Method and apparatus for preparing and monitoring an intravenous fluid bag

• US 9,814,828 B2
• Filed: 03/15/2013
• Issued: 11/14/2017
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Omnicell Incorporated
• Original Assignee: Aesynt, Inc. (Omnicell Incorporated)
• Inventors: Thompson, Jeff, Deutsch, David, Churbock, Preeti, Garrison, Kevon, Barickman, John, Thompson, Bruce, Rossi, Randy, Aby-Eva, Gregoire
• Primary Examiner(s): Le, Toan
• Assistant Examiner(s): Aiello, Jeffrey
• Application Number:
  US13/837,240
• Publication Number:
  US 20140278156A1
• Time in Patent Office: 1,705 Days
• Field of Search: 73299, 73861, 374141, 374150, 374208, 604246, 604408, 604 65, 604151, 604500, 600309
• CPC Class Codes: A61M 2205/3306 Optical measuring means
• CPC Class Codes: A61M 2205/3386 Low level detectors
• CPC Class Codes: A61M 2205/3561 local, e.g. within room or hospital
• CPC Class Codes: A61M 5/1414 Hanging-up devices
• CPC Class Codes: A61M 5/16831 Monitoring, detecting, signalling or eliminating infusion flow anomalies low-level float-valves causing cut-off A61M5/40; indicating or recording presence, absence or direction of flow in general G01P13/0066
• CPC Class Codes: A61M 5/1684 by detecting the amount of infusate remaining, e.g. signalling end of infusion

Abstract

An intravenous (IV) fluid monitoring system and method are provided to facilitate notification that a replacement IV fluid bag should be prepared. In this regard, an IV fluid monitoring system includes a bag sensing element carried by an IV fluid bag. The IV fluid monitoring system further includes first and second sensing elements positioned on opposite sides of the IV fluid bag and configured to interact with the bag sensing element. The first and second sensing elements are physically separate from the IV fluid bag. The bag sensing element and the first and second elements are positioned such that a line of sight between at least the first sensing element and the bag sensing element extends through the IV fluid within the IV fluid bag while the IV fluid bag is in a filled state. A method and apparatus are also provided to facilitate preparation of an IV fluid bag.

Claims

1. An intravenous (IV) fluid monitoring system comprising:

a bag sensing element carried by an IV fluid bag configured to store an IV fluid; and

first and second sensing elements positioned on opposite sides of the IV fluid bag and configured to interact with the bag sensing element, wherein the first and second sensing elements are physically separate from the IV fluid bag and the bag sensing element, wherein the bag sensing element and the first and second sensing elements are positioned such that a line of sight between the first sensing element and the bag sensing element extends through the IV fluid within the IV fluid bag in an instance in which the IV fluid bag is in a filled state, and wherein interaction between the first sensing element and the bag sensing element as defined by first signals communicated between the first sensing element and the bag sensing element differs from interaction between the second sensing element and the bag sensing element as defined by second signals communicated between the second sensing element and the bag sensing element by at least a predefined difference in an instance in which the IV fluid bag is in one of the filled state or a replacement requisition state, but interaction between the first sensing element and the bag sensing element as defined by the first signals differs from interaction between the second sensing element and the bag sensing element as defined by the second signals by less than a predetermined amount in an instance in which the IV fluid bag is in the other one of the filled state or the replacement requisition state.

2. An IV fluid monitoring system according to claim 1 wherein the bag sensing element and the first and second sensing elements are positioned such that a line of sight between the second sensing element and bag sensing element does not extend through the IV fluid within the IV fluid bag in an instance in which the IV fluid bag is in a filled state.

3. An IV fluid monitoring system according to claim 1 wherein the bag sensing element and the first and second sensing elements are positioned such that the line of sight between the first sensing element and the bag sensing element extends through less IV fluid within the IV fluid bag in an instance in which the IV fluid bag is in a replacement requisition state than in an instance in which the IV fluid bag is in the filled state.

4. An IV fluid monitoring system according to claim 1 further comprising a clip member having first and second arms configured to be positioned on opposite sides of the IV fluid bag, wherein the first and second arms carry the first and second sensing elements, respectively.

5. An IV fluid monitoring system according to claim 1 further comprising a monitor communicably connected to at least one of the bag sensing element or the first and second sensing elements, wherein the monitor is configured to determine a replacement requisition state of the IV fluid bag based upon information provided by the at least one of the bag sensing element or the first and second sensing elements.

6. An IV fluid monitoring system according to claim 5 wherein the monitor is configured to provide a notification regarding the replacement requisition state of the IV fluid bag.

