User interface for infusion pump remote controller and method of using the same

• US 20050022274A1
• Filed: 04/19/2004
• Published: 01/27/2005
• Est. Priority Date: 04/18/2003
• Status: Abandoned Application

• Current Assignee: Insulet Corporation
• Original Assignee: Insulet Corporation
• Inventors: Frey, David, Campbell, Robert, Garibotto, John T., Malave, Luis, Mandler, Pamela, Vogt, Marc, Oppenheimer, Aaron, Vivona, Christina, Cate-Brown, Deborah, Gemmell, Stephen
• Application Number:
  US10/827,582
• Publication Number:
  US 20050022274A1
• Time in Patent Office: Days
• US Class Current: 604/131
• CPC Class Codes: A61B 2560/0223 of calibration, e.g. protocols for calibrating sensors
• CPC Class Codes: A61B 2562/0295 Strip shaped analyte sensors for apparatus classified in A61B5/145 or A61B5/157 disposable multilayered or laminated electrodes G01N27/307; details of handling chemical test elements G01N33/4875
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61M 2205/3569 sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/3592 using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2209/01 Remote controllers for specific apparatus
• CPC Class Codes: A61M 2230/201 Glucose concentration
• CPC Class Codes: A61M 5/14248 of the skin patch type
• CPC Class Codes: A61M 5/172 electrical or electronic A61M5/16804, A61M5/16831 take precedence
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/40 for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A control system for controlling an infusion pump, including interface components for allowing a user to receive and provide information, a processor connected to the user interface components and adapted to provide instructions to the infusion pump, and a computer program having setup instructions that cause the processor to enter a setup mode upon the control system first being turned on. In the setup mode, the processor prompts the user, in a sequential manner, through the user interface components to input basic information for use by the processor in controlling the infusion pump, and allows the user to operate the infusion pump only after the user has completed the setup mode.

Claims

1. A system for delivering fluid to a patient comprising:

an infusion pump; and

a control system controlling the infusion pump and including,

user interface components for allowing a user to receive and provide information,

a processor connected to the user interface components and adapted to provide instructions to the infusion pump, and

a computer program having setup instructions that cause the processor to enter a setup mode upon the control system first being turned on that includes prompting the user, in a sequential manner, through the user interface components to input basic information for use by the processor in controlling the infusion pump, and allowing the user to operate the infusion pump only after the user has completed the setup mode.

2. The system of claim 1, wherein the setup instructions cause the processor to exit the setup mode only after the user inputs each item of the basic information.

3. The system of claim 2, wherein the setup instructions cause the processor to use default basic information if the user aborts the setup mode.

4. The system of claim 1, wherein the items of basic information include at least two of a current time, a current date, a preferred date display format, a maximum basal rate, a starting basal rate, a bolus increment, a maximum bolus dose, whether to enable a missed bolus reminder, whether to enable an external bolus function, and whether to enable a low reservoir volume alert level.

5. The system of claim 4, wherein the items of basic information further include a blood glucose unit preference, a blood glucose lower range limit, a blood glucose upper range limit, a blood glucose target value, a target blood glucose correction value, an insulin to carbohydrate ratio, a correction factor, a carbohydrate preset value, and an insulin duration.

6. The system of claim 1, wherein the user interface components comprise a display screen and the setup instructions cause the processor to display a sequence of screens on the display screen, and wherein each screen prompts the user to enter one of the items of basic information.

7. The system of claim 6, wherein the user interface components comprise keys for allowing a user to move sequentially forward and backward through the sequence of screens.

8. The system of claim 1, wherein the setup instructions cause the processor to alert the user if the items of basic information are inconsistent.

9. The system of claim 8, wherein the setup instructions cause the processor to prompt the user to reenter at least one of the items of basic information to resolve the inconsistency.

10. The system of claim 1, wherein the setup instructions cause the processor to prompt the user to select between a main menu and a new pump activation after the user has completed the setup mode.

11. The system of claim 1, wherein the infusion pump comprises:

an exit port,

a reservoir connected to the exit port,

a dispenser for causing fluid within the reservoir to be dispensed through the exit port,

a wireless receiver connected to the dispenser and adapted to receive remotely transmitted flow instructions that instruct the dispenser to dispense fluid.

12. The system of claim 11, further comprises a remote controller separate from the infusion pump and including:

the user interface components;

a wireless transmitter for transmitting the flow instructions to the receiver of the infusion pump;

the processor connected to the user interface components and the transmitter; and

the computer program further including instructions that cause the processor to receive information from a user through the user interface components, calculate flow instructions based on the information and provide the flow instructions to the transmitter.

13. The system of claim 11, wherein the infusion pump includes a transcutaneous patient access tool connected to the exit port.

14. The system of claim 11, wherein the infusion pump includes a housing containing the exit port, the reservoir, the dispenser and the wireless receiver, and wherein the housing is free of user input components for providing flow instructions to the dispenser.

15. A machine-readable medium having stored thereon instructions for a control system of an infusion pump for delivering fluid to a patient, wherein the instructions comprise:

operating instructions that cause the control system to receive information from a user through user interface components of the control system, calculate flow instructions based on the information and transmit the flow instructions to the infusion pump; and

setup instructions that cause the control system to enter a setup mode that includes prompting the user, in a sequential manner, through the user interface components to input basic information for use by the control system in computing the flow instructions, and allowing the user to operate the infusion pump through the control system only after the user has completed the setup mode.

