Modular patient care system

• US 5,713,856 A
• Filed: 03/13/1995
• Issued: 02/03/1998
• Est. Priority Date: 03/13/1995
• Status: Expired due to Term

• Current Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Original Assignee: ALARIS Medical Systems, Inc. (Becton, Dickinson & Co)
• Inventors: Vanderveen, Timothy W., Kelsky, Richard B., Evans, Derek K., Eggers, Philip N., Schipper, Jeffery D., Duffy, Robert J., Bollish, Stephen J.
• Primary Examiner(s): MENDEZ, MANUEL A
• Application Number:
  US08/403,503
• Time in Patent Office: 1,058 Days
• Field of Search: 604/65, 604/49, 604/30-34, 604/50, 604/53, 604/66, 604/67, 604/118, 604/151, 604/246, 606/39, 606/42, 128/DIG. 12, 128/DIG. 13
• US Class Current: 604/65
• CPC Class Codes: A61M 5/1413 Modular systems comprising interconnecting elements
• 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: A61M 5/172 electrical or electronic A61M5/16804, A61M5/16831 take precedence
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 70/40 relating to drugs, e.g. their side effects or intended usage
• CPC Class Codes: H01R 13/641 by indicating incorrect coupling; by indicating correct or full engagement
• CPC Class Codes: H01R 13/7038 making use of a remote controlled switch, e.g. relais, solid state switch activated by the engagement of the coupling parts
• CPC Class Codes: H01R 2201/12 for medicine and surgery

Abstract

In accordance with the present invention, a modular patient care system provides patient monitoring and the supply of therapeutic requirements. Specifically, the system is comprised of an interface unit and a plurality of patient functional units. The interface unit provides an interface between the user and the system, and may be configured and adapted to provide different levels of functionality. Interface units with different levels of functionality may be interchanged so as to provide greater flexibility, safety, and cost effectiveness. Each interface unit contains interface ports for the transfer of information such as drug libraries, system configuration values, and event history. The functional units are internally programmed and controlled so as to provide a high level of system modularity, and require only power and interfacing functionality from the interface unit.

Claims

1. A patient care system, comprising:

a first interface unit including a user interface adapted to provide an interface between the system and a user of the system; and

a functional unit capable of providing patient therapies or monitoring the condition of a patient in accordance with functional unit specific information, said functional unit removeably connected to the first interface unit and communicating therewith;

wherein the functional unit transfers at least a portion of the functional unit specific information to the interface unit, said user interface being configured in accordance with the functional unit specific information to permit the user to execute a function of the functional unit and communicate with the first interface unit to provide external information required by the functional unit to execute said function.

2. The system of claim 1, wherein said interface unit includes a power supply and the functional unit receives its operational power requirements from the interface unit through said removable connection.

3. The system of claim 1, wherein said user interface comprises:

a display; and

a keyboard including a plurality of softkeys interacting with the display such that said user interface is configured in accordance with the functional unit specific information to provide predetermined command options to the user corresponding to said function.

4. The system of claim 3 further comprising a second interface unit including a user interface having a keyboard with only a plurality of function specific preprogrammed keys, wherein said functional unit is sequentially connectable to either of said first and second interface units.

5. The system of claim 3, wherein said functional unit includes a microprocessor and a resident memory containing at least a portion of said functional unit specific information and said interface unit includes a microprocessor and a resident memory containing at least a portion of said functional unit specific information.

6. The system of claim 5, wherein:

the functional unit specific information contained in the resident memory of the functional unit includes identification means for identifying the function of the functional unit; and

the functional unit specific information contained in the resident memory of the interface unit includes commands to configure the user interface to permit the user to execute the function of the functional unit and communicate with the first interface unit to provide external information required by the functional unit to execute said function.

7. The system of claim 6, wherein said identification means further includes means for uniquely identifying an individual functional unit.

8. The system of claim 5, wherein:

the functional unit is an infusion pump unit;

the functional unit specific information contained in the resident memory of the functional unit includes an identification means for uniquely identifying the functional unit and for identifying the functional unit as an infusion pump unit; and

the functional unit specific information contained in the resident memory of the interface unit includes commands to configure the user interface to prompt the user to enter a desired infusion rate, to enter a desired volume to be infused, and to start an infusion.

