Patient care devices with local indication of correspondence and power line interconnectivity
10395769 ยท 2019-08-27
Assignee
Inventors
Cpc classification
A61B90/90
HUMAN NECESSITIES
A61G2205/60
HUMAN NECESSITIES
International classification
Abstract
According to the present disclosure, a system includes a patient support device and a power line network for communicating data, such as patient identifying information. The patient support device locally indicates information about an assigned patient. A patient care apparatus is communicatively connected to the power line network to receive data and to provide a local indication of the data received. The local indication of the device and the apparatus includes respective lights that flash substantially synchronously.
Claims
1. A patient care device, comprising: a patient support device in a patient room, a power line network local to the patient room, comprising an ID source device configured to receive a patient ID associated with a patient assigned to the patient support device and to communicate the patient ID throughout the power line network, an electric power distribution circuit configured to provide electric power to the patient support device, at least one power receptacle connected to receive electric power from the electric power distribution circuit, wherein the power line network communicates the patient ID to the at least one power receptacle using the electric power distribution circuit along with supplying electric power to the at least one power receptacle prior to other devices being connected to the at least one power receptacle so that after being connected to the at least one power receptacle, the other devices receive the patient ID and power through the power line network as a result of being connected to the at least one power receptacle, a patient care apparatus electrically connected to the electric power distribution circuit to receive electrical power and the patient ID therefrom over the power line network, wherein the patient support device has a first light, the patient care apparatus is spaced from the patient support device and has a second light, and the patient care apparatus is communicatively coupled to the patient support device to provide a visual cue that the patient support device and the patient care apparatus are both associated with the patient by flashing the first and second lights substantially synchronously so that the first and second lights are perceived by an observer as turning on and turning off at the same time.
2. The patient care device of claim 1, wherein the ID source device includes a power line transceiver.
3. The patient care device of claim 1, wherein the ID source device communicates the patient ID throughout the power line network through a modulated carrier signal embedded within the electrical power provided by the electrical power distribution circuit.
4. The patient care device of claim 1, wherein the patient support device is connected for communication with a communication network and receives the patient ID associated with the patient assigned to the patient support device from the network for communication to the ID source device.
5. The patient care device of claim 1, wherein the patient care apparatus is electrically connected to the electric power distribution circuit by connection of a plug of the patient care apparatus to the at least one power receptacle.
6. The patient care device of claim 5, wherein the at least one power receptacle is mounted to the patient support device.
7. The patient care device of claim 1, wherein the patient support device includes an indicator configured to communicate a unique pattern indicating the patient ID to provide locally observable identification of the patient ID.
8. The patient care device of claim 7, wherein the indicator includes a light source configured to flash to communicate the pattern.
9. The patient care device of claim 1, wherein the patient support device and the patient care apparatus are communicatively coupled by the power line network.
10. The patient care device of claim 9, wherein the flashing of the first and second lights substantially synchronously results from the patient ID being known to the patient care apparatus and known to the patient care device.
11. A patient care device, comprising: a patient support device, a power line network, comprising an ID source device configured to receive a patient ID associated with a patient assigned to the patient support device and to communicate the patient ID throughout the power line network, an electric power distribution circuit configured to provide electric power to the patient support device, at least one power receptacle connected to receive electric power from the electric power distribution circuit, wherein the power line network communicates the patient ID by configuration of the electric power distribution circuit to supply electric power to operate devices connected to the at least one power receptacle, and a patient care apparatus electrically connected to the electric power distribution circuit to receive electrical power and the patient ID therefrom over the power line network, wherein the patient support device has a first light, the patient care apparatus is spaced from the patient support device and has a second light, and the patient care apparatus is communicatively coupled to the patient support device to provide a visual cue that the patient support device and the patient care apparatus are both associated with the patient by flashing the first and second lights substantially synchronously so that the first and second lights are perceived by an observer as turning on and turning off at the same time, wherein the patient support device and the patient care apparatus are communicatively coupled by the power line network, wherein the flashing of the first and second lights substantially synchronously results from the patient ID being known to the patient care apparatus and known to the patient care device.
