Occlusion detection system and method

• US 9,024,768 B2
• Filed: 07/16/2012
• Issued: 05/05/2015
• Est. Priority Date: 10/10/2008
• Status: Active Grant

• Current Assignee: Deka Products Limited Partnership
• Original Assignee: Deka Products Limited Partnership
• Inventors: Mandro, Marc A., Bryant, Robert J.
• Primary Examiner(s): Brown, Vernal
• Assistant Examiner(s): Yacob, Sisay
• Application Number:
  US13/549,962
• Publication Number:
  US 20120280817A1
• Time in Patent Office: 1,023 Days
• Field of Search: 340/626, 340/636.15, 340/679, 340/603, 604 65- 67, 604121-122, 604/131, 604/151, 600/490, 738/617.1
• US Class Current: 340/626
• CPC Class Codes: A61M 2005/14573 with a replaceable reservoir for quick connection/disconnection with a driving system
• CPC Class Codes: A61M 2005/16863 Occlusion detection
• CPC Class Codes: A61M 2205/332 Force measuring means
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/8206 battery-operated
• 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 5/5086 for indicating if defective, used, tampered with or unsterile

Abstract

A method, computer program product, and infusion pump assembly for determining a first rate-of-change force reading that corresponds to the delivery of a first dose of an infusible fluid via an infusion pump assembly. At least a second rate-of-change force reading is determined that corresponds to the delivery of at least a second dose of the infusible fluid via the infusion pump assembly. An average rate-of-change force reading is determined based, at least in part upon the first rate-of-change force reading and the at least a second rate-of-change force reading.

Claims

1. A method for an infusion pump assembly, the method comprising:

monitoring a displacement of one or more displaceable mechanical components included within the infusion pump assembly and comparing the displacement to an expected displacement to determine if the one or more displaceable mechanical components were displaced the expected displacement in response to delivery of one or more of a first dose of an infusible fluid and a second dose of the infusible fluid;

if the one or more displaceable mechanical components were not displaced the expected displacement in response to delivery of one or more of the first dose of the infusible fluid and the second dose of the infusible fluid, initiating an alarm sequence on the infusion pump assembly;

determining a first rate-of-change for the first dose based on the displacement during the first dose;

determining a second rate-of-change for the second dose based on the displacement during the second dose;

determining an average rate-of-change reading for the first dose and the second dose based on the first and second rates-of-change;

comparing the average rate-of-change reading to a threshold rate-of-change reading to determine if the average rate-of-change reading exceeds the threshold rate-of-change reading; and

if the average rate-of-change reading exceeds the threshold rate-of-change reading, initiating the alarm sequence on the infusion pump assembly.

2. The method of claim 1 further comprising:

determining a first initial reading prior to dispensing the first dose of the infusible fluid;

dispensing the first dose of the infusible fluid;

monitoring a volume of the infusible fluid dispensed in the first dose;

determining a second initial reading prior to dispensing the second dose of the infusible fluid;

setting a first final reading value as being equal to the second initial reading;

dispensing the second dose of the infusible fluid;

monitoring a volume of the infusible fluid dispensed in the second dose;

determining a second final reading subsequent to dispensing the second dose of the infusible fluid;

determining the first rate-of-change reading that corresponds to the delivery of the first dose of the infusible fluid via an infusion pump assembly by subtracting the first initial reading from the first final reading value;

determining at least the second rate-of-change reading that corresponds to the delivery of the second dose of the infusible fluid via the infusion pump assembly by subtracting the second initial reading from the second final reading;

normalizing the first rate-of-change reading and the second rate-of-change reading to be indicative of the rates-of-change sensed for an equivalent quantity of infusible fluid; and

determining the average rate-of-change reading based, at least in part upon the normalized first rate-of-change reading and the normalized at least a second rate-of-change reading.

3. The method of claim 1 further comprising:

comparing one or more of a first initial reading and a first final reading to a threshold reading to determine if one or more of the first initial reading and the first final reading exceeds the threshold reading; and

if one or more of the first initial reading and the first final reading exceeds the threshold reading, initiating an alarm sequence on the infusion pump assembly.

4. The method of claim 1 wherein the infusion pump assembly includes a battery assembly configured to power the infusion pump assembly, the method further comprising:

comparing an actual voltage level of the battery assembly to a minimum voltage requirement to determine if the actual voltage level meets the minimum voltage requirement; and

if the actual voltage level does not meet the minimum voltage requirement, initiating an alarm sequence on the infusion pump assembly.

5. A computer program product residing on a non-transitory computer readable medium in an infusion pump assembly having a plurality of instructions stored thereon which, when executed by a processor, cause the processor to perform operations comprising:

monitoring a displacement of one or more displaceable mechanical components included within the infusion pump assembly and comparing the displacement to an expected displacement to determine if the one or more displaceable mechanical components were displaced the expected displacement in response to delivery of one or more of a first dose of an infusible fluid and a second dose of the infusible fluid;

if the one or more displaceable mechanical components were not displaced the expected displacement in response to delivery of one or more of the first dose of the infusible fluid and the second dose of the infusible fluid, initiating an alarm sequence on the infusion pump assembly;

determining a first rate-of-change for the first dose based on the displacement during the first dose;

determining a second rate-of-change for the second dose based on the displacement during the second dose;

determining an average rate-of-change reading for the first dose and the second dose based on the first and second rates-of-change;

comparing the average rate-of-change reading to a threshold rate-of-change reading to determine if the average rate-of-change reading exceeds the threshold rate-of-change reading; and

if the average rate-of-change reading exceeds the threshold rate-of-change reading, initiating the alarm sequence on the infusion pump assembly.

