EP3574502A1 - Système d'équipement et support d'accessoires médicaux - Google Patents

Système d'équipement et support d'accessoires médicaux

Info

Publication number
EP3574502A1
EP3574502A1 EP18703263.6A EP18703263A EP3574502A1 EP 3574502 A1 EP3574502 A1 EP 3574502A1 EP 18703263 A EP18703263 A EP 18703263A EP 3574502 A1 EP3574502 A1 EP 3574502A1
Authority
EP
European Patent Office
Prior art keywords
accessory
medical
carrier
treatment
accessories
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.)
Pending
Application number
EP18703263.6A
Other languages
German (de)
English (en)
Inventor
Olaf Schermeier
Kirill Koulechov
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.)
Fresenius Medical Care Deutschland GmbH
Original Assignee
Fresenius Medical Care Deutschland GmbH
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 Fresenius Medical Care Deutschland GmbH filed Critical Fresenius Medical Care Deutschland GmbH
Publication of EP3574502A1 publication Critical patent/EP3574502A1/fr
Pending legal-status Critical Current

Links

Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/10—Furniture specially adapted for surgical or diagnostic appliances or instruments
    • A61B50/13—Trolleys, e.g. carts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/20—Holders specially adapted for surgical or diagnostic appliances or instruments
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65G—TRANSPORT OR STORAGE DEVICES, e.g. CONVEYORS FOR LOADING OR TIPPING, SHOP CONVEYOR SYSTEMS OR PNEUMATIC TUBE CONVEYORS
    • B65G1/00—Storing articles, individually or in orderly arrangement, in warehouses or magazines
    • B65G1/02—Storage devices
    • B65G1/04—Storage devices mechanical
    • B65G1/137—Storage devices mechanical with arrangements or automatic control means for selecting which articles are to be removed
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/08—Logistics, e.g. warehousing, loading or distribution; Inventory or stock management
    • G06Q10/087—Inventory or stock management, e.g. order filling, procurement or balancing against orders
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/08—Logistics, e.g. warehousing, loading or distribution; Inventory or stock management
    • G06Q10/087—Inventory or stock management, e.g. order filling, procurement or balancing against orders
    • G06Q10/0875—Itemisation or classification of parts, supplies or services, e.g. bill of materials
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/10—Office automation; Time management
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q50/00—Information and communication technology [ICT] specially adapted for implementation of business processes of specific business sectors, e.g. utilities or tourism
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data

Definitions

  • the present invention is in the field of medical technology and hospital logistics and relates in particular to a placement system for equipping medical accessory carriers and a medical accessory container for such a placement system.
  • a treatment is in particular a dialysis treatment of a patient, in which the respective dialysis treatment to be performed depends on the particular patient and depending on this requires different medical accessories.
  • the treatments have become more diverse and the required accessories more numerous, more diversified and more specialized, which can result in an increasing expense in providing medical supplies for the treatment of a patient.
  • repetitive treatments such as especially in dialysis treatments, there is the need to adapt the treatment to the respective patient and / or to use the available resources efficiently.
  • the object of the invention is to improve the provision of medical accessories, in particular with regard to logistics, the selection of suitable medical accessories and / or the efficient use of medical accessories, to increase the safety and / or quality of a treatment and / or to relieve the persons involved in the treatment of a patient.
  • a first aspect of the invention relates to an assembly system for equipping medical accessory carriers, in particular medical accessory containers, for a treatment of a patient.
  • the loading system comprises a storage device for a plurality of medical accessories of at least two types, a disposable device for medical accessories, and a storage area for a medical accessory carrier.
  • the placement system includes an attachment database for records of the plurality of medical supplies and one or more treatments of patients, and an accessory database data storage device configured to store the attachment database.
  • the placement system has one or more data interfaces, wherein at least one of the data interfaces is set up to receive one or more selection parameters, in particular treatment data or patient data, relating to the treatment of the patient.
  • the placement system includes a data processing device configured to execute a selection process.
  • This selection method comprises at least the following method steps: in a method step, one or more accessory set parameters which characterize a medical accessory set of one or more medical accessories suitable for the treatment of the patient are determined on the basis of the accessory database and at least on the basis of the selection parameters; In a further method step, the disposal device for medical accessories is actuated at least on the basis of the accessory set parameters.
  • the medical accessory disposal device is arranged to extract the medical accessories of the accessory set from the medical accessory storage device and deliver it to the medical accessory carrier mounting area in accordance with the driving.
  • the accessory carrier, the plurality of medical accessories, the data sets for the plurality of medical accessories and / or the accessory set, in particular the accessory carrier equipped with the medical accessory set are not part of the assembly system according to the invention.
  • one or more medical accessory carriers, the plurality of medical accessories, the data sets for the plurality of medical accessories and / or the accessory set, in particular the accessory carrier equipped with the accessory set may be part of the assembly system according to the invention or at least one preferred Be embodiment of the assembly system.
  • a “medical accessory” - or “accessory” for short - is a device, an instrument, a material, a substance or a combination thereof, which is predetermined and / or usable for the treatment of a patient.
  • a medical accessory can be consumed in the intended use.
  • a medical accessory can not be consumed in the intended use, i. be used for multiple treatments of one or more patients.
  • a medical accessory may be a drug which, when used as intended, usually acts at least substantially pharmacologically, metabolically or immunologically.
  • a medicament comprises a dosage form, preferably capsules, pills, tablets, pastes, ointments, injection doses or drug solutions, with a predetermined dosage for the treatment, metering device, administering device and / or storage device, preferably capsules or tablets in a blister pack, Syringes with a single or multiple dose of an injected drug, in-line drug juices with or without a measuring cup for dosing or pharmaceutical preparations in a spray bottle with a spray system.
