Patient medication IV delivery pump with wireless communication to a hospital information management system

• US 8,486,019 B2
• Filed: 04/22/2009
• Issued: 07/16/2013
• Est. Priority Date: 12/01/1999
• Status: Expired due to Fees

• 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: White, Gale, Hill, Roger J., Zakrewski, Michael J., Kummerlen, Ruth, Abbott, Martyn Stuart, Brooks, Robert C.
• Primary Examiner(s): MENDEZ, MANUEL A
• Application Number:
  US12/428,254
• Publication Number:
  US 20090203329A1
• Time in Patent Office: 1,546 Days
• Field of Search: 604 65- 67, 604/151, 604/131, 128/DIG.12, 128/DIG.13
• US Class Current: 604/151
• CPC Class Codes: A61M 2205/3561 local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/3592 using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2205/6072 Bar codes
• CPC Class Codes: A61M 5/142 Pressure infusion, e.g. using pumps
• CPC Class Codes: A61M 5/14224 Diaphragm type
• CPC Class Codes: A61M 5/14228 with linear peristaltic action, i.e. comprising at least three pressurising members or a helical member
• CPC Class Codes: A61M 5/14232 Roller pumps
• CPC Class Codes: A61M 5/1452 pressurised by means of pistons
• CPC Class Codes: G16H 10/40 for data related to laboratory analysis, e.g. patient specimen analysis
• 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 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A wireless communication system from an IV medication infusion pump to a hospital information management system (HIMS) is disclosed. The system includes an IV pump having pump operation circuitry for monitoring pre-selected characteristics of pump operation indicative of IV administration of medication to a patient. A transmitter or transceiver is connected to the pump operation circuitry for receiving a wireless pump signal representing instructional data to the IV pump and for transmitting a wireless pump signal representing the pre-selected pump operation characteristics. The wireless pump transmitter or transceiver communicates with a hospital information management system (HIMS). The HIMS includes a receiver or transceiver capable of transmitting and receiving the pump signal representing the pump operation characteristics and also includes a computer processor capable of storing and displaying the pump operation characteristics that are represented by the received wireless pump signal. In one embodiment, is a medication order transmitter capable of receiving doctor order input and transmitting a signal representing a pumping operation to the HIMS for comparison to pump operation characteristics represented by the pump signal.

Claims

1. A wireless communication system from an IV medication infusion pump to a hospital information management system (HIMS) comprising:

(a) pump operation circuitry in said IV medication infusion pump for operating said IV medication infusion pump and for continuously monitoring pre-selected characteristics of current infusion pumping operation, wherein said characteristics of current infusion pumping operation are selected from among rate of pumping, pumping pressure, start time, time of pumping, volume of pumping, dosage, size of tubing, speed of pumping motor, door open, manual programming mode, automatic programming mode, start-up testing, dosage of infusion and bolus of infusion, nurse identification, unique patient identification, a drug name, total volume of infusion, current date, current time, maximum dose limit, minimum dose limit, minimum volume to be infused, maximum volume to be infused, patient weight, and patient height;

(b) a medication order transmitter capable of receiving input of a doctor'"'"'s order for patient medication to be administered with an IV pump and capable of wireless transmission of an order signal representing said doctor'"'"'s order for said patient medication for IV administration comprising at least one pumping operation parameter corresponding to said doctor'"'"'s input order;

(c) a wireless signal pump transmitter connected to said pump operation circuitry in said IV medication infusion pump for transmitting at least one wireless signal representing said pre-selected monitored current pumping operation characteristics;

(d) an HIMS receiver capable of receiving said at least one wireless signal representing said pumping operation characteristics said receiver connected to said hospital management system (HIMS) for receiving said current pumping operation characteristics represented by said at least one wireless signal from said IV pump, said HIMS receiver further capable of receiving said signal representing said doctor'"'"'s order;

(e) a pharmacy receiver for receiving said doctor'"'"'s order signal representing said doctor'"'"'s order, said pharmacy receiver operatively connected to a program and a display to provide human readable information sufficient for a pharmacist to prepare the ordered medication;

