WO1991004759A1 - Infusion pump with bar code input to computer - Google Patents

Infusion pump with bar code input to computer Download PDF

Info

Publication number
WO1991004759A1
WO1991004759A1 PCT/US1990/004768 US9004768W WO9104759A1 WO 1991004759 A1 WO1991004759 A1 WO 1991004759A1 US 9004768 W US9004768 W US 9004768W WO 9104759 A1 WO9104759 A1 WO 9104759A1
Authority
WO
WIPO (PCT)
Prior art keywords
syringe
computer
data
bar code
plunger
Prior art date
Application number
PCT/US1990/004768
Other languages
French (fr)
Inventor
William D. Arthur, Iii
Original Assignee
Medex, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Medex, Inc. filed Critical Medex, Inc.
Publication of WO1991004759A1 publication Critical patent/WO1991004759A1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/145Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons
    • A61M5/1452Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons pressurised by means of pistons
    • A61M5/1456Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons pressurised by means of pistons with a replaceable reservoir comprising a piston rod to be moved into the reservoir, e.g. the piston rod is part of the removable reservoir
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/60General characteristics of the apparatus with identification means
    • A61M2205/6063Optical identification systems
    • A61M2205/6072Bar codes
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S128/00Surgery
    • Y10S128/01Motorized syringe

Definitions

  • This invention relates to an infusion pump o the type described in Patent No. 4,529,401, that is, an infusion pump having a computer to control the dis pensing of the medicant.
  • the infusion pump of th , 401 patent has a housing and a replaceable syring mounted in the housing.
  • a motor mounted in th housing, is connected to the syringe plunger to driv the plunger axially in order to expel the medican within the syringe into a patient.
  • a computer i connected to the motor and a keyboard associated wit the computer is provided for entering data concerning the dispensing of the medicant, the data including concentration, delivery modes and dosage data includ ⁇ ing the basal rate.
  • the computer keyboard be patient-operated so that the infusion pump is of general application.
  • the computer is thus modifiable for each patient's requirements through the manipulation of the keyboard. But, some patients cannot cope with the keyboard or should not be permit ⁇ ted to cope with the keyboard. The possibility of patient injury through improper operation of the keyboard is present.
  • infusion pump Another form of infusion pump has been pro ⁇ posed. In that form, critical information can be inputted into the computer only by an authorized person such as a pharmacist. For that purpose, a secret code is required for the complete operation of the keyboard. But, that form of infusion pump has its disadvantages, the principal one being that the programmed infusion pump must be dedicated to a parti ⁇ cular patient.
  • This objective of the invention is obtained by providing, in the infusion pump, a bar code reader or means to automatically enter a bar code instruction to input to the pump computer data which has heretofore been inputted by keyboard.
  • the syringe has a bar code mounted on it so that the medicant within is that provided by the pharmacist in accordance with the prescription for the medicine. The pharmacist, given the prescription, prepares the syringe with th patient-tailored bar code on it.
  • the physician prepares the prescrip tion for the medicine and this is given to the pharma cist.
  • the prescription is filled and placed in one o more syringes.
  • a bar code having the prescriptio data on it is prepared and, in label form, is mounte or attached to the syringe.
  • the operator inserts th syringe into the pump housing.
  • the bar code reade reads the bar code when the syringe is inserted in th housing and inputs the prescribed data to the pum computer.
  • the infusion pump is thus programmed to b operated only in accordance with the physician- prepared prescription.
  • the pump is indicated at 10 in the drawing and includes a housing 11 having a closure cap 12.
  • the housing provides a chamber 13 for receipt of a syringe
  • the syringe has a plunger 15.
  • a screw 16 is mounted within the plunger and has a nut 17.
  • the nut When the syringe is mounted in the housing 11, the nut is fixed by the walls of the chamber 13 against rotation.
  • the screw is connected to a drive pin 20 connected to a motor 21 shown in phantom lines. Operation of the motor causes the screw to rotate with respect to the nut 17. Since the nut is fixed the screw moves axially, driving the plunger toward the dispensing end 23 of the syringe to expel the medicant from within the syringe.
  • the housing has a computer which preferably includes a display 25 for display of such data as the patient needs for his observation.
  • a keyboard 26 is provided for the introduction of the limited amount of data into the computer to permit certain operation which the patient is permitted to control.
  • a bar code reader 30 is mounted in or easil connected to the pump in the housing and is connecte to the computer to input data from a bar code to th computer.
  • a bar code 32 is mounted on the face of th syringe.
  • the bar code is in a label for that is prepared by the pharmacist and mounted by th pharmacist on the syringe so as to program the com puter for the specific medicant that is in the syring and for the specific patient for whom the medicant i prescribed.
  • the bar code is adapted to be read by th bar code reader when the syringe is inserted into th chamber 13.
  • the bar code could be interrogate before, during, or after syringe mounting. When th syringe is inserted in the chamber 13, the cap 12 i applied to enclose the syringe within the chamber.
  • the patient obtains a prescrip tion for the medicant from his physician.
  • the patien takes the prescription to the pharmacist.
  • the pharma cist fills one or more syringes of a size to fit th housing 11 with the medicant prescribed.
  • the pharma cist enters in a machine known in the art the neces sary data concerning the medicant and its concentra tion, dosage and so forth. That data is printed b the machine in bar code form on labels which th pharmacist mounts in a designated place on the sy ⁇ ringe.
  • the operator places a syringe having the bar code data on it in the housing with the bar code adjacent the bar code reader.
  • the bar code reader reads the data and inputs the data to the computer.
  • the infusion pump is ready for the adminis ⁇ tration of the prescribed dosage to the patient while permitting the operator to make permitted alterations in the mode and dosage.

