Management of session history data for implantable fluid delivery device

• US 8,890,681 B2
• Filed: 03/24/2010
• Issued: 11/18/2014
• Est. Priority Date: 04/17/2009
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Goetz, Steven M., Alme, Sarah B.
• Primary Examiner(s): Swarthout, Brent
• Application Number:
  US12/730,751
• Publication Number:
  US 20100265072A1
• Time in Patent Office: 1,700 Days
• Field of Search: 340/539.12, 340/539.29, 340/286.07, 340/573.1, 128/903, 128/920, 128/923, 128/DIG.13, 600/300, 600/301, 600/587, 607/60, 607/62, 607/67
• US Class Current: 340/539.12
• CPC Class Codes: A61M 2005/1402 Priming
• CPC Class Codes: A61M 2205/3523 using telemetric means
• CPC Class Codes: A61M 2205/3569 sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/505 Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 5/14276 specially adapted for implantation
• 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 40/67 for remote operation
• CPC Class Codes: Y10S 128/13 Infusion monitoring
• CPC Class Codes: Y10S 128/903 Radio telemetry

Abstract

This disclosure describes techniques for displaying representations of therapy session histories with a programmer device configured to program an implantable fluid delivery device. Information regarding the session histories may be stored in a memory of the fluid delivery device. An example programmer includes a user interface comprising a display to present a representation of a plurality of therapy sessions administered by an implantable fluid delivery device to a patient, and a processor that controls the user interface to present on the display the representation of the plurality of therapy sessions. The representation may include simultaneously displayed, temporally-ordered representations of the plurality of therapy sessions, such as a graph comprising a plurality of nodes, each node corresponding to one of the therapy sessions. Horizontal locations of the nodes may correspond to relative ending dates for the corresponding therapy session, and shapes of each node may represent infusion patterns.

Claims

1. A method comprising:

retrieving, with a device for programming an implantable fluid delivery device, therapy session information for a plurality of therapy sessions administered by the implantable fluid delivery device to a patient, wherein each of the plurality of therapy sessions occurs between a respective set of two of a plurality of programming sessions during which the implantable fluid delivery device is programmed; and

displaying, with the device, a representation of the plurality of therapy sessions, wherein the representation comprises an abstraction of the therapy session information.

2. The method of claim 1, wherein the representation comprises a graphical representation.

3. The method of claim 2, wherein the graphical representation comprises a plurality of nodes, each of the nodes corresponding to one of the plurality of therapy sessions.

4. The method of claim 3, wherein horizontal positions of the nodes on the graphical representation indicate relative dates on which the corresponding therapy sessions ended.

5. The method of claim 3, wherein vertical positions of the nodes on the graphical representation indicate average daily doses of a therapeutic agent administered by the implantable fluid delivery device during the corresponding therapy sessions.

6. The method of claim 3, wherein shapes of the nodes on the graphical representation indicate infusion patterns according to which the implantable fluid delivery device administered fluid during the corresponding therapy sessions.

7. The method of claim 3, wherein colors of the nodes on the graphical representation indicate patient feedback for the corresponding therapy sessions.

8. The method of claim 3, further comprising:

receiving a user selection of one of the plurality of nodes; and

displaying a textual representation of the therapy session corresponding to the selected node.

9. The method of claim 8, wherein the textual representation comprises a clinician annotation for the corresponding therapy session.

10. The method of claim 8, wherein the textual representation comprises patient feedback for the corresponding therapy session.

11. The method of claim 3, wherein the plurality of nodes comprises a first plurality of nodes, the method further comprising displaying a second plurality of nodes, each of the second plurality of nodes representing patient feedback for a corresponding one of the therapy sessions.

12. The method of claim 1, further comprising displaying an indication that a one-time event occurred for at least one of the plurality of therapy sessions, wherein the one-time event comprises one of a prime, a bridge, a therapeutic bolus, and a catheter length change.

13. The method of claim 1, further comprising displaying a representation of a sensed diagnostic event comprising at least one of a malfunction of a component of the implantable fluid delivery device, a catheter replacement, a catheter length revision, a revision to a dosing program downloaded to the implantable fluid delivery device, a reservoir refill, a reservoir flush, and an accesses to a catheter port.

14. The method of claim 1, wherein retrieving comprises retrieving the therapy session information from a computer-readable medium of the programming device.

15. The method of claim 1, wherein retrieving comprises retrieving the therapy session information from a computer-readable medium of the implantable fluid delivery device.

16. The method of claim 1, further comprising displaying an indication that information for at least one therapy session is missing.

17. The method of claim 1, wherein the representation comprises textual representations for each of the displayed therapy sessions.

18. The method of claim 1, further comprising displaying an indication of a percentage of therapeutic agent administered as a result of patient requests.

19. The method of claim 18, further comprising retrieving from the implantable fluid delivery device data related to the percentage of therapeutic agent.

43. The method of claim 1, further comprising programming, by the device during one of the programming sessions, the implantable fluid delivery device to administer fluid to the patient according to a dosing program corresponding to one of the therapy sessions, wherein the dosing program defines one or more therapy schedules, each of the therapy schedules defining a rate at which to administer the fluid and a duration of time over which to administer the fluid at the rate.

44. The method of claim 1, wherein the abstraction of the therapy session information summarizes differences between the therapy sessions.

45. The method of claim 6, wherein the infusion patterns comprise one of:

a simple continuous pattern;

a day and night pattern;

or

an all steps flex pattern.

