EP2542276A1 - System and method for administering medicaments to a patient - Google Patents

System and method for administering medicaments to a patient

Info

Publication number
EP2542276A1
EP2542276A1 EP11706274A EP11706274A EP2542276A1 EP 2542276 A1 EP2542276 A1 EP 2542276A1 EP 11706274 A EP11706274 A EP 11706274A EP 11706274 A EP11706274 A EP 11706274A EP 2542276 A1 EP2542276 A1 EP 2542276A1
Authority
EP
European Patent Office
Prior art keywords
data
drug
patient
identification element
reading
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
EP11706274A
Other languages
German (de)
French (fr)
Inventor
Hans-Otto Maier
Torsten DÖNHOFF
Horst Schmoll
Matthias Paetzold
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.)
B Braun Melsungen AG
Original Assignee
B Braun Melsungen AG
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 B Braun Melsungen AG filed Critical B Braun Melsungen AG
Publication of EP2542276A1 publication Critical patent/EP2542276A1/en
Ceased legal-status Critical Current

Links

Classifications

    • 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
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • A61M5/172—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic
    • A61M5/1723—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic using feedback of body parameters, e.g. blood-sugar, pressure
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N35/00—Automatic analysis not limited to methods or materials provided for in any single one of groups G01N1/00 - G01N33/00; Handling materials therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/157—Devices characterised by integrated means for measuring characteristics of blood
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/08—Sensors provided with means for identification, e.g. barcodes or memory chips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150206—Construction or design features not otherwise provided for; manufacturing or production; packages; sterilisation of piercing element, piercing device or sampling device
    • A61B5/150229—Pumps for assisting the blood sampling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150206—Construction or design features not otherwise provided for; manufacturing or production; packages; sterilisation of piercing element, piercing device or sampling device
    • A61B5/150236—Pistons, i.e. cylindrical bodies that sit inside the syringe barrel, typically with an air tight seal, and slide in the barrel to create a vacuum or to expel blood
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150206—Construction or design features not otherwise provided for; manufacturing or production; packages; sterilisation of piercing element, piercing device or sampling device
    • A61B5/150244—Rods for actuating or driving the piston, i.e. the cylindrical body that sits inside the syringe barrel, typically with an air tight seal, and slides in the barrel to create a vacuum or to expel blood
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150374—Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150381—Design of piercing elements
    • A61B5/150389—Hollow piercing elements, e.g. canulas, needles, for piercing the skin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150374—Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150381—Design of piercing elements
    • A61B5/150503—Single-ended needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150763—Details with identification means
    • A61B5/150786—Optical identification systems, e.g. bar codes, colour codes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/155—Devices specially adapted for continuous or multiple sampling, e.g. at predetermined intervals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
    • A61B5/4839—Diagnosis combined with treatment in closed-loop systems or methods combined with drug delivery
    • 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
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142—Pressure infusion, e.g. using pumps
    • A61M2005/14208—Pressure infusion, e.g. using pumps with a programmable infusion control system, characterised by the infusion program
    • 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
    • A61M2205/60—General characteristics of the apparatus with identification means
    • 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
    • A61M2205/60—General characteristics of the apparatus with identification means
    • A61M2205/6009—General characteristics of the apparatus with identification means for matching patient with his treatment, e.g. to improve transfusion security
    • 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
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/20—Blood composition characteristics
    • A61M2230/201—Glucose concentration
    • 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
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142—Pressure infusion, e.g. using pumps
    • A61M5/14244—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N35/00—Automatic analysis not limited to methods or materials provided for in any single one of groups G01N1/00 - G01N33/00; Handling materials therefor
    • G01N35/00584—Control arrangements for automatic analysers
    • G01N35/00722—Communications; Identification
    • G01N35/00871—Communications between instruments or with remote terminals
    • G01N2035/00881—Communications between instruments or with remote terminals network configurations
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N27/00—Investigating or analysing materials by the use of electric, electrochemical, or magnetic means
    • G01N27/26—Investigating or analysing materials by the use of electric, electrochemical, or magnetic means by investigating electrochemical variables; by using electrolysis or electrophoresis
    • G01N27/28—Electrolytic cell components
    • G01N27/30—Electrodes, e.g. test electrodes; Half-cells
    • G01N27/327—Biochemical electrodes, e.g. electrical or mechanical details for in vitro measurements
    • G01N27/3271—Amperometric enzyme electrodes for analytes in body fluids, e.g. glucose in blood
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2800/00—Detection or diagnosis of diseases
    • G01N2800/52—Predicting or monitoring the response to treatment, e.g. for selection of therapy based on assay results in personalised medicine; Prognosis
    • 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
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G16H20/17—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection

Definitions

  • the invention relates to a system and method for administering medicaments to a patient.
  • patients in particular intensive care units, are supplied with medicaments and optionally artificial food by means of one or more delivery devices, for example intravenously or by means of a stomach tube.
  • the delivery device may be an insulin delivery device that maintains the insulin value present within the patient's bloodstream at a predeterminable level in response to a previously measured blood glucose level in the patient's bloodstream.
  • feeding devices for at least one nutritional value of a food directly or indirectly supplied to the blood circulation with at least one food supply device can be administered to the patient.
  • such delivery devices even when incorporated into a drug and / or nutritional delivery system, require that the physician or other clinical personnel enter values underlying delivery by the delivery device. For example, quantity values, time intervals in which the supply should take place, interval-like feeds, etc., can be entered as the basis for the subsequent delivery of, for example, insulin.
  • This delivery is preceded by a mostly hand-drawn blood sample in the patient, which requires the interposition of clinical personnel.
  • additional clinical personnel are required who have the necessary expertise in the input functions of the delivery device, such as the infusion pump, to subsequently perform this delivery.
  • such delivery devices such as infusion pumps
  • a delivery rate represented as volume per unit time (ml / hr).
  • the dosage unit is used for an added drug solution. Accordingly, it is necessary that the dosage unit be converted into a delivery rate of the pump, which is the task of the doctor to be treated.
  • a disadvantage of such a conversion can often be computational errors, which leads to incorrect entries of the delivery rate and thus to an incorrect administration of insulin for the patient.
  • the input of the dosage unit is made possible with an infusion pump.
  • this requires the consideration of information on the concentration of the drug of the drug to be administered and on the nature of the drug. Both when specifying the concentration of the active ingredient and when entering the dose unit and the conversion of those in the delivery rate so far only the main active ingredients of the drug are taken into account. This is often sufficient if only or primarily a specific drug is to be administered.
  • Feeding or conveying devices for the supply of a drug solution mixture in a body are known several times.
  • devices / systems having a plurality of infusion and / or syringe pumps, each of which delivers a solution having at least one specific drug active to a body and thereby creating a drug-solution mixture are known.
  • the infusion pumps have the characteristics of continuous, accurate dosing of the medication in its delivery.
  • the pumps are integrated in a common order system, which usually has a central control unit, an operating unit and an alarm unit.
  • a common order system usually has a central control unit, an operating unit and an alarm unit.
  • the transfer of previously prepared medicaments, such as may be present within, for example, a syringe, to the actual infusion pump carries the risk of confusion with regard to the medication and the patient.
  • syringes with drugs contained therein of a predetermined dose assigned by the clinical staff of the wrong infusion pump and thus administered to the wrong patient are examples of a predetermined dose assigned by the clinical staff of the wrong infusion pump and thus administered to the wrong patient.
  • the central idea of the invention is that in a system for administering medicaments to a large number of patients, in particular a selected patient, the following features are present:
  • An identification element generating means for generating at least a first identification element with personal, drug and / or treatment-related first data to attach them to the medicament container; at least one reading device for reading the first data from / from the first identification element;
  • a feeding device for supplying the drug from the drug container inserted into the feeder in the patient;
  • the reading means is also adapted for reading second data mounted on / in a second identification element associated with the patient, and connected to the feeding means;
  • a control unit within the feeder sends a first control signal for activating the feed operation to one of a plurality of feed units of the feeder, provided that the first and second data are at least partially coincident.
  • Such a system is advantageously characterized by the fact that it provides a high level of security in the transfer of a prepared medicament in a dedicated medicine container to a respective delivery device of a patient for the correct assignment, because of the use of identification elements with or on it attached data is no longer possible confusion of such drug containers with the drugs contained therein. Rather, confusion of drugs is ruled out due to reading and comparing different data.
  • the feeder for comparing the first and second data with respect to the personal data match.
  • the person / patient can be compared with the personal data of the second data, which is a wristband or the like associated with the patient, according to the first data already used in drug preparation as an associate for the manufactured drug , can be taken.
  • the control unit would not give a release signal for activating the delivery process.
  • the supply device which may be an insulin pump, can not be activated. Rather, for example, the insulin pump can only be activated if it gets the right drug with the associated drug container, such as a syringe, used and a Identification of personal data on the syringe and on the patient.
  • a second comparison unit within the delivery device is provided for comparing the first medication-related data of the first data with the second medication-related data contained in a storage unit of the delivery device.
  • This allows pre-stored drug compositions within the storage unit of the delivery device to be compared to those drug compositions of the syringe used, thus precluding mis-prepared drugs having unrealistic drug compositions from being administered to the patient.
  • the second comparison unit of the feeder allows the second comparison unit of the feeder to a feeding process only if the first drug-related data of the first data, which are mounted on the identification element of the drug container, within a parameter or data range, which is permissible and suitable for the second drug-related Data is stored within the memory unit.
  • each composition of the previously prepared medicament can be automatically transferred to the identification element by the identification element generating device, so that it is ensured that no components or components are forgotten by the treating person.
  • a selection unit of the delivery device is arranged for at least partially selecting the first and / or second medication-related data.
  • This selector should be used to select the correct drug-related data.
  • parameters of the selected second drug-related data or selected first drug-related data may be altered to be able to administer a modified drug composition at other dosages based on recent events.
  • a disable unit for inhibiting the start of a feed operation is arranged on receipt of a second control signal of the control unit, wherein the control unit transmits this second control signal when the first and second data are not at least partially coincident.
  • Such a blocking unit has the task that the follow-up of the process, which should start a delivery process of a drug to the patient, from the side of the feeder is not possible if non-matching data are detected. This means that the process is automatically aborted by the device unless matching data is detected. This is intended to provide a high degree of security for a correct allocation of the medicament to the respective patient.
  • the identification element is advantageously a barcode label, a data matrix code label and / or a transponder.
  • Data matrix code label is printed from the identification element generating device and in the presence of a transponder, the data is stored by means of a writer on the transponder. This transponder can then be read at the feeder by means of a reader, whereas the barcode label and
  • Datamatrix code label can be read by means of a barcode scanner or data matrix code scanner.
  • the delivery device is an insulin pump
  • the delivery unit is one of a plurality of insulin pump units
  • the medicament container is a syringe.
  • Activating a delivery process for delivering the medicament to the patient with a delivery device by means of a first control signal of a control unit of the delivery device.
  • Such a method allows the automatic or automatic comparison of read data to ensure that only in the presence of a match of the read data, the process continues to be driven and thus a delivery process of the drug to the patient is possible. This results in a high degree of a secure allocation of the right drug to the right patient in order to avoid the administration of wrong medication and thus further unwanted symptoms of the patient.
  • a preferred embodiment of the inventive method is in a step of reading third data, which are attached to / in a third identification element, which is associated with a patient-handling, ensures that only the authorized person to be treated, ie a person from the clinical Personnel performing administration of the drug with proper assignment to the patient. Other persons thus have no access to the administering device, which represents the feeder. As a result, protection against unauthorized operation of the feeder and the delivery of drugs can be achieved.
  • a step of comparing first drug-related data of the first data with second drug-related data stored in a storage unit of the delivery device is provided.
  • the first medication-related data stored on the identification element can be compared with the second medication-related data stored in the storage unit and thus it can be determined whether the drug composition within the medication container corresponds to an approved medication composition range within which the drugs to be administered have to lie.
  • FIGS. 2a and 2b show the method according to the invention according to an embodiment of the invention.
  • Fig. 1 the system according to the invention an Ausstoryunsform of the invention is shown in a schematic representation.
  • a computer device 1 the medicament composition with the associated data relating to the person and the type of treatment is entered by the medical staff by means of a keyboard 2.
  • a barcode 5a is printed, which contains at least parts of the personal, drug and / or treatment-related first data.
  • This barcode is printed as a label and includes, for example as personal data, a patient identification number, as drug-related data, the name of the drug and its concentration, and as treatment-related data, various dosage parameters, such as the duration of the dosage.
  • the barcode label may have the words “Hans Müller”, “adrenaline”, “2mg / 50” in addition to the barcode or the Datamatrix code, meaning that a dosage of 2 mg / 50 for the drug adrenaline, which is within
  • the medicament is prepared in a composition in a medicament preparation station 4 and added to the syringe 5.
  • the barcode 5a is adhesively bonded to the syringe 5 by means of an adhesive surface.
  • the barcode label 5a is read in a reading device 6 by means of a barcode scanner 7, whereby the personal, drug-related and treatment-related data are read in within a feeder 11.
  • the reported data are then forwarded to a first comparison unit 15, which is preferably arranged within the feeder 11.
  • the comparison unit 15 compares the personal data, such as those arranged on the bracelet 10, for example by means of a bar code, with the personal data of the bar code label 5a, as originally produced by the computing unit 1 with reference to the drug produced by the drug preparation station 4 are. If, within the first comparison unit 15, a correspondence of the personal data but also, if necessary, of the drug-related data is determined, a corresponding signal is forwarded by the first comparison unit 15 to a control unit 16, which causes a first control signal 13 to be applied to the inserted infusion syringe by means of a control line 14 for actuating the feeding unit 12b for compressing the syringe 14 is sent.
  • syringes can be arranged in different delivery units 12a, 12b, 12c, 12d and 12e, which can be administered different medicaments for administration. to the patient.
  • the syringe 14 is the syringe 5 containing the drug as previously prepared.
  • the control unit 16 will send a corresponding signal to a blocking unit 20 in order to use this blocking unit to terminate the procedure and block the entire delivery device 11 to obtain.
  • a blocking unit 20 in order to use this blocking unit to terminate the procedure and block the entire delivery device 11 to obtain.
  • third data are read in by a nurse's bracelet containing the personal data of the nurse. These third data serve to compare them with permanently stored data, which may for example be contained in a memory unit 19, in order to establish that the nurse is authorized to operate this device or this supply device 11. If it is determined that this is other personal data, for example, because this nurse is not authorized to administer insulin, the ⁇ inhibit 20> is activated again in accordance with the signals of a control unit, which terminates the feeder operation 1 1 causes.
  • Medication-related data of the first data are compared with drug-related second data contained in the storage unit 19. This comparison takes place within a second comparison unit 18. If it is determined in such a comparison that deviations exist between the medicament-related first data read in by means of the barcode scanner 7 and the medicament-related second data from the storage unit 19, or if the first data lies outside a prescribed range for the second data by means of a display unit and input unit 17, the user or the nurse questions whether they still want to continue the treatment and what data they want to perform. As a result, the nurse may select the first medication-related data or the second medication-related data to continue the treatment.
  • the nurse can perform a change of the parameters on the delivery device 11 by means of the display and input unit 17 in order to change the dosage of the medication to be administered, for example. This is done in continuous data exchange with the control unit 16, which then in turn accordingly controls the feed unit 12b.
  • a corresponding failure signal is sent to the control unit 16 by means of a selection unit 21, which in turn controls the delivery unit 12b with the syringe 14 inserted therein in accordance with the selected data to start or optionally continue the feeding process.
  • a selection unit 21 controls the delivery unit 12b with the syringe 14 inserted therein in accordance with the selected data to start or optionally continue the feeding process.
  • an automated documentation of the administration parameters and of the entire delivery process as well as of the entire procedure is again automatically generated, this preferably taking place in the computer device 1. This can be done according to the arrow 22, for example by means of wireless LAN.
  • FIG. 2a and 2b the inventive method according to an embodiment of the invention is shown.
  • a step 25 the preparation of a drug is carried out according to parameters and data entered.
  • a step 26 an automated generation of a barcode label for application to a medicament container then takes place.
  • step 27 the application of the barcode label as an ID element is subsequently carried out by means of, for example, an adhesive surface.
  • reading 28 of the first data contained on the barcode label, preferably encrypted takes place.
  • a reading of second data 29, which are mounted on a bracelet in the form of a bar code label, preferably encrypted takes place.
  • a comparison between the first and second data is made for their match according to step 30, so as to bring about a termination of the entire process according to step 31 in the event of a mismatch.
  • reading 32 of third data takes place, which in turn is compared in a step 33 with data already stored in the insulin pump. This is data about the attending person to determine if this person is eligible. If this is denied, in a step 34 no admission to the treatment is allowed and a termination takes place.
  • first drug related data is compared to second drug related data for compliance. This is to ensure that not the drug-related data of the barcode, as it is attached to the syringe, unintentionally deviate from intended drug-related data areas that are already stored within the insulin pump. If such a comparison leads to a denial regarding the match, a termination of the process is carried out in a step 36.
  • step 35 If an affirmation of this comparison is determined according to step 35, a release signal is sent to one of the feed units and an activation of the feed operation in a step 37. Subsequently, in a step 38, display of feed parameters takes place.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Hematology (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
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Abstract

The invention relates to a system and a method for administering medicaments to a patient. The system comprises: at least one mobile medicament container (5) with at least one liquid medicament; an identification-element-generating device (3) for generating at least a first identification element (5a) with first data relating to the patient, to medication and/or treatment, in order to apply this identification element to the medicament container (5); at least one reading device (6) for reading the first data from the first identification element (5a); at least one delivery device for delivering the medicament to the patient from the medicament container (5, 14) inserted into the delivery device (11), wherein the reading device (6) is likewise suitable for reading second data, which are provided on/in a second identification element (10) assigned to the patient (9), and is connected to the delivery device (11), and a control device (16) within the delivery device (11) sends a first control signal (13) for activating the delivery process to at least one of a plurality of delivery units (12a-e) of the delivery device (11) if the first and second data at least partially match.

