Method and apparatus for detection of occlusions

• US 6,362,591 B1
• Filed: 10/28/1999
• Issued: 03/26/2002
• Est. Priority Date: 10/29/1998
• Status: Expired due to Term

• Current Assignee: Medtronic Minimed Incorporated (Medtronic Plc)
• Original Assignee: Minimed, Inc. (Medtronic Plc)
• Inventors: Moberg, Sheldon
• Primary Examiner(s): Dang, Khanh
• Application Number:
  US09/428,411
• Time in Patent Office: 880 Days
• Field of Search: 318/254, 318/685, 318/696, 417/12, 417/18, 417/20-22, 417/32, 417/35, 417/36, 417/38, 417/42, 417/43, 417/44.1, 417/44.2, 417/45, 417/53, 417/63, 604/65, 604/67, 128/DIG.12, 128/DIG.13
• US Class Current: 318/685
• CPC Class Codes: A61M 2005/1623 Details of air intake
• CPC Class Codes: A61M 2039/1033 Swivel nut connectors, e.g. threaded connectors, bayonet-connectors
• CPC Class Codes: A61M 2039/1072 with a septum present in the connector
• CPC Class Codes: A61M 2039/205 comprising air venting means
• CPC Class Codes: A61M 2205/581 by audible feedback
• CPC Class Codes: A61M 2205/582 by tactile feedback
• CPC Class Codes: A61M 39/10 Tube connectors; Tube couplings A61M39/02 takes precedence; connecting needles to syringes or hubs A61M5/34; connecting catheter tubes to hubs A61M25/0014
• CPC Class Codes: A61M 39/12 for joining a flexible tube to a rigid attachment
• CPC Class Codes: A61M 5/14244 adapted to be carried by the patient, e.g. portable on the body
• CPC Class Codes: A61M 5/1452 pressurised by means of pistons
• CPC Class Codes: A61M 5/14566 with a replaceable reservoir for receiving a piston rod of the pump
• CPC Class Codes: A61M 5/162 Needle sets, i.e. connections by puncture between reservoir and tube ; Connections between reservoir and tube in jet-action syringes A61M5/30; connectors for tubes having sealed ends and a needle for piercing them A61M39/14
• CPC Class Codes: A61M 5/16831 Monitoring, detecting, signalling or eliminating infusion flow anomalies low-level float-valves causing cut-off A61M5/40; indicating or recording presence, absence or direction of flow in general G01P13/0066
• CPC Class Codes: Y10T 29/49764 with testing or indicating
• CPC Class Codes: Y10T 29/49826 Assembling or joining
• CPC Class Codes: Y10T 29/53 Means to assemble or disassemble

Abstract

A method and apparatus for automatically detecting an occlusion or drive system failure in a medication infusion system is provided. The electrical current to an infusion pump is measured and compared against a baseline average current. If the current exceeds a threshold amount, an alarm is triggered. Alternatively, pump motor encoder pulses are measured during a pump cycle. If the number of pulses do not correspond within a normal range, an alarm is triggered. After any alarm is triggered, the pump motor is driven in reverse for an incremental distance in order to relieve the fluid pressure in the system.

Claims

1. A method of detecting an occlusion in a fluid pump system, comprising:

applying input power parameters to a pump motor to provide a first pump cycle;

measuring a first encoder count during the first pump cycle;

determining whether the first encoder count is less than a first value; and

rewinding the fluid pump system at least to the point of reducing pressure in the fluid pump system after determining that the first encoder count is less than the first value.

2. The method of claim 1 further comprising providing an alarm indication after determining that the first encoder count is less than the first value.

3. The method of claim 1 further comprising:

determining whether the first encoder count is equal to a third value; and

adjusting the input power parameters to provide a second pump cycle after determining that the first encoder count does not equal the third value, said second pump cycle resulting in a second encoder count, said second encoder count being one of a value greater than the first encoder count if the first encoder count is less than the third value and a value smaller than the first encoder count if the first encoder count is greater than the third value.

4. A method of detecting an occlusion in a fluid pump system, comprising:

applying input power parameters to a pump motor to provide a first pump cycle;

measuring a first encoder count during the first pump cycle;

determining whether the first encoder count is less than a first value;

providing an alarm indication after determining that the first encoder count is less than the first value;

calculating a total number of alarm indications after determining that the first encoder count is less than the first value;

determining whether the total number of alarm indications exceeds a second value; and

providing a system error message after determining that the total number of alarm indications exceeds the second value.

