Compounding system

• US 4,653,010 A
• Filed: 10/26/1984
• Issued: 03/24/1987
• Est. Priority Date: 10/26/1984
• Status: Expired due to Term

• Current Assignee: Baxter International Inc.
• Original Assignee: Baxter Travenol Laboratories Incorporated (Baxter International Inc.)
• Inventors: Figler, Alan A., DiGianfilippo, Aleandro
• Primary Examiner(s): Lall, Parshotam S.
• Assistant Examiner(s): Herndon, H. R.
• Application Number:
  US06/665,268
• Time in Patent Office: 879 Days
• Field of Search: 364/502, 364/148, 364/152, 364/153, 364/478, 364/479, 222/2, 222/52, 222/132, 222/134, 222/136, 222/94, 141/1, 141/83
• US Class Current: 702/19
• CPC Class Codes: A61J 3/002 Compounding apparatus specially for enteral or parenteral nutritive solutions bottling liquids B67C
• CPC Class Codes: A61M 5/16827 controlling delivery of multiple fluids, e.g. sequencing, mixing or via separate flow-paths infusion of multiple fluids without using a controller A61M5/1407
• CPC Class Codes: B01F 23/49 Mixing systems, i.e. flow charts or diagrams
• CPC Class Codes: G05D 11/132 by controlling the flow of the individual components G05D11/133 takes precedence

Abstract

The present invention provides a fast, efficient and precise method and apparatus for compounding a large number of solutions for use in hyperalimentation therapy. The apparatus includes a host computer which maintains a data base of prescriptions to be compounded, and a high speed compounding apparatus connected to the host computer for compounding mixtures of base solutions in response to information supplied by the host computer from the prescription data base.

Information can be entered concerning patients or prescriptions through a video display tube into the host computer data base. The host computer also includes provisions for a library of prestored standard prescriptions which can be recalled and associated with a given patient. A group of prescriptions to be compounded is first sorted in accordance with the types of specified base solutions and optionally sorted again based on the concentration of base solutions. The prescription information is transmitted to the compounding apparatus in sorted order thereby minimizing the required number of containers of base solution.

Claims

1. A method of optimizing the compounding of a plurality of mixtures to produce individual doses of mixtures, comprising the steps of:

providing a plurality of sets of parameters of mixtures to be compounded from a selected group of base solutions, one set for each dose, each of said base solutions being contained in separate containers, each container having a discreet amount of a particular base solution;

sorting the sets of parameters in accordance with the particular base solutions included in each set and amount of each base solution included in each set to minimize the needed quantity of containers of base solution to produce said doses; and

compounding the mixtures in said sorted order thereby minimizing the needed quantity of containers of base solution to produce said doses.

2. A method as defined in claim 1 including:

specifying parameters in a selected set as volumes to be added to the final mixture.

3. A method as defined in claim 2 including:

specifying parameters in a selected set alternately as a percent of the final mixture volume.

4. A method as defined in claim 3 including:

specifying parameters in a selected set alternately as a nutritional contribution to the final mixture.

5. A method as defined in claim 4 wherein:

the volumes, the percentages of the mixture volume and the nutritional contributions are three forms of a set of base solution parameters for a mixture and an unspecified form of base solution parameters may be determined from a specified form thereof.

6. A method as defined in claim 4 wherein:

changing one form of a set of base solution parameters produces a corresponding change in the alternate forms of said set of parameters.

7. A method as defined in claim 4 including:

transmitting volume parameters of base solutions corresponding to an authorized set of parameters from a storage location to a compounding location to form the selected mixture.

8. A method as defined in claim 4 including printing an ordered sequence of labels corresponding to the sorted sequence of parameters in a selected group.

9. A method as defined in claim 8 including:

forming the sorted sets of parameters into a queue having a corresponding sorted order; and

forming a print queue for labels having a corresponding sorted order.

10. A method as defined in claim 4 including the steps of:

forming groups of parameters; and

compounding each corresponding group of mixtures in a predetermined time internal.

11. A method as defined in claim 10 including forming each group of parameters as a queue.

12. A method as defined in claim 10 including:

providing an authorizing indicia for each group of parameters; and

checking each indicia to determine if compounding of said corresponding mixture has been authorized.

