Patent Publication Number: US-7722083-B2

Title: Method and apparatus for delivering barcode-to-dose labels

Description:
This application is a division of Ser. No. 10/918,539 filed Aug. 13, 2004, which also claimed priority to U.S. provisional application 60/495,473 filed Aug. 15, 2003. 
    
    
     TECHNICAL FIELD 
     The invention relates to method and apparatus for labels, printing labels and labeling containers with the label; more particularly, it relates to method and apparatus for delivering barcoded dosage labels to injection vials and syringes. 
     BACKGROUND OF THE INVENTION 
     Bar coding in patient care and medication delivery is now mandated to administer patient dosing and prevent wrong dosing or inadvertent delivery of medication to the wrong patient. Typically a nurse receives a medication order and fulfills it by going to a station to pull the vial or package of medication for the patient. In the case of an injectable dose, the nurse fills the patient syringe and writes the patient label on tape and puts the taped syringe in her pocket, along with other filled syringes for other patients. Even if the vial was bar coded, the syringe is not, and the tapes are known to come loose as well. What is needed is a method and apparatus for delivering barcode-to-dose labels in a healthcare environment that addresses these concerns. 
     DISCLOSURE OF THE INVENTION 
     A novel label is disclosed that has a neck portion and two end or tab or flag portions. The label length is generally and preferably greater than the target circumference of a container to be labeled, and the label is adapted to be wrapped around the selected circumference such that the two end portions or tabs may be adhered back to back to each other to form a flag that thereby depends from the container. Preferred containers are injection vial and ampules. The neck portion of the label is generally and preferably relatively narrower than either of the two end portions, and it is preferably relatively offset so that it is closer to a front edge of the label than to a back edge. Preferred labels have a neck portion length that is greater than or equal to the application circumference measurement. Having a narrower neck advantageously facilitates either manual swiping of the vial neck through the label neck portion, or wrapping of the label around the relatively narrow neck of the vial for durable flag tagging of the vial. Having the neck offset toward a front edge of the label advantageously places the neck of the label in the first-to-peel position as it comes out of the printer, and thus exposes the neck for pickup, while retaining the relatively larger tab area, or a significant portion of the tab area still adhered to the backing strip so that alignment of the label with the carefully aligned backing strip is more readily maintained. In general those skilled in the art will appreciate that mechanical alignment of the label/backing strip, the vacuum pickup arms, and whatever holds the vial in place in the apparatus is both important, and readily established by means well known in the art. 
     A preferred two layer label set has a backing strip, an inner layer, and an outer layer. The inner layer is releasably adhered to the backing strip and serves at least in part itself as a kind of backing strip for at least one removable portion of the outer layer. This removable portion of the outer layer is preferably less than all of the outer layer, and in preferred embodiments is in fact a removable (releasably adhered) single layer label itself (preferably intended for attachment to the dose delivery device such as a syringe or patient individual dose cup). In preferred embodiments, the removable portion of the outer layer is one of the tab portions of the label, and it is separated on the outer layer from the neck portion by a notch in the outer layer generally at the junction of the neck and the tab. 
     A preferred barcode to dose delivery system includes the disclosed two layer label set or the like, a medicine container such as a vial or ampule, and a dosing dispenser such as a syringe. The medicine container has a preferred label application circumference, generally and preferably at the neck of the container. 
     In a basic labeling apparatus embodiment a labeling apparatus has a source of printed labels having adhesive backing, a vacuum head removably attachable to a label, and one or more of the following: a blower bar whereby the label is supported on air from the blower bar; a plurality of spring loaded pins, each pin in a contacting relationship with a portion of the label; a label position sensor. The vacuum pickup is advantageously movable from a pickup position to a wrap position, and the start of the wrap position is determined and detected by the position sensor. 
