Jerry Fahrni

Category: Cool Technology

  • Cool Technology for Pharmacy – Sproxil

    Counterfeit drugs are not only big business, they’re dangerous to consumers as well. Counterfeit medications have no quality assurance program, which means they can contain contaminants, sub-therapeutic levels of the active ingredient, the wrong active ingredient, or even no active ingredient at all. Thus they can cause more harm than good. While these medications can certainly cause problems here in the United States, it’s really the developing countries that are taking a beating.
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  • New device for delivering volatile anesthetics to patients in the ICU

    medGadget:

    “Volatile anesthetics like isofluorane or sevofluorane, usually used in the operating room, have a much quicker wake-up time, but the size and cost of an anesthesia machine make them impractical for use in the ICU.

    Sedana Medical (Uppsala, Sweden) seems to have overcome this limitation with the introduction of the AnaConDa (Anesthetic Conserving Device). The device features a syringe pump that delivers Isofluorane or Sevofluorane to a small carbon-fiber device which goes in-line with a traditional ICU ventilator. In many ways, this can be considered a disposable anesthetic vaporizer.
    This month’s Anesthesia & Analgesia features a study that validated this device in an ICU setting and found that it is quite accurate (end-tidal concentration was within 13% of target concentration). Advantages of this device, in addition to quick wake-ups, include lower cost of the equipment as compared to traditional vaporizers and an overall decreased consumption of anesthetic.”

    When I worked in the pediatric ICU we would use volatile anesthetics like sevoflurane on rare occasion. It was always quite an ordeal as the equipment necessary to deliver the gas wasn’t exactly portable. Anyway, the AnaConDa is a pretty cool piece of hardware.

    You can get more information on The AnaConDa at the product website.

  • Cool Technology for Pharmacy – The Pill Timer

    I came across a Tweet mentioning The Pill Timer from Med Time Technology, Inc quite a while back. I would like to give credit to the person that brought it to my attention, but several thousand Tweets have zoomed past my eyes since then. My plan was to purchase one, as they’re only $4.95, and play with it before posting about it. Unfortunately I never got around to it.

    The Pill Timer is an electronic prescription vial cap designed to provide patients with audio and visual alerts when it’s time to take their medication. Medication adherence is a big problem here in the United States and anything that has the potential to improve compliance is worth a look. I’ve posted on technology like this before, but I believe The Pill Timer is easily the least expensive and simplest alternative I’ve seen. The instructions are relatively easy to follow, and anyone using The Pill Timer should have it programmed and ready for use in no time at all. The instruction sheet can be found here.
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  • Cool Technology for Pharmacy – CareSpeak

    Texting is a popular method of communication for nearly all walks of life nowadays. I fought the texting bug for a long time until I finally discovered that it was a quick and easy way to communicate with my wife and daughters throughout the day.

    It was only a matter of time before texting made its way into healthcare as a viable option as a way to remind patients to take their medications. Texting has been used to increase medication compliance in certain disease states such as diabetes and pediatric liver transplant. This isn’t the case for all patient demographics as text reminders did not improve compliance with women taking oral contraceptives.

    Nonetheless, the idea of using text messages to encourage patients to take their medication is the goal of CareSpeak and their line of available applications: MediM Alerts, Diabetes Monitor and MediM Alerts+.
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  • Cool Technology for Pharmacy – Baxa Repeater Pump

    The Baxa Repeater Pump is a pretty cool piece of pharmacy technology. The device automates many of the repetitive processes used in filling oral syringes, oral dosage cups, syringes used for injection and reconstituting medications used to mix intravenous medications in the acute care setting. I remember working in a pediatric facility and watching the technicians fill thousands of oral syringes with liquid acetaminophen and ibuprofen for use in automated dispensing cabinets throughout the hospital. With the use of the Syringe Filling Fixture, and the automated pump setting on the Repeater Pump, the technicians could fill a phenomenal number of syringes in a very short period of time. Other times the technicians used the foot pedal on the Repeater Pump in order to control the rate at which the process moved; art in motion. Either way it was a bummer when they were finished as I had to check all those syringes. Regardless, the pump was a valuable piece of equipment when repetitive fluid transfer was required.
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  • Imprivata OneSign Secure Walk-Away Technology

    While at Innovations a couple of weeks back I stumbled across the Imprivata booth at the vendor expo. There were quite a few people gathered around the booth so I obliged my curiosity and squeezed in among the crowd. The Imprivata representatives were giving a demonstration of the company’s OneSign 4.5 application with Walk-Away technology. There must be something compelling about the Imprivata line of products as I found myself blogging about their OneSign Platform about this time last year.