13. A method as defined in claim 12 including:

logging selected operations to form an audit trail.

14. A method as defined in claim 4 including;

forming a plurality of queues wherein sets of parameters are stored as members of a selected queue; and

performing said sorting step on the members of a selected queue.

15. A method as defined in claim 14 including:

providing an operator settable authorization indicia for each member of a queue; and

performing said sorting step on only queue members which have said authorization indicia set to a selected condition.

16. A method as defined in claim 15 including a second sorting step wherein authorized members of a queue are further sorted in accordance with the specified concentrations of corresponding base solutions.

17. A method as defined in claim 2 including:

prestoring standard combinations of base solution parameters for later use;

determining when at least a part of a selected mixture includes a prestored standard combination of parameters; and

providing the corresponding prestored combination of parameters as said part of the set of parameters for the corresponding selected mixture.

18. A method as defined in claim 1 including:

authorizing selected sets of parameters for compounding; and

providing an indication for each set of authorized parameters and performing said sorting step on only authorized sets of parameters.

19. A system for optimizing the compounding of a plurality of mixtures to produce individual doses of mixtures comprising:

means for storing a plurality of sets of parameters of mixtures to be compounded from a selected group of base solutions, said base solutions being contained in containers, each container having a discreet amount of base solution;

means for sorting said sets of parameters in accordance with the particular base solutions included in each set to minimize the required quantity of containers of base solution to produce said doses; and

means for mixing the base solutions in said sorted order thereby minimizing the required quantity of containers of base solution to produce said doses.

20. A system as defined in claim 19 including control means for storing parameters of a selected mixture in the form of a volume to be added to said mixture.

21. A system as defined in claim 20 wherein said control means include means for storing the parameters of a selected mixture alternately as a percent of the final mixture volume.

22. A system as defined in claim 21 wherein said control means include means for storing the parameters of a selected mixture alternately as a nutritional contribution to the final mixture.

23. A system as defined in claim 22 wherein said control means include means for determining unspecified volumes, percentages of the mixture volume or the nutritional contributions from a specified form thereof.

24. A system as defined in claim 23 wherein said control means include means for changing a selected form of a set of parameters and means for making a corresponding change in the alternate forms of said set of parameters.

25. A system as defined in claim 24 including:

means for forming a plurality of queues wherein sets of parameters are stored as members of a selected queue; and

means for sorting said members of said selected queue.

26. A system as defined in claim 20 including:

means for prestoring standard combinations of parameters;

means for identifying a said prestored standard combination to be included in a selected set; and

means for including said prestored combination parameters in said set.

27. A system as defined in claim 19 including:

means for authorizing selected sets of parameters for compounding;

means for providing an indication for each said authorized set of parameters;

and means for sorting only authorized sets of parameters.

28. A system as defined in claim 27 including:

means for forming groups of sets of parameters of mixtures; and

means for compounding each authorized member of a corresponding selected group in a predetermined time internal.

29. A system as defined in claim 28 wherein said means for forming groups include queuing means for forming each group as a queue.

30. A system as defined in claim 29 including means for sorting selected queue members.

31. A system as defined in claim 30 including means for printing an ordered sequence of labels corresponding to the sorted sequence of members in a selected queue.

32. A system as defined in claim 31 including:

audit means for recording selected operations.

33. A system as defined in claim 30 including library means for prestoring a plurality of standard combinations of parameters, means for associating a respective name therewith, means for retrieving a named prestored, standard combination of parameters and for associating said named, prestored combination of parameters with a named queue member.

34. A system as defined in claim 33 including means for modifying queue members.

35. A system as defined in claim 29 including:

means for authorizing selected members of a selected queue; and

37. A system as defined in claim 35 including further means for sorting in accordance with the specified concentrations of corresponding base solutions.

38. A system as defined in claim 27 including:

means for transmitting volume parameters of base solutions corresponding to an authorized set of parameters from said storage means to said compounding means to form the selected mixture.

