MEDICAL DEVICES AND RELATED EVENT PATTERN TREATMENT RECOMMENDATION METHODS

• US 20170364660A1
• Filed: 08/31/2017
• Published: 12/21/2017
• Est. Priority Date: 10/19/2015
• Status: Abandoned Application

• Current Assignee: Medtronic Minimed Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Minimed Incorporated (Medtronic Plc)
• Inventors: Vigersky, Robert A., Agrawal, Pratik, Morawiec, Risako, Guan, Yi
• Application Number:
  US15/693,238
• Publication Number:
  US 20170364660A1
• Time in Patent Office: Days
• CPC Class Codes: A61M 2005/14208 with a programmable infusion control system, characterised by the infusion program
• CPC Class Codes: A61M 2005/14292 Computer-based infusion planning or simulation of spatio-temporal infusate distribution
• CPC Class Codes: A61M 2205/3365 Rotational speed
• CPC Class Codes: A61M 2205/3584 using modem, internet or bluetooth
• 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 2205/581 by audible feedback
• CPC Class Codes: A61M 2205/582 by tactile feedback
• CPC Class Codes: A61M 2205/583 by visual feedback
• 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 5/14244 adapted to be carried by the patient, e.g. portable on the body
• CPC Class Codes: A61M 5/1723 using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00
• CPC Class Codes: G06T 11/001 Texturing; Colouring; Generation of texture or colour inpainting G06T5/77
• CPC Class Codes: G06T 11/206 Drawing of charts or graphs
• CPC Class Codes: G06T 2200/24 involving graphical user interfaces [GUIs]
• CPC Class Codes: G06T 2210/41 Medical
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/17 : delivered via infusion or injection
• CPC Class Codes: G16H 40/63 : for local operation
• CPC Class Codes: G16H 40/67 : for remote operation

Abstract

Infusion devices and related patient management systems and methods are provided. An exemplary method of presenting information pertaining to operation of an infusion device to deliver fluid to a body of a patient involves identifying a plurality of event patterns within different monitoring periods based on measurement values for the patient'"'"'s condition, prioritizing the identified event patterns based on one or more prioritization criteria, filtering the prioritized list of identified event patterns based on one or more filtering criteria, and then providing a respective pattern guidance display for each identified event pattern remaining in the filtered prioritized list. In exemplary embodiments, a respective pattern guidance display includes graphical indicia of one or more remedial actions, such as recommended therapy modifications for addressing the respective event pattern.

Claims

1. A system comprising:

an infusion device operable to deliver fluid to a body of a patient based on measurement values for a physiological condition in the body of the patient from a sensing arrangement, the fluid influencing the physiological condition; and

a computing device communicatively coupled to the infusion device over a network to identify a plurality of event patterns within a plurality of monitoring periods based on the measurement values, prioritize the plurality of event patterns based on one or more prioritization criteria, filter the prioritized list of event patterns based on one or more filtering criteria, and generate a respective pattern guidance display for each respective event pattern of the filtered prioritized list, wherein the respective pattern guidance display for at least one respective event pattern of the filtered prioritized list includes a graphical representation of a remedial action.

2. The system of claim 1, further comprising a database to store potential remedial actions, wherein the computing device is coupled to the database to obtain the potential remedial actions from the database and identify the remedial action based on information pertaining to the at least one respective event pattern.

3. The system of claim 2, wherein the information pertaining to the at least one respective event pattern comprises an identification of a type of event pattern, an indication of a period of time associated with the at least one respective event pattern, one or more metrics indicative of a frequency associated with the at least one respective event pattern, or one or more metrics indicative of a severity associated with the at least one respective event pattern.

4. The system of claim 1, wherein:

the computing device filters the prioritized list of event patterns based on event type within respective monitoring periods of the plurality of monitoring periods; and

the least one respective event pattern of the filtered prioritized list comprises a highest priority event pattern detected for its associated monitoring period.

5. The system of claim 1, wherein the remedial action comprises a therapeutic modification for mitigating the at least one respective event pattern.

