Patient-specific medication management system

Patent metadata

Field	Value
Publication number	US-11615871-B2
Application number	US-202117159040-A
Country	US
Kind code	B2
Filing date	Jan 26, 2021
Priority date	Mar 13, 2013
Publication date	Mar 28, 2023
Grant date	Mar 28, 2023

Abstract

Systems for use with a medical device for controlling an infusion device are provided. In one aspect, a system includes an infusion device that is configurable with operating limit parameters for providing medication to a patient, and a limiting system. The limiting system receives laboratory information associated with a patient, compares current operating parameters of the infusion device with the operating limit parameters in view of the laboratory information for the patient before and during administration of the medication to the patient by the infusion device, determines that administration of the medication by the infusion device should be prevented based on comparing the operating parameters with the operating limit parameters in view of the laboratory information and, responsive to determining that the operation should be prevented, prevents the administration of the medication by the infusion device, and generates a notification indicating that the operating limit parameters require modification.

First claim

What is claimed is:

1. A system for controlling an infusion device, the system comprising:
an infusion device configurable with operating limit parameters for administrating a medication to a patient;
one or more processors configured to:
receive laboratory information associated with a patient, the laboratory information comprising at least one of a blood coagulation measure, a vitamin level, a platelet count value, a thromboplastin time, or a serum level;
compare current operating parameters of the infusion device with the operating limit parameters in view of the laboratory information for the patient before and during administration of the medication to the patient by the infusion device;
determine that administration of the medication by the infusion device should be prevented based on comparing the current operating parameters with the operating limit parameters in view of the laboratory information;
responsive to determining that the operation should be prevented:
prevent the administration of the medication by the infusion device; and
generate a notification regarding modification of the operating limit parameters.

2. The system of claim 1 , wherein the one or more processors are configured to receive the laboratory information with patient-specific information during an administration of the medication by the infusion device.

3. The system of claim 1 , wherein the operating limit parameters comprise a maximum or minimum total amount of the medication to provide to the patient over a period of time.

4. The system of claim 1 , wherein the one or more processors are configured to:
determine to provide the notification, indicating that the operating limit parameters require modification, to the infusion device based on a location of the infusion device or an identity of a caregiver associated with the infusion device; and
provide the notification to the infusion device for display by the infusion device.

5. The system of claim 1 , wherein the laboratory information is received with patient-specific information, wherein the one or more processors are configured to:
receive updated patient-specific information associated with the patient;
perform another comparison of the current operating parameters of the infusion device with the operating limit parameters in view of the updated patient-specific information;
determine that the another comparison is a favorable comparison; and
cause an administration of the medication by the infusion device to be started based on the favorable comparison.

6. The system of claim 1 , wherein the current operating parameters are associated with a mixture of at least two medications to the patient, and the operating limit parameters comprise dosing limits for providing the mixture of the at least two medications to the patient, wherein the one or more processors are further configured to:
evaluate a concentration of the at least two medications; and
determine the dosing limits for the mixture based on the concentration.

7. The system of claim 1 , wherein the one or more processors are configured to:
initiate a modification of operating limit parameters at the infusion device for providing a medication to the patient based on comparing the current operating parameters with the operating limit parameters in view of the laboratory information, wherein the notification indicates the modification was initiated.

8. The system of claim 7 , wherein the one or more processors are configured to:
receive an input from a caregiver to override the modification of the operating limit parameters; and
cause the initiated modification to be overridden based on the input.

9. A method for controlling an infusion device, the method comprising:
receiving, by one or more processors, laboratory information associated with a patient, the laboratory information comprising at least one of a blood coagulation measure, a vitamin level, a platelet count value, a thromboplastin time, or a serum level;
comparing, by the one or more processors, current operating parameters of the infusion device with the operating limit parameters in view of the laboratory information for the patient before and during administration of a medication to the patient by the infusion device;
determining, by the one or more processors, that administration of the medication by the infusion device should be prevented based on comparing the current operating parameters with the operating limit parameters in view of the laboratory information;
responsive to determining that the operation should be prevented, by the one or more processors:
preventing the administration of the medication by the infusion device; and
generating a notification regarding modification of the operating limit parameters.

10. The method of claim 9 , the method further comprising:
determining to provide the notification, indicating that the operating limit parameters require modification, to the infusion device based on a location of the infusion device or an identity of a caregiver associated with the infusion device; and
providing the notification to the infusion device for display by the infusion device.

11. The method of claim 9 , wherein the laboratory information is received with patient-specific information, the method further comprising:
receiving patient-specific information during the administration of the medication by the infusion device, the patient-specific information comprising the laboratory information;
receiving updated patient-specific information associated with the patient;
performing another comparison of the current operating parameters of the infusion device with the operating limit parameters in view of the updated patient-specific information;
determining that the another comparison is a favorable comparison; and
causing the administration of the medication to be started based on the favorable comparison.

12. The method of claim 11 , wherein the patient-specific information comprises at least one of a medication ordered for the patient, a time at which the medication is ordered for the patient, a treatment plan for the patient, a medication resistance of the patient, a weight of the patient, a height of the patient, a body surface area of the patient, an age of the patient, a gender of the patient, a genetic makeup of the patient, or an ethnicity of the patient.

13. The method of claim 9 , wherein comparing the current operating parameters of the infusion device with the operating limit parameters in view of the laboratory information comprises comparing a first weight of the patient provided to the infusion device with a second weight of the patient provided to another medical device.

14. The method of claim 9 , wherein the operating limit parameters comprise a maximum or minimum total amount of the medication to provide to the patient over a period of time.

15. The method of claim 9 , wherein the current operating parameters are associated with a mixture of at least two medications to the patient, and the operating limit parameters comprise dosing limits for providing the mixture of the at least two medications to the patient, the method further comprising:
evaluating a concentration of the at least two medications; and
determining the dosing limits for the mixture based on the concentration.

16. The method of claim 9 , the method further comprising:
initiating a modification of operating limit parameters at the infusion device for providing a medication to the patient based on comparing the current operating parameters with the operating limit parameters in view of the

Assignees

• Carefusion 303 Inc

Inventors

• Gupta Vikas
• Bollish Stephen J
• Berglund Gail
• Vanderveen Timothy W
• Davison Alan
• Halbert Donald
• Guerra Jesse J

Classifications

• G16H10/60 Primary

  for patient-specific data, e.g. for electronic patient records · CPC title

• G16H40/63

  for local operation · CPC title

• A61M2005/14208

  with a programmable infusion control system, characterised by the infusion program · CPC title

• A61M2205/52

  with memories providing a history of measured variating parameters of apparatus or patient · CPC title

• A61M5/172

  electrical or electronic {(A61M5/16804, A61M5/16831 take precedence)} · CPC title