JP6999648B2 - インスリン投薬計画における基礎/ボーラス比を調節するためのシステムおよび方法 - Google Patents
インスリン投薬計画における基礎/ボーラス比を調節するためのシステムおよび方法 Download PDFInfo
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- JP6999648B2 JP6999648B2 JP2019508874A JP2019508874A JP6999648B2 JP 6999648 B2 JP6999648 B2 JP 6999648B2 JP 2019508874 A JP2019508874 A JP 2019508874A JP 2019508874 A JP2019508874 A JP 2019508874A JP 6999648 B2 JP6999648 B2 JP 6999648B2
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- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
- A61B5/14532—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue for measuring glucose, e.g. by tissue impedance measurement
-
- 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
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Medical Informatics (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Epidemiology (AREA)
- Primary Health Care (AREA)
- Biomedical Technology (AREA)
- Data Mining & Analysis (AREA)
- Life Sciences & Earth Sciences (AREA)
- Pathology (AREA)
- Medicinal Chemistry (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Chemical & Material Sciences (AREA)
- Databases & Information Systems (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- General Business, Economics & Management (AREA)
- Business, Economics & Management (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Medical Treatment And Welfare Office Work (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| EP16184451.9 | 2016-08-17 | ||
| EP16184451 | 2016-08-17 | ||
| PCT/EP2017/070585 WO2018033514A1 (en) | 2016-08-17 | 2017-08-14 | Systems and methods for adjusting a basal/bolus ratio in an insulin regimen |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2019532391A JP2019532391A (ja) | 2019-11-07 |
| JP2019532391A5 JP2019532391A5 (enExample) | 2021-10-07 |
| JP6999648B2 true JP6999648B2 (ja) | 2022-01-18 |
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| US (1) | US11462313B2 (enExample) |
| EP (1) | EP3500962B1 (enExample) |
| JP (1) | JP6999648B2 (enExample) |
| CN (1) | CN109564776B (enExample) |
| MA (1) | MA45980A (enExample) |
| WO (1) | WO2018033514A1 (enExample) |
Families Citing this family (4)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN111833985B (zh) * | 2019-04-17 | 2023-04-07 | 复旦大学附属中山医院 | 胰岛素剂型选择及剂量调整方法及系统 |
| JP7599439B2 (ja) * | 2019-06-05 | 2024-12-13 | サノフイ | 基礎インスリン用量およびボーラスインスリン用量を投与する医療デバイスおよび方法 |
| BR112022005648A2 (pt) * | 2019-09-25 | 2022-07-19 | Janssen Pharmaceuticals Inc | Sistema de administração de fármacos configurado para determinar um esquema de dosagem de fármacos |
| CN115804593A (zh) * | 2021-09-15 | 2023-03-17 | 深圳硅基仿生科技股份有限公司 | 针对用餐前后的葡萄糖浓度水平的葡萄糖监测系统 |
Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20090036753A1 (en) | 2007-07-31 | 2009-02-05 | King Allen B | Continuous glucose monitoring-directed adjustments in basal insulin rate and insulin bolus dosing formulas |
| JP2009037588A (ja) | 2007-03-20 | 2009-02-19 | Lifescan Inc | 糖尿病の管理用プログラム |
| US20110319322A1 (en) | 2008-04-04 | 2011-12-29 | Hygieia, Inc. | Systems, Methods and Devices for Achieving Glycemic Balance |
| JP2013501989A (ja) | 2009-08-10 | 2013-01-17 | ディアベテス トールス スウェーデン アーべー | 血糖データを処理する装置および方法 |
| JP2013529500A (ja) | 2010-06-22 | 2013-07-22 | メドトロニック ミニメド インコーポレイテッド | 患者の体内の血中グルコース濃度レベルを制御するための装置 |
| US20150217055A1 (en) | 2014-01-31 | 2015-08-06 | Aseko, Inc. | Insulin Management |
| JP2015528348A (ja) | 2012-08-30 | 2015-09-28 | メドトロニック ミニメド インコーポレイテッド | インスリン注入デバイスを制御するシステム及び方法 |
| US20150366945A1 (en) | 2014-06-20 | 2015-12-24 | Howard E. Greene | Infusion delivery devices and methods |
| WO2016069475A1 (en) | 2014-10-27 | 2016-05-06 | Aseko, Inc. | Subcutaneous outpatient management |
Family Cites Families (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2007051139A2 (en) | 2005-10-27 | 2007-05-03 | Insulet Corporation | Diabetes management systems and methods |
