Integrated diabetes management system using safety layer

• US 9,017,311 B2
• Filed: 03/18/2013
• Issued: 04/28/2015
• Est. Priority Date: 05/22/2009
• Status: Active Grant

• Current Assignee: Abbott Diabetes Care Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Abbott Diabetes Care Incorporated (Abbott Laboratories Incorporated)
• Inventors: Budiman, Erwin S.
• Primary Examiner(s): FLICK, JASON E
• Application Number:
  US13/846,813
• Publication Number:
  US 20140163460A1
• Time in Patent Office: 771 Days
• Field of Search: 604/504
• US Class Current: 604/890.1
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/4839 combined with drug delivery
• CPC Class Codes: A61M 2005/14208 with a programmable infusion control system, characterised by the infusion program
• CPC Class Codes: A61M 2005/14296 Pharmacokinetic models
• CPC Class Codes: A61M 2205/17 with redundant control systems
• CPC Class Codes: A61M 2205/3303 Using a biosensor
• CPC Class Codes: A61M 2205/3569 sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/702 automatically during use
• CPC Class Codes: A61M 2230/201 Glucose concentration
• CPC Class Codes: A61M 5/142 Pressure infusion, e.g. using pumps
• 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
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

An integrated diabetes management (IDM) system includes a safety layer which, in one configuration has two components, one located between a glucose sensor and a controller and a second component located between a controller and a pump, to monitor various aspects of signals and modify those signals for compatibility and safety purposes. In one application, the safety layer receives output control signals from a controller and modifies those control signals as a function of an actual amount of insulin delivered to the user. The safety layer allows for an increased level of safety in the IDM system and permits development of separate hardware and software upgrades with the safety layer assuring that compatibility between components will continue.

Claims

1. An integrated diabetes management system, comprising:

a glucose sensor configured to provide sensor glucose data representative of sensed glucose;

a delivery device configured to deliver medication in response to a delivery control signal;

a communication module;

a controller comprising a controller calculation software module that programs the controller to receive glucose data and to provide an output control signal as a function of the received glucose data; and

a safety layer programmed to receive the output control signal, and to modify the output control signal;

wherein the output control signal would be modified to become a modified output control signal that is provided as the delivery control signal;

wherein the communication module is configured to provide the delivery control signal to the delivery device; and

wherein the safety layer is programmed to intercept the output control signal and substitute the modified control signal to the communication module without any reconfiguration of the communication module or the controller calculation software module.

2. The integrated diabetes management system of claim 1, wherein the safety layer is further programmed to monitor the amount of medication delivered and to modify the output control signal at least partially as a function of the monitored amount of medication delivered.

3. The integrated diabetes management system of claim 2, wherein the safety layer is further programmed to monitor the insulin on board and to modify the output control signal at least partially as a function of the monitored amount of insulin on board.

4. The integrated diabetes management system of claim 1, wherein the safety layer is further programmed to modify the output control signal in accordance with a characteristic of the delivery device.

5. The integrated diabetes management system of claim 4, wherein:

the delivery device has a maximum delivery rate;

the safety layer is further programmed to;

determine the maximum delivery rate of the delivery device;

determine the amount of medication to be delivered by the output control signal; and

if the output control signal is configured for a higher delivery rate than the maximum delivery rate of the delivery device, the safety layer is programmed to calculate a modified delivery rate and schedule based at least in part on the maximum delivery rate of the delivery device to achieve delivery of the same amount of medication as configured by the output control signal, wherein the safety layer modifies the output control signal accordingly.

6. The integrated diabetes management system of claim 1, wherein the safety layer is programmed to modify the output control signal as a function of delivery device output.

7. The integrated diabetes management system of claim 5, wherein the safety layer is further programmed to taper the modified delivery rate over the delivery schedule.

8. The integrated diabetes management system of claim 7, further comprising a visual display;

wherein the safety layer is further programmed to present the modified delivery rate and the delivery schedule on the display.

9. The integrated diabetes management system of claim 6, wherein the safety layer is further programmed to taper the modified delivery rate over the delivery schedule.

10. The integrated diabetes management system of claim 9, further comprising a visual display;

wherein the safety layer is further programmed to present the modified delivery rate and the delivery schedule on the display.

14. The integrated diabetes management system of claim 1, wherein the safety layer is further programmed to provide the modified control signal such that it conforms to a voltage-driven hardware standard.

17. The integrated diabetes management system of claim 1, wherein the safety layer is further programmed to provide the modified control signal such that it conforms to a current-driven hardware standard.

11. An integrated diabetes management system comprising:

a glucose sensor configured to provide sensor glucose data representative of sensed glucose;

a delivery device configured to deliver medication in response to a delivery control signal;

a controller programmed to receive glucose data and to provide an output control signal as a function of the received glucose data; and

a safety layer comprising an output safety module operably connected to the medication delivery device, the safety layer being programmed to receive the output control signal, and to modify the output control signal to become a modified output control signal that is provided as the delivery control signal, wherein the modified output control signal is representative of a required medication amount for delivery;

wherein the safety layer is programmed to determine a maximum delivery rate of the medication delivery device and is programmed to calculate a delivery schedule as a factor of the maximum delivery rate and the required medication amount, the required medication amount being determined at least partially by the sensed glucose; and

wherein the safety layer is programmed to intercept the output control signal and substitute the modified control signal without any reconfiguration of the controller or its programming.

12. The integrated diabetes management system of claim 11 wherein the safety layer is programmed to monitor insulin on board and calculate the delivery schedule at least partially as a function of the monitored amount of insulin on board.

13. The integrated diabetes management system of claim 11, further comprising:

a memory module; and

an input configured to receive the required medication amount;

wherein the safety layer is also programmed to store the required medication amount in the memory and update the required medication amount according to a remaining delivery schedule, the modified output control signal, and a delivery command received at the input.

15. The integrated diabetes management system of claim 11, wherein the safety layer is further programmed to provide the modified control signal such that it conforms to a current-driven hardware standard.

16. The integrated diabetes management system of claim 13, wherein the delivery schedule is a tapered delivery of insulin.

18. The integrated diabetes management system of claim 11, wherein the safety layer is further programmed to provide the modified control signal such that it conforms to a voltage-driven hardware standard.