Abstract

An infusion pump (10) has a housing (11) for receipt of a syringe (14), a motor (21) to drive the plunger (15) of the syringe to expel a medicant within the syringe, a computer for controlling the motor and a place to mount the syringe. A bar code reader (30) is mounted adjacent the syringe and the syringe has a pharmacist-applied bar code (32) that programs the computer with the data for the dispensing of the medicant.

Description

INFUSION PUMP WITH BAR CODE INPUT TO COMPUTER Background of the Invention
This invention relates to an infusion pump o the type described in Patent No. 4,529,401, that is, an infusion pump having a computer to control the dis pensing of the medicant.
More specifically, the infusion pump of th ,401 patent has a housing and a replaceable syring mounted in the housing. A motor, mounted in th housing, is connected to the syringe plunger to driv the plunger axially in order to expel the medican within the syringe into a patient. A computer i connected to the motor and a keyboard associated wit the computer is provided for entering data concerning the dispensing of the medicant, the data including concentration, delivery modes and dosage data includ¬ ing the basal rate.
It is contemplated that the computer keyboard be patient-operated so that the infusion pump is of general application. The computer is thus modifiable for each patient's requirements through the manipulation of the keyboard. But, some patients cannot cope with the keyboard or should not be permit¬ ted to cope with the keyboard. The possibility of patient injury through improper operation of the keyboard is present.
Another form of infusion pump has been pro¬ posed. In that form, critical information can be inputted into the computer only by an authorized person such as a pharmacist. For that purpose, a secret code is required for the complete operation of the keyboard. But, that form of infusion pump has its disadvantages, the principal one being that the programmed infusion pump must be dedicated to a parti¬ cular patient. Brief Summary of the Invention
It is an objective of the present invention to provide an infusion pump which is of universal appli¬ cation as to patient and medicant, but which prevents injury to the patient through inadvertent operation. This objective of the invention is obtained by providing, in the infusion pump, a bar code reader or means to automatically enter a bar code instruction to input to the pump computer data which has heretofore been inputted by keyboard. The syringe has a bar code mounted on it so that the medicant within is that provided by the pharmacist in accordance with the prescription for the medicine. The pharmacist, given the prescription, prepares the syringe with th patient-tailored bar code on it.
In use, the physician prepares the prescrip tion for the medicine and this is given to the pharma cist. The prescription is filled and placed in one o more syringes. A bar code having the prescriptio data on it is prepared and, in label form, is mounte or attached to the syringe. The operator inserts th syringe into the pump housing. The bar code reade reads the bar code when the syringe is inserted in th housing and inputs the prescribed data to the pum computer. The infusion pump is thus programmed to b operated only in accordance with the physician- prepared prescription. It is of course contemplated that some opera¬ tor modification of the dispensing of the medicant will be permitted as, for example, the introduction of a supplemental dose or a bolus, but the bar code data would limit the amounts, frequency and so forth, so that while the patient could modify his intake of the medicant, the patient could not injure himself in the process because of the limits put on the patient operation by the bar code.
The several features of the invention will become more readily apparent from the following detailed description taken in conjunction with the accompanying drawings in which: The Figure is a disassembled perspective view of the invention.
It is contemplated that the present invention is an improvement in known infusion pumps, and an example of the type of pump to which the invention is directed is found in Patent No. 4,529,401. A descrip¬ tion is completely incorporated herein by reference. Detailed Description of the Drawings
The pump is indicated at 10 in the drawing and includes a housing 11 having a closure cap 12. The housing provides a chamber 13 for receipt of a syringe
14. The syringe has a plunger 15. A screw 16 is mounted within the plunger and has a nut 17.
When the syringe is mounted in the housing 11, the nut is fixed by the walls of the chamber 13 against rotation. The screw is connected to a drive pin 20 connected to a motor 21 shown in phantom lines. Operation of the motor causes the screw to rotate with respect to the nut 17. Since the nut is fixed the screw moves axially, driving the plunger toward the dispensing end 23 of the syringe to expel the medicant from within the syringe.
The housing has a computer which preferably includes a display 25 for display of such data as the patient needs for his observation. A keyboard 26 is provided for the introduction of the limited amount of data into the computer to permit certain operation which the patient is permitted to control.
A bar code reader 30 is mounted in or easil connected to the pump in the housing and is connecte to the computer to input data from a bar code to th computer. A bar code 32 is mounted on the face of th syringe. Preferably, the bar code is in a label for that is prepared by the pharmacist and mounted by th pharmacist on the syringe so as to program the com puter for the specific medicant that is in the syring and for the specific patient for whom the medicant i prescribed. The bar code is adapted to be read by th bar code reader when the syringe is inserted into th chamber 13. The bar code could be interrogate before, during, or after syringe mounting. When th syringe is inserted in the chamber 13, the cap 12 i applied to enclose the syringe within the chamber.
In operation, the patient obtains a prescrip tion for the medicant from his physician. The patien takes the prescription to the pharmacist. The pharma cist fills one or more syringes of a size to fit th housing 11 with the medicant prescribed. The pharma cist enters in a machine known in the art the neces sary data concerning the medicant and its concentra tion, dosage and so forth. That data is printed b the machine in bar code form on labels which th pharmacist mounts in a designated place on the sy¬ ringe.
The operator places a syringe having the bar code data on it in the housing with the bar code adjacent the bar code reader. The bar code reader reads the data and inputs the data to the computer. Thereupon, the infusion pump is ready for the adminis¬ tration of the prescribed dosage to the patient while permitting the operator to make permitted alterations in the mode and dosage.
While the invention has been described with specific reference to a bar code and reader, it is to be understood that the invention is also applicable to other machine-readable indicia such as magnetic strips, user insertable memory keys or tags, etc.
Having thusly described my invention, I claim:

