Medication Management Unit for Pump Programming Validation

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Solution Overview

Problem

Modern medical devices, including medical pumps, are complex and time-consuming to program, leading to human errors in medication delivery that can be adverse or deadly, and there is a need for a system that enhances patient safety and caregiver productivity while reducing labor-intensive tasks and improving accuracy.

Innovation Solution

An integrated medication management system that uses a medication management unit (MMU) to validate medication orders electronically, ensure the 'five rights' of medication administration, and adjust patient-specific rules based on new conditions, while also providing drug-drug incompatibility checks and remote order modulation.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Manufacturing precision

If medical pumps are used to deliver fluids and medication, then delivery accuracy and dosage control are improved, but device complexity and programming time increase

Engineering Contradiction:
Improvedelivery accuracyVSAvoidprogramming complexity
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The patent introduces a medication management unit as an intermediary device that sits between the caregiver and the medical pump. This unit handles the complex programming tasks, drug library management, and validation processes, while presenting a simplified interface to the caregiver. The intermediary absorbs the complexity burden, allowing the pump itself to remain relatively simple while achieving high delivery accuracy through sophisticated intermediate processing.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Reliability

If more caregiver staffing and training are provided, then patient safety and programming accuracy improve, but medical care costs increase

Engineering Contradiction:
Improvepatient safetyVSAvoidcaregiver staffing cost
Core Design Contradiction:
ReliabilityVSQuantity of substance

Solution Approach 1:

The medication management unit enables a form of self-service by providing automated validation, error checking, and guidance features that help caregivers perform their duties correctly without requiring extensive specialized training. The system performs many safety-critical functions automatically (such as validating medication orders against the patient's drug library and checking for incompatibilities), reducing the burden on caregivers and allowing facilities to maintain high safety standards with optimized staffing levels.

Inventive Principle:
Principle #25Self-service

3Adaptability or versatility

If manual programming and validation tasks are performed, then flexibility in handling various medication orders is maintained, but human errors and labor-intensive work increase

Engineering Contradiction:
Improvemedication order flexibilityVSAvoidcaregiver productivity
Core Design Contradiction:
Adaptability or versatilityVSProductivity

Solution Approach 1:

The system performs preliminary actions by pre-validating medication orders, pre-checking for drug incompatibilities, and pre-loading appropriate drug libraries before the actual medication delivery. The medication management unit validates the medication order, checks the patient's drug library for incompatibilities, and prepares the pump programming in advance. This preliminary validation and preparation work automates the complex cognitive tasks that previously required manual caregiver intervention, reducing errors while maintaining the ability to handle diverse medication orders.

Inventive Principle:
Principle #10Preliminary action

Data Source

PatentUS10434246B2Medication management system
Publication Date: 2019.10.08 ICU MEDICAL INC
  • US10434246B2 patent drawing
  • US10434246B2 patent drawing
  • US10434246B2 patent drawing

AI summary

A medication management system (MMS) includes a medication management unit (MMU) associated with a medical device. The MMU downloads a medication order to the medical device only if information from a first input matches information from a second input. The medical device receives delivery information only from the MMU. The medication order is performed only after delivery data validation. The MMU also determines drug-drug incompatibility. The MMU can modulate (start, stop, and dynamically adjust) medication order performance. The medical device wirelessly receives a patient ID to automatically associate with the patient. During delivery, the medical device caches an updated drug library to replace an existing one. The medical device displays a patient picture for validation. The MMU evaluates the performance of medical devices and caregivers based medical device feedback. The MMU adjusts the output of medical device information conveyed to a caregiver.