  • a medical accessory may also be a medical device which, when used as intended, usually acts at least substantially physically, physically or physico-chemically and / or by means of which a medicament is administered.
  • medical devices are in particular surgical instruments such as retractors, retractors, spreaders, scalpels, scissors or tweezers.
  • medical devices are especially needles, syringes, cannulas, Seldinger wires or catheters.
  • Protective equipment for the patient or the persons involved in the treatment may also be a medical accessory within the meaning of the invention.
  • Such protective devices are in particular gloves for chemical protection or infection protection, preferably disposable gloves made of latex, nitrile rubber or vinyl, a medical mouthguard, medical hair nets or goggles.
  • disinfectants, dressings or cosmetic agents may be a medical accessory within the meaning of the invention.
  • medical accessory is in particular a device, an instrument, a material, a substance or a combination thereof for cannulation of a patient, preferably for a dialysis treatment, for example.
  • these are in particular syringes, cannulas, infusion tubes, disposable gloves, disinfectants, swabs, dressings, plasters, tapes and adhesive strips.
  • the medical accessory according to the invention has spatial dimensions and a weight, which allows a transport and / or handling of the medical accessory by a person involved in the treatment.
  • the weight of such a medical accessory is at most 10 kg, preferably at most 1 kg, preferably at most 300 g, preferably at most 100 g and more preferably at most 30 g.
  • the spatial dimensions of such a medical accessory in particular have a length of at most 1, 5 m, preferably at most 1 m, preferably at most 0.5 m, preferably at most 30 cm, preferably at most 15 cm and more preferably at most 5 cm, wherein corresponding to the Width and height applies.
  • a medical accessory such as an infusion tube or a tape by rolling, curling or separating, can also be changed in its spatial dimensions, where it is important for the handling or transport that to do so Medical accessories in its spatial dimensions is changeable so that this has at most the above-mentioned length, width and depth.
  • the medical accessory can preferably be set up and in particular shaped such that a treatment device for treating a patient can use this medical accessory for treatment, ie in particular to take up, operate, manipulate, deliver and / or apply.
  • a “medical accessory set” - or “accessory set” for short - within the meaning of the invention is a compilation with one or more medical accessories.
  • a medical accessory set is provided for a particular treatment and / or a particular patient and for this purpose comprises at least one medical accessory which has been required, particularly suitable and / or selected for this patient and / or this treatment.
  • a “medical accessory carrier” - or “accessory carrier” for short - is to be understood as at least one device for carrying and / or suspending a medical accessory set.
  • the accessory carrier may preferably have one, preferably at least two further preferably all medical accessories of the accessory set, that is to say in particular be equipped with these medical accessories.
  • the accessory carrier can be pre-equipped with at least a part of an accessory set, so that it already has at least this part of the accessory set. In this way, accessory carriers can be provided with specific, in particular frequently required, accessory sets, in particular without these having to be individually fitted individually to a specific request or selection.
  • such an accessory carrier may be provided to be equipped with another part of an accessory set, whereby such an accessory carrier with different medical accessory sets, in particular finished, can be fitted, the accessory carrier is on the one hand individually equipped with the respective specific accessories of the accessory set while on the other hand, that portion of the accessory set or a set of medical accessory sets that are common and / or frequently needed need not be individually populated specifically to a request or selection.
  • an accessory carrier can accommodate a receiving device which is set up, preferably at least two and more preferably all medical accessories of the accessory set, in particular to be releasably connected to these in a positive, non-positive or materially engaged manner and / or in which case these medical accessories are arranged in the receiving device.
  • an accessory carrier has one or more holding devices each for receiving a medical accessory of the accessory set.
  • medical accessories for a particular Treatment in a particular manner, preferably based on the order of their use in the particular treatment.
  • the accessory carrier can be designed as a medical accessory container, wherein this or the receiving device of the accessory carrier has a container and / or consists thereof, which receives one, preferably at least two and more preferably all medical accessories, so in particular surrounds spatially.
  • Such an accessory container is preferably box-shaped and is referred to in particular as an accessory box.
  • an accessory carrier is set up and in particular shaped so that a treatment device for the treatment for which the accessory carrier is intended, or a person involved in the treatment use this accessory carrier, ie in particular record, open, operate, manipulate, deliver and / or medical Accessories of the accessory set, with which the accessory carrier is fitted, remove, can.
  • a "treatment of a patient” means at least one medical, ie, in particular therapeutic or diagnostic, or cosmetic procedure which alters the body and / or the health of the patient or determines the patient's state of health
  • treatment is administration of drugs, cannulation, a blood purification procedure such as dialysis, surgery and / or examination of the patient.
  • a “storage device” is a device for storing things, in particular devices, instruments, materials or substances, in particular medical accessories or accessory carriers, wherein the storage device may preferably receive the items to be stored or at least a part thereof in particular spatially enclose or at least partially surrounded.
  • the bearing device has at least one bearing device part with an inner region, wherein the bearing device part physically and physically holds the inner region in a closed state from the surroundings of the bearing device separates.
  • the bearing device part physically and physically holds the inner region in a closed state from the surroundings of the bearing device separates.
  • items to be stored in the interior can be arranged and thus stored, and the interior in an open state can be spatially and physically accessible from the surroundings of the storage apparatus.
  • the storage device has at least two storage areas, which are spatially separated from each other. In this way, different things can be stored separately from each other in the at least two storage areas and in particular on the basis of the storage areas address.
  • such a storage area is formed as an inner area.
  • the storage device comprises an air conditioning device for controlling storage conditions, i. in particular for controlling or regulating the humidity and / or the temperature.
