Patient point-of-care computer system

• US 7,154,397 B2
• Filed: 08/02/2002
• Issued: 12/26/2006
• Est. Priority Date: 08/03/2001
• Status: Expired due to Term

• Current Assignee: Hill-Rom Services Incorporated (Baxter International Inc.)
• Original Assignee: Hill-Rom Services Incorporated (Baxter International Inc.)
• Inventors: Wildman, Timothy D., Vogel, John D., Riley, Carl W., Zerhusen, Robert Mark, Cerimele, Michael E., Reeder, Ryan A.
• Primary Examiner(s): Lee, Benjamin C.
• Application Number:
  US10/211,451
• Publication Number:
  US 20030052787A1
• Time in Patent Office: 1,607 Days
• Field of Search: 340/286.07, 340/693.5, 340/693.9, 340/572.1, 340/531, 340/506, 235/375, 361/681, 248/121, 560/0, 348/827, 705/3, 705/29, 600/300
• US Class Current: 340/573.1
• CPC Class Codes: A47B 23/046 C-shaped bed tables, e.g. foldable
• CPC Class Codes: A61B 5/1115 Monitoring leaving of a patient support, e.g. a bed or a wheelchair
• CPC Class Codes: A61B 5/1117 Fall detection
• CPC Class Codes: A61B 5/4824 Touch or pain perception evaluation A61B5/4821 takes precedence
• CPC Class Codes: A61B 5/7435 Displaying user selection data, e.g. icons in a graphical user interface
• CPC Class Codes: A61G 12/001 Trolleys for transport of medicaments, food, linen, nursing supplies carts specially adapted for surgery or diagnosis A61B50/13; hand carts B62B3/00
• CPC Class Codes: A61G 12/004 mounted on the ceiling
• CPC Class Codes: A61G 12/005 mounted on the wall
• CPC Class Codes: A61G 2203/12 Remote controls
• CPC Class Codes: A61G 2203/16 Touchpads
• CPC Class Codes: A61G 2203/20 Displays or monitors
• CPC Class Codes: A61G 2203/80 for connecting a trolley to a device, e.g. bed or column table
• CPC Class Codes: A61G 2205/10 Bar codes
• CPC Class Codes: A61G 7/001 with means for turning-over the patient
• CPC Class Codes: A61G 7/015 divided into different adjustable sections, e.g. for Gatch position
• CPC Class Codes: A61G 7/018 Control or drive mechanisms
• CPC Class Codes: A61G 7/05 Parts, details or accessories of beds devices for prevention against falling out A47C21/08, A47D7/00 ; mattresses A47C27/00
• CPC Class Codes: A61G 7/0506 Head or foot boards head or foot boards for comfort or ergonomics A47C19/022
• CPC Class Codes: A61G 7/0507 Side-rails
• CPC Class Codes: A61G 7/0513 covering particular sections of the bed, e.g. one or more partial side-rail sections along the bed
• CPC Class Codes: A61G 7/0524 : characterised by integrated accessories, e.g. bed control means, nurse call or reading lights
• CPC Class Codes: A61G 7/05769 : with inflatable chambers
• CPC Class Codes: A61M 2205/505 : Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: G05B 15/02 : electric
• CPC Class Codes: G06Q 10/10 : Office automation; Time management
• CPC Class Codes: G06Q 30/04 : Billing or invoicing
• CPC Class Codes: G16H 10/60 : for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 10/65 : stored on portable record carriers, e.g. on smartcards, RFID tags or CD
• CPC Class Codes: G16H 20/10 : relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/13 : delivered from dispensers
• 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
• CPC Class Codes: G16H 50/70 : for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: G16Z 99/00 : Subject matter not provided for in other main groups of this subclass
• CPC Class Codes: Y10S 248/917 : Video display screen support
• CPC Class Codes: Y10S 707/99939 : Privileged access

Abstract

A point-of-care computer system includes a display positioned in a point-of-care location, a computer coupled to the display, and a network coupled to the computer to enable the computer to access information stored in a remote location.

Claims

1. A point-of-care computer system, including:

a display positioned in a point-of-care location;

a computer coupled to the display and configured to transmit a control signal to an actuator of a bed to adjust a position of at least a portion of the bed;

a network coupled to the computer to enable the computer to access information stored in a remote location; and

an input device coupled to the computer, the input device being configured to detect the presence of an object, and to provide a signal to the computer, the computer being configured to identify the object and disable or enable a feature of the point-of-care computer system based on the identification of the object.

2. The system of claim 1, wherein the display includes a touch sensitive screen.

3. The system of claim 1, further including software for execution by the computer to generate a keyboard overlay on the display.

4. The system of claim 1, further including a nurse call system coupled to the network.

5. The system of claim 4, wherein the computer is configured to receive user input representing a communication for a nurse, the computer responding to the user input by communicating with the nurse call system over the network.

6. The system of claim 1, wherein the computer includes a television input port for receiving television signals, the computer processing the television signals to generate video images on the display.

