Drug library dynamic version management

• US 10,692,595 B2
• Filed: 07/15/2019
• Issued: 06/23/2020
• Est. Priority Date: 07/26/2018
• Status: Active Grant

• Current Assignee: ICU Medical Incorporated
• Original Assignee: ICU Medical Incorporated
• Inventors: Xavier, Ben, Krabbe, Dennis, Kil, Timothy, Polk, Jody, Fields-Cypress, Aaron, Tobias, Julius
• Primary Examiner(s): Sereboff, Neal
• Application Number:
  US16/512,266
• Publication Number:
  US 20200035346A1
• Time in Patent Office: 344 Days
• CPC Class Codes: A61M 2205/3553 remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3584 using modem, internet or bluetooth
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/6009 for matching patient with his treatment, e.g. to improve transfusion security
• CPC Class Codes: A61M 5/142 Pressure infusion, e.g. using pumps
• CPC Class Codes: A61M 5/172 electrical or electronic A61M5/16804, A61M5/16831 take precedence
• CPC Class Codes: G16C 20/62 Design of libraries
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/40 for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
• CPC Class Codes: G16H 70/40 relating to drugs, e.g. their side effects or intended usage

Abstract

A drug library management system generates versions of drug library data that can be used by infusion pumps, and version of drug library data that can be used by systems or components in a clinical environment other than infusion pumps. One version of the drug library data may be customized for a particular infusion pump, while another version may be a generalized version that can be used by middleware systems that process messages received from various infusion pumps that are using a different version of the drug library data. The generalized version may be archived separately from a drug library database used by the drug library management system to generate the various versions.

Claims

1. A system comprising:

computer-readable storage; and

one or more computer processors configured to at least;

receive generalized drug library data, wherein the generalized drug library data represents a plurality of medications and a plurality of administration rules;

receive customized drug library data formatted according to a pump-specific format associated with a first infusion pump type, wherein the customized drug library data represents the plurality of medications and the plurality of administration rules, wherein individual administration rules of the plurality of administration rules are associated with individual medications of the plurality of medications, and wherein the customized drug library data is different than the generalized drug library data;

send the customized drug library data to an infusion pump associated with the first infusion pump type, wherein the infusion pump replaces a prior version of customized drug library data with the customized drug library data;

store the generalized drug library data in the computer-readable storage, wherein a prior version of the generalized drug library data, corresponding to the prior version of customized drug library data, is stored in the computer-readable storage;

receive, from the infusion pump, a first infusion message comprising a first medication identifier that corresponds to a first medication infused by the infusion pump;

determine a first medication name using the first medication identifier and the generalized drug library data;

receive, from the infusion pump after sending the customized drug library data to the infusion pump, a second infusion message associated with the prior version of customized drug library data, the second infusion message comprising a second medication identifier that corresponds to a second medication infused by the infusion pump; and

determine a second medication name using the second medication identifier and the prior version of generalized drug library data.

2. The system of claim 1, further comprising the infusion pump, wherein the infusion pump is configured to replace, in memory of the infusion pump, the prior version of customized drug library data with the customized drug library data.

3. The system of claim 2, wherein the infusion pump is configured to:

display infusion data comprising the first medication name; and

transmit the first infusion message to a connectivity adapter comprising the one or more processors, wherein the first infusion message comprises the first medication identifier and does not comprise the first medication name.

4. The system of claim 2, wherein the infusion pump is configured to:

display infusion data comprising a clinical care area name; and

transmit the first infusion message to a connectivity adapter comprising the one or more processors, wherein the first infusion message comprises a clinical care area identifier and does not comprise the clinical care area name.

5. The system of claim 1, wherein the one or more processors are further configured to at least:

receive, from a second infusion pump, a third infusion message comprising a third mediation identifier, wherein the second infusion pump is associated with a second infusion pump type; and

determine a third medication name using the third medication identifier and second generalized drug library data.

6. The system of claim 1, wherein:

an administration rule of the plurality of administration rules is associated with the first medication and a clinical care area of a plurality of clinical care areas;

the administration rule comprises a first upper dosing limit;

the clinical care area is associated with a second upper dosing limit that is lower than the first upper dosing limit; and

the second upper dosing limit overrides the first upper dosing limit during administration of the first medication by the infusion pump.

7. The system of claim 1, wherein:

an administration rule of the plurality of administration rules is associated with the first medication and a clinical care area of a plurality of clinical care areas;

the administration rule comprises a first upper dosing limit;

the clinical care area is associated with a second upper dosing limit that is higher than the first upper dosing limit; and

the first upper dosing limit is implemented during administration of the first medication by the infusion pump.