  • Further storage conditions are in particular a medium in the storage device or in the inner regions of the storage device, preferably air, a protective gas, a storage liquid or a bulk material for storage - such as Styrofoam balls for vibration damping -, the presence or absence of certain chemicals such as acids or bases as well as radiation effects such as visible light, ultraviolet light, infrared light, radioactive radiation or sound.
  • the storage conditions in the inner regions of the storage device can be controlled or regulated separately.
  • An "accessory database” in the sense of the invention is a database for medical accessories, in particular, it has a database and a program code for managing the database, ie in particular for storing, reading, querying, changing and / or deleting the data, in particular the data records Database on.
  • a data processing device is arranged to load the program code from a data storage device for the database, execute it, and at least partially load the database from a data storage device for the database and save the database, if necessary, after a change.
  • information to the data processing device are sent, whereupon by means of the program code that part of the database or those data sets are output which correspond to the information sent.
  • data records can be queried and thus read out (or change in a data-changing query), in which a data field of the respective data set has a specific value or is within a certain value in the range.
  • the accessory database especially the database, is set up to have records of medical supplies.
  • At least one record identifies a medical accessory and / or its features.
  • each medical accessory detected in the accessory database is preferably assigned an accessory identifier and the accessory identifier is stored in the data records relating to the respective accessory as electronically retrievable and, in particular, retrievable information.
  • the features of the accessories are stored as electronically retrievable and in particular queriable information in at least one of the data sets with respect to the respective accessories.
  • the accessory database is preferably designed as a relational database, in particular as an SQL database.
  • a “sorting device” in the sense of the invention is a device which is set up to take out a thing, in particular a medical accessory, at a starting point, in particular from a storage device and / or from a specific position in a storage device, and at a destination, especially at a placement area to deliver.
  • the screening device preferably comprises guiding means, in particular guiding devices, which guide the thing from the starting point to the destination, i. in particular restricting the scope of movement of the object at least substantially to a lane from the starting point to the destination and / or effecting a force on the object to be leased along a lane from the starting point to the destination.
  • guiding means or guiding devices are in particular magnetic fields, electric fields, a gravitational field, a directed air flow, shafts, pipes, conveyor belts and / or rails.
  • the screening device preferably has control means, in particular control devices, which control the starting point or the destination.
  • control means By means of the control of the starting point, a specific item can be taken from a plurality of items, which in particular can be stored in a storage device.
  • the item to be discarded can be delivered to a specific destination, in particular to a specific position in a placement area.
  • a control means directs the thing to be discarded itself in a certain direction.
  • such a control means alters, controls or controls a routing means such that this routing means directs the item to be discarded from a particular origin and / or to a particular destination.
  • Such control means or control devices are in particular variable magnetic fields or electric fields, a controllable in strength and / or direction air flow, switches - such as rails -, flaps and / or actuators.
  • the screening device can also be designed as a gripping device, wherein the guide means one or more gripping members of the gripping device and the control device comprises a positioning and / or orientation device of the gripping device - such as telescopic rods and / or joints and articulated arms - or consists thereof.
  • a "data processing device” within the meaning of the invention is understood to mean at least one device which is set up to process data, ie in particular to receive data, to store received data, to read out stored data, to receive and / or stored or read data by means of logical data
  • a data processing device is programmable, ie in particular that the methods for processing the data are at least partially determined by a program code and this program code at least partially is changeable.
  • the data processing device is a commercially available computer. More preferably, the data processing device has at least one microprocessor, a non-volatile data memory, in particular a hard disk, a read-only memory (ROM) or a drive with data carrier, and at least one data interface.
  • the data processing device preferably also has a volatile electrical data memory, in particular as a main memory, preferably a semiconductor memory, in particular with integrated capacitors and / or flip-flops (bistable multivibrators) for data storage, such as dynamic RAM or static RAM.
  • set up means that a device is not only suitable in principle for performing a specific function - for example only after a specific program code has been loaded, that is to say when the device has been programmed, or the device has been shaped in a specific manner but the device already has all the means to actually perform the function, Preferably the device is already programmed with a program code for this function and / or already shaped and / or arranged such that the device actually performs the function Fulfills.
  • An advantage of the placement system can be that medical accessory carriers are each equipped with medical accessories which are suitable for the treatment to be performed and / or the patient, which in particular enhances the quality and / or safety of the treatment and / or treatment-specific medical accessories, patient-specific and / or efficient can be used. Also, the loading can be automated, which compared to a conventional hospital logistics relieves the staff and / or sources of error, such as human error, reduced and thus in particular the safety of treatment can be increased.
  • a medical accessory which is particularly suitable for the patient can be selected for the same treatment to be performed for a patient, and another medical accessory which is particularly suitable for this other patient can be selected for another patient.
  • a particular type of cannula could be particularly suitable for cannulation of one patient, while in the other patient another type of cannula during cannulation - and about a subsequent dialysis - has delivered better treatment results and thus better for this other patient or is particularly suitable.
  • the one selected from the accessory database and selection parameters allows, i.
  • the set of accessories and the fitting of the medical accessory carrier with medical accessories according to this selection provide medical accessories treatment-specific and / or patient-specific and in particular ensure that the necessary medical accessories for a particular patient and / or a particular treatment actually available, with which Treatment safety can be increased and / or can be avoided that medical accessories, which are not required for the treatment provided and thus at least for other treatments during this period are not available or need to be disposed of, for example if these accessories soiled.
  • An advantage of equipping the medical accessory carrier with the accessory set may be that the medical accessory carrier combines the individual medical accessories into a logistical unit, which in particular simplifies the transport to a patient's treatment site and / or increases the certainty that individuals medical accessories required for the treatment, ie in particular medical accessories of the accessory set, in fact always available at the treatment site during the treatment.