12. The patient care device of claim 1, wherein the patient support device comprises a patient bed.
13. The patient care device of claim 12, wherein the patient care apparatus comprises one or more of the following: an intravenous (IV) fluid machine, a ventilator, or a patient monitor.
14. The patient care device of claim 1, wherein the patient care apparatus comprises one or more of the following: an intravenous (IV) fluid machine, a ventilator, or a patient monitor.
15. The patient care device of claim 1, wherein the patient support device is configured to communicate with remote computer equipment via a communications network.
16. The patient care device of claim 15, wherein the patient support device is configured to communicate wirelessly with the communications network.
17. The patient care device of claim 1, wherein the patient support apparatus is configured to communicate with remote computer equipment via a communications network.
18. The patient care device of claim 17, wherein the patient support apparatus is configured to communicate wirelessly with the communications network.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) The detailed description particularly refers to the accompanying figures in which:
(2)
(3)
(4)
DETAILED DESCRIPTION OF THE DRAWINGS
(5) A patient care system 12 illustratively includes a patient support device 14 and a power line network 16 as shown in
(6) Power line network 16 illustratively includes an ID source device 18, and an electrical power circuit 20. ID source device 18 communicates a signal indicating a known patient ID throughout the power line network 16 by configuration of the electrical power circuit 20 to provide data and electrical power through common infrastructure. In the illustrative embodiment, patient support device 14 is embodied as a hospital bed and ID source device 18 is illustratively mounted on the hospital bed as shown in
(7) In the illustrative embodiment, a patient care apparatus 24 is connected to the power line network 16 to receive electrical power and data therefrom as suggested in
(8) In the illustrative embodiment, patient care apparatus 24 is electrically connected to electrical power circuit 20 by electrical power cord 26 as shown in
(9) In the illustrative embodiment, indicators 25, 50 each respectively include a light source 25b, 50b which illuminates at specific intervals to communicate their patterns for local observation, i.e. light sources 25b, 50b both flash at certain intervals. An observer that is local to indicators 25, 50 observes each of their communicated patterns to discern whether or not the patterns of flashes are substantially synchronous to each other. If the patterns communicated by indicators 25, 50 are substantially synchronous, the observer is cued that the patient ID known to the patient support device 14 and the patient ID known to the patient care apparatus 24 correspond. If the patterns communicated by indicators 25, 50 are not substantially synchronous, the observer is cued that the patient ID known to the patient support device 14 and the patient ID known to the patient care apparatus 24 do not correspond to each other. An observer can, therefore, easily confirm that the information known to the patient care apparatus 24 corresponds to the patient associated with the patient support device 14.
(10) In the illustrative embodiment as shown in
(11) For example, in Room 1, patient.sub.i is assigned to patient support device 14.sub.i. Based on the unique patient ID of patient.sub.i, indicator 50.sub.i illustratively communicates three short flashes before a pause, and repeats. In Room 2, patient.sub.j is assigned to patient support device 14.sub.j. Based on the unique patient ID of patient.sub.j, indicator 50.sub.j communicates one long flash before one short flash, and repeats. In Room 3, patient.sub.k is assigned to patient support device 14.sub.k. Based on the unique patient ID of patient.sub.k, indicator 50.sub.k communicates two long flashes before a pause, and repeats. These flash sequences are, of course, just to give some possible examples and it should be appreciated that all flashing sequences are intended to be within the scope of this disclosure.
(12) In the illustrative embodiment as shown in
(13) As shown in
(14) Patient care system 12.sub.y includes patient support 14.sub.y and power line network 16.sub.y. Patient.sub.y is assigned to patient support device 14.sub.y. Based on the unique patient ID of patient.sub.y, indicator 50.sub.y illustratively communicates two short flashes before one long flash, and repeats. Patient care apparatus 24.sub.y is not connected to power line network 16.sub.y and stores information from a previously received signal indicating a unique patient ID of patient.sub.u from a previous communication. Based on the previously received signal indicating the patient ID of patient.sub.u, indicator 25.sub.y communicates three short flashes before one long flash, and repeats. The patterns of indicators 25.sub.y, 50.sub.y are not synchronized such that a local observer can recognize their lack of correspondence. A caregiver can easily observe that the information known to patient care apparatus 24.sub.y does not properly correspond to patient.sub.y and is alerted to the inconsistency by visual observation of the disparate flash sequences.
