EP1181660A1 - Open-ended device for identifying and tracing a patient's stay in a health care establishment - Google Patents

Open-ended device for identifying and tracing a patient's stay in a health care establishment

Info

Publication number
EP1181660A1
EP1181660A1 EP00915259A EP00915259A EP1181660A1 EP 1181660 A1 EP1181660 A1 EP 1181660A1 EP 00915259 A EP00915259 A EP 00915259A EP 00915259 A EP00915259 A EP 00915259A EP 1181660 A1 EP1181660 A1 EP 1181660A1
Authority
EP
European Patent Office
Prior art keywords
patient
identification device
electronic chip
chip
flexible
Prior art date
Legal status (The legal status 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 status listed.)
Ceased
Application number
EP00915259A
Other languages
German (de)
French (fr)
Inventor
S.A. T-Log
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Biolog SA
Original Assignee
T-Log SA
T LOG SA
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 T-Log SA, T LOG SA filed Critical T-Log SA
Publication of EP1181660A1 publication Critical patent/EP1181660A1/en
Ceased legal-status Critical Current

Links

Classifications

    • 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
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G16H10/65—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records stored on portable record carriers, e.g. on smartcards, RFID tags or CD
    • G—PHYSICS
    • G07—CHECKING-DEVICES
    • G07C—TIME OR ATTENDANCE REGISTERS; REGISTERING OR INDICATING THE WORKING OF MACHINES; GENERATING RANDOM NUMBERS; VOTING OR LOTTERY APPARATUS; ARRANGEMENTS, SYSTEMS OR APPARATUS FOR CHECKING NOT PROVIDED FOR ELSEWHERE
    • G07C9/00—Individual registration on entry or exit
    • G07C9/20—Individual registration on entry or exit involving the use of a pass
    • G07C9/28—Individual registration on entry or exit involving the use of a pass the pass enabling tracking or indicating presence
    • 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
    • G16H40/20—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 or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/35—Communication
    • 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
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records

Definitions

  • Evolutionary device for the identification and traceability of a patient's stay in a care establishment
  • the invention relates to an evolving device comprising means of identification and traceability of the stay of a patient in a care establishment.
  • vitamin card which is being developed in France and which is a personal card for each insured person, comprising an electronic chip which is intended in particular to collect information concerning him which is essential for his medical treatment, these information concerns in particular the blood group, the allergic risks the nature of the past and current treatments, without this list being exhaustive
  • This card can be read thanks to a reader having electromechanical contacts
  • the object of the invention is to propose the installation of a single evolving device making it possible to resolve the maximum communication problems and in particular to make medical procedures more reliable
  • FIG. 1 represents a partially exploded perspective view of an electronic chip and its activation device fixed on a flexible support placed in a container.
  • FIG. 2 represents a partially exploded perspective view of a bracelet or a necklace capable of receiving the container. of figure 1
  • FIG. 3 represents a perspective view of the bracelet of FIG 2 in the form of a ring assembled with the container of FIG 1, constituting an evolving identification device according to the invention
  • FIG. 4 represents another version of the evolving identification device according to 1 invention
  • FIG. 5 schematically represents the various phases of administrative and medical recording of information concerning in particular the care provided to a patient
  • FIG. 6 schematically represents the automatic control of the compatibility of the blood groups between donor and recipient prior to a blood transfusion
  • Figure 7 schematically represents the monitoring of a patient's movements in the premises of a care establishment
  • the invention consists in the moment of the admission of a patient to a care establishment, to attach an electronic chip 1 (fig 1) comprising an activation device 2 in the form of a loop having in particular information of a character nature. relating to it and associated with it, by means of assembly to means for fixing to the body of a patient constituting an identification device evolving, the staff of 1 care establishment has for its part means of dialogue making it possible to interrogate the electronic chip 1 via 1 communication antenna and to access information, which relates to their level of competence with the possibility to store new information in the electronic chip 1, the dialogue means can also make it possible to communicate with a central computer by means of appropriate connection means or with another electronic chip. finally, the central computer can communicate directly by communication antennas and appropriate connection means with the evolving identification device
  • the electronic chip 1 used is fixed on a flexible support 3 with an activation device 2 as previously described.
  • This flexible support 3 is itself fixed by means of assembly on a means of attachment to the patient's body constituting a device for evolutionary identification
  • the fixing means can be a bracelet fixed on a member at the level of a wrist or on the level of an arm or at the ankle or the thigh or even on a finger
  • the fixing means can also be a collar or belt
  • the attachment means can also be a sticking plaster stuck directly on the patient's skin
  • the choice of attachment means varies depending on the patient's conditions
  • the design of the bracelet or necklace must take into account that it must not contain metallic masses capable of interfering with the propagation of electromagnetic waves.
  • the bracelet or necklace is preferably designed so that once fixed on the patient, it cannot be removed without being destroyed, you can use a bracelet or a necklace made of injected plastic, using the same principles as those used by electricians to make strands of cables or a bracelet or a necklace 4 (fig 2) made of a flexible tape 5 comprising perforations 11 in its median axis, at one end, a locking loop 6 into which the other end 7 of the flexible tape 5 is introduced to form a ring 8 (fig 3), the locking loop 6 is crossed by a hole 9 with an axis perpendicular to the surface of the flexible strip 5 and which serves as a housing for a split pin 10 comprising a notch 12 and which passes through the flexible strip 5 at level of a perforation 11 when it is inserted into the locking loop 6 and is locked by its notch 12 on the retainer 13 this makes it possible to adjust the size of the ring 8 (fig 3) to the morphology of the patient and to the place where we place it according to whether we make a necklace or a
  • the chip support 17 (fig 4) on which is fixed the electronic chip 36 and its activation device 37, is first enclosed in a flexible waterproof bag 18 which is then applied to the medium on the adhesive side 20 of a piece of adhesive plaster 16 of sufficient surface so that there is, all around the watertight flexible bag 18, a width 19 sufficient to hold the assembly glued to the patient's skin, the assembly consisting of waterproof flexible bag 18 containing the chip holder 17 can be stuck anywhere on the body, if it is feared that the patient will undo it voluntarily, it can be stuck in the middle of the back
  • a means of dialogue with the electronic chip 21 (fig 5) integral with a bracelet may consist of a computer console 22 preferably portable with a keyboard 23 on which there are function keys which make it possible to simplify the manipulations and to limit the field of possible manipulations to a predetermined list
  • This computer console 22 includes a communication antenna 24 capable of exchanging information with the electronic chip 21 fixed on the patient; when a nurse places the computer console 22 in the vicinity of the patient, the latter loads the
  • the electronic chip 1 attached to the patient can be entered from the patient's "vital"card; in the case of blood transfusion with a blood bag 28 (fig. 6) itself equipped with an electronic traceability chip 29, it is possible, using a computer console 30 equipped with a communication antenna 31 to read the electronic chip 32 placed on the patient and the electronic traceability chip 29 placed on the blood bag 28 and compare the information they contain concerning the blood groups of the donor and the recipient in order to trigger an alarm if there is a anomaly ; without making the ultimate test unnecessary, this control is likely to reduce the risk of human error.
  • the healthcare establishment may furthermore include a network of antennas for detecting 33 (FIG.
  • the electronic chip 21 carried by the patient makes it possible, in particular through the electronic console 22, to record in real time and with precision all the acts of care carried out with the patient and to specify the nature and deduct the real costs for billing and / or for statistical studies to improve the management of healthcare establishments

