Air detection system and method for detecting air in a pump of an infusion system

Information

  • Patent Grant
  • 11933650
  • Patent Number
    11,933,650
  • Date Filed
    Friday, July 1, 2022
    2 years ago
  • Date Issued
    Tuesday, March 19, 2024
    8 months ago
Abstract
Various systems and methods for detecting air in a chamber of an infusion system are disclosed. In one embodiment, a determination is made that air is contained in the chamber on the basis of a change in the average force exerted against the plunger utilizing a derivative spike for event detection and a systematic reduction in the average force to confirm the nature of the change. In another embodiment, a determination is made that the chamber contains air when a difference between the current force profile and a baseline force profile crosses a threshold. In an additional embodiment, a force profile is classified as being an air force profile or a liquid force profile based on extracted features of the force profile.
Description
BACKGROUND OF THE INVENTION
Field of the Invention

The disclosure relates to systems and methods for detecting air in an infusion system.


Description of the Related Art

Existing systems and methods for detecting air in the line of an infusion device generally involve the use of ultrasonic sensors that detect the open circuit caused when air fills the volume between two sensor pairs. When the air sensor signal moves beyond a pre-defined air/fluid threshold, an alarm condition occurs and IV infusion is paused. Unfortunately, a variety of situations exist which either mask the presence of air, leading to false negatives, or generate false alarms. Fundamentally, this problem occurs because a single sensor with a univariate signal is applied to a relatively complex problem with multiple dimensions.


A system and method is needed which more accurately detects air in the line of an infusion device.


SUMMARY OF THE INVENTION

In one embodiment of the disclosure, a method for detecting air in a chamber of an infusion system is disclosed. In one step, a plunger is moved against a chamber containing fluid with an actuator device. In another step, a force acting on the plunger, as it moves against the chamber, is detected with a sensor. In an additional step, a measurement of the force acting on the plunger is electronically communicated from the sensor to a processor. In yet another step, a determination is made, with the processor, that the chamber contains air when: (1) a trigger event occurs in which a change in the force exceeds a threshold; and (2) subsequent to the trigger event a differential between a baseline average force acting on the plunger and a current average force acting on the plunger exceeds an expected force differential within a defined delay range.


In another embodiment of the disclosure, a method for detecting air in a chamber of an infusion system is disclosed. In one step, a plunger is moved against a chamber containing fluid with an actuator device. In another step, a force acting on the plunger, as it moves against the chamber, is detected with a sensor. In an additional step, a measurement of the force acting on the plunger is electronically communicated from the sensor to a processor. In yet another step, the processor is used to determine: (1) a baseline force profile; (2) a current force profile representing the current force acting on the plunger against the chamber; (3) a difference between the current force profile and the baseline force profile; and (4) that the chamber contains air when the calculated difference crosses a threshold.


In still another embodiment of the disclosure, a method for detecting air in a chamber of an infusion system is disclosed. In one step, a plunger is moved against a chamber containing fluid using an actuator device. In another step, a force acting on the plunger, as it moves against the chamber, is detected with a sensor. In yet another step, a measurement of the force acting on the plunger is electronically communicated from the sensor to a processor. In another step, the processor is used to: (1) preprocess a force profile detected by the sensor; (2) extract features from the force profile; and (3) classify the force profile as being an air force profile or a liquid force profile based on the extracted features of the force profile.


These and other features, aspects and advantages of the disclosure will become better understood with reference to the following drawings, description and claims.





BRIEF DESCRIPTION OF THE DRAWINGS


FIG. 1 illustrates a block diagram of a drug delivery infusion system under one embodiment of the disclosure;



FIG. 2 illustrates a graph plotting a plunger sensor force curve per volume of fluid delivered;



FIG. 3 illustrates a corresponding graph to FIG. 2 plotting a plunger sensor force negative derivative curve per volume of fluid delivered;



FIG. 4 illustrates a corresponding graph to FIGS. 2 and 3 plotting an in-line sensor ADC curve per volume of fluid delivered;



FIG. 5 illustrates one embodiment of a method, comprising a continuous flow chart, under the disclosure for determining whether air is contained in a chamber of a pump;



FIG. 6 illustrates a graph plotting, for a representative example, an average plunger sensor force curve, a plunger sensor force derivative curve, a baseline, a derivative threshold, a defined baseline range, an expected force differential Li, and a/:::,. delay point threshold;



FIG. 7 illustrates a flowchart for one embodiment of a method for detecting air in a chamber of an infusion system;



FIG. 8 illustrates a representative graph for one embodiment plotting a force sensor profile for a liquid curve and an air curve;



FIG. 9 illustrates a representative graph for one embodiment of a principal component analysis (PCA) which was done on a plunger force profile;



FIG. 10 illustrates a representative graph for one embodiment plotting a plunger force profile;



FIG. 11 illustrates a representative graph for one embodiment plotting a liquid plunger force curve and an air plunger force curve;



FIG. 12 illustrates a representative graph for one embodiment plotting, at an infusion rate of 20 ml/hour, the distribution of the maximum absolute difference between a reference plunger force profile and subsequent profiles comprising an air curve and a liquid curve;



FIG. 13 illustrates a representative graph for one embodiment plotting, at an infusion rate of 550 ml/hour the distribution of the maximum absolute difference between a reference plunger force profile and subsequent profiles comprising an air curve and a liquid curve;



FIG. 14 illustrates a representative graph for one embodiment plotting, at an infusion rate of 20 ml/hr, an air plot and a liquid plot;



FIG. 15 illustrates one embodiment of a method, comprising a continuous flow chart, under the disclosure for determining whether air is contained in a chamber of a pump;



FIG. 16 illustrates a continuation of the flow chart of FIG. 15;



FIG. 17 illustrates a representative graph for one embodiment plotting a force sensor profile;



FIG. 18 illustrates a graph plotting for each cycle of the plunger of FIG. 17 six respective difference points representing the measured differences between a baseline, comprising liquid being in the chamber, and the corresponding points of each respective cycle of the plunger;



FIG. 19 illustrates a graph plotting the first six full cycles of the force sensor profile of FIG. 17;



FIG. 20 illustrates a graph plotting for each of the first six full cycles of the plunger of FIG. 18 six respective difference points representing the measured differences between a baseline, comprising liquid being in the chamber, and the corresponding points of each respective cycle of the plunger;



FIG. 21 illustrates a graph plotting the forty-second through forty-fifth cycles of the force sensor profile of FIG. 17;



FIG. 22 illustrates a graph plotting for the forty-second through forty-fifth cycles of the plunger of FIG. 18 six respective difference points representing the measured differences between a baseline, comprising liquid being in the chamber, and the corresponding points of each respective cycle of the plunger;



FIG. 23 illustrates a flowchart for one embodiment of a method for detecting air in a chamber of an infusion system;



FIG. 24 illustrates one embodiment of a method, comprising a continuous flow chart, for determining whether air is contained in a chamber of a pump based upon a shape of the plunger force profile;



FIG. 25 illustrates a graph plotting air sensor data comprising representative points for each of fluid, air, and a transition;



FIG. 26 illustrates a graph plotting average force profiles on the plunger corresponding to the embodiment of FIG. 28 for each of fluid, air, and a transition;



FIG. 27 illustrates a graph plotting derivatives of the force profiles on the plunger corresponding to the embodiment of FIGS. 26 and 28 for each of fluid, air, and a transition;



FIG. 28 illustrates a graph applying a principal component analysis plotting representative points at an infusion rate of 2 milliliters per hour;



FIG. 29 illustrates a graph plotting air sensor data comprising representative points for each of fluid, air, and a transition;



FIG. 30 illustrates a graph plotting average force profiles on the plunger corresponding to the embodiment of FIG. 32 for each of fluid, air, and a transition;



FIG. 31 illustrates a graph plotting derivatives of the force profiles on the plunger corresponding to the embodiment of FIGS. 30 and 32 for each of fluid, air, and a transition;



FIG. 32 illustrates a graph applying a principal component analysis plotting representative points at an infusion rate of 1,000 milliliters per hour;



FIG. 33 illustrates a flowchart for one embodiment of a method for detecting air in a chamber of an infusion system; and



FIG. 34 illustrates a flowchart of a Bayesian network showing a combination of algorithm sensors and a priori information which may be used to produce an indication of air-in-line or air in a chamber.





DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT

The following detailed description is of the best currently contemplated modes of carrying out the disclosure. The description is not to be taken in a limiting sense, but is made merely for the purpose of illustrating the general principles of the disclosure, since the scope of the disclosure is best defined by the appended claims. It is noted that the Figures are purely for illustrative purposes and are not to scale.


The instant disclosure provides methods and apparatus for determining whether air is present in an infusion system. Several types of pumps, such as Symbiq™ Plum™, and Gemstar™ pumps sold by Hospira, Inc., involve the use of a cassette with a chamber that is compressed by an actuated plunger to pump fluid at a controlled rate from the drug container to the patient. The chamber is surrounded by valves which open and close in a complimentary manner to ensure unidirectional flow. The measured force during a pumping cycle is directly related to the type of fluid in the chamber. Fluids are relatively incompressible and generate a higher and different force profile than air. Similarly, a combination of fluid and air in the chamber results in a hybrid shape profile which is indicative of the mixture percentages of both fluid and air. The instant disclosure discloses algorithms for utilizing the plunger force to detect the presence of air in the chamber to detect an air embolism prior to its infusion into a patient.


In one embodiment of the disclosure, an event detection algorithm is disclosed which determines a change from fluid to air in the pumping chamber on the basis of a change in the average force exerted against the plunger. The algorithm utilizes a derivative spike for event detection and a systematic reduction in the average force to confirm the nature of the change.


In another embodiment of the disclosure, a pattern recognition system/method is provided for recognizing fluid, air, or a mixture thereof in a pumping chamber. The system normalizes the force signal/profile acting on the plunger against the chamber to a baseline. The system then preprocesses the force signal/profile to smooth and re-samples the x-axis to a standard sampling interval with respect to plunger position. The system then extracts features such as the maximum absolute difference between the baseline and each subsequent force profile, or other types of features. The system then classifies the force profile as being air, fluid, or a combination thereof using linear discriminate analysis or another type of analysis system/method.


In still another embodiment of the disclosure, a varied pattern recognition system/method is provided for recognizing fluid, air, or a mixture thereof in a pumping chamber. The system, without normalizing to a baseline, preprocesses the force signal/profile acting on the plunger against the chamber by applying a low pass filter or by applying another type of preprocessing system/method. The system then extracts features from the entire force profile or a subset thereof such as the signal frequency content, the signal phase, the standard deviation or variance, the maximum, the range, the plunger position of critical points, the scores based on a principal component analysis, or extracts other types of features. The system then classifies the force profile as being air, fluid, or a combination thereof using linear discriminate analysis, k-nearest neighbor, support vector machines, or another type of analysis system/method.


One or more systems/methods of the disclosure include components that are optimized/customized according to a delivery rate of the fluid within the pumping chamber. Some of the existing algorithms fail to account for the profound impact of delivery rate on the observed plunger sensor force profile and the detection electronics. One or more systems/methods of the disclosure provide normalization or clustering states that reduce this impact and thereby improve sensitivity.


One or more systems/methods of the disclosure may be combined with any existing systems/methods for detecting air in an infusion system to improve the reliability of air detection systems. For instance, many current systems/methods use acoustic or ultrasonic sensors to detect the presence of air in tubing segments. However, these systems/methods often do not consider the possibility of an acoustic short circuit or a bubble that is stuck or repetitively passes in front of the sensor. Many systems/methods rely on a single air ultrasonic sensor with a fixed threshold which separates the air sensor signal into two regions representing air and fluid. When a voltage is measured that is within the air signal region, the volume of air represented by the signal is accumulated until an alarm condition is met. The disclosure allows for the combination of the output of a force sensor signal with one or more air sensors to improve the reliability of existing air detection systems/methods. In doing so, the disclosed system/method does not require additional hardware modifications but instead leverages the acquired force signal. Additionally, the disclosure does not necessarily require the replacement of existing software modules for air detection but adds an additional safety and/or reliability layer to improve the robustness of existing air detection systems and methods.



FIG. 1 illustrates a block diagram of a drug delivery infusion system 100 under one embodiment of the disclosure. The drug delivery infusion system 100 comprises: a fluid supply container 102; a fluid delivery line 104; an air sensor 105 connected to the fluid delivery line 104; a pump 106 comprising a plunger 107 moveably disposed against a chamber 108; an actuator device 109; a sensor 110; a positional sensor 112; a processing device 114; a nontransient memory 116 storing programming code 118; a clock 120; an alarm 122; an input/output device 124; and a delivery/extraction device 126. The drug delivery infusion system 100 may comprise a drug delivery infusion system such as the Plum A+™, Gemstar™, Symbiq™, or other type of drug delivery infusion system. The fluid supply container 102 comprises a container for delivering fluid such as IV fluid or a drug to the patient 128 through the chamber 108 due to movement of the plunger 107 against the chamber 108. The fluid delivery line 104 comprises one or more tubes, connected between the fluid supply container 102, the pump 106, and the delivery/extraction device 126, for transporting fluid from the fluid supply container 102, through the pump 106, through the delivery/extraction device 126 to the patient 128. The fluid delivery line 104 may also be used to transport blood, extracted from the patient 128 using the delivery/extraction device 126, as a result of a pumping action of the pump 106. The pump 106 comprises a pump for pumping fluid from the supply container 102 or for pumping blood from the patient 128.


The pump 106 may comprise a plunger based pump, a peristaltic pump, or another type of pump. The chamber 108 comprises an inner cavity of the pump 106 into which fluid from the fluid supply container 102 is pumped into and through due to the moveably disposed plunger 107 moving against the chamber 108 as a result of the actuator device 109. The actuator device 109 may comprise a motor or another type of actuating device for moving the plunger 107 against the chamber 108. The sensor 110 is contained within the chamber 108 and detects the force acting on the plunger 107 as it moves against the chamber 108. The sensor 110 may comprise a force sensor signal comprising a pressure sensor, an elastic column, a strain gauge, or a piezoelectric crystal force transducer. The positional sensor 112 is used to determine a position of the plunger 107 against the chamber 108. The positional sensor 112 may comprise an encoder or may utilize the expected position based upon the commands sent to the actuator.


The processing device 114 is in electronic communication with the pump 106, the actuator device 109, the sensor 110, the positional sensor 112, the non-transient memory 116 storing the programming code 118, the clock 120, the alarm 122, and the input/output device 124. The processing device 114 comprises a processor for processing information received from the pump 106, the sensor 110, the positional sensor 112, and the clock 120, and for executing a software algorithm, contained in the programming code 118 stored in the nontransient memory 116, to determine if air, liquid (fluid), or a combination thereof is located in the chamber 108 of the pump 106. The non-transient memory 116 may be located within or outside of the processing device 114.


The clock 120 keeps time of activities of the drug delivery infusion system 100 including the plunger 107, the sensor 110, the positional sensor 112, and its other components. The alarm 122, when triggered by the processing device 114, is configured to notify the clinician as to the presence of air in the chamber 108, and to stop the pump 106 prior to an air embolism being delivered through the fluid delivery line 104 and the delivery/extraction device 126 to the patient 128. The input/output device 124 comprises a device which allows a clinician to input information, such as a user-inputted medication infusion program, to the processing device 114, and which also outputs information to the clinician. The delivery/extraction device 126 comprises a patient vascular access point device for delivering fluid from the fluid supply container 102 to the patient 128, or for extracting blood from the patient 128. The delivery/extraction device 126 may comprise a needle, a catheter, or another type of delivery/extraction device.


In one embodiment of the disclosure, the drug delivery infusion system 100 of FIG. 1 may determine when air is present in the chamber 108 by analyzing the force on the plunger 107 and the derivative of the force acting on the plunger 107 per delivered volume of the fluid or air exiting the chamber 108. This is because it has been discovered that when air reaches the chamber 108, the derivative force acting on the plunger 107 per the delivered volume of the fluid exiting the chamber 108 spikes in the downward direction and then returns to a baseline value, and that the average force on the plunger 107 then proceeds to drop slightly as the chamber 108 fills with air. To process this information, six data points per cycle of the plunger 107 may be gathered. In other embodiments, a varying number of data points per cycle of the plunger 107 may be gathered.


Corresponding FIGS. 2-4 illustrate typical data for one embodiment of a single iteration and end-of-bag event in which air is discovered in the chamber of FIG. 1. FIG. 2 illustrates a graph plotting a plunger sensor force curve 125 per volume of fluid delivered. The Y-axis represents pounds of force on the plunger detected by a plunger force sensor and the X-axis represents volume in milliliters of the fluid delivered from the chamber. FIG. 3 illustrates a corresponding graph to FIG. 2 plotting a plunger sensor force negative derivative curve 127 per volume of fluid delivered. The Y-axis represents a derivative of the average force on the plunger of FIG. 2 in pounds per unit volume and the X-axis represents volume in milliliters of the fluid delivered from the chamber. FIG. 4 illustrates a corresponding graph to FIGS. 2 and 3 plotting an in-line air sensor ADC curve 129 per volume of fluid delivered. The Y-axis represents an ADC count (also referred to as Analog-to-Digital-Count) of the fluid in-line as detected by an air sensor and the X-axis represents volume in milliliters of the fluid delivered from the chamber. As illustrated by FIG. 3, the transition from fluid to air occurs at the point in volume where the derivative of the force on the plunger spikes at location 130. As illustrated by FIG. 2, the force on the plunger drops at this same location 130. As illustrated by FIG. 4, the ADC count dramatically increases at this same location 130.



FIG. 5 illustrates one embodiment of a method 132, comprising a continuous flow chart, under the disclosure for determining whether air is contained in a chamber of a pump. The method 132 may be implemented using the drug delivery infusion system 100 of FIG. 1 with the plunger being moved with the actuator device against the chamber containing fluid, the sensor detecting a force acting on the plunger as it moves against the chamber, the processor processing the force measurements taken by the sensor and implementing programming code stored in a non-transient memory in order to determine whether air is contained in the chamber using the algorithm set forth in method 132, and the alarm being turned on if the processor determines that air is contained in the chamber which may trigger the pump being shut down. Moreover, the method 132 may utilize the clock of the drug delivery infusion system 100 of FIG. 1 to keep time of activities of the plunger or the sensor, and may use the positional sensor to determine a position of the plunger. In other embodiments, the method 132 may utilize varying components to implement the method.


In step 134, the method starts. After step 134, in step 136 a determination is made as to whether the end-of-bag (EOB), or equivalent situation in which the chamber contains air, has been detected. If the answer to the determination in step 136 is ‘yes’ and the end of the bag has been detected, the method proceeds to step 138 and an end-of-bag alarm is turned on to indicate that air is in the chamber. This end-of-bag (EOB) event may pause the pump infusion or be used by another algorithm to qualify an air-in-line alarm. If the answer to the determination in step 136 is ‘no’ and the end of the bag has not been detected, the method proceeds to step 140 in which a determination is made as to whether there is a previously confirmed peak. If the answer to the determination in step 140 is ‘yes’ and there is a confirmed peak, the method proceeds to step 142 which is discussed more thoroughly below. If the answer to the determination in step 140 is ‘no’ and there is not a previously confirmed peak, the method proceeds to step 144 in which a determination is made as to whether a trigger event has occurred in which the current negative derivative (of the average force) D(i) of the force of the plunger per delivered volume of the fluid exiting the chamber exceeds a derivative threshold Dth which indicates the beginning of a possible end-of-bag (EOB) event signifying that air may have entered the chamber. It should be noted that variable i is initially set to 1. The derivative threshold Dth is flow dependent. The derivative threshold Dth may be set to 1.5 for a flow rate of the fluid below 200 milliliters per hour and to 3.0 for a flow rate of the fluid above 200 milliliters per hour. In other embodiments, the derivative threshold Dth may be varied as a direct function of flow rate.