6. The system of claim 1, wherein the remedial action comprises a modified dosage of the fluid.

7. The system of claim 6, further comprising a user interface to receive a user input, wherein the infusion device is configured to autonomously regulate the physiological condition in accordance with the modified dosage in response to the user input.

8. The system of claim 1, wherein the remedial action comprises an additional medication.

9. The system of claim 1, wherein the graphical representation of the remedial action is displayed in response to user selection of the at least one respective event pattern of the filtered prioritized list.

10. The system of claim 1, further comprising a database to store therapeutic modification logic rules associated with the at least one respective event pattern, wherein the computing device is coupled to the database to obtain the therapeutic modification logic rules from the database and identify the remedial action based at least in part on the therapeutic modification logic rules.

11. The system of claim 10, wherein the computing device identifies a current therapy for the patient and identifies the remedial action based at least in part on the therapeutic modification logic rules and the current therapy.

12. A method of presenting information pertaining to operation of an infusion device to deliver insulin to a body of a patient, the method comprising:

obtaining, by a computing device, historical glucose measurement data for the patient from a database;

identifying, by the computing device, a plurality of event patterns within respective ones of a plurality of monitoring periods based on the historical glucose measurement data, wherein each monitoring period of the plurality of monitoring periods corresponds to a different time of day corresponding to a different subset of the historical glucose measurement data;

prioritizing, by the computing device, the plurality of event patterns based on one or more of an event type associated with respective event patterns of the plurality of event patterns and the respective monitoring period associated with respective event patterns of the plurality of event patterns, resulting in a prioritized list of event patterns;

identifying, by the computing device, a remedial action associated with a highest priority event pattern of the prioritized list; and

generating, by the computing device, a pattern guidance display for the highest priority event pattern of the prioritized list, wherein the pattern guidance display includes a graphical representation of the remedial action.

13. The method of claim 12, further comprising obtaining, by the computing device, therapeutic modification logic rules associated with the highest priority event pattern from the database, wherein identifying the remedial action comprises identifying the remedial action based at least in part on the therapeutic modification logic rules.

14. The method of claim 13, further comprising obtaining, by the computing device, current therapy information associated with the patient, wherein identifying the remedial action comprises identifying a recommended therapeutic modification based at least in part on the therapeutic modification logic rules and the current therapy information.

15. The method of claim 14, further comprising obtaining, by the computing device, physiological information associated with the patient, wherein at least one of the therapeutic modification logic rules and the recommended therapeutic modification is influenced by the physiological information.

16. The method of claim 15, wherein the physiological information comprises an estimated A1C level calculated based on the historical glucose measurement data over a time period including the respective monitoring period associated with the highest priority event pattern.

17. The method of claim 14, the current therapy information including a dosage of the insulin to be delivered by the infusion device during the respective monitoring period associated with the highest priority event pattern, wherein identifying the recommended therapeutic modification comprises identifying a modification to the dosage of the insulin to be delivered by the infusion device.

18. The method of claim 12, wherein providing the respective pattern guidance display comprises a server providing the respective pattern guidance display on a display device of a client device over a network.

19. A computer-readable medium having computer-executable instructions stored thereon that, when executed by a processing system of the computing device, cause the processing system to perform the method of claim 12.

20. A system comprising a display device having rendered thereon a snapshot graphical user interface display comprising a pattern detection region including a plurality of pattern guidance displays corresponding to a plurality of event patterns detected within a time period corresponding to the snapshot graphical user interface display, wherein:

the plurality of pattern guidance displays corresponding to the plurality of event patterns are prioritized primarily based on a respective event type of a plurality of event types associated with each respective event pattern of the plurality of event patterns and secondarily based on a respective monitoring period associated with each respective event pattern of the plurality of event patterns; and

a highest priority pattern guidance display of the plurality of pattern guidance displays includes graphical indicia of a therapeutic remedial action corresponding to a highest priority event pattern of the plurality of event patterns corresponding to the highest priority pattern guidance display.