Data modification for predictive operations and devices incorporating same

• US 9,849,240 B2
• Filed: 12/12/2013
• Issued: 12/26/2017
• Est. Priority Date: 12/12/2013
• Status: Active Grant

• Current Assignee: Medtronic Minimed Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Minimed Incorporated (Medtronic Plc)
• Inventors: Palerm, Cesar C., Lintereur, Louis J., Monirabbasi, Salman, Holtzclaw, Kris R., Desborough, Lane
• Primary Examiner(s): Price, Nathan R
• Assistant Examiner(s): Snyder, Melissa A
• Application Number:
  US14/104,960
• Publication Number:
  US 20150165119A1
• Time in Patent Office: 1,475 Days
• CPC Class Codes: A61M 2005/14208 with a programmable infusion control system, characterised by the infusion program
• CPC Class Codes: A61M 2005/1726 the body parameters being measured at, or proximate to, the infusion site
• CPC Class Codes: A61M 2205/3303 Using a biosensor
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2230/06 Heartbeat rate only
• CPC Class Codes: A61M 2230/201 Glucose concentration
• CPC Class Codes: A61M 2230/63 Motion, e.g. physical activity
• CPC Class Codes: A61M 5/14244 adapted to be carried by the patient, e.g. portable on the body
• CPC Class Codes: A61M 5/1723 using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

Infusion systems, infusion devices, and related operating methods are provided. An exemplary method of operating an infusion device capable of delivering fluid to a user involves obtaining a sequence of measurements indicative of a condition of the user that is influenced by the fluid and modifying one or more unusable measurements in the sequence using one or more other usable measurements in the sequence to obtain a modified sequence of measurements. The method continues by determining a predicted value for the condition of the user at a time in the future based at least in part on the modified sequence of measurements and operating the infusion device in a manner that is influenced by the predicted value.

Claims

1. A system comprising:

a sensing arrangement to obtain a sequence of measurements of a condition in a body of a user, the sensing arrangement including a sensing element providing a signal indicative of the condition; and

a control module coupled to the sensing arrangement, the sensing arrangement and the control module being cooperatively configured to identify one or more unusable measurements in the sequence of measurements, modify a value for the one or more unusable measurements in the sequence of measurements, resulting in a modified sequence of measurements, determine an estimate of a trend in the sequence of measurements based at least in part on differences between consecutive measurements of the modified sequence of measurements, and determine a predicted value for the condition in the body of the user at a time in the future based at least in part on a current value for the condition and the estimate of the trend, wherein;

the one or more unusable measurements are replaced in the modified sequence with an interpolated value based on a preceding usable measurement in the sequence and a succeeding usable measurement in the sequence when a number of measurement samples corresponding to a gap between the preceding usable measurement and the succeeding usable measurement is less than an interpolation threshold;

the one or more unusable measurements are backfilled with the succeeding usable measurement when the number of measurement samples corresponding to the gap is greater than the interpolation threshold; and

the control module is configured to operate a medical device in a manner that is influenced by the predicted value.

2. The system of claim 1, wherein the sensing arrangement identifies the one or more unusable measurements in the sequence, modifies the value using one or more acceptable measurements in the sequence to obtain the modified sequence, determines the predicted value based at least in part on the modified sequence, and provides the predicted value to the control module.

3. The system of claim 1, wherein:

the sensing arrangement identifies the one or more unusable measurements in the sequence, modifies the value using one or more acceptable measurements in the sequence to obtain the modified sequence, and provides the modified sequence to the control module; and

the control module determines the predicted value based at least in part on the modified sequence received from the sensing arrangement.

4. The system of claim 1, the sensing arrangement transmitting the sequence of measurements to the medical device including the control module, wherein the control module identifies the one or more unusable measurements in the sequence, modifies the value using one or more acceptable measurements in the sequence to obtain the modified sequence, and determines the predicted value based at least in part on the modified sequence.

