Insulin pump programming software with basal profile preview feature
Contents
1. 0 9 1 enupuoo _IXGIN PIO eyepidogdoe eg mode 5 oj 490s pesn junoure esed vos etj jes een uope nojeo joejeg Yee IE Pn H9T 156 070 B2 Sheet 11 of 15 US 8 Apr 10 2012 U S Patent IT 913 REIN KL BESSON S Z ZL foL ugneul reseg Aged roti oq o a 8 m mmumunu un 9ZT PEO PIO SP 2 198 exu eseq pesep Pees m SS uopo2ejes ejJOJd PJEzIM IUO1d HOT cot 156 070 B2 Sheet 12 of 15 US 8 Apr 10 2012 U S Patent el 913 SSSRONVESS mA bebe suopdo SEE RN NN dung ujnsu jes ejyoJd eje jeseg uedo LO SEA emos UOPeENByuos upneuj 09 MSHS NDOV TSS rh usas SEY 227 156 070 B2 Sheet 13 of 15 US 8 Apr 10 2012 U S Patent I 913 eiqeype o sBumes eu 1 eu uo sBumes ell o CABS dund ujnsuj spre eovjdey R gt T eABS A YOR uopenfyuoo dund ugsuls09 exH9 99V T 39 wu 800 dund ue yn Iur SSE 1 S SES 227 156 070 B2 Sheet 14 of 15 US 8 Apr 10 2012 U S Patent2. 65 Prior Publication Dat Animans Corporation ezManager Plus User Manual 2007 rior Publication Data ud US 2010 0064236 Al 11 2010 51 Int Cl Primary Examiner Michael B Holmes G06F 15 18 2006 01 74 Attorney Agent or Firm Faegre Baker Daniels G06F 15 00 2006 01 57 ABSTRACT 52 D S CL edis 706 62 I 58 Field of Classification Search 706 62 Insulin pump programming software is disclosed that gener See application file for complete search history ates thumbnail images of basal rate profile data contained in source files and displays the images to permit an operator to 56 References Cited select the desired profile data without opening the source U S PATENT DOCUMENTS 6 977 074 B2 12 2005 Kundig etal 424 93 7 6 994 851 B1 2 2006 Kundig etal 424 93 7 7 364 729 B2 4 2008 Kundig etal 424 93 7 7 815 602 B2 10 2010 Mann etal 604 131 ALERT MECHANISM 68 MEMORY DEVICE 66 PROCESSOR 54 TIMER 60 PUMP ACTUATOR INTERFACE 62 files The software also permits the operator to verify changes to pump profiles before programming the pump by displaying thumbnail images of the current pump profile and the new pump profile 24 Claims 15 Drawing Sheets DISPLAY INTERFACE 56 TO DISPLAY 32 KEYPAD INTERFACE 58 TO KEYS 34 36 38 40 PUMP ACTUATOR 64 U S
3. day into the body through an infusion set to regulate blood glucose levels The rate of delivery of these small doses i e the basal rate varies from user to user Indeed even for a particular user the basal rate varies throughout the day and depends upon a variety of factors such as the user s internal clock metabolism physical health and level of stress and exercise A basal rate profile consists of one or more basal rates defined to cover the 24 hours of the day e g 24 hourly basal rates Many users use different basal rate profiles for differ ent circumstances For example one basal rate profile may be used for weekdays another profile 1 with different hourly basal rates for weekends and another profile for vacation days These different basal rate profiles are designed to accommodate the expected differences in the user s back ground insulin needs resulting from variations in the user s sleep patterns levels of exercise and stress health condition menstrual cycle status etc during such periods As the amount and rate of insulin delivery both basal and bolus must be tailored to the individual needs of the user modern pumps are programmable Some pumps are capable of communicating with a separate computing device and are compatible with software applications that may be executed on the computing device The software permits an operator such as the user or a health care provider to customize the settings of
4. Patent Apr 10 2012 Sheet 1 of 15 US 8 156 070 B2 10 PROCESSOR SOFTWARE DATA i 17 FIG 1 US 8 156 070 B2 Sheet 2 of 15 Apr 10 2012 U S Patent US 8 156 070 B2 Sheet 3 of 15 Apr 10 2012 U S Patent On 8S 9S h 01 1510 OL H9 YOLVALIV 8S 39Vd131NI QVdA3A 9S 39V4U31NI 1514 9IJ c9 32V4U31NI YOLVALIV dWNd HS 055390 89 WSINVHOSW 18431V 09 YJWIL 99 39IA3C AYOWAW 156 070 B2 US 8 Sheet 4 of 15 Apr 10 2012 U S Patent H 001 919 dud uo eu pue epp pue ejeg 395 une ujinsuj pees Ajsnoj eJd uedo elid sBupyeg uedo ujnsuj euy uo peAes Apueuno uopeuuoju Jo pue peey ue peex suondo ullnsul COT LA p aus ued J tuna peo 2 09 2I3H2 n22V 0 US 8 156 070 B2 Sheet 5 of 15 Apr 10 2012 U S Patent 9IH WST SI THVT NYS L dung 5 pr SEX Ze amp 9d 9 wero Bonae 35 09 oI3H2 022V 9 156 070 B2 US 8 Sheet 6 of 15 Apr 10 2012 U S Patent HLT 0 t smo je9T S JO eiyoud J99T MEE E ex a g891 S JO Z eiyoud 9997 ULIN ogro Y99T 8 pour ei weed ur Nen Ned d USUS UNA SJ 227
5. a plurality of thumbnail images 166A C that function as graphic previews of the data associated with the basal rate profiles included in Source File 1 a plurality of file indicators 168A C indicating the number of the basal rate profile of the profile set in Source File 1 represented by the associated thumbnail image 166A C an options button 170 associated with each file indicator 168A C and either an active icon 172 or an activate button 174 associated with each file indicator 168A C Finally active window 106 further includes a status bar 178 which indicates the status of the currently active configuration file Here the status is unchanged It should be understood that although portions of this description refer to hourly basal rate profiles basal rates and basal rate profiles may cover more or less than a one hour time period Indeed the time periods covered by basal rates in a profile need not be equal The concepts ofthe present disclo sure are not limited by the duration of an individual basal rate and the references to hourly basal rates are only exemplary In this example Source File 1 includes a basal rate profile set 143 consisting of five individual basal rate profiles Accordingly as depicted in the figure a thumbnail image 166A C profile designation 168A C options button 170 and active icon 172 or activate button 174 is displayed for each profile in profile set 143 In the description that follows only the first thr