20. A programmer device comprising:

a user interface comprising a display to present a representation of a plurality of therapy sessions administered by an implantable fluid delivery device to a patient, wherein each of the plurality of therapy sessions occurs between a respective set of two of a plurality of programming sessions during which the implantable fluid delivery device is programmed, and wherein the representation comprises an abstraction of therapy session information for the plurality of therapy sessions; and

a processor that controls the user interface to present on the display the representation of the plurality of therapy sessions.

21. The device of claim 20, wherein the representation comprises a graphical representation.

22. The device of claim 21, wherein the graphical representation comprises a plurality of nodes, each of the nodes corresponding to one of the plurality of therapy sessions.

23. The device of claim 22, wherein horizontal positions of the nodes on the graphical representation indicate relative dates on which the corresponding therapy session ended, and wherein vertical positions of the nodes on the graphical representation indicate average daily doses of a therapeutic agent administered by the implantable fluid delivery device during the corresponding therapy sessions.

24. The device of claim 22, wherein shapes of the nodes on the graphical representation indicate infusion patterns according to which the implantable fluid delivery device administered fluid during the corresponding therapy sessions.

25. The device of claim 22, wherein colors of the nodes on the graphical representation indicate patient feedback for the corresponding therapy sessions.

26. The device of claim 22, further comprising a user interface configured to receive a user selection of one of the plurality of nodes, wherein the processor causes the user interface to display a textual representation of the therapy session corresponding to the selected node.

27. The device of claim 26, wherein the textual representation comprises at least one of a clinician annotation for the corresponding therapy session and patient feedback for the corresponding therapy session.

28. The device of claim 22, wherein the plurality of nodes comprises a first plurality of nodes, the device further comprising displaying a second plurality of nodes, each of the second plurality of nodes representing patient feedback for a corresponding one of the therapy sessions.

29. The device of claim 20, wherein the processor causes the user interface to display an indication that information for at least one therapy session is missing.

30. The device of claim 20, wherein the processor causes the user interface to display an indication of a percentage of therapeutic agent administered as a result of patient requests.

31. A system comprising:

an implantable fluid delivery pump that delivers fluid to a patient according to a selected dosing program, comprising a telemetry module; and

a programmer device comprising;

a telemetry module to send signals to the implantable fluid delivery pump to program the implantable fluid delivery pump;

a user interface comprising a display to present a representation of a plurality of therapy sessions administered by the implantable fluid delivery device to a patient, wherein each of the plurality of therapy sessions occurs between a respective set of two of a plurality of programming sessions during which the implantable fluid delivery device is programmed, and wherein the representation comprises an abstraction of therapy session information for the plurality of therapy sessions; and

a processor that controls the user interface to present on the display the representation of the plurality of therapy sessions.

32. The system of claim 31, wherein the representation comprises a graphical representation comprising plurality of nodes, each of the nodes corresponding to one of the plurality of therapy sessions.

33. The system of claim 32, wherein horizontal positions of the nodes on the graphical representation indicate relative dates on which the corresponding therapy session ended, and wherein vertical positions of the nodes on the graphical representation indicate average daily doses of a therapeutic agent administered by the implantable fluid delivery device during the corresponding therapy sessions.

34. The system of claim 32, wherein the programmer device further comprises a user interface configured to receive a user selection of one of the plurality of nodes, wherein the processor of the programmer device causes the user interface to display a textual representation of the therapy session corresponding to the selected node.

35. A computer-readable medium encoded with instructions for causing a programmable processor of a programmer device for programming an implantable fluid deliver device to:

retrieve therapy session information for a plurality of therapy sessions administered by the implantable fluid delivery device to a patient; and

display a representation of the plurality of therapy sessions, wherein each of the plurality of therapy sessions occurs between a respective set of two of a plurality of programming sessions during which the implantable fluid delivery device is programmed, and wherein the representation comprises an abstraction of the therapy session information.

36. The computer-readable medium of claim 35, wherein the representation comprises a graphical representation, and the graphical representation comprises a plurality of nodes, each of the nodes corresponding to one of the plurality of therapy sessions.

37. The computer-readable medium of claim 36, wherein horizontal positions of the nodes on the graphical representation indicate relative dates on which the corresponding therapy session ended, and wherein vertical positions of the nodes on the graphical representation indicate an average daily dose of a therapeutic agent administered by the implantable fluid delivery device during the corresponding therapy session.

38. The computer-readable medium of claim 37, wherein shapes of the nodes on the graphical representation indicate infusion patterns according to which the implantable fluid delivery device administered fluid during the corresponding therapy sessions.

39. A medical device comprising:

means for retrieving therapy session information for a plurality of therapy sessions administered by an implantable fluid delivery device to a patient; and

means for displaying a representation of the plurality of therapy sessions, wherein each of the plurality of therapy sessions occurs between a respective set of two of a plurality of programming sessions during which the implantable fluid delivery device is programmed, and wherein the representation comprises an abstraction of the therapy session information.

40. The medical device of claim 39, wherein the representation comprises a graphical representation, and the graphical representation comprises a plurality of nodes, each of the nodes corresponding to one of the plurality of therapy sessions.

41. The medical device of claim 40, wherein horizontal positions of the nodes on the graphical representation indicate relative dates on which the corresponding therapy session ended, and wherein vertical positions of the nodes on the graphical representation indicate an average daily dose of a therapeutic agent administered by the implantable fluid delivery device during the corresponding therapy session.

42. The medical device of claim 41, wherein shapes of the nodes on the graphical representation indicate infusion patterns according to which the implantable fluid delivery device administered fluid during the corresponding therapy sessions.