If the answer to the determination in step 144 is ‘no,’ the method proceeds to step 146, increments variable i using the equation i=i+1, and then proceeds back to and repeats step 136. If the answer to the determination in step 144 is ‘yes,’ the method proceeds to step 148 and increments variable P using the equation P=P+1. It should be noted that variable P is initially set to 0. After step 148, the method proceeds to step 150 in which a determination is made as to whether variable P is greater than the consecutive point threshold Pth. In one embodiment, the consecutive point threshold Pth is set to 1. In other embodiments, the consecutive point threshold Pth may be varied. The consecutive point threshold Pth represents one less than the number of consecutive points P that the current negative derivative (average) D(i) of the force of the plunger versus volume of the fluid delivered must exceed a derivative threshold Dth in order to indicate a possible end-of-bag (EOB) event signifying that air may be in the chamber. If the answer to the determination in step 150 is ‘no,’ the method proceeds to step 146, increments i applying the equation i=i+1, and then proceeds back to and repeats step 136. If the answer to the determination in step 150 is ‘yes,’ the method proceeds to step 152 in which the peak is confirmed, and a baseline B is taken.


The baseline B represents the average force during infusion when the chamber is filled with fluid. In one embodiment, the baseline B comprises the average force acting on the plunger over a defined baseline range occurring up to the trigger event. In one embodiment, the defined baseline range comprises the immediately previous 100 micro liters of average force data on the plunger taken immediately previous and up to the trigger event. In one embodiment, the baseline range may comprise multiple cycles of average force data. In other embodiments, the baseline range may vary. The trigger event comprises the point at which the negative derivative force D(i) acting on the plunger per the delivered volume of the fluid exiting the chamber first exceeds the derivative threshold Dth so long as subsequently the number of consecutive measured points P of the cycle of the plunger from the trigger event, in which the negative derivative force D(i) acting on the plunger per the delivered volume of the fluid exiting the chamber continues to exceed the derivative threshold Dth, exceeds the consecutive point threshold Pth. In other embodiments, the trigger event may vary. After step 152, the method proceeds to step 146, increments variable i using the equation i=i+1, and then proceeds back to and repeats step 136.


As referred to earlier, if the answer to the determination in step 140 is ‘yes’ and there is a confirmed peak, the method proceeds to step 142 and increments the delay points DP using the equation delay points=delay points+1. The delay points are initially set to zero. The delay points represent the number of data points taken of the cycle of the plunger since the confirmed peak. After step 142, the method proceeds to step 154 and makes a determination as to whether the differential between the baseline B and the current average force σ(i) is greater than the expected force differential Δ The current average force σ(i) comprises the current average force on the plunger taken over a certain number of points of the cycle up to the current point of the plunger. In one embodiment, the current average force on the plunger may be calculated based on two cycles of the plunger immediately preceding and up to the current point of the plunger. In other embodiments, the current average force on the plunger may be taken over a varied range. In one embodiment, the expected force differential Δ comprises 0.15 pounds of force. In other embodiments, the expected force differential Δ may vary.


If the answer to the determination in step 154 is ‘yes,’ the method proceeds to step 156, confirms that an end-of-bag (EOB) or equivalent event has occurred, and proceeds through steps 146, 136, and 138 to turn on the end-of-bag alarm to indicate that air is in the chamber. This end-of-bag (EOB) event may turn off the pump. If the answer to the determination in step 154 is ‘no,’ the method proceeds to step 158 and makes a determination as to whether the delay points DP are greater than Δ delay point threshold. The Δ delay point threshold comprises a defined delay range, starting from the point of the trigger event, over which the differential between the baseline B and the current average force σ(i) must exceed the expected force differential Δ in order to determine that an end-of-bag (EOB) event has occurred. In one embodiment, the Δ delay point threshold comprises 200 micro liters of delivered fluid. In other embodiments, the Δ delay point threshold may vary.


If the answer to the determination in step 158 is ‘no,’ the method proceeds to step 146, increments variable i using the equation i=i+1, and then proceeds back to and repeats step 136. If the answer to the determination in step 158 is ‘yes,’ the method proceeds to step 160, determines that there is no confirmed peak, determines that there is no end-of-bag (EOB) event, resets the delay points DP to zero, proceeds to step 146, increments variable i using the equation i=i+1, and then proceeds back to and repeats step 136. In other embodiments, one or more steps of the method 132 may be modified, not followed, or one or more additional steps may be added. Moreover, any of the variables of method 132 may be either user set, using an input device, or preset into the processor.



FIG. 6 illustrates a graph plotting, for a representative example, an average plunger sensor force curve 162, a plunger sensor force (negative) derivative curve 164, a baseline 166, a derivative threshold 168, a defined baseline range 170, an expected force differential Δ 172, and a Δ delay point threshold 174. The right-most Y-axis represents average pounds of force on the plunger detected by a plunger force sensor, the left-most Y-axis represents a derivative (average) of the force on the plunger of FIG. 2 in pounds per milliliter, and the X-axis represents volume in milliliters of the fluid delivered from the chamber. The average plunger sensor force curve 162 comprises the average force delivered with each circle representing a measured point of the cycle of the plunger with measured data point 1 being the first circle shown in the graph. The plunger sensor force derivative curve 164 comprises the derivative force per volume delivered with each triangle representing a measured point of the cycle of the plunger with measured derivative data point 1 being the first derivative triangle shown in the graph. The baseline 166 comprises a horizontal line 166. The derivative threshold 168 comprises a horizontal line. The defined baseline range 170 comprises a horizontal distance which in this example is 100 micro liters. The expected force differential Δ 172 comprises a vertical distance. The Δ delay point threshold 174 comprises a horizontal distance which in this example is 200 micro liters.


The method of FIG. 5 may be applied to the example of FIG. 6 as follows to determine if air is contained in the chamber. In step 134, the method starts. The method then proceeds to step 136 and a determination is made that the end-of-bag (EOB) has not been detected for measured point i=1. The method then proceeds to step 140 and a determination is made that there is not a confirmed peak for measured point i=1. The method then proceeds to step 144 and a determination is made that the derivative for measured point i=1 has not exceeded the derivative threshold. The method then proceeds to step 146, increments variable i, and the method then repeats step 136. The method continues to loop in the same manner until a determination is made in step 144 that the derivative for measured point i=17 exceeds the derivative threshold. The method then proceeds to step 148 and increments variable P from 0 to 1. The method then proceeds to step 150 and determines that variable P which currently equals 1 is not greater than the consecutive point threshold Pth of 1. The method then proceeds to step 146, increments i to 18, and repeats steps 136, 140, and 144. In step 144, a determination in is made that the derivative of measured point i=18 exceeds the derivative threshold. The method then proceeds to step 148 and increments variable P from 1 to 2. The method then proceeds to step 150 and determines that variable P which currently equals 2 is greater than the consecutive point threshold Pth of 1 The method then proceeds to step 152, confirms a peak, and takes a baseline B for the baseline range of 100 micro liters of average force data immediately prior to and up to measured point i=17 which is the trigger event. The method then proceeds to step 146, increments variable i to 19 and proceeds back to and repeats step 136.


In step 136, a determination is made that the end-of-bag (EOB) has not been detected for measured point 19. The method then proceeds to step 140 and determines that there is a confirmed peak for measured point i=19. The method then proceeds to step 142 and increments the delay points DP to 1. The method then proceeds to step 154 and determines that the differential between the baseline B and the current average force σ(i) for measured point i=19 is not greater than the expected force differential Δ The method then proceeds to step 158 and determines that the delay points DP of 1 is not greater than the Δ delay point threshold comprising the number of measured points in the cycle of the plunger, starting from the trigger event, within 200 micro liters of fluid delivered from the chamber. The method then proceeds to step 146, increments i and proceeds back to and repeats step 136. The method continues to loop through steps 136, 140, 142, and 154 until it is determined in step 154 that the differential between the baseline B and the current average force σ(i) for measured point i=23 is greater than the expected force differential Δ The method then proceeds to step 156, confirms that an end-of-bag (EOB) event has occurred, and proceeds through steps 146, 136, and 138 to turn on the end-of-bag alarm to indicate that air is in the chamber. The end-of-bag alarm being turned on may further comprise pausing the infusion.


The method of FIG. 5 was implemented to analyze 472 data sets for a variety of flow rates. The testing resulted in no false positive determinations of air being in the chamber and only one occurrence of a false negative which only equated to 0.2% of the sets resulting in an incorrect result.



FIG. 7 illustrates a flowchart for one embodiment of a method 180 for detecting air in a chamber of an infusion system. The method 180 may be implemented using the drug delivery infusion system 100 of FIG. 1 with the plunger being moved with the actuator device against the chamber containing fluid, the sensor detecting a force acting on the plunger as it moves against the chamber, the processor processing the force measurements taken by the sensor and implementing programming code stored in a non-transient memory in order to determine whether air is contained in the chamber using the algorithm set forth in method 180, and the alarm being turned on if the processor determines that air is contained in the chamber which may trigger the pump being shut down. Moreover, the method 180 may utilize the clock of the drug delivery infusion system 100 of FIG. 1 to keep time of activities of the plunger or the sensor, and may use the positional sensor to determine a position of the plunger, with each being in electronic communication with the processor. In other embodiments, the method 180 may utilize varying components to implement the method.


In step 182 a plunger is moved with an actuator device against a chamber containing fluid. In step 184 a force acting on the plunger is detected with a sensor as the plunger moves against the chamber. In step 186 a measurement of the force is electronically communicated from the sensor to a processor. In step 187 a determination is made, with the processor, that the chamber contains air when: (1) a trigger event occurs in which a change in force acting on the plunger per delivered volume of the fluid exiting the chamber exceeds a threshold; and (2) subsequent to the trigger event a differential between a baseline average force acting on the plunger and a current average force acting on the plunger exceeds an expected force differential within a defined delay range. In step 188 the processor turns on an alarm when the processor determines that the chamber contains the air. Step 188 may further comprise shutting down the pump when the alarm is turned on.


In one embodiment of step 187 step (1), which must occur for the processor to determine that the chamber contains air, may further comprise for a consecutive number of measured points of a cycle of the plunger from the trigger event the derivative force acting on the plunger per the delivered volume of the fluid exiting the chamber continuing to exceed the derivative threshold for more than a threshold number of the measured points of the cycle of the plunger against the chamber. In one embodiment of step 187 the baseline average force of step (2) may comprise the average force acting on the plunger over a defined baseline range occurring up to the trigger event. The baseline average force may further represent the chamber being filled with the fluid. In other embodiments, any of the steps of method 180 may be altered, not followed, or additional steps may be added.


In another embodiment of the disclosure, the drug delivery infusion system 100 of FIG. 1 may determine when air is present in the chamber 108 by analyzing a shape of the force profile on the plunger 107 and determining that air is contained in the chamber 108 when the shape of the force profile on the plunger 107 changes significantly from a baseline shape of a force profile representing liquid being in the chamber 108. This is because it has been discovered that when air reaches the chamber 108, the shape of the force profile on the plunger 107 during a stroke or cycle of the plunger 107 changes in a consistent manner when and after the transition is made from fluid being in the chamber 108 to air being in the chamber 108. The shape of the force profile on the plunger 107 can be used as for detecting air-in-line by discriminating the force profile shapes associated with air and fluid. The characteristics of the shape of the force profile depend on the delivery rate of the fluid being delivered from the chamber 108 with some variability related to mechanism, set, fluid type, and distal and proximal pressure.



FIG. 8 illustrates a representative graph for one embodiment plotting a force sensor profile for a liquid curve 190 and an air curve 192. The Y-axis represents pounds of force on the plunger detected by a plunger force sensor and the X-axis represents a sample number collected at a rate of 250 Hz. Liquid curve 190 represents liquid being disposed in the chamber. Air curve 192 represents air being disposed in the chamber. As shown, the liquid curve 190 has substantially higher forces on the plunger than the air curve 192 during the expansion portion e of each cycle c of the plunger, while the difference between the curves 190 and 192 during the retraction phase r is significantly less.



FIG. 9 illustrates a representative graph for one embodiment of a principal component analysis (PCA) which was done on a plunger force profile with points 194 representing liquid being disposed in the chamber and points 196 representing air being disposed in the chamber. The X-axis represents a first score and the Y-axis represents a second score. As shown, the points 194 representing liquid being disposed in the chamber have a higher first score than the points 196 representing air being disposed in the chamber.



FIG. 10 illustrates a representative graph for one embodiment plotting a plunger force profile 198. The Y-axis represents pounds of force on the plunger detected by a plunger force sensor and the X-axis represents sample number for each cycle c of the plunger. As shown, six points p1-p6, comprising a 6 point vector pattern, are sampled at specific plunger positions during the expansion portion e of each cycle (or stroke) c of the plunger. No points are sampled during the retraction portion r of each cycle c of the plunger. This force sampling of each cycle may be used to determine whether air or liquid is contained in the chamber based on the shape of the measured force profile. The determination may be made using principle component analysis (PCA) to determine the correlation between the pattern variance of fluid versus air being in the chamber. Pre-processing may be applied to normalize the patterns across sets/needle heights and varying mechanisms. Separate analysis is performed for each separate fluid infusion rate or ranges of infusion rates. In other embodiments, a varying number of points per cycle of the plunger may be utilized, and the determination may be made using varying types of analysis.



FIG. 11 illustrates a representative graph for one embodiment plotting a liquid plunger force curve 200 and an air plunger force curve 202. The Y-axis represents pounds of force on the plunger detected by a plunger force sensor and the X-axis represents a sample number of a cycle of the plunger. Liquid plunger force curve 200 represents liquid being disposed in the chamber. Air plunger force curve 202 represents air being disposed in the chamber. As shown, the liquid plunger force curve 200 has substantially higher forces on the plunger than the air plunger force curve 202.



FIG. 12 illustrates a representative graph for one embodiment plotting, at an infusion rate of 20 ml/hr, the distribution of the maximum absolute difference between a reference plunger force profile and subsequent profiles comprising an air curve 204 and a liquid curve 206. The Y-axis represents the number of profiles and the X-axis represents the difference associated with the point of the maximum absolute difference between the measured force profile and the baseline profile. Air curve 204 represents air being disposed in the chamber and liquid curve 206 represents liquid being disposed in the chamber. As shown, the liquid curve 206 has a substantially lower difference from the (liquid) baseline than the air curve 204. FIG. 13 illustrates a representative graph for one embodiment plotting, at an infusion rate of 550 ml/hr, the distribution of the maximum absolute difference between a reference plunger force profile and subsequent profiles comprising an air curve 208 and a liquid curve 210. The Y-axis represents the number of profiles and the X-axis represents the difference associated with the point of the maximum absolute difference between the measured force profile and the baseline profile. Air curve 208 represents air being disposed in the chamber and liquid curve 210 represents liquid being disposed in the chamber. As shown, the liquid curve 210 has a substantially lower difference from the (liquid) than the air curve 208. FIGS. 12 and 13 demonstrate a significant difference between air and fluid across varying infusion rates after the maximum difference calculation is applied for feature extraction.



FIG. 14 illustrates a representative graph for one embodiment plotting, at an infusion rate of 20 ml/hr air depiction 214 and liquid depiction 212. The Yaxis represents the difference between the observed force and the baseline profile, and the Xaxis represents two groups: (1) the group of differences associated with liquid in the plunger chamber; and (2) the difference with air in the plunger chamber, Air depiction 214 represents air being disposed in the chamber and liquid depiction 212 represents liquid being disposed in the chamber. As shown, the air depiction 214 has a substantially lower (more negative) difference from the liquid baseline while the fluid 212 has a difference that is close to zero from the liquid baseline. The separation between the two groups provides the basis for a method for discriminating force measurements associated with air from those associated with fluid.


An algorithm has been discovered that normalizes a force shape profile of a plunger by determining a baseline force profile specific to each infusion program, and by using one generic feature, independent of the infusion program/rate, to assess whether air is contained in the chamber. To implement the algorithm, each force shape profile of the plunger is compared to a baseline force profile, a point-by-point difference between the force shape profile and the baseline force profile is determined, and when the minimum (most negative) difference between the force shape profile and the baseline force profile drops below a threshold a determination is made that the chamber contains air. The baseline force profile may represent liquid being in the chamber. In other embodiments, varying algorithms may be implemented to determine when air is contained in the chamber based on the force shape profile of the plunger.



FIGS. 15 and 16 illustrate one embodiment of a method 220, comprising a continuous flow chart, under the disclosure for determining whether air is contained in a chamber of a pump. The method 220 may be implemented using the drug delivery infusion system 100 of FIG. 1 with the plunger being moved with the actuator device against the chamber containing fluid, the sensor detecting a force acting on the plunger as it moves against the chamber, the processor processing the force measurements taken by the sensor and implementing programming code stored in a non-transient memory in order to determine whether air is contained in the chamber using the algorithm set forth in method 220, and the alarm being turned on if the processor determines that air is contained in the chamber which may further shut down the pump. Moreover, the method 220 may utilize the clock of the drug delivery infusion system 100 of FIG. 1 to keep time of activities of the plunger or the sensor, and may use the positional sensor to determine a position of the plunger. In other embodiments, the method 220 may utilize varying components to implement the method.


In step 222, the method starts. After step 222, the method proceeds through step 224 to step 226. In step 226, a force profile X(k) of the plunger is acquired for the first cycle of the plunger with k=1 representing the first cycle of the plunger. The force profile X(k) comprises a vector comprising the six forces on the plunger at each of the six positions/points of the plunger during the k cycle of the plunger. In other embodiments, the force profile may be acquired with a varying number of positions of the plunger. The method then proceeds to step 228 and increments the profile count PC using the equation PC=PC+1 with PC initially being 0 the first time through so that PC will be incremented to 1. The method then proceeds to step 230 and determines whether the profile count PC is less than or equal to the number of initial cycles of the plunger to ignore Ni which is set to Ni=2. In other embodiments, Ni may be set to other values.


If step 230 determines that the profile count PC is less than or equal to the number of initial cycles of the plunger to ignore Ni then the method proceeds back to and repeats steps 224, 226, 228, and 230 until the profile count PC is not less than or equal to the number of initial cycles of the plunger to ignore Ni at which point the method proceeds to step 232. In step 232 a determination is made as to whether the baseline count BS_LN_CNT is less than the baseline ready variable BS_LN_RDY. The baseline count BS_LN_CNT is initially set to BS_LN_CNT=0. The baseline ready variable BS_LN_RDY is set to BS_LN_RDY=5. In other embodiments, BS_LN_CNT and BS_LN_RDY may be set to other values. If step 232 determines that BS_LN_CNT is not less than BS_LN_RDY than the method proceeds through step 234 of FIG. 15, through step 236 of FIG. 16, to step 238 of FIG. 16 which is discussed later on.


If in step 232 a determination is made that the baseline count BS_LN_CNT is less than BS_LN_RDY than the method proceeds to step 240. In step 240 a determination is made as to whether the Analog-To-Digital-Count (ADC) at that instant is less than the primary threshold for fluid TPRI, and as to whether the profile count PC is greater than the number of initial cycles of the plunger to ignore plus 2 represented by PC being greater than Ni+2. The primary threshold for fluid TPRI is set to 3,000. In other embodiments, the primary threshold for fluid TPRI may be set to other values. If the determination in step 240 is made that either the Analog-To-Digital-Count (ADC) read by an air sensor downstream of the chamber is not less than the primary threshold for fluid TPRI (which means that air is in the chamber), or that the profile count PC is not greater than the number of initial cycles of the plunger to ignore plus 2 (there is a lag of 2 cycles due to the air sensor being located downstream of the chamber) represented by PC being greater than Ni+2, than the method proceeds to step 242, and determines whether the baseline count BS_LN_CNT is greater than 0. In other embodiments, the lag number of cycles used may vary. If step 242 determines that the baseline count BS_LN_CNT is not greater than 0 then the method proceeds back to location step 224 to step 226 and continues the loop. If step 242 determines that the baseline count BS_LN_CNT is greater than 0 then the method proceeds through location step 234 of FIG. 15, through location step 236 of FIG. 16, to step 238 of FIG. 16 which is discussed later on.


