Reconciling multiple medical device bolus records for improved accuracy

• US 8,118,770 B2
• Filed: 12/23/2009
• Issued: 02/21/2012
• Est. Priority Date: 06/29/2007
• Status: Active Grant

• Current Assignee: Roche Diabetes Care Inc. (Roche Holding AG)
• Original Assignee: Roche Diagnostics International Ltd., Roche Diagnostics Operations Incorporated (Roche Holding AG)
• Inventors: Galley, Paul J., Zivitz, Maury, Weinert, Stefan, Hellwig, Robert
• Primary Examiner(s): Lucchesi, Nicholas
• Assistant Examiner(s): BERDICHEVSKY, AARTI
• Application Number:
  US12/646,336
• Publication Number:
  US 20100168660A1
• Time in Patent Office: 790 Days
• Field of Search: 604/56, 604/66, 604/67, 600/365
• US Class Current: 604/66
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61M 2205/3569 sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/3592 using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2209/01 Remote controllers for specific apparatus
• CPC Class Codes: A61M 5/14244 adapted to be carried by the patient, e.g. portable on the body
• CPC Class Codes: A61M 5/172 electrical or electronic A61M5/16804, A61M5/16831 take precedence
• CPC Class Codes: G06F 1/1626 with a single-body enclosure integrating a flat display, e.g. Personal Digital Assistants [PDAs]
• CPC Class Codes: G06F 1/169 the I/O peripheral being an integrated pointing device, e.g. trackball in the palm rest area, mini-joystick integrated between keyboard keys, touch pads or touch stripes G06F1/1643 takes precedence; constructional details of pointing devices G06F3/033
• CPC Class Codes: G06F 1/1698 the I/O peripheral being a sending/receiving arrangement to establish a cordless communication link, e.g. radio or infrared link, integrated cellular phone details of antennas disposed inside a computer H01Q1/2266
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

An electronic device may be configured to prompt a user via an on-board display to measure user glucose via an on-board glucose meter, to compute a first drug bolus value based on the measured user glucose, to display the first drug bolus value on the display and prompt the user via the display to enter carbohydrate information into the device, to compute a second drug bolus value based on the entered carbohydrate information, to display the second drug bolus value on the display and prompt the user via the display to enter user health information into the device, to compute a third drug bolus value based on the entered health information and a total drug bolus value as a sum of the first, second and third drug bolus values, and to display the third and total drug bolus values on the display.

Claims

1. A method reconciling bolus records between an electronic device including a blood glucose meter and a liquid infusion pump for more accurate records to improve therapy advice, comprising:

transferring commanded pump event records not previously transmitted to an electronic device including a blood glucose meter, each commanded pump event record having delivered bolus information;

associating the delivered bolus information with electronic device diary records having programmed bolus information that is not confirmed;

if the delivered bolus information is associated with the programmed bolus information, updating the programmed bolus information with delivered bolus information and confirming the delivered bolus information is associated with the programmed bolus information to prevent other associations;

if the delivered bolus information is not associated with the programmed bolus information, creating a new electronic device diary record having programmed bolus information including the delivered bolus information and confirming the delivered bolus information is associated with the programmed bolus information to prevent other associations; and

improving accuracy of programmed bolus information by modifying the programmed bolus information with delivered bolus information for more accurate records to improve therapy advice.

2. The method as in claim 1, further comprising

transferring non-commanded pump event records, created by manually initiated directly delivered boluses from a pump, insulin pen, or syringe, not previously transmitted to the electronic device, each non-commanded pump event record having a delivered bolus type, delivered bolus amount, and a delivered time stamp;

updating the electronic device diary records with non-commanded pump event records; and

improving accuracy of electronic device diary records with non-commanded pump event records for improved therapy advice.

3. The method as in claim 1, wherein associating the commanded pump event record bolus information with electronic device non-confirmed diary records programmed bolus information is performed within a predetermined variation between a delivered bolus time stamp and a programmed bolus time stamp.

4. The method as in claim 1, wherein the predetermined variation of the delivered bolus time stamp and programmed bolus time stamp is less than six minutes.

5. The method as in claim 1, wherein delivered bolus information comprises a delivered bolus type, delivered bolus amount, and delivered bolus time stamp.

6. The method as in claim 1, wherein programmed bolus information comprises a programmed bolus type, programmed bolus amount, and programmed bolus time stamp.

7. A method reconciling bolus records between an electronic device including a blood glucose meter and a liquid infusion pump for more accurate records to improve therapy advice, comprising:

means for transferring commanded pump event records not previously transmitted to an electronic device including a blood glucose meter, each commanded pump event record having delivered bolus information;

means for associating the delivered bolus information with electronic device diary records having programmed bolus information that is not confirmed;

if the delivered bolus information is associated with the programmed bolus information, means for updating the programmed bolus information with delivered bolus information and confirming the delivered bolus information is associated with the programmed bolus information to prevent other associations;

if the delivered bolus information is not associated with the programmed bolus information, means for creating a new non-confirmed diary record have programmed bolus information including the delivered bolus information and confirming the delivered bolus information is associated with the programmed bolus information to prevent other associations; and

improving accuracy of programmed bolus information by modifying the programmed bolus information with delivered bolus information for more accurate records to improve therapy advice.

8. The method as in claim 7, further comprising

means for transferring non-commanded pump event records, created by manually initiated directly delivered boluses from a pump, insulin pen, or syringe, not previously transmitted to the electronic device, each non-commanded pump event record having a delivered bolus type, delivered bolus amount, and a delivered time stamp;

means for updating the electronic device diary records with non-commanded pump event; and

improving accuracy of electronic device diary records with non-commanded pump event records for improved therapy advice.