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Biomedical Technology (AREA)
  • Physics & Mathematics (AREA)
  • General Physics & Mathematics (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

The inventive open-ended identification device comprises an electronic chip (21) fitted with an activation device which is connected to a bracelet that is fixed to the arm of a patient. The electronic chip (21) contains medical information on the patient and communicates with a console (22) that is fitted with a communication antenna (24) which is used to record new information on the care dispensed to said patient on both the electronic chip (21) and in a central computer (25) which can be connected directly to a network of detection antennae enabling the patient's movements in the health care establishment to be tracked and stored.

Description

Dispositif évolutif d identification et traçabilité du séjour d'un malade dans un établissement de soinsEvolutionary device for the identification and traceability of a patient's stay in a care establishment
L'invention concerne un dispositif évolutif comportant des moyens d'identification et traçabilitό du séjour d'un malade dans un établissement de soinsThe invention relates to an evolving device comprising means of identification and traceability of the stay of a patient in a care establishment.
Lors de l'admission d un malade dans un établissement de soins, on ouvre un dossier qui est renseigné en fonction des séjours précédents du malade dans cet établissement ou l'on peut en avoir connaissance Dans les services d'urgences la décision d'intervention n'est précédée souvent que de l'enregistrement administratif sommaire des informations concernant le patient et il est même souvent impossible de situer la position du patent dans l'établissement de soins ce qui occasionne une perte de temps dangereuse et peut provoquer des erreurs d'identification s'il n'est pas en mesure de communiquerWhen a patient is admitted to a care establishment, a file is opened which is filled in according to the patient's previous stays in this establishment or one may be aware of it In the emergency services, the intervention decision is often only preceded by the summary administrative recording of information concerning the patient and it is often impossible even to locate the position of the patent in the establishment of care which causes a dangerous loss of time and can cause errors of identification if unable to communicate
Lors de transfusions sanguines, il est fait un contrôle ultime de la compatibilité du sang du receveur avec le sang du donneur contenu dans une poche de prélèvement . on constate que, même en faisant le test ultime, il y a encore des accidents dus notamment à des erreurs de lecture du résultat du test ultime surtout lorsqu il est fait dans le stress et l'affolement II existe dans les établissements de soins des risques d erreur sur l'identité du malade surtout lorsque celui-ci n'est pas en mesure de communiquer et il arrive qu'un chirurgien se trompe de patient Le patient a besoin de faire de menus achats lors de son séjour à l'établissement de soins ou de louer une télévision ou de téléphoner d'une cabine et tous ces besoins sont payés avec des moyens de paiement différents La facturation de l'établissement de soins ne prend pas généralement en compte la spécificité de certains soins , le prix de la journée d'établissement de soins ne reflète pas le coût réel des soins pour un patient déterminé II se pose de plus en plus de problèmes de sécurité à cause de la réduction inéluctable des effectifs et des personnes peuvent s'introduire dans certaines zones critiques sans que personne ne s'en aperçoive Des solutions ont ete apportées a certains de ces problèmesDuring blood transfusions, a final check is made on the compatibility of the recipient's blood with the donor's blood contained in a collection bag. we note that, even by taking the ultimate test, there are still accidents due in particular to errors in reading the result of the ultimate test, especially when it is done in stress and panic. It exists in risk care establishments d error on the identity of the patient especially when he is unable to communicate and it happens that a surgeon gets the wrong patient The patient needs to make small purchases during his stay at the establishment care or rent a television or telephone from a cabin and all these needs are paid with different means of payment The billing of the care establishment does not generally take into account the specificity of certain treatments, the price of the day establishment does not reflect the real cost of care for a specific patient There are more and more security concerns due to the inevitable reduction in staff and people nt break into certain critical areas without anyone noticing Solutions have been found to some of these problems
Il y a la carte «vitale» qui est en cours de développement en France et qui est une carte personnelle pour chaque assuré social, comportant une puce électronique qui est destinée à recueillir notamment les informations le concernant qui sont indispensables à son traitement médical , ces informations concernent notamment le groupe sanguin, les risques allergiques la nature des traitements passés et en cours, sans que cette liste soit limitative Cette carte peut être lue grâce à un lecteur possédant des contacts électromécaniquesThere is the "vital" card which is being developed in France and which is a personal card for each insured person, comprising an electronic chip which is intended in particular to collect information concerning him which is essential for his medical treatment, these information concerns in particular the blood group, the allergic risks the nature of the past and current treatments, without this list being exhaustive This card can be read thanks to a reader having electromechanical contacts
