Apparatus and method for providing a conscious patient relief from pain and anxiety associated with medical or surgical procedures

• US 6,986,347 B2
• Filed: 07/23/2001
• Issued: 01/17/2006
• Est. Priority Date: 06/03/1998
• Status: Expired due to Term

• Current Assignee: Scott Laboratories, Inc.
• Original Assignee: Scott Laboratories, Inc.
• Inventors: Hickle, Randall S.
• Primary Examiner(s): Bennett, Henry
• Assistant Examiner(s): Patel, Mital
• Application Number:
  US09/909,782
• Publication Number:
  US 20020017299A1
• Time in Patent Office: 1,639 Days
• Field of Search: 128/203.12, 128/204.21, 128/200.24, 128/898, 604/48, 604/151, 604/181, 604/186, 604/187, 604/189, 705/2, 705/3, 700231-237
• US Class Current: 128/200.24
• CPC Class Codes: A61B 5/1106 to assess neuromuscular blockade, e.g. to estimate depth of anaesthesia
• CPC Class Codes: A61B 5/162 Testing reaction times
• CPC Class Codes: A61B 5/417 the bone marrow
• CPC Class Codes: A61B 5/4821 Determining level or depth of anaesthesia A61B5/1106 takes precedence
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0078 Breathing bags
• CPC Class Codes: A61M 16/0084 self-reinflatable by elasticity, e.g. resuscitation squeeze bags
• CPC Class Codes: A61M 16/009 Removing used or expired gases or anaesthetic vapours filtering, sterilising or disinfecting the exhaust air in drainage systems A61M1/784; bacterial filters in the expiratory path A61M16/1065
• CPC Class Codes: A61M 16/0093 by adsorption, absorption or filtration
• CPC Class Codes: A61M 16/01 specially adapted for anaesthetising A61M16/104, A61M16/18 take precedence
• CPC Class Codes: A61M 16/026 specially adapted for predicting, e.g. for determining an information representative of a flow limitation during a ventilation cycle by using a root square technique or a regression analysis
• CPC Class Codes: A61M 16/1015 using a gas flush valve, e.g. oxygen flush valve
• CPC Class Codes: A61M 16/107 in the inspiratory path
• CPC Class Codes: A61M 19/00 Local anaesthesia syringes therefor A61M5/00; Hypothermia A61M5/42 takes precedence; cooling blood in a bypass of the arterial system A61M1/36
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/0036 in the breathing tube and used in both inspiratory and expiratory phase
• CPC Class Codes: A61M 2016/1025 the O2 concentration
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/276 preventing unwanted use
• CPC Class Codes: A61M 2205/3303 Using a biosensor
• CPC Class Codes: A61M 2205/3379 : Masses, volumes, levels of fluids in reservoirs, flow rates
• CPC Class Codes: A61M 2205/3561 : local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/505 : Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 2209/084 : Supporting bases, stands for equipment
• CPC Class Codes: A61M 2230/205 : partial oxygen pressure (P-O2)
• CPC Class Codes: A61M 2230/43 : Composition of exhalation
• CPC Class Codes: A61M 2230/432 : partial CO2 pressure (P-CO2)
• CPC Class Codes: G16H 20/17 : delivered via infusion or injection
• CPC Class Codes: G16H 40/63 : for local operation
• CPC Class Codes: Y10T 428/24355 : Continuous and nonuniform or irregular surface on layer or component [e.g., roofing, etc.]

Abstract

A care system and associated methods are provided for alleviating patient pain, anxiety and discomfort associated with medical or surgical procedures. The system comprises: at least one patient health monitor device generating a signal reflecting at least one physiological condition of a patient; a drug delivery controller supplying one or more drugs to the patient; a memory device storing a safety data set reflecting parameters of at least one patient physiological condition; and an electronic controller interconnected between the patient health monitor, the drug delivery controller and the safety data set. A method of electronically tracking recurring revenues generated by the use of the care system where the system is at the location of its user is also provided. Additional embodiments of the system and methods are directed to alleviating patient pain or discomfort while enabling safe patient controlled drug delivery in correlation with the monitoring of patient health conditions.

Claims

1. A method for electronically tracking recurring revenues generated by use of a drug delivery apparatus at the location of the user, said method comprising the steps of:

a) providing the drug delivery apparatus at the location of the user, said apparatus having a user access device, and a memory device storing data representing metered operation values and patient informational data;

b) providing restricted access to said memory device to only authorized users;

c) reading said metered operation values and patient informational data and transmitting said values and data to a remote location;

d) calculating a revenue based on said metered operation values; and

e) providing a record at the remote location reflecting said revenue and patient informational data.

2. The method as recited in claim 1 wherein said method includes the step of printing a record of said revenues at the remote location.

3. The method as recited in claim 1 wherein said method includes the step of printing a patient invoice at the remote location.

4. The method as recited in claim 1 wherein said drug delivery apparatus includes a printer providing an automated record of said operation values and patient informational data at the location of the user.

5. The method as recited in claim 1 wherein said drug delivery apparatus includes a printer adapted to print revenue records locally.