16. The medium of claim 15, wherein the setup instructions cause the control system to exit the setup mode only after the user inputs each item of the basic information.

17. The medium of claim 16, wherein the setup instructions cause the control system to use default basic information if the user aborts the setup mode.

18. The medium of claim 15, wherein the items of basic information include at least two of a current time, a current date, a preferred date display format, a maximum basal rate, a starting basal rate, a bolus increment, a maximum bolus dose, whether to enable a missed bolus reminder, whether to enable an external bolus function, and whether to enable a low reservoir volume alert level.

19. The medium of claim 18, wherein the items of basic information further include a blood glucose unit preference, a blood glucose lower range limit, a blood glucose upper range limit, a blood glucose target value, a target blood glucose correction value, an insulin to carbohydrate ratio, a correction factor, a carbohydrate preset value, and an insulin duration.

20. The medium of claim 15, wherein the setup instructions are run only upon the control system being turned on for a first time.

21. A method for controlling a control system of an infusion pump for delivering fluid to a patient, comprising:

instructing a processor of the control system to receive information from a user through user interface components of the control system, calculate flow instructions based on the information and provide the flow instructions to the infusion pump; and

instructing the processor to enter a setup mode that includes prompting the user, in a sequential manner, through the user interface components to input basic information for use by the processor in computing the flow instructions, and allowing the user to operate the infusion pump through the control system only after the user has completed the setup mode.

22. The method of claim 21, wherein the processor of the control system is instructed to exit the setup mode only after the user inputs each item of the basic information.

23. The method of claim 22, wherein the processor is instructed to use default basic information if the user aborts the setup mode.

24. The method of claim 21, wherein the items of basic information include at least two of a current time, a current date, a preferred date display format, a maximum basal rate, a starting basal rate, a bolus increment, a maximum bolus dose, whether to enable a missed bolus reminder, whether to enable an external bolus function, and whether to enable a low reservoir volume alert level.

25. The method of claim 24, wherein the items of basic information further include a blood glucose unit preference, a blood glucose lower range limit, a blood glucose upper range limit, a blood glucose target value, a target blood glucose correction value, an insulin to carbohydrate ratio, a correction factor, a carbohydrate preset value, and an insulin duration.

26. The method of claim 21, wherein the processor is instructed to enter the setup mode only upon the control system being turned on for a first time.

27. A system for delivering fluid to a patient comprising:

an infusion pump; and

a control system for controlling the infusion pump, including,

user interface components for allowing a user to receive and provide information,

a processor connected to the user interface components and adapted to provide instructions to the infusion pump including bolus dose instructions, and

a computer program having instructions for operating the processor, including bolus dose instructions that are initiated upon the user selecting a bolus dose through the user interface components and that instruct the processor to prompt a user through the user interface components for information regarding the bolus dose and then calculate flow instructions for causing the infusion pump to deliver the bolus dose,

wherein the bolus dose instructions include instructing the processor to require the user to specify whether the bolus dose is a normal bolus dose or an extended bolus dose.

28. The system of claim 27, wherein the computer program further comprises expedited bolus dose instructions that are initiated upon the user selecting an expedited bolus dose through the user interface components and that instruct the processor to prompt a user through the user interface components for information regarding the expedited bolus dose without requiring the user to specify whether the bolus dose is a normal bolus dose or an extended bolus dose.

29. The system of claim 28, wherein the expedited bolus dose instructions cause the processor to default to one of a normal bolus dose and an extended bolus dose.

30. The system of claim 29, wherein the expedited bolus dose instructions cause the processor to allow a user to define the default as one of a normal bolus dose and an extended bolus dose.

31. The system of claim 28, wherein the user interface components include a key dedicated to initiating the expedited bolus instructions.

32. The system of claim 31, wherein the key dedicated to initiating the expedited bolus instructions is further used to increase the bolus increment once the expedited bolus instructions are initiated.

33. The system of claim 27, wherein, if the user specifies that the bolus dose is an extended bolus dose, the bolus dose instructions further comprise instructing the processor to require the user to specify an amount of the bolus dose to be immediately infused and to specify a duration of infusion for the remainder of the bolus dose.

34. The system of claim 27, wherein the user interface components comprise a display screen and the processor displays a sequence of screens on the display screen, wherein each screen prompts the user to enter information, and the user interface components comprise keys for allowing the user to move sequentially forward and backward through the sequence of screens.

35. The system of claim 27, wherein the infusion pump comprises:

an exit port,

a reservoir connected to the exit port,

a dispenser for causing fluid within the reservoir to be dispensed through the exit port,

a wireless receiver connected to the dispenser and adapted to receive remotely transmitted flow instructions that instruct the dispenser to dispense fluid.

36. The system of claim 35, further comprises a remote controller separate from the infusion pump and including:

the user interface components;

a wireless transmitter for transmitting the flow instructions to the receiver of the infusion pump;

the processor connected to the user interface components and the transmitter; and

the computer program further including instructions that cause the processor to receive information from a user through the user interface components, calculate flow instructions based on the information and provide the flow instructions to the transmitter.

