This disclosure relates to a reminder label system with a visual indicator in which the label system provides both preprinted or writeable information as well as the visual indicator.
Maintenance is required of many items used in a healthcare setting. Currently, analog labels are applied to healthcare items and are used to help staff determine when maintenance is due, to track chain of contact in case of a health or security issue, and/or determine when and whether an item has been sterilized. These analog labels contain fields for receiving printed information such as time, date and registered nurse (RN) initials. These analog labels require that someone reach and read the label up close in order to gather any information from the label. This close inspection is inconvenient and costly because the practice of reaching and reading each individual label is a laborious, time intensive process.
To overcome the deficiencies with conventional analog labels for healthcare, one or more visual indicators are combined with labels having pre-printed text and fields for receiving patient-specific information or information relating to a particular item of medical equipment to which the label is attached. In many instances, the visual indicator may provide information relating to the passage of time since the indicator was activated. However, the indicator(s) are not so limited and could relate to time events and/or or other conditions such as, for example, temperature exposure, sterilization/contamination criterion, and radiation exposure. Such a reminder label system can facilitate maintenance and patient care because it can provide detailed and unique information, can be secure, can better ensure compliance, and can improve workflow efficiency.
According to one aspect, a reminder label system for attachment a healthcare item and/or a patient is provided. The reminder label system includes a label and a visual indicator. The label has pre-printed text corresponding to the healthcare item and/or the patient and further has a writeable surface to receive unique information about the healthcare item and/or the patient. The visual indicator is on the label and provides information relating to an event associated with the healthcare item and/or the patient.
In some forms, the visual indicator may indicate a passage of time since an activation of the visual indicator.
In some forms, the visual indicator may provide a continuous indication of the amount of time that has passed since activation and before a pre-established expiration time. In other forms, the indication may be “binary” in nature—for example, having one indication or appearance if a pre-established threshold time has not passed and a different indication or appearance if the pre-established threshold time has passed.
In some forms, the visual indicator may provide information relating to one or more of time passage, temperature exposure, radiation exposure, sterilization exposure, and contamination exposure. While this list of information provided by the indicator or indicators is exemplary, it is not to be considered limiting and other types of information might also be provided by the visual indicator or indicators.
In some forms, the label may support a plurality of visual indicators. Put differently, while the system is contemplated as being workable with just a single visual indicator on the label, it is contemplated that there could be more than one visual indicator each providing different kinds of information or even a single indicator that provides more than one type of information.
In some forms of the reminder label system, the reminder label system may include a set of visual indicators separately attachable to the label in which each of the set of visual indicators are configured to indicate the passage of time to a corresponding pre-determined expiration time. At least some of the set of visual indicators can have a different pre-determined expiration time than others to provide a set of pre-determined expiration times. By attaching a selected one of the set of visual indicators to the label, a visual indicator can be provided with a desired one of the set of pre-determined expiration times. In such a system, the set of visual indicators can include subsets of visual indicators having similar pre-determined expiration times in which each of the subsets have a unique coloration from the other subsets. In this way, an end user may quickly be able to identify both the expiration duration of the indicator (by seeing the coloration of the indicator itself) as well as whether such expiration duration has passed (by looking at a region of the indicator associated with expiration and/or time progression since activation).
In some forms, the visual indicator may be adhesively affixed to the label, for example, by an end user. However, it is contemplated that in other forms, the visual indicator may be wholly integrated into the label.
In some forms, the label itself may have adhesive on it for attachment of the label to the healthcare item and/or the patient. For example, it is contemplated that the label may be adapted for reception on an IV tube by having adhesive on one end thereof such that the end of the label having the adhesive thereon is wrappable around an IV tube to adhere the label to itself and secure the label to the IV tube. However, in other cases, the label might be attached to the healthcare item and/or patient by an adhesive on one side of the label or by other non-adhesive attachment structures. In still other forms, the label could have a head end receivable through a tail end to create an attachment loop.
It is contemplated that these attachment mechanisms—both of the label to the healthcare item and/or patient and, when applicable, of the visual indicator to the label—may incorporate security mechanisms to prevent tampering. For example, there could be a sacrificial layer or destructive layer that adheres to an adhesive such that, if the label or visual indicator is de-adhered or removed and replaced on another label, item and/or patient, such tampering will be visually evident.
