U.S. patent number 3,656,473 [Application Number 04/853,649] was granted by the patent office on 1972-04-18 for medical data processing.
This patent grant is currently assigned to American Science & Engineering, Inc.. Invention is credited to Martin J. Rubin, Lester A. Sodickson.
United States Patent |
3,656,473 |
Sodickson , et al. |
April 18, 1972 |
MEDICAL DATA PROCESSING
Abstract
A test tube bearing a label for receiving identifying marks is
keyed into a label marking unit in the presence of the patient.
Unique patient identification information is transcribed from his
charge plate or wrist bracelet. Specimen description information
and processing directions generated by keyboard, automatic modules,
or auxiliary cards are also encoded on the label. Such cards may
also receive the identification information. The label is decoded
in keyed reading units in the laboratory and the indicated
procedures performed. The identification information is read at
process junctures and transcribed automatically to additional
aliquot containers as required to maintain positive identification
of the specimen.
Inventors: |
Sodickson; Lester A. (Waban,
MA), Rubin; Martin J. (Chevy Chase, MD) |
Assignee: |
American Science & Engineering,
Inc. (Cambridge, MA)
|
Family
ID: |
25316569 |
Appl.
No.: |
04/853,649 |
Filed: |
August 28, 1969 |
Current U.S.
Class: |
600/584; 101/288;
346/33ME; 422/915; 235/487 |
Current CPC
Class: |
G01N
35/02 (20130101); G01N 35/00732 (20130101); B01L
3/5453 (20130101); G01N 2035/00772 (20130101); G01N
2035/00782 (20130101); G01N 2035/00861 (20130101) |
Current International
Class: |
B01L
3/14 (20060101); G01N 35/02 (20060101); G01N
35/00 (20060101); A61b 010/00 () |
Field of
Search: |
;128/2,2R,2G,2F
;235/61.12 ;73/423 ;346/76 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Howell; Kyle L.
Claims
What is claimed is:
1. A method of medical data processing which method includes the
steps of,
placing a specimen from a patient in a specimen container having a
permanently attached encodable label thereon, placing said
container in a code impressing means,
then impressing encoded patient identification data from a patient
identification means associated with and uniquely identifying said
patient upon said encodable label to provide on said label an
automatically readable identification of the patient from whom said
specimen was taken, and
immediately after said impressing step and before said specimen is
subjected to testing, placing said container in a code reading
means associated with said code impressing means, scanning said
encodable label to read out all the information encoded thereon and
comparing the information thus read out with said patient
identification data just previously impressed to insure the absence
of error.
2. A method of medical data processing in accordance with claim 1
and further including the step of impressing encoded data on said
label identifying the test to be performed upon said specimen to
also provide on said label an automatically readable identification
of the test to be performed upon said specimen.
3. A method of medical data processing in accordance with claim 2
and further including,
the scanning of said label being with said code reading means to
provide an encoded output signal that both identifies said patient
and the test to be performed upon said specimen.
4. Medical data processing apparatus comprising,
a specimen container having a permanently attached encodable label
thereon,
patient identification means for providing encoded patient
identification data uniquely identifying an associated patient,
means for receiving both said specimen container and said patient
identification means and responding to said patient identification
means for impressing said encoded patient identification data upon
said encodable label to provide on said label an automatically
readable identification of the patient from whom the specimen in
said container was taken,
said means for receiving also including separate means for
receiving said specimen container for scanning said encodable label
immediately after impressing encoded data by said means for
impressing for reading out all the information encoded on said
encodable label to provide an output indication for comparison with
said patient identification data to insure the absence of
error.
5. Medical data processing apparatus in accordance with claim 4
wherein said means for receiving includes means for impressing
encoded data on said label identifying the test to be performed
upon said specimen to also provide on said label an automatically
readable identification of the test to be performed upon said
specimen.
6. Medical data processing apparatus in accordance with claim 4
wherein said label includes thermosensitive material, and
said means for impressing includes means for selectively heating
predetermined portions of said thermosensitive material to visibly
impress said encoded data upon said label.
7. Medical data processing apparatus in accordance with claim 6
wherein said thermosensitive material is secured to said container
with a high melting point transparent plasticized adhesive
tape.
8. Medical data processing apparatus in accordance with claim 6
wherein said thermosensitive material is applied directly to said
container as a layer of paint which is then covered by a suitable
layer of protective and sealing material.
Description
BACKGROUND OF THE INVENTION
The present invention relates in general to the processing of
medical data and more particularly concerns apparatus and
techniques for insuring positive identification of a sample
throughout the processing system in which test procedures are
performed to aid in medical diagnosis of the patient's ailment and
the monitoring of his response to therapy. The invention
facilitates accurately identifying a specimen-bearing container
associated with a particular patient with a minimum of error.