37. The system of claim 35, wherein the infusion pump includes a transcutaneous patient access tool connected to the exit port.

38. The system of claim 35, wherein the infusion pump includes a housing containing the exit port, the reservoir, the dispenser and the wireless receiver, and wherein the housing is free of user input components for providing flow instructions to the dispenser.

39. A machine-readable medium having stored thereon instructions for a control system of an infusion pump for delivering fluid to a patient, wherein the instructions comprise:

bolus dose instructions that are initiated upon the user selecting a bolus dose through user interface components of the control system and that instruct a processor of the control system to prompt a user through the user interface components for information regarding the bolus dose and then calculate flow instructions for causing the infusion pump to deliver the bolus dose,

wherein the bolus dose instructions include instructing the processor to require the user to specify whether the bolus dose is a normal bolus dose or an extended bolus dose.

40. The medium of claim 39, wherein the instructions further comprise expedited bolus dose instructions that are initiated upon the user selecting an expedited bolus dose through the user interface components and that instruct the processor to prompt a user through the user interface components for information regarding the expedited bolus dose without requiring the user to specify whether the bolus dose is a normal bolus dose or an extended bolus dose.

41. The medium of claim 40, wherein the expedited bolus dose instructions cause the processor to default to one of a normal bolus dose and an extended bolus dose.

42. The medium of claim 41, wherein the expedited bolus dose instructions cause the processor to allow a user to define the default as one of a normal bolus dose and an extended bolus dose.

43. The medium of claim 40, wherein, if the user specifies that the bolus dose is an extended bolus dose, the bolus dose instructions further comprise instructing the processor to require the user to specify an amount of the bolus dose to be immediately infused and to specify a duration of infusion for the remainder of the bolus dose.

44. A method for controlling a fluid delivery system including an infusion pump, comprising:

instructing a processor of the system to prompt a user through user interface components of the system for information regarding a bolus dose, upon a user selecting a bolus dose through the user interface components;

instructing the processor to calculate flow instructions for causing the infusion pump to deliver the bolus dose; and

instructing the processor to require the user to specify whether the bolus dose is a normal bolus dose or an extended bolus dose.

45. The method of claim 44, further comprising instructing the processor to prompt a user through the user interface components for information regarding an expedited bolus dose upon the user selecting an expedited bolus dose through the user interface components, and without requiring the user to specify whether the expedited bolus dose is a normal bolus dose or an extended bolus dose.

46. The method of claim 45, further comprising instructing the processor to default to one of a normal bolus dose and an extended bolus dose upon the user selecting the expedited bolus dose.

47. The method of claim 46, further comprising instructing the processor to allow a user to define the default for the expedited bolus dose as one of a normal bolus dose and an extended bolus dose.

48. The method of claim 44, wherein, if the user specifies that the bolus dose is an extended bolus dose, the method further comprises instructing the processor to require the user to specify an amount of the bolus dose to be immediately infused.

49. The method of claim 48, further comprising instructing the processor to require the user to specify a duration of infusion for the remainder of the bolus dose.

50. A system for delivering fluid to a patient comprising:

an infusion pump; and

a control system for controlling the infusion pump, including,

user interface components for allowing a user to receive and provide information,

a processor connected to the user interface components and adapted to provide instructions to the infusion pump, and

a computer program having instructions for operating the processor, including suspend delivery instructions that are initiated upon the user selecting a suspend delivery mode through the user interface components and that instruct the processor to provide instructions for causing the infusion pump to suspend deliver of fluid,

wherein the suspend delivery instructions include instructing the processor to initiate a hazard alarm through the user interface components when the suspend delivery mode has been in effect greater than a predetermined suspend period.

51. The system of claim 50, wherein the suspend delivery instructions instruct the processor to allow the user to set the predetermined suspend period through the user interface components.

52. The system of claim 51, wherein the suspend delivery instructions instruct the processor to allow the user to set the predetermined suspend period not greater then a predetermined maximum suspend period.

53. The system of claim 50, wherein the suspend delivery instructions instruct the processor to allow the user to terminate the hazard alarm through the user interface components.

54. The system of claim 50, wherein the hazard alarm is at least one of a continuous audible alarm, an intermittent audible alarm, a vibratory alarm, and a visual alarm provided through the user interface components.

55. The system of claim 50, wherein the suspend delivery instructions include instructing the processor to periodically initiate an advisory alarm through the user interface components when the suspend delivery mode is in effect.

56. The system of claim 55, wherein the advisory alarm is at least one of a continuous audible alarm, an intermittent audible alarm, a vibratory alarm, and a visual alarm provided through the user interface components.

57. The system of claim 50, wherein the suspend delivery instructions include instructing the processor to check that the infusion pump is active and if the infusion pump is already in the suspend mode.

58. The system of claim 50, wherein the suspend delivery instructions include instructing the processor to:

check whether the infusion pump is operating under a temporary basal rate program or an extended bolus program; and

allow the user to choose between canceling one of the temporary basal rate program and the extended bolus program, canceling both of the temporary basal rate program and the extended bolus program, and suspending all fluid delivery.