(f) a pharmacy transmitter for sending a delivery signal indicating that an IV medication has been delivered to a nurses station and representing that the IV medication is to be administered to a patient according to said doctor'"'"'s order;

(g) wherein said HIMS further comprises programming for receiving, storing and comparing said pump signal with said signal representing said doctor'"'"'s order to determine whether said medication is delivered to said patient by operation of said pump according to said doctor'"'"'s order;

(h) wherein said HIMS further comprises programming for storing said delivery signal and for comparing said delivery signal to said order signal and/or to said pump operation characteristics signal to facilitate monitoring of the timely delivery of the IV medication to the patient according to the doctor'"'"'s order and to provide a wireless signal received and displayed at the pump representing the order signal;

(i) wherein said operation circuitry comprises user authorization code input circuitry at the IV pump wherein a user authorization code is required to be input at said IV pump prior to uploading said doctor'"'"'s order provided by said signal representing said doctor'"'"'s order received from said HIMS; and

(j) said operation circuitry comprises validation circuitry requiring manual validation of said doctor'"'"'s order and said pump operation characteristics, by manual activation of said pump operation at the IV pump following said display of said wirelessly transmitted doctor'"'"'s order signal from said HIMS.

2. A wireless communication system from an IV medication infusion pump to a hospital information management system (HIMS) comprising:

(a) pump operation circuitry in said IV medication infusion pump for operating said IV medication infusion pump and for continuously monitoring pre-selected characteristics of current infusion pumping operation, wherein said characteristics of current infusion pumping operation are selected from among rate of pumping, pumping pressure, start time, time of pumping, volume of pumping, dosage, size of tubing, speed of pumping motor, door open, manual programming mode, automatic programming mode, start-up testing, dosage of infusion and bolus of infusion, nurse identification, unique patient identification, a drug name, total volume of infusion, current date, current time, maximum dose limit, minimum dose limit, minimum volume to be infused, maximum volume to be infused, patient weight, and patient height;

(b) a medication order transmitter capable of receiving input of a doctor'"'"'s order for patient medication to be administered with an IV pump and capable of wireless transmission of an order signal representing said doctor'"'"'s order for said patient medication for IV administration comprising at least one pumping operation parameter corresponding to said doctor'"'"'s input order;

(c) a wireless signal pump transmitter connected to said pump operation circuitry in said IV medication infusion pump for transmitting at least one wireless signal representing said pre-selected monitored current pumping operation characteristics;

(d) an HIMS receiver capable of receiving said at least one wireless signal representing said pumping operation characteristics, said receiver connected to said hospital management system (HIMS) for receiving said current pumping operation characteristics represented by said at least one wireless signal from said IV pump, said HIMS receiver further capable of receiving said signal representing said doctor'"'"'s order;

(e) a laboratory or blood bank receiver for receiving said order signal when a blood product IV is ordered for the patient;

(f) a laboratory or blood bank signal transmitter for signaling to said HIMS the delivery of a blood product for IV administration to a patient and including information related to the time sensitivity of the blood product;

(g) wherein said HIMS further comprises programming for receiving, storing and comparing said pump signal with said signal representing said doctor'"'"'s order to determine whether said medication is delivered to said patient by operation of said pump according to said doctor'"'"'s order;

(h) wherein said HIMS further comprises programming for comparing said laboratory signal to said pump operation characteristics signal so that actual timely delivery of said blood product represented by said laboratory signal can be monitored and the results of the comparison can be displayed, and to provide a wireless signal received and displayed at the IV pump representing the laboratory signal;

(i) wherein said operation circuitry comprises user authorization code input circuitry at the IV pump wherein a user authorization code is required to be input at said IV pump prior to uploading said laboratory signal provided by said at least one wireless signal from said HIMS representing the comparison of the laboratory signal; and

(j) said operation circuitry comprises validation circuitry requiring manual validation of said laboratory signal and said pump operation characteristics signal, and activation circuitry requiring manual activation of said pump operation at the IV pump following said display of said wirelessly transmitted laboratory signal from said HIMS.