Description

System und Verfahren zur Verabreichung von Medikamenten für einen Patienten  System and method for administering medicaments to a patient
Beschreibung description
Die Erfindung betrifft ein System und ein Verfahren zur Verabreichung von Medikamenten für einen Patienten. Es ist bekannt, dass Patienten, insbesondere auf Intensivstationen, mit Medikamenten und gegebenenfalls künstlicher Nahrung mittels einer oder mehrerer Zuführeinrichtungen, beispielsweise intravenös oder mittels Magensonde versorgt werden. Beispielsweise kann die Zuführeinrichtung eine Insulinzuführeinrichtung bzw. eine Infusionspumpe sein, die den innerhalb des Blutkreislaufes des Patienten vorhandenen Insulinwert auf ein vorbestimmbares Niveau in Reaktion auf einen zuvor gemessenen Blutglukosewert im Blutkreislauf des Patienten hält. Ebenso können Zuführeinrichtungen für mindestens einen Nahrungswert einer mit mindestens einer Nahrungszuführeinrichtung dem Blutkreislauf direkt oder indirekt zugeführten Nahrung dem Patienten verabreicht werden. Gemeinsam haben derartige Zuführeinrichtungen, auch wenn sie in ein System zur Verabreichung von Medikamenten und/oder Nahrungswerten integriert sind, dass die durch einen Arzt oder ein weiteres klinisches Personal zu erfolgende Eingabe von Werten, die der Zuführung mittels der Zuführeinrichtung zugrunde liegen, erfordern. Beispielsweise können hier Mengenwerte, Zeitabstände, in welchen die Zuführung erfolgen soll, intervallartige Zuführun- gen etc. als Basis für die anschließend zu erfolgende Zuführung von beispielsweise Insulin eingegeben werden. Dieser Zuführung vorausgehend ist eine zumeist von Hand durchgeführte Blutentnahme bei dem Patienten, welche die Zwischenschaltung von klinischem Personal erfordert. Ebenso ist weiteres klinisches Personal erforderlich, welches die notwendigen Fachkenntnisse zu den Eingabefunktionen der Zuführeinrichtung, wie der Infusionspumpe, hat, um anschließend diese Zuführung durchzuführen. The invention relates to a system and method for administering medicaments to a patient. It is known that patients, in particular intensive care units, are supplied with medicaments and optionally artificial food by means of one or more delivery devices, for example intravenously or by means of a stomach tube. For example, the delivery device may be an insulin delivery device that maintains the insulin value present within the patient's bloodstream at a predeterminable level in response to a previously measured blood glucose level in the patient's bloodstream. Likewise, feeding devices for at least one nutritional value of a food directly or indirectly supplied to the blood circulation with at least one food supply device can be administered to the patient. Collectively, such delivery devices, even when incorporated into a drug and / or nutritional delivery system, require that the physician or other clinical personnel enter values underlying delivery by the delivery device. For example, quantity values, time intervals in which the supply should take place, interval-like feeds, etc., can be entered as the basis for the subsequent delivery of, for example, insulin. This delivery is preceded by a mostly hand-drawn blood sample in the patient, which requires the interposition of clinical personnel. Likewise, additional clinical personnel are required who have the necessary expertise in the input functions of the delivery device, such as the infusion pump, to subsequently perform this delivery.
Hinzu kommt, dass derartige Zuführeinrichtungen, wie Infusionspumpen, eine Förderrate aufweisen, die als Volumen pro Zeiteinheit (ml/h) dargestellt ist. Demgegenüber wird in der Medizin für eine zugeführte Medikamentenlösung die Dosiseinheit verwendet. Demzufolge ist es erforderlich, dass die Dosiseinheit in eine Förderrate der Pumpe umgerechnet wird, welches Aufgabe des zu behandelnden Arztes ist. Nachteilhaft bei einer derartigen Umrechnung können häufig Rechenfehler sein, die zu Falscheingaben der Förderrate und damit zu einer unrichtigen Verabreichung von Insulin für den Patienten führt. Es ist auch denkbar, dass bei einer Infusionspumpe die Eingabe der Dosiseinheit ermöglicht wird. Allerdings erfordert dies die Berücksichtigung von Angaben über die Konzentration des Wirkstoffes des zu verabreichenden Medikamentes und über die Art des Medikamentes. Sowohl bei der Angabe der Konzentration des Wirkstoffes als auch bei der Eingabe der Dosiseinheit und der Umrechnung derjenigen in die Förderrate werden bisher ausschließlich die Hauptwirkstoffe des Medikamentes berücksichtigt. Dies ist häufig ausreichend, sofern lediglich oder vorrangig ein spezifisches Medikament verabreicht werden soll. In addition, such delivery devices, such as infusion pumps, have a delivery rate represented as volume per unit time (ml / hr). In contrast, in medicine, the dosage unit is used for an added drug solution. Accordingly, it is necessary that the dosage unit be converted into a delivery rate of the pump, which is the task of the doctor to be treated. A disadvantage of such a conversion can often be computational errors, which leads to incorrect entries of the delivery rate and thus to an incorrect administration of insulin for the patient. It is also conceivable that the input of the dosage unit is made possible with an infusion pump. However, this requires the consideration of information on the concentration of the drug of the drug to be administered and on the nature of the drug. Both when specifying the concentration of the active ingredient and when entering the dose unit and the conversion of those in the delivery rate so far only the main active ingredients of the drug are taken into account. This is often sufficient if only or primarily a specific drug is to be administered.
Zuführeinrichtungen bzw. Fördervorrichtungen für die Zuführung eines Medikamenten- Lösungsgemisches in einen Körper sind mehrfach bekannt. Beispielsweise sind Vorrichtun- gen/Systeme mit einer Mehrzahl an Infusions- und/oder Spritzenpumpen, wovon jede eine Lösung mit mindestens einem spezifischen Medikamentenwirkstoff einem Körper zuführt und hierdurch ein Medikamenten-Lösungsgemische entsteht, bekannt. Feeding or conveying devices for the supply of a drug solution mixture in a body are known several times. For example, devices / systems having a plurality of infusion and / or syringe pumps, each of which delivers a solution having at least one specific drug active to a body and thereby creating a drug-solution mixture, are known.
Derartige Infusionspumpen-Systeme werden häufig bei Patienten, die einer intensiven medi- zinischen Behandlung bedürfen, verwendet. Hierbei weisen die Infusionspumpen die Eigenschaften der kontinuierlichen genauen Dosierung der Medikation in ihrer Zuführung auf. Um eine optimierte Abstimmung dieser Pumpen in ihrer Dosierung zu erreichen, werden die Pumpen in einem gemeinsamen Ordnungssystem integriert, welches üblicherweise eine zentrale Steuereinheit, eine Bedienungseinheit und eine Alarmierungseinheit aufweist. Häufig besteht bei der Überbringung von bereits präparierten Medikamenten, wie sie innerhalb zum Beispiel einer Spritze vorliegen können, zu der eigentlichen Infusionspumpe die Gefahr, dass Verwechslungen hinsichtlich der Medikamentierung und des Patienten auftreten können. Beispielsweise ist es denkbar, dass derartige Spritzen mit darin enthaltenen Medikamenten einer vorbestimmten Dosis durch das klinische Personal der falschen Infusionspumpe zugeordnet und damit dem falschen Patienten verabreicht werden. Dies hat zur Folge, dass ein Patient das falsche Medikament und/oder die falsche Dosis bzw. Dosierung erhält. Derartige Probleme treten insbesondere dann auf, wenn von der zu behandelnden Person eine Vielzahl an Patienten mit Medikamenten für deren Infusionspumpen versorgt werden und somit ausgehend von einer zentralen Medikamentenpräparierungsstation eine große Anzahl an Infusionspumpen mit Medikamentenspritzen versorgt werden müssen. Insbesondere im Zusammenhang mit einer Blutanalyseeinrichtung, die häufig als gemeinsame Analyseeinrichtung für eine Vielzahl von Patienten, deren Blut analysiert werden soll, vorliegt, besteht die Gefahr des Verwechselns von den aus der erfolgten Blutanalyse sich erge- benden Medikamenten in den jeweiligen Spritzen während des Übergangs zu den jeweiligen Infusionspumpen und den damit zugehörigen Patienten. Such infusion pump systems are often used in patients who require intensive medical treatment. In this case, the infusion pumps have the characteristics of continuous, accurate dosing of the medication in its delivery. In order to achieve an optimized tuning of these pumps in their dosage, the pumps are integrated in a common order system, which usually has a central control unit, an operating unit and an alarm unit. Frequently, the transfer of previously prepared medicaments, such as may be present within, for example, a syringe, to the actual infusion pump carries the risk of confusion with regard to the medication and the patient. For example, it is conceivable that such syringes with drugs contained therein of a predetermined dose assigned by the clinical staff of the wrong infusion pump and thus administered to the wrong patient. This has the consequence that a patient receives the wrong drug and / or the wrong dose or dosage. Such problems occur, in particular, when a large number of patients are supplied with medicines for their infusion pumps by the person to be treated, and thus a large number of infusion pumps have to be supplied with medicament syringes starting from a central medicament preparation station. In particular in connection with a blood analysis device, which is often present as a common analysis device for a large number of patients whose blood is to be analyzed, there is the risk of confusion between the drugs resulting from the blood analysis in the respective syringes during the transition to the respective infusion pump and the patient associated therewith.
Demzufolge ist es Aufgabe der Erfindung, ein System und ein Verfahren zur Verabreichung von Medikamenten für eine Vielzahl von Patienten zur Verfügung zu stellen, welches ein hohes Maß an Sicherheit bei der Zuordnung des richtigen Medikamentes zu dem jeweiligen Patienten und seiner Zuführeinrichtung zur Verfügung stellt. Accordingly, it is an object of the invention to provide a system and a method for administering medicaments to a plurality of patients, which provides a high degree of security in the allocation of the correct medicament to the respective patient and his delivery device.
