Predictive infusion device operations and related methods and systems
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61M-005/172
G06F-019/00
A61M-005/142
출원번호
US-0261266
(2014-04-24)
등록번호
US-10105488
(2018-10-23)
발명자
/ 주소
Palerm, Cesar C.
Lintereur, Louis J.
Monirabbasi, Salman
Holtzclaw, Kris R.
Desborough, Lane
출원인 / 주소
MEDTRONIC MINIMED, INC.
대리인 / 주소
Lorenz & Kopf, LLP
인용정보
피인용 횟수 :
0인용 특허 :
198
초록▼
Infusion systems, infusion devices, and related operating methods are provided. An exemplary method of operating an infusion device capable of delivering fluid to a user involves determining a current value for a physiological condition of the user influenced by the fluid violates a first threshold
Infusion systems, infusion devices, and related operating methods are provided. An exemplary method of operating an infusion device capable of delivering fluid to a user involves determining a current value for a physiological condition of the user influenced by the fluid violates a first threshold value, determining a predicted value for the physiological condition of the user violates a second threshold value, and automatically altering operation of the infusion device to modify delivery of the fluid to the user after determining the predicted value violates the second threshold value when the current value violates the first threshold value.
대표청구항▼
1. A method of operating an infusion device comprising a motor operable to deliver fluid to a body of a user, the fluid influencing a physiological condition of the user, the method comprising: determining a current value for the physiological condition of the user violates a suspend enable threshol
1. A method of operating an infusion device comprising a motor operable to deliver fluid to a body of a user, the fluid influencing a physiological condition of the user, the method comprising: determining a current value for the physiological condition of the user violates a suspend enable threshold value;determining a predicted value for the physiological condition of the user at a time in the future based at least in part on the current value;determining the predicted value for the physiological condition of the user violates a predictive suspend threshold value; andafter determining the predicted value violates the predictive suspend threshold value when the current value violates the suspend enable threshold value, automatically disabling operation of the infusion device to suspend delivery of the fluid to the user, wherein automatically disabling operation of the infusion device comprises a control module coupled to the motor automatically suspending operation of the motor in response to determining the current value for the physiological condition in the body of the user is less than the suspend enable threshold value and the predicted value for the physiological condition of the user is less than the predictive suspend threshold value. 2. The method of claim 1, further comprising automatically enabling operation of the infusion device to deliver the fluid to the user after automatically disabling operation of the infusion device when the current value is greater than a resume enable threshold value and the predicted value is greater than a predictive resume threshold value. 3. The method of claim 2, further comprising verifying a refractory time period has elapsed after enabling operation of the infusion device before subsequently automatically disabling operation of the infusion device to deliver the fluid when the current value is less than the suspend enable threshold value and the predicted value is less than the predictive suspend threshold value. 4. The method of claim 3, further comprising determining the refractory time period based on responsiveness of the user. 5. The method of claim 2, further comprising verifying a minimum suspension time period has elapsed after automatically disabling operation of the infusion device prior to automatically enabling operation of the infusion device. 6. The method of claim 5, further comprising verifying a refractory time period has elapsed after automatically enabling operation of the infusion device before subsequently automatically disabling operation of the infusion device to deliver the fluid when the current value is less than the first threshold value and the predicted value is less than the predictive suspend threshold value. 7. The method of claim 1, further comprising: determining a current insulin on board for the user; andautomatically enabling operation of the infusion device to deliver the fluid to the user after automatically disabling operation of the infusion device when the current insulin on board is less than a threshold insulin on board. 8. A method of operating an infusion device operable to deliver fluid to a user, the fluid influencing a physiological condition of the user, the method comprising: determining a current value for the physiological condition of the user violates a suspend enable threshold value;determining a predicted value for the physiological condition of the user at a time in the future based at least in part on the current value;obtaining a suspend protection threshold value via a user interface;determining the predictive suspend threshold value based at least in part on the suspend protection threshold value, wherein the suspend enable threshold value is greater than the predictive suspend threshold value;determining the predicted value for the physiological condition of the user violates the predictive suspend threshold value; andafter determining the predicted value violates the predictive suspend threshold value when the current value violates the suspend enable threshold value, automatically disabling operation of the infusion device to suspend delivery of the fluid to the user. 9. The method of claim 8, further comprising: determining a resume enable threshold value based at least in part on the suspend protection threshold value; andautomatically enabling operation of the infusion device to deliver the fluid to the user after automatically disabling operation of the infusion device when the current value is greater than the resume enable threshold value and the predicted value is greater than a predictive resume threshold value, wherein the predictive resume threshold value is greater than the resume enable threshold value. 10. The method of claim 1, automatically disabling operation of the infusion device comprising automatically transitioning the infusion device from a delivery mode to a suspend delivery mode, wherein the method further comprises verifying a minimum time period for operating the infusion device in the delivery mode has elapsed prior to automatically transitioning the infusion device to the suspend delivery mode. 11. A computer-readable medium having computer-executable instructions stored thereon that, when executed by a processing system associated with the infusion device, cause the processing system to perform the method of claim 1. 12. A method of operating an infusion device operable to deliver insulin to a user, the method comprising: obtaining a suspend protection threshold value;determining a suspend enable threshold value, a predictive suspend threshold value, a resume enable threshold value, and a predictive resume threshold value based at least in part on the suspend protection threshold value;determining a current glucose measurement value for the user is less than the suspend enable threshold value;determining a predicted glucose value for the user at a time in the future based at least in part on the current glucose measurement value;determining the predicted glucose value for the user is less than the predictive suspend threshold value;automatically transitioning the infusion device from an insulin delivery mode to a suspend delivery mode after determining the current glucose measurement value is less than the suspend enable threshold value and the predicted glucose value is less than the predictive suspend threshold value; andautomatically transitioning the infusion device from the suspend delivery mode to the insulin delivery mode after determining the current glucose measurement value is greater than the resume enable threshold value and the predicted glucose value is greater than the predictive resume threshold value, wherein: the predictive resume threshold value is greater than or equal to the resume enable threshold value;the resume enable threshold value is greater than or equal to the predictive suspend threshold value; andthe suspend enable threshold value is greater than the predictive suspend threshold value. 13. The method of claim 1, further comprising the control module automatically enabling operation of the motor in response to determining the current value is greater than a resume enable threshold value and the predicted value is greater than a predictive enable threshold value. 14. The method of claim 1, further comprising: receiving a suspend protection threshold value via a user interface, wherein the control module is coupled to the user interface to obtain the suspend protection threshold value; anddetermining, by the control module, the predictive suspend threshold value based at least in part on the suspend protection threshold value. 15. The method of claim 1, further comprising receiving, by the control module, the current value from a sensing arrangement obtaining the current value for the physiological condition from the body of the user. 16. The method of claim 1, further comprising, after automatically disabling operation of the infusion device: determining a current amount of active fluid in the body of the user; andautomatically operating the infusion device to deliver the fluid to regulate the current amount of active fluid in the body of the user when the current amount of active fluid is less than a threshold amount of active fluid. 17. The method of claim 16, further comprising generating dosage commands for operating the infusion device to deliver the fluid based at least in part on the current value for the physiological condition in accordance with a closed-loop delivery mode prior to automatically disabling operation of the infusion device, wherein automatically operating the infusion device to deliver the fluid to regulate the current amount of active fluid in the body of the user comprises generating dosage commands for operating the infusion device based at least in part on a difference between the current amount of active fluid and the threshold amount of active fluid. 18. The method of claim 1, wherein determining the predicted value comprises determining the predicted value based at least in part on the current value and a weighted estimate of a trend in the physiological condition of the user.
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