9. The system of claim 8, wherein:

the functional unit specific information contained in the resident memory of the interface unit further includes commands to configure the user interface to prompt the user to enter any one of (i) a desired drug dose, (ii) a desired flow rate and (iii) a desired bolus dose and duration; and

the functional unit microprocessor calculates the appropriate drug dose, flow rate, or bolus rate and volume to be infused based on information entered by the user in response to said user interface prompts.

10. The system of claim 8, wherein:

the system includes at least a first said infusion pump unit and a second said infusion pump unit, each said pump unit removeably connected to the interface unit; and

the functional unit specific information further includes commands to configure the user interface to (i) prompt the user to enter parameters for the second pump unit after entering parameters for the first pump, and (ii) display a summary of infusion parameters entered for each said pump unit.

11. The system of claim 3, wherein said functional unit includes a microprocessor and a resident memory containing said functional unit specific information and said interface unit includes a microprocessor for configuring and controlling the user interface in accordance with said functional unit specific information contained in the resident memory of the functional unit.

12. The system of claim 11, wherein:

the functional unit specific information contained in the resident memory of the functional unit includes an identification means for uniquely identifying the functional unit and commands to configure the user interface to permit the user to execute the function of the functional unit and communicate with the first interface unit to provide external information required by the functional unit to execute said function.

13. The system of claim 12, wherein said identification means further identifies the function of the functional unit.

14. The system of claim 11, wherein:

the functional unit is an infusion pump unit; and

the functional unit specific information includes commands to configure the user interface to prompt the user to enter a desired infusion rate, to enter a desired volume to be infused, and to start an infusion.

15. The system of claim 14, wherein:

the functional unit specific information further includes commands to configure the user interface to prompt the user to enter any one of (i) a desired drug dose, (ii) a desired flow rate and (iii) a desired bolus dose and duration; and

the functional unit microprocessor calculates the appropriate drug dose, flow rate, or bolus rate and volume to be infused based on information entered by the user in response to said user interface prompts.

16. The system of claim 14, wherein:

the system includes at least a first said infusion pump and a second said infusion pump, each said pump removeably connected to the interface unit; and

the functional unit specific information further includes commands to configure the user interface to (i) prompt the user to enter parameters for the second pump after entering parameters for the first pump, and (ii) display a summary of infusion parameters entered for each said pump.

17. The system of claim 1, wherein the functional unit includes a user actuatable selection key which must be actuated by the user before the user is permitted to execute a function with the functional unit.

18. The system of claim 1, wherein said functional unit comprises:

a connector to attach said functional unit to a second functional unit;

means for transferring power and communication from the interface unit to the second functional unit so that more than one functional unit is operable within the system.

19. The system of claim 18, wherein said transferring means comprises power and communication lines contained within and extending through said functional unit.

20. The system of claim 18, wherein said transferring means comprises power and communication ports on said functional unit, said ports connected by power and communication lines contained within and extending through said functional unit.

21. The system of claim 20, wherein said communication means comprises power and communication lines through said functional units.

22. The system of claim 20, wherein said first functional unit is connected to said interface unit and said second functional unit is connected to said first functional unit.

23. The system of claim 1, wherein the interface unit further comprises a communication port for the exchange of additional information with an external device.

24. The system of claim 23, wherein said additional information is an infusion protocol for facilitating infusions.

25. The system of claim 23, wherein said additional information is system configuration information for modifying the functionality of the interface unit or the functional unit.

26. The system of claim 23, wherein said additional information comprises information collected during a procedure involving said functional unit.

27. The system of claim 23, wherein said additional information comprises commands from an external unit for controlling said functional unit.

28. The system of claim 1, wherein said functional unit comprises a programmable pump unit and said functional unit specific information comprises identification of required pumping parameters including rate and volume to be infused.

29. The system of claim 28, wherein said functional unit specific information further comprises identification information for identifying the function of the functional unit.

30. The system of claim 29, wherein said identification information further comprises information for uniquely identifying the functional unit.

31. The system of claim 1, wherein the functional unit includes a user actuatable selection key which must be actuated by the user before the user is permitted to execute a function with the functional unit.

