WO2021112804A1 - An air bubble detection system and a detection method for insulin infusion sets - Google Patents

An air bubble detection system and a detection method for insulin infusion sets Download PDF

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Publication number
WO2021112804A1
WO2021112804A1 PCT/TR2020/051205 TR2020051205W WO2021112804A1 WO 2021112804 A1 WO2021112804 A1 WO 2021112804A1 TR 2020051205 W TR2020051205 W TR 2020051205W WO 2021112804 A1 WO2021112804 A1 WO 2021112804A1
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WO
WIPO (PCT)
Prior art keywords
air bubble
air
capacitance
smartphone
value
Prior art date
Application number
PCT/TR2020/051205
Other languages
French (fr)
Inventor
Nihat CANKAYA
Original Assignee
Cankaya Nihat
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Cankaya Nihat filed Critical Cankaya Nihat
Publication of WO2021112804A1 publication Critical patent/WO2021112804A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/36Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests with means for eliminating or preventing injection or infusion of air into body
    • A61M5/365Air detectors

Definitions

  • the invention relates to a new "air bubble detection device” that detects air bubbles present in insulin passing through infusion sets used in the treatment of diabetes mellitus.
  • Insulin pumps are widely used in the treatment of diabetes, especially for patients with type 1 diabetes mellitus.
  • an insulin pump passes the insulin in the reservoir through an infusion set consisting of a flexible tube with a millimeter diameter and delivers it to the subcutaneous fat tissue through the needle cannula.
  • the amount of insulin used is applied in micro-liter doses since insulin is a very effective hormone.
  • Air bubbles can occur in insulin in the reservoir for various reasons. When the very small amount of air bubble replaces insulin, the amount of insulin given to the patient decreases, and the patient's blood glucose value becomes excessively high. This air bubble is difficult to see visually as the infusion set is too narrow.
  • Insulin pumps used in the market determine the amount of delivered insulin volumetrically, and there is no measurement of the actual insulin value entering the body. Patients can perceive this problem after blood glucose levels increase. This process causes organ damage in patients.
  • Various measurement techniques have been developed to detect air bubbles that occur.
  • these devices have neither technology nor ergonomics suitable for the practical use of patients.
  • These devices are also not compatible with the wide variety of sizes available infusion sets.
  • the structure of the device is very large as a body compared to infusion sets. For this reason, it is not useful and could not find a usage area.
  • There is no air bubble detection device that is compatible with all kinds of infusion sets, can be easily adapted to infusion sets, not needed any adjustment and extra technical knowledge, not damaged the infusion set, not imposed an additional burden to patients and devices.
  • ADC Analog to digital converter
  • the invention is a measuring device that has been developed to detect air bubbles in insulin infusion sets, can be easily connected to all types of infusion sets, not obstruct the flow of the fluid passing through the set, not contact into the liquid, installed easily.
  • the invention is a measuring device developed to detect air bubbles in insulin infusion sets and can be easily mounted on infusion sets of all types and sizes.
  • the device is very small in size and does not cause difficulties in transportation and assembly. It can easily adhere to the outside of infusion sets. It does not block the flow of liquid and does not come into contact with the liquid.
  • the invention is consisting of a film sensor, an electronic circuit, a smartphone, and interface software that works on this smartphone and provides the coordination of all this equipment.
  • the device detects the presence and amount of air bubbles passing through the infusion set during insulin delivery and sends a warning to the user.
  • the device also detects air bubbles in all liquid fluids that are transmitted through a pipe made of non-conductive material. It also practically detects the level of liquid in a container made of non-conductive material. Level measurement is taken by connecting the device immediately without the need for electrical installation at the place where the measurement will be made.
  • This device has;
  • a thin and flat film strip (2) which is the main structure of the film sensor (1), made of flexible, insulating material, wrapped in rolls,
  • a wireless communication module (10) that sends the measurement values obtained by the microcontroller (9) to other devices using a wireless communication protocol such as Bluetooth,
  • the device mainly consists of three main equipment given below. These:
  • the thin-film sensor (1) has a flexible structure and is adhered throughout the area where the air bubble is desired to be detected in the infusion set.
  • the thin-film sensor (1) adheres to the outside of the surface to be measured and does not have any contact with the liquid. It does not prevent the flow of liquid.
  • the remaining part of the thin film sensor (1 ) is left on a roll without being glued. If desired, the excess part is cut with scissors.
  • the area of use of the thin film sensor (1 ) is not limited to infusion sets. It is used to measure the level of any liquid in any tank made of non-conductive material and to detect air bubbles in the liquid passing through a pipe made of non- conductive material.
  • the electronic circuit (6) is used to measure the capacitance detected by the thin film sensor (1).
  • the thin-film sensor (1 ) is easily connected to the clip-shaped connection socket (7) and the capacitance value is transmitted to the electronic circuit (6).
  • the capacitance value is read by the ADC chip (8) and this value is converted to digital capacitance information.
  • This numerical value is transmitted to the microcontroller (9) by using a serial communication protocol on the electronic circuit (6).
  • the microcontroller (9) processes the measured capacity information and sends it to the wireless communication module (10) to be transmitted.
  • the wireless communication module (10) transmits the measurement information to other field devices over a wireless communication protocol such as Bluetooth.
  • the display screen (11) allows the measured information to be seen on the device.
  • the battery (13) meets the power requirement of the electronic circuit (6).
  • Smartphone (14) ve interface sotfware -
  • the capacitance information transmitted wirelessly to other field devices via a wireless communication module (10) is received by a smartphone (14).
  • the volume information of the infusion pipe is entering as parameters by the user, then the mass and the volume values that belong to liquid and air quantities are calculated by the interface software of the smartphone (14).
  • a standard calibration protocol is applied when the device starts up for the first time.
  • the calibration process is done by filling the area to be measured first completely with air and then completely with liquid.
  • the capacitance values measured in both stages are stored in the memory for reference. All subsequent measurements are calculated with reference to these values. - If the presence of air in the measured liquid is detected and the detected air ratio exceeds a threshold value entered, a warning is output via the smartphone (14).