(15) Returning now to the illustrative embodiment of
(16) ID source device 18 of power line network 20 is illustratively embodied as a communication module configured to receive and store the patient ID and to communicate a signal indicating the stored patient ID over the power line network 20. ID source device 18 is illustratively configured to receive the patient ID from bed electronics module 40 for communication over power line network 16.
(17) ID source device 18 is illustratively connected for communication with bed electronics module 40 of patient support device 14 as shown in
(18) In the illustrative embodiment, ID source device 18 receives a patient ID from network 22 through bed electronics module 40. The patient ID is a unique identification code that is assigned to a patient of the care facility. In the illustrative embodiment, the patient ID is associated with the particular patient support device 14 by storage and association with a patient support device ID unique to the particular patient support device 14, within a database of network 22, for example, a relational database 64 as suggest in
(19) In the illustrative embodiment, patient support device 14 communicates with the network 22 of the care facility to communicate information therebetween (illustratively represented by two-way communication lines 52 in
(20) Bed electronics module 40 illustratively receives and stores a patient ID from network 22. Bed electronics module 40 illustratively communicates the patient ID to ID source device 18. In the illustrative embodiment, bed electronics module 40 periodically updates ID source device 18 with the patient ID, including immediately upon receiving a new patient ID from network 22. In some embodiments, ID source device 18 sends a request to bed electronics module 40 for an updated patient ID.
(21) ID source device 18 receives and stores the patient ID from bed electronics module 40. ID source device 18 is illustratively configured to communicate a signal indicating the patient ID over the power line network 20. In the illustrative embodiment as shown in
(22) Power line transceiver 42 illustratively includes frequency shift keying modulators/demodulators (modems) indicated by numeral 43 in
(23) Power line transceiver 42 illustratively includes a processor 42a and memory device 42b as shown in
(24) Patient support device 14 illustratively includes a line filter 54, transformer 56, and power supply 58 as shown in
(25) In the illustrative embodiment, power line transceiver 42 is connected for bidirectional communication with bed electronics module 40 by line 49. Power line transceiver 42 is connected for bidirectional communication with discrete interface circuitry 44 as indicated by line 45. Discrete interface circuitry 44 is connected with coupling circuit 46 with isolation and/or low leakage current for bi-directional communication as indicated by line 47. Coupling circuit 46 is electrically connected with at least one conductor of power cord 33 for bidirectional communication. Power cord 33 transmits electric power from electrical circuit 20 to patient support device 14 and communicates data therebetween through at least one modulated carrier signal as suggested in
(26) In the illustrative embodiment, indicator 25 of patient care apparatus 24 includes an indicator module 25a configured to receive the signal indicating a patient ID and to operate indicator light source 25b to produce a pattern based on the received signal. Indicator module 25a illustratively includes a processor 25c, and a memory device 25d. Memory device 25d illustratively stores information indicated by the signal and instructions for determining the pattern based on the information indicated by the signal. Processor 24c is configured to determine the information from the signal and to execute the instructions stored on the memory device 24d to determine the pattern based on the information indicated by the signal. In the illustrative embodiment, the instructions include an algorithm. In some embodiments, the instructions include a lookup table, decision matrix, and/or any other manner of determining a distinct pattern based on a patient ID. In the illustrative embodiment, indicator module 25a receives a signal including the patient ID from the ID source device 18 and determines the pattern based on the patient ID received. Indicator 50 operates similarly to indicator 25 but shares memory 42b and processor 42a components with power line transceiver 42 such that no distinct indicator module is required, but in some embodiments includes a distinct indicator module. Synchronizing the timing between equal patterns of indicator 25 and indicator 50 is illustratively achieved by coordination based on the carrier signal of the power line network 20 and the power line network 16 is configured to account for timing effects of signal transmission.