32. A patient care system, comprising:

at least one functional unit including a microprocessor and memory, said unit capable of providing patient therapies, monitoring a patient condition, or providing information to a user in accordance with functional unit specific information, wherein at least a portion of said functional unit specific information is stored in said memory; and

a first interface unit secured to and communicating with said at least one functional unit through a detachable connection to receive said functional unit specific information, said interface unit comprising a microprocessor, a resident memory, a display, a plurality of softkeys interacting with the display such that said interface is configured in accordance with said functional unit specific information to provide a functional unit specific user interface, and a power supply which supplies operational power requirements to said at least one functional unit through said detachable connection; and

wherein said functional unit specific information permits the user to execute a function of the functional unit through user manipulation of the interface unit.

33. The system of claim 32, wherein at least a portion of said functional unit specific information is stored in the resident memory of the interface unit.

34. The system of claim 33, wherein said functional unit comprises a programmable infusion pump unit and said at least a portion of said functional unit specific information stored in the resident memory of the interface unit comprises identification of required parameters for performing a patient infusion, including rate and volume to be infused.

35. The system of claim 33, wherein said at least a portion of said functional unit specific information stored in the resident memory of the interface unit comprises a redundant safety calculation capability.

36. The system of claim 32, wherein said functional unit comprises:

a connector to attach said functional unit to a second functional unit; and

means for transferring power and communication from the interface unit to the second functional unit so that more than one functional unit is operable within the system.

37. The system of claim 32, wherein the functional unit includes a user actuatable selection key which must be actuated by the user before the user is permitted to execute a function with the functional unit.

38. The system of claim 32, further comprising a first and second functional unit, wherein each said functional unit comprises a programmable pump unit and said functional unit specific information comprises identification of required pumping parameters including rate and volume to be infused.

39. A patient care system, comprising:

a first interface unit including a user interface having a first high level of interface functionality;

a second interface unit including a user interface having a second lower level of interface functionality; and

a functional unit for providing patient therapies or monitoring the condition of a patient sequentially connectable to either of said first and second interface units for receiving power and communications therefrom.

40. The system of claim 39, wherein said first interface unit further comprises:

a display; and

a keyboard including a plurality of softkeys interacting with the display so as to be configured in accordance with the functional unit specific information to provide varying command options to the user.

41. The system of claim 40 wherein said second interface unit comprises a keyboard including only a plurality of function specific preprogrammed keys, wherein said functional unit is sequentially connectable to either of said first and second interface units.

42. The system of claim 39 further comprising a plurality of functional units.

43. The system of claim 42, wherein said plurality of functional units comprises a plurality of infusion pump units.

44. The system of claim 42, wherein said plurality of functional units comprises an infusion pump unit and a blood pressure monitor unit.

45. The system of claim 42, wherein said plurality of functional units comprises an infusion pump unit and an oximeter unit.

46. The system of claim 39, wherein said functional unit comprises:

a connector to attach said functional unit to a second functional unit;

means for transferring power and information from the interface unit to the second functional unit so that more than one functional unit may be operable within the system.

47. The system of claim 39, wherein each functional unit includes a user actuatable selection key which must be actuated by the user to select a desired functional unit before the user is permitted to execute a function with the desired functional unit.

48. A method for providing care to a patient, comprising:

providing a first interface unit including an interface memory and a user interface adapted to provide an interface with a user;

attaching a functional unit to the first interface unit, wherein the functional unit is capable of providing patient therapies or monitoring the condition of the patient in accordance with functional unit specific information;

transferring at least a portion of the functional unit specific information from the functional unit to the first interface unit;

configuring said user interface in accordance with the functional unit specific information to provide a user interface for said functional unit;

manipulating the user interface to set up the functional unit to perform a desired function; and

performing the desired function with the functional unit.

49. The method of claim 48, further comprising the step of storing the functional unit specific information in a functional unit memory.

50. The method of claim 49, wherein the functional unit specific information stored in the functional memory includes commands to configure the user interface to permit the user to execute the function of the functional unit and communicate with the first interface unit to provide external information required by the functional unit to execute said function.

51. The method of claim 50, wherein the functional unit specific information stored in the functional memory further includes an identification means for uniquely identifying the functional unit.

52. The method of claim 48, further comprising the step of storing a portion of the functional unit specific information in the interface memory.

53. The method of claim 52, wherein said portion of the functional unit specific information in the interface memory includes commands to configure the user interface to permit the user to execute the function of the functional unit and communicate with the first interface unit to provide external information required by the functional unit to execute said function.

54. The method of claim 53, wherein the portion of functional unit specific information in the functional memory includes an identification means for uniquely identifying the functional unit.