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  • Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

The invention relates to an air bubble detection device that detects air bubbles present in insulin passing through infusion sets used in the treatment of diabetes mellitus. It comprises a film sensor, an electronic circuit, a smartphone, and interface software that works on this smartphone and provides the coordination of all the equipment. The device can be adhered to the infusion sets of all types and sizes.

Description

AN AIR BUBBLE DETECTION SYSTEM AND A DETECTION METHOD FOR
INSULIN INFUSION SETS TECHNICAL FIELD
The invention relates to a new "air bubble detection device" that detects air bubbles present in insulin passing through infusion sets used in the treatment of diabetes mellitus. BACKGROUND
Insulin pumps are widely used in the treatment of diabetes, especially for patients with type 1 diabetes mellitus. In this treatment, an insulin pump passes the insulin in the reservoir through an infusion set consisting of a flexible tube with a millimeter diameter and delivers it to the subcutaneous fat tissue through the needle cannula. The amount of insulin used is applied in micro-liter doses since insulin is a very effective hormone. Air bubbles can occur in insulin in the reservoir for various reasons. When the very small amount of air bubble replaces insulin, the amount of insulin given to the patient decreases, and the patient's blood glucose value becomes excessively high. This air bubble is difficult to see visually as the infusion set is too narrow. Insulin pumps used in the market determine the amount of delivered insulin volumetrically, and there is no measurement of the actual insulin value entering the body. Patients can perceive this problem after blood glucose levels increase. This process causes organ damage in patients. Various measurement techniques have been developed to detect air bubbles that occur. However, these devices have neither technology nor ergonomics suitable for the practical use of patients. These devices are also not compatible with the wide variety of sizes available infusion sets. In addition, the structure of the device is very large as a body compared to infusion sets. For this reason, it is not useful and could not find a usage area. There is no air bubble detection device that is compatible with all kinds of infusion sets, can be easily adapted to infusion sets, not needed any adjustment and extra technical knowledge, not damaged the infusion set, not imposed an additional burden to patients and devices. l LIST OF FIGURES
Figure 1. Air Bubble Detection Device For Insulin Infusion Sets
Description of the Numbers Given in Figure
1. Thin film sensor
2. Film strip
3. Non-stick top surface
4. Sticky bottom surface
5. Thin film capacitor
6. Electronic circuit
7. Connection socket
8. ADC (Analog to digital converter) chip
9. Microcontroller
10. Wireless communication module
11. Display
12. Keypad
13. Battery
14. Smartphone BRIEF DESCRIPTION OF THE INVENTION
The invention is a measuring device that has been developed to detect air bubbles in insulin infusion sets, can be easily connected to all types of infusion sets, not obstruct the flow of the fluid passing through the set, not contact into the liquid, installed easily.
DETAILED DESCRIPTION OF THE INVENTION
The invention is a measuring device developed to detect air bubbles in insulin infusion sets and can be easily mounted on infusion sets of all types and sizes. The device is very small in size and does not cause difficulties in transportation and assembly. It can easily adhere to the outside of infusion sets. It does not block the flow of liquid and does not come into contact with the liquid. The invention is consisting of a film sensor, an electronic circuit, a smartphone, and interface software that works on this smartphone and provides the coordination of all this equipment. The device detects the presence and amount of air bubbles passing through the infusion set during insulin delivery and sends a warning to the user. The device also detects air bubbles in all liquid fluids that are transmitted through a pipe made of non-conductive material. It also practically detects the level of liquid in a container made of non-conductive material. Level measurement is taken by connecting the device immediately without the need for electrical installation at the place where the measurement will be made.
This device has;
- A thin film sensor (1) to be used by adhering to the surface of the object to be measured, composed of flexible film layers and whose features are listed below,