5. The system of claim 1, the medical device comprising an insulin infusion device including the control module, wherein:

the sensing arrangement obtains a sequence of blood glucose measurements; and

the sensing arrangement and the control module are cooperatively configured to determine a predicted blood glucose measurement value based at least in part on the modified sequence of blood glucose measurements; and

the control module determines a dosage command for operating the insulin infusion device to deliver insulin in a manner that is influenced by the predicted blood glucose measurement value.

6. The system of claim 5, wherein:

the insulin infusion device includes a motor operable to displace a plunger to deliver the insulin to the body of the user; and

the motor is operated in a manner that is influenced by the dosage command.

8. The system of claim 1, wherein the control module modifies the value for the one or more unusable measurements by replacing one or more unusable measurements with a modified measurement value.

9. The system of claim 8, wherein the modified measurement value comprises a value of a succeeding usable measurement in the sequence.

10. The system of claim 8, wherein the modified measurement value comprises an interpolated value based on a preceding usable measurement and a succeeding usable measurement in the sequence.

11. The system of claim 8, wherein the modified measurement value comprises a value of a succeeding usable measurement in the sequence.

12. The system of claim 8, wherein the modified measurement value comprises an interpolated value based on a preceding usable measurement and a succeeding usable measurement in the sequence.

13. The system of claim 1, wherein:

the medical device comprises an infusion device capable of delivering fluid to the user;

the fluid influences the condition of the user; and

the command operates a motor of the infusion device to deliver the fluid to the user.

14. The system of claim 13, wherein:

the fluid comprises insulin;

the sequence of measurements comprises a sequence of blood glucose measurements; and

the predicted value comprises a predicted blood glucose for the user at a time in the future based at least in part on the modified sequence.

15. The system of claim 1, the modified sequence including a current measurement for the condition, wherein:

the estimate of the trend comprises a first weighted sum of the differences between consecutive measurements in the modified sequence that precede the current measurement; and

the predicted value comprises a second weighted sum of the current measurement and the estimate of the trend.

16. The system of claim 15, wherein the estimate of the trend comprises a Taylor series expansion using the differences between consecutive measurements.

17. The system of claim 1, wherein the predicted value is calculated using a recursive prediction algorithm.

18. The system of claim 17, wherein the recursive prediction algorithm comprises a Holt-Winters exponential smoothing function.

19. The system of claim 1, wherein:

the estimate of the trend is calculated using a truncated Taylor series expansion of the equation b_t=β

(y_t−

y<sub>t−

1</sub>)+(1−

β

)b<sub>t−

1</sub>; and

the predicted value is governed by the equation ŷ

=y_t+hb_t, wherein;

ŷ

is the predicted value;

y_t is equal to a most recent measurement in the sequence of measurements;

h is a prediction horizon number of measurement samples in the future;

b_t is the estimate of the trend; and

β

is a tuning parameter.

7. An infusion system comprising:

a sensing arrangement to obtain a sequence of measurements of a condition in a body of a user, identify one or more unusable measurements in the sequence of measurements, modify a value for the one or more unusable measurements in the sequence to obtain a modified sequence of measurements, determine an estimate of a trend in the sequence of measurements based at least in part on differences between consecutive measurements of the modified sequence of measurements, determine a predicted value for the condition in the body of the user at a time in the future based at least in part on the estimate of the trend and a current measurement of the condition, and transmit the predicted value and the current measurement of the condition, wherein;

the sensing arrangement includes a sensing element providing a signal indicative of the condition;

the one or more unusable measurements are replaced in the modified sequence with an interpolated value based on a preceding usable measurement in the sequence and a succeeding usable measurement in the sequence when a number of measurement samples corresponding to a gap between the preceding usable measurement and the succeeding usable measurement is less than an interpolation threshold; and

the one or more unusable measurements are backfilled with the succeeding usable measurement when the number of measurement samples corresponding to the gap is greater than the interpolation threshold; and

an infusion device to receive the predicted value and the current measurement, the infusion device including;

a motor operable to deliver fluid to the body of the user; and

a control module coupled to the motor to operate the motor based at least in part on the current measurement in a manner that is influenced by the predicted value.

20. The infusion system of claim 7, wherein the estimate of the trend is calculated in a deterministic manner using a truncated Taylor series expansion.