     Printed labels can advantageously be pre-printed and loaded into the apparatus for label application, or they can be printed in the apparatus on an otherwise conventional label printer and fed to the labeling portion of the apparatus. Preferably the labels are printed on demand and the printing is controlled by a separate computer operably connected with the apparatus. The computer may be operably connected to a database of medical information and patient information for complete data access by the labeler. 
     Labels are preferably removably adhered to a conventional adhesive label backing strip of appropriate tensile strength, and after printing, the backing is desirably fed and/or pulled through an opening and across a conventional peel bar to start a free end for each label, the label adhesive thereby exposed and activated for adherence to a container or other selected object. Preferred labels have two layers of label; a first or inner layer is removably adhered to the backing strip. A second or outer layer contains at least a portion of label that is further and releasably adhered to the inner layer, such that the two layer label may be applied to an object, and then a removable label portion of the now adhered label can be removed and adhered elsewhere on the object or on a different object. 
     After peeling, the free end, or floating end, of the label is preferably then picked up by a vacuum head or vacuum pickup in a manner of conventional temporary, releasable vacuum pickup that will be known to those skilled in the art. In a basic embodiment, the pickup area of the label employed by the vacuum pickup as it attaches to the label need not be significant. Other means of such temporary and releasable pickup, now known or later developed, are contemplated for use with the apparatus, and may be substituted without departing from the scope of the present disclosure. For instance, a pickup head may be faced with a tacky material that has enough temporary adhesion to adhere to the free end of the label and so transport it to another location. In a further instance, some labels might be advantageously provided with tabs or loops or the like, the which can be grabbed or held by releasable mechanical grippers that are integral to the disclosed pickup head. 
     In addition to the above arrangement in a basic embodiment, a blower bar is optionally provided beneath the free end of the label to support it in non-adhering relation to the rest of the apparatus while waiting for the pickup arm to releasably attach to the label; the label end in effect sits on a cushion of air from the blower bar. In an alternate embodiment a plurality of spring loaded pins are mounted or retained within the pickup head so that upon pickup, each pin is in a contacting relationship with a portion of the label. In other alternates, the apparatus also has a label position sensor, so that as the vacuum pickup and label are moved from a label pickup position to a label wrap position, the start of the wrap position is determined and detected by the position sensor which feeds back in well known manner to the motion of the pickup head and stops it in the wrap position. A preferred wrap position stop point is the point at which the descending label reaches the level of the container to which the label is to be applied. Preferred position sensors are conventional optical sensors, but other sensors such as microswitches and the like known in the art may readily be substituted. 
     A preferred labeling apparatus includes a source of printed labels having adhesive backing, as discussed above, and a vacuum pickup having two opposable arms, each arm having its own vacuum head, and each head removably attachable to a respective end portion of a label. The arms are preferably mechanically opposable and arcuate, so that at full opposition, the vacuum heads can touch and yet leave space above the heads for a container or a portion of a container therewithin. The arms are preferably actuable into and away from opposition by conventional means such as hydraulic or air cylinders, gears, or other conventional motive linkages. 
     The labeler preferably includes a blower bar as discussed above, whereby at least the free end of the label is supported on a cushion or layer of air from the blower bar emitted through a plurality of air channels in the bar in a conventional manner. The label is thus freed from adhering relation with any other part of the apparatus at this stage, before it is picked up by the preferred vacuum pickup. 
     In preferred labelers, the arms are hinged to one another or to a structure in common to them both and they descend together from a reset or default or rest position generally downward to the floating label, with the arms in a splayed, relatively flat orientation to each other, and the two vacuum heads substantially on the same horizontal plane as they descend to each meet their respective end of the label, more or less simultaneously, at which point the vacuum is applied and the label ends are releasably held in the vacuum embrace of the heads. After pickup of the label, the arms move to a position just above the container that is to be labeled (and optionally, the container holding member may also move into optimal labeling position), to a wrap position where the arms are ready to encircle the container and effect the wrap of the label around the container. This wrap position is generally sensed by a label position sensor which is preferably optical in nature. Generally, when the label arms stop, the wrap is effected by the arms moving into opposing positions on either side of the container to be labeled, and pressing or tamping the label to the container and to itself. Vacuum is then released, the arms return to a reset position and the container is released from the apparatus. Alternate position sensors are contemplated in alternate embodiments, such as conventional NC or numerical control mechanisms whereby dimensions of the container are input to a computer, and the arms are moved to the position appropriate to those dimensions, in a manner well known in the art. 