- A thin and flat film strip (2), which is the main structure of the film sensor (1), made of flexible, insulating material, wrapped in rolls,
- The adhesive-free top surface (3) of the film strip (2),
- The adhesive bottom surface (4) formed in order to ensure that this film strip (2) adheres easily to the surfaces,
- A film capacitor (5) formed by coating a flexible and conductive material on the upper surface of the film strip (2) as two parallel rows of thin films,
- An electronic circuit (6) whose features are listed below to analyze the information coming from the thin-film sensor (1),
- A clip-shaped connection socket (7) to easily connect the film sensor (1) to the electronic circuit (6),
- An ADC (analog to digital converter) chip (8) that converts the capacitance information to a digital value,
- A microcontroller (9) used to process the information coming from the ADC chip
(8),
- A wireless communication module (10) that sends the measurement values obtained by the microcontroller (9) to other devices using a wireless communication protocol such as Bluetooth,
- A display (11 ) for displaying the measured information,
- A keypad (12) to enter set values on the device,
- A battery (13) that meets the power requirement of the electronic circuit (6),
- A smartphone (14) in which the measured capacity information is transmitted and the user interface software is run. The device mainly consists of three main equipment given below. These:
A. Thin film sensor
B. Electronic circuit
C. Smartphone
It was described below the new method offered by the device and the run of the device.
A. Thin film sensor (1)
- The thin-film sensor (1) has a flexible structure and is adhered throughout the area where the air bubble is desired to be detected in the infusion set.
- The thin-film sensor (1) adheres to the outside of the surface to be measured and does not have any contact with the liquid. It does not prevent the flow of liquid.
- The remaining part of the thin film sensor (1 ) is left on a roll without being glued. If desired, the excess part is cut with scissors.
- The area of use of the thin film sensor (1 ) is not limited to infusion sets. It is used to measure the level of any liquid in any tank made of non-conductive material and to detect air bubbles in the liquid passing through a pipe made of non- conductive material.
B. Electronic circuit (6)
- The electronic circuit (6) is used to measure the capacitance detected by the thin film sensor (1).
- The thin-film sensor (1 ) is easily connected to the clip-shaped connection socket (7) and the capacitance value is transmitted to the electronic circuit (6).
- The capacitance value is read by the ADC chip (8) and this value is converted to digital capacitance information.
- This numerical value is transmitted to the microcontroller (9) by using a serial communication protocol on the electronic circuit (6). - The microcontroller (9) processes the measured capacity information and sends it to the wireless communication module (10) to be transmitted. - The wireless communication module (10) transmits the measurement information to other field devices over a wireless communication protocol such as Bluetooth.
- The display screen (11) allows the measured information to be seen on the device.
- Keys (12) allows the set values to be entered on the device.
- The battery (13) meets the power requirement of the electronic circuit (6).
C. Smartphone (14) ve interface sotfware - The capacitance information transmitted wirelessly to other field devices via a wireless communication module (10) is received by a smartphone (14).
- There is an interface software on the smartphone (14) that transmits this information to the users.
- On the screen of the smartphone (14), information on the presence of liquid and air in the area where the measurement is made is displayed as a percentage.
- The volume information of the infusion pipe is entering as parameters by the user, then the mass and the volume values that belong to liquid and air quantities are calculated by the interface software of the smartphone (14).
- A standard calibration protocol is applied when the device starts up for the first time.
- The calibration process is done by filling the area to be measured first completely with air and then completely with liquid. The capacitance values measured in both stages are stored in the memory for reference. All subsequent measurements are calculated with reference to these values. - If the presence of air in the measured liquid is detected and the detected air ratio exceeds a threshold value entered, a warning is output via the smartphone (14).