7. The system of claim 1, wherein the input device includes an IR receiver.

8. The system of claim 1, wherein the input device includes a barcode reader.

9. The system of claim 1, wherein the input device includes an RFID sensor.

10. The system of claim 1, further including a badge configured to be attached to the object, the badge providing an identification signal to the input device when in proximity of the input device.

11. The system of claim 1, wherein the object is one of a person, a piece of equipment, and a medical supply.

12. The system of claim 1, wherein the object includes a locked medication box.

13. The system of claim 1, further including a physiological monitor coupled to the computer, the computer being configured to receive input from the monitoring equipment for display on the display.

14. The system of claim 1, further including a treatment device coupled to the computer, the computer being configured to control and monitor operation of the treatment device.

15. The system of claim 1, further comprising:

a hospital data system coupled to the network;

wherein the input device is configured to permit a user to obtain information stored in the hospital data system.

16. The system of claim 15, wherein the computer is coupled to a first transceiver, the input device is coupled to a second transceiver, and the network is a wireless network to facilitate communication between the first and second transceivers.

17. The system of claim 15, further including a locating and tracking system coupled to the computer, the input device permitting the user to access information associated with the locating and tracking system.

18. The system of claim 15, wherein the input device includes an overbed table, a monitor supported by the overbed table, and a processor.

19. The system of claim 18, wherein the overbed table includes a mounting pole for supporting the table.

20. The system of claim 18, wherein the table includes a work surface and an edge defining a recess, the monitor being pivotally connected to the edge for movement between an inactive position wherein the monitor is disposed substantially within the recess and an active position wherein the monitor is positioned at an angle relative to the work surface for viewing by a user.

21. The system of claim 20, wherein the table further includes a hand pad mounted within the recess, the hand pad having a control mechanism coupled to the processor to enable a user to input information into the client device.

22. The system of claim 21, wherein the hand pad includes a membrane connected to a bottom wall of the recess, the membrane substantially enclosing the control mechanism.

23. The system of claim 20, wherein the monitor includes a position sensor to provide a signal to the processor indicating whether the monitor is in the active position.

24. The system of claim 18, wherein the monitor includes a touch screen.

25. The system of claim 18, wherein the input device includes a sensor for receiving identification information from any of a plurality of tags associated with a corresponding plurality of objects, the sensor providing the identification information of an object in proximity to the input device for transmission to the computer.

26. The system of claim 25, wherein the computer compares the identification information to stored data to determine the identification of the object.

27. The system of claim 15, wherein the input device includes a monitor.

28. The system of claim 27, further including software for enabling the input device to generate a plurality of screens on the monitor of the input device.

29. The system of claim 28, wherein the screens include a home screen having a day-to-day icon, an information icon, a message center icon, and an entertainment icon.

30. The system of claim 29, wherein activation of the day-to-day icon causes the input device to generate a scheduling screen for enabling the user to view scheduled events.

31. The system of claim 29, wherein activation of the day-to-day icon causes the input device to generate a menu screen for enabling the user to select items for meals.

32. The system of claim 29, wherein activation of the information icon causes the input device to generate a medical information screen including an image of a human body.

33. The system of claim 29, wherein activation of the entertainment icon causes the input device to generate a television control screen for enabling the user to control functions of a television coupled to the input device.

34. The system of claim 29, wherein activation of the entertainment icon causes the input device to generate a music control screen for enabling the user to control functions of a radio coupled to the input device.

35. The system of claim 29, wherein activation of the entertainment icon causes the input device to generate a games screen for enabling the user to select a game program for execution on the input device.

36. The system of claim 29, wherein activation of the message center icon causes the input device to generate a message screen for enabling the user to create and review messages.

37. The system of claim 36, wherein the input device includes a camera, the message screen enabling the user to create a video message using the camera.

38. A point-of-care system, including:

a touch screen display mounted in a point-of-care location;

a computer coupled to the display having software for enabling the computer to generate a plurality of screens on the display, wherein the screens include at least one first screen being configured for use by a first end user and at least one second screen being configured for use by a second end user, and the software is programmable to selectively enable access to one or more of the screens on the display; and

a bed having an actuator coupled to the computer, the actuator adjusting the position of the bed in response to receipt of a signal from the computer;

the computer being coupled to a network to enable the computer to access information stored in a remote location and configured to transmit a control signal to the actuator to adjust a position of at least a portion of the bed.

39. The system of claim 38, wherein the computer generates a main screen on the display including a plurality of caregiver icons and a plurality of patient icons.

40. The system of claim 39, further including a network coupled to the computer and a hospital data system coupled to the network, the hospital data system including a plurality of patient medical records.

41. The system of claim 40, wherein the caregiver icons include a charting icon, activation of which causes the computer to access a patient medical record in the hospital data system via the network.

42. The system of claim 38, further including a caregiver tracking system coupled to the computer, the caregiver tracking system including a plurality of tags configured to be worn by a plurality of caregivers, each tag including unique identification information associated with a corresponding caregiver, and a sensor connected to the computer configured to receive identification information from tags in proximity of the sensor.

43. The system of claim 42, wherein the computer responds to receipt of the identification information from the sensor by generating a screen on the display including a plurality of caregiver icons.

