# US 11,896,747 B2 · Prescription compatibility checking for a medical device

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- Number: US 11,896,747 B2
- Document ID: US11896747B2
- Status: Granted
- Kind: B2
- Application number: 17/855,966
- Filed: 2022-07-01
- Published: 2022-10-20
- Granted: 2024-02-13
- Earliest claimed: 2017-07-14
- Assignees: Fresenius Medical Care Holdings, Inc.; Fresenius Medical Care Deutschland GmbH
- Applicants: Fresenius Medical Care Holdings, Inc.; Fresenius Medical Care Deutschland GmbH
- Inventors: Paul Chamney; Harvey Cohen
- Web page: https://patentgrep.com/patent/US11896747B2

## CPC

- A61M 1/14: Dialysis systems; Artificial kidneys; Blood oxygenators (semi-permeable membranes characterised by the material, manufacturing processes therefor B01D71/00){; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis}
- A61M 1/152: {Details related to the interface between cassette and machine}
- A61M 1/159: {specially adapted for peritoneal dialysis}
- G06F 3/0488: using a touch-screen or digitiser, e.g. input of commands through traced gestures
- G16H 10/60: for patient-specific data, e.g. for electronic patient records
- G16H 20/40: relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
- G16H 40/67: for remote operation
- A61M 1/16: with membranes
- A61M 1/28: Peritoneal dialysis {; Other peritoneal treatment, e.g. oxygenation}
- A61M 1/34: Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
- A61M 2205/3553: remote, e.g. between patient's home and doctor's office
- A61M 2205/3584: using modem, internet or Bluetooth®
- A61M 2205/52: with memories providing a history of measured variating parameters of apparatus or patient
- A61M 2205/6009: for matching patient with his treatment, e.g. to improve transfusion security
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}
- G06F: ELECTRIC DIGITAL DATA PROCESSING (computer systems based on specific computational models G06N)
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA

## Abstract

A medical treatment machine, such as a home dialysis machine, can receive prescription parameters that define parameters of a medical treatment to be administered to a patient. A medical prescription is entered by a clinician into a clinical information system (CIS) that calls a system to evaluate the compatibility of the entered prescription by transmitting the prescription parameters to a server that has access to a database of medical devices and their operational parameters. The server compares the treatment parameters of the medical prescription to the operational parameters of the medical device and generates a prescription compatibility response indicting if the treatment parameters of the medical prescription can be executed by the medical device. The server returns to the CIS the prescription compatibility response to allow the prescription, e.g. in a digital or program form, to be securely transmitted or delivered via a connected health system to the medical device.

## Claims

### Claim 1

A connected health system comprising:
a cloud-based application that facilitates data transfer between components of the system via a network;
a remote medical device, wherein the remote medical device is configured to receive data from the cloud-based application;
a database containing operational parameters of a plurality of medical devices, including operational parameters of the remote medical device;
a clinical information system configured to receive prescription parameters from a clinician;
a computer server comprising a processor configured for:
receiving, from the clinical information system, a digital prescription file comprising prescription parameters for use in conducting a medical procedure on a patient using the remote medical device;
identifying the operational parameters of the remote medical device from the database;
performing a compatibility check by comparing values of the prescription parameters of the digital prescription file to ranges determined by the operational parameters of the remote medical device;
generating, based on the compatibility check, a prescription compatibility response indicating if the prescription parameters are able to be executed by the remote medical device in order to conduct the medical procedure;
providing the prescription compatibility response to the clinical information system; and
based on the compatibility check:
causing the remote medical device to perform a medical treatment based on the prescription parameters, or
denying an authorization to transmit the prescription parameters to the remote medical device.

### Claim 2 (depends on 1)

The system of claim 1, wherein the remote medical device is a peritoneal dialysis machine.

### Claim 3 (depends on 1)

The system of claim 1, wherein the remote medical device is a hemodialysis machine.

### Claim 4 (depends on 1)

The system of claim 1, wherein the digital prescription file comprises patient treatment limitations.

