Ambulatory Infusion Devices With Improved Delivery Accuracy

• US 20100137842A1
• Filed: 12/02/2008
• Published: 06/03/2010
• Est. Priority Date: 12/02/2008
• Status: Abandoned Application

• Current Assignee: Infusion Systems, LLC
• Original Assignee: Infusion Systems, LLC
• Inventors: Gibson, Scott R.
• Application Number:
  US12/326,336
• Publication Number:
  US 20100137842A1
• Time in Patent Office: Days
• US Class Current: 604/890.100
• CPC Class Codes: A61M 2205/3334 Measuring or controlling the flow rate
• CPC Class Codes: A61M 2205/3355 Controlling downstream pump pressure
• CPC Class Codes: A61M 2205/3523 using telemetric means
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2209/01 Remote controllers for specific apparatus
• CPC Class Codes: A61M 5/14276 specially adapted for implantation
• CPC Class Codes: A61M 5/16804 Flow controllers
• CPC Class Codes: A61M 5/16854 by monitoring line pressure
• CPC Class Codes: A61M 5/16886 for measuring fluid flow rate, i.e. flowmeters

Abstract

Infusion devices that are configured to measure fluid flow and to adjust delivery.

Claims

1. A method of operating an infusion device which includes a fluid transfer device configured to generate an expected volumetric flow through a fluid flow path when actuated, the method comprising the steps of:

actuating the fluid transfer device in accordance with a delivery instruction that calls for a predetermined number of actuations;

determining the actual volumetric flow associated with at least some of the fluid transfer device actuations; and

adjusting the predetermined number of actuations in response to the actual volumetric flow being different than the expected volumetric flow.

2. A method as claimed in claim 1, wherein the step of determining volumetric flow comprises measuring the pressure differential across a flow restrictor.

3. A method as claimed in claim 2, further comprising the steps of:

directly measuring the pressure at a location in the fluid flow path that is one of upstream from or downstream from the flow restrictor; and

indirectly measuring the pressure at a location in the fluid flow path that is the other of upstream from or downstream from the flow restrictor.

4. A method as claimed in claim 1, wherein the step of determining the actual volumetric flow comprises determining the actual volumetric flow associated with each fluid transfer device actuation.

5. A method as claimed in claim 4, wherein the step of adjusting the predetermined number of actuations comprises calculating a compensation value that represents the difference between the actual volumetric flow and the expected volumetric flow for a single fluid transfer device actuation.

6. A method as claimed in claim 5, further comprising the step of:

adding the compensation value to the predetermined number of actuations.

7. A method as claimed in claim 6, wherein the compensation value comprises a positive compensation value or a negative compensation value.

8. A method of measuring fluid flow in an infusion device with a fluid flow path, the method comprising the steps of:

directly measuring pressure at a location in the fluid flow path that is one of upstream from or downstream from a flow restrictor;

indirectly measuring pressure at a location in the fluid flow path that is the other of upstream from or downstream from the flow restrictor;

determining a pressure differential across the flow restrictor; and

calculating volumetric fluid flow based on the pressure differential.

9. A method as claimed in claim 8, wherein

the step of directly measuring pressure comprises directly measuring pressure in the fluid flow path at a location that is downstream from the flow restrictor;

and

the step of indirectly measuring pressure comprises indirectly measuring pressure at a location in the fluid flow path that is upstream from the flow restrictor.

10. A method as claimed in claim 8, wherein

the infusion device includes a fluid transfer device associated with the fluid flow path;

the step of directly measuring pressure comprises directly measuring pressure at a location in the fluid flow path downstream from the flow restrictor; and

the step of indirectly measuring pressure comprises indirectly measuring pressure at a location in the fluid flow path downstream from the fluid transfer device and upstream from the flow restrictor by monitoring at least one aspect of the operation of the fluid transfer device.

11. A method as claimed in claim 10, wherein the at least one aspect of the operation of the fluid transfer device comprises a current waveform associated with fluid transfer device actuation.

