Provisioning and controlling medical instruments using wireless data communication

• US 20050102167A1
• Filed: 09/30/2004
• Published: 05/12/2005
• Est. Priority Date: 11/12/2003
• Status: Abandoned Application

• Current Assignee: Caretrends LLC Formerly Known As Digital Hospital Advisors LLC
• Original Assignee: Caretrends LLC Formerly Known As Digital Hospital Advisors LLC
• Inventors: Kapoor, Ashok K.
• Application Number:
  US10/957,169
• Publication Number:
  US 20050102167A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: A61B 2560/0271 using a remote monitoring unit
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/63 for local operation

Abstract

This invention teaches a method of automating some of the tasks requiring continuous data collection at the patient bedside in a hospital in a manner which significantly reduces the chances of error in providing treatment. These tasks include provisioning of the IV pumps or other fluid infusion pumps, feed pumps, oxygen delivery systems, gathering, recording, storing, and analyzing signals from ECG machine or pulse oxymeter or any other medical device. This invention teaches the use of wireless transceiver modules which are connected to the data ports on the medical instrument to gather the data and transmit the data to a wireless access point. Protocols to identify the patient, care provider, medicine, equipment, and treatment are described. Use of an external means for verifying the identity of the medical device and the medicine is also described.

Claims

1. A wireless transceiver unit for wireless communicating instructions and data between a medical device or electrical monitoring equipment and a data network, the wireless transceiver unit comprising:

an electronic interface for communication of data collected from a medical device or other electrical monitoring equipment utilizing a predetermined operating control and data communication protocol;

a central processor which converts the data collected from the medical device or other electrical monitoring equipment into signals conforming to a predetermined wireless data communication protocol;

a wireless transceiver for receiving the signals conforming to the predetermined wireless data communication protocol and transmitting the signals to a secure, data network.

2. The wireless transceiver unit of claim 1 in which the electronic interface comprises a physical, electronic connector for connecting to the medical device or other electrical monitoring equipment utilizing the predetermined operating control and data communication protocol.

3. The wireless transceiver unit of claim 1 in which the predetermined operating control and data communication protocol associated with the medical device or other electrical monitoring equipment and electronic interface is a protocol selected from the group consisting of serial data communication protocol, RS232, RS422, Ethernet, USB, firewire, parallel data communication protocol, and any other manufacturer standard or proprietary protocol.

4. The wireless transceiver unit of claim 1 further comprising a transceiver buffer positioned intermediate the electronic interface and the central processor which converts the electrical signals conforming to the data protocol utilized by the medical device or other electrical monitoring equipment to the internal operating voltage of the WTU.

5. The wireless transceiver unit of claim 4 further comprising a Universal Asynchronous Receiver-Transmitter or similar circuit that processes data coming and going between the transceiver buffer and the central processor.

6. The wireless transceiver unit of claim 1 further comprising direct connect of I/O pins on the processor directly to the electrical interface.

7. The wireless transceiver unit of claim 4 further comprising direct connect between the processor and the transceiver buffer.

8. The wireless transceiver unit of claim 1 further comprising memory modules which support the processor.

9. The wireless transceiver unit of claim 8 in which the memory modules are selected from the group consisting of static random access memory modules and non-volatile memory modules.

10. The wireless transceiver unit of claim 1 in which the processor exchanges programming functions information with the wireless transceiver.

11. The wireless transceiver unit of claim 1 in which the processor exchanges data collected from the medical device or other electrical monitoring equipment with the wireless transceiver.

12. The wireless transceiver unit of claim 1 in which the predetermined wireless data communication protocol utilized by the wireless transceiver is a protocol selected from the group consisting of Bluetooth, Zigbee, 802.11b, 802.11g, 802.11a, Ultra-Wide-Band, or any other wireless data communication protocol.

13. The wireless transceiver unit of claim 1 further comprising a visual indicator supported by the processor.

14. The wireless transceiver unit of claim 1 in which the visual indicator is a light.

15. The wireless transceiver unit of claim 1 in which the wireless transceiver can support multiple radios operating on different wireless protocols.

16. The wireless transceiver unit of claim 1 in which the wireless transceiver is selected from the group consisting of radio frequency transceivers and infra-red transceivers.