### Claim 5 (depends on 4)

The system of claim 4, wherein generating the prescription compatibility response comprises determining if the prescription parameters are able to be executed by the remote medical device in order to conduct the medical procedure within the patient treatment limitations.

### Claim 6 (depends on 1)

The system of claim 1, wherein the digital prescription file comprises an identification of the remote medical device for use in conducting the medical procedure.

### Claim 7 (depends on 6)

The system of claim 6, wherein the database includes the operational parameters of the remote medical device identified in the digital prescription file.

### Claim 8 (depends on 6)

The system of claim 6, wherein the database includes a plurality of identifications respectively associated with the plurality of medical devices and respectively associated with a plurality of patients, the plurality of identifications including the identification of the remote medical device, wherein the processor is further configured for:
confirming based on the identification of the patient, the identification of the remote medical device at the patient's home.

### Claim 9 (depends on 8)

The system of claim 8, wherein generating the prescription compatibility response is further based on the confirming.

### Claim 10 (depends on 6)

The system of claim 6, wherein the processor is further configured for:
calculating a simulated outcome of the medical procedure based on the prescription parameters and the operational parameters of the remote medical device,
wherein generating the prescription compatibility response comprises determining if the simulated outcome of the medical procedure satisfies one or more of the prescription parameters, patient treatment limitations, and the operational parameters of the remote medical device.

### Claim 11 (depends on 1)

The system of claim 1, wherein the prescription compatibility response indicates whether the prescription parameters are compatible or not compatible with the patient and whether the received prescription parameters are compatible or not compatible with the remote medical device.

### Claim 12 (depends on 11)

The system of claim 11, wherein the processor is further configured for:
accepting the digital prescription file based on the prescription compatibility response.

### Claim 13 (depends on 12)

The system of claim 12, wherein the remote medical device is configured to receive the digital prescription file via the network for use in conducting the medical procedure according to the prescription parameters.

### Claim 14 (depends on 12)

The system of claim 12, wherein the processor is further configured for:
sending the digital prescription file via the network to a patient's email address for use in conducting the medical procedure according to the prescription parameters.

### Claim 15 (depends on 11)

The system of claim 11, wherein the processor is further configured for:
denying the digital prescription file based on the prescription compatibility response.

### Claim 16 (depends on 15)

The system of claim 15, wherein the processor is further configured for:
sending information regarding a denial of the digital prescription file via the network to the clinical information system.

### Claim 17 (depends on 1)

The system of claim 1, wherein:
the system further comprises a removable physical storage device configured to interface with a terminal of the clinical information system; and
the processor is further configured for providing, based on the prescription compatibility response, a signal via the network to the clinical information system for use in enabling a user of the clinical information system to download the digital prescription file onto the removable physical storage device interfaced with the terminal, the removable physical storage device being configured to transfer the digital prescription file to the remote medical device in the patient's home for use in conducting the medical procedure.

### Claim 18 (depends on 1)

The system of claim 1, wherein:
the prescription parameters comprise treatment parameters for use in conducting a medical treatment on the patient using the remote medical device; and
performing the compatibility check further comprises:
performing a calculation based on the treatment parameters to determine at least one characteristic of the medical treatment; and
comparing a result of the calculation to the operational parameters of the remote medical device from the database.

### Claim 19 (depends on 18)

The system of claim 18, wherein:
the operational parameters of the remote medical device includes capacity limits;
performing the calculation based on the treatment parameters comprises determining a total fluid delivery of the medical treatment; and
comparing the prescription parameters to the operational parameters of the remote medical device further comprises comparing the total fluid delivery to the capacity limits of the remote medical device.

### Claim 20 (depends on 1)

The system of claim 1, where the clinical information system comprises:
a healthcare computer network that is independent from the computer server, the healthcare computer network comprising:
at least one server configured to maintain and store patient health records, and
a plurality of user terminals configured to provide point-of-care access to the patient health records by medical professionals.

### Claim 21 (depends on 1)

The system of claim 1, wherein the network is the Internet.
