Methods and apparatuses for detecting occlusions in an ambulatory infusion pump

• US 9,433,732 B2
• Filed: 01/10/2014
• Issued: 09/06/2016
• Est. Priority Date: 10/29/1998
• Status: Expired due to Term

• Current Assignee: Medtronic Minimed Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Minimed Incorporated (Medtronic Plc)
• Inventors: Moberg, Sheldon B., Hanson, Ian B., Talbot, Cary D.
• Primary Examiner(s): Bosworth, Kami A
• Assistant Examiner(s): Darb, Hamza
• Application Number:
  US14/152,150
• Publication Number:
  US 20140128807A1
• Time in Patent Office: 970 Days
• Field of Search: 604/48, 604/66, 604/67, 604/61, 604/131, 604/151, 604/501, 604/500, 604/358
• US Class Current: 1/1
• CPC Class Codes: A61M 2005/14264 with means for compensating influence from the environment
• CPC Class Codes: A61M 2005/16863 Occlusion detection
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/332 Force measuring means
• CPC Class Codes: A61M 2205/3331 Pressure; Flow
• CPC Class Codes: A61M 2205/70 with testing or calibration facilities
• CPC Class Codes: A61M 5/14566 with a replaceable reservoir for receiving a piston rod of the pump
• 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: A61M 5/16854 by monitoring line pressure
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

An improved pump, reservoir and reservoir piston are provided for controlled delivery of fluids. A motor is operably coupled to a drive member, such as a drive screw, which is adapted to advance a plunger slide in response to operation of the motor. The plunger slide is removably coupled to the piston. A method, system, and an article of manufacture for automatically detecting an occlusion in a medication infusion pump is provided. The electrical current to an infusion pump is measured. Based on measurements of one or more variables, the infusion pump detects whether there is an occlusion in the system. The methods of detecting occlusions may be dynamic.

Claims

1. An infusion pump for infusing fluid from a reservoir into a body of a user, the infusion pump comprising:

a housing;

a drive mechanism including a motor and one or more drive train components contained within the housing and operatively coupled to the reservoir to deliver fluid from the reservoir through a fluid path into the body of the user;

one or more electronic components to measure a plurality of respective values of at least two different parameters associated with the motor or one of the drive train components; and

a processor contained within the housing, wherein the processor calculates a respective average value based on said plurality of measured values for each of the at least two different parameters, and wherein the processor adds said respective average values to obtain a combined value and determines whether an occlusion has occurred in the fluid path of the infusion pump by using the combined value.

2. The infusion pump of claim 1, wherein, prior to calculating said respective average values, the processor removes the highest measured value and the lowest measured value from said plurality of measured values for each of said at least two different parameters.

3. The infusion pump of claim 1, wherein one of said at least two different parameters is force.

4. The infusion pump of claim 1, wherein the processor determines whether an occlusion has occurred by using an occlusion detection method selected from the group consisting of a maximum measurement threshold method, a slope threshold method, a variance monitoring method, and combinations thereof.

5. The infusion pump of claim 1, wherein the processor declares an occlusion has occurred if the combined value exceeds a threshold value.

6. An infusion pump for infusing fluid from a reservoir into a body of a user, the infusion pump comprising:

a housing;

a drive mechanism including a motor and one or more drive train components contained within the housing and operatively coupled to the reservoir to deliver fluid from the reservoir through a fluid path into the body of the user;

one or more electronic components to measure a plurality of respective values for each of a first value and a second value, said first value being equal to the magnitude of force applied to a drive train component and said second value being equal to the magnitude of the motor'"'"'s drive current; and

a processor contained within the housing, wherein the processor calculates a respective average value based on said plurality of measured values for each of said first and second values, and wherein the processor combines said respective average values to obtain a combined value and determines whether an occlusion has occurred in the fluid path of the infusion pump by using the combined value.

7. The infusion pump of claim 6, wherein, prior to calculating said respective average values, the processor removes the highest measured value and the lowest measured value from said plurality of measured values for each of said first and second values.

8. The infusion pump of claim 6, wherein the processor determines whether an occlusion has occurred by using an occlusion detection method selected from the group consisting of a maximum measurement threshold method, a slope threshold method, a variance monitoring method, and combinations thereof.

9. The infusion pump of claim 6, wherein the processor declares an occlusion has occurred if the combined value exceeds a threshold value.