     Preferred labels are selectably longer than the circumference of the portion of the container to which they are to be applied; thus after wrapping around the container at the selected location and circumference, there is generally an end portion of each label free to adhere, back to back, with the corresponding end portion of the other end of the label. It is this latter portion of the label that is generally referred to herein as the end portion of the label. 
     A plurality of spring loaded pins, preferably retained within arcuate portions of each pickup arm, and which from point of pickup are in a contacting relationship with a mid portion of the label such that the spring tension operating against each pin is either at a minimal or neutral or relaxed state, are deformable or able to be pushed back into their sockets in the arms against spring tension so that as the container is enveloped by the arcuate arms and the label that is supported by the pins, the pins urge the contacting label portion against the container to be wrapped, and, if there is mid portion of label available beyond what it takes to encircle the container, against the now opposing mid portion of label from around the other side of the bottle. 
     A preferred labeling system employs a two layer label set as discussed herein, and further includes an injection vial or other medicine container and a syringe or other dose dispenser. The vial has a label application circumference and the two layer label set has a conventional backing strip, an inner layer, and an outer layer. The inner layer is releasably adhered to the backing strip, and serves at least in part as a kind of backing strip for at least one removable portion of the outer layer that is less than all of the outer layer. This removable portion of the outer layer is releasably adhered to the inner layer and is the part that is transferable to the syringe. The label set preferably has a neck portion and two end portions, the label length is selectably greater than the label application circumference at the neck of the vial, so that the label can be wrapped around the application circumference with the two end portions adhered back to back to each other. 
     In general, the delivery device and process disclosed is to print a two layer so that transferable labels are removably adhered to backing which itself has an adhesive backing for attachment to the vial. The vial is then optionally swiped through the two part label and attached thereby to the label. After a syringe is filled from the vial, the transferable (preferably barcoded) label is removed from the backing that is adhered to the vial and transferred to the syringe, 
     Preferred two layer labels are shaped to have two lobes or tabs, each printable with barcode or other data, separated by and depending from a relatively narrower connecting strip between the lobes. Preferred application of the two lobe label adhesive backing layer is to wrap, either manually or by automated process or device, the narrow neck or connecting strip of the label around the vial, with the backing of the two lobes then adhered to each other to form a unitary-looking tab or flag that is securely attached to the vial and which indicates by barcode and other data on one side the type of medication contained in the vial, and on the other side of the flag, the dosage and patient ID data. 
     In addition to the process described above, and the novel label, a conventional automated printer for printing data on rolls of these special labels is generally disclosed, wherein the printer puts out labels with the backing adhesive along the neck portion of the label peeled off for the swiping therethrough of the individual vial in such a way as to catch the vial in the connecting strip of the label and then further on, to catch and press together, back-to-back, the two lobes of the label backing attachment. 
     In some embodiments, the vial or ampule is pulled through an attachment to the printer to seal the backings of the flag portions of the label together thereby securing the label around the neck of the vial or ampule. The purpose of the attachment is to align and position the flags of the label so the backing of both flags seal directly together with little or no additional manual processes. One example of an attachment is to have two plastic or rubber flaps attached to two metal rods that are attached in turn to the printer and positioned directly above the center of the label dispensing area, in the shape of a tight “V”. When a vial or ampule is swiped through the center of this flag label, the swipe continues through the plastic or rubber flaps attached to the “V” and seals the backing of both flags of the label directly together. 