6. The method as recited in claim 1 further comprising creating a billing record in said memory device.

7. The method as recited in claim 1 wherein said values and data are transmitted to said remote location upon the occurrence of an event.

8. The method as recited in claim 7 wherein said event is selected from the group consisting of an indication of a termination of a medical procedure, an indication of a termination of a surgical procedure, and an indication of a termination of a desired period of time.

9. The method as recited in claim 1 wherein said method includes the step of printing revenue records at the remote location.

10. The method as recited in claim 9 wherein said revenue records are used for payments to vendors.

11. The method as recited in claim 9, wherein said revenue records comprise customer invoices.

12. The method as recited in claim 1, wherein said metered operation values include indications of apparatus use parameters selected from the group consisting of use times, number of uses, patient monitoring times, and used drug quantities.

13. The method as recited in claim 1, wherein said method includes the step of billing locally.

14. A system for electronically tracking recurring revenues generated by a drug delivery device, said system comprising:

a drug delivery apparatus, said drug delivery apparatus comprising a controllable drug delivery device adapted to deliver a drug to a patient, an electronic controller connected to the drug delivery device for varying the rate of delivery of drug to the patient, and a patient health monitoring device adapted to generate a signal reflecting the health status of the patient; and

wherein said electronic controller is adapted to receive said signal and vary delivery of the drug to the patient in accord with said signal so as to ensure safety of the patient;

an on-site electronic revenue tracking unit attached to said apparatus and adapted to read data including metered operation values and patient information from said drug delivery apparatus; and

a remote revenue processing center electronically connected to said revenue tracking unit and adapted to receive said data from said revenue tracking unit;

wherein said remote revenue processing center is adapted to calculate a revenue based on said metered operation values, and provide a record reflecting said revenue and patient information.

15. The apparatus according to claim 14, wherein said metered operation values include indications of apparatus use parameters selected from the group consisting of use times, number of uses, patient monitoring times, and used drug quantities.

16. The apparatus according to claim 14, wherein said remote revenue processing center comprises a computer system electronically connected to said revenue tracking unit.

17. The apparatus according to claim 14, wherein said remote revenue processing center is adapted to print a patient invoice.

18. The apparatus according to claim 17, wherein said remote revenue processing center is adapted to print revenue records.

19. The apparatus according to claim 17, wherein said revenue records are used for payments to vendors.

20. The apparatus according to claim 14, wherein said remote revenue processing center is adapted to print a record of said recurring revenues.

21. The apparatus according to claim 14, wherein said revenue tracking unit includes a printer for locally providing an automated record of said operation values and patient information to a user of said automated drug delivery apparatus.

22. A method for electronically tracking recurring revenues generated by use of a drug delivery apparatus at the location of a user and patient, said method comprising the steps of:

providing the drug delivery apparatus at the location of the user and the patient, said apparatus having a user access device and a memory device, said memory device storing data representing metered operation values, informational data regarding the patient, and control parameter data establishing safe and undesirable parameters regarding a responsiveness level of the patient during the administering of pain or anxiety relieving drugs, said drug delivery apparatus being adapted to electronically monitor the level of responsiveness of the patient and electronically manage the delivery of said pain or anxiety relieving drugs to the patient in accord with a comparison of the monitored level of responsiveness of the patient and said parameters;

recording metered operation values that reflect the amount of drug delivered to the patient;

reading said metered operation values and patient informational data;

calculating a revenue based on said metered operation values; and

providing a record reflecting said revenue and patient informational data.

23. The method as recited in claim 22, wherein said method includes the steps of transmitting said values and data to a remote location and printing a record of said revenues at said remote location.

24. The method as recited in claim 22, wherein said method includes the steps of transmitting said values and data to a remote location and printing a patient invoice at said remote location.

25. The method as recited in claim 22, wherein said drug delivery apparatus includes a printer providing an automated record of said operation values and patient informational data at the location of the user.

26. The method as recited in claim 22, wherein said user access device of said drug delivery device provides restricted access to said memory device to only authorized users.

27. The method as recited in claim 22, further comprising creating a billing record in said memory device.

28. The method as recited in claim 22, wherein said values and data are transmitted to a remote location upon the occurrence of an event.

29. The method as recited in claim 28, wherein said event is selected from the group consisting of an indication of a termination of a medical procedure, an indication of a termination of a surgical procedure, and an indication of a termination of a desired period of time.

30. The method as recited in claim 22, wherein said method includes the step of printing revenue records at a remote location.

31. The method as recited in claim 30, wherein said revenue records are used for payments to vendors.

32. The method as recited in claim 30, wherein said revenue records comprise customer invoices.

33. The method as recited in claim 22, wherein said metered operation values include indications of apparatus use parameters selected from the group consisting of use times, number of uses, patient monitoring times, and used drug quantities.

34. The method as recited in claim 22, wherein said method includes the step of billing locally.

35. The method as recited in claim 22, wherein said drug delivery apparatus includes a printer adapted to print revenue records and billing records locally.