Il existe des puces électroniques qui comportent un dispositif d'activation par ondes électromagnétiques et qui sont associées a un support souple en matière plastique supportant un circuit électrique imprimé intégrant le dispositif d'activation en forme de boucle, ces puces électroniques peuvent être interrogées et lues à distance lorsqu'elles sont au voisinage d'une antenne de communication qui, d'une part active la puce électronique en lui fournissant de l'énergie et, d autre part, échange des informations avec elle Un développement est en cours pour associer ces puces électroniques aux poches de sang afin de garantir leur traçabilité dans le but d'éviter les erreurs Dans les maternités, on pose au poignet des nouveau-nés un bracelet indiquant son identité, qu'il est impossible d'enlever sans le détruire II est actuellement possible de téléphoner depuis un établissement de soins à partir de n'importe quel poste en utilisant un code secret qui est donné au moment de l'hospitalisation, permettant soit de facturer le patient à la fin de son séjour, soit de débiter un compte prépayé II existe des codes d'accès à certaines zones connues du seul personnel accréditéThere are electronic chips which include an activation device by electromagnetic waves and which are associated with a flexible plastic support supporting a printed electrical circuit integrating the activation device in the form of a loop, these electronic chips can be interrogated and read. remotely when they are in the vicinity of a communication antenna which, on the one hand activates the electronic chip by supplying it with energy and, on the other hand, exchanges information with it A development is underway to associate these microchips with blood bags in order to guarantee their traceability in order to avoid errors In maternity hospitals, a bracelet indicating their identity is placed on the wrist of newborn babies, which it is impossible to remove without destroying it currently possible to call from a health care facility from any station using a secret code which is given to at the time of hospitalization, allowing either to invoice the patient at the end of his stay, or to debit a prepaid account There are access codes to certain areas known only to accredited staff
Il s'agit à chaque fois de solutions ponctuelles exigeant la mise en place d'une procédure spécifique alourdissant un peu plus le travail du personnel sans pour cela être très fiable parce que généralement non redondant.Each time, these are ad hoc solutions requiring the implementation of a specific procedure which adds a little more work to the staff without being very reliable because it is generally not redundant.
L'objet de l'invention est de proposer la mise en place d'un dispositif unique évolutif permettant de résoudre le maximum de problèmes de communication et notamment de fiabiliser les actes médicauxThe object of the invention is to propose the installation of a single evolving device making it possible to resolve the maximum communication problems and in particular to make medical procedures more reliable
Dans ce but et conformément a la revendication 1 dont le préambule est base sur 1 état de la technique selon les documents US A 4857716 et US A 4952913, 1 invention consiste à munir un bracelet fixe au bras du patient, d une puce électronique munie d'un dispositif d activation enregistrant des informations médicales et susceptible de communiquer avec une console et un ordinateur central Sur les dessins annexesFor this purpose and in accordance with claim 1, the preamble of which is based on the state of the art according to documents US A 4857716 and US A 4952913, 1 invention consists in providing a bracelet fixed to the patient's arm, an electronic chip provided with an activation device recording medical information and capable of communicating with a console and a central computer In the accompanying drawings
La figure 1 représente une vue perspective, partiellement éclatée d une puce électronique et son dispositif d'activation fixes sur un support souple place dans un conteneur La figure 2 représente une vue perspective partiellement éclatée d un bracelet ou d un collier susceptible de recevoir le conteneur de la figure 1FIG. 1 represents a partially exploded perspective view of an electronic chip and its activation device fixed on a flexible support placed in a container. FIG. 2 represents a partially exploded perspective view of a bracelet or a necklace capable of receiving the container. of figure 1
La figure 3 représente une vue perspective du bracelet de la fig 2 forme en anneau assemble avec le conteneur de la Fig 1, constituant un dispositif d identification évolutif selon l'inventionFIG. 3 represents a perspective view of the bracelet of FIG 2 in the form of a ring assembled with the container of FIG 1, constituting an evolving identification device according to the invention
La figure 4 représente une autre version du dispositif d'identification évolutif selon 1 inventionFIG. 4 represents another version of the evolving identification device according to 1 invention
La figure 5 représente de façon schématique les diverses phases d enregistrement administratif et médical des informations concernant notamment les soins apportés à un patientFIG. 5 schematically represents the various phases of administrative and medical recording of information concerning in particular the care provided to a patient
La figure 6 représente de façon schématique le contrôle automatique de la compatibilité des groupes sanguins entre donneur et receveur préalablement à une transfusion sanguineFIG. 6 schematically represents the automatic control of the compatibility of the blood groups between donor and recipient prior to a blood transfusion