If in step 240 the determination is made that the Analog-To-DigitalCount (ADC) read by an air sensor downstream of the chamber is less than the primary threshold for fluid TPRI (which means that liquid is in the chamber), and that the profile count PC is greater than the number of initial cycles of the plunger to ignore plus 2 (indicating that the lag of 2 cycles, due to the air sensor being located downstream of the chamber, has been completed) represented by PC being greater than Ni+2, then the method proceeds to step 244. In step 244, the accumulated baseline profile Xt is determined using the equation Xt=Xt+X(k−2) (wherein X(k−2) represents the force profile, expressed as a six point vector, for 2 cycles ago due to the air sensor being located downstream of the chamber) wherein Xt is initially set to 0 and k represents the number of the current cycle of the plunger. In other embodiments, the equation for Xt may be varied. After step 244, the method proceeds to step 246 and increments the baseline count BS_LN_CNT using the equation BS_LN_CNT=BS_LN_CNT+1. After step 246, the method proceeds to step 248 and determines the baseline force profile Xm, expressed as a 6 point vector, using the equation Xm=Xt/BS_LN_CNT which averages the force measurements on the plunger taken at times when liquid is in the chamber over the number of baseline count BS_LN_CNT cycles of the plunger. The baseline force profile Xm represents the baseline force vector for a situation in which liquid (fluid) is contained in the chamber 2 cycles prior to the current cycle due to the air sensor being located downstream of the chamber. In other embodiments, the baseline force profile Xm may be calculated using varying equations. After step 248, the method proceeds through location step 234 of FIG. 15, through location step 236 of FIG. 16, to step 238 of FIG. 16.


In step 238 of FIG. 16, the minimum distance D between the current vector force profile of the plunger and the baseline force vector is determined using the equation D=min(X(k)−Xm) where k represents the current cycle of the plunger and Xm represents the baseline force vector with D being the single minimum distance between the corresponding 6 points of the two vectors. After step 238, the method proceeds to step 250 and determines whether D is greater than a threshold for a given infusion rate Trate which is set to −0.3. In other embodiments, Trate may be set to a varying number depending on the infusion rate or other factors, such as the signal variance. Additionally, more than one value for Trate may be used to provide regions of high probability versus low probability. If a determination is made in step 250 that the minimum distance D between the current vector force profile of the plunger and the baseline force vector is not greater than the threshold for a given infusion rate Trate, which indicates that air is in the chamber, then the method proceeds to step 252.


In step 252, Nw. count is incremented using the equation Nw. count=Nw. count+1 with Nw. count initially set to 0. Nw. count represents the current number of observed air cycles. After step 252, the method proceeds to step 254 and determines whether Nw. count is greater than or equal to Nw with Nw representing the threshold number of consecutive observed air cycles of the plunger after which an air alarm will be turned on indicating that air is contained in the chamber. If a determination is made in step 254 that Nw. count is not greater than or equal to Nw than the method proceeds through location step 256 back to location step 224 of FIG. 15 to step 226 of FIG. 15 and repeats the loop. If a determination is made in step 254 that Nw. count is greater than or equal to Nw than the method proceeds to step 258, sets FlagDelta to 1 indicating that air is present in the chamber, turns on an alarm to indicate that air is present in the chamber, and proceeds through location step 256 back to location step 224 of FIG. 15 to step 226 of FIG. 15 and repeats the loop. Step 258 may further comprise shutting down the pump.


If a determination is made in step 250 that the minimum distance D between the current vector force profile of the plunger and the baseline force vector is greater than the threshold for a given infusion rate Trate, indicating that liquid is contained in the chamber, then the method proceeds to step 260. In step 260, Nw, count is reset to 0 with Nw, count representing the current number of observed air cycles, and FlagDelta is also reset to 0 with FlagDelta representing that air is present in the chamber After step 260, the method proceeds to step 262 and determines whether the baseline count BS_LN_CNT is greater than or equal to the baseline ready variable BS_LN_RDY which is set to BS_LN_RDY=5. In other embodiments, the baseline ready variable BS_LN_RDY may be set to other values.


If a determination is made in step 262 that the baseline count BS_LN_CNT is not greater than or equal to the baseline ready variable BS_LN_RDY then the method proceeds through location step 256 back to location step 224 of FIG. 15 to step 226 of FIG. 15 and repeats the loop. If a determination is made in step 262 that the baseline count BS_LN_CNT is greater than or equal to the baseline ready variable BS_LN_RDY then the method proceeds to step 264. In step 264 the baseline force profile Xm, expressed as a 6 point vector, is calculated using an adaptive baseline force profile equation Xm=Xm*(1−α)+α*X(k) wherein α comprises a forgetting rate which determines what percentage of the calculated baseline force profile Xm comprises the preceding calculated baseline force profile Xm and what percentage of the baseline force profile Xm comprises the current force profile X(k) where X(k) is the current force profile of the plunger for the k cycle of the plunger. In one embodiment the forgetting rate α may be set to 0.1. In other embodiments, the forgetting rate α may be set to varying values. The adaptive baseline may be determined in alternate manners such as a moving average or Kalman filter.


Step 264 comprises an adaptive baseline step which allows the user to assert control over the baseline force profile Xm by controlling the forgetting rate α. In other embodiments, the forgetting rate α may be pre-programmed. In still other embodiments, varying ways may be used to calculate the baseline force profile Xm. After step 264 the method proceeds through location step 256 back to location step 224 of FIG. 15 to step 226 of FIG. 15 and repeats the loop. In other embodiments, one or more steps of the method 220 may be modified, not followed, or one or more additional steps may be added. Moreover, any of the variables of the method 220 may be either user set, using an input device, or pre-set into the processor.



FIG. 17 illustrates a representative graph for one embodiment plotting a force sensor profile 266. The Y-axis represents pounds of force on the plunger detected by a plunger force sensor and the X-axis represents time in seconds. Six points p1-p6 are calculated during the expansion portion e of each cycle c of the plunger. No points are sampled during the retraction portion r of each cycle c of the plunger. Line 268 represents the point, during the forty-fifth cycle of the plunger, at which an air alarm is turned on due to air being in the chamber when the method 220 of FIGS. 15 and 16 is applied which is discussed more thoroughly below.



FIG. 18 illustrates a graph plotting for each cycle c of the plunger of FIG. 17 six respective difference points dp representing the measured differences between a baseline, comprising liquid being in the chamber, and the corresponding points of each respective cycle of the plunger. The Y-axis represents the differences and the X-axis represents time. The circled points cp represent the minimum difference for each cycle of the plunger between the six respective difference points dp of each cycle of the plunger and the baseline. Line 270 represents the threshold for a given infusion rate Trate which is set to −0.3. As discussed more thoroughly below, when the method 220 of FIGS. 15 and 16 is applied, the method determines that liquid is contained in the chamber during the first forty-three cycles of the plunger, determines that air is in the chamber during the forty-fourth cycle of the plunger, and after line 268, as it does in FIG. 17, turns on an air alarm during the forty-fifth cycle of the plunger representing that air is in the chamber.



FIG. 19 illustrates a graph plotting the first six full cycles C1-C6 of the force sensor profile 266 of FIG. 17. The Y-axis represents pounds of force on the plunger detected by a plunger force sensor and the X-axis represents time in seconds. Six points p1-p6 are calculated during the expansion portion e of each cycle c of the plunger. No points are sampled during the retraction portion r of each cycle c of the plunger.



FIG. 20 illustrates a graph plotting for each of the first six full cycles C1-C6 of the plunger of FIG. 18 six respective difference points dp representing the measured differences between a baseline, comprising liquid being in the chamber, and the corresponding points of each respective cycle of the plunger. The Y-axis represents the differences and the X-axis represents time. The circled points cp represent the minimum difference for each cycle of the plunger between the six respective difference points dp of each cycle of the plunger and the baseline. Line 270, as it does in FIG. 18, represents the threshold for a given infusion rate Trate which is set to −0.3. As discussed more thoroughly below, when the method of FIGS. 15 and 16 is applied the method determines that liquid is contained in the chamber during each of the first six full cycles C1-C6 of the plunger.



FIG. 21 illustrates a graph plotting the forty-second through forty-fifth cycles C42-C45 of the force sensor profile 266 of FIG. 17. The Y-axis represents pounds of force on the plunger detected by a plunger force sensor and the X-axis represents time in seconds. Six points p1-p6 are calculated during the expansion portion e of each cycle c of the plunger. No points are sampled during the retraction portion r of each cycle c of the plunger.



FIG. 22 illustrates a graph plotting for the forty-second through forty-fifth cycles C42-C45 of the plunger of FIG. 18 six respective difference points dp representing the measured differences between a baseline, comprising liquid being in the chamber, and the corresponding points of each respective cycle of the plunger. The Y-axis represents the differences and the X-axis represents time. The circled points cp represent the minimum difference for each cycle of the plunger between the six respective difference points dp of each cycle of the plunger and the baseline. Line 270, as it does in FIGS. 18 and 20, represents the threshold for a given infusion rate Trate which is set to −0.3. As discussed more thoroughly below, when the method 220 of FIGS. 15 and 16 is applied, the method determines that liquid is contained in the chamber during the first forty-three cycles of the plunger, determines that air is in the chamber during the forty-fourth cycle of the plunger, and after line 268, as it does in FIG. 17, turns on an air alarm during the forty-fifth cycle of the plunger representing that air is in the chamber.


The method 220 of FIGS. 15 and 16 will now be applied to the example of FIGS. 17-22 to demonstrate how the method works. In the interest of efficiency, only some of the steps of the method 220 are described below. When the method 220 of FIGS. 15 and 16 is applied to the example of FIGS. 17-22, the first two cycles C1 and C2 are skipped because the profile count PC of 1 and 2 respectively is less than or equal to Ni=2. The force profiles X(k) for the third and fourth cycles C3 and C4 are acquired but not used because the profile count PC of 3 and 4 respectively is not greater than the number of initial cycles of the plunger to ignore (Ni=2) plus 2 represented by PC being greater than 4 (Ni+2=2+2=4). When the profile count PC reaches 5 at the fifth cycle C5, the accumulated baseline profile Xt is determined because the measured ADC of 1,673 is less than the primary threshold for fluid TPRI of 3,000, and the profile count PC=5 is greater than 4 (Ni+2=2+2=4). At this point in time, the baseline force profile Xm, expressed as a six point vector, is calculated using the equation Xm=Xt/BS_LN_CNT wherein Xt=Xt [which is initially set to 2]+X(k−2)=0+X(5-2)=0+X(3)=X(3) [representing the force profile for the third cycle] and BS_LN_CNT=BS_LN_CNT [which is initially set to 0]+1=0+1=1. Applying this equation results in the baseline force profile, expressed as a six point force vector, being Xm=(0.574252, 1.192627, 1.990768, 2.551261, 3.144921, 3.823651). The method 220 then determines the minimum distance D between the current vector force profile X(k), where k=5, of the plunger and the baseline force vector using the equation D=min(X(k)−Xm)=min(X(5)−Xm)=min ((0.601876, 1.226866, 1.968040, 2.542253, 3.058266, 3.787412)−(0.574252, 1.192627, 1.990768, 2.551261, 3.144921, 3.823651))=min ((0.601876-0.574252), (1.226866-1.192627), (1.968040-1.990768), (2.542253-2.551261), (3.058266-3.144921), (3.787412-3.823651))=min (0.027624, 0.034239, −0.022728, −0.009008, −0.086655, −0.036239)=−0.086655. Because D=−0.086655 is greater than Trate=−0.3, the method determines that the current cycle/profile is for liquid being in the chamber, and the adaptive baseline, using the forgetting rate α, is not applied because the baseline count BS_LN_CNT=1 is not greater than or equal to the baseline ready variable BS_LN_RDY=5.


For the sixth cycle C6 the profile count PC increases to 6 and the accumulated baseline profile Xt is determined because the measured ADC of 1,740 is less than the primary threshold for fluid TPRI of 3,000, and the profile count PC=6 is greater than 4 (Ni+2=2+2=4). At this point in time, the baseline force profile Xm, expressed as a six point vector, is calculated using the equation Xm=Xt/BS_LN_CNT wherein Xt=Xt+X(k−2) and BS_LN_CNT=2. Applying this equation results in the baseline force profile, expressed as a six point force vector, being Xm=(0.584984, 1.234167, 1.947920, 2.556566, 3.103720, 3.818871). The method 220 then determines the minimum distance D between the current vector force profile X(k), where k=6, of the plunger and the baseline force vector using the equation D=min(X(k)−Xm)=min(X(6)-Xm)=min ((0.600387, 1.266444, 1.916179, 2.547273, 3.031686, 3.805076)−(0.584984, 1.234167, 1.947920, 2.556566, 3.103720, 3.818871-))=min ((0.600387-0.584984), (1.266444-1.234167), (1.916179-1.947920), (2.547273-2.556566), (3.031686-3.103720), (3.805076-3.818871))=min (0.015403, 0.03227, −0.031741, −0.009293, −0.072034, −0.013795)=−0.072035. Because D=−0.072035 is greater than Trate=−0.3, the method determines that the current cycle/profile is for liquid being in the chamber, and the adaptive baseline, using the forgetting rate α, is not applied because the baseline count BS_LN_CNT=2 is not greater than or equal to the baseline ready variable BS_LN_RDY=5.


When the method reaches the forty-third cycle C43 (the intermediate cycle calculations are not described here in the interest of efficiency) the profile count PC increases to 43 and the accumulated baseline profile Xt is determined because the measured ADC is less than the primary threshold for fluid TPRI of 3,000, and the profile count PC=43 is greater than 4 (Ni+2=2+2=4). At this point in time, the baseline force profile Xm, expressed as a six point vector, is calculated using the equation Xm=Xt/BS_LN_CNT wherein Xt=Xt+X(k−2) and BS_LN_CNT=39. Applying this equation results in the baseline force profile, expressed as a six point force vector, being Xm=(0.507904, 0.882215, 1.642329, 2.326609, 2.893227, 3.623199). The method 220 then determines the minimum distance D between the current vector force profile X(k), where k=43, of the plunger and the baseline force vector using the equation D=min(X(k)-Xm)=min(X(43)-Xm)=min ((0.521021, 0.729376, 1.515777, 2.249448, 2.828867, 3.582641)−(0.507904, 0.882215, 1.642329, 2.326609, 2.893227, 3.623199))=min ((0.521021-0.507904), (0.729376-0.882215), (1.515777-1.642329), (2.249448-2.326609), (2.828867-2.893227), (3.582641-3.623199))=min (0.013117, −0.152839, −0.126552, −0.077161, −0.064360, −0.040558)=−0.152839. Because D=−0.152839 is greater than Trate=−0.3, the method determines that the current cycle/profile is for liquid being in the chamber, and the adaptive baseline, using the forgetting rate α, is determined because the baseline count BS_LN_CNT=39 is greater than or equal to the baseline ready variable BS_LN_RDY=5. Applying the forgetting rate α=0.100000 to calculate the adaptive baseline results in the adaptive baseline Xm=Xm*(1−α)+α*X(k)=(0.509216, 0.866931, 1.629673, 2.318893, 2.886791, 3.619144).


When the method reaches the forty-fourth cycle C44 the profile count PC increases to 44 and the accumulated baseline profile Xt is determined because the measured ADC is less than the primary threshold for fluid TPRI of 3,000, and the profile count PC=44 is greater than 4 (Ni+2=2+2=4). At this point in time, the baseline force profile Xm, expressed as a six point vector, is calculated using the equation Xm=Xt/BS_LN_CNT wherein Xt=Xt+X(k−2) and BS_LN_CNT=40. Applying this equation results in the baseline force profile, expressed as a six point force vector, being Xm=(0.509216, 0.866931, 1.629673, 2.318893, 2.886791, 3.619144). The method 220 then determines the minimum distance D between the current vector force profile X(k), where k=44, of the plunger and the baseline force vector using the equation D=min(X(k)−Xm)=min(X(44)-Xm)=min ((0.616675, 0.690732, 0.974907, 1.446447, 2.064309, 3.097704)−(0.509216, 0.866931, 1.629673, 2.318893, 2.886791, 3.619144))=min ((0.616675-0.509216), (0.690732-0.866931), (0.974907-1.629673), (1.446447-2.318893), (2.064309-2.886791), (3.097704-3.619144))=min (0.107459, −0.176199, −0.654767, −0.872446, −0.822482, 0.5214390.521440)=−0.872446. Because D=−0.872446 is not greater than Trate=−0.3, the method determines that the current cycle/profile is for air being in the chamber and increments Nw. count to Nw. count+1=0+1=1.


When the method reaches the forty-fifth cycle C45 the profile count PC increases to 45 and the accumulated baseline profile Xt is determined because the measured ADC is less than the primary threshold for fluid TPRI of 3,000, and the profile count PC=45 is greater than 4 (Ni+2=2+2=4). At this point in time, the baseline force profile Xm, expressed as a six point vector, is calculated using the equation Xm=Xt/BS_LN_CNT wherein Xt=Xt+X(k−2) and BS_LN_CNT=41. Applying this equation results in the baseline force profile, expressed as a six point force vector, being Xm=(0.509216, 0.866931, 1.629673, 2.318893, 2.886791, 3.619144). The method 220 then determines the minimum distance D between the current vector force profile X(k), where k=45, of the plunger and the baseline force vector using the equation D=min(X(k)−Xm)=min(X(44)-Xm)=min ((0.613084, 0.674059, 0.891756, 1.421075, 1.990083, 2.859728)−(0.509216, 0.866931, 1.629673, 2.318893, 2.886791, 3.619144))=min ((0.613084-0.509216), (0.674059-0.866931)(0.674059-0.866931), (0.891756-1.629673), (1.421075-2.318893), (1.990083-2.886791), (2.859728-3.619144))=min (0.103868, −0.192872, −0.737917, −0.897818, −0.896708, 0.7594150.759416)=−0.897818. Because D=−0.897818 is not greater than Trate=−0.3, the method determines that the current cycle/profile is for air being in the chamber, increments Nw. count to Nw. count+1=1+1=2, sets FlagDelta=1, and signals an air alarm indicating that air is in the chamber.


The method of FIGS. 15 and 16 was implemented to analyze a large number of data sets for a variety of flow rates. The testing resulted in no false negative occurrences.



FIG. 23 illustrates a flowchart for one embodiment of a method 280 for detecting air in a chamber of an infusion system. The method 280 may be implemented using the drug delivery infusion system 100 of FIG. 1 with the plunger being moved with the actuator device against the chamber containing fluid, the sensor detecting a force acting on the plunger as it moves against the chamber, the processor processing the force measurements taken by the sensor and implementing programming code stored in a non-transient memory in order to determine whether air is contained in the chamber using the algorithm set forth in method 280, and the alarm being turned on if the processor determines that air is contained in the chamber which may trigger the pump being shut down. Moreover, the method 280 may utilize the clock of the drug delivery infusion system 100 of FIG. 1 to keep time of activities of the plunger or the sensor, and may use the positional sensor to determine a position of the plunger, with each being in electronic communication with the processor. In other embodiments, the method 280 may utilize varying components to implement the method.


In step 282 a plunger is moved, with an actuator device, acting against a chamber containing fluid. In step 284, a sensor is used to detect a force acting on the plunger as it moves against the chamber. In step 286 a measurement of the force is electronically communicated from the sensor to a processor. In step 288 the processor determines: (1) a baseline force profile; (2) a current force profile representing the current force acting on the plunger against the chamber; (3) a difference between the current force profile and the baseline force profile; and (4) that the chamber contains air when the calculated difference crosses a threshold. In step 290 the processor turns on an alarm when the processor determines that the chamber contains the air. Step 290 may further comprise shutting down the pump when the alarm is turned on.


In one embodiment, the baseline force profile represents the chamber being filled with the fluid. In another embodiment, the processor determines the baseline force profile by taking force measurements at a plurality of plunger positions over a cycle of the plunger against the chamber. In an additional embodiment, the processor determines the baseline force profile by averaging force measurements taken over a plurality of cycles of the plunger against the chamber. In yet another embodiment, the processor determines the baseline force by additionally taking into account the current force profile acting on the plunger during a current cycle of the plunger against the chamber.


In still another embodiment, the processor further applies a forgetting rate, moving average or Kalman filter which controls what portion of the updated baseline force profile is made up of the average or estimated baseline force measurements and what portion of the updated baseline force profile is made up of the current force profile. In an additional embodiment, the processor determines the current force profile by taking force measurements at a plurality of plunger positions over a current cycle of the plunger against the chamber. In another embodiment, the processor calculates the difference between the current force profile and the baseline force profile by calculating respective differences between a plurality of points of the current force profile relative to a respective plurality of points of the baseline force profile, and determining a minimum difference of the respective differences or an absolute maximum difference of the respective differences. In an additional embodiment, the processor determines that the chamber contains the air when the minimum difference is less than the threshold. In still another embodiment, the processor determines that the chamber contains the air when the calculated difference is below the threshold. In other embodiments, any of the steps of the method 280 may be altered, not followed, or additional steps may be added.