6. basal insulin value For example thumbnail image 263 represents a classic analog insulin circadian profile with a total daily basal insulin of less than 14 Using scrollbar 265 the operator can browse the various standardized profiles without having to load a profile to determine its contents When the operator highlights a profile and activates finish button 257 the selected profile replaces the currently active profile populating profile edit dialog box 188 Referring again to FIG 6 instead of activating an options button 170 to access a profile edit it or load or copy a new profile as described above the operator may replace profile set 143 with a different profile set in a single operation using load profile set button 116 When the operator activates load profile set button 116 software 17 generates an open profile set dialog box 244 as depicted in FIG 12 Open profile set dialog box 244 is nearly identical to open profile dialog box 202 of FIG 8 Accordingly the same reference designations have been used in FIG 12 Open profile set dialog box 244 is 20 25 30 35 40 45 50 55 60 65 10 different however in that the files listed in file information area 218 include data representing entire sets of basal rate profiles instead of a single profile Additionally as the opera tor highlights file indicators 220 of file information area 218 preview pane 210 is populated with thumbnail images 226 of all o
7. herein The operator may select another profile to populate profile edit dialog box 180 by activating load from file button 194 of tool bar 186 This causes software 17 to generate open profile dialog box 202 as depicted in FIG 8 Dialog box 202 includes a title bar 204 describing the function of dialog box 202 a message area 206 that provides instructions to the operator a file selection window 208 a preview pane 210 an OK button 212 and a cancel button 214 File selection window 208 includes a file location area 216 a file information area 218 that includes file indicators 220 a file name area 222 and a file type area 224 The functions ofthe various elements of file selection window 208 are similar to those described above with reference to file selection window 150 FIG 5 As shown in FIG 8 when a file indicator 220 in file information area 218 is highlighted such as by operator selec tion using a pointing device a thumbnail image 226 corre sponding to the underlying data of the profile associated with file indicator 220 is provided in preview pane 210 Thumbnail image 226 is similar to thumbnail images 166A C described above Accordingly preview pane 210 and thumbnail images 226 presented therein permits the operator to browse through profiles by highlighting file indicators 220 and view ing thumbnail images 226 to locate a desired profile before selecting it The operator may access the profile data under lying the selec
8. of maintaining a current time including time of day and day of the week FIG 4 depicts the home screen 100 displayed upon activa tion of software 17 Home screen 100 generally includes a toolbar 102 a navigation menu 104 and an active window 106 Toolbar 102 includes a read pump icon 108 an open file icon 110 a date time icon 112 a print icon 114 a load all profiles from file icon 116 and a save all profiles to a file icon 118 Navigation menu 104 includes a save settings button 120 a basal rates and bolus button 122 an insulin pump options button 126 and a setting report button 130 The content of active window 106 changes depending upon the operation being performed by software 17 Here active win dow 106 includes a start up dialog box 132 Startup dialog box 132 includes a message area 134 a read pump button 136 an open file button 138 a set date time button 140 and an exit button 142 For the purpose of this description the operator will be described as obtaining an insulin pump configuration file from memory 15 on comput US 8 156 070 B2 7 ing device 12 using open file button 138 As is further described herein the process for saving information to pump 24 or to memory 15 on computing device 12 differs The process for obtaining or retrieving information from either pump 24 or memory 15 on computing device 12 however is not meaningfully different for the purpose of the present disclosure Asis shown in FIG 5
9. than a daily basal insulin total corresponding to the second profile In an extension of this variation the replacing step further includes the step of receiving a second input from the operator confirming a desire to complete the replacing step In a further extension the second input is a keyboard entry ofthe daily basal insulin total corresponding to the first profile In yet another exemplary embodiment of the present dis closure there is disclosed a computer readable medium tan gibly embodying a program of instructions executable by a computing device to perform method steps for programming insulin pumps The method steps include the step of generat ing a first thumbnail image including a graphical representa tion of basal rate profile data contained in a source file The method further includes the step of without opening the source file to access the data displaying the first thumbnail image The method further includes the step of opening the source file to access the data in response to an operator s selection of the first thumbnail image The method further includes the step of replacing basal rate profile data contained in a target file stored on a pump with the data represented by the first thumbnail image In this embodiment the replacing step includes the step of displaying the first thumbnail image with a second thumbnail image including a graphical repre sentation of the basal rate data contained in the target file to perm
10. 156 070 B2 US 8 Sheet 7 of 15 Apr 10 2012 U S Patent REE RS sun 6 61 18301 ujjnsu jeseg jed 0 vo zo 0 yo go 90 1 PJeZIM 4 rd Adog alld se 9j uto14 peo 54 ueeus snojAsud eu oy Eu SNOW IE LE 156 070 B2 US 8 Sheet 8 of 15 Apr 10 2012 U S Patent ANE RR ROL SHUN 6 Asa jo Wd ee z 9 INVGL2 8002 8200 Ss 8 DEREC SS OO BRIE Lr AUS enpapar SEN oe aaa seg v FOIE eed Ls 156 070 B2 US 8 Sheet 9 of 15 Apr 10 2012 U S Patent DWI LO syun 6 6 Ejo 3ueugsnfpy eye jeseg apua FOL jeseg Alleq 982 nousun ET NNNM ED pau eee v NN 2 YL pue jdeooe MO EO eu oj pue Buppip Aq ezlusosno Jo euo ie 156 070 B2 Sheet 10 of 15 US 8 Apr 10 2012 U S Patent OL 91 SS SBIONVS S sun 6 6L In 31 ey S SGSSDGNSSS 5883885 2 33 3 jueunsn pe pue esop 0 uo peseq o upmsuj Feseq etu pejes Apoq Jed jeseq uodn peseq W30 esed eu lt a Apep yunou eseq Agep eu anag tone