59. The system of claim 50, wherein the infusion pump comprises:

an exit port,

a reservoir connected to the exit port,

a dispenser for causing fluid within the reservoir to be dispensed through the exit port,

a wireless receiver connected to the dispenser and adapted to receive remotely transmitted flow instructions that instruct the dispenser to dispense fluid.

60. The system of claim 59, further comprises a remote controller separate from the infusion pump and including:

the user interface components;

a wireless transmitter for transmitting the flow instructions to the receiver of the infusion pump;

the processor connected to the user interface components and the transmitter; and

the computer program further including instructions that cause the processor to receive information from a user through the user interface components, calculate flow instructions based on the information and provide the flow instructions to the transmitter.

61. The system of claim 59, wherein the infusion pump includes a transcutaneous patient access tool connected to the exit port.

62. The system of claim 59, wherein the infusion pump includes a housing containing the exit port, the reservoir, the dispenser and the wireless receiver, and wherein the housing is free of user input components for providing flow instructions to the dispenser.

63. A machine-readable medium having stored thereon suspend delivery instructions for a control system of an infusion pump for delivering fluid to a patient, wherein the instructions are initiated upon a user selecting a suspend delivery mode through user interface components of the control system and that include:

instructing the control system to provide instructions for causing the infusion pump to suspend delivery of fluid; and

instructing the system to initiate a hazard alarm through the user interface components when the suspend delivery mode has been in effect greater than a predetermined suspend period.

64. The medium of claim 63, wherein the suspend delivery instructions instruct the processor to allow the user to set the predetermined suspend period through the user interface components.

65. The medium of claim 64, wherein the suspend delivery instructions instruct the processor to allow the user to set the predetermined suspend period not greater then a predetermined maximum suspend period.

66. The medium of claim 63, wherein the suspend delivery instructions instruct the processor to allow the user to terminate the hazard alarm through the user interface components.

67. The medium of claim 63, wherein the suspend delivery instructions include instructing the processor to periodically initiate an advisory alarm through the user interface components when the suspend delivery mode is in effect.

68. The medium of claim 63, wherein the suspend delivery instructions include instructing the control system to check whether the infusion pump is active and, if active, whether the infusion pump is already in the suspend mode.

69. The medium of claim 63, wherein the suspend delivery instructions include instructing the control system to:

check whether the infusion pump is operating under a temporary basal rate program or an extended bolus program; and

allow the user to choose between canceling one of the temporary basal rate program and the extended bolus program, canceling both of the temporary basal rate program and the extended bolus program, and suspending all fluid delivery.

70. A method for controlling a fluid delivery system including an infusion pump, comprising:

initiating suspend delivery instructions upon a user selecting a suspend delivery mode through user interface components of the system;

instructing the fluid delivery system to provide instructions for causing the infusion pump to suspend delivery of fluid; and

instructing the fluid delivery system to initiate a hazard alarm through the user interface components when the suspend delivery mode has been in effect greater than a predetermined suspend period.

71. The method of claim 70, further comprising instructing the processor to allow the user to set the predetermined suspend period through the user interface components.

72. The method of claim 71, further comprising instructing the processor to allow the user to set the predetermined suspend period not greater then a predetermined maximum suspend period.

73. The method of claim 70, further comprising instructing the processor to allow the user to terminate the hazard alarm through the user interface components.

74. The method of claim 71, further comprising instructing the processor to periodically initiate an advisory alarm through the user interface components when the suspend delivery mode is in effect.

75. The method of claim 70, further comprising instructing the fluid delivery system to check whether the infusion pump is active and, if active, whether the infusion pump is already in the suspend mode.

76. The method of claim 70, further comprising instructing the fluid delivery system to:

check whether the infusion pump is operating under a temporary basal rate program or an extended bolus program; and

allow the user to choose between canceling one of the temporary basal rate program and the extended bolus program, canceling both of the temporary basal rate program and the extended bolus program, and suspending all fluid delivery.

77. A system for delivering fluid to a patient comprising:

an infusion pump; and

a control system for controlling the infusion pump, including,

user interface components for allowing a user to receive and provide information,

a processor connected to the user interface components and adapted to provide instructions to the infusion pump, and

a computer program having instructions for operating the processor, including change pump instructions that that are initiated upon the user selecting a change pump option through the user interface components and that instruct the processor to sequentially prompt the user through the user interface components to take predetermined actions to prepare the replacement infusion pump to deliver fluid to a patient, wherein the actions include at least one of,

checking whether an infusion pump is currently active,

deactivating the infusion pump if the infusion pump is active,

removing the infusion pump if the infusion pump is deactivated,

filling a replacement infusion pump,

setting a unique ID for the replacement infusion pump,

priming the replacement infusion pump,

removing an adhesive cover from the replacement infusion pump and securing the replacement infusion pump on a skin surface of the patient using the adhesive,

activating an insertion assembly of the replacement infusion pump, and

begin basal delivery from the replacement infusion pump.

78. The system of claim 77, wherein the change pump instructions include filling a replacement infusion pump, setting a unique ID for the replacement infusion pump, priming the replacement infusion pump, activating an insertion assembly of the replacement infusion pump, and beginning a basal delivery from the replacement infusion pump.

