DRUG DELIVERY PROGRAMMING TECHNIQUES

• US 20150133888A1
• Filed: 11/10/2014
• Published: 05/14/2015
• Est. Priority Date: 11/11/2013
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Ali, Irfan Z., Mitchell, William J., Roberts, Earle T., Drew, Touby A., Anbazhagan, Prasanna
• Granted Patent: US 9,814,834 B2
• Time in Patent Office: Days
• US Class Current: 604/503
• CPC Class Codes: A61M 5/16877 Adjusting flow; Devices for setting a flow rate
• CPC Class Codes: G16H 20/17 delivered via infusion or injection

Abstract

Devices, systems, and techniques for programming drug delivery are described. Such techniques may account for diffusion and mixing of drug within the fluid or allow for more flexible programming options. In one example, a method may include determining one or more fluid delivery parameters (e.g., volume, flow rate, or period of time) for a fluid that is a mixture of two other fluids. The determination may be based on one or more fluid delivery parameters of the two other fluids and/or a concentration profile representing the mixing between the two other fluids. In other examples, drug delivery programming may be facilitated by the selection of various patterns and steps of drug delivery. The system may track volume of delivered fluid to maintain desired dosing of the patient.

Claims

1. A method comprising:

obtaining, by one or more processors, one or more first fluid delivery parameters that at least partially define delivery of a first fluid within a downstream portion of a fluid path of a fluid delivery system, wherein a medical pump and a catheter of the fluid delivery system define at least a portion of the fluid path;

obtaining, by the one or more processors, one or more second fluid delivery parameters that at least partially define delivery of a second fluid within an upstream portion of the fluid path upstream from the first fluid, wherein the second fluid comprises a therapeutic agent;

determining, by the one or more processors and based on the one or more first fluid delivery parameters and the one or more second fluid delivery parameters, one or more third fluid delivery parameters that at least partially define delivery of a third fluid located between the first fluid and the second fluid in the fluid path, wherein the third fluid comprises a mixture of the first fluid and the second fluid, and wherein at least some of the one or more third fluid delivery parameters are different than the one or more first and second fluid delivery parameters; and

outputting, by the one or more processors, the one or more third fluid delivery parameters for controlling the medical pump to deliver the third fluid to a patient.

2. The method of claim 1, wherein determining the one or more third fluid delivery parameters comprises calculating at least one of a volume, a duration, and a flow rate for delivering the third fluid to the patient.

3. The method of claim 1, wherein:

obtaining the one or more first fluid delivery parameters comprises obtaining at least one of a first concentration of the first fluid, a first flow rate of the first fluid, and a first volume of the first fluid; and

obtaining the one or more second fluid delivery parameters comprises obtaining at least one of a second concentration of the second fluid, a second flow rate of the second fluid, and a second volume of the second fluid.

4. The method of claim 1, wherein obtaining the one or more first fluid delivery parameters comprises obtaining a first volume of the first fluid and a first flow rate of the first fluid, and wherein the method further comprises:

calculating, based on the first volume and the first flow rate, a first period of time required to deliver the first fluid to the patient at the first flow rate;

determining, based on at least one of the first fluid delivery parameters and the second fluid delivery parameters, a second volume of the third fluid;

determining, based on at least one of the one or more first fluid delivery parameters and the one or more second fluid delivery parameters, a second flow rate for delivering the third fluid to the patient; and

determining, based on the second volume and the second flow rate, a second period of time required to deliver the third fluid out of the catheter, wherein the one or more third fluid delivery parameters comprise the second flow rate and the second period of time.

5. The method of claim 4, further comprising:

controlling the medical pump to deliver the first fluid at the first flow rate for the first period of time;

responsive to the first period of time elapsing, controlling the medical pump to deliver the third fluid at the second flow rate for the second period of time; and

responsive to the second period of time elapsing, controlling the medical pump to deliver the second fluid at a third flow rate, wherein each of the first flow rate, the second flow rate, and the third flow rate are different flow rates.

6. The method of claim 1, further comprising obtaining a concentration profile of a mixture of the first fluid and a second fluid, wherein:

the concentration profile comprises an estimation of a change in concentration of the agent throughout the mixture;

obtaining the one or more first fluid delivery parameters comprises determining, based on the concentration profile and a dimension of the fluid path, the volume of the first fluid; and

determining the one or more third fluid delivery parameters comprises determining, based on the concentration profile and the dimension of the fluid path, the volume of the third fluid.

7. The method of claim 6, wherein obtaining the one or more first fluid delivery parameters comprises receiving a drug delivery schedule for delivering the first fluid to the patient according to one or more scheduled sets of a delivery period and a flow rate;

and wherein the method further comprises;

calculating, based on the volume of the first fluid and the one or more sets of the delivery period and the flow rate, a first period of time for delivering the first fluid to the patient.

8. The method of claim 1, wherein determining the one or more third fluid delivery parameters comprises determining a third flow rate for delivering the third fluid to the patient, the third flow rate having a value between values of a first flow rate of the first fluid and a second flow rate for the second fluid.

9. The method of claim 8, wherein determining the third flow rate comprises determining a plurality of flow rates for delivering the third fluid to the patient, and wherein:

the third flow rate is a selected one of the plurality of flow rates, and

the plurality of flow rates are selected according to different portions of a concentration profile of a mixture of the first fluid and the second fluid.

10. The method of claim 1, wherein one of the first fluid or the second fluid comprises an inert fluid that does not provide therapy to the patient.

11. The method of claim 1, wherein the first fluid comprises a first concentration of the therapeutic agent, and wherein the second fluid comprises a second concentration of the therapeutic agent, wherein the second concentration is different from the first concentration.

