# US 8,786,402 B2 · Automatic association of medical elements

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- Number: US 8,786,402 B2
- Document ID: US8786402B2
- Status: Granted
- Kind: B2
- Application number: 12/890,447
- Filed: 2010-09-24
- Published: 2012-03-29
- Granted: 2014-07-22
- Earliest claimed: 2010-09-24
- Assignees: CareFusion 303, Inc.
- Applicants: Erik Barnes
- Inventors: Erik Barnes
- Web page: https://patentgrep.com/patent/US8786402B2

## CPC

- G16H 40/40: for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
- G06F 16/23: Updating
- G06Q 10/06: Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
- G06Q 50/22: Social work or social welfare, e.g. community support activities or counselling services
- G16H 10/60: for patient-specific data, e.g. for electronic patient records
- G16H 20/10: relating to drugs or medications, e.g. for ensuring correct administration to patients
- G06Q 10/10: Office automation; Time management
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G06F: ELECTRIC DIGITAL DATA PROCESSING (computer systems based on specific computational models G06N)
- 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

## Abstract

A system and method of associating a plurality of objects is disclosed. A physical space is defined and a real-time locating system (RTLS) is used to determine objects that are within the physical space. The objects determined by the RTLS to be within the physical space are associated. The objects include at least one of a caregiver, a patient, a medical device, a medication, and a medical substance.

## Claims

### Claim 1

A method of associating a plurality of objects, the method comprising the steps of:
defining a physical space that is limited to a portion of a single room;
associating the physical space with a patient;
determining by use of a real-time locating system (RTLS) that a medical device is within the physical space;
upon a determination that a medical device is within the physical space, automatically associating the medical device with the patient;
determining by use of the real-time locating system (RTLS) that at least one of a caregiver, a medication, or a medical substance is within the physical space;
upon a determination that at least one of a caregiver, a medication, or a medical substance is within the physical space, associating such with the medical device; and
presenting, on a graphic display, a list of caregivers determined to be within the physical space to be selected for operation of the medical device; and upon receipt of a selected caregiver from the list of caregivers, associating action relating to the medical device with the selected caregiver.

### Claim 2 (depends on 1)

The method of claim 1, further comprising the step of downloading one or more operating parameters to the medical device from a database, wherein the operating parameters are associated with a procedure that has been ordered for the patient.

### Claim 3 (depends on 1)

The method of claim 1, further comprising the step of uploading one or more data records from the medical device to a database, wherein the data records are associated with a procedure that has been performed for the patient.

### Claim 4 (depends on 3)

The method of claim 3, further comprising the step of uploading one or more data records to an external system that comprises at least one of an Admit/Discharge/Transfer (ADT) system, a Medication Administration Record (MAR) system, a billing system, and a portable device carried by a doctor or a nurse.

### Claim 5 (depends on 1)

The method of claim 1, further comprising the steps of:
determining that more than one patient is within the physical space;
presenting the identifications of the patients to the selected caregiver; and
accepting a selection from the selected caregiver of the patient with whom the medical device is to be associated.

### Claim 6 (depends on 1)

The method of claim 1, further comprising the steps of:
allowing access to the medical device only when one or more caregivers are within the physical space.

### Claim 7 (depends on 6)

The method of claim 6, further comprising the step of controlling access to the medical device according to privileges associated with the medical device assigned to the one or more caregivers.

### Claim 8 (depends on 7)

The method of claim 7, wherein the access to the medical device is controlled according to the highest privileges of the one or more caregivers within the physical space.

### Claim 9 (depends on 1)

The method of claim 1, further comprising the steps of:
identifying actions or events related to the medical device;
identifying one or more caregivers that are within the physical space when the action or event occurred; and
recording the action or event and the identities of the caregivers.

### Claim 10 (depends on 1)

The method of claim 1, further comprising the steps of:
identifying the medication that is within the physical space; and
configuring the medical device to be used with the medication.

### Claim 11 (depends on 10)

The method of claim 10, further comprising the steps of:
verifying that the patient has a prescription comprising the medication; and
configuring the medical device according to the prescription.

### Claim 12 (depends on 11)

The method of claim 11, further comprising the steps of:
presenting the identifications of the patients to the selected caregiver when more than one patient is in the physical space; and
accepting a selection from the selected caregiver of the identification of the patient with whom the medical device is to be associated.

