Method and apparatus for controlling an infusion pump or the like

• US 9,750,872 B2
• Filed: 04/13/2011
• Issued: 09/05/2017
• Est. Priority Date: 10/22/1999
• Status: Active Grant

• Current Assignee: B Braun Medical Incorporated (B. Braun Holding GmbH & Co. KG)
• Original Assignee: B Braun Medical Incorporated (B. Braun Holding GmbH & Co. KG)
• Inventors: De La Huerga, Carlos A.
• Primary Examiner(s): Cobanoglu, Dilek B
• Application Number:
  US13/085,670
• Publication Number:
  US 20110196306A1
• Time in Patent Office: 2,337 Days
• Field of Search: 235375, 434236, 604131, 604 65, 604 67, 604500, 700214, 702114
• 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 2205/70 Audible labels, e.g. for pre-recorded info or messages
• 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 2205/60 with identification means
• CPC Class Codes: A61M 2205/6063 Optical identification systems
• CPC Class Codes: A61M 2205/6072 Bar codes
• CPC Class Codes: A61M 37/00 Other apparatus for introducing media into the body for reproduction or fertilisation A61B17/425; apparatus for iontophoresis or cataphoresis A61N1/30; Percutany, i.e. introducing medicines into the body by diffusion through the skin salt baths A61H33/04
• CPC Class Codes: A61M 5/14212 Pumping with an aspiration and an expulsion action
• 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: G16H 10/65 stored on portable record carriers, e.g. on smartcards, RFID tags or CD
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/63 for local operation

Abstract

A method and apparatus for controlling IV medication delivery and monitoring, the method including providing information tags on IV bags that specify delivery parameters, obtaining delivery parameters for at least one bag, associating a controller with a particular patient, comparing patient information for the particular patient with the delivery parameters, determining the efficacy of delivering the medicant to the patient and affecting pump control as a function of the comparison. The method also includes various timing rules and other verification procedures.

Claims

1. A system used to deliver medication to a patient comprising:

a computer storing prescription information, including information that is specific to a first patient;

said computer having a network connection, receiving first information indicative of a first machine readable identifier corresponding to a patient identification that is attached to a limb of a patient, receiving second information indicative of a second machine readable identifier from a medication dispensing container with medication to be administered to the patient, and receiving third information corresponding to a medical device identification that is representative of a specific one medical device that is associated with delivery of medication to a patient and is indicative of a third machine readable identifier from the specific one medical device;

said computer operating to compare stored prescription data to at least said first and second information, and to determine if information indicative of the use of the medication is authorized to be sent, and if said information indicative of the use of the medication is authorized to be sent, then sending said information indicative of the use of the medication to said specific one medical device using the medical device identification to deliver the medication to the patient;

wherein said medical device is a medical pump for pumping medication; and

wherein said system monitors operation of said medical pump to deliver said medication in a specified dosage.

2. A system as in claim 1, wherein said computer sends said information indicative of the use of the medication at a current time.

3. The system as in claim 1, further comprising said medical device that includes a machine readable identifier thereon.

4. The system as in claim 1, wherein the network communication communicates using wireless communication.

5. The system as in claim 1, wherein said computer controls said operation to deliver said medicant also after receiving an identification from a badge of a medical professional.

6. The system as in claim 1, wherein said computer stores and uses information specific to the patient includes drugs to which the patient is allergic.

7. The system as in claim 1, wherein said computer disables information on said container from being used more than once.

8. The system as in claim 1, wherein said computer stores and uses information about drugs which are genomically incompatible with the patient.

9. The system of claim 1, wherein said computer further receives time data associated with the first information and the second information, and wherein said computer further operates to compare the time data associated with the first information with the time data associated with the second information, and if said time data are within a predetermined threshold period of each other, then sends said information indicative of the use of the medication to said specific one medical device.

10. The system of claim 1, wherein said computer is operable to determine if said information indicative of the use of the medication is not authorized to be sent, and if not, said computer then sending to an indicating device a message indicating said medication is not to be given to said patient.