6. The computer program product of claim 5 further comprising:

determining a first initial reading prior to dispensing the first dose of the infusible fluid;

dispensing the first dose of the infusible fluid;

monitoring a volume of the infusible fluid dispensed in the first dose;

determining a second initial reading prior to dispensing the second dose of the infusible fluid;

setting a first final reading value as being equal to the second initial reading;

dispensing the second dose of the infusible fluid;

monitoring a volume of the infusible fluid dispensed in the second dose;

determining a second final reading subsequent to dispensing the second dose of the infusible fluid;

determining the first rate-of-change reading that corresponds to the delivery of the first dose of the infusible fluid via an infusion pump assembly by subtracting the first initial reading from the first final reading value;

determining at least the second rate-of-change reading that corresponds to the delivery of the second dose of the infusible fluid via the infusion pump assembly by subtracting the second initial reading from the second final reading;

normalizing the first rate-of-change reading and the second rate-of-change reading to be indicative of the rates-of-change sensed for an equivalent quantity of infusible fluid; and

determining the average rate-of-change reading based, at least in part upon the normalized first rate-of-change reading and the normalized at least a second rate-of-change reading.

7. The computer program product of claim 5 further comprising instructions for:

comparing one or more of a first initial reading and a first final reading to a threshold reading to determine if one or more of the first initial reading and the first final reading exceeds the threshold reading; and

if one or more of the first initial reading and the first final reading exceeds the threshold reading, initiating an alarm sequence on the infusion pump assembly.

8. The computer program product of claim 5 wherein the infusion pump assembly includes a battery assembly configured to power the infusion pump assembly, the computer program product further comprising instructions for:

comparing an actual voltage level of the battery assembly to a minimum voltage requirement to determine if the actual voltage level meets the minimum voltage requirement; and

if the actual voltage level does not meet the minimum voltage requirement, initiating an alarm sequence on the infusion pump assembly.

9. An infusion pump assembly configured to perform operations comprising:

monitoring a displacement of one or more displaceable mechanical components included within the infusion pump assembly and comparing the displacement to an expected displacement to determine if the one or more displaceable mechanical components were displaced the expected displacement in response to delivery of one or more of a first dose of an infusible fluid and a second dose of the infusible fluid;

if the one or more displaceable mechanical components were not displaced the expected displacement in response to delivery of one or more of the first dose of the infusible fluid and the second dose of the infusible fluid, initiating an alarm sequence on the infusion pump assembly;

determining a first rate-of-change for the first dose based on the displacement during the first dose;

determining a second rate-of-change for the second dose based on the displacement during the second dose;

determining an average rate-of-change reading for the first dose and the second dose based on the first and second rates-of-change;

comparing the average rate-of-change reading to a threshold rate-of-change reading to determine if the average rate-of-change reading exceeds the threshold rate-of-change reading; and

if the average rate-of-change reading exceeds the threshold rate-of-change reading, initiating the alarm sequence on the infusion pump assembly.

10. The infusion pump assembly of claim 9 further configured to perform operations comprising:

determining a first initial reading prior to dispensing the first dose of the infusible fluid;

dispensing the first dose of the infusible fluid;

monitoring a volume of the infusible fluid dispensed in the first dose;

determining a second initial reading prior to dispensing the second dose of the infusible fluid;

setting a first final reading value as being equal to the second initial reading;

dispensing the second dose of the infusible fluid;

monitoring a volume of the infusible fluid dispensed in the second dose;

determining a second final reading subsequent to dispensing the second dose of the infusible fluid;

determining the first rate-of-change reading that corresponds to the delivery of the first dose of the infusible fluid via an infusion pump assembly by subtracting the first initial reading from the first final reading value;

determining at least the second rate-of-change reading that corresponds to the delivery of the second dose of the infusible fluid via the infusion pump assembly by subtracting the second initial reading from the second final reading;

normalizing the first rate-of-change reading and the second rate-of-change reading to be indicative of the rates-of-change sensed for an equivalent quantity of infusible fluid; and

determining the average rate-of-change reading based, at least in part upon the normalized first rate-of-change reading and the normalized at least a second rate-of-change reading.

11. The infusion pump assembly of claim 9, wherein the infusion pump assembly is further configured to perform operations comprising:

comparing one or more of a first initial reading and a first final reading to a threshold reading to determine if one or more of the first initial reading and the first final reading exceeds the threshold reading; and

if one or more of the first initial reading and the first final reading exceeds the threshold reading, initiating an alarm sequence on the infusion pump assembly.

12. The infusion pump assembly of claim 9 wherein the infusion pump assembly includes a battery assembly configured to power the infusion pump assembly and the infusion pump assembly is further configured to perform operations comprising:

comparing an actual voltage level of the battery assembly to a minimum voltage requirement to determine if the actual voltage level meets the minimum voltage requirement; and

if the actual voltage level does not meet the minimum voltage requirement, initiating an alarm sequence on the infusion pump assembly.