FIG. 24 illustrates one embodiment of a method 300, comprising a continuous flow chart, under the disclosure for determining whether air is contained in a chamber of a pump based upon a shape of the plunger force profile. The method 300 may be implemented using the drug delivery infusion system 100 of FIG. 1 with the plunger being moved with the actuator device against the chamber containing fluid, the sensor detecting a force acting on the plunger as it moves against the chamber, the processor processing the force measurements taken by the sensor and implementing programming code stored in a non-transient memory in order to determine whether air is contained in the chamber using the algorithm set forth in method 300, and the alarm being turned on if the processor determines that air is contained in the chamber which may trigger the pump being shut down. Moreover, the method 300 may utilize the clock of the drug delivery infusion system 100 of FIG. 1 to keep time of activities of the plunger or the sensor, and may use the positional sensor to determine a position of the plunger. In other embodiments, the method 300 may utilize varying components to implement the method.


In step 302, the method 300 starts. After step 302, the method proceeds through location step 304 to step 306. In step 306 a force profile over one cycle of a plunger of the chamber is acquired using the sensor. In one embodiment, as shown in box 308, the sampling frequency may be 62.5 Hz. In other embodiments, varying parameters may be used. After step 306, the method proceeds to step 310 and re-samples the force profile for the cycle of the plunger at uniform increments with respect to position or at specific positions. In one embodiment, as shown in box 312, the re-sampling may take place over a set of angles and may be performed using linear, quadratic or cubic interpolation. In other embodiments, varying parameters may be used. After step 310, the method proceeds to step 314 and selects a sub-set of angles (i.e. one or more ranges). In one embodiment, as shown in box 316, the sub-set of angles may comprise a range of angles based on the infusion rate. In other embodiments, varying parameters may be used. After step 314, the method proceeds to step 318 and calculates a derivative. In one embodiment, as shown in box 320, this step may comprise simultaneously applying a smoothing operation. In other embodiments, this step may comprise applying varying parameters. Steps 306 through 318 comprise acquisition and preprocessing steps.


After step 318, the method proceeds to step 322 and calculates scores using the equation S=D*M where D comprises the derivative and M comprises a set of N eigenvectors by infusion rate, as shown in box 324, calculated using principal component analysis. In one embodiment, N=8. In other embodiments, the scores may be calculated using varying parameters. After step 322, the method proceeds to step 326 and applies a linear determinate analysis to calculate L=S*W where L represents the linear determinate result, S represents the scores, and W, as shown in box 328, represents weights of the linear discriminate analysis. In one embodiment, as shown in box 328, this step may also consider class means by infusion rate. In other embodiments, varying parameters may be used. After step 326, the method proceeds to step 330 and determines a classification based on the result of the linear discriminate analysis. This step may also consider class means by infusion rate as shown in box 328. After step 330, the method proceeds to step 332 and determines whether air is in the chamber based on the classification. If step 332 determines that air is contained in the chamber then the method proceeds to step 334 and sounds an air alarm during which the pump may be shut down. If step 332 determines that air is not in the chamber based on the classification then the method proceeds back to location step 304.


In an alternative embodiment, instead of steps 322 and steps 326 a linear determinate analysis may be conducted, as shown in box 336, using the equation L=D*(M*W)−D*P wherein P=M*W and the variables are identical to those described above. In another alternative embodiment, instead of steps 306 through steps 318, preprocessing steps 338, 340, 342, 344, and 346 may be followed. In step 338, a force profile of the plunger over one cycle of a plunger of the chamber is acquired using the sensor. In one embodiment, as shown in box 308, the sampling frequency may be 62.5 Hz. In other embodiments, varying parameters may be used. In step 340, a low pass filter is applied. In step 342, a re-sampling is done. In one embodiment, as shown in box 312, the re-sampling may take place over a set of angles. In other embodiments, varying parameters may be used. In step 344, a range limit is applied. In one embodiment, as shown in box 316, a sub-set of angles comprising a range of angles based on the infusion rate. In other embodiments, varying parameters may be used. In step 346, a difference is calculated. In one embodiment, this difference may comprise determining differences in points of the force profile. In other embodiments, this difference may use varying parameters.



FIG. 25 illustrates a graph plotting air sensor data comprising representative points for each of fluid 348, air 350, and transition 352. The Yaxis represents an ADC count of the fluid of the chamber measured by a sensor and the X-axis represents sample number. The graph provides the observed air sensor ADC readings versus sample number over 10 aggregated runs. Each run ends with a transition from fluid to air. The fluid readings (hashed symbols) 348, are clearly differentiated from those associated with air (open symbols) 350. Points that are close to or on a transition region from air to fluid are marked by solid symbols 352.



FIG. 26 illustrates a graph plotting force average profiles on the plunger corresponding to the embodiment of FIG. 25 for each of fluid 348, air 350, and transition 352. The graph demonstrates systematic differences in the average force associated with the three states (fluid 348, air 350, and transition 352) of FIG. 25. The Y-axis represents force and the X-axis represents an angular position of the motor powering the plunger.



FIG. 27 illustrates a graph plotting derivatives of the force profiles on the plunger corresponding to the embodiment of FIGS. 26 and 28 for each of fluid 348, air 350, and transition 352. The Y-axis represents a derivative of the force and the X-axis represents an angular position of the motor powering the plunger. The graph demonstrates that the systematic differences between the three states of FIG. 28 can be enhanced and differentiated from mechanism specific variation through the application of the first derivative.



FIG. 28 illustrates a graph applying a principal component analysis to plot representative points at an infusion rate of 2 milliliters per hour, with hashed symbols representing fluid points 348, open symbols representing points associated with air 350, and solid points representing transitional (indeterminant) points 352. The Y-axis represents score 4 and the X-axis represents score 2. The two dimensional view provided in the plot demonstrates a good separation across multiple actuators, fluids, and sets.



FIG. 29 illustrates a graph plotting air sensor data comprising representative points for each of fluid 348, air 350, and transition 352. The Y axis represents an ADC count of the fluid of the chamber measured by a sensor and the X-axis represents sample number. The graph provides the observed air sensor ADC readings versus sample number over 10 aggregated runs. Each run ends with a transition from fluid to air. The fluid readings (hashed symbols) 348, are clearly differentiated from those associated with air (open symbols) 350. Points that are close to or on a transition region from air to fluid are marked by solid symbols 352.



FIG. 30 illustrates a graph plotting force average profiles on the plunger corresponding to the embodiment of FIG. 32 for each of fluid 348, air 350, and transition 352. The graph demonstrates systematic differences in the average force associated with the three states (fluid 348, air 350, and transition 352) of FIG. 29. The Y-axis represents force and the X-axis represents an angular position of the motor powering the plunger.



FIG. 31 illustrates a graph plotting derivatives of the force profiles on the plunger corresponding to the embodiment of FIGS. 30 and 32 for each of fluid 348, air 350, and transition 352. The Y-axis represents a derivative of the force and the X-axis represents an angular position of the motor powering the plunger. The graph demonstrates that the systematic differences between the three states of FIG. 32 can be enhanced and differentiated from mechanism specific variation through the application of the first derivative.



FIG. 32 illustrates a graph applying a principal component analysis to plot representative points at an infusion rate of 1,000 milliliters per hour, with hashed symbols representing fluid points 348, open symbols representing points associated with air 350, and solid points representing transitional (indeterminant) points 352. The Y-axis represents score 4 and the X-axis represents score 2. The two dimensional view provided in the plot demonstrates a good separation across multiple actuators, fluids, and sets.



FIG. 33 illustrates a flowchart for one embodiment of a method 360 for detecting air in a chamber of an infusion system. The method 360 may be implemented using the drug delivery infusion system 100 of FIG. 1 with the plunger being moved with the actuator device against the chamber containing fluid, the sensor detecting a force acting on the plunger as it moves against the chamber, the processor processing the force measurements taken by the sensor and implementing programming code stored in a non-transient memory in order to determine whether air is contained in the chamber using the algorithm set forth in method 360, and the alarm being turned on if the processor determines that air is contained in the chamber which may trigger the pump being shut down. Moreover, the method 360 may utilize the clock of the drug delivery infusion system 100 of FIG. 1 to keep time of activities of the plunger or the sensor, and may use the positional sensor to determine a position of the plunger, with each being in electronic communication with the processor. In other embodiments, the method 360 may utilize varying components to implement the method.


In step 362 a plunger is moved, with an actuator device, against a chamber containing fluid. In step 364 a sensor is used to detect a force acting on the plunger as it moves against the chamber. In step 366 a measurement of the force is electronically communicated from the sensor to a processor. In step 368 the processor: (1) preprocesses a force profile detected by the sensor; (2) extracts features from the force profile; and (3) classifies the force profile as being an air force profile or a liquid force profile based on the extracted features of the force profile. In step 370 the processor turns on an alarm when the processor determines that the chamber contains the air. Step 370 may further comprise shutting down the pump when the alarm is turned on.


In one embodiment, the processor classifies the force profile as being the air force profile or the liquid force profile without applying signal normalization to normalize to a baseline force profile. In another embodiment, the processor further applies a signal normalization to normalize the force profile relative to a baseline force profile. In an additional embodiment, the processor preprocesses the force profile detected by the sensor by: acquiring the force profile; re-sampling the force profile for a set of angles; selecting a sub-set of angles for the force profile; and calculating a derivative of the force profile based on the force profile at the sub-set of angles. In still another embodiment, the processor preprocesses the force profile detected by the sensor by: acquiring the force profile; applying a low pass filter to the force profile; re-sampling the force profile for a set of angles; applying a range limit to the force profile; and calculating a difference of the force profile.


In another embodiment, the processor extracts the features from the force profile by at least one of calculating scores of the force profile or applying a linear discriminate analysis to the force profile. In yet another embodiment, the processor calculates the scores of the force profile by multiplying a derivative of the force profile by a set of eigenvectors, and applies the linear discriminate analysis by multiplying the scores by weights. In an additional embodiment, the processor extracts the features from the force profile using an equation L=D*(M*W)−D*M*W, wherein L=a linear discriminate analysis, D=a derivative, M=a set of eigenvectors, and W=weights. In another embodiment, the processor classifies the force profile as being the air force profile or the liquid force profile based on means of a linear discriminate analysis applied to the force profile. In other embodiments, any of the steps of the method 360 may be altered, not followed, or additional steps may be added.


In another embodiment, features of the force profile are determined preferably on the basis of force changes versus displacement or position but may also be calculated on the basis of time. The features are a characteristic of the profile that is related to the presence of air or other condition that is desired to be known. For example, features may include: the scores from an abstract factor analysis, such as principal components analysis (PCA); the peak magnitude of the force profile; the phase shift with respect to time or position of the force profile; the maximum or minimum value of the first derivative with respect to position; the correlation coefficient of the force profile with exemplary profiles representing air and fluid; the distance (e.g., Euclidean or Mahalanobis distance) between the observed profile and a set of template profiles; ratios and/or differences between one or more points or averaged regions in the force profile; the correlation between the force profile and additional sensor readings (e.g., proximal and distal pressure); variance of the force profile from the mean; and a difference of the force profile from the mean.


Additionally, the features may be viewed as a set of residuals which represent the difference between the force profile or the derivative of the force profile and the expected value. The expected value may be determined using adaptive filtering, such as Kalman filtering, or as a moving or exponentially weighted moving average. In this scheme, a set of channels are defined which represent the observed force profile at a particular position through time. One or more channels are subjected to analysis through time to detect changes in their expected level on the basis of a model, an averaged profile, and/or a problematic network. When either the residual level exceeds a pre-determined threshold or the probability of an air/fluid transition increases beyond a set level, air is indicated in the pumping chamber.


In the case of the derivative based algorithm, an alternate embodiment involves a series of channels as describe above. Each channel is separately filtered through time using a moving average, spike rejection filter and/or a lowpass filter. This provides a multiplicity of signals that vary through time. The set of signals is then subject to the derivative based algorithm in which change detection occurs using an event detection and change confirmation method, as described previously. Since each channel provides an indication of the fluid chamber status, a method is employed to combine the indicators and provide one final indicator. The preferred method is to always utilize the channel that provides the reading that is most associated with air. For example, this may comprise the channel that experienced the high derivative and greatest change through time. Alternately, aggregation of the signals can occur using a voting algorithm, fuzzy logic, decision trees, support vector machines or Bayesian networks.


In another embodiment, the multiple channels described above may be subjected to an N-th order Kalman filter and used to generate a residual from an expected value. A change is detected when the residual exceeds a pre-set threshold. In other embodiments, other methods may be utilized.



FIG. 34 illustrates a flowchart of a Bayesian network showing a combination of algorithm sensors and a priori information which may be used to produce an indication of air-in-line or air in a chamber. For instance, any of the following air devices, tests, or algorithms may be utilized individually or collectively in different numbers or weights to identify air-in-line 380 or air in the chamber 382 to sound an air alarm 384: a recent proximal pressure change 386; a recent force event indicator 388; a shape indicator 390; a froth indicator (e.g. variance) 392; a dancing bubble indicator 394; an air sensor indicator 396; a recent air sensor indicator 398; a stuck droplet indicator 400; a distal pressure change 402; a flow rate 404; or a fluid type 406. In conjunction with these different tests, the following patents and patent applications are hereby incorporated by reference in full: U.S. Pat. No. 7,981,082; U.S. Ser. No. 61/460,766; and U.S. Ser. No. 61/525,587. The systems, methods, and algorithms/tests of any of the listed incorporated by reference patents may be utilized in conjunction with the systems, methods, and algorithms/tests of the instant disclosure. For example, the air indicator or air alarm as described herein may be used to qualify alarms from other sensors and thereby reduce the probability of nuisance alarms.


One or more systems/methods of the disclosure more accurately detects air in the line of an infusion device than many current systems and methods. The systems/methods of the disclosure may be combined with existing systems/methods for detecting air in an infusion system to improve the reliability of air detection systems. The disclosure allows for the combination of the output of a force sensor signal with one or more air sensors to improve the reliability of existing air detection systems/methods. In doing so, the disclosed system/method does not require additional hardware modifications but instead leverages the acquired force signal. Additionally, the disclosure does not necessarily require the replacement of existing software modules for air detection but adds an additional safety layer to improve the robustness of existing air detection systems and methods.


It should be understood, of course, that the foregoing relates to exemplary embodiments of the disclosure and that modifications may be made without departing from the scope of the disclosure as set forth in the following claims.

