Infusion Device Automated Programming Deviation Handling
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Solution Overview
Problem
Infusion pumps often reject automated programming requests due to device-order deviations, such as flow rates exceeding the pump's configuration limits, leading to manual programming requirements and potential errors.
Innovation Solution
The infusion device identifies common non-clinically significant misalignment errors in automated programming requests, accepts misaligned data in real-time, and provides a user interface for clinicians to resolve deviations, while reporting issues to a server and utilizing machine learning to improve future order processing.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If the infusion device strictly enforces configuration limits on automated programming requests, then device safety and compliance are improved, but automation reliability deteriorates due to order rejections
Solution Approach 1:
The patent segments the automated programming request processing into multiple stages: initial reception of the APR, identification of deviations from device configuration, presentation to user interface for resolution, and final processing. This segmentation allows the system to handle deviations systematically rather than rejecting entire orders, improving automation reliability while maintaining safety constraints.
Solution Approach 2:
The user interface acts as an intermediary between the automated programming request and the device configuration. When deviations are detected, the UI presents them to the clinician for resolution before the infusion is activated. This intermediary role allows the system to enforce safety limits while maintaining automation flow, as the UI mediates the conflict between APR parameters and device configuration.
2Manufacturing precision
If the infusion device rejects misaligned automated programming requests, then programming accuracy is improved, but operational efficiency deteriorates due to manual programming requirements
Solution Approach 1:
The system performs preliminary identification of deviations between APR parameters and device configuration before final infusion activation. By detecting and presenting deviations to the user interface in advance, the system allows for pre-resolution of programming issues, maintaining accuracy while avoiding complete rejection of automated requests and subsequent manual programming.
3Productivity
If the infusion device accepts all automated programming requests without validation, then operational efficiency is improved, but programming accuracy deteriorates due to configuration mismatches
Solution Approach 1:
The system implements feedback by identifying deviations between automated programming request parameters and device configuration, then presenting these deviations to the user interface for clinician review and resolution. This feedback loop maintains programming accuracy by validating parameters against device configuration while preserving operational efficiency through continued automated processing flow.
Data Source
AI summary
When automated programming data configured to instruct an infusion device regarding an infusion of a medication is received from a server, the disclosed system and method identifies a deviation in the data with respect to stored programming data. Without rejecting the data for the deviation, the infusion device instead sends an acknowledgement of the automated programming data and the deviation, and determines a user interface workflow for correcting the deviation. The infusion device then provides for display one or more user prompts according to the determined user interface workflow to resolve the deviation. If the deviation is resolved by way of user responses, then the infusion is activated. Otherwise, an indication is sent to the server regarding the deviation.