11. 24 and a thumbnail image 278 of the new profile that will replace the current profile If more than one profile will be changed the operator can use scrollbar 280 to view similar pairs of thumbnail images corresponding to the other profiles In this manner the operator is provided a graphical representation of the pending profile changes to assist the operator in verifying that the pending changes are what the operator intended After the operator has reviewed the pending changes the operator must check the confirm changes box 282 and acti vate next button 272 to proceed In this example the pending US 8 156 070 B2 11 change to profile 1 of the pump s configuration file results in an increase in the daily basal insulin total associated with profile 1 As this type of change may have a direct adverse impact on the pump user s health if programmed by accident software 17 requires a second confirmation step before pro gramming the pump with the new profile as is further explained in the Selectively Modifying Application Accord ingly when the operator activates next button 272 of FIG 14 software 17 generates a critical change confirmation box 284 as depicted in FIG 15 Critical change confirmation box 284 includes a title bar 286 a message area 288 that instructs the user to re enter the new data for the critical parameter about to be changed here an increased daily basal insulin total and a data window 290 including among
12. HIT 9Id WN 9 T dud ded amp peuuguoo DIN PID 8 EC E EFE peg fedis s seBueu uuguo ujinsuj ue o CARS Ld srog TE W SIG ESSE L3 HOT eng SENZI 156 070 B2 Sheet 15 of 15 US 8 Apr 10 2012 U S Patent ESSCTBIONV SS seen dund ugnsuj eu pajeopunuiujoo eq pinoys sumes ugnau o seDueuo ONINHVM eseg Aed MON D ujnsuj 6 6L syun LPL leseg Area epod dung uei e WAL EL SSS 48 80 ous vedo Gd dung peoy P eor 09 JI3H n229V Fuolssejoxd emos uopuunByuo dund umsw 095 X3H 1122V J US 8 156 070 B2 1 INSULIN PUMP PROGRAMMING SOFTWARE WITH BASAL PROFILE PREVIEW FEATURE FIELD OF THE INVENTION The present teachings generally relate to programming insulin pumps and more specifically to pump programming software that permits previewing graphic representations of basal rate profiles before accessing the file containing the underlying data or replacing a profile stored on a pump with the represented profile BACKGROUND An insulin pump is a fluid infusion device for delivering insulin to people who suffer from diabetes The pump which is worn by the user and eliminates the need for multiple daily insulin injections closely imitates a normally functioning pancreas by releasing hundreds of small doses of insulin each
13. Software provided by Roche Diagnostics Corporation the concepts may also relate to diabetes management soft ware systems for tracking and analyzing health data such as for example the ACCU CHEK 360 product provided by Roche Diagnostics Corporation Moreover the concepts described herein may also have applicability to apparatuses methods systems and software in fields that are unrelated to healthcare Furthermore it should be understood that refer ences in this patent application to devices pumps meters monitors or related items are intended to encompass any currently existing or later developed apparatus that includes some or all of the features attributed to the referred to appa ratus including but not limited to the ACCU CHEK Active ACCU CHEK Aviva ACCU CHEK Compact ACCU CHEK Compact Plus ACCU CHEK Integra ACCU CHEK amp Go ACCU CHEK Performa ACCU CHEK Spirit ACCU CHEK D Tron Plus and ACCU CHEK Voicemate Plus all provided by Roche Diagnostics Corpora tion or divisions thereof Turning now to the figures FIG 1 depicts an exemplary embodiment ofa system 10 some or all of the components of which may be used in conjunction with the teachings of the present disclosure System 10 generally includes a computing device 12 shown here in the form of a computer having display device 14 in this case a computer video screen or monitor having screen 18 a keyboard 16 a processor 13 and memory 15 which ma
14. US008156070B2 az United States Patent 10 Patent No US 8 156 070 B2 Buck et al 45 Date of Patent Apr 10 2012 54 INSULIN PUMP PROGRAMMING p 1000 Man et 604 131 u stes etal SOFTWARE WITH BASALE PROFILE 8 088 098 B2 1 2012 Yodfat etal PREVIEW FEATURE 8 114 066 B2 2 2012 Naefet al 604 890 1 2003 0060765 Al 3 2003 Campbell et al 75 Inventors Schuyler Buck Muncie IN US 2006 0123349 Al 6 2006 Wakabayashi Andreas Buhr Derendingen CH 2007 0016449 Al 1 2007 Cohen et al Jason Bush Fishers IN US Robert 2007 0033074 Al 2 2007 Nitzan etal Hellwig Bern CH David Bradley 2007 0106135 Al 52007 Sloan etal Markisohn Indianapolis IN US Leon 2007 0112298 5 2007 Mueller Jr et al R Organ III Indianapolis IN US 2007 0239686 Al 10 2007 Quinn Jacobs 2008 0106431 Al 5 2008 Blomquist 73 Assignee Inc FOREIGN PATENT DOCUMENTS ndianapolis P WO WO 00 60529 10 2000 Notice Subject to any disclaimer the term of this OTHER PUBLICATIONS patent is extended or adjusted under 35 7 U S C 154 b by 825 days Disetronic DiagLog Pump Programming Tool Reference Manual i ver 02 Jun 2005 Medtronic Minimed Solutions Pumps and Meters Software 21 Appl No 12 205 570 Manual ver7 0 2005 nad Disetronic Medical Systems AG Accu Chek Insulin Pump Con Q2 Filed Sep 5 2008 figuration Software User Manual 2005
15. an insulin pump including the steps of retrieving a source file including data corresponding to a first basal rate profile for use by an insulin pump generating a first thumbnail image including a graphical representation of the first profile and replacing a target file on an insulin pump corresponding to a second basal rate profile with the source file wherein the replacing step includes the step of displaying the first thumbnail image with a second thumbnail image including a graphical representation of the second pro file to permit an operator to review differences between the images and provide an input confirming a desire to complete the replacing step 14 The method of claim 13 further including the step of modifying the source file 15 The method of claim 13 wherein the replacing step further includes the step of displaying a critical change con firmation dialog box including the first and second thumbnail images when a daily basal insulin total corresponding to the first profile is greater than a daily basal insulin total corre sponding to the second profile 16 The method of claim 15 wherein the replacing step further includes the step of receiving a second input from the operator confirming a desire to complete the replacing step 17 The method of claim 16 wherein the second input is a keyboard entry of the daily basal insulin total corresponding to the first profile 18 A computer readable medium tangibly embodyin