     Also disclosed is method of transferring a label from a backing strip to a medicine container. This is a particular method for a label that has a neck and two end tabs, but may be adapted to employ fewer steps or substitute steps without departing from the scope of this disclosure. One step of the method is peeling away a portion of the backing strip to expose an adhesive surface of the neck of the label, while releasably retaining substantially all of the two tabs on the backing strip. This is preferably accomplished with a conventional peel bar, as discussed herein, but may be performed manually as an alternate. To the extent that the backing strip supports, such as conventional rollers and reels, are held in selected mechanical alignment that facilitates a pickup of the label off the backing strip with the expectation that it will be aligned with the pickup head and the eventual wrapping site, holding a substantial portion of the tabs on the backing strip while the neck is exposed helps advantageously to maintain that alignment, while exposing the neck allows for optional manual or automatic swiping of a vial upwards into the neck so as to pull the label off with it started in wrap on the vial. 
     An optional step in any preferred method is floating the exposed label neck on a cushion of air, such as for instance by providing a conventional blower bar beneath the peeled off portion of the label. 
     A further step is picking up the label at each tab with a pickup device, such as a vacuum pickup head, or heads, on pickup arms as disclosed herein, but it is to be understood that the method is not limited to disclosed apparati. A further step is moving the label and pickup device to a position so that the center of the label neck or substantially the center of the label neck is brought to rest upon the container in the place where the label wrap is desired. This is advantageously accomplished with a position sensor to guide the pickup device in stopping its descent and then starting the label wrap when the label neck just meets the container. However, the method step is not limited to a particular sensing apparatus, and includes any means, including manual or visual, of sensing when the label is just or substantially just touching the container. 
     A further step is wrapping the two tabs down and around the container so that at least a portion of one tab is adherable to, and ultimately adhered to, at least a portion of the other tab, and preferably the two tabs will be fully aligned and adhered to one another to form a flag depending from the container. In preferred methods some means of applying pressure to the neck portion of the label as it wraps around the container so as to press the label firmly against the container is employed. For this purpose a plurality of spring loaded pins in the pickup device is advantageous to press portions of the label to the container, and after the container is wrapped and any neck portion is left over, pressing the back of adjoining neck portions together as well. Other means resilient means can be made to serve as well. 
     A more basic method disclosed for transferring a label to a medicine container includes some or all of the following steps. One step exposing an adhesive surface of a mid portion of the label (the portion between the end portions is the mid portion, whether the label has any kind of neck or not), while temporarily and releasably retaining two ends of the label in a spaced apart relationship. This facilitates swiping of vials, as discussed herein, and also facilitates pickup of the label ends, either manually or automatically. A further step is interpositioning the medicine container with the mid portion of the label, so that the mid portion of the label is adhered to the container. ‘Interpositioning’ is intended to cover any combination of motions that bring the vial or container and the label together, including but not limited to swiping the vial toward a relatively stationary label, moving the label to a relatively stationary container, or any combination of these two basic motions. The label is advantageously first adhered to the container at a selectable point on the container by place the label middle, or substantially the middle, first on the point and then wrapping both ends around the container. However, other label start positions and wrap methods may be employed with departing from the scope of this disclosure. A further preferred step is then wrapping the two label ends around the container so that at least a portion of one end is adherable to at least a portion of the other end. 
     An alternate description of the preferred labeling process runs as follows: the vial or ampule is placed in a holding apparatus, and a sensor detects the vial&#39;s or ampule&#39;s presence and starts the label printing and application process. The label is printed and moved into position to be removed from the label roll. In preferred processes, the label is moved into the self strip position over the peel bar (preferred conventional Intermec printer presents printed labels this way automatically.) and, as the label exits the printer, it is positioned over a blower bar to float the label in a ready position. Optimally, it is held in place by at least a small area of the label still adhered to the backing. 