    The Walk-Away technology was impressive. As long as a user was standing in front of the computer camera they remained logged in. However, as soon as the user turned to walk away they were immediately logged out of their session. This is a significant step forward in managing those unattended workstations that one often finds throughout the hospital.

    From the Imprivata website: “OneSign Secure Walk-Away closes a critical security gap in the protection of confidential information assets by automating the process of securing the desktop when a user ‘walks away’. Once a user has securely authenticated to the desktop using OneSign Authentication Management, OneSign Secure Walk-Away uses a combination of computer vision, active presence detection, and user tracking technologies to identify an authenticated user and automatically lock the desktop upon their departure.”

    You can read more about the system here (PDF). Try as I might I could not find a video demonstration of the Walk-Away system; too bad really as the system has to be seen to be appreciated. I’m not a big fan of single sign-on systems (SSO) in general for various reasons, but I’m willing to reconsider my position when SSO is used in combination with biometric identification, voice recognition or facial recognition technology. It’s just too cool to ignore.

  • Cool Technology for Pharmacy – Spiroscout Inhaler

    The Spiroscout Inhaler Tracker by Asthmapolis is a small device that attaches to the top of an inhaler. The unit is GPS capable so that each time the inhaler is used, the GPS unit records the time the medication was taken and the patients location.

    What a great tool to not only help asthmatics control their disease, but provide physicians with great real-time data. I suppose the next step would be to integrate devices like this into the electronic health record similar to what has been done with me blood glucose and blood pressure monitoring devices.

    The Spiroscout Inhaler Tracker is used in conjunction with the Asthmapolis mobile diary to help patients map and track their asthma symptoms, triggers and use of medications.
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  • Cool Technology for Pharmacy – PharmaTrust MedCentre

    The PharmaTrust MedCentre is a fully automated remote dispensing machine similar to the InstyMeds Prescription Medication Dispenser I mentioned back in October of 2009. We were evaluating the InstyMeds machine when it died a slow agonizing death during budget talks.

    The idea is simple really. Load the MedCentre machine with a few hundred of the most commonly prescribed medications in ready to dispense, pre-packaged bottles, have a patient insert a prescription, or “voucher” depending on what country or state you’re in, and sit back and wait for the prescription to pop out. Just like a vending machine. Of course the patient has the option to consult a pharmacist by simply picking up a telephone attached to the machine, but I don’t assume that happens too often. Most people want their medications as quickly as possible.
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  • Cool Technology for Pharmacy – NDC Translator

    Last week I posted about some bar-coding troubles we were having. One of the comments regarding the information in the post was left by a pharmacist named Max Peoples. Max offered up some great information and mentioned a piece of software called NDC Translator from RxScan.

    From Max’s comment: “One answer to the medication NDC # barcode scanning problem is to use the software called NDC Translator(TM) with your barcode scanners. Information at http://www.rxscan.com/rx.shtml

    It intercepts the raw data coming from the barcode scanner, evaluates it’s content and if it contains the 10 digit NDC # (required to be there by law in a medication barcode) it converts the raw data into the 11 digit NDC # format and then sends the 11 digit NDC over to the application you are scanning into, in this case Jerry’s barcode labeling software.”
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  • Cool Technology for Pharmacy – MedReady

    Medication compliance was an issue long before I became a pharmacist, and it will continue to be that way until the end of time. Some patients chose not to take their medication, while others simple can’t remember, and still others may be willing to take their medication but can’t for one reason or another. The impact of medication noncompliance on healthcare is staggering. Depending on the reference used, the cost of medication noncompliance can run into the billions secondary to hospital admissions caused by treatment failure.

    The MedReady system is a solution that can effectively help those with bad memories stay compliant. The small, smoke alarm looking device is designed to hold up to 28 separate medication doses with frequencies up to four times a day.
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