patients can be coupled, characterized in that the Therapy specification data patient-related therapy specification data in Assignment to patient and / or Dispenser identification information includes. 21. Procedure for setting a portable infusion Dosing device according to claim 15, characterized in that the therapy specification data defines limit values include, the upper and / or lower limit values Limit values of the delivery rates to be set and / or the times, in which certain funding rates should be set, represent. 22. Procedure for setting a portable infusion Dosing device according to claim 15, characterized in that the operator inputs additional information on current Therapy effects include. 23. Procedure for setting a portable infusion Dosing device according to claim 22, characterized in that the therapy specification data define therapy goals Include data.