Considerable effort has been devoted to increasing the speed and
efficiency of hospital clinical laboratories by using computerized
data retrieval and manipulation systems and by coupling computers
to existing automated analysis instruments. The overall time for
processing collected samples and the burden of routine
record-keeping functions once in the laboratory has been materially
reduced. Despite these advances, serious problems remain. To date
the sample labeling problem has not been adequately solved, with
all known manual and automated technique subject to a numerous
variety of possible circumstances in which an accurately analyzed
sample can be associated with the wrong patient. For example, blood
may be drawn from the wrong patient, a sample tube may be wrongly
marked, the label may be accidentally transposed during transit or
processing, or the label may be misinterpreted. Accordingly, it is
an important object of this invention to minimize the opportunities
for such errors by the use of a specially prepared damage resistant
permanently attached label, and by performing the labeling
operation substantially at the time and place the specimen is
withdrawn from a patient in a manner that facilitates automatic
processing of the specimen and association of the test results with
the patient.
SUMMARY OF THE INVENTION
According to the invention, there is a label imprinter adapted to
receive a specimen container with a permanently attached encodable
label thereon and at least a patient identifying card or wrist
bracelet kept with the patient so that a nurse or technician may
insert the card or bracelet and cause the patient identification
data to be directly impressed on the specimen container label,
preferably with other indicia further identifying the specimen such
as the nature of the specimen, the date and/or time taken.
The label is not detachable from the tube nor subject to damage or
alteration under normal hospital conditions. The information is
transcribed onto the tube in the form of digitally encoded dots or
other kinds of markings and may thus be either numeric or
alphanumeric in content. These marks can both be written and read
by machine and the information which they carry is therefore in a
form compatible with but not limited to automatic data processing
systems.
The unique patient identification information is transferred from
coded holes or marks on the patient's hospital charge plate or from
a similarly prepared wrist bracelet when these are inserted into
the aforementioned marking unit. The related background information
is encoded onto the test tube from a keyboard on the marking unit.
Special handling instructions (e.g., diagnostic test requests) may
also be encoded onto the tube from the keyboard or from a
previously prepared card which contains the instructions in machine
readable form and which is inserted into the marking unit. The same
card or an auxiliary card may also receive all or part of the
information transcribed onto the sample container for subsequent
correlation with the container.
Once the label is complete and the specimen drawn, the tube (and
additional card if used) are delivered to the processing
laboratory. The sample container can then be keyed into a device
which decodes the marks previously transcribed onto the tube and
transfers the identification and other information into storage in
a data processing system. Satellite reading units can be employed
for operator verification of patient identity at any stage of the
processing. The same or similar reading and previously mentioned
writing units can be combined to form a transfer unit which
automatically transcribes and reverifies the coded information from
the original sample container to another test tube, a procedure
which can be employed simultaneously with the automatic or manual
transfer of part or all of the sample from one tube to another.
Numerous other features, objects and advantages of the invention
will become apparent from the following specification when read in
connection with the accompanying drawing in which:
BRIEF DESCRIPTION OF THE DRAWING
FIG. 1 is a block diagram illustrating the logical flow of elements
into a portable label encoder according to the invention;
FIG. 2 is a perspective view of a suitable label encoder according
to the invention;
FIG. 2 A is a bottom view of test tube 15.
FIG. 3 is a perspective view of a suitable test tube reader
according to the invention; and
FIG. 4 is a block diagram illustrating the logical flow of elements
into a label transfer module.
DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS
With reference now to the drawing and more particularly FIG. 1
thereof, there is shown a portable label encoder 11 which may
receive a test tube at input 12, a patient identification card at
input 13 and a test request card at input 14 for encoding
identification and other data on the test tube label 16 and
preferably for simultaneous transcribing information on to the
request card 24 concerning the tests to be made on the specimen. In
an alternate embodiment a wrist bracelet may be read in a hand held
unit connected to label encoder 11 by cable.
Referring to FIG. 2 there is shown a perspective exploded view of
an exemplary embodiment of the portable label encoder 11. Test tube
input 12 may include the circular opening with alignment pin 37 at
the bottom so that test tube 15 with its label 16 and alignment
indent 38 is keyed in position with the label 16 (best seen in FIG.