Claims
  • 1. A method for detecting air in a chamber of an infusion system comprising: moving a plunger against the chamber containing fluid;detecting a force acting on the plunger as the plunger moves against the chamber;preprocessing a force profile based on the detected force acting on the plunger;extracting features from the force profile; andclassifying the force profile as being an air force profile or a liquid force profile based on an application of machine learning analysis on the extracted features.
  • 2. The method of claim 1, wherein the classification of the force profile as being the air force profile or the liquid force profile is done without applying signal normalization to normalize to a baseline force profile.
  • 3. The method of claim 1, wherein the preprocessing comprises: acquiring the force profile; re-sampling the force profile for a set of angles; selecting a sub-set of angles for the force profile; and calculating a derivative of the force profile based on the force profile at the sub-set of angles.
  • 4. The method of claim 1, wherein the preprocessing comprises: acquiring the force profile; applying a low pass filter to the force profile; re-sampling the force profile for a set of angles; applying a range limit to the force profile; and calculating a difference of the force profile with respect to a baseline force profile.
  • 5. The method of claim 1, wherein the extraction of features comprises calculating scores of the force profile.
  • 6. A system for detecting air in a chamber of an infusion system, the system comprising one or more hardware processors configured to: detect a force acting on the plunger as the plunger moves against the chamber containing fluid;preprocess a force profile based on the detected force acting on the plunger;extract features from the force profile; andclassify the force profile as being an air force profile or a liquid force profile based on an application of machine learning analysis on the extracted features.
  • 7. The system of claim 6, wherein the classification of the force profile as being the air force profile or the liquid force profile is done without applying signal normalization to normalize to a baseline force profile.
  • 8. The system of claim 6, wherein the preprocessing comprises: acquiring the force profile; re-sampling the force profile for a set of angles; selecting a sub-set of angles for the force profile; and calculating a derivative of the force profile based on the force profile at the sub-set of angles.
  • 9. The system of claim 6, wherein the preprocessing comprises: acquiring the force profile; applying a low pass filter to the force profile; re-sampling the force profile for a set of angles; applying a range limit to the force profile; and calculating a difference of the force profile with respect to a baseline profile.
  • 10. The system of claim 6, wherein the extraction of features comprises calculating scores of the force profile.
US Referenced Citations (1631)
Number Name Date Kind
3401337 Beusman et al. Sep 1968 A
3484681 Grady, Jr. et al. Dec 1969 A
3699320 Zimmerman et al. Oct 1972 A
3727074 Keller et al. Apr 1973 A
3731679 Wilhelmson et al. May 1973 A
3768084 Haynes Oct 1973 A
3770354 Tsuruta et al. Nov 1973 A
3778702 Finger Dec 1973 A
3806821 Niemeyer et al. Apr 1974 A
3838565 Carlyle Oct 1974 A
3854038 McKinley Dec 1974 A
3886459 Hufford et al. May 1975 A
3890554 Yoshitake et al. Jun 1975 A
3894431 Muston et al. Jul 1975 A
3898637 Wolstenholme Aug 1975 A
3901231 Olson Aug 1975 A
3909693 Yoshitake et al. Sep 1975 A
3910701 Henderson Oct 1975 A
3911343 Oster Oct 1975 A
3919608 Usami et al. Nov 1975 A
3921622 Cole Nov 1975 A
3930404 Ryden, Jr. Jan 1976 A
3933431 Trujillo et al. Jan 1976 A
3935876 Massie et al. Feb 1976 A
3944963 Hively Mar 1976 A
3966358 Heimes et al. Jun 1976 A
3971980 Jungfer et al. Jul 1976 A
3974681 Namery Aug 1976 A
3974683 Martin Aug 1976 A
3985467 Lefferson Oct 1976 A
3990444 Vial Nov 1976 A
3997888 Kremer Dec 1976 A
4005724 Courtot Feb 1977 A
4014206 Taylor Mar 1977 A
4038982 Burke Aug 1977 A
4039269 Pickering Aug 1977 A
4048474 Olesen Sep 1977 A
4049954 Da Costa Vieira et al. Sep 1977 A
4055175 Clemens et al. Oct 1977 A
4057228 Völker et al. Nov 1977 A
4068521 Cosentino et al. Jan 1978 A
4078562 Friedman Mar 1978 A
4089227 Falgari et al. May 1978 A
4094318 Burke Jun 1978 A
4105028 Sadlier et al. Aug 1978 A
4114144 Hyman Sep 1978 A
4151845 Clemens May 1979 A
4155362 Jess May 1979 A
4173224 Marx Nov 1979 A
4181610 Shintani et al. Jan 1980 A
4183244 Kohno et al. Jan 1980 A
4195515 Smoll Apr 1980 A
4210138 Jess et al. Jul 1980 A
4213454 Shim Jul 1980 A
4217993 Jess et al. Aug 1980 A
4240294 Grande Dec 1980 A
4240438 Updike et al. Dec 1980 A
4244365 McGill Jan 1981 A
4256437 Brown Mar 1981 A
4261356 Turner et al. Apr 1981 A
4264861 Radu et al. Apr 1981 A
4265240 Jenkins May 1981 A
4270532 Franetzki et al. Jun 1981 A
4277226 Archibald et al. Jul 1981 A
4278085 Shim Jul 1981 A
4280495 Lampert Jul 1981 A
4282872 Franetzki et al. Aug 1981 A
4286202 Clancy et al. Aug 1981 A
4290346 Bujan Sep 1981 A
4291692 Bowman et al. Sep 1981 A
4292405 Mascoli Sep 1981 A
4298357 Permic Nov 1981 A
4308866 Jeliffe Jan 1982 A
4312341 Zissimopoulos Jan 1982 A
4319568 Tregoning Mar 1982 A
4322201 Archibald Mar 1982 A
4323849 Smith Apr 1982 A
4324662 Schnell Apr 1982 A
4328800 Marx May 1982 A
4328801 Marx May 1982 A
4333045 Oltendorf Jun 1982 A
4343316 Jespersen Aug 1982 A
4344429 Gupton et al. Aug 1982 A
4346707 Whitney et al. Aug 1982 A
4360019 Portner et al. Nov 1982 A
4366384 Jensen Dec 1982 A
4367736 Gupton Jan 1983 A
4370983 Lichtenstein et al. Feb 1983 A
4373527 Fischell Feb 1983 A
4379452 DeVries Apr 1983 A
4381005 Bujan Apr 1983 A
4384578 Winkler May 1983 A
4385247 Satomi May 1983 A
4391598 Thompson Jul 1983 A
4392849 Petre et al. Jul 1983 A
4394862 Shim Jul 1983 A
4395259 Prestele et al. Jul 1983 A
4397194 Soltz Aug 1983 A
4399362 Cormier et al. Aug 1983 A
4407659 Adam Oct 1983 A
4411651 Schulman Oct 1983 A
4418565 St. John Dec 1983 A
4432699 Beckman et al. Feb 1984 A
4432761 Dawe Feb 1984 A
4432762 Dawe Feb 1984 A
4443218 Decant, Jr. et al. Apr 1984 A
4444546 Pazemenas Apr 1984 A
4447191 Bilstad et al. May 1984 A
4447224 Decant, Jr. et al. May 1984 A
4453931 Pastrone Jun 1984 A
4457751 Rodler Jul 1984 A
4463301 Moriguchi et al. Jul 1984 A
4464170 Clemens Aug 1984 A
4467654 Murakami et al. Aug 1984 A
4468222 Lundquist Aug 1984 A
4468601 Chamran et al. Aug 1984 A
4469481 Kobayashi Sep 1984 A
4475666 Bilbrey et al. Oct 1984 A
4475901 Kraegen et al. Oct 1984 A
4477756 Moriguchi Oct 1984 A
4479760 Bilstad et al. Oct 1984 A
4480218 Hair Oct 1984 A
4480483 McShane Nov 1984 A
4483202 Ogua et al. Nov 1984 A
4487601 Lindemann Dec 1984 A
4492909 Hartwig Jan 1985 A
4496346 Mosteller Jan 1985 A
4498843 Schneider et al. Feb 1985 A
4501531 Bilstad et al. Feb 1985 A
4504263 Steuer Mar 1985 A
4507112 Hillel Mar 1985 A
4510266 Eertink Apr 1985 A
4515584 Abe et al. May 1985 A
4519792 Dawe May 1985 A
4521212 Ruschke Jun 1985 A
4525163 Slavik et al. Jun 1985 A
4526568 Clemens et al. Jul 1985 A
4526574 Pekkarinen Jul 1985 A
4529401 Leslie et al. Jul 1985 A
4533350 Danby et al. Aug 1985 A
4543955 Schroeppel Oct 1985 A
4551134 Slavik et al. Nov 1985 A
4553958 LeCocq Nov 1985 A
4559036 Wunsch Dec 1985 A
4559037 Franetzki et al. Dec 1985 A
4559044 Robinson Dec 1985 A
4559454 Kramer Dec 1985 A
4565500 Jeensalute et al. Jan 1986 A
4583981 Urquhart et al. Apr 1986 A
4587473 Turvey May 1986 A
4607520 Dam Aug 1986 A
4617014 Cannon et al. Oct 1986 A
4624661 Arimond Nov 1986 A
4627835 Fenton, Jr. Dec 1986 A
4633878 Bombardieri Jan 1987 A
4634426 Kamen Jan 1987 A
4634427 Hannula et al. Jan 1987 A
4636144 Abe et al. Jan 1987 A
4637813 DeVries Jan 1987 A
4645489 Krumme Feb 1987 A
4648869 Bobo, Jr. Mar 1987 A
4652260 Fenton, Jr. et al. Mar 1987 A
4658244 Meijer Apr 1987 A
4668216 Martin May 1987 A
4668945 Aldrovandi et al. May 1987 A
4673334 Allington et al. Jun 1987 A
4673389 Archibald et al. Jun 1987 A
4676776 Howson et al. Jun 1987 A
4677359 Enami et al. Jun 1987 A
4678979 Hori Jul 1987 A
4678998 Muramatsu Jul 1987 A
4679562 Luksha Jul 1987 A
4683428 Gete Jul 1987 A
4685903 Cable et al. Aug 1987 A
4690673 Blomquist Sep 1987 A
4691153 Nishimura Sep 1987 A
4692145 Weyant Sep 1987 A
4696671 Epstein et al. Sep 1987 A
4697129 Enami et al. Sep 1987 A
4702675 Aldrovandi et al. Oct 1987 A
4705506 Archibald et al. Nov 1987 A
4710106 Iwata et al. Dec 1987 A
4714462 DiDomenico Dec 1987 A
4714463 Archibald et al. Dec 1987 A
4718576 Tamura et al. Jan 1988 A
4720636 Benner Jan 1988 A
4722224 Scheller et al. Feb 1988 A
4722734 Kolin Feb 1988 A
4731051 Fischell Mar 1988 A
4731057 Tanaka et al. Mar 1988 A
4737711 O'Hare Apr 1988 A
4739346 Buckley Apr 1988 A
4741732 Crankshaw et al. May 1988 A
4741736 Brown May 1988 A
4748857 Nakagawa Jun 1988 A
4751445 Sakai Jun 1988 A
4756706 Kerns et al. Jul 1988 A
4758228 Williams Jul 1988 A
4763525 Cobb Aug 1988 A
4764166 Spani et al. Aug 1988 A
4764697 Christiaens Aug 1988 A
4769001 Prince Sep 1988 A
4776842 Franetzki et al. Oct 1988 A
4781687 Wall Nov 1988 A
4784576 Bloom et al. Nov 1988 A
4785184 Bien et al. Nov 1988 A
4785799 Schoon et al. Nov 1988 A
4785969 McLaughlin Nov 1988 A
4786800 Kamen Nov 1988 A
4789014 DiGianfilippo Dec 1988 A
4797655 Orndal et al. Jan 1989 A
4803389 Ogawa et al. Feb 1989 A
4803625 Fu et al. Feb 1989 A
4818186 Pastrone et al. Apr 1989 A
4820281 Lawler Apr 1989 A
4821558 Pastrone et al. Apr 1989 A
4828545 Epstein et al. May 1989 A
4828693 Lindsay May 1989 A
4829448 Balding et al. May 1989 A
4838856 Mulreany et al. Jun 1989 A
4838857 Strowe et al. Jun 1989 A
4840542 Abbott Jun 1989 A
4842584 Pastrone et al. Jun 1989 A
4845487 Frantz et al. Jul 1989 A
4846792 Bobo et al. Jul 1989 A
4850805 Madsen et al. Jul 1989 A
4851755 Fincher Jul 1989 A
4854324 Hirschman et al. Aug 1989 A
4856339 Williams Aug 1989 A
4857048 Simons et al. Aug 1989 A
4857050 Lentz et al. Aug 1989 A
4858154 Anderson et al. Aug 1989 A
4863425 Slate et al. Sep 1989 A
4865584 Epstein et al. Sep 1989 A
4869722 Heyman Sep 1989 A
4874359 White et al. Oct 1989 A
4881413 Georgi et al. Nov 1989 A
4882575 Kawahara Nov 1989 A
4884013 Jackson et al. Nov 1989 A
4884065 Crouse et al. Nov 1989 A
4886422 Takeuchi et al. Dec 1989 A
4898576 Philip Feb 1990 A
4898578 Rubalcaba, Jr. Feb 1990 A
4906103 Kao Mar 1990 A
4908017 Howson et al. Mar 1990 A
4908019 Urquhart et al. Mar 1990 A
4910475 Lin Mar 1990 A
4919595 Likuski et al. Apr 1990 A
4919596 Slate et al. Apr 1990 A
4925444 Orkin et al. May 1990 A
4927411 Pastrone et al. May 1990 A
4930358 Motegi et al. Jun 1990 A
4936820 Dennehey Jun 1990 A
4936828 Chiang Jun 1990 A
4938079 Goldberg Jul 1990 A
4943279 Samiotes et al. Jul 1990 A
4946439 Eggers Aug 1990 A
4947856 Beard Aug 1990 A
4950235 Slate et al. Aug 1990 A
4950244 Fellingham Aug 1990 A
4959050 Bobo, Jr. Sep 1990 A
4966579 Polaschegg Oct 1990 A
4968941 Rogers Nov 1990 A
4972842 Korten et al. Nov 1990 A
4976687 Martin Dec 1990 A
4978335 Arthur, III Dec 1990 A
4979940 Lapp et al. Dec 1990 A
4981467 Bobo et al. Jan 1991 A
5000663 Gorton Mar 1991 A
5000739 Kulisz et al. Mar 1991 A
5006050 Cooke et al. Apr 1991 A
5010473 Jacobs Apr 1991 A
5014714 Millay et al. May 1991 A
5014798 Glynn May 1991 A
5018945 D'Silva May 1991 A
5026348 Venegas Jun 1991 A
5028857 Taghezout Jul 1991 A
5032112 Fairchild et al. Jul 1991 A
5034004 Crankshaw Jul 1991 A
5035143 Latimer et al. Jul 1991 A
5040699 Gangemi Aug 1991 A
5041086 Koenig et al. Aug 1991 A
5043706 Oliver Aug 1991 A
5045069 Imparato Sep 1991 A
5049047 Polaschegg et al. Sep 1991 A
5052230 Lang Oct 1991 A
5053747 Slate et al. Oct 1991 A
5055761 Mills Oct 1991 A
5056992 Simons Oct 1991 A
5058161 Weiss Oct 1991 A
5059171 Bridge Oct 1991 A
5063603 Burt Nov 1991 A
5064412 Henke et al. Nov 1991 A
5078683 Sancoff et al. Jan 1992 A
5084663 Olsson Jan 1992 A
5084828 Kaufman et al. Jan 1992 A
5088981 Howson et al. Feb 1992 A
5096385 Georgi et al. Mar 1992 A
5097505 Weiss Mar 1992 A
5100380 Epstein et al. Mar 1992 A
5102392 Sakai et al. Apr 1992 A
5103211 Daoud et al. Apr 1992 A
5104374 Bishko et al. Apr 1992 A
5108367 Epstein et al. Apr 1992 A
5109850 Blanco et al. May 1992 A
5116203 Nartwick et al. May 1992 A
5116312 Blakenship et al. May 1992 A
5116316 Sertic May 1992 A
5123275 Daoud et al. Jun 1992 A
5124627 Okada Jun 1992 A
5125499 Saathoff et al. Jun 1992 A
5131816 Brown Jul 1992 A
5132603 Yoshimoto Jul 1992 A
5153827 Coutre et al. Oct 1992 A
5158441 Aid Oct 1992 A
5161222 Montejo et al. Nov 1992 A
5174472 Raque et al. Dec 1992 A
5176631 Koenig Jan 1993 A
5176646 Kuroda Jan 1993 A
5179340 Rogers Jan 1993 A
5180287 Natwick et al. Jan 1993 A
5181910 Scanlon Jan 1993 A
5186057 Everhart Feb 1993 A
5188603 Vaillancourt Feb 1993 A
5190522 Wocicki et al. Mar 1993 A
5191795 Fellingham et al. Mar 1993 A
5192340 Grant et al. Mar 1993 A
5194796 Domeki et al. Mar 1993 A
5198776 Carr Mar 1993 A
5200090 Ford Apr 1993 A
5205819 Ross et al. Apr 1993 A
5206522 Danby et al. Apr 1993 A
5207642 Orkin et al. May 1993 A
5211626 Frank et al. May 1993 A
5213573 Sorich et al. May 1993 A
5215450 Tamari Jun 1993 A
5216597 Beckers Jun 1993 A
5219099 Spence et al. Jun 1993 A
5219327 Okada Jun 1993 A
5221268 Barton et al. Jun 1993 A
5229713 Bullock et al. Jul 1993 A
5232476 Grant Aug 1993 A
5233571 Wirtschafter Aug 1993 A
5237309 Frantz et al. Aug 1993 A
5242406 Gross et al. Sep 1993 A
5242408 Jhuboo et al. Sep 1993 A
5243982 Möstl et al. Sep 1993 A
5244463 Cordner, Jr. et al. Sep 1993 A
5244568 Lindsay et al. Sep 1993 A
5254096 Rondelet et al. Oct 1993 A
5256155 Yerlikaya et al. Oct 1993 A
5256156 Kern et al. Oct 1993 A
5256157 Samiotes et al. Oct 1993 A
5260665 Goldberg Nov 1993 A
5257206 Hanson Dec 1993 A
5267980 Dirr et al. Dec 1993 A
5274316 Evans et al. Dec 1993 A
5276610 Maeda et al. Jan 1994 A
5280728 Sato et al. Jan 1994 A
5283510 Tamaki et al. Feb 1994 A
5287851 Beran et al. Feb 1994 A
5292306 Wynkoop et al. Mar 1994 A
5295967 Rondelet et al. Mar 1994 A
5298021 Sherer Mar 1994 A
5303585 Lichte Apr 1994 A
5304126 Epstein et al. Apr 1994 A
5304216 Wallace Apr 1994 A
5308333 Skakoon May 1994 A
5317506 Coutre et al. May 1994 A
5319363 Welch et al. Jun 1994 A
5319979 Abrahamson Jun 1994 A
5321392 Skakoon et al. Jun 1994 A
5325170 Bornhop Jun 1994 A
5325728 Zimmerman et al. Jul 1994 A
5328460 Lord et al. Jul 1994 A
5330634 Wong et al. Jul 1994 A
5333497 Braend et al. Aug 1994 A
5336051 Tamari Aug 1994 A
5338157 Blomquist Aug 1994 A
5342298 Michaels Aug 1994 A
5343734 Maeda et al. Sep 1994 A
5343885 Grant Sep 1994 A
5346466 Yerlikaya et al. Sep 1994 A
5356378 Doan et al. Oct 1994 A
5359271 Husher Oct 1994 A
D352778 Irvin et al. Nov 1994 S
5364346 Schrezenmeir Nov 1994 A
5366346 Danby Nov 1994 A
5368562 Blomquist et al. Nov 1994 A
5374865 Yoshimura et al. Dec 1994 A
5376070 Purvis et al. Dec 1994 A
5378231 Johnson et al. Jan 1995 A
5382232 Hague et al. Jan 1995 A
5383369 Khuri-Yakub et al. Jan 1995 A
