Prediction, visualization, and control of drug delivery by infusion pumps

• US 9,764,087 B2
• Filed: 11/20/2012
• Issued: 09/19/2017
• Est. Priority Date: 11/23/2011
• Status: Active Grant

• Current Assignee: Mark A. Lovich, Steward St. Elizabeth'S Medical Center Of Boston, Inc. (Steward Health Care Holdings LLC)
• Original Assignee: The General Hospital Corporation (Mass General Brigham, Inc.), Steward St. Elizabeth'S Medical Center Of Boston, Inc. (Steward Health Care Holdings LLC)
• Inventors: Peterfreund, Robert A., Parker, Michael, Sims, Nathaniel M., Lovich, Mark A., DeMonaco, Harold J.
• Primary Examiner(s): Hayman, Imani
• Assistant Examiner(s): SHAH, NILAY J
• Application Number:
  US14/360,226
• Publication Number:
  US 20140303591A1
• Time in Patent Office: 1,764 Days
• CPC Class Codes: A61M 2005/14292 Computer-based infusion planning or simulation of spatio-temporal infusate distribution
• CPC Class Codes: A61M 5/142 Pressure infusion, e.g. using pumps
• CPC Class Codes: A61M 5/16827 controlling delivery of multiple fluids, e.g. sequencing, mixing or via separate flow-paths infusion of multiple fluids without using a controller A61M5/1407
• CPC Class Codes: A61M 5/16877 Adjusting flow; Devices for setting a flow rate
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders

Abstract

Systems for predicting a drug delivery profile as described herein include at least one drug pump and/or a controllable valve that produce a drug flow and dispense at least a first drug. The system also includes at least one carrier fluid pump and/or another controllable valve that produces a carrier fluid flow, a flow junction structure configured to receive the drug flow and the carrier fluid flow to produce a mixed flow, and a fluid path for carrying the mixed flow between the flow junction structure and a delivery point. The system further includes a processing device configured to predict the drug delivery profile at the delivery point based on determining a predicted time variation of drug concentration at the delivery point using at least a model of the mixed flow. The model includes a plurality of parameters related to propagation of the mixed flow through the fluid path.

Claims

1. A system for controlling a drug delivery profile, the system comprising:

at least one drug pump that produces a drug flow, wherein the at least one drug pump dispenses at least a first drug;

at least one carrier fluid pump that produces a carrier fluid flow;

a flow junction structure configured to receive the drug flow and the carrier fluid flow to produce a mixed flow delivered to a delivery point;

a fluid path for carrying the mixed flow between the flow junction structure and the delivery point, at least a portion of the fluid path being represented by a dead volume;

a first controllable valve disposed between the at least one drug pump and the flow junction structure;

a second controllable valve disposed between the at least one carrier fluid pump and the flow junction structure; and

a control module configured to control a drug delivery profile at the delivery point in accordance with a target drug delivery profile and a predictive model of the mixed flow,

wherein the control module is configured to vary a drug flow rate by controlling the first controllable valve, and vary a carrier fluid flow rate by controlling the second controllable valve,

wherein each of the drug flow rate and the carrier fluid flow rate is varied relative to corresponding target rates associated with the target drug delivery profile such that an initial drug flow rate and an initial carrier fluid flow rate are higher than the corresponding target rates while a ratio between the drug flow rate and the carrier fluid flow rate is substantially fixed in accordance with a target drug concentration in the mixed flow corresponding to the target drug delivery profile, and

wherein the predictive model is usable for predicting variations in the drug concentration along the fluid path, the predictive model being based on a plurality of structural parameters related to propagation of the mixed flow through the fluid path, the structural parameters including the dead volume associated with the fluid path.

2. The system of claim 1, further comprising a first constant pressure valve and a second constant pressure valve disposed upstream from each of the first and second controllable valves, respectively, wherein each of the first and second constant pressure valves is configured to maintain a constant pressure upstream of a corresponding controllable valve for a fluid that flows through the corresponding controllable valve.

3. The system of claim 1, wherein the control module is further configured to adjust a drug delivery rate at the delivery point by simultaneously controlling the drug flow rate and the carrier fluid flow rate while the ratio of the drug flow rate and the carrier fluid flow rate is substantially fixed.

