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WO1999032031A1 - Configuration automatique de materiel medical - Google Patents

Configuration automatique de materiel medical Download PDF

Info

Publication number
WO1999032031A1
WO1999032031A1 PCT/US1998/026620 US9826620W WO9932031A1 WO 1999032031 A1 WO1999032031 A1 WO 1999032031A1 US 9826620 W US9826620 W US 9826620W WO 9932031 A1 WO9932031 A1 WO 9932031A1
Authority
WO
WIPO (PCT)
Prior art keywords
patient
care
medical
diagnosis
titles
Prior art date
Application number
PCT/US1998/026620
Other languages
English (en)
Inventor
Gary D. Peterson
Deborah L. Paustenbaugh
Scott K. Burke
Timothy O'malley
Michael Imhoff
Original Assignee
Siemens Medical Systems, 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 Siemens Medical Systems, Inc. filed Critical Siemens Medical Systems, Inc.
Publication of WO1999032031A1 publication Critical patent/WO1999032031A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/40—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades

Definitions

  • the present invention relates generally to medical equipment, and in particular to automatic configuration of the operation of medical equipment.
  • Care pathways are treatment plans based on the patient's diagnosis, that change as the patient moves through various stages of care at the hospital. Care pathways can also be different for patients based on differences in their age, sex, or medical problems. Consequently, knowledge of care pathways by the clinician should, and in most case is, also part of the clinicians expertise.
  • One prior art approach for automatic configuration of medical equipment is described in US patent 5,640,953 entitled PORTABLE PATIENT MONITOR RECONFIGURATION SYSTEM, assigned to the same Assignee as the present invention.
  • a portable patient monitor system is described therein, wherein a plurality of monitor docking stations are located in geographically separate areas of the hospital, each docking station being connected to a common communication network.
  • a monitored patient When a monitored patient is moved from one area to another, it is disconnected from a docking station in the one area and then reconnected to a docking station in the other area. During the move the patient monitor continues to operate, via battery power. Means are provided in each of the docking stations for automatically adjusting the monitor to an appropriate configuration for the new geographic area upon connection to the other docking station.
  • a method and apparatus for automatically configuring the operation of patient-related medical equipment based on the diagnosis and/or care pathway of the patient.
  • a user accessible library of medical equipment titles is provided, each title comprising a set of instructions which, when selected are applied, via a communication network, to at least one of the medical equipments for automatically configuring its operation based on the diagnosis and/or care pathway of the patient.
  • Two or more of the medical devices may be configured either concurrently or in succession based on the patient's care needs.
  • the library portion of the invention includes a software application that permits the clinician to author the library of medical equipment titles (configurations) that are based on the patient's care pathway and/or diagnosis. These titles can be specific to both the care unit that the patient is in, as well as the patient's diagnosis and/or care pathway (e.g. Coronary Care Unit Acute Myocardial Infarction) .
  • the library is connected to a communication network so that the configuration information can be automatically transmitted to the medical device (s). The user can then select the appropriate title at the medical device, which will automatically configure its operation, such as the monitoring (display and processing) , alarming, reporting, and notification features of the device.
  • the medical devices become automatically configured components of the hospital's policies and procedures, providing standardized patient care and monitoring functions.
  • Including the patient's diagnosis and/or care pathway in the automatic configuration of the medical devices provides the medical devices with greater utility and effectiveness in patient care.
  • the central library of configurations can be used throughout the entire hospital. That is, this functionality can be utilized both within a specific care unit in the hospital, such as an Intensive Care Unit, and also for the patient's entire stay in the hospital (as he/she moves from care unit to care unit i.e. from Emergency Room to Surgery to Recovery to Intensive Care to a regular patient room) .
  • the invention allows the clinician to simply select the appropriate care pathway and/or diagnosis for the patient from a menu, and the medical device (s) are then automatically configured to optimally meet the patient's needs.
  • the control and standardization of patient care are greatly enhanced when the medical devices are automatically configured according to the established diagnosis or protocols established by the hospital for care pathway-based treatment/monitoring.
  • the hospital can centrally control the clinician' s utilization of equipment and the data content being presented to clinicians in specific situations.
  • Fig. 1 illustrates a prior art monitor configuration technique based on a patient care unit
  • Fig. 2 illustrates monitor configuration in accordance with the principles of the present invention
  • Fig. 3 illustrates details of the monitor configuration shown in Fig. 2;
  • Fig. 4 illustrates monitor configuration in accordance with the principles of the present invention for a coronary artery bypass graft (CABG) patient.
  • CABG coronary artery bypass graft