17. A system for wireless communication of collected data between multiple medical and non-medical devices at the bedside of a patient and a data network, the system comprising:

one or more medical or non-medical data collection devices located within a bedside area network, wherein each of the one or more medical or non-medical data collection devices is equipped with a wireless transceiver apparatus for wireless electronic data communication using a wireless communication protocol; and

a data network which collects data and monitors each of the one or more medical or non-medical data collection devices by communicating with the wireless transceiver apparatus using a wireless communication protocol.

18. A system for monitoring processes and receiving alarms from medical devices and other monitoring equipment or data collecting sources, the system comprising:

one or more medical devices such as an IV liquid or nutrient feed or drug pump to be monitored and for providing data, each of the one or more medical devices equipped with an apparatus for electronic data communicating using standard protocols to allow the users to exchange information with these devices over hard wired connections, each of the one or more medical devices further connected to a wireless transceiver unit capable of bidirectional communication with a local communication controller using wireless communication protocol, each of the one or more medical devices further equipped with one or more alternate physical layer identification devices;

optionally, one or more patient monitoring devices such as a blood pressure monitor or ECG connected to the patient, each of the one or more patient monitoring devices equipped with an apparatus for electronic data communicating using standard protocols to allow the users to exchange information with these devices over hard wired connections, each of the one or more patient monitoring devices further connected to a wireless transceiver unit capable of bidirectional communication with a local communication controller using wireless communication protocol, each of the one or more patient monitoring devices further equipped with one or more alternate physical layer identification devices,

optionally, one or more bed monitoring devices such as a weight sensor or position sensors connected to the patient'"'"'s bed, each of the one or more monitoring devices equipped with an apparatus for electronic data communicating using standard protocols to allow the users to exchange information with these devices over hard wired connections, each of the one or more bed monitoring devices further connected to a wireless transceiver unit capable of bidirectional communication with a local communication controller using wireless communication protocol, each of the one or more bed monitoring devices further equipped with one or more alternate physical layer identification devices,

optionally, one or more environmental monitoring devices such as an air temperature or relative humidity gauges or sound monitors located within the nearby environment of the patient, each of the one or more environmental monitoring devices equipped with an apparatus for electronic data communicating using standard protocols to allow the users to exchange information with these devices over hard wired connections, each of the one or more environmental monitoring devices further connected to a wireless transceiver unit capable of bidirectional communication with a local communication controller using wireless communication protocol, each of the one or more environmental monitoring devices further equipped with one or more alternate physical layer identification devices,

optionally, one or more body-worn sensing devices such as one or more electrocardiogram probes connected to the body of the patient, each of the one or more sensing devices equipped with an apparatus for electronic data communicating using standard protocols to allow the users to exchange information with these devices over hard wired connections, each of the one or more body-worn sensing devices further connected to a wireless transceiver unit capable of bidirectional communication with a local communication controller using wireless communication protocol, each of the one or more body-worn sensing devices further equipped with one or more alternate physical layer identification devices,

a local communication controller comprising the required hardware and software to communicate with each of the wireless transceiver units according to their respective wireless communication protocols;

a reader for each of the alternate physical layer identification devices, the reader capable of independently communicating the identification of the one or more medical or non-medical data collection devices to the local communication controller for purposes of identification and validation of the one or more medical or non-medical data collection devices; and

an access point for providing a secured gateway for communications directly between a wireless transceiver and a data network, the access point accessed by establishing primary communication with the local communication controller.

19. The system of claim 18, further comprising a mobile client, such as for receiving alarms or other data from the one or more medical devices, the mobile client having a wireless connection between the client and another access point to the data network.

20. A method of providing a medical treatment comprising the following steps:

Setting up the medical instruments at the bedside of the patient in a predetermined order, each of the medical instruments equipped with a WTU capable of transmitting certain data wirelessly to connect to the server of a data network in compliance with security protocols of the establishment;

Identifying the care provider to the system by connecting with the server using a browser in a local communication controller using a secure sign-on procedure;

Verifying the identity of the patient to insure that correct treatment will be imparted;

Identifying the details of the physician'"'"'s instructions and the required medical devices to fulfill them at the bedside of the patient;

Authenticating all the medical devices in the bedside area network by the server with an LCC;

Connecting the medical instruments arranged at the patient bedside to the patient according to the physician'"'"'s instructions;

Initiating the medical process either manually by the care provider or upon a command from the LCC to the one or more WTUs connected to the corresponding medical devices while recording the process data to the LCC;

Transferring communication and control of the medical devices completely from the LCC directly through an access point to the wireless data network; and

Delivering process or alarm data from the server to any client device connected to the wireless network, the client devices selected from the group consisting of a desktop notebook, a wireless notebook or a PDA, a pager capable of receiving text or numerical messages, or a cellular phone capable of receiving textual messages.