39. A system as defined in claim 27 including means for forming a queue of sets of authorized parameters having a corresponding sorted order;

and including means for forming a print queue for labels having a corresponding sorted order.

40. A system as defined in claim 38 including:

means for setting an authorizing indicia for each member in a selected queue to a predetermined state; and

means for checking each said indicia to determine if said corresponding indicia has been set to said state.

42. A system as defined in claim 40 wherein:

said means for coupling include status means for sensing the status of said compounding means.

43. A system as defined in claim 40 wherein said storing means include:

means for forming said sets as a queue.

44. A system as defined in claim 42 including:

means for controlling the transfer of information from selected queue members in said storage means to said compounding means.

45. A system as defined in claim 43 wherein:

said receiving means includes manually operable means for entering a selected set of parameters in a first form into said queue.

46. A system as defined in claim 44 including:

means for converting said set of parameters from said first form to at least a second form.

47. A system as defined in claim 45 including:

means for converting said first or second forms of a set of parameters to a third form.

48. A system as defined in claim 45 including means for displaying a selected form of a set of parameters for a selected mixture.

49. A system as defined in claim 47 including:

library means for storing standard combinations of parameters for standard mixtures.

50. A system as defined in claim 48 including means for naming a stored combination of parameters in said library.

51. A system as defined in claim 49 wherein:

each said set of named library parameters is a member of a library queue.

52. A system as defined in claim 50 including means for manually entering a name and means for recalling a respective member of said library queue.

53. A system as defined in claim 40 wherein:

said compounding means include manually operable means for entering information into said compounding means.

54. A system as defined in claim 52 wherein:

said compounding means include a communications port for electrical connection to said coupling means.

55. A system as defined in claim 53 wherein

said coupling means provide two-way communication between said storage means and said compounding means.

56. A system as defined in claim 54 wherein said manually operable means include means for requesting base solution information from a selected queue member for a mixture to be compounded.

57. A system as defined in claim 55 wherein:

said control means include request sensing means and means for sending base solution information from a said selected queue member to said means for compounding.

58. A system as defined in claim 56 wherein:

said compounding means include manually operable means for requesting base solution information from a selected queue member for immediate compounding.

59. A system as defined in claim 60 wherein:

said control means include means for sending base solution information for an ordered sequence of queue members to said means for compounding in the same order as said sequence of preprinted labels.

60. A system as defined in claim 58 wherein:

said control means include means for recording base solutions previously used by said compounding means, and means for transmitting a solution change command to said compounding means.

61. A system as defined in claim 59 wherein:

said control means include means for detecting a change in base solution to be sent to said compounding means.

62. A system as defined in claim 45 including:

means for authorizing compounding of a selected set of parameters.

63. A system in claim 61 including:

means for sorting authorized parameter sets.

64. A system as defined in claim 51 wherein:

said sorting means include means for sensing previously authorized parameter sets and said sorting means including means for arranging said parameter sets by base solutions used in each set.

65. A system as defined in claim 63 including concentration sensing means for arranging said parameter sets by concentration of base solution.

66. A system as defined in claim 63 including:

means for printing an ordered plurality of labels corresponding to authorized parameter sets.

67. A system in claim 65 wherein:

said means for coupling include means for transferring information for each said authorized parameter set from said storage means to said compounding means.

69. A method as defined in claim 67 wherein storing includes:

forming a queue with each said parameter set being a member thereof.

71. A method as defined in claim 69 including:

converting said entered set of parameters from said first form to at least a second form.

36. means for sorting only authorized queue members.

41. A system for compounding a plurality of selected mixtures to produce individual doses of mixture comprising:

means for receiving sets of parameters for a plurality of mixtures to be compounded from a group of base solutions, one set for each dose;

means for storing said sets and for selecting a set of parameters to be compounded;

means for compounding a selected mixture corresponding to a selected set of parameters to produce individual doses; and

means for coupling said storing means to said compounding means.

68. A method for compounding a plurality of selected mixtures to produce individual doses of mixtures comprising:

means for maintaining a plurality of base solutions, each base solution being contained in individual containers having a discreet amount of base solution;

providing a plurality of sets of parameters of mixtures to be compounded from a selected group of base solutions, one set of parameters for each dose to be produced;

storing said sets of parameters at a storing site and selecting a set to be compounded based on the particular base solution and amount required by a set to minimize the quantity of containers of base solution required;

transmitting said selected set of parameters from the storing site to a compounding site; and

compounding said selected mixture in response thereto.