55. The method of claim 48, further comprising:

attaching at least two functional units to the first interface unit; and

selecting one said functional unit to perform the desired function, wherein said selecting includes the step of the user physically touching the selected functional unit prior to performance of the desired function.

56. The method of claim 48, wherein said step of manipulating the user interface comprises inputting data and entering commands required by the functional unit, through said user interface, for the performance of the desired function.

57. The method of claim 56, wherein desired function is a fluid infusion.

58. The method of claim 56, wherein the desired function is monitoring patient electrocardiographic status.

59. The method of claim 56, wherein the desired function is monitoring patient blood pressure.

60. The method of claim 56, wherein said step of inputting data and entering commands is accomplished at least in part through a communication port connected to the interface unit for the exchange of information with an external device.

61. The method of claim 60, wherein the information is an infusion protocol for facilitating infusions.

62. The method of claim 60, wherein the information is system configuration information for modifying the functionality of the interface unit or the functional unit.

63. The method of claim 60, wherein the information is information collected during a procedure involving said functional unit.

64. The method of claim 60, wherein the information is commands from an external unit for controlling said units.

65. A method for controlling the infusion of fluids to a patient from a plurality of pump units, comprising:

providing an interface unit including a user interface adapted to provide an interface with a user;

attaching a plurality of pump units to the interface unit, wherein each pump unit is capable of performing fluid infusion to a patient in accordance with pump unit specific information;

transferring at least a portion of the pump unit specific information from each pump unit to the interface unit;

configuring said user interface in accordance with each said pump unit specific information to selectively provide a user interface for each of said pump units;

manipulating the user interface to set up each pump unit so as to perform an infusion in accordance with a predetermined infusion protocol; and

performing an infusion according to the predetermined infusion protocol with the plurality of pump units.

66. The method of claim 65, further comprising the step of storing each said pump unit specific information in a memory of each said pump unit.

67. The method of claim 66, wherein each said pump unit specific information in the memory of each said pump unit includes commands to configure the user interface to prompt the user to enter a desired infusion rate, to enter a desired volume to be infused, and to start an infusion.

68. The method of claim 65, further comprising the step of storing at least a portion of each said pump unit specific information in a memory of the interface unit.

69. The method of claim 68, wherein each said pump unit specific information in the memory of the interface unit includes commands to configure the user interface to prompt the user to enter a desired infusion rate, to enter a desired volume to be infused, and to start an infusion.

70. The method of claim 68, wherein said pump unit specific information in the memory of the interface unit includes a redundant safety calculation capability.

71. The method of claim 65, wherein the step of manipulating further comprises:

prompting the user to enter values for rate and volume to be infused; and

entering said values such that each pump unit performs in accordance with the predetermined infusion protocol.

72. The method of claim 65, wherein the predetermined infusion protocol is provided to the system using a data storage card receptacle on the interface unit.

73. The method of claim 72, further comprising:

providing a data storage card;

storing the predetermined multiple unit infusion protocol on the data storage card;

transferring the predetermined multiple unit infusion protocol to the system by engaging said data storage card in electronic communication with said data storage card receptacle; and

executing commands to the interface unit to transfer said protocol.

74. A method for providing care to a patient, comprising:

providing a first interface unit including a user interface having a first high level of functionality;

removeably connecting a functional unit for providing patient therapies or monitoring the condition of a patient to the first interface unit, wherein the functional unit receives power and communications from the first interface unit; and

interchanging a second interface unit including a user interface having a second lower level of functionality with the first interface unit when predetermined requirements change.

75. The method of claim 74, wherein said first interface unit further comprises:

a display; and

a keyboard including a plurality of softkeys interacting with the display so as to be configured in accordance with the functional unit specific information to provide varying command options to the user.

76. The method of claim 75, wherein said second interface unit comprises a keyboard including only a plurality of function specific preprogrammed keys, wherein said functional unit is sequentially connectable to either of said first and second interface units.

77. The method of claim 74, further comprising the step of providing a plurality of functional units for connection to said interface units.

78. A patient care system, comprising:

an interface unit adapted to provide an interface between the system and a user of the system; and

at least first and second functional units, each capable of providing patient therapies or monitoring the condition of a patient in accordance with functional unit specific information;

wherein each said functional unit includes communication means for communicating with the interface unit and for providing communication between another functional unit and the interface unit such that said functional units may be secured to and supported by one another in any arrangement and order while communicating with the interface unit.