Diese Aufgabe wird systemseitig durch die Merkmale des Patenanspruches 1 und verfah- rensseitig durch die Merkmale des Patentanspruches 8 gelöst. This object is achieved on the system side by the features of patent claim 1 and procedural side by the features of claim 8.
Kerngedanke der Erfindung ist es, dass bei einem System zur Verabreichung von Medikamenten an eine große Zahl von Patienten, insbesondere einen ausgewählten Patienten, folgende Merkmale vorliegen: The central idea of the invention is that in a system for administering medicaments to a large number of patients, in particular a selected patient, the following features are present:
- Mindestens ein mobiles Medikamentenbehältnis mit mindestens einem flüssigen Medika- ment;  - At least one mobile medicine container with at least one liquid medication;
- eine Identifikationselementen-Erzeugungseinrichtung zum Erzeugen mindestens eines ersten Identifikationselementes mit personen-, medikamenten- und/oder behandlungsbe- zogenen ersten Daten, um diese auf dem Medikamentenbehältnis anzubringen; - mindestens eine Leseeinrichtung zum Lesen der ersten Daten von/aus dem ersten Identifikationselement; - An identification element generating means for generating at least a first identification element with personal, drug and / or treatment-related first data to attach them to the medicament container; at least one reading device for reading the first data from / from the first identification element;
- eine Zuführeinrichtung zum Zuführen des Medikamentes aus dem in die Zuführeinrichtung eingesetzten Medikamentenbehältnis in den Patienten;  - A feeding device for supplying the drug from the drug container inserted into the feeder in the patient;
wobei die Leseeinrichtung ebenso zum Lesen von zweiten Daten, die auf/in einem zweiten Identifikationselement, welches dem Patienten zugeordnet ist, angebracht sind, geeignet ist, und mit der Zuführeinrichtung verbunden ist; und  wherein the reading means is also adapted for reading second data mounted on / in a second identification element associated with the patient, and connected to the feeding means; and
wobei eine Steuereinheit innerhalb der Zuführeinrichtung ein ersten Steuersignal zum Akti- vieren des Zuführvorganges an eine einer Mehrzahl von Zuführeinheiten der Zuführeinrichtung sendet, sofern die ersten und zweiten Daten zumindest teilweise übereinstimmend sind.  wherein a control unit within the feeder sends a first control signal for activating the feed operation to one of a plurality of feed units of the feeder, provided that the first and second data are at least partially coincident.
Ein derartiges System zeichnet sich vorteilhaft dadurch aus, dass es eine hohe Sicherheit bei der Übertragung eines präparierten Medikamentes in einem dafür vorgesehenen Medikamentenbehältnis an eine jeweilige Zuführeinrichtung eines Patienten bezüglich der richtigen Zuordnung zur Verfügung stellt, da aufgrund der Verwendung von Identifikationselementen mit den darauf oder darin angebrachten Daten eine Verwechslung derartiger Medikamentenbehältnisse mit den darin enthaltenen Medikamenten nicht mehr möglich ist. Viel- mehr wird aufgrund des Lesens und Vergleichens verschiedener Daten eine Verwechslung der Medikamente ausgeschlossen. Such a system is advantageously characterized by the fact that it provides a high level of security in the transfer of a prepared medicament in a dedicated medicine container to a respective delivery device of a patient for the correct assignment, because of the use of identification elements with or on it attached data is no longer possible confusion of such drug containers with the drugs contained therein. Rather, confusion of drugs is ruled out due to reading and comparing different data.
Hierfür gibt es eine erste Vergleichseinheit innerhalb der Zuführeinrichtung zum Vergleichen der ersten und zweiten Daten hinsichtlich der Übereinstimmung bei den personenbezogenen Daten. Dies bedeutet, dass die Person/der Patient gemäß den ersten Daten, die bereits bei der Medikamentenpräparierung als Zuordnungsperson für das hergestellte Medikament diente, mit denjenigen personenbezogenen Daten der zweiten Daten verglichen werden kann, welche einem Armband oder dergleichen, das mit dem Patienten verbunden ist, entnommen werden kann. Auf diese Weise ist sichergestellt, dass dem richtigen Patienten das richtige Medikament zugeordnet wird, da ansonsten die Steuereinheit kein Freigabesignal für die Aktivierung des Zuführvorganges geben würde. Dies bedeutet, dass die Zuführeinrichtung, welches eine Insulinpumpe sein kann, nicht aktivierbar ist. Vielmehr ist zum Beispiels die Insulinpumpe nur dann aktivierbar, wenn sie das richtige Medikament mit dem dazugehörigen Medikamentenbehältnis, wie beispielsweise eine Spritze, eingesetzt bekommt und eine Übereinstimmung der personenbezogenen Daten, die auf der Spritze und die am Patienten angeordnet sind, feststellt. For this purpose, there is a first comparison unit within the feeder for comparing the first and second data with respect to the personal data match. This means that the person / patient can be compared with the personal data of the second data, which is a wristband or the like associated with the patient, according to the first data already used in drug preparation as an associate for the manufactured drug , can be taken. In this way, it is ensured that the correct drug is assigned to the correct patient, otherwise the control unit would not give a release signal for activating the delivery process. This means that the supply device, which may be an insulin pump, can not be activated. Rather, for example, the insulin pump can only be activated if it gets the right drug with the associated drug container, such as a syringe, used and a Identification of personal data on the syringe and on the patient.
Eine zweite Vergleichseinheit innerhalb der Zuführeinrichtung ist zum Vergleichen der ersten medikamentenbezogenen Daten der ersten Daten mit denen in einer Speichereinheit der Zuführeinrichtung enthaltenen zweiten medikamentenbezogenen Daten vorgesehen. Dies ermöglicht, dass bereits vorgespeicherte Medikamentenzusammensetzungen innerhalb der Speichereinheit der Zuführeinrichtung mit denjenigen Medikamentenzusammensetzungen der Medikamente der eingesetzten Spritze vergleichen werden können, sodass ausge- schlössen wird, dass falsch präparierte Medikamente mit unrealistischen Medikamentenzusammensetzungen dem Patienten verabreicht werden. Vielmehr lässt beispielsweise die zweite Vergleichseinheit der Zuführeinrichtung nur dann eine Zuführvorgang zu, wenn die ersten medikamentenbezogenen Daten der ersten Daten, welche auf dem Identifikationselement des Medikamentenbehältnisses angebracht sind, innerhalb eines Parameters- bzw. Datenbereiches liegen, der als zulässig und geeignet für die zweiten medikamentenbezogenen Daten innerhalb der Speichereinheit abgespeichert ist. Somit wird vermieden, dass ein Patient aus Versehen ein Medikament mit einer Zusammensetzung erhält, die zu einer weiteren Erkrankung des Patienten oder sogar zu einem Todesfall führen könnten. Auch in diesem Fall wird eine höhere Sicherheit bei der Zuordnung des richtigen Medikamentes zu je- dem Patienten sichergestellt. A second comparison unit within the delivery device is provided for comparing the first medication-related data of the first data with the second medication-related data contained in a storage unit of the delivery device. This allows pre-stored drug compositions within the storage unit of the delivery device to be compared to those drug compositions of the syringe used, thus precluding mis-prepared drugs having unrealistic drug compositions from being administered to the patient. Rather, for example, allows the second comparison unit of the feeder to a feeding process only if the first drug-related data of the first data, which are mounted on the identification element of the drug container, within a parameter or data range, which is permissible and suitable for the second drug-related Data is stored within the memory unit. Thus, it is avoided that a patient accidentally receives a drug with a composition that could lead to another disease of the patient or even to a death. In this case, too, a higher level of safety is ensured when assigning the right medication to each patient.
Vorteilhaft kann jede Zusammensetzung des zuvor präparierten Medikamentes automatisch durch die Identifikationselementen-Erzeugungseinrichtung auf das Identifikationselement übertragen werden, sodass sichergestellt ist, dass keine Bestandteile bzw. Zusammenset- zungsanteile durch die behandelnde Person vergessen werden. Advantageously, each composition of the previously prepared medicament can be automatically transferred to the identification element by the identification element generating device, so that it is ensured that no components or components are forgotten by the treating person.
Gemäß einer bevorzugten Ausführungsform ist eine Auswahleinheit der Zuführeinrichtung zum zumindest teilweise Auswählen der ersten und/oder zweiten medikamentenbezogenen Daten angeordnet. Diese Auswahleinheit soll dazu dienen, dass die richtigen medikamen- tenbezogenen Daten ausgewählt werden. Hierbei kann entweder auf erste medikamenten- bezogene Daten, welche auf das Medikamentenbehältnis mittels des Identifikationselementes angeordnet sind, zurückgegriffen werden, oder auf die zweiten medikamentenbezogenen Daten, die innerhalb der Speichereinheit der Zuführeinrichtung abgespeichert sind, um gegebenenfalls diese vorteilhaftere Medikamentenzusammensetzung auszuwählen. Alternativ können Parameter der ausgewählten zweiten medikamentenbezogenen Daten oder ausgewählten ersten medikamentenbezogenen Daten verändert werden, um auf erst jüngst geschehene Ereignisse hin eine veränderte Medikamentenzusammensetzung mit anderen Dosierungen verabreichen zu können. According to a preferred embodiment, a selection unit of the delivery device is arranged for at least partially selecting the first and / or second medication-related data. This selector should be used to select the correct drug-related data. In this case, it is possible to resort either to first medication-related data which are arranged on the medicament container by means of the identification element, or to the second medicament-related data which are stored within the storage unit of the supply device in order, if appropriate, to select this more advantageous medicament composition. alternative For example, parameters of the selected second drug-related data or selected first drug-related data may be altered to be able to administer a modified drug composition at other dosages based on recent events.