La figure 7 représente de façon schématique le suivi des déplacements d'un patient dans les locaux d'un établissement de soinsFigure 7 schematically represents the monitoring of a patient's movements in the premises of a care establishment
L 'invention consiste au moment de l'admission d'un patient dans un établissement de soins, à lui fixer une puce électronique 1 (fig 1) comportant un dispositif d'activation 2 en forme de boucle ayant notamment en mémoire des informations à caractère médical le concernant et associée, par des moyens d'assemblage a des moyens de fixation sur le corps d'un patient constituant un dispositif d'identification évolutif , le personnel de 1 établissement de soins dispose de son côté de moyens de dialogue permettant d interroger la puce électronique 1 par 1 intermédiaire d'une antenne de communication et d'accéder aux informations, qui relèvent de son niveau de compétence avec la possibilité de mémoriser dans la puce électronique 1 des informations nouvelles , les moyens de dialogue peuvent permettre aussi de communiquer avec un ordinateur central grâce à des moyens de liaison appropriés ou avec une autre puce électronique . enfin l'ordinateur central peut communiquer directement par des antennes de communication et des moyens de liaison appropriés avec le dispositif évolutif d'identificationThe invention consists in the moment of the admission of a patient to a care establishment, to attach an electronic chip 1 (fig 1) comprising an activation device 2 in the form of a loop having in particular information of a character nature. relating to it and associated with it, by means of assembly to means for fixing to the body of a patient constituting an identification device evolving, the staff of 1 care establishment has for its part means of dialogue making it possible to interrogate the electronic chip 1 via 1 communication antenna and to access information, which relates to their level of competence with the possibility to store new information in the electronic chip 1, the dialogue means can also make it possible to communicate with a central computer by means of appropriate connection means or with another electronic chip. finally, the central computer can communicate directly by communication antennas and appropriate connection means with the evolving identification device
La puce électronique 1 utilisée est fixée sur un support souple 3 avec un dispositif d activation 2 comme précédemment décrit Ce support souple 3 est lui-même fixe par un moyen d'assemblage sur un moyen de fixation sur le corps du patient constituant un dispositif d'identification évolutif , le moyen de fixation peut être un bracelet fixé sur un membre au niveau d'un poignet ou au niveau d un bras ou à la cheville ou à la cuisse ou même à un doigt , le moyen de fixation peut être aussi un collier ou une ceinture , le moyen de fixation peut aussi être un sparadrap collé directement sur la peau du patient , le choix du moyen de fixation varie en fonction des affections du malade La conception du bracelet ou du collier doit prendre en compte le fait qu'il ne doit pas comporter de masses métalliques susceptibles de gêner la propagation des ondes électromagnétiques Le bracelet ou le collier est de préférence conçu pour que une fois fixé sur le malade, il ne puisse être enlevé sans être détruit , on peut utiliser un bracelet ou un collier en matière plastique injectée, utilisant les mêmes principes que ceux utilisés par les électriciens pour faire des torons de câbles ou bien un bracelet ou un collier 4 (fig 2) formé d'un ruban souple 5 comportant des perforations 11 dans son axe médian, à une extrémité, une boucle de verrouillage 6 dans laquelle on introduit l'autre extrémité 7 du ruban souple 5 pour former un anneau 8 (fig 3) , la boucle de verrouillage 6 est traversée par un trou 9 d'axe perpendiculaire à la surface du ruban souple 5 et qui sert de logement à une goupille fendue 10 comportant un cran 12 et qui traverse le ruban souple 5 au niveau d une perforation 11 lorsqu il est introduit dans la boucle de verrouillage 6 et vient se verrouiller par son cran 12 sur la retenue 13 cela permet d ajuster la dimension de l'anneau 8 (fig 3) à la morphologie du patient et a l'endroit où on 1 a place suivant qu on en fait un collier ou un bracelet 4 on peut ensuite couper la partie de ruban souple 5 située du côté de 1 extrémité 7 qui dépasse de la boucle de verrouillage 6 pour que les dimensions de 1 anneau formé par le bracelet ou le collier 4 ne puissent être modifiées sans le détruire Le support de puce électronique 3 (fig 1) peut être fixé de multiples façons sur le bracelet ou sur le collier 4 ces derniers peuvent comporter un compartiment étanche dans lequel est enferme le support de puce 3 au moment de la fabrication du collier ou du bracelet , le support de puce 3 peut être enferme dans un sachet souple ou un compartiment rigide etanche ou inclus dans un bac de résine synthétique approprie constituant des conteneurs , ces conteneurs comportent au moins un dispositif d accrochage sur le bracelet ou le collier , le conteneur 14 (fig 1) est rigide et le dispositif d accrochage peut être compose de deux fentes 15 dans lesquelles on passe le ruban souple 5 de l'exemple précédent afin de tenir le conteneur 14The electronic chip 1 used is fixed on a flexible support 3 with an activation device 2 as previously described. This flexible support 3 is itself fixed by means of assembly on a means of attachment to the patient's body constituting a device for evolutionary identification, the fixing means can be a bracelet fixed on a member at the level of a wrist or on the level of an arm or at the ankle or the thigh or even on a finger, the fixing means can also be a collar or belt, the attachment means can also be a sticking plaster stuck directly on the patient's skin, the choice of attachment means varies depending on the patient's conditions The design of the bracelet