21. The method of claim 20, wherein the step of verifying the identity of the patient further comprises the following step:

Downloading from the server various instructions as a web page on the LCC to guide the care provider.

22. The method of claim 20, wherein the step of verifying the identity of the patient further comprises the following step:

Sending information to the server so that the patient identity can be positively confirmed with the entries in the server database.

23. The method of claim 20, wherein the step of verifying the identity of the patient further comprises the following step:

Downloading a list of the patients cared for by a specific staff member and checking the appropriate entry on the screen of the LCC to identify patients.

24. The method of claim 20, wherein the step of verifying the identity of the patient further comprises the following step:

Reviewing the name of the patient, physical location of the patient, a picture of the patient, and any other identifiers provided by the authorities.

25. The method of claim 20, wherein the step of verifying the identity of the patient further comprises the following step:

Reading a patient worn identification device such as a barcode tag or a RFID tag using an appropriate reader.

26. The method of claim 20, wherein the step of verifying the identity of the patient further comprises the following step:

Gathering the information via an LCC and transmitting the data to the central server over the wireless network from the bedside of the patient prior to initiating any medical process.

27. The method of claim 20, wherein the step of verifying the identity of the patient further comprises the following step:

Obtaining a picture of the patient using a camera connected to LCC, and sending the picture to the server to receive confirmation by performing facial recognition.

28. The method of claim 20, wherein the step of verifying the identity of the patient further comprises the following step:

Using biometric measures such as finger print or speech recognition to confirm the patient identity.

29. The method of claim 20, wherein the step of identifying the details of the physician'"'"'s instructions and the required medical devices further comprises the following step:

Identifying the instruments being used for carrying out the medical treatment.

30. The method of claim 20, wherein the step of identifying the details of the physician'"'"'s instructions and the required medical devices further comprises the following step:

Configuring the medical instruments dedicated to a certain bedside in a bedside area network.

31. The method of claim 20, wherein the step of identifying the details of the physician'"'"'s instructions and the required medical devices further comprises the following step:

Generating the list of the instruments in a bedside area network with input from the bedside paired with data stored in the server.

32. The method of claim 20, wherein the step of identifying the details of the physician'"'"'s instructions and the required medical devices further comprises the following step:

Allowing the medical staff to extract instructions from the physician or the appropriate authorities to initiate certain medical treatment, monitoring schedule, and the corresponding list of instruments from the server.

33. The method of claim 20, wherein the step of identifying the details of the physician'"'"'s instructions and the required medical devices further comprises the following step:

Providing the instructions written on paper or orally given by the physician and manually selecting the instruments.

34. The method of claim 20, wherein the step of authenticating all the medical devices in the bedside area network further comprises the following step:

Using a LCC carried to the bedside by medical personnel already connected with the server and containing a list of the medical device types required for the treatment wherein the LCC performs the first level of validation of the medical instruments at the bedside.

35. The method of claim 20, wherein the step of authenticating all the medical devices in the bedside area network further comprises the following step:

Displaying any violations or messages on the screen suggesting that certain device types are not operating properly, not required for treatment, or certain devices are missing.

36. The method of claim 20, wherein the step of connecting the medical devices to the patient further comprises the following step:

Connecting a monitoring device to a patient, the monitoring device selected from the group consisting of vital signs monitoring devices, blood pressure monitoring devices, infra-red or other blood oxygen sensors, blood sugar monitoring devices and probes for gathering electrocardiogram, encephalogram or other electronic traces.

37. The method of claim 20, wherein the step of connecting the medical devices to the patient further comprises the following step:

Injecting a syringe in a patient in preparation to deliver a medicine through a pump.

38. The method of claim 20, wherein the step of connecting the medical devices to the patient further comprises the following step:

Recording and verifying the physical arrangement of the system.

