Apparatus and method for therapeutic delivery of medication

• US 8,518,021 B2
• Filed: 05/27/2004
• Issued: 08/27/2013
• Est. Priority Date: 05/27/2004
• Status: Active Grant

• Current Assignee: Sandvik Intellectual Property AB (Sandvik AB)
• Original Assignee: Baxter International Inc.
• Inventors: Stewart, Janice, Meinzer, Randolph, Bello, Debra K., Mullan, Janet, Jacobson, James D., Bui, Tuan, Chau, Qui
• Primary Examiner(s): Sirmons, Kevin C
• Assistant Examiner(s): GILBERT, ANDREW M
• Application Number:
  US10/855,873
• Publication Number:
  US 20050277911A1
• Time in Patent Office: 3,379 Days
• Field of Search: 6048901-8922, 604/131, 604/65
• US Class Current: 604/890.1
• CPC Class Codes: A61M 2005/14208 with a programmable infusion control system, characterised by the infusion program
• CPC Class Codes: A61M 2205/3561 local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/3569 sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/3592 using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 5/142 Pressure infusion, e.g. using pumps
• CPC Class Codes: A61M 5/14228 with linear peristaltic action, i.e. comprising at least three pressurising members or a helical member
• 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 40/67 for remote operation
• CPC Class Codes: G16H 70/40 relating to drugs, e.g. their side effects or intended usage

Abstract

An apparatus, system and method of programming a medical therapy in a medical device are provided. Generally, the medical device 10 has a controller 12, a memory 14, a processor 16 and an input device 18. The memory 14 is preloaded with at least one of a plurality of patient profiles and condition profiles. The memory 14 is further preloaded with an associated medication therapy for a plurality of the profiles. The input device 18 receives profile data 90, 91 comprising at least one of a patient profile data and a condition profile data for a specific patient, and the processor 16 processes the received profile data 100 and provides as output one of the preloaded medication therapies based on the processed profile data 102.

Claims

1. A controller for a programmable medical pump, comprising a memory having at least one preloaded medication therapy, each preloaded medication therapy including at least one preloaded patient profile and at least one preloaded condition profile;

an input device for receiving profile data comprising patient profile data and condition profile data corresponding to a specific patient; and

, a processor programmed to compare said received patient profile data in combination with said received condition profile data to said preloaded profiles, select at least one of said preloaded medication therapies from said comparison, and provide at least one of said selected medication therapies.

2. The controller of claim 1, wherein said memory further is preloaded with a plurality of medication profiles, and for each medication profile said memory further is preloaded with an associated medication therapy for a plurality of said medication profiles.

3. The controller of claim 1, wherein each of said at least one preloaded patient profile comprises data for at least one of a patient pain state, a chronologic age, an age group, and a gestational age.

4. The controller of claim 1, wherein each of said at least one preloaded condition profile comprises data for at least one of a medical condition and a medical disease state.

5. The controller of claim 2, wherein said at least one preloaded medication profile comprises data for at least one of a drug, a non-drug and a diluent.

6. The controller of claim 1, wherein said medication therapy provided by the processor comprises a medication type and delivery parameters.

7. The controller of claim 6, wherein said delivery parameters comprise at least one of a dose, a rate and a concentration.

8. The controller of claim 2, wherein said medication therapy comprises at least one of a dose, a rate, a concentration and a medication type.

9. The controller of claim 1, wherein said controller is an internal component of said medical pump.

10. The controller of claim 1, wherein said controller is a separate and distinct component from the medical pump.

11. The controller of claim 1, wherein said input device is a digital assistant.

12. The controller of claim 1, wherein said input device comprises a receiver for receiving information from an information identifier on a line set.

13. The controller of claim 12, wherein said information identifier contains information comprising at least one of a patient name, age, sex, weight, allergies, condition, medication name, medication type, medication concentration, medication amount, individual bolus volume, total bolus volume, bolus rate, dose, timing between bolus deliveries, maximum number of boluses, maximum number of boluses per unit time, loading dose volume, loading dose rate, loading dose time, maintenance rate, maintenance volume, maintenance time, maintenance dose, diluent volume, patient profile data and condition profile data.

14. A controller for a programmable medical pump, the controller having a medication delivery therapy of at least one of a bolus dose medication therapy and a loading dose medication therapy, comprising:

a memory preloaded with at least one of a bolus medication therapy and a loading dose medication therapy, each preloaded medication therapy including at least one preloaded patient profile and at least one condition profile;

an input device for receiving profile data comprising patient data and condition data for a specific patient; and

,

a processor programmed to compare said received patient profile data in combination with said received condition profile data to said preloaded profiles, select at least one of said preloaded bolus medication therapies and said preloaded loading dose medication therapies from said comparison, and provide at least one of said selected preloaded bolus medication therapies and preloaded loading dose medication therapies.

15. The controller for the programmable medical pump of claim 14, wherein the memory further is preloaded with a plurality of medication profiles, and for each medication profile the memory further is preloaded with an associated medication therapy for a plurality of the medication profiles.

16. The controller for the programmable medical pump of claim 14, wherein the at least one preloaded patient profile comprises data for at least one of a patient pain state, a chronologic age, an age group, and a gestational age.

17. The controller for the programmable medical pump of claim 14, wherein the at least one preloaded condition profile comprises data for at least one of a medical condition and a medical disease state.

