Medication management system

• US 7,895,053 B2
• Filed: 08/31/2004
• Issued: 02/22/2011
• Est. Priority Date: 10/07/2003
• Status: Active Grant

• Current Assignee: ICU Medical Incorporated
• Original Assignee: Hospira Incorporated (Pfizer Inc.)
• Inventors: Holland, Geoffrey N., Rubalcaba, Bernardino Jr., Moran, Charles P., McNeela, Martin A., Haque, Imtiyaz, Huang, John W., Keely, Patrick B., Pelletier, Jeff, Silkaitis, Raymond P.
• Primary Examiner(s): RINES, ROBERT D
• Application Number:
  US10/930,358
• Publication Number:
  US 20050144043A1
• Time in Patent Office: 2,366 Days
• Field of Search: 705/2, 705/3
• US Class Current: 705/2
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 70/40 relating to drugs, e.g. their side effects or intended usage

Abstract

A medication management system (MMS) includes a medication management unit (MMU) associated with a medical device. The MMU downloads medication delivery code based on a medication delivery order to the medical device only if information from a first input matches information from a second input. The medical device receives delivery information electronically only from the MMU. The medication order is performed only after delivery data validation. The MMU also determines drug-drug incompatibility. The MMU can modulate (start, stop, sequence and dynamically adjust) medication order performance.

Claims

1. A medication management system, for use with an information system and first and second input means;

wherein the first input means delivers a medication order prescribed for a patient to the information system; and

wherein the second input means inputs machine-readable patient-specific, drug container specific, and medical device specific delivery information from the patient, drug container, and medical device respectively;

comprising;

a medical device adapted to perform a medication delivery order based upon a medication order prescribed for a patient; and

a medication management unit adapted for electronic communication with the information system, the medical device and the second input means, the medication management unit having a processing unit and a storage medium coupled to the processing unit, the storage medium containing an expert rule set and programming code executed by the processing unit to separately receive at a first time a first medication delivery order for a first drug and at a second time that is different from the first time a second medication delivery order for a second drug from the information system as separate and distinct current patient medical orders, -and then compare the first and second delivery orders with the expert rule set to determine if there is drug-drug incompatibility based on delivery to the patient in a given requested time sequence according to the current patient medical orders;

wherein, if drug-drug incompatibility is found, then the medication management unit programming code automatically dynamically determines from the expert rule set a suggested time delay interval between delivery of the first and second medication delivery orders that would avoid drug-drug incompatibility; and

wherein the medication management unit programming code automatically transmits a command to the medical device to add the suggested time delay between the delivery times of the first and second medication delivery orders.

2. The system of claim 1 wherein the first medication delivery order is already being delivered by the medical device when the second medication delivery order is received as an update to the current patient medical orders.

3. The system of claim 1 wherein the medical device is a multiple channel infusion pump and the first and second medication delivery orders are to be delivered through a single common output line of the pump.

4. The system of claim 1 wherein the medical device is a multiple channel infusion pump and the first and second medication delivery orders are to be delivered through a single channel of the multiple channel infusion pump.

5. The system of claim 1 wherein the medical device is an infusion pump and the first and second medication delivery orders are to be delivered through a single channel of the infusion pump and through a single common output line of the pump.

6. The system of claim 1 wherein the expert rule set is customizable by a user of the medication management system as part of a drug library that is downloadable to the medical device.

7. The system of claim 1 wherein the expert rule set is based upon rules obtained from a third party data base.