Gemäß einer bevorzugten Ausführungsform ist eine Sperreinheit zum Sperren des Starts eines Zuführvorganges bei Empfang eines zweiten Steuersignals der Steuereinheit angeordnet, wobei die Steuereinheit dieses zweite Steuersignal dann sendet, wenn die ersten und zweiten Daten nicht zumindest teilweise übereinstimmend sind. According to a preferred embodiment, a disable unit for inhibiting the start of a feed operation is arranged on receipt of a second control signal of the control unit, wherein the control unit transmits this second control signal when the first and second data are not at least partially coincident.
Eine derartige Sperreinheit hat die Aufgabe, dass die Weiterverfolgung des Vorganges, der einen Zuführvorgang eines Medikamentes an den Patienten starten soll, von Seiten der Zuführeinrichtung nicht möglich ist, wenn nichtübereinstimmende Daten festgestellt werden. Dies bedeutet, dass automatisch ein Abbruch des Vorganges von Seiten des Gerätes statt- findet, sofern nicht übereinstimmende Daten festgestellt werden. Hierdurch soll ein hohes Maß an Sicherheit für eine richtige Zuordnung des Medikamentes zu dem jeweiligen Patienten zur Verfügung gestellt werden. Insbesondere, wenn eine große Anzahl von Medikamentenzuordnungen durch Zuordnungen der Medikamentenbehältnisse zu den verschiedenen Infusionspumpen in verschiedenen Räumen eines Krankenhauses vorliegt, ist die Gefahr einer falschen Zuordnung eines Medikamentes zu dem falschen Patienten hierdurch ausgeschaltet, da die Infusionspumpe bzw. die Zuführeinrichtung eine derartige Verabreichung eines Medikamentes gar nicht zulässt. Vielmehr wird mittels der Sperreinheit ein Beenden des Vorganges erreicht. Das Identifikationselement ist vorteilhaft ein Barcode-Label, ein Datamatrix-Code-Label und/oder ein Transponder. Diese Labels können vorteilhaft auf die Außenfläche des Such a blocking unit has the task that the follow-up of the process, which should start a delivery process of a drug to the patient, from the side of the feeder is not possible if non-matching data are detected. This means that the process is automatically aborted by the device unless matching data is detected. This is intended to provide a high degree of security for a correct allocation of the medicament to the respective patient. In particular, when there are a large number of drug allocations due to allocations of the medication containers to the different infusion pumps in different rooms of a hospital, the risk of misallocation of a medication to the wrong patient is thereby eliminated since the infusion pump or delivery means such administration of a medicament not at all. Rather, a termination of the process is achieved by means of the blocking unit. The identification element is advantageously a barcode label, a data matrix code label and / or a transponder. These labels can be beneficial to the outer surface of the
Medikamentenbehältnisses aufgeklebt werden, wobei der Barcode-Label und das Be adhered to a medicine container, the barcode label and the
Datamatrix-Code-Label aus der Identifikationselementen-Erzeugungseinrichtung ausgedruckt wird und bei Vorliegen eines Transponders die Daten mittels eines Writers auf den Transponder aufgespeichert werden. Dieser Transponder kann dann an der Zuführeinrichtung mittels eines Readers ausgelesen werden, wohingegen die Barcode-Label und Data matrix code label is printed from the identification element generating device and in the presence of a transponder, the data is stored by means of a writer on the transponder. This transponder can then be read at the feeder by means of a reader, whereas the barcode label and
Datamatrix-Code-Label mittels eines Barcode-Scanners oder Datamatrix-Code-Scanners ausgelesen werden können. Vorteilhaft ist die Zuführeinrichtung eine Insulinpumpe, die Zuführeinheit eine von mehreren Insulinpumpeneinheiten und das Medikamentenbehältnis eine Spritze. Datamatrix code label can be read by means of a barcode scanner or data matrix code scanner. Advantageously, the delivery device is an insulin pump, the delivery unit is one of a plurality of insulin pump units and the medicament container is a syringe.
Ein Verfahren zur Verabreichung von Medikamenten für Patienten weist vorteilhaft folgende Schritte auf: A method for administering medicaments for patients advantageously has the following steps:
- Präparierung mindestens eines flüssigen Medikamentes in einem mobilen Medikamentenbehältnis; - preparation of at least one liquid medicament in a mobile medicament container;
- Erzeugen mindestens eines ersten Identifikationselementes mit personen-, medikamenten- und/oder behandlungsbezogenen ersten Daten mittels einer Identifikationselementen-Er- zeugungseinrichtung;  Generating at least one first identification element with personal, medicament and / or treatment-related first data by means of an identification element generation device;
- Aufbringen des Identifikationselementes auf dem Medikamentenbehältnis; - Applying the identification element on the medicament container;
- Lesen der ersten Daten von/aus dem ersten Identifikationselement mittels mindestens einer Leseeinrichtung;  - reading the first data from / from the first identification element by means of at least one reading device;
- Lesen von zweiten Daten, die auf/in einem zweiten Identifikationselement angebracht sind, welches dem Patienten zugeordnet ist;  Reading second data attached to / in a second identification element associated with the patient;
- Vergleichen der ersten und zweiten Daten auf zumindest teilweise Übereinstimmung mittels einer ersten Vergleichseinheit; und - Comparing the first and second data to at least partial agreement by means of a first comparison unit; and
- Aktivieren eines Zuführvorganges zum Zuführen des Medikamentes zu dem Patienten mit einer Zuführeinrichtung mittels eines ersten Steuersignals einer Steuereinheit der Zuführeinrichtung.  Activating a delivery process for delivering the medicament to the patient with a delivery device by means of a first control signal of a control unit of the delivery device.
Ein derartiges Verfahren ermöglicht das selbsttätige bzw. automatische Vergleichen von gelesenen Daten, um sicherzustellen, dass nur bei Vorliegen einer Übereinstimmung der gelesenen Daten der Vorgang weiter vorangetrieben wird und somit ein Zuführvorgang des Medikamentes an den Patienten möglich ist. Hierdurch ergibt sich ein hohes Maß an einer si- cheren Zuordnung des richtigen Medikamentes an den richtigen Patienten, um eine Verabreichung falscher Medikamente und somit weitere ungewollte Krankheitserscheinungen des Patienten zu vermeiden. Such a method allows the automatic or automatic comparison of read data to ensure that only in the presence of a match of the read data, the process continues to be driven and thus a delivery process of the drug to the patient is possible. This results in a high degree of a secure allocation of the right drug to the right patient in order to avoid the administration of wrong medication and thus further unwanted symptoms of the patient.
Gemäß einer bevorzugten Ausführungsform des erfindungsgemäßen Verfahrens wird in ei- nem Schritt des Lesens dritter Daten, die auf/in einem dritten Identifikationselement angebracht sind, welches einer patientenbehandelnden Person zugeordnet ist, sichergestellt, dass nur die zugelassene behandelnde Person, also eine Person aus dem klinischen Personal, die Verabreichung des Medikamentes mit der richtigen Zuordnung an dem Patienten durchführt. Andere Personen haben somit keinen Zugang zu dem Verabreichungsgerät, welches die die Zuführeinrichtung darstellt. Hierdurch kann ein Schutz gegen unerlaubtes Betätigen der Zuführeinrichtung und der Zuführung von Medikamenten erreicht werden. Ebenso ist vorteilhaft ein Schritt des Vergleichens von ersten medikamentenbezogenen Daten der ersten Daten mit in einer Speichereinheit der Zuführeinrichtung gespeicherten zwei- ten medikamentenbezogenen Daten vorgesehen. In diesem Schritt wird sichergestellt, dass die ersten medikamentenbezogenen Daten, welche auf dem Identifikationselement abgespeichert sind, mit in der Speichereinheit gespeicherten zweiten medikamentenbezogenen Daten abgeglichen werden und somit festgestellt werden kann, ob die Medikamentenzusammensetzung innerhalb des Medikamentenbehältnisses einem zugelassenen Medika- mentenzusammensetzungsbereich entspricht, innerhalb welcher die zu verabreichenden Medikamente zu liegen haben. According to a preferred embodiment of the inventive method is in a step of reading third data, which are attached to / in a third identification element, which is associated with a patient-handling, ensures that only the authorized person to be treated, ie a person from the clinical Personnel performing administration of the drug with proper assignment to the patient. Other persons thus have no access to the administering device, which represents the feeder. As a result, protection against unauthorized operation of the feeder and the delivery of drugs can be achieved. Likewise, advantageously, a step of comparing first drug-related data of the first data with second drug-related data stored in a storage unit of the delivery device is provided. In this step, it is ensured that the first medication-related data stored on the identification element can be compared with the second medication-related data stored in the storage unit and thus it can be determined whether the drug composition within the medication container corresponds to an approved medication composition range within which the drugs to be administered have to lie.
Weitere vorteilhafte Ausführungsformen ergeben sich aus den Unteransprüchen. Vorteile und Zweckmäßigkeiten sind der nachfolgenden Beschreibung in Verbindung mit der Zeich- nung zu entnehmen. Hierbei zeigen: Further advantageous embodiments will become apparent from the dependent claims. Advantages and expediencies can be found in the following description in conjunction with the drawings. Hereby show:
Fig. 1 In einer schematischen Darstellung das erfindungsgemäße System gemäß einer Ausführungsform der Erfindung in seinem Funktionsablauf; und Fig. 2a und 2b das erfindungsgemäße Verfahren gemäß einer Ausführungsform der Erfindung. 1 is a schematic representation of the system according to the invention according to an embodiment of the invention in its functional sequence; and FIGS. 2a and 2b show the method according to the invention according to an embodiment of the invention.
In Fig. 1 ist in einer schematischen Darstellung das erfindungsgemäße System einer Ausführunsform der Erfindung gezeigt. In einer Rechnereinrichtung 1 wird mittels einer Tas- tatur 2 die Medikamentenzusammensetzung mit den dazugehörigen Daten bezüglich der Person und der Behandlungsart von dem medizinischen Personal eingegeben. In Fig. 1, the system according to the invention an Ausführunsform of the invention is shown in a schematic representation. In a computer device 1, the medicament composition with the associated data relating to the person and the type of treatment is entered by the medical staff by means of a keyboard 2.
Anschließend wird innerhalb einer Identifikationselementen-Erzeugungseinrichtung 3, die in Form eines Barcode-Druckers vorliegt, ein Barcode 5a gedruckt, welcher zumindest Teile der personen-, medikamenten- und/oder behandlungsbezogenen ersten Daten beinhaltet. Dieser Barcode wird als Label ausgedruckt und umfasst zum Beispiel als personenbezogene Daten eine Patientenidentifikationsnummer, als medikamentenbezogene Daten den Namen des Medikamentes und dessen Konzentration und als behandlungsbezogene Daten verschiedene Dosierungsparameter, wie beispielsweise die Dauer der Dosierung. Beispielsweise kann das Barcode-Label zusätzlich zu dem Barcode oder den Datamatrix- Code die Aufschrift„Hans Müller",„Adrenalin",„2mg/50" aufweisen. Dies bedeutet, dass eine Dosierung von 2mg/50 für das Medikament Adrenalin, welches innerhalb einer Spritze 5 an- zuordnen ist, vorliegt. Zeitgleich wird in einer Medikamentenpräparationsstation 4 das Medikament in einer Zusammensetzung präpariert und der Spritze 5 zugegeben. Anschließend oder zuvor wird der Barcode 5a mittels einer Klebefläche auf die Spritze 5 aufgeklebt. Subsequently, within an identification element generating device 3, which is in the form of a barcode printer, a barcode 5a is printed, which contains at least parts of the personal, drug and / or treatment-related first data. This barcode is printed as a label and includes, for example as personal data, a patient identification number, as drug-related data, the name of the drug and its concentration, and as treatment-related data, various dosage parameters, such as the duration of the dosage. For example, the barcode label may have the words "Hans Müller", "adrenaline", "2mg / 50" in addition to the barcode or the Datamatrix code, meaning that a dosage of 2 mg / 50 for the drug adrenaline, which is within At the same time, the medicament is prepared in a composition in a medicament preparation station 4 and added to the syringe 5. Subsequently or previously, the barcode 5a is adhesively bonded to the syringe 5 by means of an adhesive surface.
Anschließend wird in einer Leseeinrichtung 6 mittels eines Barcode-Scanners 7 das Barcode-Label 5a ausgelesen, wodurch die personenbezogenen-, medikamentenbezogenen- und behandlungsbezogenen Daten innerhalb einer Zuführeinrichtung 1 1 eingelesen werden. Subsequently, the barcode label 5a is read in a reading device 6 by means of a barcode scanner 7, whereby the personal, drug-related and treatment-related data are read in within a feeder 11.
Zugleich wird von einem Armband 10 eines Patienten 9 ein Barcode, der auf diesem Armband 10 angeordnet ist und ebenso personenbezogene Daten enthält, mittels eines weiteren oder des gleichen Barcode-Scanners 8 ausgelesen. At the same time, a barcode 10 of a patient 9, which is arranged on this wristband 10 and also contains personal data, is read out by means of another or the same barcode scanner 8.
Die ausgewiesenen Daten werden anschließend an eine erste Vergleichseinheit 15 weitergesendet, die innerhalb der Zuführeinrichtung 1 1 vorzugsweise angeordnet ist. Die Vergleichseinheit 15 vergleicht die personenbezogenen Daten, wie sie auf dem Armband 10 beispielsweise mittels eines Barcodes angeordnet sind, mit den personenbezogenen Daten des Barcode-Labels 5a, wie sie ursprünglich von der Recheneinheit 1 unter Bezugnahme auf das durch die Medikamentenpräparierungsstation 4 hergestellte Medikament hergestellt worden sind. Sofern innerhalb der ersten Vergleichseinheit 15 eine Übereinstimmung der personenbezogenen Daten aber auch gegebenenfalls der medikamentenbezogenen Daten festgestellt wird, wird ein entsprechendes Signal von der ersten Vergleichseinheit 15 an eine Steuereinheit 16 weitergeleitet, welche veranlasst, dass mittels einer Steuerleitung ein erstes Steuersignal 13 an die eingesetzte Infusionsspritze 14 zum Betätigen der Zuführeinheit 12b für ein Zusammendrücken der Spritze 14 gesendet wird. The reported data are then forwarded to a first comparison unit 15, which is preferably arranged within the feeder 11. The comparison unit 15 compares the personal data, such as those arranged on the bracelet 10, for example by means of a bar code, with the personal data of the bar code label 5a, as originally produced by the computing unit 1 with reference to the drug produced by the drug preparation station 4 are. If, within the first comparison unit 15, a correspondence of the personal data but also, if necessary, of the drug-related data is determined, a corresponding signal is forwarded by the first comparison unit 15 to a control unit 16, which causes a first control signal 13 to be applied to the inserted infusion syringe by means of a control line 14 for actuating the feeding unit 12b for compressing the syringe 14 is sent.
Jeweils zu beachten ist, dass in verschiednen Zuführeinheiten 12a, 12b, 12c, 12d und 12e verschiedene Spritzen anordenbar sind, die verschiedene Medikamente für die Verabrei- chung an den Patienten beinhalten. In diesem Fall handelt es sich bei der Spritze 14 um diejenige Spritze 5, die das Medikament, wie es zuvor vorbereitet worden war, beinhaltet. It should be noted in each case that different syringes can be arranged in different delivery units 12a, 12b, 12c, 12d and 12e, which can be administered different medicaments for administration. to the patient. In this case, the syringe 14 is the syringe 5 containing the drug as previously prepared.
Sofern die erste Vergleichseinheit feststellt, dass keine Übereinstimmung bei den personen- bezogenen Daten und gegebenenfalls medikamentenbezogenen Daten existiert, wird die Steuereinheit 16 ein entsprechendes Signal an eine Sperreinheit 20 senden, um mittels dieser Sperreinheit eine Beendigung des Vorganges und eine Sperrung der gesamten Zuführeinrichtung 1 1 zu erwirken. Somit ist sichergestellt, dass der Person nicht das falsche Medikament zugeordnet wird, da das Medikament personenbezogene Daten und das Armband der Person 19 bzw. des Patienten 19 personenbezogene Daten, die damit übereinstimmen müssen, beinhaltet. If the first comparison unit determines that there is no correspondence in the personal data and, if appropriate, medication-related data, the control unit 16 will send a corresponding signal to a blocking unit 20 in order to use this blocking unit to terminate the procedure and block the entire delivery device 11 to obtain. Thus, it is ensured that the person is not assigned the wrong drug, since the drug personal data and the bracelet of the person 19 or the patient 19 includes personal data that must agree with it.
Zugleich oder zuvor werden mittels des Barcode-Scanners 7 oder des Barcode-Scanners 8 von einem Armband einer Krankenschwester dritte Daten eingelesen, die die personenbezo- genen Daten der Krankenschwester beinhalten. Diese dritten Daten dienen dazu, diese mit fest gespeicherten Daten, die beispielsweise in einer Speichereinheit 19 enthalten sein können, zu vergleichen, um festzustellen, dass die Krankenschwester zugangsberechtigt für die Bedienung dieses Gerätes bzw. dieser Zuführeinrichtung 1 1 ist. Falls festgestellt wird, dass es sich hierbei um andere personenbezogene Daten handelt, beispielsweise, weil diese Krankenschwester nicht für die Verabreichung von Insulin berechtigt ist, wird - entsprechend den Signalen einer Steuereinheit die <Sperreinheit 20> wiederum aktiviert, die ein Beenden des Vorgangs der Zuführeinrichtung 1 1 bewirkt. At the same time or beforehand, by means of the barcode scanner 7 or the barcode scanner 8, third data are read in by a nurse's bracelet containing the personal data of the nurse. These third data serve to compare them with permanently stored data, which may for example be contained in a memory unit 19, in order to establish that the nurse is authorized to operate this device or this supply device 11. If it is determined that this is other personal data, for example, because this nurse is not authorized to administer insulin, the <inhibit 20> is activated again in accordance with the signals of a control unit, which terminates the feeder operation 1 1 causes.
Medikamentenbezogene Daten der ersten Daten werden mit medikamentenbezogenen zwei- ten Daten, die in der Speichereinheit 19 enthalten sind, verglichen. Dieser Vergleich findet innerhalb einer zweiten Vergleichseinheit 18 statt. Sofern bei einem derartigen Vergleich festgestellt wird, dass Abweichungen zwischen den mittels dem Barcode-Scanner 7 eingelesenen medikamentenbezogenen ersten Daten und den medikamentenbezogenen zweiten Daten aus der Speichereinheit 19 existieren, oder die ersten Daten außerhalb eines vorge- sehenen Bereichs für die zweiten Daten liegt, wird mittels einer Anzeigeeinheit und Eingabeeinheit 17 der Benutzer bzw. die Krankenschwester befragt, ob sie dennoch die Behandlung fortsetzen möchte und welche Daten sie ausführen möchte. Demzufolge kann die Krankenschwester die ersten medikamentenbezogenen Daten oder die zweiten medikamentenbezogenen Daten auswählen, um die Behandlung fortzusetzen. Zusätzlich oder zeitgleich kann selbstverständlich die Krankenschwester eine Veränderung der Parameter an der Zuführeinrichtung 1 1 mittels der Anzeige- und Eingabeeinheit 17 durchführen, um beispielsweise hierdurch die Dosierung des zu verabreichenden Medika- mentes zu verändern. Dies geschieht im stetigen Datenaustausch mit der Steuereinheit 16, die anschließend wiederum entsprechend die Zuführeinheit 12b ansteuert. Medication-related data of the first data are compared with drug-related second data contained in the storage unit 19. This comparison takes place within a second comparison unit 18. If it is determined in such a comparison that deviations exist between the medicament-related first data read in by means of the barcode scanner 7 and the medicament-related second data from the storage unit 19, or if the first data lies outside a prescribed range for the second data by means of a display unit and input unit 17, the user or the nurse questions whether they still want to continue the treatment and what data they want to perform. As a result, the nurse may select the first medication-related data or the second medication-related data to continue the treatment. In addition, or at the same time, of course, the nurse can perform a change of the parameters on the delivery device 11 by means of the display and input unit 17 in order to change the dosage of the medication to be administered, for example. This is done in continuous data exchange with the control unit 16, which then in turn accordingly controls the feed unit 12b.