  • the handling of the medical accessories simplify - for example, preferably, when the medical accessories are used by a treatment device, in particular for dialysis. In particular, since the individual medical accessories do not need to be handled individually, the hygiene can be increased.
  • this further comprises a storage device for one or more accessory carriers, which is adapted to store at least the medical accessory carrier, and a disposal device for the storage device for accessory carrier.
  • the selection method further comprises the following method steps.
  • one or more accessory carrier parameters are determined which identify the medical accessory carrier to be fitted with the accessory set.
  • the sorting device for the storage device for accessory carrier is actuated at least on the basis of the accessory carrier parameters.
  • the disposal device for the accessory carrier storage device is arranged to remove the medical accessory carrier from the accessory carrier storage device and place it in the component area according to the drive based on the accessory carrier parameters.
  • the accessory carrier and preferably further accessory carrier can be stored and provided for the assembly in the assembly area.
  • a further preferred embodiment further comprises a support device for accessory carrier, which is adapted to carry, suspend and preferably to hold the accessory carrier in the placement area.
  • this has a storage device for providing loaded accessory carriers, which is set up to store at least the medical accessory carrier, and a disposal device for the placement region.
  • the selection method further comprises the following method steps.
  • one or more provisioning parameters are identified, which identify the medical accessory carrier and its storage in the storage device for providing populated accessory carriers.
  • the sorting device for the placement area is controlled at least on the basis of the accessory carrier parameters.
  • the placement equipment sorting apparatus is arranged to remove the medical accessory carrier from the placement area in accordance with the drive based on the provisioning parameters and deliver it to the storage apparatus for providing loaded accessory carriers.
  • one of the storage devices has a storage compartment.
  • the storage compartment is set up to receive one or more medical accessories of at least one of the at least two types, the medical accessory carrier before or after its placement, one or more accessory carriers or a provided, fitted accessory carrier.
  • one of the screening devices has a removal device and is set up to remove a medical accessory or an accessory carrier from the storage compartment in accordance with the activation by the data processing device.
  • medical accessories in particular a genus, can be separated from the remaining medical accessories. This can facilitate the removal of such a medical accessory.
  • accessory carriers which may be designed in particular as different types.
  • the storage compartment is designed as a drawer, which can facilitate refilling.
  • the medical accessory storage device comprises a metering device adapted to receive a metered medical accessory
  • the medical accessory disposal device comprises a metering device, wherein the medical accessory storage device is adapted to receive the metered medical accessory
  • the selection process further includes the following Procedural steps on.
  • a method step it is checked whether the accessory set parameters identify the metered medical accessory. If so, one or more dosing parameters are determined which identify the dosed medical accessory and the dose required for the accessory set.
  • the metering device is actuated at least on the basis of the metering parameters.
  • the metering device is set up according to the control based on the metering parameters to remove a part of the metered medical accessory which corresponds to the required dose.
  • the medical accessory disposal device and / or the metering device is configured to deliver this portion of the metered medical accessory to the medical accessory carrier mounting area in accordance with the drive based on the metering parameters and / or accessory set parameters.
  • a part is removed for removal from the dosable medical accessory.
  • the required part can be removed from a dosable medical accessory.
  • an adhesive strip can be separated from an adhesive strip roll as needed, and it is not necessary to stockpile adhesive strip sections of various lengths.
  • one of the screening devices comprises or consists of a gripper device and a detection device for medical accessories and / or accessory carriers.
  • the detection device is set up to acquire information relating to medical accessories and / or accessory carriers, which are mounted at a specific position by means of one of the storage devices or arranged in an area from which the disposal device extracts medical accessories and / or accessory carriers.
  • the selection method further comprises the following method steps. In a method step, information relating to medical accessories and / or accessory carriers is detected at the determined position by means of the detection device. In a further method step, it is checked whether a specific position, a medical accessory or an accessory carrier is arranged, which or which is marked with the parameters of the selection process.
  • the gripping device is controlled so that the gripping device accesses this medical accessory or this accessory carrier for removal and thus for discarding. According to a preferred variant, if this is not the case, these method steps are repeated at a different position.
  • a “detection device” is at least one device for acquiring information about objects, in particular medical accessories or accessory carriers, which are arranged in a specific area, at a specific position or, in particular, in a specific area around a specific position
  • Capture devices may be, in particular, image acquisition systems which are set up to capture at least one image of a thing or a specific area, preferably with a camera, and to associate the captured image with a particular object, in particular a specific medical accessory or a particular accessory carrier.
  • Such detection devices may also be, in particular, bar code readers or RFI D readers,
  • a detection device may be set up, an accessory identifier which identifies the detected medical accessory, and / or an accessory carrier identifier g, which identifies the detected accessory carrier.
  • An advantage of the combination detection device and gripping device can be that the position of a particular medical accessory or a particular accessory carrier can be determined and this can then be discarded.
  • a dynamic inventory management with individual medical accessories or accessory carriers are flexibly recognized, so that they can be stored flexibly in different positions, in particular depending on the required storage conditions and / or the available storage space.
  • a further advantage over a rigid rejection only on the basis of predetermined positions may be that incorrectly stored medical accessories or accessory carriers are recognized and thus not rejected out incorrectly.
  • this further comprises a data storage device for a ZuOrdnungsvorschrift for accessory carrier and the ZuOrdnungsvorschrift for accessory carrier, said ZuOrd Vietnamesesvorschrift is set, a accessory identifier to associate a patient identifier and / or treatment identifier based on assignment data stored in the data storage device for this ZuOrd Vietnamesesvorschrift.
  • the data processing apparatus is further configured to execute an association process.
