System for monitoring and delivering medication to a patient and method of using the same to minimize the risks associated with automated therapy
A system and method for monitoring and delivering medication to a patient includes a controller that has a control algorithm and a closed loop control that monitors the control algorithm. A sensor is in communication with the controller and monitors a medical condition. A rule base application in the controller receives data from the sensor and the closed loop control and compares the data to predetermined medical information to determine the risk of automation of therapy to the patient. The controller then provides a predetermined risk threshold where below the predetermined risk threshold automated closed loop medication therapy is provided. If the predetermined risk threshold is met or exceeded, automated therapy adjustments may not occur and user/clinician intervention is requested.
1 . A system for determining whether it is safe to operate a closed loop delivery of insulin to a patient, the system comprising:
a controller; and
a sensor in communication with the controller, said sensor configured to measure an indication of glucose in the patient;
wherein the controller is configured to:
receive measurements indicative of glucose in the patient from the sensor; and
provide a user interface for a clinician to select thresholds for a plurality of parameters for when to exit closed loop delivery of insulin;
determine whether it is safe to operate a closed loop delivery of insulin to the patient based on an application of rules on the received measurements, wherein the rules include the selected thresholds for the plurality of parameters for when to exit the closed loop delivery of insulin.
2 . The system of claim 1 , wherein the controller is further configured to send a request for user intervention based on the determination of whether it is safe after the application of rules.
3 . The system of claim 2 , wherein the user intervention requires authentication.
4 . The system of claim 1 , wherein the rules comprise an insulin-glucose model that predicts future glucose level and current insulin-on-board.
5 . The system of claim 1 , wherein the rules comprises a matrix indicating a risk level based on a function of the received measurements, a first trend corresponding to a change in insulin for the patient, and a second trend corresponding to a change in glucose measurements.
6 . The system of claim 1 , wherein the rules comprise a Bayesian model of the received measurement, a first trend corresponding to a change in insulin for the patient, and a second trend corresponding to a change in glucose measurements.
7 . The system of claim 1 , wherein the controller is configured to determine that user intervention is not needed based on a recommended change in insulin infusion from the closed loop delivery.
8 . The system of claim 1 , wherein the application of rules is further based on recommended change in insulin infusion from the closed loop delivery, an estimated insulin on board, and a predicted glucose level at a future time.
9 . A method for determining whether it is safe to operate a closed loop delivery of insulin to a patient, the method comprising:
measuring an indication of glucose in the patient with a sensor in communication with a controller;
receiving, at the controller, measurements indicative of glucose in the patient from the sensor;
providing a user interface for a clinician to select thresholds for a plurality of parameters for when to exit closed loop delivery of insulin;
determining whether it is safe to operate a closed loop delivery of insulin to the patient based on an application of rules, wherein the rules include the selected thresholds for the plurality of parameters for when to exit the closed loop delivery of insulin; and
preventing closed loop delivery of insulin based on the determination of safety using the application of rules.
10 . The method of claim 9 , further comprising sending a request for user intervention based on the determination of the safety using the application of rules.
11 . The method of claim 10 , wherein the user intervention requires authentication.
12 . The method of claim 9 , wherein the rules comprise an insulin-glucose model that predicts future glucose level and current insulin-on-board.
13 . The method of claim 9 , wherein the rules comprises a matrix indicating a risk level based on a function of the received measurements, a first trend corresponding to a change in insulin for the patient, and a second trend corresponding to a change in glucose measurements.
14 . The method of claim 9 , wherein the rules comprise a Bayesian model of the received measurement, a first trend corresponding to a change in insulin for the patient, and a second trend corresponding to a change in glucose measurements.
15 . The method of claim 9 , further comprising determining that user intervention is not needed based on a recommended change in insulin infusion from the closed loop delivery.
16 . The method of claim 9 , wherein the application of rules is further based on recommended change in insulin infusion from the closed loop delivery, an estimated insulin on board, and a predicted glucose level at a future time.