5389071 Kawahara et al. Feb 1995 A
5389078 Zalesky et al. Feb 1995 A
5392638 Kawahara Feb 1995 A
5394732 Johnson et al. Mar 1995 A
5395320 Padda et al. Mar 1995 A
5399171 Bowman et al. Mar 1995 A
5406954 Tomita Apr 1995 A
5408326 Priestley Apr 1995 A
5415528 Ogden et al. May 1995 A
5417119 Smoll May 1995 A
5417222 Dempsey et al. May 1995 A
5417395 Fowler et al. May 1995 A
5418443 Kikuchi May 1995 A
5421208 Packard et al. Jun 1995 A
5423748 Uhala Jun 1995 A
5423749 Merte et al. Jun 1995 A
5423759 Campbell Jun 1995 A
5428284 Kaneda et al. Jun 1995 A
5429485 Dodge Jul 1995 A
5429601 Conley Jul 1995 A
5429602 Hauser Jul 1995 A
5431627 Pastrone et al. Jul 1995 A
5434508 Ishida Jul 1995 A
5437624 Langley et al. Aug 1995 A
5444316 Ohya et al. Aug 1995 A
5444378 Rogers Aug 1995 A
5445621 Poli et al. Aug 1995 A
5450758 Smoll Sep 1995 A
5451881 Finger Sep 1995 A
5455423 Mount et al. Oct 1995 A
5455851 Chaco et al. Oct 1995 A
5463906 Spani et al. Nov 1995 A
5464392 Epstein et al. Nov 1995 A
5465082 Chaco Nov 1995 A
5469851 Lipschutz Nov 1995 A
5473948 Moss et al. Dec 1995 A
5480294 Di Perna et al. Jan 1996 A
5482438 Anderson et al. Jan 1996 A
5485408 Blomquist Jan 1996 A
5486286 Peterson et al. Jan 1996 A
5489265 Montalvo et al. Feb 1996 A
5495566 Kwatinetz Feb 1996 A
5496273 Pastrone et al. Mar 1996 A
5505696 Miki Apr 1996 A
5505828 Wong et al. Apr 1996 A
5507288 Bocker et al. Apr 1996 A
5507412 Ebert et al. Apr 1996 A
5520637 Pager et al. May 1996 A
5522798 Johnson et al. Jun 1996 A
5522799 Furukawa Jun 1996 A
5527630 Nagata Jun 1996 A
5533389 Kamen et al. Jul 1996 A
5537853 Finburgh et al. Jul 1996 A
5542040 Chang et al. Jul 1996 A
5545140 Conero et al. Aug 1996 A
5547470 Johnson et al. Aug 1996 A
5551850 Williamson et al. Sep 1996 A
5554013 Owens et al. Sep 1996 A
5554115 Thomas et al. Sep 1996 A
5558638 Evers et al. Sep 1996 A
5562615 Nassif Oct 1996 A
5563486 Yamamoto et al. Oct 1996 A
5572105 Nojima et al. Nov 1996 A
5573502 LeCocq et al. Nov 1996 A
5583280 Mo et al. Dec 1996 A
5584667 Davis Dec 1996 A
5584806 Amano Dec 1996 A
5586868 Lawless et al. Dec 1996 A
5590653 Aida et al. Jan 1997 A
5594786 Chaco et al. Jan 1997 A
5600073 Hill Feb 1997 A
5601420 Warner et al. Feb 1997 A
5609575 Larson et al. Mar 1997 A
5609576 Voss Mar 1997 A
5611784 Barresi et al. Mar 1997 A
5616124 Hague et al. Apr 1997 A
5620312 Hyman et al. Apr 1997 A
5620608 Rosa et al. Apr 1997 A
5626140 Feldman et al. May 1997 A
5626151 Linden May 1997 A
5626563 Dodge et al. May 1997 A
5627443 Kimura et al. May 1997 A
5628309 Brown May 1997 A
5628731 Dodge et al. May 1997 A
5630710 Tune et al. May 1997 A
5634896 Bryant et al. Jun 1997 A
5637095 Nason et al. Jun 1997 A
5640075 Brasseur et al. Jun 1997 A
5640150 Atwater Jun 1997 A
5643212 Coutre et al. Jul 1997 A
5648710 Ikeda Jul 1997 A
5649536 Ogura et al. Jul 1997 A
5651775 Walker et al. Jul 1997 A
5657000 Ellingboe Aug 1997 A
5658133 Anderson et al. Aug 1997 A
5658250 Blomquist et al. Aug 1997 A
5659234 Cresens Aug 1997 A
5661245 Svoboda et al. Aug 1997 A
5662612 Niehoff Sep 1997 A
5665065 Colman et al. Sep 1997 A
5669877 Blomquist Sep 1997 A
5672154 Sillén et al. Sep 1997 A
5672832 Cucci et al. Sep 1997 A
5681285 Ford et al. Oct 1997 A
5681286 Niehoff Oct 1997 A
5685844 Marttila Nov 1997 A
5685866 Lopez Nov 1997 A
5687717 Halpern et al. Nov 1997 A
5689229 Chaco et al. Nov 1997 A
5691613 Gutwillinger Nov 1997 A
5695464 Viallet Dec 1997 A
5695473 Olsen Dec 1997 A
5697899 Hillman et al. Dec 1997 A
5697916 Schraga Dec 1997 A
5712795 Layman et al. Jan 1998 A
5713856 Eggers et al. Feb 1998 A
5714691 Hill Feb 1998 A
5718562 Lawless et al. Feb 1998 A
5718569 Holst Feb 1998 A
5720721 Dumas et al. Feb 1998 A
5722417 Rudolph Mar 1998 A
5728074 Castellano et al. Mar 1998 A
5728948 Bignell et al. Mar 1998 A
5733257 Stemby Mar 1998 A
5733259 Valcke et al. Mar 1998 A
5734464 Gibbs Mar 1998 A
5738659 Neer et al. Apr 1998 A
5743856 Oka et al. Apr 1998 A
5744027 Connell et al. Apr 1998 A
5744929 Miyazaki Apr 1998 A
5745378 Barker et al. Apr 1998 A
5752813 Tyner et al. May 1998 A
5752918 Fowler et al. May 1998 A
5752919 Schrimpf May 1998 A
5755691 Hilborne May 1998 A
5758643 Wong et al. Jun 1998 A
5761072 Bardsley, Jr. et al. Jun 1998 A
5764034 Bowman et al. Jun 1998 A
5766155 Hyman et al. Jun 1998 A
5772635 Dastur et al. Jun 1998 A
5778256 Darbee Jul 1998 A
5781442 Engleson et al. Jul 1998 A
5782805 Meinzer et al. Jul 1998 A
5788669 Peterson Aug 1998 A
5788674 McWilliams Aug 1998 A
5789923 Shimoyama et al. Aug 1998 A
5792069 Greenwald et al. Aug 1998 A
5793211 Shimoyama et al. Aug 1998 A
5795327 Wilson et al. Aug 1998 A
5798934 Saigo et al. Aug 1998 A
5800387 Duffy et al. Sep 1998 A
5803712 Davis et al. Sep 1998 A
5803917 Butterfield Sep 1998 A
5805455 Lipps Sep 1998 A
5807322 Lindsey et al. Sep 1998 A
5810770 Chin et al. Sep 1998 A
5813972 Nazarian et al. Sep 1998 A
5814004 Tamari Sep 1998 A
5814015 Gargano et al. Sep 1998 A
5816779 Lawless et al. Oct 1998 A
5822715 Worthington et al. Oct 1998 A
5827179 Lichter et al. Oct 1998 A
5827223 Butterfield Oct 1998 A
5832448 Brown Nov 1998 A
5836910 Duffy et al. Nov 1998 A
5841261 Nojima et al. Nov 1998 A
5841284 Takahashi Nov 1998 A
5843035 Bowman Dec 1998 A
5848971 Fowler et al. Dec 1998 A
5850344 Conkright Dec 1998 A
5857843 Leason et al. Jan 1999 A
5864330 Haynes Jan 1999 A
5865805 Ziemba Feb 1999 A
5867821 Ballantyne et al. Feb 1999 A
5871465 Vasko Feb 1999 A
5872453 Shimoyama et al. Feb 1999 A
5875195 Dixon Feb 1999 A
5882300 Malinouskas et al. Mar 1999 A
5882339 Beiser et al. Mar 1999 A
5885245 Lynch et al. Mar 1999 A
5889379 Yanagi et al. Mar 1999 A
5891051 Han et al. Apr 1999 A
5894209 Takagi et al. Apr 1999 A
5897493 Brown Apr 1999 A
5897498 Canfield, II et al. Apr 1999 A
5898292 Takemoto et al. Apr 1999 A
5899665 Makino et al. May 1999 A
5901150 Jhuboo et al. May 1999 A
5904666 DeDecker et al. May 1999 A
5904668 Hyman et al. May 1999 A
5905207 Schalk May 1999 A
5906598 Giesier May 1999 A
5910252 Truitt et al. Jun 1999 A
5915240 Karpf Jun 1999 A
5920263 Huttenhoff et al. Jul 1999 A
5923159 Ezell Jul 1999 A
5924074 Evans Jul 1999 A
5927349 Martucci Jul 1999 A
5932119 Kaplan et al. Aug 1999 A
5932987 McLoughlin Aug 1999 A
5935099 Peterson et al. Aug 1999 A
5935106 Olsen Aug 1999 A
5938634 Packard Aug 1999 A
5938636 Kramer et al. Aug 1999 A
5941846 Duffy et al. Aug 1999 A
5944660 Kimball et al. Aug 1999 A
5947911 Wong et al. Sep 1999 A
5954527 Jhuboo et al. Sep 1999 A
5954696 Ryan et al. Sep 1999 A
5956023 Lyle et al. Sep 1999 A
5956501 Brown Sep 1999 A
5957885 Bollish et al. Sep 1999 A
5957890 Mann et al. Sep 1999 A
5971594 Sahai et al. Oct 1999 A
5973497 Bergk et al. Oct 1999 A
5975081 Hood et al. Nov 1999 A
5989222 Cole et al. Nov 1999 A
5990838 Burns et al. Nov 1999 A
5991525 Shah et al. Nov 1999 A
5993393 Ryan et al. Nov 1999 A
5994876 Canny et al. Nov 1999 A
5997476 Brown Dec 1999 A
6000828 Leet Dec 1999 A
6003006 Colella et al. Dec 1999 A
6003388 Oeftering Dec 1999 A
6012034 Hamparian et al. Jan 2000 A
6017318 Gauthier et al. Jan 2000 A
6017493 Cambron Jan 2000 A
6021392 Lester et al. Feb 2000 A
6023977 Langdon et al. Feb 2000 A
6024539 Blomquist Feb 2000 A
6027441 Cantu Feb 2000 A
6028412 Shine et al. Feb 2000 A
6032676 Moore Mar 2000 A
6033561 Schoendorfer Mar 2000 A
6036017 Bayliss, IV Mar 2000 A
6068612 Bowman May 2000 A
6068615 Brown et al. May 2000 A
6073106 Rozen et al. Jun 2000 A
6077246 Kullas et al. Jun 2000 A
6083206 Molko Jul 2000 A
6089104 Chang Jul 2000 A
6104295 Gaisser et al. Aug 2000 A
6110152 Kovelman Aug 2000 A
6110153 Davis Aug 2000 A
RE36871 Epstein et al. Sep 2000 E
6120459 Nitzan et al. Sep 2000 A
6122536 Sun et al. Sep 2000 A
6142008 Cole Nov 2000 A
6150942 O'Brien Nov 2000 A
6157914 Seto et al. Dec 2000 A
6158288 Smith Dec 2000 A
6158965 Butterfield et al. Dec 2000 A
6159147 Lichter et al. Dec 2000 A
6159186 Wickham et al. Dec 2000 A
6164921 Moubayed et al. Dec 2000 A
6168561 Cantu Jan 2001 B1
6178827 Feller Jan 2001 B1
6182667 Hanks et al. Feb 2001 B1
6186141 Pike et al. Feb 2001 B1
6189105 Lopes Feb 2001 B1
6192752 Blaine Feb 2001 B1
6195589 Ketcham Feb 2001 B1
6202711 Martucci Mar 2001 B1
6203528 Deckert Mar 2001 B1
6208107 Maske et al. Mar 2001 B1
6212936 Meisberger Apr 2001 B1
6213972 Butterfield Apr 2001 B1
6231320 Lawless et al. May 2001 B1
6234176 Domae et al. May 2001 B1
6236326 Murphy et al. May 2001 B1
6237398 Porat et al. May 2001 B1
6241704 Peterson et al. Jun 2001 B1
6248067 Causey, III et al. Jun 2001 B1
6250132 Drzewiecki Jun 2001 B1
6259355 Chaco et al. Jul 2001 B1
6259587 Sheldon et al. Jul 2001 B1
6261065 Nayak Jul 2001 B1
6262946 Khuri-Yakub et al. Jul 2001 B1
6267559 Mossman et al. Jul 2001 B1
6267725 Dubberstein et al. Jul 2001 B1
6269340 Ford et al. Jul 2001 B1
6270455 Brown Aug 2001 B1
6271813 Palalau Aug 2001 B1
6277072 Bardy Aug 2001 B1
6277099 Strowe et al. Aug 2001 B1
6280380 Bardy Aug 2001 B1
6280391 Olson et al. Aug 2001 B1
6280408 Sipin Aug 2001 B1
6283761 Joao Sep 2001 B1
6285155 Maske et al. Sep 2001 B1
6312378 Bardy Nov 2001 B1
6322516 Masuda et al. Nov 2001 B1
6330351 Yasunaga Dec 2001 B1
6336053 Beatty Jan 2002 B1
6337675 Toffolo et al. Jan 2002 B1
6345539 Rawes et al. Feb 2002 B1
6347553 Morris et al. Feb 2002 B1
6349740 Cho et al. Feb 2002 B1
6358225 Butterfield Mar 2002 B1
6358387 Kopf-Sill et al. Mar 2002 B1
6362591 Moberg Mar 2002 B1
6385505 Lipps May 2002 B1
6386050 Yin et al. May 2002 B1
6394958 Bratteli et al. May 2002 B1
6396583 Clare May 2002 B1
6398760 Danby Jun 2002 B1
6405076 Taylor et al. Jun 2002 B1
6408679 Kline-Schoder et al. Jun 2002 B1
6413238 Maget Jul 2002 B1
6416291 Butterfield et al. Jul 2002 B1
6418334 Unger et al. Jul 2002 B1
6418535 Kulakowski et al. Jul 2002 B1
6445053 Cho Sep 2002 B1
6456245 Crawford Sep 2002 B1
6457346 Kline-Schoder et al. Oct 2002 B1
6463785 Kline-Schoder et al. Oct 2002 B1
6467331 Kline-Schoder et al. Oct 2002 B1
6468242 Wilson et al. Oct 2002 B1
6475178 Krajewski Nov 2002 B1
6481980 Vandlik Nov 2002 B1
6482158 Mault Nov 2002 B2
6482185 Hartmann Nov 2002 B1
6485263 Bryant et al. Nov 2002 B1
6485418 Yasushi et al. Nov 2002 B2
6485465 Moberg et al. Nov 2002 B2
6487916 Gomm et al. Dec 2002 B1
6489896 Platt Dec 2002 B1
6494694 Lawless et al. Dec 2002 B2
6494831 Koritzinsky Dec 2002 B1
6497680 Holst et al. Dec 2002 B1
6503221 Briggs Jan 2003 B1
6512944 Kovtun et al. Jan 2003 B1
6516667 Broad et al. Feb 2003 B1
6517482 Eiden et al. Feb 2003 B1
6519569 White et al. Feb 2003 B1
6529751 Van Driel et al. Mar 2003 B1
6531708 Malmstrom Mar 2003 B1
6539315 Adams et al. Mar 2003 B1
6540672 Simonsen et al. Apr 2003 B1
6544212 Galley et al. Apr 2003 B2
6544228 Heitmeier Apr 2003 B1
6558125 Futterknecht May 2003 B1
6558351 Steil et al. May 2003 B1
6562012 Brown et al. May 2003 B1
6564825 Lowery et al. May 2003 B2
6565509 Say et al. May 2003 B1
6568416 Tucker et al. May 2003 B2
6572542 Houben et al. Jun 2003 B1
6572545 Knobbe et al. Jun 2003 B2
6572576 Brugger et al. Jun 2003 B2
6578422 Lam et al. Jun 2003 B2
6578435 Gould et al. Jun 2003 B2
6581117 Klein et al. Jun 2003 B1
RE38189 Walker et al. Jul 2003 E
6585675 O'Mahony et al. Jul 2003 B1
6589229 Connelly et al. Jul 2003 B1
6589792 Malachowski Jul 2003 B1
6599281 Struys et al. Jul 2003 B1
6599282 Burko Jul 2003 B2
6602191 Quy Aug 2003 B2
6605072 Struys et al. Aug 2003 B2
6606047 Börjesson et al. Aug 2003 B1
6609047 Lipps Aug 2003 B1
6615674 Ohnishi Sep 2003 B2
6616633 Butterfield et al. Sep 2003 B1
6617564 Ockerse et al. Sep 2003 B2
6618916 Eberle et al. Sep 2003 B1
6622542 Derek Sep 2003 B2
6622561 Lam et al. Sep 2003 B2
D481121 Evans Oct 2003 S
6629449 Kline-Schoder et al. Oct 2003 B1
6634233 He Oct 2003 B2
6640246 Gardy, Jr. et al. Oct 2003 B1
6641533 Causey, III et al. Nov 2003 B2
6641541 Lovett et al. Nov 2003 B1
6648861 Platt et al. Nov 2003 B2
6652455 Kocher Nov 2003 B1
6653937 Nelson et al. Nov 2003 B2
6659980 Moberg et al. Dec 2003 B2
D485356 Evans Jan 2004 S
6685668 Cho et al. Feb 2004 B1
6685678 Evans et al. Feb 2004 B2
6689069 Bratteli et al. Feb 2004 B2
6689091 Bui et al. Feb 2004 B2
6692241 Watanabe et al. Feb 2004 B2
6716004 Vandlik Apr 2004 B2
6719535 Rakestraw et al. Apr 2004 B2
6721582 Trepagnier et al. Apr 2004 B2
6722211 Ciobanu et al. Apr 2004 B1
6725200 Rost Apr 2004 B1
6725721 Venczel Apr 2004 B2
6731989 Engleson et al. May 2004 B2
6732595 Lynnworth May 2004 B2
6738052 Manke et al. May 2004 B1
6740072 Starkweather et al. May 2004 B2
6741212 Kralovec et al. May 2004 B2
6748808 Lam et al. Jun 2004 B2
6749403 Bryant et al. Jun 2004 B2
6752787 Causey, III et al. Jun 2004 B1
6753842 Williams et al. Jun 2004 B1
6759007 Westberg Jul 2004 B1
6760643 Lipps Jul 2004 B2
6768920 Lange Jul 2004 B2
6773412 O'Mahony Aug 2004 B2
6780156 Haueter et al. Aug 2004 B2
6783328 Lucke et al. Aug 2004 B2
6785573 Kovtun et al. Aug 2004 B2
6786885 Hochman et al. Sep 2004 B2
6789426 Yaralioglu et al. Sep 2004 B2
6790198 White et al. Sep 2004 B1
6793625 Cavallaro et al. Sep 2004 B2
6801227 Bocionek et al. Oct 2004 B2
6805671 Stergiopoulos et al. Oct 2004 B2
6807965 Hickle Oct 2004 B1
6809653 Mann et al. Oct 2004 B1
6813964 Clark et al. Nov 2004 B1
6814547 Childers Nov 2004 B2
6824528 Faries Nov 2004 B1
6830558 Flaherty et al. Dec 2004 B2
6840113 Fukumura et al. Jan 2005 B2
6846161 Kline Jan 2005 B2
6852094 Beck Feb 2005 B2
6852104 Blomquist Feb 2005 B2
6854338 Khuri-Yakub et al. Feb 2005 B2
6857318 Silber et al. Feb 2005 B1
6869425 Briggs et al. Mar 2005 B2
6873268 Lebel et al. Mar 2005 B2
6883376 He Apr 2005 B2
6885881 Leonhardt Apr 2005 B2
6887216 Hochman et al. May 2005 B2
6898301 Iwanaga May 2005 B2
6907361 Molenaar Jun 2005 B2
6907792 Ohnishi Jun 2005 B2
6915170 Engleson et al. Jul 2005 B2
6920795 Bischoff et al. Jul 2005 B2
6923763 Kovatchev et al. Aug 2005 B1
6928338 Buchser et al. Aug 2005 B1
6929619 Fago et al. Aug 2005 B2
6929751 Bowman Aug 2005 B2
6932114 Sparks Aug 2005 B2
6932796 Sage et al. Aug 2005 B2
6935192 Sobek et al. Aug 2005 B2
6936029 Mann et al. Aug 2005 B2
6941005 Lary et al. Sep 2005 B2
6942636 Holst et al. Sep 2005 B2
6945954 Hochman et al. Sep 2005 B2
6958705 Lebel et al. Oct 2005 B2
6964204 Clark et al. Nov 2005 B2
6973374 Ader Dec 2005 B2
6974437 Lebel et al. Dec 2005 B2
6975922 Duncan et al. Dec 2005 B2
6978779 Haveri et al. Dec 2005 B2
6979326 Mann et al. Dec 2005 B2
6981960 Cho et al. Jan 2006 B2
6984218 Nayak et al. Jan 2006 B2
6985768 Hemming et al. Jan 2006 B2
6985870 Martucci et al. Jan 2006 B2
6986347 Hickle Jan 2006 B2
6986753 Bui Jan 2006 B2
6997905 Gillespie, Jr. et al. Feb 2006 B2
6997920 Mann et al. Feb 2006 B2
7006005 Nazarian et al. Feb 2006 B2
7017623 Tribble et al. Mar 2006 B2
7021148 Kuhn Apr 2006 B2
7025743 Mann et al. Apr 2006 B2
7029455 Flaherty Apr 2006 B2
7029456 Ware et al. Apr 2006 B2
7059184 Kanouda et al. Jun 2006 B2
7060059 Keith et al. Jun 2006 B2
7069793 Ishikawa et al. Jul 2006 B2
7072725 Bristol et al. Jul 2006 B2
7074209 Evans et al. Jul 2006 B2
7080557 Adnan Jul 2006 B2
7082843 Clark et al. Aug 2006 B2
7087444 Wong et al. Aug 2006 B2
7092796 Vanderveen Aug 2006 B2