(27) Electrical circuit 20 is illustratively embodied as being disposed within a panel wall 64 of the care facility as shown in
(28) In the illustrative embodiment, power line network 16 communicates a signal including the patient ID to the patient care apparatus 24. In some embodiments, the signal includes the pattern as determined by the power line transceiver 42 of ID source device 18, and indicator module 25a is configured to receive, store, and execute the pattern as received.
(29) In the illustrative embodiment, the indicators 25, 50 are embodied as communicating patterns by light sources 25b, 50b for generating flashes. In some embodiments, the indicators 25 include audio devices for communicating an audio pattern, communicate patterns by varying the color of light sources 25b, 50b, and/or other configuration for local indication, and/or combinations thereof.
(30) In the illustrative embodiment, patient care apparatus 24 receives the patient ID and is communicatively coupled to the patient support device 14 through the power line network 16. In some embodiments, patient care device 24 is configured to transmit data through power line network 16 to patient support device 14. In some embodiments, the data (for example the patient ID) is communicated to the patient care apparatus 24 by wired and/or wireless signals sent from patient care device 14, power line network 16, network 22, any other communication source, and/or any combination thereof. As described above, patient care apparatus 24 can at times be disconnected from electrical circuit 20 and illustratively includes a battery power storage for operational power when it is not plugged into any electrical circuit 20. In some embodiments, a patient ID is entered manually into the patient care apparatus 24 via a user interface, by scanning a patient badge such as a wristband of the patient, by wired and/or wireless local detection from a patient badge, and/or by any other local communication manner.
(31) Power line network 16 is illustratively embodied to communicate the patient ID, but in some embodiments is configured to communicate any sort of data therethrough. For example, in some embodiments, the power line 16 network is configured to communicate a variety of patient information such as patient name, age, weight, height, medical condition, treatment, assigned location, risk status, and/or any combination thereof and/or pairing content such as code names, code numbers, distinctive colors, distinctive sequences, and/or combinations thereof.
(32) The present disclosure includes smart patient care environments. Such environments may include medical device connectivity including bi-directional communication between medical devices and an electrical medical record which has numerous benefits including protection of patients from medical errors and improved care efficiency. Device connectivity may depend on accurate and timely patient identification and/or association, but creating a digital association between data items that mirrors the association that exists in the physical world continues to challenge existing solutions. Known devices may include active (e.g., barcode, RFID) or passive based on remote mapping (e.g., through location based ADT). The present disclosure includes creation of a necessary association through passive association based on local mapping, by embedding the patient's ID within the power network used by her medical devices. It may build a data-over-network technology to create a personal power and data network within a particular patient care environment, populate that network with the patient's unique identification number, and make that ID number readable and/or available to devices connected to that system. Devices connected to that system will know which patient it should be associated with, creating and ensuring an accurate association between the device and patient even within EMR.
(33) The present disclosure includes a power line network (PLN) created to encompass a network of power outlets within a specific patient environment. One device (the ID transmitting device) connected to the PLN may receive a unique identifier designating the patient under care in that patient care environment (the Patient ID), and then transmit that Patient ID on the PLN. Other devices (the ID Receiving Devices) may receive the Patient ID from the PLN, and may use that Patient ID as the key to associate any data they transmit with the patient associated with that Patient ID. By embedding the patient's ID within the power network used by her medical devices, the system and/or device can combine the advantages of an active (accuracy, timeliness) and passive (ease of use, reduction in errors) based system and/or device. By enabling the accurate, timely association of medical devices with a patient, the innovation can allow care facilities, such as hospitals, to take advantage of the benefits of medical device connectivity (e.g., improved workflow through automated documentation, avoidance of errors created by erroneous communication of data contained within EMR, identification of patient safety risks such a medication errors, early detection of patient deterioration.).
