JP2010502361A - インテリジェント治療推奨アルゴリズムおよびその使用方法 - Google Patents
インテリジェント治療推奨アルゴリズムおよびその使用方法 Download PDFInfo
- Publication number
- JP2010502361A JP2010502361A JP2009527355A JP2009527355A JP2010502361A JP 2010502361 A JP2010502361 A JP 2010502361A JP 2009527355 A JP2009527355 A JP 2009527355A JP 2009527355 A JP2009527355 A JP 2009527355A JP 2010502361 A JP2010502361 A JP 2010502361A
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- JP
- Japan
- Prior art keywords
- blood glucose
- glucose level
- insulin
- value
- recommended
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Links
- NOESYZHRGYRDHS-UHFFFAOYSA-N insulin Chemical compound N1C(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(NC(=O)CN)C(C)CC)CSSCC(C(NC(CO)C(=O)NC(CC(C)C)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CCC(N)=O)C(=O)NC(CC(C)C)C(=O)NC(CCC(O)=O)C(=O)NC(CC(N)=O)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CSSCC(NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2C=CC(O)=CC=2)NC(=O)C(CC(C)C)NC(=O)C(C)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2NC=NC=2)NC(=O)C(CO)NC(=O)CNC2=O)C(=O)NCC(=O)NC(CCC(O)=O)C(=O)NC(CCCNC(N)=N)C(=O)NCC(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC(O)=CC=3)C(=O)NC(C(C)O)C(=O)N3C(CCC3)C(=O)NC(CCCCN)C(=O)NC(C)C(O)=O)C(=O)NC(CC(N)=O)C(O)=O)=O)NC(=O)C(C(C)CC)NC(=O)C(CO)NC(=O)C(C(C)O)NC(=O)C1CSSCC2NC(=O)C(CC(C)C)NC(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CC(N)=O)NC(=O)C(NC(=O)C(N)CC=1C=CC=CC=1)C(C)C)CC1=CN=CN1 NOESYZHRGYRDHS-UHFFFAOYSA-N 0.000 claims abstract description 272
- 102000004877 Insulin Human genes 0.000 claims abstract description 136
- 108090001061 Insulin Proteins 0.000 claims abstract description 136
- 239000008280 blood Substances 0.000 claims abstract description 136
- 210000004369 blood Anatomy 0.000 claims abstract description 136
- 229940125396 insulin Drugs 0.000 claims abstract description 136
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 claims abstract description 134
- 239000008103 glucose Substances 0.000 claims abstract description 134
- 230000008859 change Effects 0.000 claims abstract description 78
- 238000000034 method Methods 0.000 claims abstract description 34
- 150000001720 carbohydrates Chemical class 0.000 claims abstract description 12
- 206010022489 Insulin Resistance Diseases 0.000 claims abstract description 7
- 235000012054 meals Nutrition 0.000 claims description 38
- 238000012937 correction Methods 0.000 claims description 22
- 235000014633 carbohydrates Nutrition 0.000 claims description 11
- 230000000291 postprandial effect Effects 0.000 claims description 11
- 238000001802 infusion Methods 0.000 description 15
- 235000005911 diet Nutrition 0.000 description 6
- 230000000378 dietary effect Effects 0.000 description 6
- 230000002641 glycemic effect Effects 0.000 description 6
- 230000000153 supplemental effect Effects 0.000 description 6
- 206010012601 diabetes mellitus Diseases 0.000 description 5
- 230000002218 hypoglycaemic effect Effects 0.000 description 5
- 210000000496 pancreas Anatomy 0.000 description 5
- 206010020772 Hypertension Diseases 0.000 description 4
- 208000013016 Hypoglycemia Diseases 0.000 description 4
- 208000001953 Hypotension Diseases 0.000 description 4
- 238000013477 bayesian statistics method Methods 0.000 description 4
- 201000001421 hyperglycemia Diseases 0.000 description 4
- 208000012866 low blood pressure Diseases 0.000 description 4
- 238000002560 therapeutic procedure Methods 0.000 description 4
- 206010067584 Type 1 diabetes mellitus Diseases 0.000 description 3
- 238000004364 calculation method Methods 0.000 description 3
- 238000005259 measurement Methods 0.000 description 3
- 238000012544 monitoring process Methods 0.000 description 3
- 210000000227 basophil cell of anterior lobe of hypophysis Anatomy 0.000 description 2
- 235000021152 breakfast Nutrition 0.000 description 2
- 235000021074 carbohydrate intake Nutrition 0.000 description 2
- 230000003345 hyperglycaemic effect Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 230000009467 reduction Effects 0.000 description 2
