Apparatus and methods for dispensing pre-filled containers with precisely-applied patient-specific information

• US 8,231,749 B2
• Filed: 06/02/2005
• Issued: 07/31/2012
• Est. Priority Date: 06/02/2005
• Status: Active Grant

• Current Assignee: ArXium, Inc. (Van Humbeck Family)
• Original Assignee: AutoMed Technologies Incorporated (Cencora, Inc.)
• Inventors: Dent, Jacob A., Bidus, Mark, Gorman, Brian
• Primary Examiner(s): Lee, Katarzyna Wyrozebski
• Assistant Examiner(s): Rivera, Joshel
• Application Number:
  US11/142,979
• Publication Number:
  US 20060277269A1
• Time in Patent Office: 2,616 Days
• Field of Search: 156/64, 156/235, 156/256, 156/360, 156/378, 156/379, 156/510, 156/538, 156/539, 156/552, 156/556, 156/566, 156/DIG.2, 156/DIG.25, 156/DIG.27, 156/DIG.44, 156/DIG.45, 156/DIG.47
• US Class Current: 156/64
• CPC Class Codes: A61J 2205/10 Bar codes
• CPC Class Codes: A61J 2205/30 Printed labels
• CPC Class Codes: A61J 2205/60 using magnetic or electronic identifications, e.g. chips, RFID, electronic tags
• CPC Class Codes: A61J 7/0084 for multiple medicaments
• CPC Class Codes: B65G 43/08 Control devices operated by article or material being fed, conveyed or discharged and controlling the discharging devices B65G47/42
• CPC Class Codes: G07F 11/165 using xyz-picker or multi-dimensional article picking arrangements
• CPC Class Codes: G07F 11/42 the articles being delivered by motor-driven means
• CPC Class Codes: G07F 11/62 in which the articles are stored in compartments in fixed receptacles
• CPC Class Codes: G07F 17/0092 for assembling and dispensing of pharmaceutical articles medical dispensers for private use, A61J7/00
• CPC Class Codes: G09F 3/0288 Labels or tickets consisting of more than one part, e.g. with address of sender or other reference on separate section to main label; Multi-copy labels
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/13 delivered from dispensers
• CPC Class Codes: G16H 40/60 for the operation of medical equipment or devices
• CPC Class Codes: H04L 67/12 specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks
• CPC Class Codes: Y04S 40/18 Network protocols supporting networked applications, e.g. including control of end-device applications over a network
• CPC Class Codes: Y10T 156/1062 Prior to assembly
• CPC Class Codes: Y10T 156/12 Surface bonding means and/or assembly means with cutting, punching, piercing, severing or tearing
• CPC Class Codes: Y10T 156/17 Surface bonding means and/or assemblymeans with work feeding or handling means
• CPC Class Codes: Y10T 156/1702 For plural parts or plural areas of single part
• CPC Class Codes: Y10T 156/1734 : Means bringing articles into association with web
• CPC Class Codes: Y10T 156/1744 : Means bringing discrete articles into assembled relationship
• CPC Class Codes: Y10T 156/1768 : Means simultaneously conveying plural articles from a single source and serially presenting them to an assembly station

Abstract

Apparatus and methods for fulfillment of patient prescription orders by adapting a standard or stock container pre-filled with medication or the like for use as a patient-specific container through precise application of patient-specific information to the pre-filled container. Precise placement of the patient-specific information to the pre-filled container enables pharmacy management to fully utilize valuable information provided with the pre-filled container, thereby improving the quality of service to the patient while making the process of prescription order fulfillment more efficient. In general, preferred embodiments comprise control apparatus and information-application apparatus. In embodiments, the information-application apparatus is adapted to place a patient-specific label on the container. Preferred forms of the information-application apparatus include a label printer and a positioner. The preferred printer applies patient-specific information on a label. The preferred positioner orients the pre-filled container to receive the label from the printer such that information provided with the container is available for use.

