Medication waste and data collection system

• US 8,606,596 B1
• Filed: 06/27/2011
• Issued: 12/10/2013
• Est. Priority Date: 06/27/2010
• Status: Active Grant

• Current Assignee: CRISI Medical Systems, Inc. (Becton, Dickinson & Co)
• Original Assignee: CRISI Medical Systems, Inc. (Becton, Dickinson & Co)
• Inventors: Bochenko, Walter John, Prince, Stephen M., Biagioli, Christopher, DeKalb, Shawn Wayne
• Primary Examiner(s): Sereboff, Neal
• Assistant Examiner(s): DURANT, JONATHAN W
• Application Number:
  US13/170,073
• Time in Patent Office: 897 Days
• Field of Search: 705/2, 705/3
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/00 Administration; Management
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/17 delivered via infusion or injection

Abstract

A medication waste and data collection system is provided for use in tracking medication containers, related medication preparation and transfer procedures, medication administration and medication waste disposal. An amount of disposed medication can be reconciled with an amount of medication administered and/or initially prepared. Related apparatus, systems, methods and articles are also described.

Claims

1. A system comprising:

a remote data collection system comprising at least one computing system;

a medication injection site to characterize administration of medication to a patient, the medication site comprising;

a first housing,

a fluid conduit at least partially extending within the first housing and configured to deliver medication within a medication container to a patient;

a medication port extending from an external surface of the first housing configured to be coupled to a fluid outlet of the medication container, the medication port being fluidically and directly coupled to the fluid conduit,

at least one first sensor disposed within the first housing to generate data characterizing administration of the medication,

a first transmitter within the first housing to wirelessly transmit data generated by the sensor to the remote data collection system, and

a self-contained power source within the first housing powering the at least one first sensor and the first transmitter;

and

a waste collection system to receive unused medication within the medication container for disposal, the waste collection system comprising;

a second housing,

an inlet port extending from an external surface of the second housing configured to be coupled to the fluid outlet of the medication container,

at least one second sensor disposed within the second housing, the at least one second sensor, solely upon coupling of the fluid outlet of the medication container to the inlet port, generating data to identify medication received by the at least one waste collection system,

at least one third sensor disposed within the second housing for measuring a volume of medication received by the at least one waste collection system and generating data specifying the measured volume, and

a second transmitter for wirelessly transmitting the data from the at least one second sensor and the at least one third sensor to the remote data collection system to characterize wasted medication in the medication container.

2. A system as in claim 1, wherein the remote data collection system determines whether medication within the medication container has been diverted based on the received data uses a rules set defining parameters indicative of medication diversion to determine whether medication within the medication container has been diverted.

3. A system as in claim 2, further comprising:

a dispensing station to dispense the medication container and to generate dispensing data identifying the medication container identity, medication and concentration, an amount of medication initially in the medication container, the dispensing system being in communication with the remote data collection system;

wherein the remote data collection system further determines whether medication within the medication container has been diverted based on the dispensing station data.

4. A system as in claim 2, further comprising:

a medication preparation system to prepare the medication container prior to administration of the medication to the patient, the medication preparation system generating medication preparation data identifying the medication container identity, medication and concentration, an amount of medication initially in the medication container, the medication preparation system being in communication with the remote data collection system;

wherein the remote data collection system further determines whether medication within the medication container has been diverted based on the medication preparation data.

5. A system as in claim 4, wherein the medication preparation data is identified when a fluid outlet of the medication container is coupled to a fluid inlet of the medication preparation system and medication is transferred from a medication source to the medication container through a portion of the medication preparation system.

6. A system as in any claim 4, wherein the data collection system provides an expected medication volume to the medication injection site based on the data generated by the at least one second sensor and/or the medication preparation data.

7. A system as in claim 6, wherein the data generated by the at least one first sensor is compared to the data generated by the at least one second sensor and/or the medication preparation data to determine if a complete administration of medication was injected to the patient.

8. A system as in claim 7, wherein the data collection system generates a message or alert when the comparison indicates an incomplete administration of medication to a patient.

9. A system as in claim 1, wherein the medication container bears an information element disposed on a portion of the medication container that is on a tip portion of the fluid outlet and characterizing the contained medication.

10. A system as in claim 1, wherein the medication container bears an information element indicative of an identity of the medication container.

11. A system as in claim 10, wherein the information element is a barcode, an optical code, an RFID tag, a magnetic code, a data chip, or other data storage media.

12. A system as in claim 1, wherein the medication container bears an information element characterizing the contained medication and an information element indicative of an identity of the medication container.

13. A system as in claim 1, wherein the remote data collection system logs the received data.

14. A system as in claim 1, wherein the remote data collection system is coupled to one or more external sources selected from a group consisting of a:

electronic medical records (EMR) system, a medical information systems (MIS), and a pharmacy information system (PIS) 24.

15. A system as in claim 14, wherein data received by the external source is used by the remote data collection system to determine whether any medication has been diverted.

16. A system as in claim 1, wherein the remote data collection system applies a rules set to determine characteristics associated with administration and wasting of the medication in the medication container based on the transmitted data.