12. A method as claimed in claim 11, wherein

the fluid transfer device comprises an electromagnet-based fluid transfer device including an armature that moves from a rest position to a end of stroke position during actuation;

the current waveform includes an artifact that corresponds to the armature reaching the end of stroke position; and

the at least one aspect of the operation of the fluid transfer device comprises the magnitude of a time period that begins when voltage is applied to the electromagnet and ends when the artifact appears in the current waveform.

13. A method as claimed in claim 11, wherein the current waveform defines an absolute peak current and the at least one aspect of the operation of the fluid transfer device comprises the magnitude of the absolute peak current.

14. A method as claimed in claim 11, wherein the current waveform defines an absolute peak current and the at least one aspect of the operation of the fluid transfer device comprises the magnitude of a time period that begins when voltage is applied to the electromagnet and ends when the absolute peak current occurs.

15. A method as claimed in claim 11, wherein the at least one aspect of the operation of the fluid transfer device comprises the slope of a portion of the current waveform.

16. An infusion device, comprising:

a fluid transfer device configured to create an expected volumetric flow of fluid when actuated; and

a controller, operably connected to the fluid transfer device, configured to actuate the fluid transfer device in accordance with a delivery instruction that calls for a predetermined number of actuations, determine the actual volumetric flow associated with at least some of the fluid transfer device actuations, and adjust the predetermined number of actuations in response to the actual volumetric flow being different than the expected volumetric flow.

17. An infusion device as claimed in claim 16, further comprising:

a fluid flow path associated with the fluid transfer device; and

a flow restrictor within the fluid flow path;

wherein the controller determines the actual volumetric flow based on a pressure differential across the flow restrictor.

18. An infusion device as claimed in claim 17, further comprising:

a pressure sensor at a location in the fluid flow path that is downstream from the flow restrictor;

wherein there is no pressure sensor at a location in the flow path that is upstream from the flow restrictor and downstream from the fluid transfer device.

19. An infusion device as claimed in claim 18, wherein the controller is configured to monitor at least one aspect of the operation of the fluid transfer device and to determine the pressure at the location in the flow path that is upstream from the flow restrictor and downstream from the fluid transfer device based on the monitored aspect of the operation of the fluid transfer device.

20. An infusion device as claimed in claim 19, wherein the at least one aspect of the operation of the fluid transfer device comprises a current waveform associated with the actuation of the fluid transfer device.

21. An infusion device as claimed in claim 20, wherein

the fluid transfer device comprises an electromagnet-based fluid transfer device including an armature that moves from a rest position to a end of stroke position during actuation;

the current waveform includes an artifact that corresponds to the armature reaching the end of stroke position; and

the at least one aspect of the operation of the fluid transfer device comprises the magnitude of a time period that begins when voltage is applied to the electromagnet and ends when the artifact appears in the current waveform.

22. An infusion device as claimed in claim 20, wherein the current waveform defines an absolute peak current and the at least one aspect of the operation of the fluid transfer device comprises the magnitude of the absolute peak current.

23. An infusion device as claimed in claim 20, wherein the current waveform defines an absolute peak current and the at least one aspect of the operation of the fluid transfer device comprises the magnitude of a time period that begins when voltage is applied to the electromagnet and ends when the absolute peak current occurs.

24. An infusion device as claimed in claim 20, wherein the at least one aspect of the operation of the fluid transfer device comprises the slope of a portion of the current waveform.

25. An infusion device as claimed in claim 16, wherein the controller is configured to determine the actual volumetric flow associated with each fluid transfer device actuation.

26. An infusion device as claimed in claim 25, wherein the controller is configured to calculate a compensation value that represents the difference between the actual volumetric flow and the expected volumetric flow for each fluid transfer device actuation.

27. An infusion device as claimed in claim 26, wherein the controller is configured to add the compensation value to the predetermined number of actuations.