Claims

1. An air bubble detection device for insulin infusion sets used by adhering to the surface of the object to be measured, and its features are characterized in that comprising:
- A thin and flat film strip (2) that is made of flexible film layers, is made of non-conductive material, is wrapped in rolls" to form the main structure of the film sensor (1), A non-adhesive upper surface (3), An adhesive bottom surface ( 4) formed to ensure easy adhesion, A thin-film sensor (1) which has a film capacitor (5) that is formed by coating a flexible and conductive material as two parallel rows of thin films on to the upper surface (3) of the film strip (2),
- A clip-shaped connection socket (7) to easily connect the film sensor (1) to the electronic circuit (6), An ADC (analog to digital converter) chip (8) that converts capacitance information to digital value, A microcontroller (9) for using to process the capacitance information sent by the ADC chip (8), A wireless communication module (10) that sends the measurement values obtained by the microcontroller (9) to other devices using the wireless communication protocol, A display (11) showing the measured air ratio, A keypad for data entry (12), An electronic circuit (6) using for analyzing the data coming from the thin film sensor (1), A battery (13) that meets the power requirement,
- A smartphone (14) that has user interface software, in which the measured capacity information is transmitted.
2. A method for air bubble detection for insulin infusion sets by being adhered to a surface to be measured characterized in that comprising the steps below:
- Sticking the thin film sensor (1) along the area where the air bubble is desired to be detected,
- Transmitting the capacitance value to the electronic circuit (6) by easily connecting the thin film sensor (1) to the clip-shaped connection socket (7), - Reading the capacitance value by the ADC chip (8) and converting the capacitance information to a digital value by means of the analog-digital converter in the ADC chip (8),
- Transmitting this numerical value to the microcontroller (9) using a serial communication protocol over the electronic circuit (6),
- T ransmission of measurement information to other devices via a wireless communication module (10),
- Displaying the measured air-liquid ratio with the display (11),
- Entering set values with the keypad (12),
- Display of the presence of air in the measured liquid in the interface software on the smartphone (14) as a proportional value,
- Entering the volume value of the pipe as a parameter to the interface software on the smartphone (14), then the calculation of mass and volume values of liquid and air bubbles,
- For the carrying out the calibration at the startup, filling the pipe with liquid and measuring the capacitance, filling the pipe with air and measuring the capacitance, then measuring the air bubble presence based on this information,
- Entering a threshold value for the air bubble, then giving a warning output via the smartphone (14) presence of an air bubble more than the threshold value.
Figure imgf000008_0001
PCT/TR2020/051205 2019-12-02 2020-12-01 An air bubble detection system and a detection method for insulin infusion sets WO2021112804A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
TR201918897 2019-12-02
TR2019/18897 2019-12-02

Publications (1)

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WO2021112804A1 true WO2021112804A1 (en) 2021-06-10

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100262078A1 (en) * 2009-03-31 2010-10-14 Smiths Medical Asd, Inc. Systems and methods to address air, leaks and occlusions in an insulin pump system
WO2012059209A1 (en) * 2010-11-01 2012-05-10 Roche Diagnostics Gmbh Fluid dispensing device with a flow detector
US20150174316A1 (en) * 2002-07-24 2015-06-25 Asante Solutions, Inc. Infusion pump system, an infusion pump unit and an infusion pump
US20180177939A1 (en) * 2013-03-14 2018-06-28 Bigfoot Biomedical, Inc. Infusion Pump System and Methods

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20150174316A1 (en) * 2002-07-24 2015-06-25 Asante Solutions, Inc. Infusion pump system, an infusion pump unit and an infusion pump
US20100262078A1 (en) * 2009-03-31 2010-10-14 Smiths Medical Asd, Inc. Systems and methods to address air, leaks and occlusions in an insulin pump system
WO2012059209A1 (en) * 2010-11-01 2012-05-10 Roche Diagnostics Gmbh Fluid dispensing device with a flow detector
US20180177939A1 (en) * 2013-03-14 2018-06-28 Bigfoot Biomedical, Inc. Infusion Pump System and Methods

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
ANONYMOUS: "Software & Apps from Tandem Diabetes Care", TANDEM DIABETES CARE, 1 April 2019 (2019-04-01), XP055837553, Retrieved from the Internet <URL:http://web.archive.org/web/20190401175156/https://www.tandemdiabetes.com/products/software-apps> [retrieved on 20210903] *

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