7092797 Gaines et al. Aug 2006 B2
7093502 Kupnik et al. Aug 2006 B2
7096729 Repko et al. Aug 2006 B2
7103419 Engleson et al. Sep 2006 B2
7104763 Bouton et al. Sep 2006 B2
7104769 Davis Sep 2006 B2
7108680 Rohr et al. Sep 2006 B2
7109878 Mann et al. Sep 2006 B2
7115113 Evans et al. Oct 2006 B2
7117041 Engleson et al. Oct 2006 B2
7137964 Flaherty Nov 2006 B2
7141037 Butterfield et al. Nov 2006 B2
7152490 Freund, Jr. et al. Dec 2006 B1
7154397 Zerhusen et al. Dec 2006 B2
7161488 Frasch Jan 2007 B2
7162290 Levin Jan 2007 B1
7162927 Selvan et al. Jan 2007 B1
7171277 Engleson et al. Jan 2007 B2
7174789 Orr et al. Feb 2007 B2
7185288 McKeever Feb 2007 B2
7197943 Lee et al. Apr 2007 B2
7201734 Hickle Apr 2007 B2
7204823 Estes et al. Apr 2007 B2
7206715 Vanderveen et al. Apr 2007 B2
7213009 Pestotnik May 2007 B2
7220240 Struys et al. May 2007 B2
7229430 Hickle et al. Jun 2007 B2
7230529 Ketcherside Jun 2007 B2
7232430 Carlisle Jun 2007 B2
7238164 Childers et al. Jul 2007 B2
7247154 Hickle Jul 2007 B2
7253779 Greer et al. Aug 2007 B2
7254425 Lowery et al. Aug 2007 B2
7258534 Fathallah et al. Aug 2007 B2
7267664 Rizzo Sep 2007 B2
7267665 Steil et al. Sep 2007 B2
7272529 Hogan et al. Sep 2007 B2
7278983 Ireland et al. Oct 2007 B2
7291123 Baraldi et al. Nov 2007 B2
7293461 Gimdt Nov 2007 B1
7294109 Lovett et al. Nov 2007 B2
7296482 Schaffer et al. Nov 2007 B2
7300418 Zaleski Nov 2007 B2
7305883 Khuri-Yakub et al. Dec 2007 B2
7327273 Hung et al. Feb 2008 B2
7338470 Katz Mar 2008 B2
7347836 Peterson et al. Mar 2008 B2
7347854 Shelton et al. Mar 2008 B2
7354420 Steil et al. Apr 2008 B2
7356382 Vanderveen Apr 2008 B2
7360999 Nelson et al. Apr 2008 B2
7364562 Braig et al. Apr 2008 B2
7367942 Grage et al. May 2008 B2
7369948 Ferenczi et al. May 2008 B1
7384410 Eggers et al. Jun 2008 B2
7397166 Morgan et al. Jul 2008 B1
7398183 Holland et al. Jul 2008 B2
7399277 Saidara et al. Jul 2008 B2
7402153 Steil et al. Jul 2008 B2
7402154 Mendez Jul 2008 B2
7407489 Mendez Aug 2008 B2
7414534 Kroll et al. Aug 2008 B1
7415895 Kurisaki et al. Aug 2008 B2
7426443 Simon Sep 2008 B2
7430675 Lee et al. Sep 2008 B2
7447566 Knauper et al. Nov 2008 B2
7447643 Olson Nov 2008 B1
7452190 Bouton et al. Nov 2008 B2
7454314 Holland et al. Nov 2008 B2
7471994 Ford et al. Dec 2008 B2
7477997 Kaplit Jan 2009 B2
7482818 Greenwald et al. Jan 2009 B2
7483756 Engleson et al. Jan 2009 B2
7490021 Holland et al. Feb 2009 B2
7491187 Van Den Berghe et al. Feb 2009 B2
7503903 Carlisle et al. Mar 2009 B2
7517332 Tonelli et al. Apr 2009 B2
7523401 Aldridge Apr 2009 B1
7545075 Huang et al. Jun 2009 B2
7556616 Fathallah et al. Jul 2009 B2
7561986 Vanderveen et al. Jul 2009 B2
7571024 Duncan et al. Aug 2009 B2
7605730 Tomioka et al. Oct 2009 B2
7645258 White et al. Jan 2010 B2
7654127 Krulevitch et al. Feb 2010 B2
7657443 Crass Feb 2010 B2
7668731 Martucci et al. Feb 2010 B2
7678048 Urbano et al. Mar 2010 B1
7693697 Westenskow et al. Apr 2010 B2
7699806 Ware et al. Apr 2010 B2
7705727 Pestotnik Apr 2010 B2
7766873 Moberg et al. Aug 2010 B2
7775126 Eckhardt Aug 2010 B2
7775127 Wade Aug 2010 B2
7785284 Baralsi et al. Aug 2010 B2
7785313 Mastrototaro Aug 2010 B2
7786909 Udupa et al. Aug 2010 B2
7806886 Kanderian, Jr. et al. Oct 2010 B2
7826981 Goode, Jr. et al. Nov 2010 B2
7847276 Carlisle Dec 2010 B2
7860583 Condurso et al. Dec 2010 B2
7871394 Halbert et al. Jan 2011 B2
7876443 Bernacki Jan 2011 B2
7895053 Holland et al. Feb 2011 B2
7895882 Carlisle Mar 2011 B2
7896834 Smisson, III Mar 2011 B2
7896842 Palmroos et al. Mar 2011 B2
7905710 Wang et al. Mar 2011 B2
7933780 de la Huerga Apr 2011 B2
7945452 Fathallah et al. May 2011 B2
7976508 Hoag Jul 2011 B2
7981073 Mollstam Jul 2011 B2
7981082 Wang Jul 2011 B2
7998134 Fangrow Aug 2011 B2
8002736 Patrick et al. Aug 2011 B2
8034020 Dewey Oct 2011 B2
8038593 Friedman et al. Oct 2011 B2
8065161 Howard et al. Nov 2011 B2
8067760 Carlisle Nov 2011 B2
8075514 Butterfield et al. Dec 2011 B2
8075546 Carlisle et al. Dec 2011 B2
8078983 Davis et al. Dec 2011 B2
8121857 Galasso et al. Feb 2012 B2
8149131 Blomquist Apr 2012 B2
8175668 Nabutovsky et al. May 2012 B1
8177739 Cartledge et al. May 2012 B2
8180440 McCombie et al. May 2012 B2
8185322 Schroeder et al. May 2012 B2
8197444 Bazargan Jun 2012 B1
8219413 Martinez et al. Jul 2012 B2
8221395 Shelton et al. Jul 2012 B2
8226597 Jacobson et al. Jul 2012 B2
8231578 Fathallah et al. Jul 2012 B2
8234128 Martucci et al. Jul 2012 B2
8271106 Wehba et al. Sep 2012 B2
8287514 Miller et al. Oct 2012 B2
8291337 Gannin et al. Oct 2012 B2
8313308 Lawless et al. Nov 2012 B2
8317698 Lowery Nov 2012 B2
8317750 Ware et al. Nov 2012 B2
8317752 Cozmi et al. Nov 2012 B2
8318094 Bayandorian et al. Nov 2012 B1
8340792 Condurso et al. Dec 2012 B2
8347731 Genosar Jan 2013 B2
8359338 Butterfield et al. Jan 2013 B2
8361021 Wang et al. Jan 2013 B2
8378837 Wang et al. Feb 2013 B2
8388598 Steinkogler Mar 2013 B2
8398616 Budiman Mar 2013 B2
8403908 Jacobson et al. Mar 2013 B2
8409164 Fangrow Apr 2013 B2
8449524 Braig et al. May 2013 B2
8469942 Kow Jun 2013 B2
8477307 Yufa et al. Jul 2013 B1
8494879 Davis et al. Jul 2013 B2
8504179 Blomquist Aug 2013 B2
8517990 Teel et al. Aug 2013 B2
8518021 Stewart et al. Aug 2013 B2
8522832 Lopez et al. Sep 2013 B2
8523797 Lowery et al. Sep 2013 B2
8539812 Stringham et al. Sep 2013 B2
8543416 Palmroos et al. Sep 2013 B2
8577692 Silkaitis et al. Nov 2013 B2
8622990 Estes et al. Jan 2014 B2
8630722 Condurso et al. Jan 2014 B2
8665214 Forutanpour et al. Mar 2014 B2
8666769 Butler et al. Mar 2014 B2
8700421 Feng et al. Apr 2014 B2
8706233 Su et al. Apr 2014 B2
8721584 Braithwaite et al. May 2014 B2
8728020 Caleffi May 2014 B2
8758306 Lopez et al. Jun 2014 B2
8761906 Condurso et al. Jun 2014 B2
8768719 Wehba et al. Jul 2014 B2
8771251 Ruchti et al. Jul 2014 B2
8792981 Yudovsky et al. Jul 2014 B2
8821432 Unverdorben Sep 2014 B2
8823382 Rondoni et al. Sep 2014 B2
8857269 Johnson et al. Oct 2014 B2
8858185 Johnson et al. Oct 2014 B2
8905965 Mandro et al. Dec 2014 B2
8964185 Luo et al. Feb 2015 B1
9005150 Ware et al. Apr 2015 B2
9026370 Rubalcaba et al. May 2015 B2
9084855 Ware et al. Jul 2015 B2
9114217 Sur et al. Aug 2015 B2
9134735 Lowery et al. Sep 2015 B2
9134736 Lowery et al. Sep 2015 B2
9138526 Ware et al. Sep 2015 B2
9190010 Vik et al. Nov 2015 B2
9240002 Hume et al. Jan 2016 B2
9272089 Jacobson et al. Mar 2016 B2
9316216 Cook et al. Apr 2016 B1
9333291 Jacobson et al. May 2016 B2
9381296 Arrizza et al. Jul 2016 B2
9393362 Cozmi et al. Jul 2016 B2
9468718 Hung et al. Oct 2016 B2
9498583 Sur et al. Nov 2016 B2
9545475 Borges et al. Jan 2017 B2
9707341 Dumas, III et al. Jul 2017 B2
9764087 Peterfreund et al. Sep 2017 B2
9852265 Treacy et al. Dec 2017 B1
9883987 Lopez et al. Feb 2018 B2
9943269 Muhsin et al. Apr 2018 B2
9995611 Ruchti et al. Jun 2018 B2
10022498 Ruchti et al. Jul 2018 B2
10046112 Oruklu et al. Aug 2018 B2
10089055 Fryman Oct 2018 B1
10099009 Anderson et al. Oct 2018 B1
10166328 Oruklu et al. Jan 2019 B2
10342917 Shubinsky et al. Jul 2019 B2
10430761 Hume et al. Oct 2019 B2
10463788 Day Nov 2019 B2
10549248 Brown et al. Feb 2020 B2
10578474 Ruchti et al. Mar 2020 B2
10596316 Dumas, III et al. Mar 2020 B2
10635784 Rubalcaba, Jr. et al. Apr 2020 B2
10656894 Fryman May 2020 B2
10682102 Declerck Jun 2020 B2
10709885 Janders et al. Jul 2020 B2
10850024 Day et al. Dec 2020 B2
10874793 Oruklu et al. Dec 2020 B2
11004035 Hume et al. May 2021 B2
D923050 Kataoka et al. Jun 2021 S
11029911 Fryman Jun 2021 B2
D928813 Nurutdinov et al. Aug 2021 S
D928840 Amit et al. Aug 2021 S
11090431 Dumas, III et al. Aug 2021 B2
D931884 Bryant et al. Sep 2021 S
11135360 Jacobson et al. Oct 2021 B1
11246985 Gylland et al. Feb 2022 B2
11298456 Shubinsky et al. Apr 2022 B2
11324888 Shubinsky et al. May 2022 B2
11344668 Sileika et al. May 2022 B2
11344673 Lindo et al. May 2022 B2
11376361 Ruchti et al. Jul 2022 B2
11378430 Ruchti et al. Jul 2022 B2
11395875 Rubalcaba, Jr. et al. Jul 2022 B2
11433177 Oruklu et al. Sep 2022 B2
11596737 Dumas, III et al. Mar 2023 B2
11599854 Hume et al. Mar 2023 B2
11623042 Day Apr 2023 B2
20010007636 Butterfield Jul 2001 A1
20010014769 Bufe et al. Aug 2001 A1
20010015099 Blaine Aug 2001 A1
20010016056 Westphal et al. Aug 2001 A1
20010032099 Joao Oct 2001 A1
20010037060 Thompson et al. Nov 2001 A1
20010041869 Causey et al. Nov 2001 A1
20010044731 Coffman et al. Nov 2001 A1
20020003892 Iwanaga Jan 2002 A1
20020007116 Zatezalo et al. Jan 2002 A1
20020013545 Soltanpour et al. Jan 2002 A1
20020013551 Zaitsu et al. Jan 2002 A1
20020015018 Shimazu et al. Feb 2002 A1
20020018720 Carlisle et al. Feb 2002 A1
20020029776 Blomquist Mar 2002 A1
20020031838 Meinhart et al. Mar 2002 A1
20020032583 Joao Mar 2002 A1
20020038392 de la Huerga Mar 2002 A1
20020040208 Flaherty et al. Apr 2002 A1
20020044059 Reeder et al. Apr 2002 A1
20020045806 Baker, Jr. et al. Apr 2002 A1
20020082728 Mueller et al. Jun 2002 A1
20020083771 Khuri-Yakub et al. Jul 2002 A1
20020085952 Ellingboe et al. Jul 2002 A1
20020087115 Hartlaub Jul 2002 A1
20020093641 Ortyn et al. Jul 2002 A1
20020095486 Bahl Jul 2002 A1
20020099282 Knobbe et al. Jul 2002 A1
20020099334 Hanson et al. Jul 2002 A1
20020143580 Bristol et al. Oct 2002 A1
20020147389 Cavallaro et al. Oct 2002 A1
20020152239 Bautista-Lloyd et al. Oct 2002 A1
20020168278 Jeon et al. Nov 2002 A1
20020169636 Eggers et al. Nov 2002 A1
20020173703 Lebel et al. Nov 2002 A1
20020183693 Peterson et al. Dec 2002 A1
20030009244 Engleson Jan 2003 A1
20030013959 Grunwald et al. Jan 2003 A1
20030018289 Ng et al. Jan 2003 A1
20030018308 Tsai Jan 2003 A1
20030025602 Medema et al. Feb 2003 A1
20030028082 Thompson Feb 2003 A1
20030030001 Cooper et al. Feb 2003 A1
20030045840 Burko Mar 2003 A1
20030050621 Lebel et al. Mar 2003 A1
20030052787 Zerhusen et al. Mar 2003 A1
20030060688 Ciarniello et al. Mar 2003 A1
20030060765 Campbell et al. Mar 2003 A1
20030065537 Evans Apr 2003 A1
20030065589 Giacchetti Apr 2003 A1
20030073954 Moberg et al. Apr 2003 A1
20030079746 Hickle May 2003 A1
20030083583 Kovtun et al. May 2003 A1
20030091442 Bush et al. May 2003 A1
20030104982 Wittmann et al. Jun 2003 A1
20030106553 Vanderveen Jun 2003 A1
20030114836 Estes et al. Jun 2003 A1
20030125662 Bui Jul 2003 A1
20030130616 Steil Jul 2003 A1
20030135087 Hickle et al. Jul 2003 A1
20030135388 Martucci et al. Jul 2003 A1
20030136193 Fujimoto Jul 2003 A1
20030139701 White et al. Jul 2003 A1
20030140928 Bui et al. Jul 2003 A1
20030141981 Bui et al. Jul 2003 A1
20030143746 Sage, Jr. Jul 2003 A1
20030144878 Wilkes et al. Jul 2003 A1
20030158508 DiGianfilippo Aug 2003 A1
20030159741 Sparks Aug 2003 A1
20030160683 Blomquist Aug 2003 A1
20030163789 Blomquist Aug 2003 A1
20030173408 Mosher, Jr. et al. Sep 2003 A1
20030186833 Huff et al. Oct 2003 A1
20030187338 Say et al. Oct 2003 A1
20030194328 Bryant et al. Oct 2003 A1
20030200116 Forrester Oct 2003 A1
20030204274 Ullestad et al. Oct 2003 A1
20030204416 Acharya Oct 2003 A1
20030212364 Mann et al. Nov 2003 A1
20030212379 Bylund et al. Nov 2003 A1
20030216682 Junker Nov 2003 A1
20030217962 Childers et al. Nov 2003 A1
20030233071 Gillespie, Jr. et al. Dec 2003 A1
20040030277 O'Mahony et al. Feb 2004 A1
20040047736 Nose et al. Mar 2004 A1
20040057226 Berthou et al. Mar 2004 A1
20040064342 Browne et al. Apr 2004 A1
20040073125 Lovett et al. Apr 2004 A1
20040073161 Tachibana Apr 2004 A1
20040077996 Jasperson et al. Apr 2004 A1
20040082908 Whitehurst Apr 2004 A1
20040082918 Evans et al. Apr 2004 A1
20040104271 Martucci et al. Jun 2004 A1
20040119753 Zencke Jun 2004 A1
20040120825 Bouton et al. Jun 2004 A1
20040128162 Schlotterbeck et al. Jul 2004 A1
20040128163 Goodman et al. Jul 2004 A1
20040133166 Moberg et al. Jul 2004 A1
20040145114 Ippolito et al. Jul 2004 A1
20040147034 Gore et al. Jul 2004 A1
20040149823 Aptekar Aug 2004 A1
20040152970 Hunter et al. Aug 2004 A1
20040158193 Bui et al. Aug 2004 A1
20040167464 Ireland et al. Aug 2004 A1
20040167465 Kohler Aug 2004 A1
20040167804 Simpson Aug 2004 A1
20040172222 Simpson et al. Sep 2004 A1
20040172283 Vanderveen Sep 2004 A1
20040172289 Kozic et al. Sep 2004 A1
20040172301 Mihai et al. Sep 2004 A1
20040172302 Martucci et al. Sep 2004 A1
20040176984 White et al. Sep 2004 A1
20040181314 Zaleski Sep 2004 A1
20040193025 Steil et al. Sep 2004 A1
20040193325 Bonderud Sep 2004 A1
20040193328 Butterfield et al. Sep 2004 A1
20040204638 Diab et al. Oct 2004 A1
20040204673 Flaherty et al. Oct 2004 A1
20040220517 Starkweather et al. Nov 2004 A1
20040225252 Gillespie et al. Nov 2004 A1
20040225409 Duncan et al. Nov 2004 A1
20040232219 Fowler Nov 2004 A1
20040253123 Xie et al. Dec 2004 A1
20040254434 Goodnow et al. Dec 2004 A1
20040254513 Shang et al. Dec 2004 A1
20050021006 Tonnies Jan 2005 A1
20050021297 Hartlaub Jan 2005 A1
20050022274 Campbell et al. Jan 2005 A1
20050038680 McMahon Feb 2005 A1
20050055242 Bello et al. Mar 2005 A1
20050055244 Mullan et al. Mar 2005 A1
20050065465 Lebel et al. Mar 2005 A1
20050075544 Shapiro et al. Apr 2005 A1
20050096593 Pope et al. May 2005 A1
20050099624 Staehr May 2005 A1
20050107923 Vanderveen May 2005 A1
20050108057 Cohen et al. May 2005 A1
20050119597 O'Mahony et al. Jun 2005 A1
20050119914 Batch Jun 2005 A1
20050131739 Rabinowitz et al. Jun 2005 A1
20050137522 Aoki Jun 2005 A1
20050137653 Friedman et al. Jun 2005 A1
20050143864 Blomquist Jun 2005 A1
20050145010 Vanderveen et al. Jul 2005 A1
20050171503 Van Den Berghe et al. Aug 2005 A1
20050171815 Vanderveen Aug 2005 A1
20050177045 Degertekin et al. Aug 2005 A1
20050177096 Bollish et al. Aug 2005 A1
20050182306 Sloan Aug 2005 A1
20050182355 Bui Aug 2005 A1
20050182366 Vogt et al. Aug 2005 A1
20050187515 Varrichio et al. Aug 2005 A1
20050192529 Butterfield et al. Sep 2005 A1
20050192557 Brauker et al. Sep 2005 A1
20050197554 Polcha Sep 2005 A1
20050197621 Poulsen et al. Sep 2005 A1
20050197649 Shelton et al. Sep 2005 A1
20050204828 Lee et al. Sep 2005 A1
20050209563 Hopping et al. Sep 2005 A1
20050209793 Yamada Sep 2005 A1
20050224083 Crass Oct 2005 A1
20050235732 Rush Oct 2005 A1
20050238506 Mescher et al. Oct 2005 A1
20050240305 Bogash et al. Oct 2005 A1
20050273059 Mernoe et al. Dec 2005 A1
20050277890 Stewart et al. Dec 2005 A1
20050279419 Tribble et al. Dec 2005 A1
20060002799 Schann et al. Jan 2006 A1
20060009727 O'Mahony et al. Jan 2006 A1
20060009734 Martin Jan 2006 A1
20060026205 Butterfield et al. Feb 2006 A1
20060042633 Bishop et al. Mar 2006 A1
20060047270 Shelton Mar 2006 A1
20060047538 Condurso et al. Mar 2006 A1
20060053036 Coffman et al. Mar 2006 A1
20060064020 Burnes et al. Mar 2006 A1
20060064053 Bollish et al. Mar 2006 A1
20060079768 Small et al. Apr 2006 A1
20060079831 Gilbert Apr 2006 A1
20060100746 Leibner-Druska May 2006 A1
20060100907 Holland et al. May 2006 A1
20060106649 Eggers et al. May 2006 A1
20060116639 Russell Jun 2006 A1
20060117856 Orr et al. Jun 2006 A1
20060117867 Froehlich et al. Jun 2006 A1
20060122867 Eggers et al. Jun 2006 A1
20060135939 Brown Jun 2006 A1
20060135940 Joshi Jun 2006 A1