  • the monitor arrangement of Fig. 1 is illustrative of a prior art patient monitor arrangement in a patient care facility, such as a hospital, constructed and operation in accordance with the forenoted US Patent 5,640,953.
  • Separate intensive care unit (ICU) and operating room (OR) patient monitor systems 2 and 4, respectively, are provided.
  • Each system includes a plurality of portable patient monitors 6 which communicate to a central station (or work station) 8 located in a respective one of care units 2 and 4, via a corresponding one of communication networks 10 and 12. Since monitors 6 are portable, ICU docking stations 14 and OR docking stations 16 are shown for selectively connecting monitors 6 to networks 10 and 12.
  • means are provided in each of docking stations 14 and 16 for automatically adjusting whichever monitor 6 that is connected to it, to an appropriate configuration for that geographic area. The limitations of such as system were discussed in the background portion of this specification.
  • Fig. 2 illustrates a technique for configuring the operation of medical equipment (illustratively a patient monitor) in accordance with the principles of the present invention.
  • the structure and operation of the Fig. 2 arrangement is substantially the same as that shown in Fig. 1, but with the following important difference.
  • a user accessible library 18 of medical equipment titles is provided, each title comprising a set of instructions for automatically configuring the operation of at least one monitors 6 based on the diagnosis and/or care pathway of a patient. Since control of monitors 6 is now independent of its particular care unit, different care unit docking stations and communication networks are no longer need. Thus, only a single type of network 20 and docking station 22 are shown.
  • portable monitors and docking stations are illustrated, in accordance with the present invention portable operation of the monitors, and the use of docking stations, are not required.
  • Optimal use of the present invention would occur in secondary-level and tertiary-level hospitals. These facilities would provide services that use cardiac monitors, ventilators, cardiac catheterization, and anesthesia equipment. Care units would typically include critical care, surgery, coronary care, burn units, neonatal intensive care, and emergency room services. All of these areas would have access to library 18 (formed by a central network server, either hard-wired or with wireless technology) that would provide each care unit with a library of selections (titles) specific to them. These titles would be based on the patient's diagnosis and/or care pathway. There are instances when several medical devices are used concurrently, such as in intensive care. In this case, the cardiac patient monitors and the ventilators could use the same titles for their configuration. These devices would also work together to produce unique alarms and reports that combine their data outputs.
  • Library 18 includes an authoring tool (software) , that permits a user to create sets (titles) of equipment configurations.
  • the authoring software includes a user interface that cooperates with library 18, such as its keyboard (not shown) that allows the users to easily create the library of titles useful for automatically configuring the functionality of bedside medical devices, such as cardiac monitors and ventilators.
  • Each of these titles is specific to a care unit and to a patient's care pathway, diagnosis, age, sex, or other determining medical factor.
  • a single title may contain the configurations for one or more medical devices. These titles are saved in a central location in a memory portion of the file server supporting library 18.
  • the clinician at the bedside can access these titles through a user interface on the medical device.
  • These medical devices are specially programmed to accept these titles via the computer network.
  • the menu of titles for that care unit appears on a display screen of the medical device and the user selects the appropriate title for that patient. For care pathways that are dependent on age, sex, or other factors, the user may have to make two or more selections to access the appropriate title.
  • the clinician always has the option of overriding the configurations.
  • These automatic, user-defined functions for physiological monitoring would include: Set the patient-dependent manual selections (settings) on the medical devices.
  • the present invention also includes the ability to notify different clinicians for specific events and occurrences.
  • the authoring tool includes a logic table that is utilized to analyze conditions for possible clinician notification. The notification may occur via pager, e-mail, or other telephony mechanism. Providing a continuous complication-development risk rating display
  • the user can associate monitored parameters with complications that are common to the patient care pathway. This results in either a continuously updated readout that appears on a device on the computer network or a link to the notification scheme.
  • Data exported to other systems and applications is defined by the user.
  • the frequency, events, data elements, and export formats are selected by the user with the authoring tool.
  • the library titles are transmitted over a computer network to medical devices. The user can then select a title that will automatically configure the monitoring, alarm, reporting, and notification features of the device.
  • the library of configurations could also be tied, via an interface, to a Clinical Information System, such as PICIS, which also utilize care pathways in their organization of patient data. Consequently, selecting a care pathway in PICIS would also result in the automatic configuration, via the interface, of the appropriate medical devices to be associated with the patient.
  • PICIS Clinical Information System