- 230000006399 behavior Effects 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
- 230000002354 daily effect Effects 0.000 description 1
- 230000003111 delayed effect Effects 0.000 description 1
- 235000015872 dietary supplement Nutrition 0.000 description 1
- 230000003203 everyday effect Effects 0.000 description 1
- 230000003914 insulin secretion Effects 0.000 description 1
- 230000004203 pancreatic function Effects 0.000 description 1
- 206010033675 panniculitis Diseases 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 235000011888 snacks Nutrition 0.000 description 1
- 210000004304 subcutaneous tissue Anatomy 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 208000001072 type 2 diabetes mellitus Diseases 0.000 description 1
- 230000003442 weekly effect Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
- A61M5/172—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic
- A61M5/1723—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic using feedback of body parameters, e.g. blood-sugar, pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/18—General characteristics of the apparatus with alarm
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
- A61M2205/502—User interfaces, e.g. screens or keyboards
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
- A61M2205/52—General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2230/00—Measuring parameters of the user
- A61M2230/20—Blood composition characteristics
- A61M2230/201—Glucose concentration
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14244—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Hematology (AREA)
- General Health & Medical Sciences (AREA)
- Diabetes (AREA)
- Veterinary Medicine (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- External Artificial Organs (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/470,585 US9056165B2 (en) | 2006-09-06 | 2006-09-06 | Intelligent therapy recommendation algorithm and method of using the same |
| PCT/US2007/018694 WO2008030347A2 (en) | 2006-09-06 | 2007-08-24 | Intelligent therapy recommendation algorithm and method of using the same |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JP2010502361A true JP2010502361A (ja) | 2010-01-28 |
| JP2010502361A5 JP2010502361A5 (https=) | 2011-05-12 |
Family
ID=38973010
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2009527355A Pending JP2010502361A (ja) | 2006-09-06 | 2007-08-24 | インテリジェント治療推奨アルゴリズムおよびその使用方法 |
Country Status (5)
| Country | Link |
|---|---|
| US (2) | US9056165B2 (https=) |
| EP (1) | EP2073870B1 (https=) |
| JP (1) | JP2010502361A (https=) |
| CA (1) | CA2659819A1 (https=) |
| WO (1) | WO2008030347A2 (https=) |
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|---|---|---|---|---|
| JP2010531678A (ja) * | 2007-06-21 | 2010-09-30 | ユニバーシティ オブ バージニア パテント ファウンデーション | Ｌｑｇ人工膵臓制御システム及び関連方法 |
| JP2012516735A (ja) * | 2009-02-04 | 2012-07-26 | サノフィ−アベンティス・ドイチュラント・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツング | 血糖コントロールのための情報を提供するための医療システム及び方法 |
| JP2013505808A (ja) * | 2009-09-29 | 2013-02-21 | ライフスキャン・スコットランド・リミテッド | 糖尿病管理のための分析物試験方法及びデバイス |
| JP2013526887A (ja) * | 2009-09-30 | 2013-06-27 | モール・リサーチ・アプリケーションズ・リミテッド | インスリン送達に関する監視機器 |
| JP2014524294A (ja) * | 2011-08-12 | 2014-09-22 | ジーン オニキス リミテッド | インスリンポンプ |
| JP2017526470A (ja) * | 2014-09-15 | 2017-09-14 | アイシーユー・メディカル・インコーポレーテッド | 遅延された輸液自動プログラムの手動入力された輸液プログラムとの照合 |
| US10242060B2 (en) | 2006-10-16 | 2019-03-26 | Icu Medical, Inc. | System and method for comparing and utilizing activity information and configuration information from multiple medical device management systems |
| US10238801B2 (en) | 2009-04-17 | 2019-03-26 | Icu Medical, Inc. | System and method for configuring a rule set for medical event management and responses |
| JP2019509770A (ja) * | 2016-01-05 | 2019-04-11 | ビッグフット バイオメディカル インコーポレイテッドＢｉｇｆｏｏｔ Ｂｉｏｍｅｄｉｃａｌ， Ｉｎｃ． | 動作するマルチモーダル薬剤デリバリ・システム |
