Physiological monitoring device for controlling a medication infusion device

• US 7,901,394 B2
• Filed: 08/31/2007
• Issued: 03/08/2011
• Est. Priority Date: 07/24/2002
• Status: Active Grant

• Current Assignee: Medtronic Minimed Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Minimed Incorporated (Medtronic Plc)
• Inventors: Ireland, Jeffrey R., Talbot, Cary D., Estes, Mark C.
• Primary Examiner(s): Lucchesi; Nicholas D
• Assistant Examiner(s): Bouchelle; Laura A
• APPLICATION: US 20070293843A1
• Time in patent office: 1285 Days
• Field of Search: 604 65- 67, 604/891.1, 604/504, 600/365, 607/2, 607/60
• US Class Current: 604/504
• CPC Class Codes: A61M 2005/1405 Patient controlled analgesia [PCA]
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/3592 using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2230/201 Glucose concentration
• 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 40/67 for remote operation

Abstract

Methods and apparatuses for calculating and transmitting medication dosage or bolus information are provided. A blood glucose meter receives a test strip with a sample of the user'"'"'s blood and measures the user'"'"'s blood glucose level with a sensor. The meter then calculates a bolus amount that is transmitted to a medication infusion pump using a radio frequency transmitter or transceiver. The infusion pump receives the bolus amount data and then delivers a bolus of medication to the user based on the calculated bolus estimate. The meter may also transmit commands to, and be used to remotely control, the infusion pump.

Claims

1. A method of infusing a fluid into a body of a user comprising:

operating a physiological monitoring device carried on the exterior of the body of the user, to perform the operations of;

measuring an output signal produced by a sensor, the output signal being a function of a concentration of an analyte in the user;

determining a first amount of time that has elapsed since the sensor provided the output signal;

determining whether the first amount of time exceeds a predetermined amount of time; and

, if the first amount of time does not exceed the predetermined amount of time,

calculating an amount of the fluid to be infused into the user'"'"'s body based upon the output signal; and

transmitting a first set of data with a first communication circuit enclosed within a first housing of the physiological monitoring device, the first set of data being indicative of the amount of the fluid to be infused, the first set of data further including an identifier associated with the amount of fluid to be infused;

wherein the amount of fluid to be infused into the user'"'"'s body based upon the output signal is not calculated if the first amount of time exceeds the predetermined amount of time; and

operating a medication infusion device carried on the exterior of the body of the user, to perform the operations of;

receiving the first set of data with a second communication circuit enclosed within a second housing of the medication infusion device carried on the exterior of the body of the user;

verifying the identifier to ensure the amount of fluid to be infused has not already been administered; and

activating a drive mechanism to infuse the fluid in accordance with the first set of data.

2. The method of claim 1, wherein the drive mechanism is activated automatically after receipt of the first set of data by the second communication circuit.

3. The method of claim 1, wherein the sensor of the physiological monitoring device is a blood glucose test strip meter, wherein said measuring includes analyzing a test strip exposed to a discrete sample of the analyte of the user to prove a discrete measurement of the analyte in the user, and wherein the drive mechanism is an insulin infusion pump drive mechanism.

4. The method of claim 3, wherein the first communication circuit includes one of a transmitter and a transceiver and wherein the second communication circuit includes one of a receiver and a transceiver.

5. The method of claim 1 further comprising operating the physiological monitoring device to perform the operation of providing a notification of at least one event of the group consisting of:

the measuring of the output signal produced by the sensor, the calculating of the amount of the fluid, and the transmitting of the first set of data by the first communication circuit.

6. The method of claim 5 wherein the notification is provided using at least one of a vibration alarm, a sound generation device, a panel adapted to display text, and a LED.

7. The method of claim 1 further comprising operating the physiological monitoring device to perform the operation of providing a notification of the completion of at least one event of the group consisting of:

the measuring of the output signal produced by the sensor, the calculating of the amount of the fluid, and the transmitting of the first set of data by the first communication circuit.

8. The method of claim 1 further comprising operating the physiological monitoring device to perform the operation of inputting a command with a user input device, wherein the first set of data is transmitted in response to the command.

9. The method of claim 1 further comprising operating the physiological monitoring device to perform the operation of inputting a command with a user input device, wherein the drive mechanism is activated to infuse the fluid in accordance with the first set of data in response to the command.

10. The method of claim 1 wherein the first set of data is further indicative of at least one of a medication delivery profile, an elapsed time since the output signal was provided, and an identification value associated with the identification of the infusion device.

11. The method of claim 1 further comprising:

operating the physiological monitoring device to perform the operations of;

inputting a command with a user input device; and

transmitting the command with the first communication circuit enclosed within the first housing of the physiological monitoring device; and

operating the medication infusion device to perform the operations of;

receiving the command with the second communication circuit enclosed within the second housing of the medication infusion device; and

controlling the medication infusion device in accordance with the command.

12. The method of claim 11 wherein the command for controlling the medication infusion device comprises one of a medication delivery start time, a medication delivery profile, a medication delivery rate, a medication delivery amount, a cessation of a medication delivery, an activation of an alarm, a cessation of an alarm, a display of a text message, and a download of data.

13. The method of claim 1 further comprising:

operating the medication infusion device to perform the operation of transmitting a second set of data indicative of an infusion device status; and

operating the physiological monitoring device to perform the operations of;

receiving the second set of data with the first communication circuit enclosed within the first housing of the physiological monitoring device; and

displaying the infusion device status in accordance with the second set of data.

14. The method of claim 1, wherein the identifier is based on a counter, the counter being incremented for each calculation of an amount of fluid to be infused, the medication infusion device comparing a received counter with a previous transmission counter to ensure an amount of fluid is not administered a second time.

15. The method of claim 1, wherein the identifier of the first set of data is a unique code, the medication infusion device storing the unique code so stored unique codes can be compared to subsequently received unique codes to ensure an amount of fluid is not administered a second time.

16. The method of claim 15, wherein the unique code is generated based on a date and time.