### Claim 13 (depends on 10)

The method of claim 10, further comprising the step of recording the identification of the patient, the identification of the selected caregiver, and the identification of the medication when the medical device is activated.

### Claim 14 (depends on 1)

The method of claim 1, further comprising the steps of:
determining, by use of the RTLS, objects that are within the physical space; and
upon determination that an object is within the physical space, automatically associating the object with the medical device;
wherein the objects include the at least one of a caregiver, a medication and a medical substance.

### Claim 15 (depends on 1)

The method of claim 1, further comprising the step of determining whether the medication or medical substance has been prescribed for the patient prior to associating such medication or medical substance with the medical device.

### Claim 16

A system comprising:
a real-time locating system (RTLS) transceiver configured (i) to identify a medical device comprising an RTLS tag that is within a physical space that is limited to a portion of a single room, the physical space being associated with a patient, and (ii) to identify a plurality of caregivers within the physical space;
a processor coupled to the RTLS transceiver, wherein the processor is configured (i) to receive the identification of the tagged medical device, (ii) upon receipt of the identification of the tagged medical device, to automatically associate the medical device with the patient and to automatically record an assignment of the medical device to the patient in a database, (iii) to output, on a graphic display, a list of the plurality of caregivers within the physical space to be selected for operation of the medical device, (iv) to receive a selected caregiver, and (v) to associate, upon receipt of a selected caregiver from the list of caregivers, action relating to the medical device with the selected caregiver.

### Claim 17 (depends on 16)

The system of claim 16, wherein the database comprises at least one prescription for the patient, wherein the prescription comprises one or more operating parameters associated with the medical device, and wherein the processor is configured to retrieve the operating parameters from the prescription and download the operating parameters to the medical device.

### Claim 18 (depends on 17)

The system of claim 17, wherein the processor is further configured to associate a medication identified by the RTLS transceiver to be within the physical space with the medical device, identify a prescription in the database that comprises the medication, and retrieve the operating parameters from the identified prescription.

### Claim 19 (depends on 16)

The system of claim 16, wherein the processor is configured to upload one or more data records associated with a procedure that has been performed for the patient using the medical device and to store the data records in the database.

### Claim 20 (depends on 19)

The system of claim 19, wherein the processor is configured to upload one or more data records to an external system that comprises at least one of an Admit/Discharge/Transfer (ADT) system, a Medication Administration Record (MAR) system, a billing system, and a portable device carried by a doctor or a nurse.

### Claim 21 (depends on 16)

The system of claim 16, wherein the processor is further configured to present the identifications of one or more patients identified by the RTLS transceiver to be within the physical space to the selected caregiver identified by the RTLS transceiver to be within the physical space and to accept a selection from the selected caregiver of the patient with whom the medical device is to be associated.

### Claim 22 (depends on 16)

The system of claim 16, wherein the processor is further configured to control the medical device to allow access according to whether the selected caregiver is identified by the RTLS transceiver to be within the physical space.

### Claim 23 (depends on 22)

The system of claim 22, wherein the processor is further configured to control the medical device to allow access according to the highest privileges of caregivers within the physical space, wherein each caregiver has been assigned one or more privileges associated with the medical device.

### Claim 24 (depends on 16)

The system of claim 16, wherein the processor is further configured to store in the database a data record of actions and events associated with the medical device with the identification of all caregivers identified by the RTLS transceiver to be within the physical space at the time of the action or event.

### Claim 25

A non-transitory computer-readable medium having computer-executable instructions stored thereon for execution by a processor to perform a method of associating a plurality of objects, the method comprising:
defining a physical space that is limited to a portion of a single room;
associating the physical space with a patient;
determining by use of a real-time locating system (RTLS) that a medical device is within the physical space;
upon a determination that a medical device is within the physical space, automatically associating the medical device with the patient;
upon an association of the medical device with the patient, automatically recording an assignment of the medical device to the patient in a database;
determining by use of the real-time locating system (RTLS) that at least one of a caregiver, a medication, or a medical substance is within the physical space;
upon a determination that at least one of a caregiver, a medication, or a medical substance is within the physical space, associating such with the medical device; and
presenting, on a graphic display, a list of caregivers determined to be within the physical space to be selected for operation of the medical device; and upon receipt of a selected caregiver from the list of caregivers, associating action relating to the medical device with the selected caregiver.

### Claim 26 (depends on 25)

The non-transitory computer-readable medium of claim 25, wherein the method further comprises the step of downloading one or more operating parameters to the medical device from a database, wherein the operating parameters are associated with a procedure that has been ordered for the patient.