3. A wireless communication system from an IV medication infusion pump to a hospital information management system (HIMS) comprising:

(a) pump operation circuitry in said IV medication infusion pump for operating said IV medication infusion pump and for continuously monitoring pre-selected characteristics of current infusion pumping operation, wherein said characteristics of current infusion pumping operation are selected from among rate of pumping, pumping pressure, start time, time of pumping, volume of pumping, dosage, size of tubing, speed of pumping motor, door open, manual programming mode, automatic programming mode, start-up testing, dosage of infusion and bolus of infusion, nurse identification, unique patient identification, a drug name, total volume of infusion, current date, current time, maximum dose limit, minimum dose limit, minimum volume to be infused, maximum volume to be infused, patient weight, and patient height;

(b) a medication order transmitter capable of receiving input of a doctor'"'"'s order for patient medication to be administered with an IV pump and capable of wireless transmission of an order signal representing said doctor'"'"'s order for said patient medication for IV administration comprising at least one pumping operation parameter corresponding to said doctor'"'"'s input order;

(c) a wireless signal pump transmitter connected to said pump operation circuitry in said IV medication infusion pump for transmitting at least one wireless signal representing said pre-selected monitored current pumping operation characteristics;

(d) an HIMS receiver capable of receiving said at least one wireless signal representing said pumping operation characteristics, said receiver connected to said hospital management system (HIMS) for receiving said current pumping operation characteristics represented by said at least one wireless signal from said IV pump, said HIMS receiver further capable of receiving said signal representing said doctor'"'"'s order;

(e) wherein said HIMS further comprises programming for receiving, storing and comparing said pump signal with said signal representing said doctor'"'"'s order to determine whether said medication is delivered to said patient by operation of said pump according to said doctor'"'"'s order;

(f) wherein said transmitter connected to said pump comprises a transceiver for receiving signals corresponding to pumping operation characteristics according to said doctor'"'"'s order for medication to a patient;

(g) wherein said HIMS receiver comprises a transceiver for receiving said doctor'"'"'s order and for transmitting another signal representing pumping operation characteristics corresponding to said doctor'"'"'s ordered medication for a patient, and to provide a wireless signal received and displayed at the IV pump representing the pumping operation characteristics according to said doctor'"'"'s order signal;

(h) wherein the authorization code is required prior to downloading said pumping operation characteristics according to said doctor'"'"'s order signal and the pump operation characteristics signal provided by said at least one wireless signal from said HIMS and further comprising a display of said doctor'"'"'s order; and

(i) wherein said operation circuitry comprises validation circuitry requiring manual validation of said pumping operation characteristics according to said doctor'"'"'s order, and activation circuitry requiring manual activation of said pump operation at the IV pump following said display of said wirelessly transmitted pumping operation characteristics according to said doctor'"'"'s order signal.

4. A wireless communication system from an IV medication infusion pump to a hospital information management system (HIMS) comprising:

(a) pump operation circuitry in said IV medication infusion pump for operating said IV medication infusion pump and for continuously monitoring pre-selected characteristics of current infusion pumping operation, wherein said characteristics of current infusion pumping operation are selected from among rate of pumping, pumping pressure, start time, time of pumping, volume of pumping, dosage, size of tubing, speed of pumping motor, door open, manual programming mode, automatic programming mode, start-up testing, dosage of infusion and bolus of infusion, nurse identification, unique patient identification, a drug name, total volume of infusion, current date, current time, maximum dose limit, minimum dose limit, minimum volume to be infused, maximum volume to be infused, patient weight, and patient height;

(b) a medication order transmitter capable of receiving input of a doctor'"'"'s order for patient medication to be administered with an IV pump and capable of wireless transmission of an order signal representing said doctor'"'"'s order for said patient medication for IV administration comprising at least one pumping operation parameter corresponding to said doctor'"'"'s input order;