or necklace must take into account that it must not contain metallic masses capable of interfering with the propagation of electromagnetic waves. The bracelet or necklace is preferably designed so that once fixed on the patient, it cannot be removed without being destroyed, you can use a bracelet or a necklace made of injected plastic, using the same principles as those used by electricians to make strands of cables or a bracelet or a necklace 4 (fig 2) made of a flexible tape 5 comprising perforations 11 in its median axis, at one end, a locking loop 6 into which the other end 7 of the flexible tape 5 is introduced to form a ring 8 (fig 3), the locking loop 6 is crossed by a hole 9 with an axis perpendicular to the surface of the flexible strip 5 and which serves as a housing for a split pin 10 comprising a notch 12 and which passes through the flexible strip 5 at level of a perforation 11 when it is inserted into the locking loop 6 and is locked by its notch 12 on the retainer 13 this makes it possible to adjust the size of the ring 8 (fig 3) to the morphology of the patient and to the place where we place it according to whether we make a necklace or a bracelet 4 we can then cut the part of flexible tape 5 located on the side of 1 end 7 which protrudes from the locking loop 6 so that the dimensions of 1 ring formed by the bracelet or the collar 4 cannot be modified without destroying it The electronic microchip support 3 (fig 1) can be fixed in multiple ways on the bracelet or on the collar 4 these can include a sealed compartment in which is enclosed the chip holder 3 at the time of the manufacture of the necklace or bracelet, the chip holder 3 can be enclosed in a flexible bag or a rigid waterproof compartment or included in a container of suitable synthetic resin constita nt of containers, these containers include at least one attachment device on the bracelet or the necklace, the container 14 (fig 1) is rigid and the attachment device can be composed of two slots 15 in which the flexible tape 5 is passed. the previous example to hold container 14
Lorsque le moyen de fixation est du sparadrap le support de puce 17 (fig 4) sur lequel est fixée la puce électronique 36 et son dispositif d'activation 37, est d'abord enfermé dans un sachet souple étanche 18 qui est ensuite appliqué au milieu du côté adhésif 20 d'un morceau de sparadrap 16 de surface suffisante pour qu'il y ait, tout autour du sachet souple étanche 18, une largeur 19 suffisante pour tenir l'ensemble collé sur la peau du patient , l'ensemble constitué du sachet souple étanche 18 contenant le support de puce 17 peut être collé n'importe où sur le corps , si l'on craint que le patient ne le défasse volontairement, on peut le coller au milieu du dos Un moyen de dialogue avec la puce électronique 21 (fig 5) solidaire d'un bracelet peut consister en une console informatique 22 de préférence portable avec un clavier 23 sur lequel il y a des touches de fonction qui permettent de simplifier les manipulations et de limiter le champ des manipulations possibles à une liste prédéterminée Cette console informatique 22 comporte une antenne de communication 24 susceptible d'échanger des informations avec la puce électronique 21 fixée sur le patient ; lorsqu'une infirmière place la console informatique 22 au voisinage du patient, cette dernière charge les éléments du dossier du patient qui la concernent contenus dans la puce électronique 21 ; en appuyant sur la touche température une infirmière amène à l'écran un tableau et il suffit de taper les chiffres lus sur l'appareil de prise de température pour que les éléments nouveaux, y compris la date et l'heure, soient mis en mémoire dans la console informatique 22 et le dossier contenu dans la puce électronique 21 complété des éléments nouveaux ; cette console informatique 22 peut communiquer périodiquement avec un ordinateur central 25 grâce à des moyens de liaison appropriés, comme un cordon 26 reliant la console informatique 22 à une prise murale 27, reliée à un réseau câblé fixe aboutissant à l'ordinateur central 25 et située dans le bureau des infirmières ; après avoir fait sa tournée des patients et enregistré dans la console informatique 22 pour chaque patient des données nouvelles, l'infirmière peut ainsi mettre à jour le dossier du patient situé dans l'ordinateur central 25. Le dossier des malades mis à jour peut ainsi être accessible, à tout moment, à toute personne autorisée grâce à des codes d'accès appropriés aussi bien au niveau de l'ordinateur central 25 qu'au niveau de la puce électronique 21 fixée sur le patient.When the fixing means is adhesive plaster, the chip support 17 (fig 4) on which is fixed the electronic chip 36 and its activation device 37, is first enclosed in a flexible waterproof bag 18 which is then applied to the medium on the adhesive side 20 of a piece of adhesive plaster 16 of sufficient surface so that there is, all around the watertight flexible bag 18, a width 19 sufficient to hold the assembly glued to the patient's skin, the assembly consisting of waterproof flexible bag 18 containing the chip holder 17 can be stuck anywhere on the body, if it is feared that the patient will undo it voluntarily, it can be stuck in the middle of the back A means of dialogue with the electronic chip 21 (fig 5) integral with a bracelet may consist of a computer console 22 preferably portable with a keyboard 23 on which there are function keys which make it possible to simplify the manipulations and to limit the field of possible manipulations to a predetermined list This computer console 22 includes a communication antenna 24 capable of exchanging information with the electronic chip 21 fixed on the patient; when a nurse places the computer console 22 in the vicinity of the patient, the latter loads the elements of the patient file which relate to it contained