Expert system for insulin pump therapy

• US 7,751,907 B2
• Filed: 05/24/2007
• Issued: 07/06/2010
• Est. Priority Date: 05/24/2007
• Status: Active Grant

• Current Assignee: Tandem Diabetes Care Incorporated
• Original Assignee: Smiths Medical ASD, Inc. (Smiths Group International Holdings Ltd.)
• Inventors: Blomquist, Michael
• Primary Examiner(s): Hartman, Jr.; Ronald D
• Application Number:
  US11/753,420
• Publication Number:
  US 20080294294A1
• Time in Patent Office: 1,139 Days
• Field of Search: 700/17, 700/83, 700/86, 604/66, 604/131, 604/151
• US Class Current: 700/17
• CPC Class Codes: A61M 2005/1726 the body parameters being measured at, or proximate to, the infusion site
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2205/507 Head Mounted Displays [HMD]
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 5/142 Pressure infusion, e.g. using pumps
• 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: A61P 3/10 for hyperglycaemia, e.g. antidiabetics
• CPC Class Codes: G05B 15/02 electric
• CPC Class Codes: G06N 5/027 Frames
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

An apparatus comprising a controller. The controller includes an input/output (I/O) module and a rule module. The I/O module is configured to present a question for a patient when communicatively coupled to a user interface and receive patient information in response to the question via the user interface. The rule module is configured to apply a rule to the patient information and generate a suggested insulin pump setting from application of the rule. Other devices, systems, and methods are disclosed.

Claims

1. A device comprising:

a controller including;

an input/output (I/O) module configured to;

present a question for a patient when communicatively coupled to a user interface; and

receive patient information in response to the question via the user interface;

a rule module configured to;

apply a rule to the patient information; and

generate a device determined insulin pump setting from application of the rule; and

a rule development module configured to receive modifications to the rule via the I/O module.

2. The device of claim 1, including:

a memory communicatively coupled to the controller, wherein the memory is to store parameters associated with an insulin pump initial setup, and

wherein the rule module is configured to apply the rule to match a subset of the parameters to at least one of received patient health information and received patient lifestyle information to generate a suggested insulin pump initial setup.

3. The device of claim 1, including a communication port communicatively coupled to the controller, and wherein the I/O module is configured to:

present the suggested insulin pump setting using the device via the user interface;

present a request for confirmation of the insulin pump setting; and

receive a confirmation, and

communicate the suggested insulin pump setting to an insulin pump via the communication port when a confirmation is received into the device.

4. The device of claim 1, wherein rule module is configured to generate at least one of a basal rate pattern, a correction factor, and a carbohydrate ratio.

5. The device of claim 1, wherein rule module is configured to generate a target blood glucose level.

6. The device of claim 1, including:

a memory communicatively coupled to the controller, wherein the memory is to store a database of food options in association with a known amount of nutrient content, and

wherein the rule module is configured to generate, using the patient information, a suggested database of food options for storage in an insulin pump.

7. The device of claim 6, wherein the patient information includes at least one of patient health information, and patient lifestyle information.

8. The device of claim 1, wherein the controller includes a rule development module configured to receive an edit to the rule via the I/O module.

9. The device of claim 8, wherein the rule development module is configured to:

display a representation of the rule when the I/O module is communicatively coupled to a user interface that includes a display; and

convert a manipulation of the representation via the user interface into the edit to the rule.

10. The device of claim 1, wherein the I/O module is configured to:

present an action for the user; and

receive blood glucose information, and wherein the rule module is configured to;

apply the rule to the blood glucose data; and

generate a suggested insulin pump setting from application of the rule.

11. The device of claim 10, wherein the device includes a communication port communicatively coupled to the controller, wherein the controller receives the blood glucose data via the communication port from a second separate device that includes a glucose monitor, and wherein the separate device obtains the blood glucose data during a test executed using an insulin pump.

12. The device of claim 11, wherein the communication port includes a wireless communication port.

13. The device of claim 11, wherein the device includes the insulin pump communicatively coupled to the controller.

14. The device of claim 13, wherein the controller is configured to execute the test, and wherein the test includes at least one of a basal rate test, a carbohydrate ratio test, and a correction factor test.

15. The device of claim 10, including a glucose monitor communicatively coupled to the controller, and wherein the glucose monitor obtains the blood glucose data during a test executed using an insulin pump.

16. The device of claim 15, wherein the device includes an insulin pump communicatively coupled to the controller.

17. The device of claim 16, wherein the controller is configured to execute the test, and wherein the test includes at least one of a basal rate test, a carbohydrate ratio test, and a correction factor test.

18. The device of claim 10, wherein I/O module receives the blood glucose data into the device via the user interface.

19. The device of claim 10, wherein the I/O module is configured to present the question after the blood glucose data is received, and wherein the rule module is configured to generate the suggested insulin pump setting from application of the rule to the blood glucose data and patient information received in response to the question.