In some forms, the pre-printed text on the label may include prompts for entry of a start date, end date, and registered nurse initials on the writeable surface. Likewise, in some forms, the pre-printed text may include at least in part a calendar text with months and dates which may be markable for selection. Such information can be helpful in documentation and compliance in the medical context.
In some forms, the label may be integrated into a medical bandage and a dressing.
In some forms, the label may be adapted for use in an application selected from a group of applications including attachment to an IV tube, attachment to a urinary catheter, attachment to equipment, attachment to a dressing, and attachment to a scope. This list is not all-inclusive, but is merely a representative list of some possible applications.
According to another aspect, a method of using a reminder label system of the type described above is contemplated. The method includes writing unique information on the writeable surface of the label about the healthcare item and/or the patient and attaching the label to the healthcare item and/or the patient. After attachment, information relating to an event from a visual indicator on the label is observed in which the event is associated with the healthcare item and/or the patient.
In some forms, the method may further include the step of activating the visual indicator. It is contemplated that, for certain types of indicators, the information relating to the event from the visual indicator may be time elapsed since the activation of the visual indicator and the activation step may initiate the timing event.
In some forms, the method may further include the step of attaching the visual indicator to the label. In some instances this may involve selecting the visual indicator from a set of visual indicators having subsets of visual indicators each having a pre-determined expiration time which is different than the other subsets. In this way, the visual indicator may be selected to have the desired time duration.
According to yet another aspect, a method of use of a label as described herein in a healthcare context is contemplated in which the visual indicator on the label communicates information in which the information relates to an event corresponding to the healthcare item and/or the patient.
While various structures and methods have been described separately and in combination in this disclosure, it will be appreciated that the disclosure is not limited to merely these specific descriptions. Any and all workable combinations and permutations of described features and steps are contemplated as being usable together to provide structures and methods incorporating different aspects of this disclosure.
These and still other advantages of the invention will be apparent from the detailed description and drawings. What follows is merely a description of some preferred embodiments of the present invention. To assess the full scope of the invention the claims should be looked to as these preferred embodiments are not intended to be the only embodiments within the scope of the claims.
In the sections below, similar reference numerals will be used to describe features common among the various embodiments. For each different embodiment, a different 100's series will be used to denote the different embodiment (i.e., a first reminder label system 100 according to a first embodiment, a second reminder label system 200 according to a second embodiment, and so on) with common numbers being used to describe common features (i.e., feature 102 in the first embodiment will correspond to feature 202 in the second embodiment and so forth).
Referring first to
Looking at the reminder label system 100, on one end thereof, the label 102 includes pre-printed text 106 thereon which corresponds to prompts for information related to an associated patient and/or healthcare item. Such information can be written by an end user or printed by a printing device on a writeable surface 108 of the label 102 in response to these prompts. In the label 102, the pre-printed text 106 specifically prompts for the entry of the start date, end date, and initials of a registered nurse. This information is associated with the usage of the reminder label system 100 and can be used to track when a particular associated event such as, for example, the passage of time has occurred to establish when a particular action (such as replacement of the healthcare item or an action to be performed on the patient) for the particular patient and/or healthcare item needs to be executed. However, other prompts associated with a particular healthcare use case might be used in place of the pre-printed text 106. As some non-limiting examples, the pre-printed portion of the label system may include a graphics such as calendar(s), check boxes, barcode(s), text, image(s), informational prompts, and so forth which may be in black and white and/or in color. The write-on portion or writeable surface 108 of the label system 100 may include adequate space for writing by the end user. In some forms, the write-on portion may also include a carbon copy means and/or may include an overlay shield to protect the writing from liquids and abrasion after the writing has occurred.