8. A computer-implemented method comprising:

under control of one or more computing devices configured with specific computer-executable instructions,

receiving generalized drug library data, wherein the generalized drug library data represents a plurality of medications and a plurality of administration rules;

receiving customized drug library data formatted according to a pump-specific format associated with a first infusion pump type, wherein the customized drug library data represents the plurality of medications and the plurality of administration rules, wherein individual administration rules of the plurality of administration rules are associated with individual medications of the plurality of medications, and wherein the customized drug library data is different than the generalized drug library data;

sending the customized drug library data to an infusion pump associated with the first infusion pump type, wherein the infusion pump replaces a prior version of customized drug library data with the customized drug library data;

storing the generalized drug library data in a computer-readable storage, wherein a prior version of the generalized drug library data, corresponding to the prior version of customized drug library data, is stored in the computer-readable storage;

receiving, from the infusion pump, a first infusion message comprising a first medication identifier that corresponds to a first medication infused by the infusion pump;

processing the first infusion message using the first medication identifier and the generalized drug library data;

receiving, from the infusion pump after sending the customized drug library data to the infusion pump, a second infusion message associated with the prior version of customized drug library data, the second infusion message comprising a second medication identifier that corresponds to a second medication infused by the infusion pump; and

processing the second infusion message using the second medication identifier and the prior version of generalized drug library data.

9. The computer-implemented method of claim 8, wherein sending the customized drug library data to the infusion pump causes the infusion pump to replace, in memory of the infusion pump, the prior version of customized drug library data with the customized drug library data.

10. The computer-implemented method of claim 8, wherein processing the second infusion message comprises determining a second medication name using the second medication identifier and the prior version of generalized drug library data.

11. The computer-implemented method of claim 8, wherein sending the customized drug library data to the infusion pump cases the infusion pump to replace, in memory of the infusion pump, a prior version of customized drug library data with the customized drug library data.

12. The computer-implemented method of claim 11, further comprising:

displaying, by the infusion pump, infusion data comprising a first medication name; and

generating, by the infusion pump, the first infusion message, wherein the first infusion message comprises the first medication identifier and does not comprise the first medication name.

13. The computer-implemented method of claim 8, further comprising:

receiving, from a second infusion pump, a third infusion message comprising a third mediation identifier, wherein the second infusion pump is associated with a second infusion pump type; and

processing the third medication identifier and second generalized drug library data.

14. The computer-implemented method of claim 8, wherein:

an administration rule of the plurality of administration rules is associated with the first medication and a clinical care area of a plurality of clinical care areas;

the administration rule comprises a first upper dosing limit;

the clinical care area is associated with a second upper dosing limit that is lower than the first upper dosing limit; and

the second upper dosing limit overrides the first upper dosing limit during administration of the first medication by the infusion pump.

15. The computer-implemented method of claim 8, wherein:

an administration rule of the plurality of administration rules is associated with the first medication and a clinical care area of a plurality of clinical care areas;

the administration rule comprises a first upper dosing limit;

the clinical care area is associated with a second upper dosing limit that is higher than the first upper dosing limit; and

the first upper dosing limit is implemented during administration of the first medication by the infusion pump.

16. A non-transitory computer storage medium that stores an executable component that directs a computing system to perform a process comprising:

receiving generalized drug library data, wherein the generalized drug library data represents a plurality of medications and a plurality of administration rules;

receiving customized drug library data formatted according to a pump-specific format associated with a first infusion pump type, wherein the customized drug library data represents the plurality of medications and the plurality of administration rules, wherein individual administration rules of the plurality of administration rules are associated with individual medications of the plurality of medications, and wherein the customized drug library data is different than the generalized drug library data;

sending the customized drug library data to an infusion pump associated with the first infusion pump type, wherein the infusion pump replaces a prior version of customized drug library data with the customized drug library data;

storing the generalized drug library data in a computer-readable storage, wherein a prior version of the generalized drug library data, corresponding to the prior version of customized drug library data, is stored in the computer-readable storage;

receiving, from the infusion pump, a first infusion message comprising a first medication identifier that corresponds to a first medication infused by the infusion pump;

processing the first infusion message using the first medication identifier and the generalized drug library data;

receiving, from the infusion pump after sending the customized drug library data to the infusion pump, a second infusion message associated with the prior version of customized drug library data, the second infusion message comprising a second medication identifier that corresponds to a second medication infused by the infusion pump; and

processing the second infusion message using the second medication identifier and the prior version of generalized drug library data.

17. The non-transitory computer storage medium of claim 16, wherein processing the first infusion message comprises determining a first medication name using the first medication identifier and the generalized drug library data, and wherein processing the second infusion message comprises determining a second medication name using the second medication identifier and the prior version of generalized drug library data.

18. The non-transitory computer storage medium of claim 16, the process further comprising:

receiving, from a second infusion pump, a third infusion message comprising a third mediation identifier, wherein the second infusion pump is associated with a second infusion pump type; and

processing the third medication identifier and second generalized drug library data.

19. The non-transitory computer storage medium of claim 16, wherein:

an administration rule of the plurality of administration rules is associated with the first medication and a clinical care area of a plurality of clinical care areas;

the administration rule comprises a first upper dosing limit;

the clinical care area is associated with a second upper dosing limit that is lower than the first upper dosing limit; and

the second upper dosing limit overrides the first upper dosing limit during administration of the first medication by the infusion pump.

20. The non-transitory computer storage medium of claim 16, wherein:

an administration rule of the plurality of administration rules is associated with the first medication and a clinical care area of a plurality of clinical care areas;

the administration rule comprises a first upper dosing limit;

the clinical care area is associated with a second upper dosing limit that is higher than the first upper dosing limit; and

the first upper dosing limit is implemented during administration of the first medication by the infusion pump.