(c) a wireless signal pump transmitter connected to said pump operation circuitry in said IV medication infusion pump for transmitting at least one wireless signal representing said pre-selected monitored current pumping operation characteristics;

(d) an HIMS receiver capable of receiving said at least one wireless signal representing said pumping operation characteristics, said receiver connected to said hospital management system (HIMS) for receiving said current pumping operation characteristics represented by said at least one wireless signal from said IV pump, said HIMS receiver further capable of receiving said signal representing said doctor'"'"'s order;

(e) a nurses station transmitter having an input for entry of information on IV medication received at a nurses station and for transmitting a medicine received signal representing the IV medications received for a patient upon receiving any ordered medication;

(f) wherein said HIMS further comprises programming for receiving, storing and comparing said pump signal with said signal representing said doctor'"'"'s order to determine whether said medication is delivered to said patient by operation of said pump according to said doctor'"'"'s order;

(g) wherein said HIMS further comprises programming for receiving and storing said IV medication received signal and for comparing said medication received signal with at least one of said order signal and said pumping characteristics signal to facilitate monitoring of preparation, delivery and administration of said IV medication and for providing the results and to provide a wireless signal received and displayed at the IV pump representing the IV medication received signal;

(h) wherein said operation circuitry comprises user authorization code input circuitry at the IV pump and wherein the authorization code is required prior to downloading said IV medication received signal provided by said at least one wireless signal from said HIMS and further comprising a display of said IV medication received signal; and

(i) said operation circuitry comprises validation circuitry requiring manual validation of said IV medication received signal, and activation circuitry requiring manual activation of said pump operation at the IV pump following said display of said wirelessly transmitted IV medication received signal.

5. A wireless communication system from an IV medication infusion pump to a hospital information management system (HIMS) comprising:

(a) a medication order transmitter capable of receiving input of a doctor'"'"'s order for patient medication to be administered with an IV pump and capable of wireless transmission of a first signal representing the input order for said patient medication for IV administration;

(b) an IV pump having pump operation circuitry for monitoring pre-selected characteristics of pump operation and a transmitter connected to said pump operation circuitry for transmitting a second wireless signal representing said pre-selected pump operation characteristics indicative of IV administration of medication to a patient, wherein said characteristics of current infusion pumping operation are selected from among rate of pumping, pumping pressure, start time, time of pumping, volume of pumping, dosage, size of tubing, speed of pumping motor, door open, manual programming mode, automatic programming mode, start-up testing, dosage of infusion and bolus of infusion, nurse identification, unique patient identification, a drug name, total volume of infusion, current date, current time, maximum dose limit, minimum dose limit, minimum volume to be infused, maximum volume to be infused, patient weight, and patient height;

(c) a receiver for receiving said first signal and for providing said order for patient medication in human readable form for the preparation of said ordered patient medication for IV pump administration;

(d) a hospital information system including a receiver capable of receiving said first and said second signals and a computer processor capable of storing said information represented by said signals, capable of comparing said doctor'"'"'s order for patient medication to said IV pump delivery of medication to a patient and for comparing said order to said current administration characteristics to determine whether medication delivery was as ordered by the doctor and for displaying said order and said pump operation characteristics and the results of the comparison thereof and to provide a third wireless signal received and displayed at the IV pump representing a confirmed doctor'"'"'s order for medication to be delivered;

(e) wherein said operation circuitry comprises user authorization code input circuitry at the IV pump, wherein an authorization code is required prior to downloading said confirmed doctor'"'"'s order for delivery provided by said third wireless signal from said HIMS representing the confirmed doctor'"'"'s order signal and further comprising a display of said confirmed doctor'"'"'s order for medication to be delivered; and

(f) said operation circuitry comprises validation circuitry requiring manual validation of said confirmed doctor'"'"'s order for patient medication for IV administration, and activation circuitry requiring manual activation of said pump operation at the IV pump following said display of said wirelessly transmitted confirmed doctor'"'"'s order for patient medication for IV administration.