Method and system for controlled infusion of therapeutic substances

• US 8,182,445 B2
• Filed: 03/29/2007
• Issued: 05/22/2012
• Est. Priority Date: 09/18/2006
• Status: Expired due to Fees

• Current Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Original Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Inventors: Moubayed, Ahmad-Maher, Hyman, Oscar E., White, David N., Wilson, Larry L., Stevenson, John W., Moubayed, Jay G., Thomas, Linda
• Primary Examiner(s): Lucchesi, Nicholas
• Assistant Examiner(s): MEDWAY, SCOTT J
• Application Number:
  US11/731,332
• Publication Number:
  US 20080071217A1
• Time in Patent Office: 1,881 Days
• Field of Search: 604/65, 604/67, 604/118, 604/151, 604/153, 705/104.1
• US Class Current: 604/67
• CPC Class Codes: A61M 2205/505 Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 5/172 electrical or electronic A61M5/16804, A61M5/16831 take precedence
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: Y10S 707/99948 Application of database or data structure, e.g. distributed, multimedia, or image

Abstract

Programmable infusion systems and method for controlled infusion of diagnostic or therapeutic substances (e.g., drugs, biologics, fluids, cell preparations, etc.) into the bodies of human or animal subjects.

Claims

1. An infusion device comprising a pump that delivers an infusate to a human or animal subject and a controller programmed to:

(i) control a delivery of the infusate in accordance with an infusion profile stored in a storage medium and (ii) monitor whether the patient is suffering an adverse reaction, the adverse reaction stored in a substance reference library in the storage medium in association with the infusate, said infusion profile comprising;

a. a total volume or total amount of infusate to be infused;

b. at least three infusion steps, each infusion step having an infusion rate and a duration, wherein the total volume or amount of infusate is infused over the at least three infusion steps; and

c. a constant rate of change between the infusion rate between each of the infusion steps, wherein the constant rate of change has a slope between zero and ninety degrees relative to a horizontal time axis.

2. A device according to claim 1 wherein the constant rate of change is selected by an operator.

3. A device according to claim 1 wherein the infusion profile includes the infusion rates and durations of a plurality of subsequent infusion steps and constant rates of change in infusion rate between each of said subsequent infusion steps.

4. A device according to claim 1, wherein the controller is programmed to monitor whether the subject is suffering an adverse reaction by monitoring a plurality of vital sign monitors.

5. A device according to claim 1, wherein the controller is programmed to monitor whether the subject is suffering an adverse reaction by presenting queries to the subject and monitoring responses from the subject.

6. A device according to claim 5, further comprising a reference library of responses with a list of responses that suggest no adverse reaction and a list of responses that suggest an adverse reaction.

7. A device according to claim 5, wherein the controller is programmed to halt or reduce the infusion rate if the responses from the subject are determined to be unacceptable.

8. A device according to claim 5, wherein the controller is programmed to provide an alarm or notice to a user if the responses from the subject are determined to be unacceptable.

9. A device according to claim 5, wherein the controller is programmed to take a remedial action if the responses from the subject are determined to be unacceptable.

10. A device according to claim 1, further comprising a plurality of vital sign monitors operably connected to the controller.

11. An infusion device for administering a substance to a human or non-human subject, said infusion device comprising:

a pump;

a controller in communication with the pump and configured to (i) issue control signals to the pump, (ii) control a delivery of the substance in accordance with an infusion profile and (iii) continuously monitor a plurality of vital sign monitors to determine whether the patient is suffering an adverse reaction to the substance, wherein the infusion profile includes;

(a) a total volume of infusate to be infused;

(b) a plurality of infusion steps, each infusion step having an infusion rate and a duration, wherein the total volume of infusate is infused over the plurality of infusion steps; and

(c) a constant rate of change between the infusion rate between each of the infusion steps, wherein the constant rate of change has a slope between zero and ninety degrees relative to a horizontal time axis;

a conduit for delivering the substance to the subject'"'"'s body; and

a storage medium that contains (i) a controller-accessible substance reference library database storing at least one adverse reaction associated with the substance, the controller configured to access the controller-accessible substance reference library to determine whether the patient is suffering an adverse reaction to the substance and (ii) at least one controller-accessible database selected from the group of databases consisting of;

(a) a substance protocol database, (b) a subject protocol database, (c) a therapy-type protocol database, (d) a system configuration database, (e) a history database and (f) combinations thereof.

12. A device according to claim 11, wherein the controller is configured to stop or modify the infusion profile if the subject is suffering an adverse reaction.

13. A device according to claim 11, wherein the controller is configured to present a series of queries to the subject to determine whether the subject is suffering an adverse reaction.

14. A device according to claim 11, wherein the storage medium further comprises a list of adverse reaction symptoms.

15. A device according to claim 14, further comprising a computer and an input apparatus configured to present queries to the subject, monitor a subject'"'"'s response to the queries, and store information regarding the subject'"'"'s responses to the queries.