16. ator 22 The medium of claim 18 wherein the first thumbnail image is displayed in a preview pane with a plurality of other thumbnail images corresponding to other basal rate profile data 20 14 23 The medium of claim 18 wherein the replacing step further includes the step of displaying a critical change con firmation dialog box including the first and second thumbnail images when a daily basal insulin total represented by the first thumbnail image is greater than a daily basal insulin total represented by the second thumbnail image 24 A system for programming an insulin pump including means for generating a first thumbnail image including a graphical representation of basal rate profile data con tained in a source file means for displaying the first thumbnail image without opening the source file to access the data means for accessing the data in response to an operator s selection of the first thumbnail image and means for replacing basal rate profile data contained in a target file stored on a pump with the data represented by the first thumbnail image wherein the replacing means includes means for displaying the first thumbnail image with a second thumbnail image including a graphical representation of the basal rate data contained in the target file to permit the operator to review differences between the images
17. atures that facilitate simple safe pump programming are particularly helpful to health care providers who may be responsible for programming multiple pumps on a regular basis SUMMARY The present teachings provide pump programming soft ware that permits the operator to preview thumbnail images including graphical representations of basal rate profiles either individual profiles or entire sets of profiles without having to access the file containing the underlying basal rate data This preview feature permits the operator to quickly and accurately identify a desired profile for editing and or for use as a replacement ofa profile existing on a user s pump When an operator is saving a profile to a pump as a replacement of an existing pump profile the software further provides thumbnail images ofthe replacement profile and the existing profile to permit the operator to visually confirm the changes about to be made to the existing pump profile In an exemplary embodiment of the present disclosure there is disclosed a method of managing basal rate profiles for use on an insulin pump The method includes the step of storing a file containing data corresponding to a basal rate profile for use by an insulin pump The method further includes the step of generating a thumbnail image including a graphical representation of the profile The method further includes the step of without opening the file to access the data simultaneously displaying a fi
18. ee of the five possible basal rate profiles are used The operator may view basal rate profile information not shown in active window 106 by using scroll bar 176 By default the first listed profile is designated as active by soft ware 17 As such active icon 172 instead of activate button 174 is shown in association with thumbnail image 166A Although thumbnail image 166A is identified as active the data of the basal rate profile 1 or any of the other profiles in profile set 143 is not yet loaded for editing Thumbnail images 166A C provide the operator the ability to see a sim 20 25 30 35 40 45 50 55 60 65 8 plified graphical representation of the underlying profiles without actually accessing the data This simplifies the opera tor s task of locating and selecting a profile to edit during the programming operation As shown in FIG 7 when the operator activates options button 170 associated with profile 1 of 5 a profile edit dialog box 180 pops up over active area 106 At this point the data associated with profile 1 has been accessed and used to popu late dialog box 180 Profile edit dialog box 180 includes a title bar 182 that identifies the profile being edited a message area 184 that provides information and instructions to the operator a tool bar 186 a profile configuration window 188 an OK button 190 and a cancel button 192 Tool bar 186 includes a load from file button 194 a save as f
19. esented by the thumb nail image 2 The method of claim 1 wherein the file is stored in a memory location of a computing device 3 The method of claim 1 wherein the thumbnail image includes a representation of each basal rate in the profile on a graph having a time axis and a units per hour axis 4 The method of claim 3 wherein the thumbnail image further includes a total daily basal insulin value 5 The method of claim 1 wherein the file indicator includes a name of the file 6 The method ofclaim 1 wherein the fileis a configuration file including general configuration data and a plurality of basal rate profiles 7 The method of claim 1 wherein the file is an individual basal rate profile file 8 The method of claim 1 wherein the thumbnail image is displayed in a preview pane with a plurality of other thumb nail images corresponding to other basal rate profiles 9 The method of claim 8 wherein the preview pane includes a scrollbar for browsing the plurality of thumbnail images 10 The method of claim 1 wherein the generating step includes the step ofreceiving a basal insulin calculation input 11 The method of claim 10 wherein the thumbnail image represents a standardized basal rate profile modified based on the basal insulin calculation input 12 The method of claim 1 wherein the file is a profile set file including a plurality of basal rate profiles 13 A method of programming basal rate profiles for use on
20. fthe profiles contained in the profile set corresponding to the highlighted file indicator 220 As such preview pane 210 includes a scrollbar 246 to permit the operator to scroll through the thumbnail images 226 representing the profile set Again the operator can view a graphical representation of profiles without having to actually access the underlying pro file data Preview features according to the principles of the present disclosure are also provided during save functions provided by software 17 Referring again to FIG 6 after the operator has loaded and perhaps edited profile information 1 configuration file a profile set or an individual profile the operator may save that information to either a pump or a file using save settings button 120 When the operator activates save settings button 120 software 17 generates a save settings dialog box 248 as depicted in FIG 13 In one embodiment save setting dialog box 248 includes a title bar 250 a message area 252 a save to pump button 254 a save to file button 256 a save to both button 258 and a cancel button 260 Save to file button 256 permits the operator to save the currently loaded configuration file to memory 15 on computing device 12 in a conventional manner Save to pump button 254 initiates a workflow that guides the operator through the process of replacing a configuration file present on a target pump This process includes a plurality of safety features to assi
