Patient medication IV delivery pump with wireless communication to a hospital information management system

• US 20040176984A1
• Filed: 03/13/2004
• Published: 09/09/2004
• Est. Priority Date: 12/01/1999
• Status: Active Grant

• Current Assignee: B Braun Medical Incorporated (B. Braun Holding GmbH & Co. KG)
• Original Assignee: B Braun Medical Incorporated (B. Braun Holding GmbH & Co. KG)
• Inventors: Brooks, Robert C., Abbott, Martyn Stuart, White, Gale, Zakrewski, Michael J., Hill, Roger, Kummerlen, Ruth
• Granted Patent: US 7,645,258 B2
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: A61M 2205/3561 local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/3592 using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2205/6072 Bar codes
• CPC Class Codes: A61M 5/142 Pressure infusion, e.g. using pumps
• CPC Class Codes: A61M 5/14224 Diaphragm type
• CPC Class Codes: A61M 5/14228 with linear peristaltic action, i.e. comprising at least three pressurising members or a helical member
• CPC Class Codes: A61M 5/14232 Roller pumps
• CPC Class Codes: A61M 5/1452 pressurised by means of pistons
• CPC Class Codes: G16H 10/40 for data related to laboratory analysis, e.g. patient specimen analysis
• CPC Class Codes: G16H 10/65 stored on portable record carriers, e.g. on smartcards, RFID tags or CD
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A wireless communication system from an IV medication infusion pump to a hospital information management system (HIMS) is disclosed. The system includes an IV pump having pump operation circuitry for monitoring pre-selected characteristics of pump operation indicative of IV administration of medication to a patient. A transmitter or transceiver is connected to the pump operation circuitry for receiving a wireless pump signal representing instructional data to the IV pump and for transmitting a wireless pump signal representing the pre-selected pump operation characteristics. The wireless pump transmitter or transceiver communicates with a hospital information management system (HIMS). The HIMS includes a receiver or transceiver capable of transmitting and receiving the pump signal representing the pump operation characteristics and also includes a computer processor capable of storing and displaying the pump operation characteristics that are represented by the received wireless pump signal. In one embodiment, a data collection terminal is incorporated into the system. The data collection terminal includes a transceiver capable of transmitting and receiving the pump signal representing the pump operation characteristics and the HIMS signal representing instructional data to the IV pump.

Claims

1. An IV medication infusion pump for use with a hospital information management system (HIMS), said IV pump comprising:

(a) pump operation circuitry coupled with said infusion pump for monitoring pre-selected characteristics of current infusion pumping operation, wherein said characteristics of current infusion pumping operation are selected from among rate of pumping, pumping pressure, start time, time of pumping, volume of pumping, dosage, size of tubing, speed of pumping motor, door open, manual programming mode, automatic programming mode, start-up testing, dosage of infusion and bolus of infusion, nurse identification, unique patient identification, a drug name, total volume of infusion, current date, current time, maximum dose limit, minimum dose limit, minimum volume to be infused, maximum volume to be infused, patient weight, and patient height;

(b) a wireless signal transmitter connected to said pump operation circuitry for transmitting at least one wireless signal representing said pre-selected current pumping operation characteristics; and

(c) a receiver capable of receiving said at least one wireless signal representing said current pumping operation characteristics, said receiver connected to said hospital management system (HIMS) for receiving said current pumping operation characteristics represented by said at least one wireless signal from said IV pump.

2. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises circuitry monitoring a plurality of said current pumping operation characteristics;

(b) said at least one wireless signal comprises one or more wireless signals indicative of said plurality of current pumping operation characteristics of said IV pump.

3. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises current date of operation circuitry; and

(b) said at least one wireless signal comprises a signal indicative of said current date of operation of said IV pump.

4. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises current time of operation circuitry; and

(b) said at least one wireless signal comprises a signal indicative of said current time of operation of said IV pump.

5. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises maximum dose limit input circuitry; and

(b) said at least one wireless signal comprises a signal indicative of said maximum dose limit input into said IV pump.

6. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises minimum dose limit input circuitry; and

(b) said at least one wireless signal comprises a signal indicative of said minimum dose limit input into said IV pump.

7. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises maximum volume to be infused input circuitry; and

(b) said at least one wireless signal comprises a signal indicative of said maximum volume to be infused input into said IV pump.

8. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises minimum volume to be infused input circuitry; and

(b) said at least one wireless signal comprises a signal indicative of said volume to be infused input into said IV pump.

9. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises patient weight input circuitry; and

(b) said at least one wireless signal comprises a signal indicative of said patient weight input into said IV pump.

10. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises patient height input circuitry; and

(b) said at least one wireless signal comprises a signal indicative of said patient height input into said IV pump.

11. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises input drug identification circuitry; and

(b) said at least one wireless signal comprises a signal indicative of said drug identification input into said IV pump.

12. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises input patient identification circuitry; and

(b) said at least one wireless signal comprises a signal indicative of said patient identification input into said IV pump.

13. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises input nurse identification circuitry; and

(b) said at least one wireless signal comprises a signal indicative of said nurse identification input into said IV pump.

14. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises alarm condition detection circuitry; and

(b) said at least one wireless signal comprises a signal indicative of said alarm condition of said IV pump.

15. The IV pump of claim 1 wherein:

(a) said pump alarm condition detection circuitry further comprises circuitry to detect at least one pump alarm condition selected from among conditions of an invalid operator ID, an invalid patient ID, a door open condition, a high pressure condition, a flow blocked condition, an air in the line condition, a low battery condition, a pump malfunction condition, hold time exceeded and a pump stopped condition; and

(c) said at least one wireless signal comprises a signal indicative of said at least one selected alarm condition of said IV pump.

16. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises time of infusion monitoring circuitry; and

(b) said at least one wireless signal comprises a signal indicative of said time of infusion of said IV pump.

17. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises end of infusion warning circuitry; and

(b) said at least one wireless signal comprises a signal indicative of said end of infusion warning of said IV pump.

18. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises advanced end of infusion warning circuitry; and

(b) said at least one wireless signal comprises a signal indicative of said advanced end of infusion warning of said IV pump.

19. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises advanced end of infusion warning circuitry programmable for providing a warning at a selected time in advance of said end of infusion; and

(b) said at least one wireless signal comprises a signal indicative of said end of infusion warning of said IV pump transmitted said selected time in advance of the end of infusion.

20. The IV pump of claim 1 wherein:

(a) said operation circuitry comprises pump operation log circuitry; and

(b) said at least one wireless signal comprises a signal for downloading said operational log of said IV pump to said HIMS.

21. The IV pump of claim 1 wherein:

(a) said receiver capable of receiving said at least one wireless signal from said IV pump comprises a plurality of receiving nodes positioned at predetermined locations throughout said healthcare institution for receiving said at least one wireless signal from an IV pump located within a predetermined short range of said node location;

(b) said pump operation circuitry further comprises an individual IV pump identification signal unique to each pump in the health care institution; and

(c) said at least one wireless signal comprises a signal indicative of said individual identification of said IV pump.

22. The IV pump of claim 21 further comprising node location detection circuitry connected to said HIMS for detecting the location of the node receiving a wireless signal from an individually identified IV pump so that the location of said IV pump within said health care institution can be determined at by said HIMS.

23. The IV pump of claim 1 wherein:

(a) said wireless signal transmitter connected to said pump operation circuitry comprise a transceiver for both transmitting at least one wireless signal representing said pre-selected pumping operation characteristics and for receiving input signals from said HIMS; and

(b) said receiver connected to said hospital management system (HIMS) comprises a transceiver capable of both receiving said at least one wireless signal representing said pumping operation characteristics and transmitting at least one input signal for providing at least one pumping operation parameter to said IV pump operation circuitry.

24. The IV pump of claim 1 further comprising a data collection terminal including a transceiver capable of receiving said at least one wireless signal representing said pumping operation characteristics, said transceiver connected to said hospital management system (HIMS) for receiving at least one pumping operation parameter transmitted from the HIMS to said IV pump operation circuitry.

25. A wireless communication system from an IV medication infusion pump to a hospital information management system (HIMS) comprising:

(a) pump operation circuitry coupled with said IV medication infusion pump for monitoring pre-selected characteristics of current infusion pumping operation, wherein said characteristics of current infusion pumping operation are selected from among rate of pumping, pumping pressure, start time, time of pumping, volume of pumping, dosage, size of tubing, speed of pumping motor, door open, manual programming mode, automatic programming mode, start-up testing, dosage of infusion and bolus of infusion, nurse identification, unique patient identification, a drug name, total volume of infusion, current date, current time, maximum dose limit, minimum dose limit, minimum volume to be infused, maximum volume to be infused, patient weight, and patient height;

(b) a medication order transmitter capable of receiving input of a doctor'"'"'s order for patient medication to be administered with an IV pump and capable of wireless transmission of an order signal representing said doctor'"'"'s order for said patient medication for IV administration comprising at least one pumping operation parameter corresponding to said doctor'"'"'s input order;

(c) a wireless signal pump transmitter connected to said pump operation circuitry for transmitting at least one wireless signal representing said pre-selected monitored current pumping operation characteristics;

(d) an HIMS receiver capable of receiving said at least one wireless signal representing said pumping operation characteristics, said receiver connected to said hospital management system (HIMS) for receiving said current pumping operation characteristics represented by said at least one wireless signal from said IV pump, said HIMS receiver further capable of receiving said signal representing said doctor'"'"'s order; and

(e) wherein said HIMS further comprises programming for receiving, storing and comparing said pump signal with said signal representing said doctor'"'"'s order to determine whether said medication is delivered to said patient by operation of said pump according to said doctor'"'"'s order.

