System and method for determining a treatment dose for a patient

• US 7,785,258 B2
• Filed: 12/21/2005
• Issued: 08/31/2010
• Est. Priority Date: 10/06/2005
• Status: Expired due to Fees

• Current Assignee: OptiScan Biomedical Corporation
• Original Assignee: OptiScan Biomedical Corporation
• Inventors: Braig, James R., Rule, Peter
• Primary Examiner(s): Marmor, II; Charles A
• Assistant Examiner(s): Natnithithadha; Navin
• Application Number:
  US11/316,523
• Publication Number:
  US 20070083090A1
• Time in Patent Office: 1,714 Days
• Field of Search: 600345-366, 600/309, 600/300, 435/283.1, 435/286.1, 435/286.4, 435/287.1, 435/287.3, 204/193, 204/400, 204/403.01
• US Class Current: 600/366
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/14546 for measuring analytes not otherwise provided for, e.g. ions, cytochromes
• CPC Class Codes: A61B 5/14557 specially adapted to extracorporeal circuits
• CPC Class Codes: A61B 5/1486 using enzyme electrodes, e.g. with immobilised oxidase
• CPC Class Codes: A61B 5/15003 for venous or arterial blood
• CPC Class Codes: A61B 5/150213 Venting means
• CPC Class Codes: A61B 5/150221 Valves
• CPC Class Codes: A61B 5/150229 Pumps for assisting the blood sampling
• CPC Class Codes: A61B 5/150755 Blood sample preparation for further analysis, e.g. by separating blood components or by mixing
• CPC Class Codes: A61B 5/150862 intermediate range, e.g. within room or building
• CPC Class Codes: A61B 5/150992 Blood sampling from a fluid line external to a patient, such as a catheter line, combined with an infusion line; blood sampling from indwelling needle sets, e.g. sealable ports, luer couplings, valves tubing connectors and couplings A61M39/00
• CPC Class Codes: A61B 5/153 Devices specially adapted for taking samples of venous or arterial blood, e.g. with syringes
• CPC Class Codes: A61B 5/155 Devices specially adapted for continuous or multiple sampling, e.g. at predetermined intervals devices loaded with multiple lancets simultaneously A61B5/15146
• CPC Class Codes: A61B 5/157 Devices characterised by integrated means for measuring characteristics of blood
• CPC Class Codes: A61B 5/4839 combined with drug delivery
• CPC Class Codes: A61M 2230/20 Blood composition characteristics
• CPC Class Codes: A61M 5/14212 Pumping with an aspiration and an expulsion action
• CPC Class Codes: G01N 21/274 Calibration, base line adjustment, drift correction
• CPC Class Codes: G01N 21/35 using infrared light G01N21/39 takes precedence
• CPC Class Codes: G01N 2201/1293 resolving multicomponent spectra
• CPC Class Codes: G16H 20/17 : delivered via infusion or injection

Abstract

In certain embodiments, a method of maintaining health of a patient uses an analyte detection system. The analyte detection system is coupled to the patient such that a bodily fluid of the patient is accessible to the analyte detection system. The method includes automatically initiating and conducting a measurement of an analyte in the bodily fluid using the analyte detection system. The method further includes determining a treatment dose for the patient based on the measurement using the analyte detection system.

Claims

1. An analyte detection system for measuring an analyte in a bodily fluid of a patient, said system comprising:

a housing;

a fluid handling system disposed within the housing, the fluid handling system comprising;

at least one fluid source passageway within the housing that is configured to be placed into fluid communication with a fluid source;

a patient connection passageway within the housing that is configured to be placed into fluid communication with a venous or arterial line;

a selective junction between the fluid source passageway and the patient connection passageway and within the housing, the selective junction configured to selectively connect the patient connection passageway to an analyzer that is also within the housing;

a valve in fluid communication with the selective junction to selectively allow fluid from the fluid source to pass into the patient connection passageway or to allow bodily fluid from the patient to pass into the analyzer; and

a pump in fluid communication with the selective junction;

a sensor operatively connected to the analyzer and configured to provide information relating to said analyte in a sample of said bodily fluid;

a processor; and

stored program instructions executable by said processor such that said analyte detection system;

automatically initiates and conducts a measurement of said sample with said sensor; and

determines a treatment dose for said patient based on said measurement;

wherein the fluid handling system is adapted to use a single lumen for each of the following;

to withdraw a sample of blood from the patient in a first mode of operation, to return some withdrawn blood to the patient in a second mode of operation, and to deliver the treatment dose to the patient in a third mode of operation.

2. The analyte detection system of claim 1, wherein said analyte is glucose.

3. The analyte detection system of claim 2, wherein said bodily fluid is blood.

4. The analyte detection system of claim 2, wherein said bodily fluid is plasma.

5. The analyte detection system of claim 1, wherein said treatment dose comprises a dose of insulin.

6. The analyte detection system of claim 1, wherein said treatment dose comprises a dose of food, drink, or parenteral nutrition.

7. The analyte detection system of claim 1, wherein said treatment dose is determined based on said measurement and on additional information.

8. The analyte detection system of claim 1, wherein said stored program instructions are executable by said processor such that said analyte detection system outputs information regarding said treatment dose.

9. The analyte detection system of claim 1, wherein said stored program instructions are executable by said processor such that said analyte detection system determines said treatment dose based on said measurement and on information additional to said measurement.

10. An analyte detection system for measuring an analyte in a bodily fluid of a patient, said system comprising:

a housing;

an analyzer positioned within the housing;

a disposable fluid handling cassette configured for positioning within the housing;

a fluid handling system within the disposable cassette, the fluid handling system comprising;

a fluid source passageway within the cassette that is configured to be placed into fluid communication with a fluid source;

a patient connection passageway within the cassette that is configured to be placed into fluid communication with a venous or arterial line;

a selective junction within the cassette between the fluid source passageway and the patient connection passageway, the selective junction configured to selectively connect the patient connection passageway to the analyzer that is also within the housing;

a valve in fluid communication with the selective junction to selectively allow fluid from the fluid source to pass into the patient connection passageway or to allow bodily fluid from the patient to proceed to the analyzer;

a processor; and

stored program instructions executable by said processor such that said analyte detection system;

automatically initiates and conducts a measurement of said sample; and

determines a treatment dose for said patient based on said measurement;

wherein the fluid handling system is adapted to use a single lumen for each of the following;

to withdraw a fluid sample from the patient in a first mode of operation, to return some withdrawn fluid to the patient in a second mode of operation, and to deliver the treatment dose to the patient in a third mode of operation.

11. The analyte detection system of claim 10, further comprising a fluid component separator accessible though the patient connection passageway and configured to separate the fluid drawn from the patient into multiple portions, at least one of which is held for analysis.

12. The analyte detection system of claim 11, wherein the fluid held for analysis is blood plasma.

13. The analyte detection system of claim 11, wherein the analyzer further comprises a spectroscopic analyzer and the fluid handling system and disposable cassette are configured to hold the fluid so that it is not flowing during illumination for spectral analysis.

14. The analyte detection system of claim 10, wherein the analyzer is configured to analyze glucose and the treatment dose is configured to improve glucose levels.