To provide a visual indication with respect to the state of an event of interest associated with the system 100, the visual indicator 104 is provided on the label 102. While the visual indicator 104 is generically illustrated in
The visual indicator 104 is generally capable of taking on two or more physical appearances—whether discrete or continuous in form—in order to indicate the state of an event associated with the visual indicator 104 and, by virtue of the visual indicator 104 being on the label 102, the state of the event as associated with the reminder label system 100. For example, the visual indicator 104 may be temperature-sensitive and may take on a first appearance (e.g., be white) when the visual indicator 104 has never exceeded a threshold temperature and then take on a different second appearance (e.g., be permanently red) after the threshold temperature has been exceeded. While temperature sensitivity is used as an example, visual indicators could be adapted to determine any number of events (for example, passage of time, temperature exposure, time-temperature exposure, radiation exposure, sterilization exposure, contaminate exposure, and so forth).
In some forms, the indicator technology may be a progression indicator and/or may be a chemical, electrochemical, or piezoelectric based process such as wicking, diffusion, etching, and so forth. The indicator may communicate an event by a color change, graphic, or other noticeable visual change. As noted above, the indicator may be a part of the label or a stand-alone item that is separately attached to create the label system.
Still yet, there may be activating actions associated with starting for the monitoring of the event by the visual indicator, as may be the case with monitoring of the passage of time. For example, the end user might apply pressure to a region of the visual indicator to start, for example, a chemical reaction or diffusive migration. As another example, if the user is assembling the visual indicator to the label, then it is contemplated that the action of assembly, attaching, or contacting the two may serve to activate the tracking or monitoring of the event by any one of a number of mechanisms (for example, chemical reaction or initiating migration or diffusion of a chemical species which may eventually react with another and so on). Indeed, this may occur via any assembly of layers. As another example, when an overlaminate or shield is used, that layer may be involved in activation when it contacts or is separated from another layer. Still yet, it is contemplated that in certain structures, the visual indicator might be initiated by an electric signal. Other forms of activation may be used in addition to those described above or the activation could be multi-factor in nature (e.g., requiring multiple actions to initiate activation).
In the case of time indicators, time-indicating labels, their structures, and methods of making them are widely understood by those having skill in the art and will not be described in great detail herein. For example, U.S. Pat. Nos. 4,212,153; 5,446,705; 5,633,835; 5,930,206; 5,974,003; 7,215,604; 8,999,262; and 9,110,446 each teach various time indicator labels and improvements thereto. Some labels use a visual time indicating technology that relies upon the diffusion of a dye through an opaque substrate to visually indicate the length of time since the activation of the particular label. Improvements on this dye diffusion technique to indicate time have been made, such as wicking of a colored fluid, acid etching of an opaque metal layer, fluid migration along a conduit, or electronic timer with display.
Such time-indicating labels can provide visual displays that can be instantly scanned from afar, allowing groups of tags to be observed from across a room in an instant. In the context of the healthcare environment, such long distance visibility provides great advantage because it may avoid the necessity of a registered nurse or caretaker reaching across the patient or needing to travel close to the label to view the written information on the label, as would have been traditionally necessary to establish the date and time information associated with such a label.
It is also worth noting that, conventionally, the visual indication on such time-indicating labels were the sole means of indicating the amount of time elapsed since activation of the time indicator. Put differently, there was not additional information, much less information specifically related to a healthcare item and/or to a patient. Accordingly, other visual indicators such as temperature, time-temperature, sterilization, radiation, freeze/thaw indicators typically only indicate a single piece of information relating to the state of the indicator, and often were not accurate or reliable enough to fully substitute for the documented information recorded on a preprinted/written label. Accordingly, while visual indicators in various forms have existed and are used in combination with the pre-printed text and the writeable surface herein to be functionally related and capable for use in a medical context, such labels historically had lacked the ability to receive and display written information in addition to providing the visual indicator. As healthcare protocol often necessitates written information on a reminder tag—because it must contain precise timing information, information on who provided maintenance last, or other such information—conventional labels and tags were not suitable for use because they failed to meet the necessary compliance and recordation standards.
Before proceeding to describe various additional specific embodiments with reference to
With respect to the label 102, a label may typically be a paper/plastic film in the range of 0.5 mils-50 mils that is cut to a specific shape. As noted above, the label 102 may incorporate a protective film or overlaminate and, in some forms, the film or overlaminate may not be in place until the information has been written or printed on the writeable surface 108 of label 102. Further yet, it is contemplated that the protective film or overlaminate, when applied after the writing or printing is executed, may actually be used to activate the visual indicator 104 if the film or overlaminate contains an activating chemical, for example. Still yet, in some forms, it is contemplated that the temporary removal of a film or overlaminate could cause activation of the visual indicator 104 by exposing internal layers to the surrounding environment initiating an activating action.