5. A method of detecting an occlusion in a fluid pump system, comprising:

applying input power parameters to a pump motor to provide a first pump cycle;

measuring a first encoder count during the first pump cycle;

determining whether the first encoder count is less than a first value;

rewinding the fluid pump system at least to the point of reducing pressure in the fluid pump system after determining that the first encoder count is less than the first value;

providing an alarm indication after determining that the first encoder count is less than the first value;

calculating a total number of alarm indications after determining that the first encoder count is less than the first value;

determining whether the total number of alarm indications exceeds a second value;

providing a system error message after determining that the total number of alarm indications exceeds the second value;

determining whether the first encoder count is equal to a third value; and

adjusting the input power parameters to provide a second pump cycle after determining that the first encoder count does not equal the third value, said second pump cycle resulting in a second encoder count, said second encoder count being one of a value greater than the first encoder count if the first encoder count is less than the third value and a value smaller than the first encoder count if the first encoder count is greater than the third value.

6. A system for detecting an occlusion in a fluid pump system, comprising:

a processing unit capable of communicating with the fluid pump system; and

program logic executed by the processing unit, comprising;

means for applying input power parameters to a pump motor to provide a first pump cycle;

means for measuring a first encoder count during the first pump cycle;

means for determining whether the first encoder count is less than a first value; and

means for rewinding the fluid pump system at least to the point of reducing pressure in the fluid pump system after determining that the first encoder count is less than the first value.

7. The system of claim 6 wherein the program logic further comprises means for providing an alarm indication after determining that the first encoder count is less than the first value.

8. The system of claim 6 wherein the program logic further comprises:

means for determining whether the first encoder count is equal to a third value; and

means for adjusting the input power parameters to provide a second pump cycle after determining that the first encoder count does not equal the third value, said second pump cycle resulting in a second encoder count, said second encoder count being one of a value greater than the first encoder count if the first encoder count is less than the third value and a value smaller than the first encoder count if the first encoder count is greater than the third value.

9. A system for detecting an occlusion in a fluid pump system, comprising:

a processing unit capable of communicating with the fluid pump system; and

program logic executed by the processing unit, comprising;

means for applying input power parameters to a pump motor to provide a first pump cycle;

means for measuring a first encoder count during the first pump cycle;

means for determining whether the first encoder count is less than a first value; and

means for providing an alarm indication after determining that the first encoder count is less than the first value;

means for calculating a total number of alarm indications after determining that the first encoder count is less than the first value;

means for determining whether the total number of alarm indications exceeds a second value; and

means for providing a system error message after determining that the total number of alarm indications exceeds the second value.

10. A system for detecting an occlusion in a fluid pump system, comprising:

a processing unit capable of communicating with the fluid pump system; and

program logic executed by the processing unit, comprising;

means for applying input power parameters to a pump motor to provide a first pump cycle;

means for measuring a first encoder count during the first pump cycle;

means for determining whether the first encoder count is less than a first value;

means for rewinding the fluid pump system at least to the point of reducing pressure in the fluid pump system after determining that the first encoder count is less than the first value;

means for providing an alarm indication after determining that the first encoder count is less than the first value;

means for calculating a total number of alarm indications after determining that the first encoder count is less than the first value;

means for determining whether the total number of alarm indications exceeds a second value;

means for providing a system error message after determining that the total number of alarm indications exceeds the second value;

means for determining whether the first encoder count is equal to a third value; and

means for adjusting the input power parameters to provide a second pump cycle after determining that the first encoder count does not equal the third value, said second pump cycle resulting in a second encoder count, said second encoder count being one of a value greater than the first encoder count if the first encoder count is less than the third value and a value smaller than the first encoder count if the first encoder count is greater than the third value.

11. A method of operating a fluid pump system, comprising:

applying a power parameter to deliver a motor drive increment to the fluid pump system;

measuring a response of the fluid pump system to the power parameter so applied;

determining if the power parameter and the response of the fluid pump system are within a predetermined acceptable limit; and

rewinding the fluid pump system at least to the point of reducing pressure in the fluid pump system if the power parameter and the response of the fluid pump system are not within the predetermined acceptable limit.

12. The method of claim 11, wherein the step of measuring a response of the fluid pump system to the power parameter includes reading encoder counts.

13. The method of claim 11, wherein the power parameter is an amount of power and the step of determining comprises determining if the amount of power used to deliver a motor drive increment to the fluid pump system is about equal to an expected amount of power to be used to deliver a motor drive increment to the fluid pump system.

14. The method of claim 11, further including adjusting the power parameter to deliver a motor drive increment to the fluid pump system if the power parameter and the response of the fluid pump system are not within the predetermined acceptable limit.

15. The method of claim 11, further including providing an alarm if the power parameter and the response of the fluid pump system are not within the predetermined acceptable limit.

16. The method of claim 11, wherein the step of applying the power parameter to drive the motor includes reading one or more input power parameters from a memory.

17. The method of claim 16, further including modifying the one or more input power parameters in the memory if the power parameter and the response of the fluid pump system are not within the predetermined acceptable limit.