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • General Business, Economics & Management (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Business, Economics & Management (AREA)
  • Physics & Mathematics (AREA)
  • Primary Health Care (AREA)
  • Epidemiology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

Procédé et appareil de configuration automatique du fonctionnement d'un matériel médical dévolu à un patient sur la base du diagnostic et/ou d'une voie aux soins du patient. On a prévu une banque de titres de matériel médical accessible aux utilisateurs. Chaque titre comprend un ensemble d'instructions qui, lorsqu'elles sont sélectionnées, sont appliquées par un réseau de communication à au moins un des matériels médicaux, afin d'en configurer automatiquement le fonctionnement sur la base du diagnostic et/ou de la voie aux soins du patient.
PCT/US1998/026620 1997-12-22 1998-12-15 Configuration automatique de materiel medical WO1999032031A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US99548297A 1997-12-22 1997-12-22
US08/995,482 1997-12-22

Publications (1)

Publication Number Publication Date
WO1999032031A1 true WO1999032031A1 (fr) 1999-07-01

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1998/026620 WO1999032031A1 (fr) 1997-12-22 1998-12-15 Configuration automatique de materiel medical

Country Status (1)

Country Link
WO (1) WO1999032031A1 (fr)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2002011049A2 (fr) * 2000-08-02 2002-02-07 Deltec, Inc. Donnees de programme de traitement pour pompes medicales
EP1371003A2 (fr) * 2001-02-26 2003-12-17 Alaris Medical Systems, Inc. Systeme et procede de gestion des soins aux patients
US7246264B2 (en) 2000-03-23 2007-07-17 Koninklijke Philips Electronics N.V. Remote ultrasound system diagnostics
US7553291B2 (en) 1995-03-13 2009-06-30 Cardinal Health 303, Inc. Modular patient care system with interchangeable modules
US8954336B2 (en) 2004-02-23 2015-02-10 Smiths Medical Asd, Inc. Server for medical device
EP3195246A4 (fr) * 2014-09-15 2018-04-18 Capsule Tech, Inc. Capture et de gestion d'informations de soins de santé
US10881784B2 (en) 2013-01-28 2021-01-05 Smiths Medical Asd, Inc. Medication safety devices and methods

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1987005204A1 (fr) * 1986-03-08 1987-09-11 G. Rodenstock Instrumente Gmbh Dispositif a faisceau divise pour le traitement de l'oeil par laser
WO1994024929A1 (fr) * 1993-04-30 1994-11-10 Healthdyne, Inc. Systeme d'assistance et de surveillance d'un patient
WO1996036923A1 (fr) * 1995-05-15 1996-11-21 Ivac Medical Systems, Inc. Systeme et procede de collecte de donnees et de gestion des soins des malades
US5640953A (en) 1995-03-09 1997-06-24 Siemens Medical Systems, Inc. Portable patient monitor reconfiguration system