21. g a program of instructions executable by a computing device to perform method steps for programming insulin pumps the method steps including generating a first thumbnail image including a graphical representation of basal rate profile data contained in a source file without opening the source file to access the data display ing the first thumbnail image US 8 156 070 B2 13 opening the source file to access the data in response to an operator s selection of the first thumbnail image and replacing basal rate profile data contained in a target file stored on a pump with the data represented by the first thumbnail image wherein the replacing step includes the step of displaying the first thumbnail image with a second thumbnail image including a graphical representation of the basal rate data contained in the target file to permit the operator to review differences between the images 19 The medium of claim 18 wherein the method steps further include the step of providing a dialog box for editing the data represented by the first thumbnail image 20 The medium of claim 18 wherein the first thumbnail image includes a representation of twenty four hourly basal rates on a graph having a time axis and a units per hour axis 21 The medium of claim 18 wherein the method steps further include the step of displaying a file indicator with the first thumbnail image the operator s selection including selection of the file indic
22. g a configuration file FIG 7 is a screenshot of a display depicting a profile edit dialog box generated upon accessing a basal rate profile FIG 8 is a screenshot including an open profile dialog box FIG 9 is a screenshot including a copy profile dialog box FIG 10 is a screenshot including a basal options dialog box FIG 11 is a screenshot including a profile selection dialog box FIG 12 is a screenshot including an open profile set dialog box FIG 13 isa screenshot including a save settings dialog box FIG 14 is a screenshot wherein a communication status dialog box includes a comparison of information to be pro grammed on a pump and a confirm change box and FIG 15 is a screenshot including a critical change confir mation box for basal profile changes US 8 156 070 B2 5 Corresponding reference characters indicate correspond ing parts throughout the several views DETAILED DESCRIPTION The embodiments of the present teachings described below are not intended to be exhaustive or to limit the teachings to the precise forms disclosed in the following detailed descrip tion Rather the embodiments are chosen and described so that others skilled in the art may appreciate and understand the principles and practices of the present teachings It should be understood that although the concepts below are described as relating to insulin pump configuration soft ware such as the ACCU CHEK Insulin Pump Configura tion
23. g through options and controlling certain insulin delivery functions a cartridge receptacle 42 for storing an insulin cartridge 44 a battery 46 shown par tially inserted a battery cap 48 shown unsecured to pump 24 an adapter 50 for physically coupling cartridge 44 to an infusion set 52 and a communication port 53 for sending information to or receiving information from computing device 12 through dongle 26 FIG 3 provides a block diagram representation of internal components of pump 24 As shown pump 24 includes a processor 54 coupled to a display interface 56 which is coupled to display 32 Processor 54 is also coupled to a keypad interface 58 which is coupled to keys 34 36 38 40 and a pump actuator interface 62 which is coupled to an actuator 64 suitable for delivering insulin doses medical infusion pumps other than insulin pumps will deliver doses of other medicament Processor 54 is further coupled to a memory device 66 that stores application programs and data including the configuration files described herein Memory device 66 is constructed of any combination of volatile and or nonvolatile memory suitable for a particular embodiment Processor 54 is also coupled to an alert mechanism 68 that in various embodiments is a buzzer a vibrator a light emitting diode or the like suitable for providing audible tactile or visual alerts to an insulin pump user Finally processor 54 is coupled to a timer 60 which is capable
24. il image 242 Returning again to FIG 7 instead of loading a new profile using load from file button 194 or copying a profile using copy from button 198 the operator may generate and load a stan dardized profile using profile wizard button 200 When the operator activates profile wizard button 200 software 17 gen erates a basal options dialog box 229 as depicted in FIG 10 Dialog box 229 includes a title bar 231 a message area 233 a calculation options window 235 a back button 237 a next button 239 and a cancel button 241 Calculation options window 235 includes radio buttons for selecting one of a plurality of different methods for computing a total daily basal insulin value to be applied to the standardized profiles described below In the figure the radio button for entering a value directly has already been selected and the operator has entered the value 14 into text field 245 When the operator activates next button 239 software 17 generates a profile selection dialog box 247 as depicted in FIG 11 As shown in FIG 11 profile selection dialog box 247 includes a title bar 249 a message area 251 a preview pane 253 a back button 255 a finish button 257 and a cancel button 259 Preview pane 253 includes a plurality of thumb nail images only two are shown images 261 and 263 which are graphical representations of standardized profiles having basal rates that when combined remain within the previously defined total daily