20. The device of claim 10, wherein the I/O module is configured to present changes to a diet of the patient.

21. The device of claim 10, wherein the I/O module is configured to present changes to a lifestyle of the patient.

22. The device of claim 10, wherein the controller includes a rule development module to receive an edit to the rule via the I/O module and generate the rule, and wherein the rule module is configured to apply the rule to the patient information and the blood glucose data.

23. The device of claim 1, including a memory communicatively coupled to the controller, wherein the memory is to store patient information, including at least one of patient health information and patient lifestyle information;

and wherein rule module is configured to apply the rule to the patient information.

24. An apparatus comprising:

means for presenting a question for a patient using a device;

means for receiving patient information into the device in response to the question;

means for applying a rule to the patient information;

means for receiving modifications to the rule via the I/O module; and

means for generating a suggested insulin pump setting from application of the rule.

25. A method comprising:

presenting a question for a diabetic patient using a device;

receiving patient information into the device in response to the question;

applying a rule to the received patient information to generate a device-determined insulin pump setting; and

changing, according to user input, the rule used to generate device-determined settings.

26. The method of claim 25, wherein applying the rule includes matching an insulin pump initial setup to at least one of patient health information and patient lifestyle information, and

wherein the suggested insulin pump setting includes presenting a suggested insulin pump initial setup.

27. The method of claim 25, including:

presenting the suggested insulin pump setting using the device;

presenting a request for confirmation of the insulin pump setting; and

programming an insulin pump with the suggested insulin pump setting when a confirmation is received into the device.

28. The method of claim 25, wherein the suggested insulin pump setting includes at least one of a basal rate pattern, a correction factor, and a carbohydrate ratio.

29. The method of claim 25, wherein the suggested insulin pump setting includes a target blood glucose level.

30. The method of claim 25, wherein the suggested insulin pump setting includes a suggested database of food options for storage in an insulin pump, wherein the food options in the database are selected based on at least one of patient health information, and patient lifestyle information.

31. The method of claim 25, including receiving user input into a rule editor, included in the device, to generate the rule.

32. The method of claim 31, wherein receiving user input includes:

receiving user input through a user interface into the rule editor, wherein the user interface includes a display; and

displaying a representation of the rule during rule editing.

33. The method of claim 25, including:

presenting an action for the patient using the device;

receiving blood glucose information into the device;

applying the rule to the blood glucose data; and

generating a suggested insulin pump setting from application of the rule.

34. The method of claim 33, including obtaining the blood glucose data during a test executed by an insulin pump.

35. The method of claim 34, wherein the test includes at least one of a basal rate test, a carbohydrate ratio test, and a correction factor test.

36. The method of claim 34, wherein the question is presented after the blood glucose data is received into the device, and wherein the generating includes generating a suggested insulin pump setting from application of the rule to the blood glucose data and patient information received in response to the question.

37. The method of claim 34, wherein the device includes the insulin pump.

38. The method of claim 33, including communicating the suggested insulin pump setting to an insulin pump when a confirmation is received into the device.

39. The method of claim 33, wherein the blood glucose data is obtained using a glucose monitor.

40. The method of claim 39, wherein the glucose monitor is included in an insulin pump.

41. The method of claim 39, wherein the glucose monitor is included in the device.

42. The method of claim 33, wherein the blood glucose data is received into the device via a user interface.

43. The method of claim 33, wherein the action for the patient includes changes to a diet of the patient.

44. The method of claim 33, wherein the action for the patient includes changes to a lifestyle of the patient.

45. The method of claim 33, including receiving user input into a rule editor included in the device to generate the rule, wherein the generated rule is applied to the patient information and the blood glucose data.

46. The method of claim 25, wherein the patient information includes health information.

47. The method of claim 25, wherein the patient information includes lifestyle information.

48. A computer readable medium with instructions therein, which when processed result in a device:

presenting a question for a patient;

receiving patient information into the device in response to the question;

applying a rule to the received patient information to generate a device-determined insulin pump setting; and

changing, according to user input, the rule used to generate device-determined settings.

49. The computer readable medium of claim 48, including instructions, which when processed result in the device:

presenting the suggested insulin pump setting;

presenting a request for confirmation of the insulin pump setting; and

programming an insulin pump with the suggested insulin pump setting when a confirmation is received into the device.

50. The computer readable medium of claim 48, including instructions, which when processed result in the device:

presenting an action for the patient using the device;

receiving blood glucose information into the device;

applying the rule to the blood glucose data; and

generating a suggested insulin pump setting from application of the rule.

51. The computer readable medium of claim 48, including instructions, which when processed result in the device receiving user input into a rule editor, included in the device, to generate the rule.