26. A wireless communication system from an IV medication infusion pump to a hospital information management system (HIMS) as in claim 25 further comprising:

(a) a pharmacy receiver for receiving said doctor'"'"'s order signal representing said doctor'"'"'s order, said pharmacy receiver operatively connected to a program and a display to provide human readable information sufficient for a pharmacist to prepare the ordered medication;

(b) a pharmacy transmitter for sending a delivery signal indicating that an IV medication has been delivered to a nurses station and representing that the IV medication is to be administered to a patient according to said doctor'"'"'s order; and

(c) wherein said HIMS further comprises programming for storing said delivery signal and for comparing said delivery signal to said order signal and/or to said pump operation characteristics signal to facilitate monitoring of the timely delivery of the IV medication to the patient according to the doctor'"'"'s order.

27. A wireless communication system from an IV medication infusion pump to a hospital information management system (HIMS) as in claim 25 further comprising:

(a) laboratory or blood bank receiver for receiving said order signal when a blood product IV is ordered for the patient; and

(b) a laboratory or blood bank signal transmitter for signaling to said HIMS the delivery of a blood product IV for administration to a patent and including information related to the time sensitivity of the blood product; and

(c) wherein said HIMS further comprises programming for comparing said laboratory signal to said pump parameter signal so that actual timely delivery of said blood product represented by said laboratory signal can be monitored and the results of the comparison can be displayed.

28. A wireless communication system from an IV medication infusion pump to a hospital information management system (HIMS) as in claim 25 wherein:

(a) said transmitter connected to said pump comprises a transceiver for receiving signals corresponding to pumping operation characteristics according to said doctor'"'"'s order for medication to a patient; and

(b) said HIMS receiver comprises a transceiver for receiving said doctor'"'"'s order and for transmitting another signal representing pumping operation characteristics a corresponding to said doctor'"'"'s ordered medication for a patient.

29. A wireless communication system from an IV medication infusion pump to a hospital information management system (HIMS) as in claim 25 further comprising:

(a) a nurses station transmitter having an input for entry of information on IV medication received at a nurses station and for transmitting a medicine received signal representing the IV medications received for a patient upon receiving any ordered medication; and

(b) wherein said HIMS further comprises programming for receiving and storing said IV medication received signal and for comparing said medication received signal with at least one of said order signal and said pumping characteristic signal to facilitate monitoring of preparation, delivery and administration of said IV medication and for providing the results.

30. A wireless communication system from an IV medication infusion pump to a hospital information management system (HIMS) comprising:

(a) a medication order transmitter capable of receiving input of a doctor'"'"'s order for patient medication to be administered with an IV pump and capable of wireless transmission of a first signal representing the input order for said patient medication for IV administration;

(b) an IV pump having pump operation circuitry for monitoring pre-selected characteristics of pump operation and a transmitter connected to said pump operation circuitry for transmitting a second wireless signal representing said pre-selected pump operation characteristics indicative of IV administration of medication to a patient, wherein said characteristics of current infusion pumping operation are selected from among rate of pumping, pumping pressure, start time, time of pumping, volume of pumping, dosage, size of tubing, speed of pumping motor, door open, manual programming mode, automatic programming mode, start-up testing, dosage of infusion and bolus of infusion, nurse identification, unique patient identification, a drug name, total volume of infusion, current date, current time, maximum dose limit, minimum dose limit, minimum volume to be infused, maximum volume to be infused, patient weight, and patient height;

(c) a receiver for receiving said first signal and for providing said order for patient medication in human readable form for the preparation of said ordered patient medication for IV pump administration; and

(d) a hospital information system including a receiver capable of receiving said first and said second signals and a computer processor capable of storing said information represented by said signals, capable of comparing said doctor'"'"'s order for patient medication to said IV pump delivery of medication to a patient and for comparing said order to said delivery characteristics to determine whether medication delivery was as ordered by the doctor and for displaying said order and said pump operation characteristics and the results of the comparison thereof.