25. ile button 196 a copy from button 198 and a profile wizard button 200 The basal rate profile data for a profile loaded in profile edit dialog box 180 may be modified in the manner described in co pending patent applications entitled USER INTERFACE FOR MANIPULATING GROUPS OF DATA REPRESENTA TIONS OF A GRAPHICAL DISPLAY and INSULIN PUMP CONFIGURATION PROGRAMMING INVALID SETTINGS NOTIFICATION AND CORRECTION here inafter the Invalid Settings Application the entire con tents of which are hereby expressly incorporated herein by reference The above mentioned simplification of thumbnail images can be appreciated by comparing thumbnail image 166A FIG 6 with the content of profile configuration window 188 FIG 7 As shown the X and Y axis units are larger and the basal rate profile values provided in FIG 7 are not included in thumbnail image 166A When displayed in the context of FIG 6 thumbnail image 166A does however include the daily basal insulin total associated with profile 1 As indicated by the content of tool bar 186 profile edit dialog box 180 may be used to access profiles other than the profile made active using one of activate buttons 174 of FIG 6 For example profile 1 depicted in FIG 7 may be replaced by loading another profile stored either on a pump or in memory 15 of computing device 12 For simplicity only the process for loading a profile from memory 15 of computing device 12 is described
26. incorporating the prin ciples of the present teachings has been disclosed herein above the present teachings are not limited to the disclosed embodiments Instead this application is intended to cover any variations uses or adaptations of the disclosed general principles For instance instead of having to load a profile to edit the underlying basal rate profile data other software embodiments of the teachings of the present disclosure may facilitate profile editing by manipulating the thumbnail image of the profile Further this application is intended to cover such departures from the present disclosure as come within known or customary practice in the art to which this applica tion pertains and which fall within the limits of the appended claims What is claimed is 1 A method of managing basal rate profiles for use on an insulin pump including the steps of storing a file containing data corresponding to a basal rate profile for use by an insulin pump generating a thumbnail image including a graphical repre sentation of the profile without opening the file to access the data simultaneously displaying a file indicator associated with the file and the thumbnail image determining based on the graphical representation of the thumbnail image whether to access the data and 20 25 30 35 40 45 50 55 60 12 opening the file to access the data in response to an opera tor s selection of the profile repr
27. it the operator to review differences between the images In a variation thereof the method steps further include the step of providing a dialog box for editing the data represented by the first thumbnail image In another variation the first thumbnail image includes a representation of twenty four hourly basal rates on a graph having a time axis and a units per hour axis In another variation the method steps further 20 25 30 35 40 45 50 55 60 65 4 include the step of displaying a file indicator with the first thumbnail image the operator s selection including selection of the file indicator In yet another variation the first thumb nail image is displayed in a preview pane with a plurality of other thumbnail images corresponding to other basal rate profile data In a still further variation the replacing step further includes the step of displaying a critical change con firmation dialog box including the first and second thumbnail images when a daily basal insulin total represented by the first thumbnail image is greater than a daily basal insulin total represented by the second thumbnail image In another exemplary embodiment of the present disclo sure there is disclosed a system for programming an insulin pump The system includes means for generating a first thumbnail image including a graphical representation of basal rate profile data contained in a source file The system also includes means for disp
28. k such as the Internet 20 25 30 40 45 50 55 60 65 6 System 10 is configured to provide information to and receive information from infusion pump 24 Again while an infusion pump and more particularly an insulin pump is described herein it should be understood that the teachings of the present disclosure may also apply to devices such as smart insulin pens or other such devices known or hereafter developed In FIG 1 computing device 12 is shown coupled to communication media or dongle 26 in this case a modu lated signal transceiver accessible to computing device 12 by means of cable 28 and configured to transmit and receive modulated signal 30 to establish logical communication with pump 24 In another exemplary embodiment computing device 12 and pump 24 may include ports configured to establish a physical connection By way of example and not limitation dongle 26 may include wired media such as a wired network or direct wired connection and wireless media such as acoustic RF infrared and other wireless media More specifically dongle 26 as depicted includes an infrared port for communication with a similar infrared port of pump 24 Referring now to FIG 2 pump 24 includes a display 32 for displaying information to an operator or user a menu button 34 for navigating though the various functions provided by pump 24 a check button 36 for selecting options an up key 38 and down key 40 for scrollin
29. laying the first thumbnail image without opening the source file to access the data The system also includes means for accessing the data in response to an operator s selection of the first thumbnail image The system also includes means for replacing basal rate profile data con tained in a target file stored on a pump with the data repre sented by the first thumbnail image In this embodiment the replacing means includes means for displaying the first thumbnail image with a second thumbnail image including a graphical representation ofthe basal rate data contained in the target file to permit the operator to review differences between the images BRIEF DESCRIPTION OF THE DRAWINGS The above mentioned aspects of the present teachings and the manner of obtaining them will become more apparent and the teachings will be better understood by reference to the following description of the embodiments taken in conjunc tion with the accompanying drawings wherein FIG 1 is a conceptual diagram of a computing device in communication with an insulin pump FIG 2 is perspective view of an insulin pump coupled to an infusion set FIG 3 is a block diagram of internal components of the pump of FIG 2 FIG 4 is a screenshot of a home screen displayed upon activation of software according to teachings of the present disclosure FIG 5 is a screenshot including an open file dialog box FIG 6 is a screenshot of a display generated upon activat in