Sofern bei einem Vergleich der zweiten Vergleichseinheit 18 der Benutzer bzw. die Krankenschwester sich für eine der Datensätze bzw. den ersten oder zweiten medikamentenbe- zogenen Datensatz entscheiden möchte, wird mittels einer Auswahleinheit 21 ein entsprechendes Ausfallsignal an die Steuereinheit 16 gesendet, welche wiederum die Zuführeinheit 12b mit der darin eingesetzten Spritze 14 entsprechend den ausgewählten Daten ansteuert, um den Zuführvorgang zu starten oder gegebenenfalls fortzuführen. Nach erfolgter Verabreichung des Medikamentes, welches beispielsweise Insulin sein kann, wird wiederum eine automatisierte Dokumentation der Verabreichungsparameter und des gesamten Zuführvorganges sowie des gesamten Ablaufes selbsttätig erstellt, wobei dieser vorzugsweise in der Rechnereinrichtung 1 geschieht. Dies kann gemäß dem Pfeil 22 beispielsweise mittels Wireless-LAN geschehen. If, in a comparison of the second comparison unit 18, the user or the nurse wishes to decide for one of the data records or the first or second drug-related data set, a corresponding failure signal is sent to the control unit 16 by means of a selection unit 21, which in turn controls the delivery unit 12b with the syringe 14 inserted therein in accordance with the selected data to start or optionally continue the feeding process. After the administration of the medicament, which may be, for example, insulin, an automated documentation of the administration parameters and of the entire delivery process as well as of the entire procedure is again automatically generated, this preferably taking place in the computer device 1. This can be done according to the arrow 22, for example by means of wireless LAN.
In Fig. 2a und 2b ist das erfindungsgemäße Verfahren gemäß einer Ausführungsform der Erfindung gezeigt. In Fig. 2a and 2b, the inventive method according to an embodiment of the invention is shown.
In einem Schritt 25 wird die Präparierung eines Medikamentes gemäß eingegebenen Para- metern und Daten durchgeführt. In einem Schritt 26 findet dann daraufhin eine automatisierte Erzeugung eines Barcode-Labels zum Aufbringen auf ein Medikamentenbehältnis statt. In a step 25, the preparation of a drug is carried out according to parameters and data entered. In a step 26, an automated generation of a barcode label for application to a medicament container then takes place.
Im Schritt 27 wird dann anschließend das Aufbringen des Barcode-Labels als ID-Element mittels beispielsweise einer Klebefläche durchgeführt. In step 27, the application of the barcode label as an ID element is subsequently carried out by means of, for example, an adhesive surface.
Nach Ankunft der Spritze bei der Zuführeinrichtung in Form einer Insulinpumpe findet ein Lesen 28 der ersten Daten, die auf dem Barcode-Label, vorzugsweise verschlüsselt, enthalten sind, statt. Zeitgleich findet ein Lesen von zweiten Daten 29, die auf einem Armband in Form eines Barcode-Labels, vorzugsweise verschlüsselt, angebracht sind, statt. Nun wird ein Vergleich zwischen den ersten und zweiten Daten auf deren Übereinstimmung gemäß Schritt 30 durchgeführt, um im Falle einer Nichtübereinstimmung ein Beenden des gesamten Vorganges gemäß Schritt 31 herbeizuführen. Sofern jedoch übereinstimmende Daten, insbesondere hinsichtlich der personenbezogenen Daten, festgestellt worden sind, findet ein Lesen 32 dritter Daten statt, die in einem Schritt 33 wiederum mit bereits in der Insulinpumpe abgespeicherten Daten verglichen werden. Hierbei handelt es sich um Daten zu der behandelnden Person, um festzustellen, ob diese Person zugangsberechtigt ist. Sofern dies verneint wird, wird in einem Schritt 34 keine Zulassung zur Behandlung erlaubt und es findet eine Beendigung statt. Upon arrival of the syringe at the delivery device in the form of an insulin pump, reading 28 of the first data contained on the barcode label, preferably encrypted, takes place. At the same time a reading of second data 29, which are mounted on a bracelet in the form of a bar code label, preferably encrypted, takes place. Now, a comparison between the first and second data is made for their match according to step 30, so as to bring about a termination of the entire process according to step 31 in the event of a mismatch. If, however, matching data, in particular with regard to the personal data, have been determined, reading 32 of third data takes place, which in turn is compared in a step 33 with data already stored in the insulin pump. This is data about the attending person to determine if this person is eligible. If this is denied, in a step 34 no admission to the treatment is allowed and a termination takes place.
Wenn jedoch festgestellt wird, dass die Krankenschwester als behandelnde Person zugangsberechtigt und behandlungsberechtigt ist, werden in einem Schritt 35 erste medika- mentenbezogene Daten mit zweiten medikamentenbezogenen Daten auf Übereinstimmung verglichen. Dies soll sicherstellen, dass nicht die medikamentenbezogenen Daten des Barcodes, wie er auf der Spritze angebracht ist, ungewollt von vorgesehen medikamentenbezogenen Datenbereichen, die bereits innerhalb der Insulinpumpe abgespeichert sind, abweichen. Sofern ein derartiger Vergleich zu einer Verneinung hinsichtlich der Übereinstimmung führt, wird in einem Schritt 36 ein Beenden des Vorganges durchgeführt. However, if it is determined that the nurse is authorized to access and entitled to treatment as a subject, in a step 35, first drug related data is compared to second drug related data for compliance. This is to ensure that not the drug-related data of the barcode, as it is attached to the syringe, unintentionally deviate from intended drug-related data areas that are already stored within the insulin pump. If such a comparison leads to a denial regarding the match, a termination of the process is carried out in a step 36.
Sofern eine Bejahung dieses Vergleichs gemäß Schritt 35 festgestellt wird, wird in einem Schritt 37 ein Freigabesignal an eine der Zuführeinheiten und ein Aktivieren des Zuführvorganges gesendet. Anschließend findet in einem Schritt 38 ein Anzeigen von Zuführparametern statt. If an affirmation of this comparison is determined according to step 35, a release signal is sent to one of the feed units and an activation of the feed operation in a step 37. Subsequently, in a step 38, display of feed parameters takes place.
Bei erneuter Präparierung im Falle einer Veränderung gemessener Blutglucoserichtwerte gemäß Schritt 39 wird gemäß dem Pfeil 40 der Kreislauf von vorne gestartet. In the case of a renewed preparation in the event of a change in measured blood glucose values according to step 39, the cycle is started from the beginning according to arrow 40.
Sämtliche in den Anmeldungsunterlagen offenbarten Merkmale werden als erfindungswe- sentlich beansprucht, sofern sie einzeln oder in Kombination gegenüber dem Stand der Technik neu sind. Bezugszeichenliste All features disclosed in the application documents are claimed as essential to the invention insofar as they are novel individually or in combination with respect to the prior art. LIST OF REFERENCE NUMBERS
1 Rechnereinrichtung 1 computer device
2 Tastatur  2 keyboard
3 Identifikationselementen-Erzeugungseinrichtung 3 identification element generating device
4 Medikamentenpräparationsstation 4 drug preparation station
5 Spritze  5 syringe
5a Barcode  5a barcode
6 Leseeinrichtung  6 reading device
7 erster Barcode-Scanner  7 first barcode scanner
8 weiterer Barcode-Scanner  8 additional barcode scanners
9 Patient  9 patient
10 Armband  10 bracelet
1 1 Zuführeinrichtung  1 1 feeder
12a Zuführeinheit  12a feeder unit
12b Zuführeinheit  12b feeder unit
12c Zuführeinheit  12c feeder unit
12d Zuführeinheit  12d feed unit
12e Zuführeinheit  12e feed unit
13 Steuersignal  13 control signal
14 Infusionsspritze  14 infusion syringe
15 Vergleichseinheit  15 comparison unit
16 Steuereinheit  16 control unit
17 Eingabeeinheit  17 input unit
18 Vergleichseinheit  18 comparison unit
19 Speichereinheit  19 storage unit
20 Sperreinheit  20 blocking unit
21 Auswahleinheit  21 selection unit
22 Pfeil  22 arrow
25 Präparierung des Medikamentes  25 Preparation of the drug
26 Erzeugung des Barcode-Labels  26 Generation of the barcode label
27 Aufbringen des Barcode-Labels 28 Lesen der ersten Daten 27 Application of the barcode label 28 Reading the first data
29 Lesen der zweiten Daten  29 Reading the second data
30 Vergleich zwischen den ersten und zweiten Daten  30 Comparison between the first and second data
31 Beenden des gesamten Vorganges im Falle der Nichtübereinstimmung 32 Lesen dritter Daten  31 Completion of the entire process in case of non-compliance 32 Reading of third data
33 Vergleichen der dritten Daten mit bereits abgespeicherten Daten  33 Compare the third data with already stored data
34 Beendigung des Vorgangs wegen Nichtzulassung der Behandlung 34 Termination for non-admission of treatment
35 Vergleichen der ersten medikamentenbezogenen Daten mit den zweiten35 comparing the first drug-related data with the second
36 Beenden des Vorganges 36 Ending the process
37 Senden eines Freigabesignals an eine der Zuführeinheiten 37 sending a release signal to one of the feeder units
38 Anzeigen der Zuführparameter  38 View the feed parameters
39 erneute Präparierung b. einer Veränderung gemessener Blutglukosewerte 39 re-preparation b. a change in measured blood glucose levels
40 Pfeil - Start des Kreislaufs von vorne 40 arrow - Start of the cycle from the front

