Patient controlled timed medication dispenser

• US 7,896,192 B2
• Filed: 04/26/2006
• Issued: 03/01/2011
• Est. Priority Date: 09/19/2001
• Status: Expired due to Fees

• Current Assignee: Avancen MOD Corp.
• Original Assignee: Avancen MOD Corp.
• Inventors: Keefe, Mike, Grillo, Rob, Mayfield, Ross, Conley, N. Sharon, Boydston, Bernie
• Primary Examiner(s): Crawford; Gene
• Assistant Examiner(s): Randall, Jr.; Kelvin L
• Application Number:
  US11/412,227
• Publication Number:
  US 20080203107A1
• Time in Patent Office: 1,770 Days
• Field of Search: 221/2, 221/3, 221/4, 221/5, 221/6, 221/7, 221/8, 221/9, 221/12, 221/14, 221/15, 221/10, 221/123, 221/129, 221/130, 221/132, 221/133, 221/151, 221/152, 221/153, 221/154, 221/155, 221/156, 221/162, 221/163, 221/167, 221/181, 221/203, 221/171, 221/213, 221/222, 221/223, 221/237, 221/258, 221/265, 221/275, 221/277, 206/538, 206/807
• US Class Current: 221/15
• CPC Class Codes: A61J 2200/30 Compliance analysis for taking medication
• CPC Class Codes: A61J 2205/10 Bar codes
• CPC Class Codes: A61J 2205/60 using magnetic or electronic identifications, e.g. chips, RFID, electronic tags
• CPC Class Codes: A61J 7/0076 Medicament distribution means with pill counting devices A61J7/02; with time indication A61J7/04; containers or packages with special means for dispensing contents B65D83/00
• CPC Class Codes: A61J 7/0418 with electronic history memory
• CPC Class Codes: A61J 7/0427 with direct interaction with a dispensing or delivery system
• CPC Class Codes: A61J 7/0436 resulting from removing a drug from, or opening, a container
• CPC Class Codes: A61J 7/0445 for preventing drug dispensing during a predetermined time period
• CPC Class Codes: A61J 7/0472 of the count-down type, i.e. counting down a predetermined interval after each reset
• CPC Class Codes: G07F 11/16 Delivery means
• CPC Class Codes: G07F 17/0092 for assembling and dispensing of pharmaceutical articles medical dispensers for private use, A61J7/00

Abstract

A medication on demand dispenser. The dispenser provides patient access to medications prescribed to be available on an as-needed basis but with a prescribed minimum time interval between doses. The dispenser permits access to a single medication dose after each minimum time interval has elapsed. After a drug dose is presented to the patient, the dispenser prevents access to the next dose until the minimum time interval has elapsed.

Claims

1. A medication dispenser for permitting access to medication doses by a patient only after a minimum dosing interval between consecutive doses, the medication dispenser comprising:

a medication tray comprising medication retention areas, wherein prior to dispensing any medication doses, medication retention areas carrying a medication dose alternate with empty medication retention areas;

a cover disposed over the medication tray, the cover defining a dose opening therein through which a dose in a retention area can be accessed when the dose opening is aligned with a medication retention area carrying a medication dose;

an indicator for indicating when the minimum dosing interval has elapsed;

an authenticating element responsive to patient identification information for authenticating the patient to access a medication dose, the authenticating element operable to authenticate the patient only after the minimum dosing interval has elapsed; and

a controller for aligning the dose opening and a retention area carrying a medication dose to present a medication dose through the dose opening after the patient has been authenticated, the medication dose available through the dose opening for a predetermined time, after the predetermined time the controller for moving the medication tray to align the dose opening with an empty retention area;

wherein responsive to a failed patient authentication attempt or lack of an authentication attempt, the controller does not rotate the tray to align the dose opening with a retention area carrying a medication dose.

2. The medication dispenser of claim 1 further comprising a housing defining a tray opening therein, the medication tray received within the tray opening, wherein the cover is affixed to lockably close the tray opening, and wherein in an unlocked condition the cover is removable from the tray opening to provide access to the tray.

3. The medication dispenser of claim 2 wherein the medication tray comprises a circularly shaped medication tray with the medication retention areas disposed in a radial pattern within the medication tray, and wherein the tray opening comprises a circularly shaped tray opening.

4. The medication dispenser of claim 1 further comprising a position detector cooperating with spaced-apart indexing members coupled to the medication tray to determine a position of a medication retention area carrying a medication dose or an empty medication retention area relative to the dose opening.

5. The medication dispenser of claim 4 wherein the position detector comprises an emitter and sensor operatively coupled for detecting the indexing members.

6. The medication dispenser of claim 1 further comprising a motor, the controller controlling the motor to align the dose opening with a retention area carrying a medication dose or to align the dose opening with an empty medication retention area.

7. The medication dispenser of claim 1 further comprising a housing defining a circular tray opening therein and a motor, the medication tray further comprising a circular medication tray received within the tray opening with the medication retention areas disposed in a radial pattern within the medication tray, the motor to align the dose opening with a medication retention area carrying a medication dose or to align the dose opening with an empty medication retention area.