| US10311972B2 (en) | 2013-11-11 | 2019-06-04 | Icu Medical, Inc. | Medical device system performance index |
| US10314974B2 (en) | 2014-06-16 | 2019-06-11 | Icu Medical, Inc. | System for monitoring and delivering medication to a patient and method of using the same to minimize the risks associated with automated therapy |
| US10434246B2 (en) | 2003-10-07 | 2019-10-08 | Icu Medical, Inc. | Medication management system |
| JP2019536124A (ja) * | 2016-08-25 | 2019-12-12 | ノボ・ノルデイスク・エー／エス | 基礎インスリン滴定のスターターキット |
| US10617815B2 (en) | 2014-04-30 | 2020-04-14 | Icu Medical, Inc. | Patient care system with conditional alarm forwarding |
| JP2020515925A (ja) * | 2016-11-29 | 2020-05-28 | ノボ・ノルデイスク・エー／エス | 基礎速度滴定のためのスターターキット |
| US10692595B2 (en) | 2018-07-26 | 2020-06-23 | Icu Medical, Inc. | Drug library dynamic version management |
| US10741280B2 (en) | 2018-07-17 | 2020-08-11 | Icu Medical, Inc. | Tagging pump messages with identifiers that facilitate restructuring |
| US10765799B2 (en) | 2013-09-20 | 2020-09-08 | Icu Medical, Inc. | Fail-safe drug infusion therapy system |
| US10812380B2 (en) | 2013-03-06 | 2020-10-20 | Icu Medical, Inc. | Medical device communication method |
| US10861592B2 (en) | 2018-07-17 | 2020-12-08 | Icu Medical, Inc. | Reducing infusion pump network congestion by staggering updates |
| US11037668B2 (en) | 2013-11-19 | 2021-06-15 | Icu Medical, Inc. | Infusion pump automation system and method |
| JP6989992B1 (ja) | 2021-09-04 | 2022-01-12 | 株式会社Arblet | 情報処理システム、サーバ、情報処理方法及びプログラム |
| US11235100B2 (en) | 2003-11-13 | 2022-02-01 | Icu Medical, Inc. | System for maintaining drug information and communicating with medication delivery devices |
| US11309070B2 (en) | 2018-07-26 | 2022-04-19 | Icu Medical, Inc. | Drug library manager with customized worksheets |
| US11328805B2 (en) | 2018-07-17 | 2022-05-10 | Icu Medical, Inc. | Reducing infusion pump network congestion by staggering updates |
| US11464906B2 (en) | 2013-12-02 | 2022-10-11 | Bigfoot Biomedical, Inc. | Infusion pump system and method |
| US11471598B2 (en) | 2015-04-29 | 2022-10-18 | Bigfoot Biomedical, Inc. | Operating an infusion pump system |
| JP2022167924A (ja) * | 2018-05-04 | 2022-11-04 | インスレット コーポレイション | 制御アルゴリズムベースの薬物送達システムのための安全制約 |
| US11574737B2 (en) | 2016-07-14 | 2023-02-07 | Icu Medical, Inc. | Multi-communication path selection and security system for a medical device |
| US11571508B2 (en) | 2013-08-30 | 2023-02-07 | Icu Medical, Inc. | System and method of monitoring and managing a remote infusion regimen |
| US11587669B2 (en) | 2018-07-17 | 2023-02-21 | Icu Medical, Inc. | Passing authentication token to authorize access to rest calls via web sockets |
| US11605468B2 (en) | 2015-05-26 | 2023-03-14 | Icu Medical, Inc. | Infusion pump system and method with multiple drug library editor source capability |
| US11626205B2 (en) | 2011-10-21 | 2023-04-11 | Icu Medical, Inc. | Medical device update system |
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| US12064591B2 (en) | 2013-07-19 | 2024-08-20 | Insulet Corporation | Infusion pump system and method |
| US12106837B2 (en) | 2016-01-14 | 2024-10-01 | Insulet Corporation | Occlusion resolution in medication delivery devices, systems, and methods |
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| US12562268B2 (en) | 2020-07-02 | 2026-02-24 | Icu Medical, Inc. | Location-based reconfiguration of infusion pump settings |
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| US6852104B2 (en) | 2002-02-28 | 2005-02-08 | Smiths Medical Md, Inc. | Programmable insulin pump |
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Also Published As
| Publication number | Publication date |
|---|---|
| WO2008030347A2 (en) | 2008-03-13 |
| CA2659819A1 (en) | 2008-03-13 |
| US20080097289A1 (en) | 2008-04-24 |
| WO2008030347A8 (en) | 2008-06-19 |
| US20150238694A1 (en) | 2015-08-27 |
| EP2073870A2 (en) | 2009-07-01 |
| EP2073870B1 (en) | 2019-01-16 |
| US9795738B2 (en) | 2017-10-24 |
| US9056165B2 (en) | 2015-06-16 |
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