79. The system of claim 77, wherein the change pump instructions include filling a replacement infusion pump, setting a unique ID for the replacement infusion pump, priming the replacement infusion pump, and beginning a basal delivery from the replacement infusion pump.

80. The system of claim 77, wherein the change pump instructions include instructing the processor to prompt the user through the user interface components for confirmation of a pump change after checking whether the infusion pump is active and before deactivating the infusion pump if the infusion pump is active.

81. The system of claim 77, wherein the change pump instructions include instructing the processor to prompt the user through the user interface components to remove the infusion pump if the infusion pump is deactivated.

82. The system of claim 77, wherein the change pump instructions include instructing the processor to prompt the user through the user interface components to fill the replacement infusion pump.

83. The system of claim 77, wherein the change pump instructions include instructing the processor to prompt the user through the user interface components that the replacement infusion pump is ready to be primed after setting a unique ID for the replacement infusion pump, and priming the replacement infusion pump only after the user responds.

84. The system of claim 77, wherein the change pump instructions include instructing the processor to prompt the user through the user interface components to remove the adhesive cover from the replacement infusion pump.

85. The system of claim 77, wherein the change pump instructions include instructing the processor to prompt the user through the user interface components to start delivery before activating the insertion assembly of the replacement infusion pump, and beginning basal delivery from the replacement infusion pump.

86. The system of claim 77, wherein the change pump instructions further includes instructing the processor to obtain the pump status and indicate to the user through the user interface components that basal delivery from the replacement infusion pump has begun.

87. The system of claim 77, wherein the infusion pump comprises:

an exit port,

a reservoir connected to the exit port,

a dispenser for causing fluid within the reservoir to be dispensed through the exit port,

a wireless receiver connected to the dispenser and adapted to receive remotely transmitted flow instructions that instruct the dispenser to dispense fluid.

88. The system of claim 87, further comprising a remote controller separate from the infusion pump and including:

the user interface components;

a wireless transmitter for transmitting the flow instructions to the receiver of the infusion pump;

the processor connected to the user interface components and the transmitter; and

the computer program further including instructions that cause the processor to receive information from a user through the user interface components, calculate flow instructions based on the information and provide the flow instructions to the transmitter.

89. The system of claim 87, wherein the infusion pump includes a transcutaneous patient access tool connected to the exit port.

90. The system of claim 87, wherein the infusion pump includes a housing containing the exit port, the reservoir, the dispenser and the wireless receiver, and wherein the housing is free of user input components for providing flow instructions to the dispenser.

91. A machine-readable medium having stored thereon change pump instructions for a control system of an infusion pump, wherein the change pump instructions include instructing the control system to sequentially prompt a user through user interface components of the control system to take predetermined actions to prepare a replacement infusion pump to deliver fluid to a patient, wherein the actions include at least one of,

checking whether an infusion pump is currently active,

deactivating the infusion pump if the infusion pump is active,

removing the infusion pump if the infusion pump is deactivated,

filling a replacement infusion pump,

setting a unique ID for the replacement infusion pump,

priming the replacement infusion pump,

removing an adhesive cover from the replacement infusion pump and securing the replacement infusion pump on a skin surface of the patient using the adhesive,

activating an insertion assembly of the replacement infusion pump, and

begin basal delivery from the replacement infusion pump.

92. The medium of claim 91, wherein the change pump instructions include filling the replacement infusion pump, setting a unique ID for the replacement infusion pump, priming the replacement infusion pump, activating an insertion assembly of the replacement infusion pump, and beginning a basal delivery from the replacement infusion pump.

93. The medium of claim 91, wherein the change pump instructions include filling the replacement infusion pump, setting a unique ID for the replacement infusion pump, priming the replacement infusion pump, and beginning a basal delivery from the replacement infusion pump.

94. The medium of claim 91, wherein the change pump instructions include instructions to prompt the user through the user interface components for confirmation of a pump change after checking whether an infusion pump is active and before deactivating the infusion pump if the infusion pump is active.

95. The medium of claim 91, wherein the change pump instructions include instructions to prompt the user through the user interface components to remove the infusion pump if the current infusion pump is deactivated.

96. The medium of claim 91, wherein the change pump instructions include instructions to prompt the user through the user interface components to fill the replacement infusion pump.

97. The medium of claim 91, wherein the change pump instructions include instructions to prompt the user through the user interface components that the replacement infusion pump is ready to be primed after setting a unique ID for the replacement infusion pump, and priming the replacement infusion pump only after the user responds.

98. The medium of claim 91, wherein the change pump instructions include instructions to prompt the user through the user interface components to remove the adhesive cover from the replacement infusion pump.

99. The medium of claim 91, wherein the change pump instructions include instructions to prompt the user through the user interface components to start delivery before activating the insertion assembly of the replacement infusion pump, and beginning basal delivery from the replacement infusion pump.

100. The medium of claim 99, wherein the change pump instructions further includes instructions to obtain the pump status and indicate to the user through the user interface components that basal delivery from the replacement infusion pump has begun.