44. The system of claim 38, wherein the plurality of screens includes a bed control screen that permits a user to control the actuator by activating icons on the bed control screen.

45. The system of claim 38, wherein the plurality of screens includes a mattress control screen that permits a user to control a mattress controller coupled to the computer by activating icons on the mattress control screen.

46. The system of claim 38, wherein the plurality of screens includes a bed scale screen that permits a user to control a bed scale coupled to the computer by activating icons on the bed scale screen.

47. The system of claim 38, wherein the plurality of screens includes a patient monitoring screen that permits a user to activate a patient position monitoring system coupled to the computer by activating icons on the patient monitoring screen.

48. The system of claim 38, further including a sensor for detecting a tag associated with a caregiver, the sensor providing an identification signal to the computer in response to detection of the tag, the computer generating a lock out icon on the display upon receipt of the identification signal.

49. The system of claim 48, wherein activation of the lock out icon causes the computer to generate a lock out screen including a bed control icon for permitting the caregiver to prevent a patient from controlling a function of the bed actuator.

50. The system of claim 38, wherein the plurality of screens includes a nurse call screen that permits a user to control a nurse call system coupled to the computer by activating icons on the nurse call screen.

51. The system of claim 38, further including a first camera coupled to the computer for recording images of a patient, and a second camera coupled to the computer for recording images of a caregiver, the plurality of screens including a video conference screen that permits the patient to enable the first camera and view the images provided by the second camera on the display.

52. The system of claim 38, wherein the plurality of screens includes a television control screen that permits a user to control a television coupled to the computer by activating icons on the television control screen.

53. The system of claim 38, wherein the plurality of screens includes a music control screen that permits a user to control music device coupled to the computer by activating icons on the music control screen.

54. The system of claim 38, wherein the plurality of screens includes a environment control screen that permits a user to control the temperature of a room, the setting of lights in the room, and the position of curtains in the room by activating icons on the environment control screen.

55. The system of claim 38, wherein the plurality of screens includes an internet screen that permits a user to access the internet via a network coupled to the computer by activating icons on the internet screen.

56. The system of claim 38, wherein the plurality of screens includes a telephone control screen that permits a user to operate a telephone coupled to the computer by activating icons on the telephone control screen.

57. The system of claim 38, wherein the plurality of screens includes a bed scale screen that permits a user to control a bed scale coupled to the computer by activating icons on the bed scale screen.

58. The system of claim 38, further comprising:

an arm assembly including a first arm configured to be coupled to the bed, a second arm pivotably coupled to the first arm, a third arm pivotably coupled to the second arm, and a coupler connected between the third arm and the display, the arm assembly thereby permitting positioning of the display in a plurality of different positions relative to the bed for viewing.

59. The system of claim 58, wherein the display is configured to permit entry of information into the computer via the display.

60. The system of claim 58, wherein the first arm is pivotably coupled to the bed.

61. The system of claim 58, wherein the first arm includes a pair of flanges configured to be received by a pair of notches formed in a track member connected to a head end of the bed, thereby permitting movement of the arm assembly along the head end of the bed.

62. The system of claim 61, wherein the track member includes an elongated head portion, and an elongated foot portion, the notches being formed between the head portion and the foot portion.

63. The system of claim 58, further including a locking mechanism for maintaining the coupler in position relative to the third arm, the locking mechanism including a ball positioned in a detent formed in the coupler and a spring disposed in an end of the third arm to urge the ball into the detent, thereby inhibiting rotation of the third arm relative to the coupler.

64. The system of claim 63, wherein the locking mechanism includes a plurality of balls and a corresponding plurality of springs.

65. The system of claim 38, further comprising:

a display support configured for mounting to a rail of the bed, the display support including an arm pivotally coupled at one end for pivotal movement of the arm relative to the rail, and pivotably coupled at another end to the display, the display being movable between a storage position wherein the display is substantially parallel to the display support, and a use position wherein the display is substantially perpendicular to the display support.

66. The system of claim 65, wherein the display support includes a pair of substantially parallel arms, each of the arms being pivotably coupled at one end for pivotal movement relative to the rail, and pivotably coupled at another end to a bracket connected to the display to permit rotation of the display about a first, substantially vertical axis and adjustment of the height of the display relative to the rail.

67. The system of claim 65, wherein the display support is configured for being movably mounted on the rail to permit adjustment of the position of the display along a length of the rail.

68. The system of claim 65, wherein the display support includes a speaker.

69. The system of claim 38, wherein the display includes a support at one edge configured to connect the display to a bed for rotation about the one edge of the display between a first substantially vertical position wherein another edge of the display is positioned below the one edge, and a second substantially vertical position wherein the other edge is positioned above the one edge such that the display is viewable by a patient in the bed.

70. The system of claim 69, further including software for execution by the computer to invert an image on the display when the display is moved from one of the first and the second substantially vertical positions to the other of the first and the second substantially vertical position.

71. The system of claim 69, wherein the display support is configured to position the display in any of a plurality of positions between the first and the second substantially vertical positions.