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1987005204A1 (fr) * 1986-03-08 1987-09-11 G. Rodenstock Instrumente Gmbh Dispositif a faisceau divise pour le traitement de l'oeil par laser
WO1994024929A1 (fr) * 1993-04-30 1994-11-10 Healthdyne, Inc. Systeme d'assistance et de surveillance d'un patient
US5640953A (en) 1995-03-09 1997-06-24 Siemens Medical Systems, Inc. Portable patient monitor reconfiguration system
WO1996036923A1 (fr) * 1995-05-15 1996-11-21 Ivac Medical Systems, Inc. Systeme et procede de collecte de donnees et de gestion des soins des malades

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
RICHARD LEVY: "MINICOMPUTER CONTROLS RADIOTHERAPY TREATMENT", ELECTRICAL DESIGN NEWS, vol. 16, no. 20, 15 October 1971 (1971-10-15), pages 17, XP002099710 *

Cited By (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7771386B2 (en) 1995-03-13 2010-08-10 Carefusion 303, Inc. Patient care system
US8645154B2 (en) 1995-03-13 2014-02-04 Carefusion 303, Inc. Method for delivering a fluid to a patient
US8639521B2 (en) 1995-03-13 2014-01-28 Carefusion 303, Inc. Method for programming a patient care device
US8235938B2 (en) 1995-03-13 2012-08-07 Carefusion 303, Inc. Method of providing care to a patient
US7771385B2 (en) 1995-03-13 2010-08-10 Carefusion 303, Inc. Method of providing care to a patient
US7553291B2 (en) 1995-03-13 2009-06-30 Cardinal Health 303, Inc. Modular patient care system with interchangeable modules
US7246264B2 (en) 2000-03-23 2007-07-17 Koninklijke Philips Electronics N.V. Remote ultrasound system diagnostics
US8768717B2 (en) 2000-08-02 2014-07-01 Smiths Medical Asd, Inc. Processing program data for medical pumps
EP2136307A1 (fr) * 2000-08-02 2009-12-23 Smiths Medical ASD, Inc. Traitement de données de programme pour pompes médicales
JP4917238B2 (ja) * 2000-08-02 2012-04-18 スミスズ メディカル エーエスディー，インコーポレイティド 医療用ポンプのプログラムデータ処理
JP2004504912A (ja) * 2000-08-02 2004-02-19 デルテック　インコーポレイテッド 医療用ポンプのプログラムデータ処理
WO2002011049A3 (fr) * 2000-08-02 2003-06-12 Deltec Inc Donnees de programme de traitement pour pompes medicales
WO2002011049A2 (fr) * 2000-08-02 2002-02-07 Deltec, Inc. Donnees de programme de traitement pour pompes medicales
US9135393B1 (en) 2000-08-02 2015-09-15 Smiths Medical Asd, Inc. Processing program data for medical pumps
EP1371003A4 (fr) * 2001-02-26 2006-03-22 Alaris Medical Syst Inc Systeme et procede de gestion des soins aux patients
EP2330523A1 (fr) * 2001-02-26 2011-06-08 CareFusion 303, Inc. Système et methode de gestion de soins médicaux
EP1371003A2 (fr) * 2001-02-26 2003-12-17 Alaris Medical Systems, Inc. Systeme et procede de gestion des soins aux patients
US8954336B2 (en) 2004-02-23 2015-02-10 Smiths Medical Asd, Inc. Server for medical device
US10881784B2 (en) 2013-01-28 2021-01-05 Smiths Medical Asd, Inc. Medication safety devices and methods
EP3195246A4 (fr) * 2014-09-15 2018-04-18 Capsule Tech, Inc. Capture et de gestion d'informations de soins de santé

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