     At this point a sensor checks to establish a vial or ampule is loaded and still properly positioned. The vial is moved forward or the labeling apparatus is moved over the vial and the system enters a “wrap mode”. Gripper arms, consisting of apparatus for applying vacuum to the label and spring loaded pins on the surface of the arms facing the vial or ampule, lower to meet the label. When the arms have reached the label position, vacuum is applied, so the label is releasably retained by the gripper arms and the preferred two layer label is pulled off the backing and the roll. When vacuum is achieved, the gripper arms move with the label to a position above the waiting vial. In preferred processes, as soon as the label is moved away from the label present sensor, the next label is produced. 
     The label is then moved down or the vial or ampule is moved up. In optimal processes, the gripper arms lower over the neck of the vial and a sensor stops the gripper arms in the correct position. The gripper arms wrap around the neck of the vial or the ampule and apply pressure to the label against the neck of the vial or the ampule via the spring loaded pins on the inner surfaces of the arms of the gripper. Once the circumference of the vial or ampule application area has been covered, the spring pins continue to align the neck of the label and the label flags pressing the adhesive surfaces together and forming a “flag” off the side of the vial or ampule. 
     After the label is adhered to the vial or ampule, the vacuum is released, the gripper arms return to retrieve the next label, and the wrapped vial or ampule is removed. 
     A preferred method of labeling a dose of medication in a dose dispenser for administration to a patient includes some or all of the following steps. One step is printing a two layer label as discussed herein, an outer layer of which further has the necessary and selected medicine ID data, while a removable dose label in that outer layer of label has the dosage and patient ID data on it, preferably by automatic printing on demand and per dose or per patient. Another step is then attaching the two layer label to a medicine container, and then removing the dose label itself from the outer layer, leaving most of the label on the container, but attaching the dose label to the dosing dispenser, preferably by its own adhesive. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         FIG. 1  is a sectional schematic illustration of the peeling of a label. 
         FIG. 2  is a sectional schematic illustration of blower bar air cushion. 
         FIG. 3  is a sectional schematic illustration of vacuum head descent and attachment. 
         FIG. 4  is an elevational schematic illustrations of the gripper descent and vacuum attachment. 
         FIG. 5  is an isometric schematic illustrations of the gripper descent and vacuum attachment. 
         FIG. 6  is a part sectional schematic illustration of the vacuum head with the label aligning over application surface. 
         FIGS. 7 ,  8 ,  9  and  11  are a staged elevational schematic illustration of the descent and wrap of the gripper arms. 
         FIG. 10  is a sectional schematic illustration of spring loaded pin. 
         FIG. 12  is side schematic illustration of label wrapping. 
         FIGS. 13   a  and  13   b  are schematic illustrations of typical containers. 
         FIGS. 14   a  and  14   b  are schematic illustrations of possible misalignments. 
         FIG. 15   a - c  are schematic illustrations of alternate label wrapping. 
         FIG. 16  is a sectional schematic illustration of label wrapping with flaps. 
         FIG. 17  is a plan view of a typical disclosed label. 
         FIG. 18  is a side view of a typical disclosed label. 
         FIG. 19  is a schematic illustration of peeling a removable label. 
         FIG. 20  is a schematic illustration of adhering a removable label to a syringe. 
         FIG. 21  is an isometric view of a preferred labeling device. 
     
    
    
     BEST MODE OF CARRYING OUT THE INVENTION 
     Turning now to the drawings, the invention will be described in preferred embodiments by reference to the numerals of the drawing figures wherein like numbers indicate like parts. 
       FIG. 1  illustrates a preferred separation of label  10  from backing  11  by pulling the backing over peel bar  13  in the direction of arrow  15 . Label  10  is adhered to the backing by releasable adhesive  12  and, as is well known, when a backing is pulled over a peel bar, the free portion of label  10  is thrust forward. In  FIG. 2 , free portion  14  of label  10  is now free, and preferably suspended over blower bar  20 , which contains a plurality of air channels  22  creating a cushion of air  21  to suspend and support free portion  14  of label  10  in a non-adhering position and ready for pickup. 
