Infusion devices and related patient ratio adjustment methods

• US 10,293,108 B2
• Filed: 04/11/2016
• Issued: 05/21/2019
• Est. Priority Date: 08/21/2015
• Status: Active Grant

• Current Assignee: Medtronic Minimed Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Minimed Incorporated (Medtronic Plc)
• Inventors: Roy, Anirban
• Primary Examiner(s): Stiles, Amber R
• Application Number:
  US15/096,142
• Publication Number:
  US 20170049961A1
• Time in Patent Office: 1,135 Days
• CPC Class Codes: A61M 2005/14208 with a programmable infusion control system, characterised by the infusion program
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/702 automatically during use
• CPC Class Codes: A61M 2230/005 Parameter used as control input for the apparatus
• CPC Class Codes: A61M 2230/201 Glucose concentration
• CPC Class Codes: A61M 5/1452 pressurised by means of pistons
• CPC Class Codes: A61M 5/1723 using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00

Abstract

Infusion systems, infusion devices, and related operating methods are provided. An exemplary method of operating an infusion device to deliver a bolus amount of fluid influencing a physiological condition in a body of a user involves identifying, based on measurement values for the physiological condition, a residual value for the physiological condition resulting from the bolus amount of the fluid and determining an updated ratio for a subsequent bolus by adjusting an initial ratio influencing the bolus amount to compensate for the residual value. The updated ratio may be stored in a data storage element for use in determining a subsequent bolus amount in lieu of the initial ratio value.

Claims

1. A method of operating an infusion device to deliver fluid to a body of a user, the method comprising:

identifying, based on measurement values for a physiological condition in the body of the user, a residual value for the physiological condition resulting from a bolus amount of the fluid delivered by the infusion device, wherein the physiological condition is influenced by the fluid delivered by the infusion device and the bolus amount is influenced by an initial ratio associated with the user, the initial ratio being stored in a data storage element onboard the infusion device;

converting the residual value to a residual amount of the fluid;

determining an updated ratio by multiplying the initial ratio by a ratio of the bolus amount to a sum of the bolus amount and the residual amount to compensate for the residual value; and

storing the updated ratio in the data storage element, wherein a subsequent bolus amount is influenced by the updated ratio.

2. The method of claim 1, wherein identifying the residual value comprises:

identifying an initial measurement value for the physiological condition corresponding to delivery of the bolus amount;

identifying a post-prandial settling value from among the measurement values following the delivery of the bolus amount; and

determining the residual value as a difference between the post-prandial settling value and the initial measurement value.

3. The method of claim 1, wherein converting the residual value to the residual amount of the fluid comprises:

obtaining a fluid sensitivity factor associated with the user; and

dividing the residual value by the fluid sensitivity factor to obtain the residual amount of the fluid.

4. The method of claim 1, the fluid comprising insulin, the physiological condition comprising a glucose level, and the initial ratio comprising an initial carbohydrate ratio, the method further comprising:

receiving, via a user interface, an input amount of carbohydrates; and

determining the bolus amount of insulin by dividing the input amount by the initial carbohydrate ratio, wherein;

identifying the residual value comprises identifying a residual glucose value; and

determining the updated ratio comprises determining an updated carbohydrate ratio by adjusting the initial carbohydrate ratio to compensate for the residual glucose value.

5. The method of claim 4, further comprising:

receiving, via the user interface, a subsequent input amount of carbohydrates; and

determining the subsequent bolus amount of insulin by dividing the subsequent input amount by the updated carbohydrate ratio.

6. The method of claim 1, further comprising:

identifying a current delivery context; and

identifying the initial ratio associated with the current delivery context from among a plurality of different ratios associated with a plurality of different delivery contexts stored in the data storage element.

7. The method of claim 6, wherein identifying the current delivery context comprises identifying a current time that corresponds to a time window associated with the initial ratio.

8. The method of claim 1, further comprising:

identifying a current delivery context; and

identifying the initial ratio associated with the current delivery context from among a plurality of different ratios associated with a plurality of different delivery contexts stored in the data storage element.

9. The method of claim 8, wherein identifying the current delivery context comprises identifying a current time that corresponds to a time window associated with the initial ratio.

10. A method of operating an infusion device to deliver fluid to a body of a user, the method comprising:

identifying, based on measurement values for a physiological condition in the body of the user, a residual value for the physiological condition resulting from a bolus amount of the fluid delivered by the infusion device, wherein the physiological condition is influenced by the fluid delivered by the infusion device and the bolus amount is influenced by an initial ratio associated with the user, the initial ratio being stored in a data storage element onboard the infusion device;

converting the residual value to a residual amount of carbohydrates, the bolus amount being influenced by the initial ratio and an input amount of carbohydrates;

determining an updated ratio to compensate for the residual value by multiplying the initial ratio by a ratio of a difference between the input amount and the residual amount to the input amount; and

storing the updated ratio in the data storage element, wherein a subsequent bolus amount is influenced by the updated ratio.

11. The method of claim 10, wherein identifying the residual value comprises:

identifying an initial measurement value for the physiological condition corresponding to delivery of the bolus amount;

identifying a post-prandial settling value from among the measurement values following the delivery of the bolus amount; and

determining the residual value as a difference between the post-prandial settling value and the initial measurement value.

12. The method of claim 10, the fluid comprising insulin, the physiological condition comprising a glucose level, and the initial ratio comprising an initial carbohydrate ratio, the method further comprising:

receiving, via a user interface, an input amount of carbohydrates; and

determining the bolus amount of insulin by dividing the input amount by the initial carbohydrate ratio, wherein;

identifying the residual value comprises identifying a residual glucose value; and

determining the updated ratio comprises determining an updated carbohydrate ratio by adjusting the initial carbohydrate ratio to compensate for the residual glucose value.

13. The method of claim 12, further comprising:

receiving, via the user interface, a subsequent input amount of carbohydrates; and

determining the subsequent bolus amount of insulin by dividing the subsequent input amount by the updated carbohydrate ratio.

14. A method of operating an infusion device to deliver insulin to a body of a user, the method comprising:

receiving, via a user interface, an input amount of carbohydrates;

determining a bolus amount of insulin by dividing the input amount by an initial carbohydrate ratio stored in a data storage element onboard the infusion device;

identifying, based on measurement values for a glucose level of the user, a residual glucose value resulting from the bolus amount of insulin delivered by the infusion device, wherein the glucose level is influenced by the insulin delivered by the infusion device;

converting the residual glucose value to a residual carbohydrate amount;

determining an updated carbohydrate ratio by scaling the initial carbohydrate ratio based on a relationship between the residual carbohydrate amount and the input amount of carbohydrates to compensate for the residual glucose value; and

storing the updated carbohydrate ratio in the data storage element, wherein a subsequent bolus amount is influenced by the updated carbohydrate ratio.