Claims

1. An apparatus for application of a patient-specific label to a pre-filled drug container comprising:

a printing apparatus including a label applicator;

a container positioner configured to position the pre-filled drug container, the container having a first sidewall portion, a second sidewall portion and a first label covering the first sidewall portion, the first label representative of the container contents;

a controller coupled to the printing apparatus and the container positioner, the controller configured to control the printing apparatus to print patient-specific information on a second label to create the patient-specific label, to control the container positioner to orient the container relative to the label applicator such that the second sidewall portion of the container faces the label applicator, and to control the label applicator to move the patient-specific label to attach the patient-specific label to the second sidewall portion of the container without obscuring the first label; and

a database accessible by the controller, the database including, for each container, positioning information enabling the container positioner to move the container to the position to be contacted by the patient-specific label;

wherein the controller comprises;

instructions configured to operate the container positioner to move the container to be contacted by the patient-specific label; and

instructions for utilizing a reference point associated with the container to orient the container relative to the label applicator to allow application of the patient-specific label to the container such that the first label is unobscured by the patient-specific label, wherein the reference point comprises a portion of the first label, and further wherein the positioning information includes rotation duration time information that provides the amount of time that a specific container must be rotated by the positioner such that the patient-specific label will be applied without obscuring the first label.

2. The apparatus of claim 1 further comprising a reader operatively connected to the controller, the reader configured to detect the reference point and to communicate information regarding the reference point to the controller.

3. The apparatus of claim 2 wherein the reader is further configured to read container-identification information associated with the container and communicate the container-identification information to the controller;

and

wherein the controller is configured to identify the container based on the container-identification.

4. The apparatus of claim 3 wherein the container-identification information includes a National Drug Code.

5. The apparatus of claim 3 wherein the container-identification information is contained on a Radio Frequency Identification (RFID) antenna associated with the container and the reader comprises an RFID reader adapted to receive the information from the RFID antenna.

6. The apparatus of claim 3 wherein the container-identification information is an optically-readable code associated with the container and the reader comprises an optical code reader.

7. The apparatus of claim 3 wherein the controller is further configured to:

access the positioning information for the container based on the information communicated from the reader to the controller; and

utilize the positioning information for the container and the reference point information received from the reader to operate the container positioner to orient the container to be contacted by the patient-specific label.

8. The apparatus of claim 7 wherein the container positioner further comprises

a container gripper;

and

a drive mechanism operative to orient the container engaged by the container gripper to receive the label.

9. The apparatus of claim 8 wherein the container includes a generally cylindrical body and the drive mechanism comprises:

a motor; and

a drive roller operatively coupled to the motor;

wherein the controller is configured to control the motor to selectively drive the drive roller.

10. The apparatus of claim 9 wherein the gripper comprises a pair of idler rollers spaced apart from the drive roller, the idler rollers being positionable to urge the container against the drive roller such that rotation of the drive roller orients the container to receive the patient-specific label at the second location.

11. The apparatus of claim 10 wherein the label applicator comprises:

a label source;

a print element adapted to print the patient-specific information on the label;

a feed mechanism adapted to supply label material to the print element from the label source;

a peel bar configured to remove a backing from the patient-specific label exposing an adhesive surface; and

a guide bar configured to direct the patient-specific label on to the container.

12. The apparatus of claim 11 wherein:

the drive roller and container form a nip proximate the location at which the label contacts the container;

the feed mechanism feeds the label including patient-specific information into the nip; and

the controller controls the rotation of the drive roller to rotate the container to apply the label to the container.

13. The apparatus of claim 12 wherein the gripper is configured to accommodate containers having different circumferences, the gripper comprising:

a pair of idler roller supports each supporting an idler roller being movable toward and away from the other to accommodate containers having container circumferences of different sizes; and

an actuator configured to actuate at least one of the supports;

wherein the controller is configured to control the actuator to position the idler rollers to contact and locate the container in a position such that the nip is proximate the label applicator in position to be contacted by the printed patient-specific label irrespective of the container circumference.

14. The apparatus of claim 12 further comprising:

a dispenser operatively connected to the controller and adapted to store and selectively dispense the container; and

a transport mechanism configured to deliver the container from the dispenser to the container positioner.

