referring now to fig1 - 3 , a medical device 1 in the form of a portable drip infusion device has a housing 2 and two telescopically displaceable arms 3 carrying a gripping mechanism 4 for gripping a not shown drip chamber and sensors 4 a for sensing drops falling through said drip chamber . the device 1 has a display 5 for displaying information regarding the function of the device . push buttons 6 , 7 and 8 are provided for manually programming the function of the device , button 6 being for decreasing flow of infusion liquid , button 7 being for activating the device and button 8 being for increasing the flow of infusion liquid . a monitoring device 9 according to the invention has a housing 10 and four electrical contact pins 11 for electrically contacting four corresponding electrical contact plates 11 a arranged in a recess 12 in the bottom of housing 2 , the recess being adapted for receiving the monitoring device 9 . the monitoring device 9 is provided with three led light emitters 13 , 14 and 15 adapted for emitting white , red and green light , respectively . the monitoring device is further provided with a clip 16 for attaching the monitoring device to the front of a pocket or the like of a health care worker responsible for monitoring the medical device . a space 10 a on the housing 10 is provided for marking the monitoring device 9 with an erasable marker for instance to visually identify the medical device which is being monitored by the monitoring device . referring now to fig4 - 6 , the monitoring device 9 is further provided with a socket for receiving a miniature usb plug 18 for supplying electrical power and / or data transmission from a cable 19 to the monitoring device 9 / medical device 1 as explained more in detail in the following . referring now to fig7 and 8 illustrating the monitoring device seen from the bottom ( with the bottom wall removed ) and in storage mode and in active mode , respectively , the housing 10 contains a rechargeable battery 20 , a vibrator motor 21 and a vibrator 22 , three led light emitters 13 - 15 ( green , yellow and red , respectively ), a printed circuit board ( pcb ) 23 , a battery contact plate 24 and an insulating plate 25 attached to a push rod 26 . a mini usb socket 17 is electrically connected to the pcb 23 . the pcb 23 comprises a not shown microprocessor . two electrical contacts 11 are connected to the pcb 23 , the other two electrical contacts are hidden behind the socket 17 and the battery 20 and are also connected to the pcb 23 . two of the contacts 11 serve for transmitting electrical power and two contacts 11 serve for data transmission . the push rod 26 has a telescopically displaceable portion 27 and is mounted on a displaceable plate 28 . a switch 29 serves to stop the vibrator motor 21 when the plate 28 and rod 26 are displaced to the right from the position shown in fig8 by finger pressure exerted by the responsible health care provider as explained more in detail in the following . referring now to fig9 illustrating the portable drip infusion device 1 with some of the different components thereof exposed in an exploded view , a front cabinet 30 is provided with the push buttons 6 - 8 and is assembled with a moisture insulating rubber seal 31 unto the main body 32 of the device 1 with the display 5 received in apertures 5 a and 5 b in front cabinet 30 and insulating seal 31 . the main body 32 contains a printed circuit board ( pcb ) 33 comprising a not shown microprocessor for controlling the functions of medical device 1 , generating a code for the wireless signals , programming of the functions of the medical device 1 , monitoring said functions to register any malfunction of the device 1 and generating said second signal in case of a malfunction , measuring time for determining the emission of said first signal and generating said first signal and generating operational data for being displayed in the display 5 . an audible alarm 34 is mounted on the pcb 33 and switches 6 a , 7 a and 8 a are mounted on the pcb to be activated by the push buttons 6 , 7 and 8 , respectively . four electrical contacts 11 a for contacting the corresponding contacts 11 of the monitoring device 9 are also connected to the pcb 33 . a rechargeable battery 35 is mounted between the main body 32 and a rear cabinet 36 containing elements for the function of the medical device 1 such as a motor 37 and a gear box 38 for regulating the flow of infusion liquid . in use , the monitoring device shown in fig7 is readied for its first time use by pressing the portion 27 of the rod 26 such that the rod is displaced to the right in fig7 whereby the insulating plate is displaced to the position shown in fig8 where it does not prevent contact between the battery 20 and the battery contact plate whereby power is now supplied to the pcb 23 . hereby , it is avoided that the battery 20 is discharged during storage prior to first use of the monitoring device 9 . the monitoring device 9 is inserted in the recess 12 in the medical device 1 such that the contacts 11 and 11 a are electrically connected . the mini usb plug 18 may , if necessary , be inserted in the socket 17 to recharge the batteries 20 and 35 and perhaps transmit electronic data to the microprocessor of the medical device 1 . the battery 35 of the medical device can only be recharged through the corresponding monitoring device &# 39 ; s usb plug 18 . the rate of flow of the infusion device 1 is set by means of the buttons 6 and 8 . a code is generated by the microprocessor incorporated in the pcb 33 of the medical device 1 and transmitted to and stored in the microprocessor incorporated in the pcb 23 of the monitoring device 9 through the contacts 11 and 11 a . this allows several different medical devices to be “ paired ” with each its own monitoring device in the same hospital . the medical device 1 is activated by pressing the button 7 and the monitoring device is removed from the recess 12 and for instance clipped to the breast pocket of the responsible health care provider . the green led 13 blinks as long as the medical device 1 is functioning correctly and the battery 35 thereof has sufficient power . every 30 seconds the signal emitter incorporated in the pcb 33 of the medical device 1 sends a “ hand shake ” signal with the code incorporated , and as long as the medical device is within receiving range of the signal receiver incorporated in the pcb 23 of the monitoring device and therefore the signal is received by the signal receiver , the monitoring device will not react . however , if the hand shake signal is not received after the elapse of 30 seconds after the last hand shake signal was received , the vibrator 22 of the monitoring device will be activated and the yellow led 14 will start blinking which will indicate that the medical device has been