in the electronic chip 21; by pressing the temperature key a nurse brings up a table on the screen and it is enough to type the numbers read on the temperature taking device so that the new elements, including the date and the time, are put in memory in the computer console 22 and the file contained in the electronic chip 21 completed with new elements; this computer console 22 can communicate periodically with a central computer 25 by means of appropriate connection means, such as a cord 26 connecting the computer console 22 to a wall outlet 27, connected to a fixed cable network leading to the central computer 25 and located in the nurses'office; after having toured the patients and recorded new data in the computer console 22 for each patient, the nurse can thus update the patient file located in the central computer 25. The updated patient file can thus be accessible at any time to any authorized person using appropriate access codes both at the central computer 25 and at the electronic chip 21 attached to the patient.
Au moment de l'hospitalisation, on peut renseigner la puce électronique 1 fixée sur le patient, à partir de la carte «vitale» du patient ; en cas de transfusion sanguine avec une poche de sang 28 (fig.6) elle-même équipée d'une puce électronique de traçabilité 29, on peut à l'aide d'une console informatique 30 équipée d'une antenne de communication 31 lire la puce électronique 32 placée sur le patient et la puce électronique de traçabilité 29 placée sur la poche de sang 28 et comparer les informations qu'elles contiennent concernant les groupes sanguins du donneur et du receveur afin de déclencher une alarme s'il y a une anomalie ; sans toutefois rendre inutile le test ultime ce contrôle est susceptible de diminuer le risque d'erreur humaine. L'établissement de soins peut comporter en outre un réseau d antennes de détection 33 (fig 7) du passage du patient, sur lequel est fixée une puce 21, à leur proximité ce qui permet d'enregistrer le lieu l'heure et la date de passage au niveau de l'ordinateur central 25 auquel elles sont reliées par un reseau câble 35 en disposant des antennes de détection 33 dans des points de passage oblige, divers services concernes tels que la réception ou l'administration ou le standard téléphonique peuvent savoir à tout moment où se trouve le patient en interrogeant l'ordinateur central 25 , les points de passage obligé qui sont généralement des portes 34 comportent au moins une antenne de détection 33 mais peuvent comporter plusieurs antennes de détection permettant de savoir si le patient entre ou sort de la zone contrôlée 1 information reçue peut faire l'objet d'un traitement spécifique au malade et/ou a la zone dans laquelle il a pénétré et déclencher éventuellement une alarme Ce type d équipement est précieux dans les services d'urgence La puce électronique portée par le patient permet de l'identifier à coup sûr et en conséquence par le même principe précédemment décrit pour la prise de température, enregistrer une dépense qui pourra être facturée à la sortie de l'établissement de soins ou débitée sur un compte prépayéAt the time of hospitalization, the electronic chip 1 attached to the patient can be entered from the patient's "vital"card; in the case of blood transfusion with a blood bag 28 (fig. 6) itself equipped with an electronic traceability chip 29, it is possible, using a computer console 30 equipped with a communication antenna 31 to read the electronic chip 32 placed on the patient and the electronic traceability chip 29 placed on the blood bag 28 and compare the information they contain concerning the blood groups of the donor and the recipient in order to trigger an alarm if there is a anomaly ; without making the ultimate test unnecessary, this control is likely to reduce the risk of human error. The healthcare establishment may furthermore include a network of antennas for detecting 33 (FIG. 7) the passage of the patient, on which a chip 21 is fixed, in their proximity which makes it possible to record the place, the time and the date. crossing at the central computer 25 to which they are connected by a cable network 35 by having detection antennas 33 in obligatory passage points, various concerned services such as reception or administration or switchboard may know at any time where the patient is located by interrogating the central computer 25, the compulsory passage points which are generally doors 34 comprise at least one detection antenna 33 but can comprise several detection antennas making it possible to know whether the patient enters or leaving the controlled area 1 information received may be subject to specific treatment for the patient and / or the area into which he has entered and possibly trigger t an alarm This type of equipment is invaluable in the emergency services The electronic chip carried by the patient makes it possible to identify it for sure and consequently by the same principle previously described for taking the temperature, recording an expense which could be billed on leaving the care facility or charged to a prepaid account
De même, la puce électronique 21 portée par le patient permet par 1 ' intermédiaire notamment de la console électronique 22 d'enregistrer en temps réel et avec précision la totalité des actes de soins effectués auprès du patient et d'en préciser la nature et d en déduire les coûts réels pour une facturation et/ou pour des études statistiques permettant d'améliorer la gestion des établissements de soins Likewise, the electronic chip 21 carried by the patient makes it possible, in particular through the electronic console 22, to record in real time and with precision all the acts of care carried out with the patient and to specify the nature and deduct the real costs for billing and / or for statistical studies to improve the management of healthcare establishments