70. A method as defined in claim 68 further including:

sensing a selected set of parameters for a mixture entered in a first form; and

inserting said entered set of parameters into said queue as a member thereof.

72. A method as defined in claim 70 including:

converting said first or second forms of a set of parameters to a third form.

73. A method as defined in claim 70 including displaying a selected form of a set of parameters.

74. A method as defined in claim 70 including:

forming a library of prestored standard combinations of parameters.

75. A method as defined in claim 73 including associating a unique name with each member of said library.

76. A method as defined in claim 74 including:

inserting into a selected queue member a prestored library member.

77. A method as defined in claim 75 including:

modifying parameters of a selected member of said queue.

78. A method as defined in claim 76 including authorizing compounding of a selected queue member.

79. A method as defined in claim 77 including sorting authorized queue members.

80. A method as defined in claim 78 wherein:

authorized queue members are sorted by type of base solution.

81. A method as defined in claim 79 including:

sorting authorized queue members by concentration of base solution.

82. A method as defined in claim 80 including:

transferring base solution information for an authorized queue member from a storing location to a compounding location.

83. A method as defined in claim 81 including:

transferring base solution information for an ordered plurality of queue members in an order corresponding to the order of said printed labels.

84. A method as defined in claim 82 including:

forming a plurality of mixtures of base solutions in the same order as said sequence of preprinted labels.

85. A method as defined in claim 79 including:

printing an ordered plurality of labels corresponding to authorized and stored queue members.

86. A method as defined in claim 84 including:

recording selected operations to form an audit trail.

87. A method as defined in claim 85 including:

printing said recorded audit trail.

89. A method as defined in claim 87 including:

specifying parameters in a selected set as volumes to be added to the final mixture.

91. A method as defined in claim 89 including:

specifying parameters in a selected set alternately as a nutritional contribution to the final mixture.

93. A method as defined in claim 87 wherein the step of printing comprises printing an ordered list corresponding to the sorted order of the sets of parameters.

95. A system as defined in claim 93 including control means for storing parameters of a each mixture in the form of a volume to be added to said mixture.

97. A system as defined in claim 95 wherein said control means include means for storing the parameters of each mixture alternately as a nutritional contribution to the final mixture.

88. A method of optimizing the compounding of a plurality of mixtures comprising the steps of:

providing a plurality of sets of parameters of mixtures to be compounded from a group of base solutions in which each base solution is contained in a container having a discreet amount of base solution and each dose to be produced having a set of parameters associated therewith; and

sorting the sets of parameters in accordance with the particular base solutions included in each of said sets; and

the amount of each particular solution included in each set to minimize the quantity of containers of base solutions necessary to produce said mixtures; and

printing a list of the sorted sets of parameters.

90. A method as defined in claim 88 including:

specifying parameters in a selected set alternately as a percent of the final mixture volume.

92. A method as defined in claim 90 wherein:

changing one form of a set of base solution parameters produces a corresponding change in the alternate forms of said set of parameters.

94. A system for optimizing the compounding of a plurality of mixtures to produce individual doses comprising:

means for receiving from a user of said system a plurality of sets of parameters for producing said doses using a plurality of base solutions, each base solution being contained in containers having discreet amounts of base solution therein;

means for storing said plurality of sets of parameters of mixtures to be compounded from said group of base solutions;

means for sorting said sets of parameters in accordance with the particular base solutions included in each said set and the amount of each base solution used to minimize the quantity of containers of base solutions needed to produce said doses; and

means for printing an ordered list corresponding to the sorted sets of parameters.

96. A system as defined in claim 94 wherein said control means include means for storing the parameters of each mixture alternately as a percent of the final mixture volume.

98. A system as defined in claim 96 wherein said control means include means for determining any unspecified volumes, percentages of the mixture volume or the nutritional contributions from a specified form of said sets of parameters thereof.