15. The apparatus of claim 14 wherein the transport mechanism comprises a conveyor.

16. The apparatus of claim 14 further comprising an apparatus configured to collect and sort labeled containers such that containers for a common prescription order are grouped together.

17. A system for application of patient-specific information to a pre-filled drug container having first indicia representative of the container contents comprising:

a positioner configured to position the container;

a printer configured to print and to apply a label including patient-specific information to the container; and

a controller operably coupled to the positioner and the printer;

wherein the controller is configured to control the positioner to move the container from an initial orientation to a label-receiving orientation in which a portion of the container not including the first indicia is exposed to the printer;

wherein the controller is configured to control the printer to apply the label to the container without obscuring the first indicia; and

further wherein the controller comprises;

instructions for utilizing a reference point associated with the container and positioning information to orient the container relative to the printer to allow application of the label to the container, wherein the reference point comprises a portion of the first indicia, and further wherein the positioning information includes rotation duration time information that provides the amount of time that a specific container must be rotated by the positioner such that the patient specific label will be applied without obscuring the first indicia.

18. The system of claim 17 further comprising:

a reader configured to identify machine-readable information associated with the container; and

a database accessible by the controller, the database including the positioning information and the positioning information being related to the machine-readable information, the positioning information being usable by the controller to operate the positioner to position the container to the label receiving orientation.

19. The system of claim 18 wherein the positioner comprises:

a drive roller;

a motor controlled by the controller to selectively drive the drive roller; and

a gripper;

wherein the gripper and drive roller cooperatively clamp a container therebetween such that rotation of the drive roller rotates the container.

20. The system of claim 19 wherein:

the reader is adapted to detect the reference point; and

the controller identifies the initial orientation of the container based on the detected reference point and uses the positioning information to operate the motor to rotate the container to the label receiving orientation from the initial orientation.

21. The system of claim 20 wherein the gripper comprises a pair of idler rollers spaced apart from the drive roller, the idler rollers being positionable to urge the container against the drive roller such that rotation of the drive roller rotates the container.

22. The system of claim 19 further comprising:

a label source;

a print element configured to print a barcode including the patient-specific information on the label; and

a feed mechanism configured to supply label material from the label source to the print element.

23. The system of claim 22 wherein:

the drive roller and the container form a nip;

the feed mechanism feeds the printed label into the nip; and

rotation of the drive roller rotates the container to apply the label to the container.

24. The system of claim 23 wherein the gripper is adjustable to the size of the container, the gripper comprising:

a pair of idler roller supports each supporting an idler roller and being movable toward and away from the other to adjust to the size of the container; and

an actuator controlled by the controller and configured to selectively actuate each support to position the container to form the nip with the drive roller.

25. An apparatus configured to apply a patient-specific barcode indicative of patient-specific information to a filled drug container, the container including a first label having a first barcode indicative of the contents of the container, the apparatus comprising:

a printer;

a positioner; and

a controller in operative communication with the printer and the positioner;

the controller configured to control the printer to print the patient-specific bar code on a second label at a printing location;

the controller configured to control the printer to convey the second label from the printing location to a label application location at which the second label contacts and is affixed to the container; and

the controller configured to control the positioner to orient the container at the label application location from an initial orientation to a label application orientation;

wherein the controller is configured to control the printer and positioner to affix the second label to the container such that following application of the second label both the first bar code and the patient-specific bar code are readable;

further wherein the controller comprises;

instructions for utilizing a reference point associated with the container and positioning information to orient the container relative to the printer to allow application of the second label to the container, wherein the reference point comprises a portion of the first barcode, and further wherein the positioning information includes rotation duration time information that provides the amount of time that a specific container must be rotated by the positioner such that the second label will be applied without obscuring the first barcode.

26. The apparatus of claim 25 wherein the second label includes a leading edge and a trailing edge;

and

wherein the printer applies the second label to the container by first bringing the leading edge of the second label into contact with the container and then sequentially affixing the label to the container in a direction from the leading edge to the trailing edge.