Claims

Revendications Claims
1-Dispositif d'identification évolutif utilisant une puce électronique (1,36) comportant un dispositif d'activation (2,37) en forme de boucle, fixée sur un support souple (3,17) susceptible de communiquer par ondes électromagnétiques avec une antenne de communication (24, 33), caractérisé en ce que le support souple (3,17) est accouplé, par des moyens d'assemblage, à des moyens de fixation sur le corps d'un patient et que la puce électronique (1,36) qu'il supporte ayant notamment en mémoire des informations à caractère médical, est susceptible d'être interrogée et renseignée, par des moyens de dialogue, qui peuvent communiquer avec un ordinateur central (25) grâce à des moyens de liaison appropriés ou avec une autre puce électronique (29), la puce électronique (1,36) pouvant aussi être directement interrogée et renseignée par l'ordinateur central (25) par des antennes de communication (33) et des moyens de liaison appropriés.1-Evolutionary identification device using an electronic chip (1.36) comprising an activation device (2.37) in the form of a loop, fixed on a flexible support (3.17) capable of communicating by electromagnetic waves with a communication antenna (24, 33), characterized in that the flexible support (3,17) is coupled, by means of assembly, to means of attachment to the body of a patient and that the electronic chip (1 , 36) which it supports, having in particular information of a medical nature, is capable of being interrogated and informed, by means of dialogue, which can communicate with a central computer (25) by means of appropriate liaison means or with another electronic chip (29), the electronic chip (1,36) can also be directly interrogated and informed by the central computer (25) by communication antennas (33) and appropriate connection means.
2-Dispositif d'identification suivant la revendication 1, caractérisé en ce qu'un moyen d'assemblage est un sachet souple ou un compartiment rigide étanche ou inclus dans un bloc de résine synthétique approprié constituant des conteneurs contenant le support de puce souple et pouvant disposer d'au moins un dispositif d'accrochage. 3-Dispositif d'identification suivant la revendication 1, caractérisé en ce qu'un moyen de fixation est un bracelet ou un collier ou une ceinture fixé sur un membre au niveau d'un poignet ou au niveau d'un bras ou à la cheville ou à la cuisse ou même à un doigt du patient. 4-Dispositif d'identification suivant les revendications 2 et 3, caractérisé en ce que le dispositif de fixation comporte un compartiment étanche constituant un conteneur dans lequel est enfermé le support de puce au moment de la fabrication du collier ou du bracelet. 5-Dispositif d'identification suivant la revendication 3, caractérisé en ce qu'un bracelet ou un collier (4) est en matière plastique injectée et formé d'un ruban souple (5), comportant des perforations (11), limité à une extrémité par une boucle de verrouillage (6) et par l'autre extrémité (7) qui est introduite dans une boucle de verrouillage (6) pour former un anneau (8), ladite boucle (6) étant traversée par un trou (9) comportant une retenue (13) servant de logement à une goupille fendue (10) comportant un cran 12, susceptible de traverser le ruban (5) au niveau d'une perforation (11), lorsqu'il est introduit dans la boucle de verrouillage (6) et de se verrouiller par son cran (12) sur la retenue (13).2-Identification device according to claim 1, characterized in that an assembly means is a flexible bag or a rigid waterproof compartment or included in a block of suitable synthetic resin constituting containers containing the flexible chip holder and capable have at least one hanging device. 3-Identification device according to claim 1, characterized in that a fixing means is a bracelet or a necklace or a belt fixed on a member at the level of a wrist or at the level of an arm or at the ankle or on the patient's thigh or even on a finger. 4-Identification device according to claims 2 and 3, characterized in that the fixing device comprises a sealed compartment constituting a container in which is enclosed the chip holder at the time of manufacture of the necklace or bracelet. 5-Identification device according to claim 3, characterized in that a bracelet or a collar (4) is made of injected plastic and formed of a flexible ribbon (5), comprising perforations (11), limited to one end by a locking loop (6) and by the other end (7) which is introduced into a locking loop (6) for forming a ring (8), said loop (6) being traversed by a hole (9) comprising a retainer (13) serving as a housing for a cotter pin (10) comprising a notch 12 capable of passing through the ribbon (5) at level of a perforation (11), when it is introduced into the locking loop (6) and to be locked by its notch (12) on the retainer (13).
6-Dispositif d'identification suivant les revendications 3 et 5, caractérisé en ce qu'un conteneur (14) est un compartiment rigide dont le dispositif d'accrochage est composé de deux fentes (15) dans lesquelles on passe le ruban souple ( 5 ) .6-Identification device according to claims 3 and 5, characterized in that a container (14) is a rigid compartment whose attachment device is composed of two slots (15) in which the flexible tape (5) is passed ).