(34) The present disclosure includes creating a digital association between records to mirror the association that exists in the physical world. Medical Device Connectivity has numerous potential benefits. Medical Device Connectivity may include the transfer of data (and the use of that data for analysis, control, or notification purposes) between (1) a device and a patient's Electronic Medical Record (EMR), (2) the EMR and a device, and/or (3) different devices. This connectivity has numerous benefits such as increased efficiency and accuracy of documentation through process automation (e.g., patient vital signs logged in real time to the patient's medical record) and enhanced patient safety through clinical decision support based on that data (e.g., recognition of a medication error based on knowledge of the drug being delivered to a patient via IV and the allergy to that medication based on the patient's medical record). Improved accuracy and timeliness of this association can improve conditions. If a device is associated with the wrong patient, decisions will be made based on erroneous data. If that association is delayed, events that could have been addressed during that time lag cannot be addressed. Current Patient Identification & Association solutions have significant limitations. Relational association by reference to an ADT (Admission, Discharge and Transfer) system based on location alone can be hampered by the lack of timely and accurate data in that ADT system. A patient may frequently be in a room different than that shown by the ADT system, for reasons including transfer or redirection within a unit based on equipment needs, delayed discharges or transfers, or other workflow challenges. Some check systems can create the frequent circumvention of the system by caregivers and the workflow challenges associated by creating the association each time the device is used. The shortcomings of this type of system are evident from their lack of widespread adoption more than 30+ years since their launch.
(35) The present disclosure includes Data Over Power (also referred to as power-line communication or PLC) which is a system that simultaneously transmits power and data over a single wired network. In this system, a device connected to a power-line network (PLN) can send and receive data to another device connected to that PLN, at the same time as both devices receive electricity from that PLN. One non-limiting example of such a system is a home automation systema modified light switch connected to a home's electrical wiring can modulate a carrier wave (of between 20 and 200 kHz) to transmit data to control lamp connected to a power outlet on that system.
(36) The present disclosure includes Power Line Networks (PLN) that includes a network of power outlets within a specific patient environment. In one non-limiting example, the network is comprised of all power outlets in the patient room (for example, those in the headwall system). In another non-limiting example, the network includes the auxiliary outlet resident on the patient bed, available to power devices such as ventilators, IV pumps, vital sign monitors, etc. One device (the ID Transmitting Device) connected to that PLN can receive a unique identifier designating the patient under care in that patient environment (the Patient ID), and then transmit that Patient ID onto the PLN. In some embodiments, the ID Transmitting Device is a bed, which can receive the patient's unique identifier via a number of methods, including manual entry, barcode scanning, RFID scanning without common issues associated therewith. Numerous other devices could serve as ID Transmitting Device, including a dedicated wall module, the nurse call touchscreen, or a bedside touchscreen, and could be augmented by other sensors to provide knowledge of patient location such as RTLS, motion detectors, or machine vision systems. Other devices (the ID Receiving Devices) will receive the Patient ID from the PLN, and will then use that Patient ID as the key to associate any data they transmit with the patient associated with that Patient ID.
(37) In the present disclosure, the patient's name may not be required for indication but rather just that the person in the EMR and the person in the bed are the same person, a paired visual cue (e.g., lights flashing in sequence) would alert the caregiver to an association error. A smart care environment results including devices with interconnectivity which can effectively create an association between the device and the patient. A non-limiting example includes an infusion pump recording information regarding the drug to be delivered to a patient, the device and/or system must know which patient is associated with that specific infusion pump. There are challenges in creating that association in the prior art. Both automated and manual methods of creating an association can result in errors.
(38) Mistakes can occur under assumption that the Admission-Discharge-Transfer (ADT) system can be used to create that association (for example that a patient John Doe is in Room 103 and any device in Room 103 should send its information to the medical record for John Doe. But Room 103 may not have been ready when Joe Doe was needing a room and John Doe may have been placed in Room 303 or may have been sent to Room 404 where telemetry is available, etc). Even when the ADT is accurate, it may not be accurate at the exact point in time at which data is required. Errors in data can be difficult to discover. If a caregiver associates a patient with the wrong vital sign monitor, it can be difficult to recognize the error on the basis of the vitals and/or data alone (for example if the data shows a fairly normal heart and respiration rate, it is hard to anticipate the cue that can make the caregiver realize that they have made an error). By creating a visible indication of the association between a patient and device, the likelihood of erroneous association can be reduced along with related errors.
(39) Although certain illustrative embodiments have been described in detail above, variations and modifications exist within the scope and spirit of this disclosure as described and as defined in the following claims.