3) facing label encoder 17 to insure correct labeling of test tube
15. Vacutainer tubes adapted in manufacture to include this indent
have been used to achieve the desired alignment. Test tube 15
preferably contains a permanent label in a well-defined orientation
relative to the indent that is temperature sensitive so that label
encoder 17 may appropriately encode with controlled heating
elements the test tube label 16 with information such as patient
identification, and other pertinent data such as the specimen type,
the test to be performed, the ward, the time, the date and an
accession number which also identified the particular portable
label encoder 11. Temperature sensitive label 16 is preferably
affixed to test tube 15 with a high melting point transparent
plasticized adhesive tape which permanently bonds label 16 onto
test tube 15, protects label 16 from spillage and other hazards,
and facilitates the encoding of uniform marks on label 16 by
diffusing the heat from the heating elements in label encoder 17. A
preferred combination of materials uses an under layer of the
Nashua Corporation's OWT thermal sensitive paper beneath a
self-adhering layer of the Connecticut Hard Rubber Company's KAPTON
type 250 teflon tape. An alternate approach uses a thermosensitive
paint such as one of the Tempil Corporation's TEMP-ALARM series
which is applied directly to the tube by brush, spray, or dip and
subsequently covered by a similarly applied protective and sealing
overcoat. The label marks are imprinted by exposure to a set of
multiturn coils of nichrome wire whose temperature is elevated for
a controlled time interval by a current source and time delay
relay. The coil construction, exposure time, and operating
temperature are adjusted to optimize the size and uniformity of the
marks.
A patient identification card 21 may be inserted into input recess
13 so that the apparatus may read patient I. D. card 21 and actuate
label encoder 17 accordingly to record this information on test
tube label 16. Similarly, information such as the ward, date, time
and accession number may be encoded on label 16 by label encoder 17
along with test requests that may be designated by the selection
keys 18. In an alternate embodiment, the test request information
could be read from card 24 rather than via the keyboard if such a
card has been previously prepared elsewhere in the hospital system.
The specific logical apparatus for reading the I. D. card may be
any of the well-known card reader systems and is not a part of this
invention.
Preferably the portable label encoder 11 includes a label verifier
scanner 22 in recess 23 so that test tube 15 may be placed in
recess 23, and appropriate scanning mechanism actuated to effect
readout of the permanent label identifying all the information on
the label 16 to insure no error. The readout of these results may
be on an associated CRT display, printed out or otherwise suitably
displayed. The specific means for displaying the label information
may be any well-known technique and is not a part of this
invention.
Referring to FIG. 3, there is shown a perspective view of a
suitable mechanism for effecting scanning of permanent label 16 of
test tube 15. The unit reads the marks using reflected light. The
linear array of marks is read in serial fashion as the read head is
mechanically scanned along the tube. An alternate embodiment would
employ an array of sensors, one for each mark to produce parallel
read out. Label 16 is shown with two rows of binary data that may
be optically read. Scanner 22 resides in slot 23. A rack and pinion
scanner 25 driven by a motor (not shown) causes the two rows 26 and
27 to be scanned by means including fiber optical cords 31 and 32,
respectively, each energized at an input end 33 and 34,
respectively, by a suitable light source (not shown) and delivering
data representative light energy at output ends 35 and 36,
respectively, to respective photocells (not shown) whose outputs
may be suitably decoded by well known logical apparatus and
converted into alphanumeric data corresponding to that imprinted
upon label 24 by label encoder 17. Similar scanning apparatus and
logical apparatus may be used at the input to individual test
instruments to recover the identification information encoded on
the label and correlate this information with the results of the
analytical procedure on the specimen in the test tube 15. In
addition such reading apparatus can be used to recover the
information encoded on the test tube for visual display in the
laboratory or elsewhere using a CRT, printer or other well known
technique.
To facilitate the maintenance of absolute sample identity through
normal laboratory processes such as the separation of cellular and
fluid components by centrifugation and the division of the sample
into numerous aliquots for a large number of discrete analytic
channels the above described reading and writing methods may be
readily combined in a transfer module in which both the appropriate
specimen component and the identification information are
simultaneously transferred to a new test tube. The transcribed data
is then automatically read and verified as in the bedside unit. The
logical flow of material through this unit is shown in FIG. 4. The
physical positioning of all test tubes within the transfer module
may be performed either manually or automatically with the label
transcription fully automated in the same fashion as in the bedside
label marking unit, with the exception that the identification
information is obtained from the original test tube instead of a
card.
There has been described novel apparatus and techniques for
insuring proper association of a specimen with a patient and the
test to be performed on that patient. The invention is especially
useful in connection with automatic testing and reporting systems
using digital data techniques.
It is evident that those skilled in the art may now make numerous
uses and modifications of any departures from the specific
embodiments described herein without departing from the inventive
concepts. Consequently, the invention is to be construed as
embracing each and every novel feature and novel combination of
features present in or possessed by the apparatus and techniques
herein disclosed.
* * * * *