moved out of range of the monitor device &# 39 ; s signal receiver . the health care provider can stop the vibrator by pushing on the push button 28 thereby activating the vibrator interruption switch 22 , but the yellow led 14 will continue blinking until a new hand shake signal is received . the microprocessor incorporated in the pcb 33 of the medical device monitors the correct operation of the medical device and the condition of the battery 35 . if a malfunction is detected , an alarm signal will be transmitted by the signal transmitter incorporated in the pcb 33 . when this alarm signal is received by the signal receiver incorporated in the pcb 23 , the vibrator 22 will be activated , and the red led 15 will start blinking . the vibrator can be deactivated by pushing the button 28 , but the red led 15 will continue blinking until the monitoring device is inserted into the recess 12 of the medical device . as a further embodiment of the combination according to the invention as an alternative to the medical device 1 , for instance a drip infusion set , being programmed with specific functional parameters , in the case of drip infusion sets , drop size and flow rate by the user ( nurse ) when setting up the treatment of a patient this programming step by the nurse can be eliminated . in some hospital or clinic environments it is preferred only to use one specific drop set or drip chamber and therefore only utilize one specific drop size . then there is no need for the user to programme drop size into the medical device , and eliminating programming of drop size also eliminates the risk of programming the wrong drop size into the device . in that case it would be an advantage to the user if the monitoring device used is able to programme the device with a specific drop size even though the medical device is adapted to be programmed for several different drop sizes . to achieve this advantage the microprocessor of the pcb 23 of the monitoring device is factory programmed to a specific drop size and marked ( see fig1 ) or colour coded to indicate to the user whether the monitoring device will programme the medical device to : 10 , 15 , 20 , 30 , 40 , 50 or 60 drop / ml ( or any other suitable number ). of course , this alternative also applies to other programmable medical devices for use in a combination according to the invention . in some environments only one type of infusion is performed and therefore only one flow rate needs to be programmed , and in these cases it would be an advantage to the user if the monitoring device used is able to programme the medical device with a specific flow rate even though the medical device is adapted to be programmed for several different flow rates . to achieve this advantage the monitoring device microprocessor is factory programmed to a specific flow rate and marked ( see fig1 ) or colour coded to indicate to the user whether the monitoring device will programme the medical device to : 10 , 50 , 100 , 150 , 200 or 250 ml / hr ( or any other suitable number ). alternatively , the monitoring device microprocessor can be factory programmed with both a specific drop size and a specific flow rate in cases where the user always uses the same specific drop set and only at a specific flow rate ( see fig1 ). reference is now made to fig1 - 15 . in some hospital or clinic environments , the doctor in charge of the treatment of a patient could be interested in programming the drop size and flow rate himself into the microprocessor of the monitoring device to take the responsibility for programming the medical device off the nurse &# 39 ; s shoulders . in this version of the monitoring device it can be connected to a pc 40 by inserting the usb plug 18 in the usb socket 17 ( see fig1 ), and the doctor can program the monitoring device &# 39 ; s microprocessor and when the monitoring device is electrically connected to the medical device , the medical device &# 39 ; s microprocessor , so that the medical device will work with a specific drop size and flow rate . other functional parameters for the medical device can also be programmed by a doctor ( or nurse ) in this manner . to make sure that a specific , individually programmed monitoring device is used for the treatment of the corresponding specific patient the doctor can write the patients name in the text field 10 a ( see fig1 - 15 ). on the front of the monitoring device , the text “ customized ” is applied to indicate that the monitoring device is specific and cannot be used for any but an intended medical device . the medical device 1 can only be stopped and started with the monitoring device 9 inserted in the medical device and in electrical contact therewith . in hospitals and clinics where electronic journals are used it could be an advantage if the monitoring device is able to record and store data describing the treatment performed by the medical device . then the doctor can connect the monitoring device via the usb connection to a pc and read the treatment data stored in the monitoring device and save them in the patients electronic journal . referring now to fig1 , in case the monitoring device 9 is programmed , for instance by a pc 40 , it could be an advantage if a display 41 is provided in the housing 10 of the monitoring device . this display shows the data which the monitoring device has been programmed with . this will allow the medical device to perform more sophisticated treatments than just a fixed flow rate . for instance specify duration of the infusion , variation over time in flow rate , intermediated flow rates , bolus option ( for instance by pressing a specific key on the device ) and bolus lock period . the display can then show the specific features programmed , for instance as remaining time if a time limited treatment is programmed , bolus off / on if a bolus and a bolus lock period is programmed or a pause if an intermediate treatment has been programmed . in fig1 , the display 41 displays the information “ bolus - off ” indicating that the bolus is in lock period . in a further embodiment , the microprocessor incorporated in the pcb 33 of the medical device registers various data regarding the operation of the medical device and this data is communicated to the signal transmitter that transmits this data as a third signal to the monitoring device to be displayed by the display 41 such that the operation of the medical device can be monitored by a doctor or a nurse .
there is provided a combination of a portable monitoring device for monitoring a portable drip infusion set for use in hospitals and the like and the portable drip infusion set , preferably being of the type comprising a liquid supply , a drip chamber downstream of the liquid supply for forming liquid drops and a flexible tube connecting the drip chamber with an injection needle .