17. A fluid handling system for receiving a medication container having a fluid outlet and for reporting information to a data collection system comprising:

a medication injection site comprising;

a first housing,

a fluid conduit at least partially extending within the first housing and configured to deliver medication within a medication container to a patient;

a medication port extending from an external surface of the first housing configured to be coupled to a fluid outlet of the medication container, the medication port being fluidically and directly coupled to the fluid conduit,

at least one first sensor disposed within the first housing to generate data characterizing administration of the medication,

a first transmitter within the first housing to wirelessly transmit data generated by the sensor to the remote data collection system, and

a self-contained power source within the first housing powering the at least one first sensor and the first transmitter; and

a liquid waste injection site comprising;

a second fluid inlet configured to receive the fluid outlet of the medication container;

a third sensor configured to read the identifying information solely in response to the fluid outlet of the medication container being coupled to the second fluid inlet;

a fourth sensor comprising at least one flow sensor configured to generate disposed volume information indicative of an amount of medication injected into the waste injection site; and

a second transmitter configured to transmit the identifying and disposed volume information to the data collection system.

18. The fluid handling system of claim 17 further comprising a medication preparation apparatus comprising:

a fluid coupler configured to transfer medication from a vial to the medication container;

a fifth sensor configured to read the identifying information;

a sixth sensor configured to generation transferred volume information indicative of an amount of medication transferred from the vial to the medication container; and

a third transmitter configured to transmit the identifying and transferred volume information to the data collection system.

19. A system comprising:

a medication injection site for receiving a medication container having a fluid outlet and for reporting information to a data collection system; and

a waste injection site comprising;

a first housing;

a waste containment reservoir within the housing;

a fluid inlet coupled to the waste containment reservoir extending outwards from the housing and configured to receive the fluid outlet;

a first sensor disposed within the housing that is configured to automatically read identifying information from the medication container solely in response to the fluid inlet being coupled to the fluid outlet;

a second sensor disposed within the housing comprising a flow sensor configured to measure a volume of fluid transferred from the medication container to the waste containment reservoir; and

a first transmitter disposed within the housing that is configured to wirelessly transmit the information indicative of the identifying information and the volume of fluid obtained by the first sensor and the second sensor to the data collection system.

wherein the medication injection site comprises;

a second housing,

a fluid conduit at least partially extending within the second housing and configured to deliver medication within the medication container to a patient;

a medication port extending from an external surface of the second housing configured to be coupled to a fluid outlet of the medication container, the medication port being fluidically and directly coupled to the fluid conduit,

at least one third sensor disposed within the second housing to generate data characterizing administration of the medication,

a second transmitter within the first housing to wirelessly transmit data generated by the at least one third sensor to the remote data collection system, and

a self-contained power source within the first housing powering the at least one third sensor and the second transmitter.

20. A system comprising:

at least one data collection system comprising at least one computing system;

a plurality of medication injection sites, each medication injection site characterizing administration of medication to a patient and comprising at least one first sensor to generate first data to identify and quantify medication administered to the patient and to identify a medication container housing the medication, each medication injection site comprising;

a first housing, a fluid conduit at least partially extending within the first housing and configured to deliver medication within a medication container to a patient;

a medication port extending from an external surface of the first housing configured to be coupled to a fluid outlet of the medication container; and

a plurality of waste collection systems to each receive unused medication within the medication containers for disposal, each waste collection system comprising at least one second sensor comprising a flow sensor to generate second data to identify and quantify medication received by the at least one waste collection system and at least one third sensor generate third data to identify medication containers housing the medication solely when the medication containers are being coupled to the waste collection system, each waste collection system transmitting the second data from the at least one second sensor and the third data from the at least one third sensor to the at least one data collection system;

wherein the at least one data collection system determines whether medication within the medication container has been diverted based on the received first, second, and third data.

21. A system as in claim 20, further comprising:

a plurality of medication preparation systems to each prepare medication containers prior to administration of the medication to the patient, each medication preparation system generating fourth data identifying the medication and an amount of medication initially in the medication container, the medication preparation system being in communication with the at least one data collection system;

wherein the at least one data collection system further determines whether medication within the medication container has been diverted based on the fourth data.

22. A system as in claim 20, wherein the first sensor generates the first data in response to the medication container being coupled to a corresponding medication injection site.

23. A system comprising:

a medication injection site to automatically characterize medication administered to a patient from a medication container;

a waste collection system to receive unused medication within the medication container and to automatically characterize the received unused medication by measuring a volume of fluid expelled from the medication container and by detecting an optical identifier on the medication container solely and automatically as the medication container is being coupled to the waste collection system;

a data collection system receiving data from each of the medication injection site and the waste collection system to determine whether medication has been diverted subsequent to the administration of medication to the patient;

wherein at least one of the medication injection site and the waste collection system uses a composition sensor to characterize a composition of the medication.

wherein the medication injection site comprises

a first housing,

a fluid conduit at least partially extending within the first housing and configured to deliver medication within the medication container to the patient,

a medication port extending from an external surface of the first housing configured to be coupled to a fluid outlet of the medication container, the medication port being fluidically and directly coupled to the fluid conduit,

at least one first sensor disposed within the first housing to generate data characterizing administration of the medication,

a transmitter within the first housing to wirelessly transmit data generated by the sensor to the remote data collection system, and

a self-contained power source within the first housing powering the at least one first sensor and the transmitter.