Claims

Patentansprüche claims
System zur Verabreichung von Medikamenten für einen Patienten, umfassend:A system for administering medicaments to a patient comprising:
- Mindestens ein mobiles Medikamentenbehältnis (5) mit mindestens einem flüssigen Medikament; - At least one mobile medicine container (5) with at least one liquid drug;
- eine Identifikationselementen-Erzeugungseinrichtung (3) zum Erzeugen  - An identification element generating means (3) for generating
mindestens eines ersten Identifikationselementes (5a) mit personen-, medi- kamenten- und/oder behandlungsbezogenen ersten Daten, um dieses auf den Medikamentenbehältnis (5) anzubringen;  at least one first identification element (5a) with personal data, medicaments and / or treatment-related first data in order to apply this to the medicament container (5);
- mindestens eine Leseeinrichtung (6) zum Lesen der ersten Daten von/aus dem ersten Identifikationselement (5a);  - At least one reading device (6) for reading the first data from / from the first identification element (5a);
- mindestens eine Zuführeinrichtung zum Zuführen des Medikamentes aus dem in die Zuführeinrichtung (1 1 ) eingesetzten Medikamentenbehältnis (5, 14) in den Patienten, wobei  - At least one feeding device for supplying the drug from the in the feeder (1 1) used drug container (5, 14) in the patient, wherein
die Leseeinrichtung (6) ebenso zum Lesen von zweiten Daten, die auf/in einem zweiten Identifikationselement (10), welches dem Patienten (9) zugeordnet ist, angebracht sind, geeignet ist, und mit der Zuführeinrichtung (1 1 ) verbunden ist, und  the reading means (6) is also adapted to read second data attached to / in a second identification element (10) associated with the patient (9) and connected to the delivery means (11), and
- und eine Steuereinrichtung (16) innerhalb der Zuführeinrichtung (1 1 ) ein erstes Steuersignal (13) zum Aktivieren des Zuführvorganges an zumindest eine aus einer Mehrzahl  - And a control device (16) within the feeder (1 1), a first control signal (13) for activating the feed to at least one of a plurality
von Zuführeinheiten (12a-e) der Zuführeinrichtung (1 1 ) sendet, sofern der die ersten und zweiten Daten zumindest teilweise übereinstimmend sind.  from feed units (12a-e) of the feeder (11), provided that the first and second data are at least partially coincident.
System nach Anspruch 1 , System according to claim 1,
g e k e n n z e i c h n e t d u r c h marked by
eine erste Vergleichseinheit (15) innerhalb der Zuführeinrichtung (1 1 ) zum a first comparison unit (15) within the feed device (1 1) for
Vergleichen der ersten und zweiten Daten hinsichtlich der Übereinstimmung bei den personenbezogenen Daten. Compare the first and second data for match the personal data.
System nach Anspruch 1 oder 2, System according to claim 1 or 2,
geken nzeich net du rch  marked by
eine zweite Vergleichseinheit (18) innerhalb der Zuführeinrichtung (11 ) zum  a second comparison unit (18) within the feed device (11) for
Vergleichen der ersten medikamentenbezogenen Daten der ersten Daten mit in einer Speichereinheit (19) der Zuführeinrichtung (11) enthaltenden zweiten medikamentenbezogenen Daten.  Comparing the first drug-related data of the first data with second drug-related data contained in a storage unit (19) of the delivery device (11).
System nach Anspruch 3, System according to claim 3,
geken nzeich net du rch  marked by
eine Auswahleinheit (21 ) der Zuführeinrichtung (11 ) zum zumindest teilweise Auswählen der ersten und/oder zweiten medikamentenbezogenen Daten.  a selection unit (21) of the delivery device (11) for at least partially selecting the first and / or second medication-related data.
System nach einem der vorangegangenen Ansprüche, System according to one of the preceding claims,
geken nzeich net du rch  marked by
eine Sperreinheit (22) zum Sperren des Starts eines Zuführvorganges bei  a lock unit (22) for inhibiting the start of a feed operation
Empfang eines zweiten Steuersignals der Steuereinheit (16), welches gesendet wird, wenn die ersten und zweiten Daten nicht zumindest teilweise übereinstimmend sind.  Receiving a second control signal of the control unit (16), which is sent when the first and second data are not at least partially coincident.
System nach einem der vorangegangenen Ansprüche, System according to one of the preceding claims,
dadurch geken nzeichnet, dass  characterized in that
das Identifikationselement (5a) ein Barcode-Label, ein Datamatrix-Code-Label und/oder ein Transponder ist.  the identification element (5a) is a barcode label, a data matrix code label and / or a transponder.
System nach einem der vorangegangenen Ansprüche, System according to one of the preceding claims,
dadurch gekennzeichnet, dass  characterized in that
die Zuführeinrichtung eine Insulinpumpe (11), die Zuführeinheit eine von mehreren Insulinpumpeneinheiten (12a-12d) und das Medikamentenbehältnis eine Spritze (5) ist.  the delivery device is an insulin pump (11), the delivery unit is one of a plurality of insulin pump units (12a-12d) and the medicament container is a syringe (5).
8. Verfahren zur Verabreichung von Medikamenten für Patienten, mit folgenden Schritten: - Präparierung (25) mindestens eines flüssigen Medikamentes in einem mobilen Medikamentenbehältnis (5); 8. Method for administering medicaments for patients, comprising the following steps: - preparing (25) at least one liquid medicament in a mobile medicament container (5);
- Erzeugen (26) mindestens eines ersten Identifikationselementes (5a) mit personen-, medikamenten- und/oder behandlungsbezogenen ersten Daten mittels einer Identifikationselementen-Erzeugungseinrichtung (3);  - generating (26) at least one first identification element (5a) with personal, medicament and / or treatment-related first data by means of an identification element generation device (3);
-Aufbringen (27) des Identifikationselementes (5a) auf dem Medikamentenbehältnis (5);  Applying (27) the identification element (5a) on the medicament container (5);
- Lesen (28) der ersten Daten von/aus dem ersten Identifikationselement (5a) mittels mindestens einer Leseeinrichtung (6);  - reading (28) the first data from / from the first identification element (5a) by means of at least one reading device (6);
- Lesen (29) von zweiten Daten, die auf/in einem zweiten Identifikationselement (10) angebracht sind, welches dem Patienten (9) zugeordnet ist;  - reading (29) second data attached to / in a second identification element (10) associated with the patient (9);
- Vergleichen (30) der ersten und zweiten Daten auf zumindest teilweise Übereinstimmung mittels einer ersten Vergleichseinheit (15); und  Comparing (30) the first and second data to at least partial match by means of a first comparison unit (15); and
- Aktivieren (37) eines Zuführvorganges zum Zuführen des Medikamentes dem Patienten (9) mit einer Zuführeinrichtung (11) mittels eines ersten Steuersignals (13) einer Steuereinheit (16) der Zuführeinrichtung (11 ).  - Activation (37) of a feeding operation for supplying the medicament to the patient (9) with a feed device (11) by means of a first control signal (13) of a control unit (16) of the feed device (11).
9. Verfahren nach Anspruch 8, 9. The method according to claim 8,
geken nzeich net du rch  marked by
einen Schritt (32) des Lesens dritter Daten, die auf/in einem dritten Identifikationselement angebracht sind, welches einer patientenbehandelnden Person zugeordnet ist.  a step (32) of reading third data attached to / in a third identification element associated with a patient-handling person.
10. Verfahren nach Anspruch 8 oder 9, 10. The method according to claim 8 or 9,
geken nzeich net du rch  marked by
einen Schritt (35) des Vergleichens von ersten medikamentenbezogenen Daten der ersten Daten mit in einer Speichereinheit (19) der Zuführeinrichtung (11) gespeicherten zweiten medikamentenbezogenen Daten.  a step (35) of comparing first drug-related data of the first data with second drug-related data stored in a storage unit (19) of the delivery device (11).
EP11706274A 2010-03-05 2011-03-03 System and method for administering medicaments to a patient Ceased EP2542276A1 (en)

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DE102010012733 2010-03-24
PCT/EP2011/053246 WO2011107569A1 (en) 2010-03-05 2011-03-03 System and method for administering medicaments to a patient

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EP11707651.3A Not-in-force EP2542151B1 (en) 2010-03-05 2011-03-03 System for determining treatment-related data for the administration of drugs to patients to be treated taking into account important individual factors
EP11706275A Ceased EP2542991A1 (en) 2010-03-05 2011-03-03 System and method for monitoring the time period for blood parameter monitoring processes
EP11706274A Ceased EP2542276A1 (en) 2010-03-05 2011-03-03 System and method for administering medicaments to a patient
EP11706276A Ceased EP2542886A1 (en) 2010-03-05 2011-03-03 System and method for monitoring at least one blood parameter
EP11706599.5A Active EP2542142B1 (en) 2010-03-05 2011-03-03 System for administering medicaments on the basis of urine values
EP11707397.3A Active EP2542992B1 (en) 2010-03-05 2011-03-03 System for data transmission in determination of medicament parameters

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EP11707397.3A Active EP2542992B1 (en) 2010-03-05 2011-03-03 System for data transmission in determination of medicament parameters

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WO2011107570A1 (en) 2011-09-09
WO2011107566A1 (en) 2011-09-09
CN102762240A (en) 2012-10-31
JP2013519481A (en) 2013-05-30
BR112012019624A2 (en) 2016-05-03
CN102834048B (en) 2016-03-30
EP2542142A1 (en) 2013-01-09
WO2011107571A1 (en) 2011-09-09
US9861745B2 (en) 2018-01-09
IL221166B (en) 2018-06-28
US20120323215A1 (en) 2012-12-20
MX2012009058A (en) 2012-09-07
CA2787324A1 (en) 2011-09-09
RU2012134289A (en) 2014-02-27
CN102713615A (en) 2012-10-03
CA2789191A1 (en) 2011-09-09
MX2012008144A (en) 2012-08-03
EP2542151A1 (en) 2013-01-09
RU2530590C2 (en) 2014-10-10
JP5758409B2 (en) 2015-08-05
BR112012021524A2 (en) 2016-07-05
CA2788057A1 (en) 2011-09-09
ES2904601T3 (en) 2022-04-05
WO2011107568A1 (en) 2011-09-09
CA2786302A1 (en) 2011-09-09
CN102762240B (en) 2017-03-08
IL221413A0 (en) 2012-10-31
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EP2542991A1 (en) 2013-01-09
WO2011107567A1 (en) 2011-09-09

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