39. The method of claim 20, wherein the step of connecting the medical devices to the patient further comprises the following step:

Entering the connection between the medical devices and between medical devices and the patient as a schematic diagram on the LCC.

43. The method of claim 20, wherein the step of connecting the medical devices to the patient further comprises the following step:

Providing a software package on the LCC where more complex arrangement of medical equipment connected to the patient can be recorded and saved as a part of the patient'"'"'s medical record.

44. The method of claim 20, wherein the step of connecting the medical devices to the patient further comprises the following step:

Exchanging information between the LCC and the medical devices over a uniform wireless protocol determined by the WTU connected to them.

45. The method of claim 20, wherein the step of connecting the medical devices to the patient further comprises the following step:

Communicating from the WTU with the medical devices using different communication protocols.

46. The method of claim 45, wherein the step of communicating from the WTU with the medical devices using different communication protocols is performed using an application level protocol which defines a uniform method for exchanging data between the WTU and the LCC.

47. The method of claim 45, wherein the step of communicating from the WTU with the medical devices using different communication protocols is performed using an application level protocol which defines a uniform method for exchanging data between the WTU and the LCC which meets the specification of Sensitron Personalization Protocol (SSP) as described in detail in U.S. patent application Ser. No. 10/850,527 assigned to the Applicant herein having filing date May 19, 2004.

48. The method of claim 20, wherein the step of transferring communication and control of the medical devices completely from the LCC directly through an access point to the wireless data network further comprises the following step:

Resolving any error condition generated during transmission by the server and the WTU using different protocols as required.

49. The method of claim 20, wherein the step of transferring communication and control of the medical devices completely from the LCC directly through an access point to the wireless data network further comprises the following step:

Upon a break in the network availability, the server informing the medical staff using email, audio-visual indicators or any other suitable means such as a synthesized spoken message that the network connection to a specific patient monitors has become unavailable, and certain corrective actions need to be taken to remedy the problem.

50. The method of claim 20, wherein the step of transferring communication and control of the medical devices completely from the LCC directly through an access point to the wireless data network further comprises the following step:

Programming the WTU to record data during network outage and store the data locally while the network connection is unavailable.

51. The method of claim 20, wherein the step of transferring communication and control of the medical devices completely from the LCC directly through an access point to the wireless data network further comprises the following step:

Programming the WTU to present an audiovisual display to represent a lost network connection.

52. The method of claim 20, wherein the step of transferring communication and control of the medical devices completely from the LCC directly through an access point to the wireless data network further comprises the following step:

Storing any error messages generated by the medical devices by the WTU, optionally giving priority over data storage.

53. The method of claim 20, wherein the step of transferring communication and control of the medical devices completely from the LCC directly through an access point to the wireless data network further comprises the following step:

Delivering any error messages to the server when the connection is re-established.

54. The method of claim 20, wherein the step of identifying the care provider to the system by connecting with the server using a browser in a local communication controller using a secure sign-on procedure further includes the use of a password.

55. The method of claim 20, wherein the step of identifying the care provider to the system by connecting with the server using a browser in a local communication controller using a secure sign-on procedure further includes the use of an appropriate biometric measurement selected from the group consisting of fingerprint analysis, retinal scan and voice recognition.

56. The method of claim 20, wherein the step of authenticating all the medical devices in the bedside area network further comprises the following step:

Downloading parameters into the WTU such as the name and addresses of the network and the server where the WTU is required to connect upon powering up.

57. The method of claim 20, wherein the step of authenticating all the medical devices in the bedside area network further comprises the following step:

Authenticating a secret key downloaded in the WTU from the server for authenticating itself.

58. The method of claim 20, wherein the step of authenticating all the medical devices in the bedside area network further comprises the following step:

Building a table in the server containing any one or more of the following;

the patient ID, the MAC address of the WTU, its AMI tag or code, and its secret key or SSID.

59. The method of claim 20, wherein the step of authenticating all the medical devices in the bedside area network further comprises the following step:

Using identifiers, or AMI, including a serial number of a WTU which is read by the medical staff and entered manually, entered as a picture taken from a miniature camera, read using a bar-code reader, or using a RFID tag reader.

60. The method of claim 20, wherein the step of authenticating all the medical devices in the bedside area network further comprises the following step:

Encrypting the MAC address of the WTU and transforming it into a barcode or another identifier which is also attached to the outside of WTU.