30. le indicator associated with the file and the thumbnail image The method also includes the step of determining based on the graphical rep resentation ofthe thumbnail image whether to access the data Finally the method includes the step of opening the file to access the data in response to an operator s selection of the profile represented by the thumbnail image In a variation thereof the file is stored in a memory location ofa computing device In another variation the thumbnail image includes a representation of each basal rate in the profile on a graph having a time axis and a units per hour axis In an extension of this variation the thumbnail image further includes a total daily basal insulin value In another variation the file indica US 8 156 070 B2 3 tor includes a name of the file In yet another variation the file is a configuration file including general configuration data and a plurality of basal rate profiles In another variation the file is an individual basal rate profile file In yet another variation the thumbnail image is displayed in a preview pane with a plurality of other thumbnail images corresponding to other basal rate profiles In an extension of this variation the preview pane includes a scrollbar for browsing the plurality of thumbnail images In another variation of the disclosed method the generating step includes the step of receiving a basal insulin calculation input In an extension of this varia
31. other things thumbnail images 292 294 which correspond to thumbnail images 276 278 of FIG 14 respectively and a data field 296 for re entry of the new data Thumbnails 292 294 provide yet another opportunity for the operator to compare graphical representations of the current and new profiles to visually confirm that the intended changes will be made by the programming operation Box 284 also includes a confirm button 298 and a cancel button 300 Instead of requiring the operator to simply check a confirm changes box which the operator may do without carefully reviewing the parameters being changed critical change con firmation box 284 requires the operator to type the new data value exactly as it is shown in data window 290 and activate confirm button 298 to approve the change In this example the operator types 19 9 into data field 296 and activates con firm button 298 to proceed with the remainder ofthe program ming operation As is described above save setting dialog box 248 facili tates saving an entire configuration file In an alternate embodiment a save settings dialog box as disclosed in the Selectively Modifying Application is used which permits saving configuration files profile sets or individual profiles to a pump The principles of the present thumbnail image preview features may also be implemented in the processes for programming profile sets or individual profiles described therein While an exemplary embodiment
32. rofile or saves the unedited profile directly to the pump In the process of replacing or editing a pump profile the operator must take care in avoiding any inadvertent changes as unintentional modifications to insulin delivery parameters may directly affect the health of the user Under delivery of insulin may result in hyperglycemia high blood glucose lev els which may increase the risk of infection and if persistent for long periods may cause damage to the retinas and kid neys and nerve damage Over delivery of insulin may imme diately lead to hypoglycemia which may result in seizures unconsciousness and other highly undesirable manifesta tions of low blood glucose levels Accordingly conventional programming software incorporates safety features that prompt the operator to review the proposed modifications to pump profiles before the pump is programmed As illustrated by the above described characteristics insu lin pump basal rate profile programming may be a relatively time consuming complicated and error prone task which if performed incorrectly may lead to serious health risks for the pump user Accordingly pump programming software should be designed to simplify to the extent possible the program ming processes while simultaneously incorporating safety measures to prevent operators from inadvertently program ming a pump with parameter settings that may harm the user or adversely affect the operation of the pump Fe
33. st the operator in avoiding errors during programming as are more fully described in the Invalid Settings Application and co pending patent application entitled INSULIN PUMP PRO GRAMMING SOFTWARE FOR SELECTIVELY MODI FYING CONFIGURATION DATA hereinafter the Selectively Modifying Application the entire contents of which are hereby expressly incorporated herein by reference The following description primarily addresses only the thumbnail image preview features associated with the save to pump process When the operator activates save to pump button 254 software 17 causes computing device 12 to communicate with pump 24 and ultimately generates a communications status dialog box 262 as depicted in FIG 14 Dialog box 262 includes title bar 264 message area 266 status window 268 back button 270 next button 272 and cancel button 274 As fully described in the Selectively Modifying Application status window 268 includes a variety of different kinds of information to assist the operator in determining that the intended changes will be made to the configuration file stored on pump 24 In general status window 268 provides the operator with a summary of the changes that will be made to the pump configuration file upon completion of the program ming operation When a change is to be made to one or more profiles stored on pump 24 status window 268 provides at least one thumbnail image 276 of the profile currently resid ing on pump