  • the assignment method comprises at least one of the two method steps determining a patient identifier based at least on the selection parameters, the patient identifier identifying the patient to be treated, or determining a treatment identifier based at least on the selection parameters, wherein the treatment identifier identifies the treatment to be performed.
  • the allocation method comprises the steps of determining an accessory carrier identifier identifying the accessory carrier with the accessory set and storing association data identifying an association between that accessory carrier identifier and the patient identifier and / or the treatment identifier in the accessory carrier adjunct prescription protocol data storage device.
  • An "accessory carrier identifier" in the sense of the invention is an identifier that identifies a specific accessory carrier.
  • the information preferably has a part which identifies the information as an accessory carrier identifier, in particular with respect to other identifiers .
  • a accessory carrier identifier is in particular information about a number of the accessory carrier and / or a name of the accessory carrier, if this is unique or made clear by means of an additional identifier.
  • This information is preferably stored in an electronic data memory which is connected to the accessory carrier, in particular in FIG tegral, connected, stored readable.
  • the accessory carrier may in particular have an RFI D tag in which its accessory carrier identifier is stored.
  • a representation of the number or the name of the accessory carrier - preferably a bar code and / or a human-readable string - trained as accessory carrier identifier, ie in particular imprinted, engraved and / or be formed.
  • a "patient identifier" in the sense of the invention is an identifier which identifies a specific patient or a specific group of patients
  • the corresponding description of the accessory carrier identifier also applies correspondingly to the patient identifier
  • a patient identifier is in particular information about a patient number, a name of the patient, if this is unique or unambiguous by means of an additional identifier, a (health) insurance number, an identification number or a unique number or name of the particular group of patients.
  • a "group of patients” within the meaning of the invention may in particular be respectively male or female patients, patients with a certain chronic disease, patients with a certain blood group, patients with a certain skin type, dialysis patients with arteriovenous fistula (AV fistula) - ie with Cimino shunt, dialysis patients with a prosthetic sheath (AV graft) - ie in particular with Scribner shunt - or dialysis patients who require access by means of central venous catheters
  • a "treatment identifier" within the meaning of the invention is a Identifier that identifies a particular treatment or group of treatments. The preceding description regarding the accessory carrier identifier also applies accordingly to the treatment identifier.
  • a treatment identifier is information about a treatment number or a unique name for a treatment or a group of treatments.
  • a "group of treatments" within the meaning of the invention may each comprise certain operations, the therapy of a particular disease, the initial examination of a patient or a dialysis treatment, which in turn may have subgroups, in particular treatment by hemodialysis, hemofiltration, hemodiafiltration, hemoperfusion or peritoneal dialysis , be.
  • An advantage of the accessory carrier code may be that accessory carriers may be associated with particular treatments and / or patients via their accessory carrier identifier.
  • an accessory carrier can first be allocated to a specific patient and / or a specific treatment, and later to this accessory carrier another patient or another treatment can be assigned; or vice versa, a particular accessory carrier can be assigned to a patient or a treatment.
  • the accessory carrier identifier allows to identify the respective accessory carrier already at its identifier, whereby the logistics, ie in particular the transport to the respective treatment site and / or the use of the respectively required and / or correct medical accessories of the accessory set, which is equipped with the respective accessory carrier , can be simplified.
  • a treatment device can identify the respectively required for the treatment - ie in particular correct - accessory carrier on the basis of its accessory carrier identification record this and / or if the treatment device receives an accessory carrier or equipped with this, check on the basis of the accessory carrier identifier whether this accessory carrier for the respective Treatment and / or the respective patient is suitable.
  • the identification device is set up to identify a person involved in the treatment, a treatment device or an accessory carrier transport or transport device associated with a treatment and / or a patient, and based thereon the treatment identifier of that treatment and / or the patient identification of that patient to determine.
  • the data processing device is further configured to perform a dispensing process as part of the selection process after loading the accessory carrier. The dispensing process has at least the following process steps.
  • one or more dispensing parameters are determined, which identify one or more accessory carriers to be dispensed, which have an accessory carrier identifier, which by means of the Associated toOrdungsvorschrift for accessory carrier of the treatment identifier and / or the patient identifier.
  • the sorting device for accessory carriers is actuated at least on the basis of the delivery parameters.
  • the accessory carrier sorting device is set up to pick up the accessory carriers to be dispensed from one of the accessory carrier storage devices or the loading area according to the control based on the dispensing parameters, and deliver it to the person involved in the treatment, the treatment device, the transportation person or the transportation device.
  • the accessory carrier sorting apparatus may include or may be composed of the placement device disposal apparatus or the accessory carrier storage apparatus.
  • a "person involved in the treatment” is to be understood as meaning, in particular, a treating person, for example a doctor or a person who supports the treatment, for example a caregiver
  • a “treatment device” within the meaning of the invention is at least one device that is set up to perform and / or support one or more treatments on a patient.
  • a treatment device is in particular a surgery robot, a cannulation device - in particular for a vascular access -, a dialysis device or a disinfection device for disinfecting a body region of a patient.
  • a "transport person” is a person who transports at least medical accessories and / or accessory carriers with accessory sets from a dispensing location, in particular from a loading system for loading accessory carriers, to a treatment location
  • Treatment involved person to be a transport person within the meaning of the invention.
  • a "transport device for accessory carrier” is to be understood in the sense of the invention as a device which is set up, at least accessory carrier, in particular equipped with an accessory set, to be transported from a dispensing location, in particular from an assembly system for equipping accessory carriers, to a treatment location.
  • a transport device for accessory carrier is in particular a logistics robot or a pneumatic tube system.
  • a treatment location is a location where the respective treatment is to be performed and / or where the medical accessory or the accessory carrier equipped with an accessory set must be positioned in order to perform the respective treatment.