27. The apparatus of claim 25 wherein the patient-specific bar code is applied to the second label before the second label is affixed to the container.

28. The apparatus of claim 25 wherein the first label includes the reference point;

and

wherein the controller utilizes the location of the reference point to determine the initial orientation of the container.

29. The apparatus of claim 25 further comprising a reader configured to read the first barcode;

wherein the controller is configured to access information regarding the container from a database based on the first barcode.

30. The apparatus of claim 25 wherein the controller is configured to control the printer to affix the second label such that the patient-specific barcode is located closely adjacent to the first barcode.

31. The apparatus of claim 26 further comprising a drive roller configured to contact and selectively rotate the container, the printer providing the leading edge of the second label to the location of contact between the drive roller and the container such that rotation of the drive roller and the container affixes the second label to the container.

32. A method for adapting a pre-filled stock container for use as a patient-specific container through precise association of a label including patient-specific information with the container comprising the steps of:

providing the pre-filled stock container to an information-application apparatus in a first orientation, the container including first indicia representative of the container contents and a reference point;

detecting the location of the reference point;

processing information representative of the location of the reference point to determine the first orientation of the container;

controlling a positioner to move the container from the first orientation to a label application orientation based upon the determined first orientation of the container and based upon rotation duration time information that provides the amount of time that a specific container must be rotated by the positioner to move the container from the first orientation to the label application orientation;

printing a label including patient specific information via a printer; and

controlling the printer to affix the label to the container such that at least the portion of the first indicia representative of the container contents is unobscured by the label.

33. The method of claim 32 further comprising the steps of:

identifying the container based on the first indicia;

accessing a database to obtain the rotation duration time information.

34. The method of claim 32 wherein the label includes a leading edge and a trailing edge;

and

wherein the leading edge of the label is placed into contact with the container and the container is rotated to affix the label to the container.

35. The method of claim 32 wherein the first indicia includes a barcode indicative of the contents of the container, and the reference point is a leading edge of the bar code.

36. The method of claim 32 further comprising the step of printing a barcode indicative of the patient specific information on the label.

37. The method of claim 32, wherein the first indicia is provided on a Radio Frequency Identification (RFID) tag, the method further comprising the step of reading the RFID tag with an RFID reader.

38. The method of claim 36 wherein the barcode is printed on the label prior to affixing the label to the container.

39. The method of claim 32 wherein the container has a generally cylindrical shape, the method further comprising:

gripping the container between a drive roller and a pair of spaced apart idle rollers;

rotating the gripped container proximate a reader to locate the container reference point; and

rotating the container to the label application orientation.

40. The method of claim 32 wherein the label includes information selected from the group consisting of a patient name, medication type, medication description, medication quantity, provider information, drug interaction warnings, a representation of the medication in the container and a National Drug Code.

41. The method of claim 32 wherein the label has a leading edge, a first side for receiving patient specific information and a second side including an adhesive for securing the label to the container, the method further comprising:

urging the label leading edge against a predetermined portion of the positioned container; and

rotating the container to receive the label second side such that the label is affixed to the container.

42. The method of claim 32 further comprising:

storing the container in a dispenser;

dispensing, from the dispenser, one of the pre-filled containers responsive to a patient request; and

transporting the dispensed container to the information-application apparatus.

43. A system for application of patient-specific information to pre-filled drug containers each having alpha-numeric information and a bar code representative of the container contents comprising:

a positioner configured to rotate containers including alpha-numeric information and a bar code;

a bar code reader configured to read the bar code;

a labeler which applies pressure-sensitive adhesive labels including patient-specific information to containers; and

a controller operably coupled to the positioner and the labeler;

wherein the controller is configured to control the positioner to rotate containers based upon their respective bar code to a label-receiving orientation at the labeler which applies the pressure-sensitive adhesive label without obscuring a portion of one of the alpha-numeric information and the bar code;

wherein the controller utilizes rotation duration time information that provides the amount of time that a specific container must be rotated by the positioner such that the pressure-sensitive adhesive label will be applied without obscuring a portion of one of the alpha-numeric information and the bar code.