34. ted profile by highlighting the appropriate file indicator 220 which automatically populates file name area US 8 156 070 B2 9 222 and activating OK button 212 or by double clicking file indicator 220 The newly selected profile will then populate profile edit dialog box 180 and may be edited or saved in the manner described herein Returning back to FIG 7 instead of loading a new profile using load from file button 194 the operator may copy a predefined basal rate profile using copy from button 198 When the operator activates copy from button 198 software 17 generates a copy profile dialog box 228 as depicted in FIG 9 Dialog box 228 includes a title bar 230 a message area 232 a preview pane 234 a copy button 236 and a cancel button 238 Preview pane 234 includes a plurality of file indicators 240 and associated thumbnail images 242 each pair corre sponding to a profile stored in memory 15 of computing device 12 The operator can browse using scrollbar 243 through the various thumbnail images 242 to located a desired profile without having to load the file and access the under lying data When the operator locates a thumbnail image 242 that graphically represents the profile data desired by the operator the operator may replace the currently active profile in profile edit dialog box 180 with the desired profile data by highlighting the selected thumbnail image 242 and activating copy button 236 or by double clicking thumbna
35. the various parameters that affect the pump s operation In particular it is commonly necessary to make adjustments to the basal rate profiles stored in a user s pump As multiple profiles 1 profile sets are typically stored in a pump as mentioned above the operator may need to review the data for each of the profiles to decide which profile s require modification Sometimes a single profile requires modification Other times entire profile sets require modifi cation To determine which profiles must be changed on a user s pump the operator using conventional programming software activates each profile by accessing the file contain ing the underlying basal rate profile data and views the data in a tabular or graphical format The above mentioned profile modifications may be accomplished by replacing a profile or set of profiles existing on a pump with profiles or edited versions of profiles exist ing in source files stored on the computing device An opera tor such as a health care provider may use a computing device that stores many such source files Accordingly the operator using conventional programming software must continue to access the various source files to view the under lying data until the operator identifies a source file containing 20 25 30 35 40 45 50 55 60 65 2 the desired profile The operator then either edits the profile before using it as a replacement for an existing pump p
36. tion the thumbnail image represents a standardized basal rate profile modified based on the basal insulin calculation input In another variation the file is a profile set file including a plurality of basal rate profiles In another exemplary embodiment of the present disclo sure there is disclosed a method of programming basal rate profiles for use on an insulin pump The method includes the step of retrieving a source file including data corresponding to a first basal rate profile for use by an insulin pump The method further includes the step of generating a first thumb nail image including a graphical representation of the first profile The method further includes the step of replacing a target file on an insulin pump corresponding to a second basal rate profile with the source file In this embodiment the replacing step includes the step of displaying the first thumb nail image with a second thumbnail image including a graphi cal representation of the second profile to permit an operator to review differences between the images and provide an input confirming a desire to complete the replacing step In a variation thereof the method further includes the step of modifying the source file In another variation the replacing step further includes the step of displaying a critical change confirmation dialog box including the first and second thumb nail images when a daily basal insulin total corresponding to the first profile is greater
37. when the operator activates open file button 138 start up dialog box 132 in active window 106 is replaced by open settings file dialog box 144 Open settings file dialog box 144 includes a title bar 146 which describes the operation being performed a message area 148 which pro vides instructions to the operator for performing the opera tion a file selection window 150 an OK button 152 and a cancel button 154 File selection window 150 includes a file location area 156 for defining a folder location of files using a conventional tree structure a file information area 158 that provides information including file indicators 163 about the files in the folder selected using file location area 156 a file name area 160 that includes the name of a file selected from file information area 158 and a file type area 162 for limiting in a conventional manner the types of files in the currently selected folder to be displayed in the file information area 158 In this example the operator selects a configuration file named Source File 1 360CONF hereinafter Source File 1 and activates OK button 152 After Source File 1 is retrieved from memory 15 of computing device 12 the opera tor is provided information in active window 106 regarding the basal rate profiles included in Source File 1 as depicted in FIG 6 Inthe depicted context active window 106 includes a title bar 164 that identifies Source File 1 as the active configuration file
38. y contain the software 17 ofthe present disclosure and data 19 as is further described herein While described and depicted herein with specific reference to a computer certain concepts of the present disclosure may be utilized in conjunction with any computing device capable of operating pump programming software Computing device 12 also has a pointing device or mouse 20 connected to it by cable 22 or wirelessly While mouse 20 and keyboard 16 are shown system 10 may include any input device such as a touchpad joystick touch screen trackball etc Computing device 12 may include a variety of computer readable media Computer readable media can be any avail able media that can be accessed by computing device 12 and includes both volatile and non volatile media and removable and non removable media By way of example and not limi tation computer readable media may comprise computer storage media and communication media Storage media includes but is not limited to RAM ROM EEPROM flash memory or other memory technology CD ROM Digital Ver satile Disk DVD or other optical disk storage magnetic cassettes magnetic tape magnetic disk storage or other mag netic storage devices or any other medium which can be used to store computer readable instructions software data struc tures program modules and other data and which can be accessed by computing device 12 Computer readable media may be accessed directly or through a networ
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