12. The method of claim 1, wherein the therapeutic agent is a second therapeutic agent, and wherein the first fluid comprises a first therapeutic agent different from the second therapeutic agent of the second fluid.

13. A device comprising:

one or more processors configured to;

obtain one or more first fluid delivery parameters that at least partially define delivery of a first fluid within a downstream portion of a fluid path of a fluid delivery system, wherein a medical pump and a catheter of the fluid delivery system define at least a portion of the fluid path;

obtain one or more second fluid delivery parameters that at least partially define delivery of a second fluid within an upstream portion of the fluid path upstream from the first fluid, wherein the second fluid comprises a therapeutic agent;

determine, based on the one or more first fluid delivery parameters and the one or more second fluid delivery parameters, one or more third fluid delivery parameters that at least partially define delivery of a third fluid located between the first fluid and the second fluid in the fluid path, wherein the third fluid comprises a mixture of the first fluid and the second fluid, and wherein at least some of the one or more third fluid delivery parameters are different than the one or more first and second fluid delivery parameters; and

output the one or more third fluid delivery parameters for controlling the medical pump to deliver the third fluid to a patient.

14. The device of claim 13, wherein the one or more processors are configured to determine the one or more third fluid delivery parameters by calculating at least one of a volume, a duration, and a flow rate for delivering the third fluid to the patient.

15. The device of claim 13, wherein the one or more processors are configured to:

obtain the one or more first fluid delivery parameters by obtaining at least one of a first concentration of the first fluid, a first flow rate of the first fluid, and a first volume of the first fluid; and

obtain the one or more second fluid delivery parameters by obtaining at least one of a second concentration of the second fluid, a second flow rate of the second fluid, and a second volume of the second fluid.

16. The device of claim 13, wherein the one or more processors are configured to:

obtain the one or more first fluid delivery parameters by obtaining a first volume of the first fluid and a first flow rate of the first fluid;

calculate, based on the first volume and the first flow rate, a first period of time required to deliver the first fluid to the patient at the first flow rate;

determine, based on at least one of the first fluid delivery parameters and the second fluid delivery parameters, a second volume of the third fluid;

determine, based on at least one of the one or more first fluid delivery parameters and the one or more second fluid delivery parameters, a second flow rate for delivering the third fluid to the patient; and

determine, based on the second volume and the second flow rate, a second period of time required to deliver the third fluid out of the catheter, wherein the one or more third fluid delivery parameters comprise the second flow rate and the second period of time.

17. The device of claim 16, wherein the one or more processors are configured to:

control the medical pump to deliver the first fluid at the first flow rate for the first period of time;

responsive to the first period of time elapsing, control the medical pump to deliver the third fluid at the second flow rate for the second period of time; and

responsive to the second period of time elapsing, control the medical pump to deliver the second fluid at a third flow rate, wherein each of the first flow rate, the second flow rate, and the third flow rate are different flow rates.

18. The device of claim 13, wherein:

the one or more processors are configured to obtain a concentration profile of a mixture of the first fluid and a second fluid;

the concentration profile comprises an estimation of a change in concentration of the agent throughout the mixture;

the one or more processors are configured to obtain the one or more first fluid delivery parameters by determining, based on the concentration profile and a dimension of the fluid path, the volume of the first fluid; and

the one or more processors are configured to determine the one or more third fluid delivery parameters by determining, based on the concentration profile and the dimension of the fluid path, the volume of the third fluid.

19. The device of claim 18, wherein the one or more processors are configured to:

obtain the one or more first fluid delivery parameters by receiving a drug delivery schedule for delivering the first fluid to the patient according to one or more scheduled sets of a delivery period and a flow rate; and

calculate, based on the volume of the first fluid and the one or more sets of the delivery period and the flow rate, a first period of time for delivering the first fluid to the patient.

20. The device of claim 13, wherein the one or more processors are configured to determine the one or more third fluid delivery parameters by determining a third flow rate for delivering the third fluid to the patient, the third flow rate having a value between values of a first flow rate of the first fluid and a second flow rate for the second fluid.

21. The device of claim 20, wherein the one or more processors are configured to determine the third flow rate by determining a plurality of flow rates for delivering the third fluid to the patient, and wherein:

the third flow rate is a selected one of the plurality of flow rates, and

the plurality of flow rates are selected according to different portions of a concentration profile of a mixture of the first fluid and the second fluid.

22. The device of claim 13, wherein the first fluid comprises a first concentration of the therapeutic agent, and wherein the second fluid comprises a second concentration of the therapeutic agent, wherein the second concentration is different from the first concentration.

23. The device of claim 13, wherein the therapeutic agent is a second therapeutic agent, and wherein the first fluid comprises a first therapeutic agent different from the second therapeutic agent of the second fluid.

24. A system comprising:

means for obtaining one or more first fluid delivery parameters that at least partially define delivery of a first fluid within a downstream portion of a fluid path of a fluid delivery system, wherein a medical pump and a catheter of the fluid delivery system define at least a portion of the fluid path;

means for obtaining one or more second fluid delivery parameters that at least partially define delivery of a second fluid within an upstream portion of the fluid path upstream from the first fluid, wherein the second fluid comprises a therapeutic agent;

means for determining, based on the one or more first fluid delivery parameters and the one or more second fluid delivery parameters, one or more third fluid delivery parameters that at least partially define delivery of a third fluid located between the first fluid and the second fluid in the fluid path, wherein the third fluid comprises a mixture of the first fluid and the second fluid, and wherein at least some of the one or more third fluid delivery parameters are different than the one or more first and second fluid delivery parameters; and

means for outputting the one or more third fluid delivery parameters for controlling the medical pump to deliver the third fluid to a patient.