       FIG. 3  illustrates the attachment of vacuum head  31  to label  10  for purposes of label transport. One or more vacuum channels  30  are disposed within vacuum head  31 . As free portion  14  is thrust forward, separating from label backing  11 , vacuum head  31  descends in the direction of arrow  33  to meet its surface. Vacuum conveyed in vacuum tube  30  holds the label  10  and, vacuum head  31  is moved, label  10  is completely detached from backing  11 . It remains attached to vacuum head  31  for transport to the appropriate application position. 
       FIGS. 4 and 5  illustrate a like process as in  FIG. 3  from a front and isometric view respectively. Gripper arms  70  descend in the direction of arrow  33  with vacuum tubes  30  aligned over the flag or tab portions  50  of label  10 . In  FIG. 6 , label  10 , now completely removed from backing  11 , and held to the vacuum head  31  by vacuum is moved in the direction of arrow  33  until it is aligned correctly for application onto, in this instance, bottle  80 . As is illustrated for this case, neck  60  of label  10  is aligned with the surface  40  for application. 
       FIG. 7  illustrates descent of gripper arms  70  holding label  10  in the direction of arrow  73 , towards circumference of surface  72  for application. As illustrated, gripper arms  70  contain a plurality of spring loaded pins  71 , which at this point are aligned with neck  60 . Spring loaded pins  71  are further detailed in  FIG. 10 . A spring  74  and pin  71  are contained and aligned in a cylindrical tube or bore. Spring  74  and pin  71  are of lengths such that an end of the pin outside the bore is flush with the bottom surface of vacuum heads  31 . Optimally, when label  10  is being held against gripper arms  70 , no pressure is applied to label  10  by the pins. When label  10  contacts a surface, it is pushed against end of pin  71  which is outside the bore causing pin  71  to retracts against spring  74 . Spring  74  is selected to have a spring resistance such as to provide a gentle and constant pressure of pin against label, applying label to surface. 
     In  FIG. 8 , optical sensor  76  provides feedback to mechanism moving gripper arms, stopping descent of gripper arms once label  10  makes contact with surface  40 , and gripper arms  70  begin to rotate in direction of arrow  73  around circumference of surface  72 . In  FIG. 9 , rotation of gripper arms  70  is partially complete. Vacuum tubes  30  are holding flag portions of label  50  tight against vacuum heads  31  for even and aligned application of neck  60 . At the same time, at least some spring loaded pins  71  are retracting into bores in gripper arms  70  as they apply continuous pressure to neck  60  causing contact with and adhesion of neck  60  to the container. In  FIGS. 11 and 12 , gripper arms  70  complete rotational movement around bottle or vial  80 . Vacuum tubes  30  hold flag portions of label  50  in alignment, while spring loaded pins  71  apply gentle pressure to neck  60  applying it to entire circumference of bottle  80  and also aligning and pressing neck  60  against itself until flag portions of label  50  are aligned and pressed together forming a single flag off the side of bottle  80 . 
       FIG. 13   a  illustrates dimensions appropriate to application of label  10  to a neck of a bottle or vial  80  that any machinery intended to accomplish disclosed processes advantageously accommodates. Dimension line  85  represents width of surface  40 . Dimension line  84  represents distance from top of bottle to top edge  41  of label application surface  40  and dimension line  83  represents distance from bottom of bottle to bottom edge  42  of label application surface  40 . Dimension line  86  represents diameter of cylindrical surface for application. Dimension line  87  represents diameter of bottle or vial cap  81  and dimension line  82  represents diameter of body of bottle or vial  80 . 
       FIG. 13   b  illustrates dimensions appropriate to application of label  10  to an ampule  90  Dimension line  91  represents distance from the end of the ampule presented to the machinery to top edge  41  of label application surface  40  and dimension line  92  represents distance to bottom edge  42  of label application surface  40 . Dimension line  93  represents total length of ampule and dimension line  86  represents diameter of ampule. 