### Claim 27 (depends on 25)

The non-transitory computer-readable medium of claim 25, wherein the method further comprises the step of uploading one or more data records from the medical device to a database, wherein the data records are associated with a procedure that has been performed for the patient.

### Claim 28 (depends on 25)

The non-transitory computer-readable medium of claim 25, wherein the method further comprises the steps of:
determining that one or more patients are within the physical space;
determining the selected caregiver that is within the physical space;
presenting the identifications of the patients to the selected caregiver; and
accepting a selection from the selected caregiver of the patient with whom the medical device is to be associated.

### Claim 29 (depends on 25)

The non-transitory computer-readable medium of claim 25, wherein the method further comprises the steps of:
allowing access to the medical device only when one or more caregivers are within the physical space.

### Claim 30 (depends on 29)

The non-transitory computer-readable medium of claim 29, wherein the method further comprises controlling access to the medical device according to the privileges of the one or more caregivers within the physical space, each caregiver having one or more privileges associated with the medical device.

### Claim 31 (depends on 30)

The non-transitory computer-readable medium of claim 30, wherein the access to the medical device is controlled according to the highest privileges of any caregiver that is within the physical space when more than one caregiver is within the physical space.

### Claim 32 (depends on 25)

The non-transitory computer-readable medium of claim 25, wherein the method further comprises the steps of:
identifying actions or events related to the medical device;
identifying one or more caregivers that are within the physical space when the action or event occurred; and
recording the action or event and the identities of the caregivers.

### Claim 33 (depends on 25)

The non-transitory computer-readable medium of claim 25, wherein the method further comprises the steps of:
identifying the medication that is within the physical space; and
configuring the medical device to be used with the medication.

### Claim 34 (depends on 33)

The non-transitory computer-readable medium of claim 33, wherein the method further comprises the steps of:
verifying that the patient has a prescription comprising the medication; and
configuring the medical device according to the prescription.

### Claim 35 (depends on 33)

The non-transitory computer-readable medium of claim 33, wherein the method further comprises the step of recording the identification of the patient, the identification of the selected caregiver, and the identification of the medication when the first medical device is activated.

### Claim 36 (depends on 25)

The non-transitory computer-readable medium of claim 25, further comprising the step of determining whether the medication or medical substance has been prescribed for the patient prior to associating such medication or medical substance with the medical device.

### Claim 37

A method of associating a medication or a medical substance to a patient, the method comprising the steps of:
defining a physical space that is limited to a portion of a single room;
associating the physical space with a patient;
determining by use of a real-time locating system (RTLS) that (i) a medical device is within the physical space and (ii) more than one caregiver is within the physical space;
upon a determination that a medical device is within the physical space, automatically associating medical device with the patient;
upon an association of the medical device with the patient, automatically recording an assignment of the medical device to the patient in a database;
determining by use of the RTLS that a medication or medical substance is within the physical space;
upon a determination that a medication or medical substance is within the physical space, automatically associating the medication or medical substance with the medical device;
verifying that the medication or medical substance has been prescribed for the patient;
upon verification that the medication or medical substance has been prescribed for the patient, downloading the operation or administration parameters for the medication or medical substance to the medical device and prompting a caregiver of the more than one caregivers to initiate administration of the medicine or medical substance;
presenting, on a graphic display, a list of caregivers determined to be within the physical space to be selected for operation of the medical device; and
upon receipt of a selected caregiver from the list of caregivers, associating action relating to the medical device with the selected caregiver.

### Claim 38

A method of associating a medication or a medical substance to a patient, the method comprising the steps of:
defining a physical space that is limited to a portion of a single room;
associating the physical space with a patient;
determining by use of a real-time locating system (RTLS) that (i) a medical device is within the physical space and (ii) more than one caregiver is within the physical space;
upon a determination that a medical device is within the physical space, automatically associating medical device with the patient;
upon an association of the medical device with the patient, automatically recording an assignment of the medical device to the patient in a database;
determining by use of the RTLS that a medication or medical substance is within the physical space;
upon a determination that a medication or medical substance is within the physical space, automatically associating the medication or medical substance with the medical device;
presenting, on a graphic display, a list of caregivers determined to be within the physical space to be selected for operation of the medical device; and
upon receipt of a selected caregiver from the list of caregivers, associating action relating to the medical device with the selected caregiver.