11. The system of claim 10, wherein said indicating device is used to read and transmit said first, second, and third machine readable identifiers and said indicating device indicating the message using one of a visual indicator, a visual display, and an audio indicator.

12. A system used to deliver a prescribed amount of medication to a patient, comprising

a medical device having a first machine readable identifier;

a patient identification bracelet having a second identifier that identifies a patient identification and that is attached to a limb of a patient;

a medication container, having a third identifier indicative of contents of said medication container that is used to dispense medication to the patient;

a wireless network;

a wireless reader device that reads each of said first, second and third identifiers, and communicates information indicative of each of said first, second and third identifiers over said wireless network; and

a central computer, receiving said information indicative of each of said first, second and third identifiers that were transmitted over the wireless network, said computer operating to compare stored prescription data to at least said second identifier and said third identifier, and to determine if at least a portion of the stored prescription data related to the medication of said third indicator is authorized to be sent, and when the determination indicates that said third indicator is authorized sending said at least a portion of stored prescription data to said medical device to control operation of said medical device to deliver said medication using the information obtained from the first identifier.

13. The system as in claim 12, wherein said computer determines whether the prescription data is authorized at a current time, and if so, sends said portion at the current time.

14. A system as in claim 12, wherein said medical device is a medical pump for pumping medication.

15. The system as in claim 12, wherein said central computer controls said operation after receiving an identification from a badge of a medical professional.

16. The system as in claim 12, wherein said computer stores and uses information specific to the patient includes drugs to which the patient is allergic.

17. The system as in claim 12, wherein said computer stores and uses information about drugs which are genomically incompatible with the patient.

18. The system as in claim 12, wherein said computer disables information on said container from being used more than once.

19. The system as in claim 12, wherein said wireless reader device has a readable screen, that shows information from said indicator.

20. The system of claim 12, wherein the wireless reader device further provides time data associated with said second and third identifiers and communicates said time data over said wireless network;

and

wherein said central computer further operates to compare the time data associated with the second identifier with the time data associated with the third identifier, and if said time data are within a predetermined threshold period of each other, then sends the at least a portion of stored prescription data to said medical device.

21. The system of claim 12, wherein said computer is operable to determine that at least a portion of the stored prescription data related to the medication of said third indicator is not authorized to be sent, and if not, the computer is operable to send a message indicating said contents of the medication container are not to be given to said patient to said wireless reading device and the reading device activating an indicator selected from a visual indicator, a visual display, and an audio indicator.

22. A system used to deliver medication to a patient comprising:

a computer storing prescription information, including information that is specific to a patient;

said computer having a network connection,

(i) receiving first information indicative of a first machine readable identifier corresponding to a patient identification that is attached to a patient,

(ii) receiving second information indicative of a second machine readable identifier from a medication dispensing container with medication to be administered to said patient, and

(iii) receiving third information corresponding to a pump identification that is representative of a specific pump that is associated with delivery of a specific dosage of medication to a patient and is indicative of a third machine readable identifier from said specific pump; and

said computer operating to compare stored prescription data to at least said first and second information, and

to determine if information indicative of the use of said medication is authorized to be sent, and

when said information indicative of the use of said medication is authorized to be sent to said specific pump, then using said pump identification to send said information indicative of the use of said medication to said specific pump and to deliver said specific dosage of medication to said patient.

23. The system of claim 22, wherein said computer is configured to determine if said information indicative of the use of the medication is not authorized to be sent to said specific pump, and if not, said computer sends a message to an indicating device reflective that said medication in said medication dispensing container is not to be given to said patient.

24. The system of claim 23, wherein said indicating device is associated with a physician and indicates said message using one of a visual indicator, a visual display, and an audio indicator.

25. The system of claim 24, wherein said indicating device enables said receiving of said first, second, and third information.

26. The system of claim 25, wherein said receiving by said indicating device includes receiving a visual pattern corresponding to a bar code.