OPIOID MANAGEMENT SYSTEM

• US 20180365386A1
• Filed: 06/16/2017
• Published: 12/20/2018
• Est. Priority Date: 06/16/2017
• Status: Active Grant

• Current Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Original Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Inventors: Vanderveen, Timothy W.
• Granted Patent: US 10,522,252 B2
• Time in Patent Office: Days
• CPC Class Codes: A61M 2005/14208 with a programmable infusion control system, characterised by the infusion program
• CPC Class Codes: A61M 2205/3553 remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3561 local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2205/6009 for matching patient with his treatment, e.g. to improve transfusion security
• CPC Class Codes: A61M 2205/6054 Magnetic identification systems
• CPC Class Codes: A61M 2205/6072 Bar codes
• CPC Class Codes: A61M 5/14 Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
• CPC Class Codes: A61M 5/24 Ampoule syringes, i.e. syringes with needle for use in combination with replaceable ampoules or carpules, e.g. automatic ampoules or carpules A61J1/06
• CPC Class Codes: G06Q 50/00 Information and communication technology [ICT] specially adapted for implementation of business processes of specific business sectors, e.g. utilities or tourism healthcare informatics G16H
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• 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 system may include a data processor and a memory storing instructions. The instructions may result in operations when executed by the data processor. The operations may include determining, based on location data from a positioning system, a presence of a cartridge at a location. The cartridge may include a substance. A quantity of the substance may be determined based on content data from a content meter at the location. Diversion of the substance may be detected based on the cartridge being present at the location and/or the quantity of the substance. Related methods and articles of manufacture, including apparatuses and computer program products, are also disclosed.

Claims

1-34. -34. (canceled)

35. A system, comprising:

at least one data processor; and

at least one memory storing instructions which, when executed by the at least one data processor, result in operations comprising;

determining, based on location data from a positioning system, a presence of a cartridge at a location, the cartridge including a substance;

determining, based on content data from a content meter at the location, a quantity of the substance in the cartridge; and

detecting, based on the cartridge being present at the location and/or the quantity, a diversion of the substance included in the cartridge.

36. The system of claim 35, wherein the quantity is determined by at least measuring, by the content meter, a volume of a liquid in the cartridge and/or a concentration of the substance in the liquid.

37. The system of claim 35, wherein the substance comprises a controlled substance and/or an opioid pain medication.

38. The system of claim 35, further comprising:

detecting the diversion based on the cartridge having been handled by an individual in response to determining that the individual is not authorized to handle the cartridge, the individual determined to be not authorized based on the individual not being associated with a patient who is prescribed the substance.

39. The system of claim 35, further comprising:

in response to detecting the diversion, identifying, based on identification information, an individual responsible for the diversion.

40. The system of claim 39, wherein the individual is identified by at least querying a database including a record, wherein the record indicates a time when the cartridge is checked into the location and/or checked out of the location, and wherein the record further indicates that the individual checked the cartridge into location and/or checked the cartridge out of the location.

41. The system of claim 35, wherein the diversion is detected based on a travel time between the location and another location exceeding an expected travel time.

42. The system of claim 41, wherein the location comprises a pump for delivering the substance from the cartridge to a patient, wherein the other location comprises a dispensation cabinet for storing the cartridge.

43. The system of claim 42, wherein the diversion is detected based on a first quantity measurement performed when the cartridge is inserted into the pump being less than a second quantity measured when the cartridge is removed from the dispensation cabinet.

44. The system of claim 41, wherein the location comprises a wasting site for wasting unused substance remaining in the cartridge, wherein the other location comprises a pump for delivering the substance from the cartridge to a patient, and wherein the diversion is detected based on a wasted quantity of the substance wasted at the wasting site being less than an unused quantity of the substance remaining in the cartridge when the cartridge is removed from the pump.

45. The system of claim 35, wherein the diversion is detected based on the location being a detour from an expected travel path of the cartridge.

46. A computer-implemented method, comprising:

determining, based on location data from a positioning system, a presence of a cartridge at a location, the cartridge including a substance;

determining, based on content data from a content meter at the first location, a quantity of the substance in the cartridge; and

detecting, based on the cartridge being present at the location and/or the quantity, a diversion of the substance included in the cartridge.