101. A method for controlling a fluid delivery system including an infusion pump, comprising instructing the system to sequentially prompt a user through user interface components of the system to take predetermined actions to prepare a replacement infusion pump to deliver fluid to a patient, wherein the actions include at least one of:

checking whether an current infusion pump is currently active,

deactivating the current infusion pump,

removing the current infusion pump,

filling a replacement infusion pump,

setting a unique ID for the replacement infusion pump,

priming the replacement infusion pump,

removing an adhesive cover from the replacement infusion pump and securing the replacement infusion pump on a skin surface of the patient using the adhesive,

activating an insertion assembly of the replacement infusion pump, and

begin basal delivery from the replacement infusion pump.

102. The method of claim 101, wherein the actions include filling the replacement infusion pump, setting a unique ID for the replacement infusion pump, priming the replacement infusion pump, activating an insertion assembly of the replacement infusion pump, and beginning a basal delivery from the replacement infusion pump.

103. The method of claim 101, wherein the actions include filling the replacement infusion pump, setting a unique ID for the replacement infusion pump, priming the replacement infusion pump, and beginning a basal delivery from the replacement infusion pump.

104. The method of claim 101, further comprising instructing the system to prompt the user for confirmation of a pump change after checking whether an current infusion pump is active and before deactivating the current infusion pump.

105. The method of claim 101, further comprising instructing the system to prompt the user to remove the current infusion pump if the current infusion pump is deactivated.

106. The method of claim 101, further comprising instructing the system to prompt the user to fill the replacement infusion pump.

107. The method of claim 101, further comprising instructing the system to inform the user that the replacement infusion pump is ready to be primed after setting a unique ID for the replacement infusion pump, and priming the replacement infusion pump only after the user responds.

108. The method of claim 101, further comprising instructing the system to prompt the user to remove the adhesive cover from the replacement infusion pump.

109. The method of claim 101, further comprising instructing the system to prompt the user to start delivery before activating the insertion assembly of the replacement infusion pump, and beginning basal delivery from the replacement infusion pump.

110. The method of claim 109, further comprising instructing the system to obtain a status of the replacement pump and indicate to the user through the user interface components whether basal delivery from the replacement pump has begun.

111. A system for delivering fluid to a patient comprising:

an infusion pump; and

a control system for controlling the infusion pump, including,

user interface components for allowing a user to receive and provide information,

a processor connected to the user interface components and adapted to provide instructions to the infusion pump, and

a computer program having instructions for operating the processor, including a continuous basal rate delivery program comprising one or more segments that are continuously executed by the processor to deliver a continuous basal rate and new basal rate segments that are executed by the processor upon the user selecting a new basal rate through the user interface components and that instruct the processor to;

prompt the user through the user interface components to enter a fluid delivery rate for a new basal segment, and at least two of a start time for the new basal segment, an end time and a duration for the new basal segment;

create a new basal segment delivery program using the delivery rate input by the user for the new basal segment;

calculate the end time based on the start time and the duration, if the end time was not entered for the new basal segment; and

create a new basal rate delivery program by inserting the new basal segment delivery program into the continuous basal rate delivery program between the start time and the end time.

112. The system of claim 111, wherein, for each new basal rate delivery program, the new basal segment instructs the processor to prompt the user to enter whether the just-created new basal rate delivery programs should overwrite previously created new basal rate delivery programs.

113. The system of claim 111, wherein a duration of the continuous basal rate delivery program is 24 hours and the new basal segment delivery program has a duration of between 30 minutes and 24 hours.

114. The system of claim 111, wherein the new basal rate delivery program instructs the processor to determine whether the fluid delivery rate for the new basal segment that the user has selected, for the duration selected, will result in a flow rate that is beyond a predetermined flow rate range.

115. The system of claim 111, wherein the fluid delivery rate for the new basal segment is entered in units per hour.

116. The system of claim 111, wherein the fluid delivery rate for the new basal segment is entered as a percentage of the continuous basal rate.

117. The system of claim 111, wherein the infusion pump comprises:

an exit port,

a reservoir connected to the exit port,

a dispenser for causing fluid within the reservoir to be dispensed through the exit port,

a wireless receiver connected to the dispenser and adapted to receive remotely transmitted flow instructions that instruct the dispenser to dispense fluid.

118. The system of claim 117, further comprises a remote controller separate from the infusion pump and including:

the user interface components;

a wireless transmitter for transmitting the flow instructions to the receiver of the infusion pump;

the processor connected to the user interface components and the transmitter; and

the computer program further including instructions that cause the processor to receive information from a user through the user interface components, calculate flow instructions based on the information and provide the flow instructions to the transmitter.

119. The system of claim 117, wherein the infusion pump includes a transcutaneous patient access tool connected to the exit port.

120. The system of claim 117, wherein the infusion pump includes a housing containing the exit port, the reservoir, the dispenser and the wireless receiver, and wherein the housing is free of user input components for providing flow instructions to the dispenser.

121. A machine-readable medium having stored thereon new basal segment for a control system of an infusion pump for delivering fluid to a patient, wherein a continuous basal rate delivery program is continuously executed by the control system to deliver a continuous basal rate while the new basal segment are executed when a user selects a new basal rate through user interface components of the control system and wherein the new basal segment instruct the control system to:

prompt the user through the user interface components to enter a fluid delivery rate for a new basal segment, a start time for the new basal segment, and one of an end time and a duration for the new basal segment;

create a new basal segment delivery program using the delivery rate input by the user for the new basal segment;

calculate the end time based on the start time and the duration input by the user, if the duration is entered for the new basal segment; and

create a new basal rate delivery program by inserting the new basal segment delivery program into the continuous basal rate delivery program between the start time and the end time.