61. The method of claim 20, wherein the step of authenticating all the medical devices in the bedside area network further comprises the following step:

providing an audio or visual indication of all the WTUs at the bedside identified to have connected with the server.

62. The method of claim 20 wherein only the WTUs being used in the patient care at a specific bedside are identified at the server.

63. The method of claim 62 wherein only the WTUs identified at the server are assigned a BAN index.

64. The method of claim 20 in which the patient ID which is stored in the WTU is used to identify the medical devices needed for patient care and assign them to a BAN.

41. The method of claim 41, further comprising the following step:

Including the configuration of medical devices with respect to the patient.

40. The method of claim 41, further comprising the following step:

Recording the schematic to the server as a part of the patient medical record.

42. The method of claim 41, further comprising the following step:

Providing a schematic diagram of most commonly used configurations such as use of a single, double, or triple drip IV, combination of IV with vital sign monitoring available to the medical staff on LCC in a drop-down menu.

65. A method for provisioning and control of IV pumps using wireless data communication, the method comprising the following steps:

Providing one or more IV pumps equipped with a WTU capable of transmitting and receiving data over a wireless network having a data server;

Identifying a care provider to the system by connecting with the server using a browser in a local communication controller using a secure sign-on procedure;

Verifying the identity of the patient according to data from the server;

Identifying the details of the physician'"'"'s instructions and the one or more IV pumps required to fulfill the physician'"'"'s instructions at the bedside of the patient;

Authenticating all the one or more IV pumps in the bedside area network by the server with the LCC;

Connecting all the one or more IV pumps arranged at the patient bedside to the patient according to the physician'"'"'s instructions;

Initiating the one or more IV pumps either manually by the care provider or upon a command from the LCC to the one or more WTUs connected to the corresponding medical devices, while recording the process data to the LCC;

Transferring communication and control of the one or more IV pumps completely from the LCC directly through an access point to the wireless data network; and

Delivering process or alarm data from the server to any client device connected to the wireless network, the client devices selected from the group consisting of a desktop notebook, a wireless notebook or a PDA, a pager capable of receiving text or numerical messages, or a cellular phone capable of receiving textual messages.

66. A protocol for establishing a BAN, such as for using medical instruments communicating using a wireless data network, the protocol comprising the following steps:

Attaching an AMI tag to each of one or more WTUs;

Programming each of the WTUs with the server, network and AMI identifier;

Attaching each of the WTUs to a different piece of medical equipment or monitoring device to be used in the treatment of the patient;

Powering up each piece of medical equipment or monitoring device at the bedside of the patient;

Initiating and completing secure sign-on and registration of an LCC with the server;

Searching by each of the WTUs on each piece of medical equipment or monitoring device for a wireless network;

Completing secure sign-on by each of the WTUs;

Logging the AMI identifiers and IP addresses of each of the WTUs in a database;

Providing visual or audio confirmation of completing secure sign-on or logging AMI identifiers and IP addresses of each of the WTUs in a database;

Debugging the lost network connection if registration of any one of the WTUs in incomplete;

Sending a list of all registered WTUs from the server to the LCC when registration of all the WTUs is complete;

Prompting the medical staff for AMI entry for all registered WTUs;

Confirming WTU association with the BAN by providing audio or visual indicator;

Assigning a name to the BAN by the server once all of the WTUs at the bedside have been identified;

Entering the patient'"'"'s ID;

Programming the medical devices by the medical staff according to instructions provided by medical physician or other professionals;

Connecting the medical devices to the patient;

Recording the process configuration and operating parameters on the LCC; and

Providing medical treatment or monitoring with the medical devices of the BAN.

67. A method for moving a patient from one location to another, the method comprising the following steps:

Logging into the system with a transient LCC;

Obtaining all of the IP addresses of all the WTUs used in the first BAN;

Communicating data to and from the server over a network accessing the network at one or more access points,

Storing data locally by the WTUs when the connection to the network is lost during transit;

Forming a BSS with the WTUs as network nodes if connection with the network is unavailable after a predetermined period of time in order to allow the transient LCC to gather data from the WTUs as long as the connection to the network is interrupted and retrieval of the data from the LCC can be made at the destination;

Downloading stored data to the server after achieving a re-connection with the network; and

Continuing to monitor the medical device.