18. The controller for the programmable medical pump of claim 15, wherein the preloaded medication profiles comprise data for at least one of a drug, a non-drug and a diluent.

19. The controller for the programmable medical pump of claim 14, wherein the medication therapy provided by the processor comprises a medication type and delivery parameters.

20. The controller for the programmable medical pump of claim 19, wherein the delivery parameters comprise at least one of a dose, a rate and a concentration.

21. The controller for the programmable medical pump of claim 19, wherein the delivery parameters comprise at least one of a medication type, a medication concentration, a medication amount, an individual bolus volume, a total bolus volume, a bolus rate and a timing between bolus deliveries.

22. The controller for the programmable medical pump of claim 19, wherein the delivery parameters comprise at least one of a medication type, a medication concentration, a loading dose volume, a loading dose rate, a loading dose time, a maintenance rate, a maintenance volume, a maintenance time, a maintenance dose, and a diluent volume.

23. The controller for the programmable medical pump of claim 14, wherein the programmable medical pump has a plurality of pumping channels, and wherein each of the pumping channels is independently programmable for delivering bolus dose medication therapies and loading dose medication therapies.

24. The controller for the programmable medical pump of claim 15, wherein the medication therapy comprises at least one of a dose, a rate, a concentration and a medication type.

25. The controller for the programmable medical pump of claim 14, wherein the controller is an internal component of the medical pump.

26. The controller for the programmable medical pump of claim 14, wherein the controller is a separate and distinct component from the medical pump.

27. The controller for the programmable medical pump of claim 14, wherein the input device is a digital assistant.

28. The controller for the programmable medical pump of claim 14, wherein the input device receives a second set of profile data comprising at least one of a patient data and a condition data for a specific patient, and wherein the processor processes the second set of received profile data and provides as output for the second set of profile data at least one of the preloaded bolus medication therapies and preloaded loading dose medication therapies on the processed second set of profile data.

29. A method of programming a medical therapy in a controller, the controller having a memory, a processor and an input device, comprising the steps of:

preloading the memory with a plurality of patient profiles and condition profiles, and with associated medication therapies for a plurality of combinations of the patient and condition profiles;

receiving profile data comprising patient profile data and condition profile data for a specific patient;

comparing said received profile data to said preloaded profiles; and

selecting at least one of the preloaded medication therapies from said comparison.

30. The method of claim 29, wherein the preloaded medication therapy comprises at least one of a medication type and preset delivery parameters, and further comprises the step of providing for changing at least one of the preset delivery parameters to develop a modified set of delivery parameters.

31. The method of claim 30, further comprising the steps of comparing the modified set of delivery parameters, and triggering an alarm when at least one of the delivery parameters of the modified set of delivery parameters is outside a parameter limit of the preloaded medication therapy ranges.

32. The method of claim 29, wherein the preloaded patient files comprise data for at least one of a patient pain state, a chronologic age, an age group and a gestational age.

33. The method of claim 29, wherein the preloaded condition profiles comprise data for at least one of a medical condition and a medical disease state.

34. The method of claim 30, wherein the delivery parameters comprise at least one of a dose, a rate and a concentration.

35. The method of claim 29, further comprising the step of preloading the memory with a plurality of medication profiles, and with an associated medication therapy for a plurality of the medication profiles.

36. The method of claim 35, wherein the medication therapy comprises at least one of a dose, a rate, a concentration and a medication type.

37. The method of claim 31, further comprising the step of providing an override for the alarm.

38. The method of claim 29, further comprising the step of receiving information from an information identifier on a line set.

39. The method of claim 38, wherein the information identifier contains information comprising at least one of a patient name, age, sex, weight, allergies, condition, medication name, medication type, medication concentration, medication amount, individual bolus volume, total bolus volume, bolus rate, dose, timing between bolus deliveries, maximum number of boluses, maximum number of boluses per unit time, loading dose volume, loading dose rate, loading dose time, maintenance rate, maintenance volume, maintenance time, maintenance dose, diluent volume, patient profile data and condition profile data.

40. A method of programming a medical therapy in a medical pump, comprising:

receiving profile data comprising patient profile data and condition profile data for a specific patient;

providing a controller having a memory, a processor, and an input device, wherein the memory is capable of retrievably storing one or more medication therapies, wherein at least one of the medication therapies matches the received profile data;

comparing the received profile data including said patient profile data and said condition profile data to the medication therapies stored in the memory at the processor; and

,

transmitting said at least one medication therapy that matches the received profile data.

41. The method of claim 40, wherein stored medication therapies are therapies for at least one of a bolus dose medication therapy and a loading dose medication therapy.

42. A method of pre-programming a medical therapy in a medical pump, comprising:

providing a controller having a memory, a processor, and an input device, wherein the memory is capable of retrievably storing one or more sets of patient profile parameters that describe at least one of medication type, patient profile and condition profile, and wherein the memory is capable of storing one or more medication therapies for at least one of a bolus dose medication therapy and a loading dose medication therapy;

receiving a set of profile data that describes medication type, patient profile and condition profile;

matching the received set of patient profile data that describes medication type, patient profile and condition profile to at least one of said bolus dose medication therapy and said loading dose medication therapy;

retrievably storing the received set of patient profile data in the memory; and

,

retrievably storing data in the memory, wherein the data reflects a correspondence between at least one set of said patient profile data and at least one of said bolus dose medication therapy and said loading dose medication therapy.