122. The medium of claim 121, wherein, for each new basal rate delivery program, the new basal segment instruct the processor to prompt the user to enter whether the just created new basal rate delivery programs should overwrite previously created new basal rate delivery programs.

123. The medium of claim 121, wherein a duration of the continuous basal rate delivery program is 24 hours and the new basal segment delivery program has a duration of between 30 minutes and 24 hours.

124. The medium of claim 121, wherein the new basal segment instruct the control system to determine whether the new basal segment that the user has selected, for the duration selected, will result in a flow rate that is beyond a predetermined flow rate range.

125. The medium of claim 121, wherein the fluid delivery rate for the new basal segment is entered in units per hour.

126. The medium of claim 121, wherein the fluid delivery rate for the new basal segment is entered as a percentage of the continuous basal rate.

127. A method for controlling a fluid delivery system including an infusion pump, comprising:

instructing the fluid delivery system to execute a continuous basal rate delivery program so that the infusion pump delivers a continuous basal rate; and

instructing the fluid delivery system to execute new basal segment upon a user selecting a new basal rate through user interface components of the fluid delivery system, wherein the new basal segment cause the fluid delivery system to,

prompt the user through the user interface components to enter a fluid delivery rate for a new basal segment, a start time for the new basal segment, and one of an end time and a duration for the new basal segment,

create a new basal segment delivery program using the delivery rate entered by the user for the new basal segment;

calculate the end time based on the start time and the duration, if the duration is entered for the new basal segment; and

create a new basal rate delivery program by inserting the new basal segment delivery program into the continuous basal rate delivery program between the start time and the end time.

128. The method of claim 127, wherein, for each new basal rate delivery program, the new basal segment instruct the processor to prompt the user to enter whether the just created new basal rate delivery programs should overwrite previously created new basal rate delivery programs.

129. The method of claim 127, wherein a duration of the continuous basal rate delivery program is 24 hours and the new basal segment delivery program has a duration between 30 minutes and 24 hours.

130. The method of claim 127, wherein the new basal segment cause the fluid delivery system to determine whether the new basal segment that the user has selected, for the duration selected, will result in a flow rate that is beyond a predetermined flow rate range.

131. The method of claim 127, wherein the fluid delivery rate for the new basal segment is entered in units per hour.

132. The method of claim 127, wherein the fluid delivery rate for the new basal segment is entered as a percentage of the continuous basal rate.

133. A system for delivering fluid to a patient comprising:

an infusion pump; and

a control system for controlling the infusion pump, including,

user interface components for allowing a user to receive and provide information,

a processor connected to the user interface components and adapted to provide instructions to the infusion pump including bolus dose delivery instructions, and

a computer program having instructions for operating the processor, including suggested bolus dose calculation instructions that are initiated upon the user turning on a bolus calculator and selecting a bolus dose through the user interface components and that instruct the processor to prompt the user through the user interface components for information regarding the bolus dose and then calculate a suggested bolus dose for display to the user, wherein the suggested bolus dose calculation instructions include,

instructing the processor to request and receive from the user,

a target blood glucose value for the patient,

a current blood glucose value for the patient,

a correction factor for the patient,

a duration of insulin action value, in minutes, for the patient,

an insulin to carbohydrate ratio for the patient, and

grams of carbohydrates and grams of fiber to be eaten, if any,

calculate a suggested bolus dose equal to a correction bolus minus insulin on board the patient plus a carbohydrate bolus, if the current blood glucose value is above the target blood glucose, wherein,

the correction bolus is equal to the current blood glucose minus the target blood glucose divided by the correction factor,

the insulin on board is equal to, for each previous bolus dose administered to the patient within the duration of insulin action, a total correction volume of the previous bolus dose, in units, multiplied by one minus an elapsed time in minutes since the previous bolus was administered divided by the duration of insulin action, in minutes, and

the carbohydrate bolus is equal to the grams of carbohydrates minus the grams of fiber divided by the insulin to carbohydrate ratio.

134. The system of claim 133, wherein the suggested bolus dose calculation instructions further comprise instructing the processor to calculate a suggested bolus dosage equal to a reverse correction bolus plus the carbohydrate bolus if the current blood glucose value is less than the target blood glucose value, and the user has enabled reverse correction boluses through the user interface components.

135. The system of claim 133, wherein the suggested bolus dose calculation instructions further comprise instructing the processor to calculate a suggested bolus dosage equal to the carbohydrate bolus if the current blood glucose value is less than the target blood glucose value, and the user has disabled reverse correction boluses through the user interface components.

136. The system of claim 133, wherein the suggested bolus dose calculation instructions further comprise instructing the processor to calculate a suggested bolus dosage equal to the carbohydrate bolus if the current blood glucose value is unknown.

137. The system of claim 133, wherein the suggested bolus dose calculation instructions further comprise instructing the processor to not suggest a bolus to the user if the current blood glucose reading is outside of a predetermined range.