8. The medication dispenser of claim 1 wherein the minimum dosing interval is measured from an immediately previous presentation of one of the retention areas carrying a medication dose at the dose opening, from an immediately previous presentation of an empty retention area at the dose opening, from an immediately previous authentication of the patient or after the predetermined time has elapsed.

9. The medication dispenser of claim 1 wherein the controller comprises a memory element for storing patient identification information, the authenticating element for authenticating the patient by comparing stored patient identification information with identification indicia provided by the patient.

10. The medication dispenser of claim 9 further comprising a keypad, a bar code reader, an RFID reader, a fingerprint reader, a voice print reader or a smart card reader, wherein the identification indicia provided by the patient comprises a corresponding keypad code entry, a bar code, an RFID tag, a fingerprint, a voice print or a smart card.

11. The medication dispenser of claim 10 wherein the bar code or the RFID tag is disposed on a wristband worn by the patient.

12. The medication dispenser of claim 1 further comprising a clock controllable by the controller for displaying time remaining until the minimum dosing interval has expired or comprising a visual or aural indicator controllable by the controller, wherein a first condition of the visual or aural indicator denotes the minimum dosing interval has not elapsed and a second condition denotes that the minimum dosing interval has elapsed.

13. The medication dispenser of claim 1 further comprising a configuration interface for receiving minimum dosing interval information or for receiving patent authentication information.

14. The medication dispenser of claim 13 wherein the configuration interface is responsive to a command provided to the controller by an authenticated person to control the medication tray to present one of the medication retention areas carrying a medication dose through the dose opening prior to lapsing of the minimum dosing interval, wherein the authenticated person excludes the authenticate patient.

15. The medication dispenser of claim 1 wherein an authenticated person can control, program or query the medication dispenser, wherein the authenticated person excludes the authenticated patient.

16. The medication dispenser of claim 1 wherein a material of the cover comprises a translucent or transparent material to permit visual inspection of medication doses within the medication retention areas.

17. The medication dispenser of claim 1 further comprising a solenoid for releasably securing the cover to a housing supporting the medication tray, wherein a first state of the solenoid locks the cover to the housing and a second state of the solenoid permits removal of the cover from the housing to access the medication tray, the housing further comprising openings in an upper region thereof, each opening for receiving a tab extending from the cover, wherein after each tab is received within an opening the cover is rotated for displacing each tab within the opening, and wherein after rotation the cover is locked to the housing by interaction of a pin controlled by the solenoid and one of the tabs.

18. The medication dispenser of claim 1 further comprising a communications interface for communicating information between the medication dispenser and a remote communications device.

19. The medication dispenser of claim 18 wherein information supplied from the remote communications device to the medication dispenser comprises the minimum dosing interval or person authentication information, and wherein information supplied from the medication dispenser to the remote communications device comprises information related to presentation of a medication retention area carrying a medication dose through the dose opening, and wherein certain of the information supplied from the medication dispenser is recorded in a patient medical record.

20. The medication dispenser of claim 19 wherein the information related to presentation of medication retention areas carrying a medication dose comprises a time of day when each medication retention area carrying a medication dose was presented through the dose opening and a number of times in a 24 hour period when a medication retention area carrying a medication dose was presented through the dose opening.

21. The medication dispenser of claim 1 further comprising a plurality of pain-severity indicating control elements, and wherein responsive to patient activation of one of the plurality of pain-severity indicating control elements according to the severity of pain experienced by the patient and responsive to authentication of the patient after the minimum dosing interval has elapsed, the controller aligns the dose opening and a medication retention area carrying a medication dose, and wherein the plurality of pain-severity indicating control elements comprises a first control element for indicating no pain, a second control element for indicating most severe pain, and a plurality of intermediate control elements for indicating a pain severity between no pain and the most severe pain.

22. The medication dispenser of claim 21 wherein each one of the plurality of pain-severity indicating control elements further comprises a pain-severity indicating icon associated therewith.

23. The medication dispenser of claim 1 further comprising a stepper motor and mating gears, the stepper motor for driving a first of the mating gears, responsive to the controller, for driving a last of the mating gears for stepping the tray through successive positions until the tray presents one of retention areas carrying a medication dose or one of the empty medication retention areas through the dose opening.

24. The medication dispenser of claim 1 further comprising a motor responsive to the controller and a plurality of gears, the motor for rotating a first gear of the plurality of gears for rotating a last gear of the plurality of gears cooperating with the tray for moving the tray to present one of the retention areas carrying a medication dose through the dose opening, wherein the plurality of gears resist movement of the tray in a direction opposite to a direction in which the motor moves the tray.

25. The medication dispenser of claim 1 responsive to a remote computing device via a wired or wireless network for providing dosing information to the medication dispenser.

26. The medication dispenser of claim 25 wherein the remote computing device is associated with one or more of a central pharmacy, a medication cart and a nurse'"'"'s station.

27. The medication dispenser of claim 25 wherein the remote computing device queries the medication dispenser to determine information related to the presentation of retention areas through the dose opening.

28. The medication dispenser of claim 1 further comprising a sensor for determining presence of a medication dose in any retention area.