47. The method of claim 46, wherein the quantity is determined by at least measuring, by the content meter, a volume of a liquid in the cartridge and/or a concentration of the substance in the liquid.

48. The method of claim 46, wherein the substance comprises a controlled substance and/or an opioid pain medication.

49. The method of claim 46, further comprising:

detecting the diversion based on the cartridge having been handled by an individual in response to determining that the individual is not authorized to handle the cartridge, the individual determined to be not authorized based on the individual not being associated with a patient who is prescribed the substance.

50. The method of claim 46, further comprising:

in response to detecting the diversion, identifying, based on identification information, an individual responsible for the diversion.

51. The method of claim 50, wherein the individual is identified by at least querying a database including a record, wherein the record indicates a time when the cartridge is checked into the location and/or checked out of the location, and wherein the record further indicates that the individual checked the cartridge into first location and/or checked the cartridge out of the first location.

52. The method of claim 50, wherein the diversion is detected based on a travel time between the location and another location exceeding an expected travel time.

53. The method of claim 52, wherein the location comprises a pump for delivering the substance from the cartridge to a patient, wherein the other location comprises a dispensation cabinet for storing the cartridge.

54. The method of claim 53, wherein the diversion is detected based on a first quantity measurement performed when the cartridge is inserted into the pump being less than a second quantity measured when the cartridge is removed from the dispensation cabinet.

55. The method of claim 52, wherein the location comprises a wasting site for wasting unused substance remaining in the cartridge, wherein the other location comprises a pump for delivering the substance from the cartridge to a patient, and wherein the diversion is detected based on a wasted quantity of the substance wasted at the wasting site being less than an unused quantity of the substance remaining in the cartridge when the cartridge is removed from the pump.

56. The method of claim 50, wherein the diversion is detected based on the location being a detour from an expected travel path of the cartridge.

57. A non-transitory computer-readable storage medium including program code, which when executed by at least one data processor, cause operations comprising:

determining, based on location data from a positioning system, a presence of a cartridge at a location, the cartridge including a substance;

determining, based on content data from a content meter at the first location, a quantity of the substance in the cartridge; and

detecting, based on the cartridge being present at the location and/or the quantity, a diversion of the substance included in the cartridge.

58. A pump, comprising:

a content meter configured to determine a quantity of a substance in a cartridge inserted into the pump; and

a reader configured to determine identification information of an individual who inserted the cartridge into the pump and/or removed the cartridge from the pump, wherein the pump is configured to deliver the substance from the cartridge to a patient, wherein the pump is further configured to send, to a diversion controller, the quantity of the substance and/or the identification information of the individual, and wherein the quantity of the substance and/or the identification information of the individual enable the diversion controller to detect a diversion of the substance.

59. The pump of claim 58, wherein the content meter comprises a flow meter, a gravimeter, and/or a refractometer.

60. The pump of claim 58, wherein the pump comprises a patient-controlled analgesic pump.

61. A method, comprising:

determining, by a content meter at a pump, a quantity of a substance in a cartridge inserted into the pump;

determining, by a reader at the pump, identification information of an individual who inserted the cartridge into the pump and/or removed the cartridge from the pump; and

sending, to a diversion controller, the quantity of the substance and/or the identification information of the individual, the quantity of the substance and/or the identification information of the individual enabling the diversion controller to detect a diversion of the substance.

62. A cartridge, comprising:

a content meter configured to determine a quantity of a substance held in the cartridge; and

a position tracker configured to determine a location of the cartridge, wherein the cartridge is configured to send, to a diversion controller, the quantity of the substance and/or the location of the cartridge, and wherein the quantity of the substance and/or the location of the cartridge enable the diversion controller to detect a diversion of the substance.

63. The apparatus of claim 62, wherein the cartridge further comprises an identification tag including an identifier for the cartridge, and wherein the location of the cartridge is further determined based on one or more scans of the identification tag.

64. A method, comprising:

determining, by a content meter at a cartridge, a quantity of a substance held in the cartridge;

determining, by a position tracker at the cartridge, a location of the cartridge; and

sending, to a diversion controller, the quantity of the substance and/or the location of the cartridge, the quantity of the substance and/or the location of the cartridge enabling the diversion controller to detect a diversion of the substance.