138. The system of claim 133, wherein the suggested bolus dose calculation instructions further comprise instructing the processor to request and receive from the user a maximum bolus dose and to inform the user that the calculated suggested bolus dose exceeds the maximum bolus dose, and offer the user the option to cancel or temporarily override the maximum bolus dose if the suggested bolus dose exceeds the maximum bolus dose.

139. The system of claim 133, wherein the suggested bolus dose calculation instructions further comprise instructing the processor to request and receive from the user a target blood glucose correction threshold and calculate the suggested correction bolus to be zero if the current blood glucose value is greater than or equal to the target blood glucose value but less than the target blood glucose correction threshold.

140. A system for delivering fluid to a patient comprising:

an infusion pump; and

a control system for controlling the infusion pump, including,

user interface components for allowing a user to receive and provide information,

a processor connected to the user interface components and adapted to provide instructions to the infusion pump, and

a computer program having instructions for operating the processor, including carbohydrate preset interface instructions that are initiated when the user selects carbohydrate presets through the user interface components and that instruct the processor to,

prompt the user through the user interface components to choose between reviewing existing carbohydrate presets, editing existing carbohydrate presets and creating new carbohydrate presets, wherein the carbohydrate presets include single food presets and multiple food presets, and

maintaining a database of the carbohydrate presets, wherein the database includes a preset name field, a tag field, an amount of carbohydrates per serving size field, and an amount of fiber per serving size field for each of the single food presets and a list of single foods fields for each multiple food presets.

141. The system of claim 140, wherein the database further includes an amount of fat per serving size field, an amount of protein per serving size field, and an amount of calories per serving size field for each of the single food presets.

142. The system of claim 140, wherein the tag field of the database includes meals, snack and favorites.

143. The system of claim 140, wherein the carbohydrate preset interface instructions instruct the processor to prompt the user through the user interface components to select between a single food and build a meal upon the user selecting to create a new carbohydrate preset.

144. The system of claim 143, wherein the carbohydrate preset interface instructions instruct the processor to maintain at least one food database and prompt the user to select a food from the food database upon selecting a single food.

145. The system of claim 143, wherein the carbohydrate preset interface instructions instruct the processor to maintain at least one food database and prompt the user to select multiple foods from the food database upon selecting to build a meal.

146. The system of claim 140, wherein values within the fields of the database of the carbohydrate presets are read only with respect to the single food presets and multiple food presets.

147. The system of claim 140, wherein the carbohydrate presets further include a manual carbohydrate preset, wherein the values within the fields of the database of the carbohydrate presets for the manual carbohydrate preset are entered by the user through the user interface components.

150. A system for delivering fluid to a patient comprising:

an infusion pump; and

a control system for controlling the infusion pump, including,

user interface components for allowing a user to receive and provide information,

a processor connected to the user interface components and adapted to provide instructions to the infusion pump, and

a computer program having instructions for operating the processor, including custom food instructions that instruct the processor to,

prompt the user through the user interface components to enter the patient'"'"'s insulin to carbohydrate ratio,

maintain a database of custom foods, wherein the database includes a custom food name field, a serving size field, and an amount of carbohydrates per serving size field for each of the custom foods,

prompt the user to select one of the custom foods listed in the database, and

display an amount of insulin required by the selected custom food based upon the serving size field and the amount of carbohydrates per serving size listed in the database for the custom food and the patient'"'"'s insulin to carbohydrate ratio.

151. The system of claim 150, wherein the database further includes an amount of fat per serving size field, an amount of protein per serving size field, an amount of calories per serving size field, and an amount of fiber per serving size field for each of the custom foods.

152. The system of claim 150, wherein the custom food instructions allow values within the fields of the database to be edited by the user.

153. The system of claim 150, wherein the custom food instructions allow a user to enter new custom foods and corresponding values within the fields of the database for each custom food.

154. The system of claim 153, wherein the custom food instructions require each new custom food to have a name that is different from all the custom food names contained in the database.

155. The system of claim 150, wherein the custom food instructions allow a user to delete a custom food from the database.

156. A system for delivering fluid to a patient comprising:

an infusion pump; and

a control system for controlling the infusion pump, including,

user interface components for allowing a user to receive and provide information,

a processor connected to the user interface components and adapted to provide instructions to the infusion pump including fluid delivery instructions, and

a computer program having instructions for operating the processor, including fluid delivery programming instructions that instruct the processor to,

prompt a user through the user interface components for information regarding a desired dose including a flow rate of the desired dose and a duration of the desired dose,

calculate the fluid delivery instructions based on the flow rate and the duration provided by the user, and

provide a graphical representation of the desired dose through the user interface components.

157. The system of claim 156, wherein the graphical representation comprises a graph of the desired dose with the duration provided by the user displayed on a first axis of the graph and the flow rate provided by the user displayed on a second axis of the graph.

158. The system of claim 157, wherein the desired dose comprises a continuous basal rate.

159. The system of claim 157, wherein the desired dose comprises a new basal rate combined with a continuous basal rate.

160. The system of claim 157, wherein the desired dose comprises a temporary basal rate.

161. The system of claim 157, wherein the desired dose comprises an extended bolus dose.