Claims

(1) An infusion pump comprising: a housing, mounting means on said housing for a syringe having a plunger, means including a motor connected to said plunger for driving said plunger at a preselected rate, a computer connected to said motor for controlling the operation of said plunger, said computer being capable of receiving data relating to a patient's dosage requirements and converting that data to an output that controls said motor to drive said plunger in accordance with receiv¬ ed data, a reader for machine-readable computer data connected to said computer, a syringe having a plunger and having machine-readable data mounted on the syringe and containing data relating to a patient's dosage require- merit, said reader, upon reading said data, control¬ ling the operation of said motor and hence the dispens¬ ing of medicant in said syringe, said syringe being mounted by said mounting means to enable said reader to reac* said data and program said computer for a particular patient's requirements. (2) Apparatus as in claim 1 in which said reader is a bar code reader and said data being in the form of a bar code on said syringe.
PCT/US1990/004768 1989-09-29 1990-08-22 Infusion pump with bar code input to computer WO1991004759A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/414,371 US4978335A (en) 1989-09-29 1989-09-29 Infusion pump with bar code input to computer
US414,371 1989-09-29

Publications (1)

Publication Number Publication Date
WO1991004759A1 true WO1991004759A1 (en) 1991-04-18

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1990/004768 WO1991004759A1 (en) 1989-09-29 1990-08-22 Infusion pump with bar code input to computer

Country Status (6)

Country Link
US (1) US4978335A (en)
EP (1) EP0494263A4 (en)
JP (1) JPH05500917A (en)
AU (1) AU638505B2 (en)
CA (1) CA2065436A1 (en)
WO (1) WO1991004759A1 (en)

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EP0494263A1 (en) 1992-07-15
JPH05500917A (en) 1993-02-25
CA2065436A1 (en) 1991-03-30
AU638505B2 (en) 1993-07-01
US4978335A (en) 1990-12-18
EP0494263A4 (en) 1992-10-21
AU6601790A (en) 1991-04-28

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