  • An advantage of dispensing the accessory carrier based on the identification may be that the security can be increased and / or unauthorized persons can not gain access to accessory carriers, in particular accessory carriers with accessory sets. Also can be increased in this advantageous manner, the treatment safety and / or relieve the staff.
  • the transport person or transport device for accessory carriers respectively of the accessory carriers can be provided for transport and / or rejected, which is to be transported by the transport person or transport device to the treatment location.
  • a further preferred embodiment further comprises a supply sensor device, which is set up to detect at least part of the plurality of medical accessories, which are mounted in particular by means of the storage device.
  • the data processing apparatus of this embodiment is configured to execute a stock determination method with the step of determining an actual stock of available medical supplies respectively with respect to the at least two genera and based on the detected medical supplies.
  • a “supply sensor device” is a device which is set up to detect and / or to determine whether and preferably in what number one or more items, in particular medical accessories, in a specific spatial area, in particular in a storage device.
  • a supply sensor device can for this purpose have a detection device which is in particular designed to detect the specific spatial area and / or objects arranged therein.
  • a stock sensor device may comprise one or more counting devices which detect the entry and exit of things or a certain thing to the area, in particular to a storage area of the storage device, and thus, count starting from an initial inventory, the things arranged in this area.
  • the storage device has one or more storage areas, which are each provided for a certain thing, in particular a specific medical accessory, and the supply sensor device determines by means of the counting means - preferably for example light barriers - the number of certain objects supplied to the respective storage area and the number of departed from the respective area, so in particular removed, certain things.
  • a supply sensor device may comprise one or more weighing devices, each of which is arranged to determine a weight which is present in a certain storage area of the storage device and / or acts on a specific part of the storage device, in particular a carrier part of the storage device in a certain storage area ,
  • a supply sensor device is set up to determine, based on the respectively determined weight, whether items are arranged in the respective storage area and / or based on the respectively determined weight and on a known weight of a category of items for which the respective storage area is provided is to calculate the number of things arranged there of this genus.
  • the placement system can determine the actual inventory of medical supplies that are in stock in the storage device.
  • the logistics can be simplified, sources of error reduced and / or the workforce relieved.
  • the selection method further comprises the step of checking whether the medical accessories of the Accessory sets are in stock in the actual stock, and only in this case performs the process step driving the disposal device for medical accessories.
  • the rejection device is actuated only with accessory set parameters in order to remove medical accessories of the accessory sets marked with these accessory parameters from the storage device, which actually are in stock.
  • the selection method further comprises the following method steps. In a further method step, it is checked whether the medical accessories of the accessory set are in stock in the actual stock.
  • one or more alternative accessory set parameters which characterize an alternative accessory set for the treatment of the patient without the medical accessory not available according to the check, are determined. Finally, at least based on the alternative accessory set parameters, the disposal device for medical accessories is activated.
  • the accessory carrier can be equipped with an alternative accessory set if medical accessories of the previously determined accessory set are not in stock, which also makes it possible in this case in particular to carry out a planned treatment.
  • the inventory determination method further comprises the following method steps.
  • it is checked whether no medical accessory of one of the at least two genera is available in the actual stock and / or the number of medical accessories of this type a predetermined limit - preferably at most 100 medical accessories of this genre in stock, more preferably at most 50, on preferably at most ten, more preferably at most three - falls below.
  • a signal for lack of accessories is issued, which indicates a lack of medical accessories and preferably the lack of this medical accessory or its type. The signaling of a lack of accessories makes it possible to react to the lack of accessories.
  • An advantage of below threshold signaling may be premature response to an impending supply shortage, such that accessory shortage, when replenished in response to inventory of medical supplies, may not occur, or only for a short time.
  • An advantage of the specific signaling with regard to the lack of a specific medical accessory or its type may be that the actual stock can be replenished in a targeted manner, ie in particular medical accessories from this type can be transported to the placement system and / or the actual stock this can be filled up. In this advantageous manner, in particular the efficiency can be increased, the logistics simplify and / or relieve the staff.
  • An improved treatment quality and / or treatment safety can also be achieved, since failures and / or delays due to non or incorrectly fitted accessory carriers can be avoided.
  • a further preferred embodiment further comprises an accessory carrier sensor device which is arranged to detect information relating to an arrangement of the accessory carrier in the accessory carrier mounting region and to send a signal regarding this arrangement to the data processing device.
  • the data processing apparatus of this embodiment is arranged to receive this signal.
  • the selection method further comprises the following method steps. In a method step, the signal with respect to the arrangement of the accessory carrier is received. In a further method step, it is checked on the basis of this signal whether the accessory carrier is arranged in the supply area for the accessory carrier. Finally, only if the accessory carrier is located in the placement area does the selection process carry out the method step of activating the medical accessory disposal device.
  • a “sensor device for accessory carrier” is understood to mean at least one device which is set up to acquire information relating to an arrangement of an accessory carrier in a specific area, in particular in an accessory carrier mounting area, and / or a signal relating to this location
  • the accessory carrier sensor device may be formed according to a supply sensor device, and the accessory carrier sensor device may also preferably include or include a pressure switch exist, which is arranged in the specific area and is operated when there is arranged an accessory carrier.
  • the pressure switch can thus be arranged in the fitting area for accessory carrier that an accessory carrier arranged there actuates the pressure switch.
  • the sensor device for accessory carrier can have or consist of a light barrier, which passes through a part of the specific area in such a way that an accessory carrier arranged there actuates the light barrier, ie in particular interrupts it and triggers the signal.
  • the medical accessories of the accessory set are only delivered to the mounting area for the accessory carrier if the accessory carrier is located there. In particular, this makes it possible to improve the assembly of medical accessory carriers, since it is ensured that the accessory set to be dispensed is delivered to the accessory carrier and that it is equipped with it.