| US10010669B2 (en) | 2006-02-09 | 2018-07-03 | Deka Products Limited Partnership | Systems and methods for fluid delivery |
| US8380530B2 (en) * | 2007-02-02 | 2013-02-19 | Webmd Llc. | Personalized health records with associative relationships |
| US10624577B2 (en) * | 2008-04-04 | 2020-04-21 | Hygieia, Inc. | Systems, devices, and methods for alleviating glucotoxicity and restoring pancreatic beta-cell function in advanced diabetes mellitus |
| WO2009139846A1 (en) | 2008-05-12 | 2009-11-19 | Department Of Veterans Affairs | Automated system and method for diabetes control |
| WO2010056718A2 (en) * | 2008-11-11 | 2010-05-20 | Hygieia, Inc. | Apparatus and system for diabetes management |
| US9724475B2 (en) * | 2009-02-27 | 2017-08-08 | Lifescan, Inc. | Drug delivery management systems and methods |
| CN102667787A (zh) * | 2009-09-30 | 2012-09-12 | 莫尔研究应用有限公司 | 管理胰岛素输注的监视装置 |
| WO2011089600A1 (en) * | 2010-01-20 | 2011-07-28 | Medingo Ltd. | A method and device for improving glycemic control |
| WO2012122520A1 (en) * | 2011-03-10 | 2012-09-13 | Abbott Diabetes Care Inc. | Multi-function analyte monitor device and methods of use |
| CN104053396B (zh) * | 2011-12-15 | 2016-12-21 | 贝克顿·迪金森公司 | 用于改进的生理数据的解释和生理状况管理信息的呈现的系统 |
| US9990581B2 (en) * | 2012-07-11 | 2018-06-05 | Roche Diabetes Care, Inc. | Insulin dosage assessment and recommendation system |
| GB201407896D0 (en) | 2014-05-05 | 2014-06-18 | Joanneum Res Forschungsgmbh | Insulin dosage proposal system |
| HUE053370T2 (hu) * | 2014-09-22 | 2021-06-28 | Dexcom Inc | Eljárás üzemmód átkapcsolásra |
| US20160082187A1 (en) * | 2014-09-23 | 2016-03-24 | Animas Corporation | Decisions support for patients with diabetes |
| WO2016182200A1 (en) * | 2015-05-12 | 2016-11-17 | Samsung Electronics Co., Ltd. | Blood glucose measurement apparatus and blood glucose measurement method thereof |
-
2017
- 2017-08-14 JP JP2019508874A patent/JP6999648B2/ja active Active
- 2017-08-14 US US16/323,600 patent/US11462313B2/en active Active
- 2017-08-14 WO PCT/EP2017/070585 patent/WO2018033514A1/en not_active Ceased
- 2017-08-14 EP EP17755131.4A patent/EP3500962B1/en active Active
- 2017-08-14 MA MA045980A patent/MA45980A/fr unknown
- 2017-08-14 CN CN201780050301.7A patent/CN109564776B/zh active Active
Patent Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2009037588A (ja) | 2007-03-20 | 2009-02-19 | Lifescan Inc | 糖尿病の管理用プログラム |
| US20090036753A1 (en) | 2007-07-31 | 2009-02-05 | King Allen B | Continuous glucose monitoring-directed adjustments in basal insulin rate and insulin bolus dosing formulas |
| US20110319322A1 (en) | 2008-04-04 | 2011-12-29 | Hygieia, Inc. | Systems, Methods and Devices for Achieving Glycemic Balance |
| JP2013501989A (ja) | 2009-08-10 | 2013-01-17 | ディアベテス トールス スウェーデン アーべー | 血糖データを処理する装置および方法 |
| JP2013529500A (ja) | 2010-06-22 | 2013-07-22 | メドトロニック ミニメド インコーポレイテッド | 患者の体内の血中グルコース濃度レベルを制御するための装置 |
| JP2015528348A (ja) | 2012-08-30 | 2015-09-28 | メドトロニック ミニメド インコーポレイテッド | インスリン注入デバイスを制御するシステム及び方法 |
| US20150217055A1 (en) | 2014-01-31 | 2015-08-06 | Aseko, Inc. | Insulin Management |
| US20150366945A1 (en) | 2014-06-20 | 2015-12-24 | Howard E. Greene | Infusion delivery devices and methods |
| WO2016069475A1 (en) | 2014-10-27 | 2016-05-06 | Aseko, Inc. | Subcutaneous outpatient management |
Also Published As
| Publication number | Publication date |
|---|---|
| CN109564776A (zh) | 2019-04-02 |
| US20190164641A1 (en) | 2019-05-30 |
| EP3500962B1 (en) | 2024-10-09 |
| JP2019532391A (ja) | 2019-11-07 |
| MA45980A (fr) | 2019-06-26 |
| US11462313B2 (en) | 2022-10-04 |
| WO2018033514A1 (en) | 2018-02-22 |
| CN109564776B (zh) | 2023-09-26 |
| EP3500962A1 (en) | 2019-06-26 |
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