7. An IV fluid monitoring system according to claim 6 wherein the monitor is configured to provide the notification to a pharmacy to initiate preparation of another IV fluid bag.

8. An IV fluid monitoring system according to claim 1 wherein the bag sensing element comprises a radio frequency (RF) tag and the first and second sensing elements comprise RF readers.

9. A method of monitoring intravenous (IV) fluid during delivery to a patient, the method comprising:

communicating with at least one of a bag sensing element or first and second sensing elements while IV fluid is delivered from an IV fluid bag to the patient, wherein the IV fluid bag carries the bag sensing element, wherein the first and second sensing elements are positioned on opposite sides of the IV fluid bag during the delivery of the IV fluid, wherein the first and second sensing elements are physically separate from the IV fluid bag and the bag sensing element, wherein the bag sensing element and the first and second sensing elements are positioned such that a line of sight between at least the first sensing element and the bag sensing element extends through the IV fluid within the IV fluid bag in an instance in which the IV fluid bag is in a filled state, and wherein interaction between the first sensing element and the bag sensing element as defined by first signals communicated between the first sensing element and the bag sensing element differs from interaction between the second sensing element and the bag sensing element as defined by second signals communicated between the second sensing element and the bag sensing element by at least a predefined difference in an instance in which the IV fluid bag is in one of the filled state or a replacement requisition state, but interaction between the first sensing element and the bag sensing element as defined by the first signals differs from interaction between the second sensing element and the bag sensing element as defined by the second signals by less than a predetermined amount in an instance in which the IV fluid bag is in the other one of the filled state or the replacement requisition state; and

determining a replacement requisition state of the IV fluid bag based upon information provided by the at least one of the bag sensing element or the first and second sensing elements.

10. An IV fluid monitoring method according to claim 9 further comprising providing a notification regarding the replacement requisition state of the IV fluid bag.

11. An IV fluid monitoring method according to claim 10 wherein providing the notification comprises providing the notification to a pharmacy to initiate preparation of another IV fluid bag.

12. An apparatus for preparing an intravenous (IV) fluid bag prior to administration to a patient, the apparatus comprising a processor configured to:

determine a prescribed drip rate for the patient;

determine a preparatory time period in which another IV fluid bag is to be prepared;

determine a fluid level of the IV fluid bag at which IV fluid remaining within the IV fluid bag will require at least the preparatory time period to be administered at the prescribed drip rate in order to facilitate placement of a bag sensing element upon the IV fluid bag based upon the fluid level; and

based upon the fluid level, cause a visible indication to be provided of a location upon the IV fluid bag at which a bag sensing element is to be placed prior to the administration of the IV fluid to the patient.

13. An apparatus according to claim 12 further comprising a scale configured to be positioned in proximity to the IV fluid bag to provide an indication of the fluid level while placing the bag sensing element upon the IV fluid bag.

14. An apparatus according to claim 12 further comprising a light source configured to illuminate a portion of the IV fluid bag to provide an indication of the fluid level while placing the bag sensing element upon the IV fluid bag.

15. An apparatus according to claim 12 wherein the processor is configured to receive a notification that a prior IV fluid bag of the patient has reached a replacement requisition state in which the IV fluid in the prior IV fluid bag is no greater than the fluid level based upon which the bag sensing element is placed.

16. An apparatus according to claim 12 further comprising a radio frequency tag that serves as the bag sensing element and is placed upon the IV fluid bag.

17. A method of preparing an intravenous (IV) fluid bag prior to administration to a patient, the method comprising:

determining a prescribed drip rate for the patient;

determining a preparatory time period in which another IV fluid bag is to be prepared;

determining, by a processor, a fluid level of the IV fluid bag at which IV fluid remaining within the IV fluid bag will require at least the preparatory time period to be administered at the prescribed drip rate in order to facilitate placement of a bag sensing element upon the IV fluid bag based upon the fluid level; and

based upon the fluid level, causing an indication to be visibly provided of a location upon the IV fluid bag at which a bag sensing element is to be placed prior to the administration of the IV fluid to the patient.

18. A method according to claim 17 wherein causing an indication to be provided comprises providing an indication of the fluid level while placing the bag sensing element upon the IV fluid bag.

19. A method according to claim 17 further comprising receiving a notification that a prior IV fluid bag of the patient has reached a replacement requisition state in which the IV fluid in the prior IV fluid bag is no greater than the fluid level based upon which the bag sensing element is placed.

20. A method according to claim 17 wherein the bag sensing element comprises a radio frequency tag.