  • this has a pop-up sensor device.
  • the medical accessory disposal apparatus is arranged to deliver the medical accessories of the accessory kit to the medical accessory carrier and arrange them there in a predetermined manner.
  • the placement sensor device is set up to record the medical accessories arranged in the now fitted medical accessory carrier.
  • the data processing device is set up to output a fault signal which identifies the deviating assembly and / or to repeat the selection process.
  • An advantage of the arrangement of the medical accessories in the predetermined manner may be that they are used particularly efficiently by a person involved in the treatment or a treatment device, that is to say they can be removed, in particular, from the accessory carrier.
  • the medical accessories are arranged corresponding to the sequence of treatment steps of the treatment.
  • the latter has a user interface which is set up to send input from a user to one of the data interfaces.
  • the data processing device is set up to determine the selection parameters by means of the user interface.
  • this has a network interface which is set up to receive data corresponding to the selection parameters from a network and to send it to one of the data interfaces.
  • the data processing device is set up to determine the selection parameters on the basis of the data from the network interface.
  • a further preferred embodiment in particular for medical accessory containers, has a closing device which is set up to close the medical accessory container after it has been fitted.
  • a second aspect of the invention relates to a medical accessory container for a loading system according to the first aspect of the invention or to a treatment device, preferably a cannulation device or dialysis device.
  • the medical accessory container is an embodiment of a medical accessory carrier.
  • the medical accessory container according to the invention comprises a data storage device, a medical accessory carrier, a closure member, and a gasket.
  • the closure part is set up in a closed state of the accessory container in cooperation with the seal and the carrier part to form a sterile inner area of the accessory container.
  • the carrier part preferably has one or more medical accessory holding devices, which are set up to hold medical accessories arranged there.
  • the holding devices are preferably arranged so that the retained medical accessories are received in the closed state in the sterile enclosed inner area of the accessory container.
  • the data storage device is set up to store at least the accessory container identifier, the treatment identifier, the patient identifier, the recorded medical accessories or a combination thereof.
  • the invention also expressly relates to a system for medical accessories with a loading system according to the first aspect of the invention and with at least one treatment device.
  • this medical accessory system further comprises at least one transport device.
  • FIG. 1 shows an embodiment of the assembly system according to the invention
  • FIG. 2 shows an embodiment of the medical accessory container according to the invention
  • FIG. 3 shows an embodiment of the medical accessory system according to the invention.
  • FIG. 1 shows an embodiment of the assembly system 1 according to the invention.
  • the placement system 1 has a storage device 2 for a plurality of medical accessories and for one or more accessory carriers.
  • a storage device 2 for a plurality of medical accessories and for one or more accessory carriers.
  • both medical accessory carrier 1 1 - which may be designed in particular as a medical accessory container 20 - and medical accessories 12, 13 are stored.
  • the bearing device 2 is designed in particular as a shelving system.
  • the storage device can also be designed as an arrangement of storage compartments, in particular drawers.
  • the loading system according to the invention may preferably and alternatively also have separate storage devices for the medical accessories and the accessory carriers.
  • the loading system 1 has a disposal device 3 for medical accessories 12, 13 and for the storage device 2 for accessory carrier.
  • the screening device 3 is designed as a gripping device.
  • this gripping device 3 is set up to separate both medical accessories 12, 13 and accessory carrier 11, 20 from the storage device 2.
  • a part of the gripping device to a specific area or to a specific position in the storage device 2, in which a lettucedes medical accessories or accessory carrier is arranged, - in particular as illustrated here to the medical accessories 12 of the accessory set - moves.
  • this medical accessory or accessory carrier is gripped by means of the part of the gripping device 3 and transported to a loading area 4 for a medical accessory carrier and there, preferably by opening the part of the gripping device 3, delivered.
  • the placement system 1 has the placement area 4 for a medical accessory carrier.
  • This is preferably, as illustrated, formed as a storage surface with at least one boundary, which in particular makes it possible to carry the accessory carrier 10 and to position by means of the limitation. This particular position of the accessory carrier 10 may in particular facilitate the placement of medical accessories.
  • the mounting system 1 has a data storage device 5 for an accessory database.
  • This accessory database is set up to store records of the plurality of medical accessories and of one or more treatments of patients and to allow database queries regarding the medical accessories, in particular based on a treatment to be performed or the patient to be treated.
  • the accessory database is designed as a relational database, in particular as a SQL database which can be queried by means of an SQL query.
  • the placement system 1 has a data processing device 7, which is set up to operate the accessory database.
  • the data processing device 7 also has a data interface 6 of the placement system 1, a microprocessor 8 and a main memory 9.
  • the data interface 6 is designed as a user interface. This can in particular be a touch-sensitive screen or a barcode reader or RFID reader which is set up to read or receive data corresponding to one or more selection parameters, in particular treatment data or patient data, relating to the treatment of the patient.
  • the data processing device 7 is set up to determine the selection parameters from these data.
  • the data processing device 7 is arranged to execute a selection process.
  • This selection method has at least the following method steps: in one method step, one or more Accessory set parameters identifying a medical accessory set of one or more medical supplies suitable for treating the patient based on the accessory database and determined based at least on the selection parameters;
  • the disposal device for medical accessories is actuated at least on the basis of the accessory set parameters.
  • the medical accessory disposal device is arranged to extract the medical accessories of the accessory set from the medical accessory storage device and deliver it to the medical accessory carrier mounting area in accordance with the driving.
  • the gripping device 3 is set up to drive to the respective positions of the medical accessories of the accessory set in accordance with the activation based on the accessory set parameters, there to grip the respective medical accessory - here the medical accessory 12 - to transport to the placement area 4 and there leave.