7-Dispositif d'identification suivant les revendications 1 et 2, caractérisé en ce que le support de puce (17) est enfermé dans un sachet souple étanche (18) qui est ensuite appliqué au milieu du côté adhésif (20) d'un morceau de sparadrap (16) constituant un moyen de fixation de surface telle qu'il y ait tout autour du sachet souple étanche (18) une largeur (19) suffisante pour tenir l'ensemble collé sur la peau du patient. 8-Dispositif d'identification suivant la revendication 1. caractérisé en ce qu'un moyen de dialogue est une console informatique (22) de préférence portable comportant une antenne de communication (24) susceptible d'échanger des informations avec la puce électronique (21) fixée sur le patient, cette console informatique (22) pouvant communiquer périodiquement avec un ordinateur central (25) grâce à un cordon (26) reliant la console informatique (22) à une prise murale (27) reliée à un réseau câblé fixe aboutissant à l'ordinateur central (25). 9-Dispositif d'identification suivant la revendication 8, caractérisé en ce qu'une console informatique (30) équipée d'une antenne de communication (31) comporte des moyens pour lire le contenu d'une puce électronique de traçabilité (29) équipant une poche de sang (28) et ainsi que le contenu de la puce électronique (32) placée sur le patient pour comparer les informations qu'elles contiennent concernant les groupes sanguins du donneur et du receveur afin de déclencher une alarme s'il y a une anomalie.7-Identification device according to claims 1 and 2, characterized in that the chip carrier (17) is enclosed in a flexible waterproof bag (18) which is then applied to the middle of the adhesive side (20) of a piece of adhesive plaster (16) constituting a surface fixing means such that there is all around the waterproof flexible bag (18) a width (19) sufficient to hold the assembly glued to the patient's skin. 8-Identification device according to claim 1. characterized in that a dialogue means is a computer console (22) preferably portable comprising a communication antenna (24) capable of exchanging information with the electronic chip (21 ) attached to the patient, this computer console (22) being able to communicate periodically with a central computer (25) using a cord (26) connecting the computer console (22) to a wall outlet (27) connected to a fixed wired network to the central computer (25). 9-Identification device according to claim 8, characterized in that a computer console (30) equipped with a communication antenna (31) comprises means for reading the content of an electronic traceability chip (29) equipping a blood bag (28) and as well as the contents of the electronic chip (32) placed on the patient to compare the information they contain concerning the blood groups of the donor and the recipient in order to trigger an alarm if there is an abnormality.
10-Dispositif d'identification suivant la revendication 1, caractérisé en ce qu'un réseau d'antennes de détection (33), relié à l'ordinateur central (25) par un réseau câblé (35), comporte des moyens pour détecter la puce électronique (21) portée par un patient lorsqu'il passe à leur voisinage, afin d'enregistrer le lieu, l'heure et la date de son passage .10-Identification device according to claim 1, characterized in that a network of detection antennas (33), connected to the central computer (25) by a wired network (35), includes means for detecting the electronic chip (21) carried by a patient when he passes in their vicinity, in order to record the place , the time and the date of its passage.
11-Dispositif d'identification suivant la revendication 8, caractérisé en ce que la puce électronique (21) portée par le patient comporte des moyens pour permettre, par l'intermédiaire notamment de la console électronique (22), d'enregistrer en temps réel et avec précision la totalité des actes de soins effectués auprès du patient et d'en préciser la nature et d'en déduire les coûts réels pour une facturation et/ou pour des études statistiques. 11-Identification device according to claim 8, characterized in that the electronic chip (21) carried by the patient comprises means for allowing, through in particular through the electronic console (22), to record in real time and with precision all the acts of care carried out with the patient and to specify the nature and to deduct the real costs for invoicing and / or for statistical studies.
EP00915259A 1999-03-31 2000-03-31 Open-ended device for identifying and tracing a patient's stay in a health care establishment Ceased EP1181660A1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
FR9904217A FR2791795B1 (en) 1999-03-31 1999-03-31 EVOLVING DEVICE FOR THE IDENTIFICATION AND TRACEABILITY OF A SICK'S STAY IN A HEALTHCARE ESTABLISHMENT
FR9904217 1999-03-31
PCT/FR2000/000809 WO2000058901A1 (en) 1999-03-31 2000-03-31 Open-ended device for identifying and tracing a patient's stay in a health care establishment

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EP1181660A1 true EP1181660A1 (en) 2002-02-27

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AU (1) AU3663500A (en)
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EP1812880A2 (en) 2004-09-30 2007-08-01 Koninklijke Philips Electronics N.V. System for automatic continuous and reliable patient identification for association of wireless medical devices to patients
GB0600294D0 (en) * 2006-01-07 2006-02-15 Safe Surgery Systems Ltd A method and apparatus for processing patient information
US9579253B2 (en) 2012-11-08 2017-02-28 Grifols Worldwide Operations Limited RFID tag and blood container/system with integrated RFID tag
ES2917499T3 (en) * 2015-04-13 2022-07-08 Mysphera S L identifier device
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AU3663500A (en) 2000-10-16

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