The label system 100 is typically intended to be attached to a surface, an object, and/or a person. In some cases, the label system 100 may be applied directly to a person's skin or to an article associated with the person. The object may be a piece of medical equipment such as, for example, a medical scope, a pump, a tray, an IV bag, an IV line, a urinary catheter, a dressing/bandage such as a central line dressing, a surgical tool, a container, and so forth. Accordingly, the label 102 may include one or more modes of attachment that is integrated in the label 102. For example, with reference to
It is contemplated that the label 102 may be antimicrobial and/or may be sterile.
The label 102 may also take on various form factors. For example, a label with adhesive could take the form of a bandage. The visual indicator 104 may be integrated into the bandage or attached to a bandage. An example of a bandage can be an IV dressing and, in many instances, IV dressing patches may have clear adhesive portions for attachment to the skin of a patient. The visual indicator 104 may be attached to other items that are associated with a patient. Still yet, the label 102 may be elongated in order to allow it to be used as a band.
In use, an end user writes or prints information upon the writeable surface 108, activating the visual indicator 104 (when the visual indicator 104 requires activation), and applies the label system 100 to the surface, object or person. However, the steps not necessarily occur in that order and, in fact can often occur in any order. For example, the label system 100 could be attached before writing occurs or activation occurs. Still yet, after attachment, the end user can periodically view or observe the reminder label system 100 to monitor for changes in appearance indicative of the event that the visual indicator 104 is adapted to indicate, track, and/or monitor.
Again, this reminder label system may be modular with the label portion and the indicator portion being provided separately and the end user may create the label system by joining the indicator to the label. As a non-limiting example, a nurse may want to add a secondary indicator to an existing label in use which may already have a first indicator. A nurse may need to track different events necessitating the application of subsequent indicators at different times. In another use scenario, a nurse may need to track several things simultaneously and apply various types of indicators at the same time. In yet another example, a nurse may need to re-start timing and apply a new time indicator over or next to the previous indicator.
We now turn to the remaining figures,
Looking at
Turning to
Turning now to
Each of the different visual indicators 804a, 804b, 804c, and 804d have a different color uniquely associated with the respective time duration so that the end user can, through repetitive use and association, know how long the indicator expiration duration is for the respective indicator by its color alone, even when the indicator is seen from a distance. Still further, the end user may also be able to see the progression window 820 from afar and, given both the unique color coding and the state of the progression bar 820, have a quick understanding of how long it has been since the particular visual indicator was activated.
Notably, in
Referring now to
Referring now to
Finally, with reference to
To this end, with respect to coloration generally, color may be associated with a specific use and/or time limit in order to further simplify maintenance workflow. Colors may be green, purple, brown, and orange, for example. Specific uses for the indicator labels may be on IV tubing, urinary catheters, medical equipment, patient dressings, and scopes. For example, specific time limits may be relatively short for IV use cases (e.g., 24 hours, 48 hours, 72 hours, 96 hours, 7 days), relatively short for urinary catheters (e.g., 48 hours or 7 days), moderately long for smart dressings (7 days), or relatively long for smart equipment preventative maintenance labels (3 months, 6 months, 12 months). However, it will be appreciated that other use cases may have other lengths before expiration. As one example of color coding, a 24-hour IV tubing label can be green, while a 72-hour IV tubing label can be purple, and a 96-hour IV tubing label can be brown.
As noted above, it should be appreciated that various other modifications and variations to the preferred embodiments can be made within the spirit and scope of the invention. Therefore, the invention should not be limited to the described embodiments. To ascertain the full scope of the invention, the following claims should be referenced.
This application claims the benefit of U.S. Provisional Patent Application No. 62/517,843 filed on Jun. 9, 2017, the contents of which are incorporated by reference for all purposes as if set forth in their entirety herein.
Number | Date | Country | |
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62517843 | Jun 2017 | US |