  • the gripping device 3 arranges the medical accessories in the medical accessory carrier 10 in a predetermined manner.
  • FIG. 2 shows an embodiment of the medical accessory container 20 according to the invention.
  • the medical accessory container 20 has a data storage device 21, a medical accessory carrier part 22, a closure part 23, a seal 24, and a medical accessory holding device 26.
  • the accessory container 20 is illustrated here in an open state, wherein an inner region 25 of the accessory container 20 is indicated. This forms when the closure member 23 is pushed in the direction of the data storage device 21, so that the closure member 23 by means of the seal 24 terminates the support member 22.
  • the accessory container 20 is formed so that it is closed so tight in the closed state that the inner region 25 remains sterile.
  • the data storage device 21 comprises or consists of an RFI D transmitter.
  • the data storage device 21 is arranged to readably store at least the accessory container identifier, the treatment identifier, the patient identifier, the recorded medical accessories, or a combination thereof.
  • the holding device 26 for medical accessories preferably positively, materially and / or integrally connected.
  • the holding device 26 is set up to receive a medical accessory so that it is arranged at a specific position in the inner region 25 of the accessory container 20.
  • FIG. 3 schematically shows an embodiment of the medical accessory system 30 according to the invention.
  • This has an assembly system 1, which is preferably designed according to the embodiment with respect to FIG. 1, a treatment device 31 and a transport device 32.
  • the placement system 1 is arranged at a first treatment location 33 and the treatment device 31 at a second treatment location 34.
  • Both at the first treatment site 33 and a second treatment site 34 patients can be treated.
  • the patients are treated with the treatment apparatus 31 at the second treatment location 34.
  • the transport device 32 advantageously makes it possible to transport required medical accessories, in particular in each case summarized as fitted accessory carriers, from the placement system 1 at the first treatment site 33 to the treatment device 31 at the second treatment site 34.
  • patients can be supplied to different treatment sites, which can allow flexible handling and thus efficient use of available treatment sites, and / or the respective patient can remain at a treatment location even with changing need for medical accessories, resulting in increased comfort for the Patients and / or an increased quality of treatment.

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Abstract

L'invention concerne un système d'équipement destiné à l'équipement de supports d'accessoires médicaux, en particulier de récipients d'accessoires médicaux, pour le traitement d'un patient. Le système d'équipement comprend un dispositif de stockage destiné à une pluralité d'accessoires médicaux d'au moins deux types, un dispositif de retrait d'accessoires médicaux, et une zone d'équipement destinée à un support d'accessoires médicaux. En outre, le système d'équipement comprend une base de données d'accessoires destinée à des ensembles de données concernant la pluralité d'accessoires médicaux et au moins un traitement de patients, et un dispositif de mémorisation de données destiné à a base de données d'accessoires conçu pour mémoriser la base de données d'accessoires. De plus, le système d'équipement comporte au moins une interface de données. Au moins une des interfaces de données est conçue pour recevoir au moins un paramètre de sélection, en particulier des données de traitement ou des données de patient, concernant le traitement du patient. Enfin, le système d'équipement comprend un dispositif de traitement de données conçu pour exécuter un procédé de sélection. Ce procédé de sélection comprend au moins les étapes de procédé suivantes : dans une étape de procédé, au moins un paramètre d'ensemble d'accessoires, identifiant un ensemble d'accessoires médicaux, constitué d'au moins un accessoire médical approprié au traitement du patient, sont déterminer par référence à la base de données d'accessoires et sur la base d'au moins des paramètres de sélection ; dans une autre étape du procédé, le dispositif de retrait des accessoires médicaux est commandé sur la base des paramètres d'ensemble d'accessoires. Selon l'invention, le dispositif de tri d'accessoires médicaux est conçu pour retirer, en fonction de la commande, les accessoires médicaux de l'ensemble d'accessoires du dispositif de stockage et les amener à la zone d'équipement
EP18703263.6A 2017-01-30 2018-01-29 Système d'équipement et support d'accessoires médicaux Pending EP3574502A1 (fr)

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DE102017201436.9A DE102017201436A1 (de) 2017-01-30 2017-01-30 Bestückungssystem und medizinische Zubehörträger
PCT/EP2018/052121 WO2018138330A1 (fr) 2017-01-30 2018-01-29 Système d'équipement et support d'accessoires médicaux

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EP (1) EP3574502A1 (fr)
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US11491270B2 (en) * 2018-01-05 2022-11-08 Fresenius Medical Care Holdings, Inc. Non-touch communication with a dialysis machine using a connected health system

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US6219587B1 (en) 1998-05-27 2001-04-17 Nextrx Corporation Automated pharmaceutical management and dispensing system
US7685026B1 (en) * 2000-05-05 2010-03-23 Automed Technologies, Inc. Method of tracking and dispensing medical items
US7765776B1 (en) 2006-10-19 2010-08-03 Medco Health Solutions, Inc. Systems and methods for dispensing pharmaceutical/medical product and branding pharmaceutical/medical containers
WO2009076452A2 (fr) * 2007-12-10 2009-06-18 Robotic Systems & Technologies, Inc. Système robotique automatisé pour manipuler des instruments chirurgicaux
US20130110667A1 (en) * 2011-11-02 2013-05-02 Deroyal Industries, Inc. System and method for customer management of custom medical procedural trays
US20140350949A1 (en) * 2013-05-22 2014-11-27 Carefusion 303, Inc. Medication retrieval optimization
US20160117062A1 (en) * 2014-10-23 2016-04-28 Universal Research Solutions, Llc Visualizations of Medical Inventory

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