Method and apparatus for detecting errors, fluid pressure, and occlusions in an ambulatory infusion pump

• US 8,715,237 B2
• Filed: 01/27/2011
• Issued: 05/06/2014
• Est. Priority Date: 10/29/1998
• Status: Expired due to Fees

• Current Assignee: Medtronic Minimed Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Minimed Incorporated (Medtronic Plc)
• Inventors: Moberg, Sheldon B., Hanson, Ian B.
• Primary Examiner(s): VU, QUYNH-NHU HOANG
• Application Number:
  US13/015,497
• Publication Number:
  US 20110119033A1
• Time in Patent Office: 1,195 Days
• Field of Search: 604/18, 604/67, 604/131, 604/151, 604/154, 340/679, 318/685, 417/18, 321/500
• US Class Current: 604/151
• CPC Class Codes: A61M 2005/1623 Details of air intake
• CPC Class Codes: A61M 2005/16863 Occlusion detection
• CPC Class Codes: A61M 2205/332 Force measuring means
• CPC Class Codes: A61M 2205/3331 Pressure; Flow
• CPC Class Codes: A61M 2205/581 by audible feedback
• CPC Class Codes: A61M 2205/582 by tactile feedback
• CPC Class Codes: A61M 39/10 Tube connectors; Tube couplings A61M39/02 takes precedence; connecting needles to syringes or hubs A61M5/34; connecting catheter tubes to hubs A61M25/0014
• CPC Class Codes: A61M 39/12 for joining a flexible tube to a rigid attachment
• CPC Class Codes: A61M 39/14 for connecting tubes having sealed ends needle sets A61M5/162; having valves closing automatically on disconnection of line A61M39/26
• CPC Class Codes: A61M 5/1452 pressurised by means of pistons
• CPC Class Codes: A61M 5/1456 with a replaceable reservoir comprising a piston rod to be moved into the reservoir, e.g. the piston rod is part of the removable reservoir
• CPC Class Codes: A61M 5/14566 with a replaceable reservoir for receiving a piston rod of the pump
• CPC Class Codes: A61M 5/162 Needle sets, i.e. connections by puncture between reservoir and tube ; Connections between reservoir and tube in jet-action syringes A61M5/30; connectors for tubes having sealed ends and a needle for piercing them A61M39/14
• CPC Class Codes: A61M 5/16831 Monitoring, detecting, signalling or eliminating infusion flow anomalies low-level float-valves causing cut-off A61M5/40; indicating or recording presence, absence or direction of flow in general G01P13/0066
• CPC Class Codes: A61M 5/16854 by monitoring line pressure

Abstract

An improved pump, reservoir and reservoir piston are provided for controlled delivery of fluids. A motor is operably coupled to a drive member, such as a drive screw, which is adapted to advance a plunger slide in response to operation of the motor. The plunger slide is removably coupled to the piston. A method, system, and an article of manufacture for automatically detecting a force sensor failure in a medication infusion pump is provided. The electrical current to an infusion pump is measured. Based on the current measurements, the infusion pump detects when the plunger slide is seated in the reservoir, and detects a problem with the force sensor when the force sensor independently fails to register a value indicating that the plunger slide is seated in the reservoir.

Claims

1. A system to detect if a plunger is seated in a reservoir, comprising:

an infusion pump case to contain the reservoir and the plunger;

a motor within the infusion pump case to drive the plunger into the reservoir;

a processor within the infusion pump case, coupled to the motor, the processor further coupled to a memory and configured to execute a software algorithm to control the motor, the software algorithm includes recording current draw to the motor to determine when the plunger is seated in the reservoir, a time difference clock being initiated upon detection via current draw that the plunger is seated in the reservoir; and

a force sensor within the infusion pump case coupled to the processor,

wherein the software algorithm includes comparing force exerted on the force sensor with a threshold corresponding to the plunger being seated in the reservoir, and a problem with the force sensor is detected when current draw to the motor indicates the plunger is seated in the reservoir and the force sensor fails to independently register that the plunger is seated in the reservoir when the time difference clock exceeds a threshold.

2. The system of claim 1, further comprising:

an encoder to measure movement of the plunger so that the encoder count confirms movement of the plunger as detected by recorded current draw of the motor.

3. The system of claim 2, wherein the processor further executes program instructions to measure movement of the plunger by an encoder as encoder counts and signals an error with the force sensor when the force sensor independently fails to register that the plunger is seated in the reservoir after a preset encoder count threshold is exceeded.

4. The system of claim 1, wherein the processor further executes program instructions to measure time once the plunger is seated in the reservoir as indicated by the recorded current draw and signals an error with the force sensor when the force sensor independently fails to register that the plunger is seated in the reservoir after a preset time threshold has elapsed.

5. The system of claim 1, wherein the plunger is determined to be seated in the reservoir based on calculations of an average current based on the recorded current draw, the average current being compared to a threshold current that is indicative of the plunger being seated in the reservoir, the plunger determined to be seated with the average current exceeds the threshold current.

6. The system of claim 5, wherein the average current is determined based on the latest five current measurements.

7. The system of claim 5, wherein the average current is determined without the use of a highest current measurement and a lowest current measurement.

8. The system of claim 1, wherein current draw to the motor is recorded ever 70 milliseconds.

9. The system of claim 1, wherein a problem with the force sensor indicates the force sensor has failed.