4. The system of claim 1, wherein a drug concentration in the drug flow is substantially fixed while the ratio between the drug flow rate and the carrier fluid flow rate is substantially fixed.

5. The system of claim 1, wherein the control module adjusts the drug flow rate to achieve a predicted drug delivery rate calculated using at least the predictive model of the mixed flow.

6. The system of claim 1, wherein the control module is further configured to adjust the drug delivery profile such that excess volume delivery over time is substantially reduced while maintaining target drug delivery within allowable tolerances.

7. The system of claim 1, wherein the control module is further configured to vary the drug flow rate and the carrier fluid flow rate relative to the corresponding target rates by:

setting the initial drug flow rate and the initial carrier fluid flow rate at substantially high values within corresponding allowable ranges; and

reducing, after a predetermined amount of time has elapsed, the drug flow rate and the carrier fluid flow rate such that the drug delivery profile at the delivery point substantially corresponds to the target drug delivery profile.

8. The system of claim 7, wherein the predetermined amount of time is substantially equal to a time taken by the mixed flow to traverse the fluid path when the drug flow rate and the carrier fluid flow rate are set at the initial drug flow rate and the initial carrier fluid flow rate, respectively.

9. The system of claim 1, wherein the control module is configured to trigger an alarm upon detecting that at least one of the drug flow rate, the carrier fluid flow rate, and the drug delivery profile is outside a corresponding pre-defined range associated with the drug.

10. The system of claim 1, wherein the control module is configured to control the drug delivery profile at the delivery point by

setting the drug flow rate and the carrier fluid flow rate to target rates corresponding to a first target drug delivery profile;

and

in response to receiving a signal indicative of a second target drug delivery profile, adjusting the drug flow rate and the carrier fluid flow rate relative to target rates corresponding to the second target drug delivery profile while the ratio of the drug flow rate and the carrier fluid flow rate is substantially fixed in accordance to a second target drug concentration in the mixed flow corresponding to the second target drug delivery profile.

11. A system for controlling a drug delivery profile, the system comprising:

a first controllable valve that controls a drug flow;

a second controllable valve that controls a carrier fluid flow;

a flow junction structure configured to receive the drug flow and the carrier fluid flow to produce a mixed flow delivered to a delivery point;

a fluid path for carrying the mixed flow between the flow junction structure and the delivery point, at least a portion of the fluid path being represented by a dead volume; and

a control module configured to control a drug delivery profile at the delivery point in accordance with a target drug delivery profile and with a predictive model of the mixed flow,

wherein the control module is configured to vary a drug flow rate by controlling the first controllable valve, and vary a carrier fluid flow rate by controlling the second controllable valve,

wherein each of the drug flow rate and the carrier flow rate is varied relative to corresponding target rates associated with the target drug delivery profile such that an initial drug flow rate and an initial carrier fluid flow rate are higher than the corresponding target rates while a ratio between the drug flow rate and the carrier fluid flow rate is substantially fixed in accordance with a target drug concentration in the mixed flow corresponding to the target drug delivery profile, and

wherein the predictive model is usable for predicting variations in the drug concentration along the fluid path, the predictive model being based on a plurality of structural parameters related to propagation of the mixed flow through the fluid path, the structural parameters including the dead volume associated with the fluid path.

12. The system of claim 11, wherein the control module is configured to trigger an alarm upon detecting that at least one of the drug flow rate, the carrier fluid flow rate, and the drug delivery profile is outside a corresponding pre-defined range associated with the drug.

13. The system of claim 11, wherein the control module is configured to control the drug delivery profile at the delivery point by

setting the drug flow rate and the carrier fluid flow rate to target rates corresponding to a first target drug delivery profile;

and

in response to receiving a signal indicative of a second target drug delivery profile, adjusting the drug flow rate and the carrier fluid flow rate relative to target rates corresponding to the second target drug delivery profile while the ratio of the drug flow rate and the carrier fluid flow rate is substantially fixed in accordance to a second target drug concentration in the mixed flow corresponding to the second target drug delivery profile.