       FIGS. 14   a  and  14   b  illustrate ways in which a label may misalign. A fold of label  100  may occur in thin neck of label  60  or in flags  50 , causing flags to misalign and exposing label adhesive  12 . These misalignments illustrate advantage of maintaining label in a smooth continuous curve during application, avoiding disruptive forces against label during pickup and application, applying an even pressure to label around curved surface of application and maintaining a grip on flags  50  until they are aligned and pressed together (as illustrated in  FIGS. 11 ,  12  and  15   c ). 
       FIGS. 15   a,    15   b  and  15   c  illustrate alternate application of label  10  around circumference of label application surface  72 . Two gripper arms  112  attach to label  10  at label flags  50 . Bottle, vial or ampule  72  is brought in contact with label such that gripper arms  112  are rotated around bottle  72  in direction of arrows  111 . Flags are advantageously held at gripping surfaces such that label  10  is held relatively taut during application and flags  50  thus aligned and pressed together. 
       FIG. 16  illustrates application of label  10  bottle  72  with a set of flaps  120 . Bottle  72  is brought into contact with label  10  in appropriate alignment. Then label and bottle are both moved in direction of arrow  121  through a set of flexible flaps  120  which are placed to provide a wide opening at the point where bottle  72  enters between flaps  120 , and a relatively narrower opening or little opening at all at the point where bottle  72  exits from between flaps  120 . By this method flaps  120  provide a steady and even pressure to label  10  pressing it against bottle  72  and applying label around entire circumference of bottle, vial or ampule as it moves through the flaps, much in the manner of squeegeeing wallpaper during application. Flaps are optionally disposed with conventional mounting or linkages at printed label exit point on a conventional printer. 
       FIG. 17  illustrates two layer label  10  shaped into neck  60  connecting two wider areas or flags or tabs  50 . Neck  60  may or may not have printed material, while flags  50  preferably contain data such as printed material  132  including preferred barcode. In  FIG. 18 , a side view of two layer label  10  illustrates notch  133  cut through top layer  135  of label between flag portion  50  and neck  60 , preferably leaving bottom layer  131  of label intact. This creates a removable portion  130  of label  10 .  FIG. 19  illustrates removal of removable flag portion  130  of label  10  from bottom portion  131  of label  10  by pulling on edge of removable label  130  at notch  133 , which is the outer layer of the particular flag  50 . Removing label  130  exposes adhesive  134  on back of label, which was releasably adhered to bottom layer  131  of flag  50 . In  FIG. 20 , removable label  130  with its data and optional barcode  132  is applied to syringe  140  thereby safely labeling syringe  40 . 
       FIG. 21  is an overall schematic of a preferred labeling device shown inside a case. Bottle, vial or ampule is loaded into holder  88 , triggering printing of a label. Label is suspended over blower bar  20  on a cushion of air, and gripper arms  70  transport label to the bottle, vial or ampule and apply it, all as more particularly discussed herein. 
     With regard to systems and components above referred to, but not otherwise specified or described in detail herein, the workings and specifications of such systems and components and the manner in which they may be made or assembled or used, both cooperatively with each other and with the other elements of the invention described herein to effect the purposes herein disclosed, are all believed to be well within the knowledge of those skilled in the art. No concerted attempt to repeat here what is generally known to the artisan has therefore been made. 
     INDUSTRIAL APPLICABILITY 
     The disclosed method and apparatus for safely delivering barcode-to-dose labels in a healthcare environment assures patient dosing and prevents wrong dosing or inadvertent delivery of medication to the wrong patient. 
     In compliance with the statute, the invention has been described in language more or less specific as to structural features. It is to be understood, however, that the invention is not limited to the specific features shown, since the means and construction shown comprise preferred forms of putting the invention into effect. The invention is, therefore, claimed in any of its forms or modifications within the legitimate and valid scope of the appended claims, appropriately interpreted in accordance with the doctrine of equivalents.