20060136095 Rob et al. Jun 2006 A1
20060136271 Eggers et al. Jun 2006 A1
20060140798 Kutsuzawa Jun 2006 A1
20060143051 Eggers et al. Jun 2006 A1
20060173260 Gaoni et al. Aug 2006 A1
20060173406 Hayes et al. Aug 2006 A1
20060181695 Sage, Jr. Aug 2006 A1
20060187069 Duan Aug 2006 A1
20060190302 Eggers et al. Aug 2006 A1
20060195022 Trepagnier et al. Aug 2006 A1
20060200007 Brockway et al. Sep 2006 A1
20060200369 Batch et al. Sep 2006 A1
20060211404 Cromp et al. Sep 2006 A1
20060224140 Junker Oct 2006 A1
20060224141 Rush et al. Oct 2006 A1
20060224181 McEwen et al. Oct 2006 A1
20060226088 Robinson et al. Oct 2006 A1
20060226089 Robinson et al. Oct 2006 A1
20060226090 Robinson et al. Oct 2006 A1
20060229551 Martinez et al. Oct 2006 A1
20060229918 Fotsch et al. Oct 2006 A1
20060235353 Gelfand et al. Oct 2006 A1
20060255149 Retter et al. Nov 2006 A1
20060258985 Russell Nov 2006 A1
20060260416 Sage et al. Nov 2006 A1
20060264895 Flanders Nov 2006 A1
20060266128 Clark et al. Nov 2006 A1
20060270971 Gelfand et al. Nov 2006 A1
20060271286 Rosenberg Nov 2006 A1
20060272421 Frinak et al. Dec 2006 A1
20060275142 Bouton et al. Dec 2006 A1
20070015972 Wang et al. Jan 2007 A1
20070036511 Lundquist et al. Feb 2007 A1
20070060796 Kim Mar 2007 A1
20070060871 Istoc Mar 2007 A1
20070060872 Hall et al. Mar 2007 A1
20070060874 Nesbitt et al. Mar 2007 A1
20070062250 Krulevitch et al. Mar 2007 A1
20070065363 Dalal et al. Mar 2007 A1
20070078314 Grounsell Apr 2007 A1
20070083152 Williams et al. Apr 2007 A1
20070084286 Ajay et al. Apr 2007 A1
20070084288 Thomas et al. Apr 2007 A1
20070088271 Richards Apr 2007 A1
20070088333 Levin et al. Apr 2007 A1
20070093753 Krulevitcvh et al. Apr 2007 A1
20070094045 Cobbs et al. Apr 2007 A1
20070094046 Cobbs et al. Apr 2007 A1
20070100222 Mastrototaro et al. May 2007 A1
20070100665 Brown May 2007 A1
20070112298 Mueller et al. May 2007 A1
20070118405 Campbell et al. May 2007 A1
20070129618 Goldberger et al. Jun 2007 A1
20070142822 Remde Jun 2007 A1
20070156452 Batch Jul 2007 A1
20070156456 McGillin et al. Jul 2007 A1
20070179436 Braig et al. Aug 2007 A1
20070180916 Tian et al. Aug 2007 A1
20070191770 Moberg et al. Aug 2007 A1
20070191817 Martin Aug 2007 A1
20070197963 Griffiths et al. Aug 2007 A1
20070214003 Holland et al. Sep 2007 A1
20070215545 Bissler et al. Sep 2007 A1
20070233035 Wehba et al. Oct 2007 A1
20070233049 Wehba et al. Oct 2007 A1
20070240497 Robinson et al. Oct 2007 A1
20070250339 Mallett et al. Oct 2007 A1
20070255250 Moberg et al. Nov 2007 A1
20070257788 Carlson Nov 2007 A1
20070267945 Sudol Nov 2007 A1
20070270747 Remde Nov 2007 A1
20070274843 Vanderveen et al. Nov 2007 A1
20070289384 Sakai et al. Dec 2007 A1
20070299389 Halbert et al. Dec 2007 A1
20080009684 Corsetti et al. Jan 2008 A1
20080028868 Konzelmann et al. Feb 2008 A1
20080033361 Evans et al. Feb 2008 A1
20080039777 Katz et al. Feb 2008 A1
20080048211 Khuri-Yakub et al. Feb 2008 A1
20080058773 John Mar 2008 A1
20080060448 Wiest et al. Mar 2008 A1
20080065420 Tirinato et al. Mar 2008 A1
20080071210 Moubayed et al. Mar 2008 A1
20080071496 Glascock Mar 2008 A1
20080071580 Marcus et al. Mar 2008 A1
20080077116 Dailey et al. Mar 2008 A1
20080091466 Butler et al. Apr 2008 A1
20080097288 Levin et al. Apr 2008 A1
20080097289 Steil et al. Apr 2008 A1
20080097317 Alholm et al. Apr 2008 A1
20080098798 Riley et al. May 2008 A1
20080119822 Knauper May 2008 A1
20080125701 Moberg et al. May 2008 A1
20080139907 Rao et al. Jun 2008 A1
20080145249 Smisson Jun 2008 A1
20080169044 Osborne et al. Jul 2008 A1
20080172030 Blomquist et al. Jul 2008 A1
20080184784 Dam Aug 2008 A1
20080188789 Galavotti et al. Aug 2008 A1
20080188796 Steil et al. Aug 2008 A1
20080208484 Butterfield et al. Aug 2008 A1
20080214919 Harmon et al. Sep 2008 A1
20080221521 Getz et al. Sep 2008 A1
20080221522 Moberg et al. Sep 2008 A1
20080262469 Bristol et al. Oct 2008 A1
20080269663 Arnold et al. Oct 2008 A1
20080269714 Mastrototaro et al. Oct 2008 A1
20080269723 Mastrototaro et al. Oct 2008 A1
20080275384 Mastrototaro et al. Nov 2008 A1
20080300572 Rankers et al. Dec 2008 A1
20090001908 Shubinsky et al. Jan 2009 A1
20090005703 Fasciano Jan 2009 A1
20090006061 Thukral et al. Jan 2009 A1
20090006129 Thukral Jan 2009 A1
20090006133 Weinert Jan 2009 A1
20090015824 Shubinsky et al. Jan 2009 A1
20090043171 Rule Feb 2009 A1
20090054743 Stewart Feb 2009 A1
20090054754 McMahon et al. Feb 2009 A1
20090069743 Krishnamoorthy et al. Mar 2009 A1
20090077248 Castellucci et al. Mar 2009 A1
20090082676 Bennison Mar 2009 A1
20090088731 Campbell et al. Apr 2009 A1
20090097029 Tokhtuev et al. Apr 2009 A1
20090099866 Newman Apr 2009 A1
20090105636 Hayter et al. Apr 2009 A1
20090112155 Zhao Apr 2009 A1
20090114037 Smith May 2009 A1
20090119330 Sampath et al. May 2009 A1
20090124963 Hogard et al. May 2009 A1
20090124964 Leach et al. May 2009 A1
20090126825 Eliuk et al. May 2009 A1
20090131861 Braig et al. May 2009 A1
20090135196 Holland et al. May 2009 A1
20090143726 Bouton et al. Jun 2009 A1
20090144025 Bouton et al. Jun 2009 A1
20090144026 Bouton et al. Jun 2009 A1
20090149743 Barron et al. Jun 2009 A1
20090156922 Goldberger et al. Jun 2009 A1
20090156975 Robinson et al. Jun 2009 A1
20090177146 Nesbitt et al. Jul 2009 A1
20090177188 Steinkogler Jul 2009 A1
20090177248 Roberts Jul 2009 A1
20090177769 Roberts Jul 2009 A1
20090178485 Thomas et al. Jul 2009 A1
20090183147 Davis et al. Jul 2009 A1
20090192367 Braig et al. Jul 2009 A1
20090198347 Kirzinger Aug 2009 A1
20090205426 Balschat et al. Aug 2009 A1
20090209938 Aalto-Setala Aug 2009 A1
20090209945 Lobl et al. Aug 2009 A1
20090212966 Panduro Aug 2009 A1
20090221890 Saffer et al. Sep 2009 A1
20090223294 Thomas et al. Sep 2009 A1
20090227939 Memoe et al. Sep 2009 A1
20090264720 Torjman et al. Oct 2009 A1
20090270810 DeBelser Oct 2009 A1
20090270833 DeBelser Oct 2009 A1
20100022988 Wochner Jan 2010 A1
20100280430 Caleffi et al. Jan 2010 A1
20100036310 Hillman Feb 2010 A1
20100056992 Hayter Mar 2010 A1
20100057042 Hayter Mar 2010 A1
20100069892 Steinbach et al. Mar 2010 A1
20100077866 Graboi et al. Apr 2010 A1
20100079760 Bernacki Apr 2010 A1
20100094251 Estes et al. Apr 2010 A1
20100106082 Zhou Apr 2010 A1
20100114027 Jacobson et al. May 2010 A1
20100121170 Rule May 2010 A1
20100121415 Skelton et al. May 2010 A1
20100130933 Holland et al. May 2010 A1
20100131434 Magent et al. May 2010 A1
20100141460 Tokhtuev et al. Jun 2010 A1
20100147081 Thomas et al. Jun 2010 A1
20100152554 Steine et al. Jun 2010 A1
20100160854 Gauthier Jun 2010 A1
20100168535 Robinson et al. Jul 2010 A1
20100177375 Seyfried Jul 2010 A1
20100185142 Kamen et al. Jul 2010 A1
20100185182 Alme et al. Jul 2010 A1
20100198034 Thomas et al. Aug 2010 A1
20100198182 Lanigan et al. Aug 2010 A1
20100198183 Lanigan et al. Aug 2010 A1
20100211002 Davis Aug 2010 A1
20100212407 Stringham et al. Aug 2010 A1
20100212675 Walling et al. Aug 2010 A1
20100217154 Deshmukh et al. Aug 2010 A1
20100217621 Schoenberg Aug 2010 A1
20100256562 Cartledge et al. Oct 2010 A1
20100271218 Hoag et al. Oct 2010 A1
20100271479 Heydlauf Oct 2010 A1
20100273738 Valcke et al. Oct 2010 A1
20100292634 Kircher Nov 2010 A1
20100295686 Sloan et al. Nov 2010 A1
20100298765 Budiman et al. Nov 2010 A1
20100312039 Quirico et al. Dec 2010 A1
20100317093 Turewicz et al. Dec 2010 A1
20100317952 Budiman et al. Dec 2010 A1
20100318025 John Dec 2010 A1
20110000560 Miller et al. Jan 2011 A1
20110001605 Kiani et al. Jan 2011 A1
20110004186 Butterfield Jan 2011 A1
20110009797 Kelly et al. Jan 2011 A1
20110028885 Eggers et al. Feb 2011 A1
20110046558 Gravesen et al. Feb 2011 A1
20110062703 Lopez et al. Mar 2011 A1
20110064612 Franzoni et al. Mar 2011 A1
20110071464 Palerm Mar 2011 A1
20110071844 Cannon et al. Mar 2011 A1
20110072379 Gannon Mar 2011 A1
20110077480 Bloom et al. Mar 2011 A1
20110078608 Gannon et al. Mar 2011 A1
20110099313 Bolanowski Apr 2011 A1
20110105983 Kelly et al. May 2011 A1
20110106561 Eaton, Jr. et al. May 2011 A1
20110107251 Guaitoli et al. May 2011 A1
20110137241 DelCastillo et al. Jun 2011 A1
20110144595 Cheng Jun 2011 A1
20110152770 Diperna et al. Jun 2011 A1
20110160649 Pan Jun 2011 A1
20110162647 Huby et al. Jul 2011 A1
20110172918 Tome Jul 2011 A1
20110175728 Baker, Jr. Jul 2011 A1
20110190598 Shusterman Aug 2011 A1
20110190694 Lanier et al. Aug 2011 A1
20110218514 Rebours Sep 2011 A1
20110264006 Ali et al. Oct 2011 A1
20110264043 Kotnick et al. Oct 2011 A1
20110282321 Steil et al. Nov 2011 A1
20110313390 Roy et al. Dec 2011 A1
20110319728 Petisce et al. Dec 2011 A1
20110320049 Chossat et al. Dec 2011 A1
20120025995 Moberg et al. Feb 2012 A1
20120059234 Barrett et al. Mar 2012 A1
20120068001 Pushkarsky et al. Mar 2012 A1
20120083760 Ledford et al. Apr 2012 A1
20120089411 Srnka et al. Apr 2012 A1
20120095433 Hungerford et al. Apr 2012 A1
20120123322 Scarpaci et al. May 2012 A1
20120143116 Ware et al. Jun 2012 A1
20120180790 Montgomery Jul 2012 A1
20120185267 Kamen et al. Jul 2012 A1
20120191059 Cummings et al. Jul 2012 A1
20120194341 Peichel et al. Aug 2012 A1
20120203177 Lanier Aug 2012 A1
20120222774 Husnu et al. Sep 2012 A1
20120226350 Rudser et al. Sep 2012 A1
20120245525 Pope et al. Sep 2012 A1
20120259278 Hayes et al. Oct 2012 A1
20120310204 Krogh et al. Dec 2012 A1
20120323212 Murphy Dec 2012 A1
20130006666 Schneider Jan 2013 A1
20130009551 Knapp Jan 2013 A1
20130012880 Blomquist Jan 2013 A1
20130012917 Miller et al. Jan 2013 A1
20130032634 McKirdy Feb 2013 A1
20130041342 Bernini et al. Feb 2013 A1
20130044111 VanGilder et al. Feb 2013 A1
20130110538 Butterfield et al. May 2013 A1
20130150766 Olde et al. Jun 2013 A1
20130150821 Bollish et al. Jun 2013 A1
20130184676 Kamen et al. Jul 2013 A1
20130197930 Garibaldi et al. Aug 2013 A1
20130201482 Munro Aug 2013 A1
20130218080 Peterfreund et al. Aug 2013 A1
20130116649 Kouyoumjian et al. Sep 2013 A1
20130253430 Kouyoumjian et al. Sep 2013 A1
20130253946 Broselow Sep 2013 A1
20130274576 Amirouche et al. Oct 2013 A1
20130281965 Kamen et al. Oct 2013 A1
20130291116 Homer Oct 2013 A1
20130296823 Melker et al. Nov 2013 A1
20130296984 Burnett et al. Nov 2013 A1
20130318158 Teng et al. Nov 2013 A1
20130322201 Hitchcock et al. Dec 2013 A1
20130345658 Browne et al. Dec 2013 A1
20130345666 Panduro et al. Dec 2013 A1
20140067425 Dudar et al. Mar 2014 A1
20140145915 Ribble et al. May 2014 A1
20140180711 Kamen et al. Jun 2014 A1
20140224829 Capone et al. Aug 2014 A1
20140267563 Baca et al. Sep 2014 A1
20140303591 Peterfreund et al. Oct 2014 A1
20140303754 Nixon et al. Oct 2014 A1
20150025453 Ledford et al. Jan 2015 A1
20150033073 Yang et al. Jan 2015 A1
20150065988 Holderle et al. Mar 2015 A1
20150168958 Downie et al. Jun 2015 A1
20150224252 Borges et al. Aug 2015 A1
20150265765 Yavorsky et al. Sep 2015 A1
20150338340 Jiang et al. Nov 2015 A1
20150371004 Jones Dec 2015 A1
20160042264 Borges et al. Feb 2016 A1
20160110088 Vik et al. Apr 2016 A1
20160144101 Pananen May 2016 A1
20160151560 Toro et al. Jun 2016 A1
20160151562 Magers et al. Jun 2016 A1
20160151601 Cardelius et al. Jun 2016 A1
20160158437 Biasi et al. Jun 2016 A1
20160193604 McFarland et al. Jul 2016 A1
20160253460 Kanada Sep 2016 A1
20160339167 Ledford et al. Nov 2016 A1
20170043089 Handler Feb 2017 A1
20170132867 Berg et al. May 2017 A1
20170354941 Brown et al. Dec 2017 A1
20180018440 Sugawara Jan 2018 A1
20180300994 Nelson et al. Oct 2018 A1
20190091401 Ruchti et al. Mar 2019 A1
20190117890 Oruklu et al. Apr 2019 A1
20190196770 Fryman Jun 2019 A1
20190262535 Shubinsky et al. Aug 2019 A1
20190282757 Gylland et al. Sep 2019 A1
20200069864 Shubinsky et al. Mar 2020 A1
20200113784 Lopez et al. Apr 2020 A1
20200238007 Day Jul 2020 A1
20210170101 Cavendish, Jr. et al. Jun 2021 A1
20210260283 Oruklu et al. Aug 2021 A1
20210295263 Hume et al. Sep 2021 A1
20210397396 Fryman Dec 2021 A1
20220031943 Dumas, III Feb 2022 A1
20220176037 Jacobson et al. Jun 2022 A1
20220296806 Shubinsky et al. Sep 2022 A1
20220305200 Gylland et al. Sep 2022 A1
20220331518 Shubinsky et al. Oct 2022 A1
20220362463 Lindo et al. Nov 2022 A1
20230010290 Oruklu et al. Jan 2023 A1
20230010638 Rubalcaba, Jr. et al. Jan 2023 A1
20230017117 Sileika et al. Jan 2023 A1
20230058662 Ruchti et al. Feb 2023 A1
Foreign Referenced Citations (183)
Number Date Country
2013216679 Sep 2013 AU
PI0704229-9 Nov 2009 BR
2 113 473 Mar 1993 CA
2 551 817 Jul 2005 CA
107106042 Aug 2017 CN
31 12 762 Jan 1983 DE
34 35 647 Jul 1985 DE
35 30 747 Mar 1987 DE
37 20 664 Jan 1989 DE
38 27 444 Feb 1990 DE
197 34 002 Sep 1998 DE
199 01 078 Feb 2000 DE
198 40 965 Mar 2000 DE
198 44 252 Mar 2000 DE
199 32 147 Jan 2001 DE
102 49 238 May 2004 DE
103 52 456 Jul 2005 DE
0 282 323 Sep 1988 EP
0 291 727 Nov 1988 EP
0 319 272 Jun 1989 EP
0 319 275 Jun 1989 EP
0 335 385 Oct 1989 EP
0 337 092 Oct 1989 EP
0 341 582 Nov 1989 EP
0 370 162 May 1990 EP
0 387 724 Sep 1990 EP
0 429 866 Jun 1991 EP
0 441 323 Aug 1991 EP
0 453 211 Oct 1991 EP
0 462 405 Dec 1991 EP
0 501 234 Sep 1992 EP
0 516 130 Dec 1992 EP
0 519 765 Dec 1992 EP
0 643 301 Mar 1995 EP
0 683 465 Nov 1995 EP
0 431 310 Jan 1996 EP
0 589 439 Aug 1998 EP
0 880 936 Dec 1998 EP
0 954 090 Nov 1999 EP
0 960 627 Dec 1999 EP
1 174 817 Jan 2002 EP
1 177 802 Feb 2002 EP
1 197 178 Apr 2002 EP
1 500 025 Apr 2003 EP
1 813 188 Aug 2007 EP
1 490 131 Dec 2007 EP
2 062 527 May 2009 EP
2 228 004 Sep 2010 EP
2 243 506 Oct 2010 EP
2 381 260 Oct 2011 EP
254513 Oct 1981 ES
2 717 919 Sep 1995 FR
2 121 971 Jan 1984 GB
2 303 706 Feb 1997 GB
2 312 022 Oct 1997 GB
2 312 046 Oct 1997 GB
01-301118 Dec 1989 JP
01-308568 Dec 1989 JP
04-231966 Aug 1992 JP
07-502678 Mar 1995 JP
07-289638 Nov 1995 JP
11-128344 May 1999 JP
2000-111374 Apr 2000 JP
2000-510575 Aug 2000 JP
2000-515716 Nov 2000 JP
2001-356034 Dec 2001 JP
2002-506514 Feb 2002 JP
2002-131105 May 2002 JP
2003-038642 Feb 2003 JP
2003-050144 Feb 2003 JP
2005-021463 Jan 2005 JP
2005-524081 Mar 2005 JP
2006-517423 Jul 2006 JP
2007-071695 Mar 2007 JP
2007-518471 Jul 2007 JP
2007-520270 Jul 2007 JP
2007-275106 Oct 2007 JP
2008-249400 Oct 2008 JP
4322661 Jun 2009 JP
2009-148592 Jul 2009 JP
2010-063767 Mar 2010 JP
5716879 Mar 2015 JP
WO 84000690 Mar 1984 WO
WO 84000894 Mar 1984 WO
WO 90007942 Jul 1990 WO
WO 91000113 Jan 1991 WO
WO 91016087 Oct 1991 WO
WO 91016416 Oct 1991 WO
WO 93004284 Mar 1993 WO
WO 95016200 Jun 1995 WO
WO 95031233 Nov 1995 WO
WO 96008755 Mar 1996 WO
WO 96025186 Aug 1996 WO
WO 96028209 Sep 1996 WO
WO 96041156 Dec 1996 WO
WO 97010013 Mar 1997 WO
WO 97030333 Aug 1997 WO
WO 98004304 Feb 1998 WO
WO 98012670 Mar 1998 WO
WO 98014234 Apr 1998 WO
WO 98019263 May 1998 WO
WO 98044320 Oct 1998 WO
WO 98056441 Dec 1998 WO
WO 99015216 Apr 1999 WO
WO 99051003 Oct 1999 WO
WO 99052575 Oct 1999 WO
WO 00013580 Mar 2000 WO
WO 00013726 Mar 2000 WO
WO 00041621 Jul 2000 WO
WO 01014974 Mar 2001 WO
WO 01033484 May 2001 WO
WO 02005702 Jan 2002 WO
WO 02009795 Feb 2002 WO
WO 02027276 Apr 2002 WO
WO 02066101 Aug 2002 WO
WO 02087664 Nov 2002 WO
WO 03006091 Jan 2003 WO
WO 03053498 Jul 2003 WO
WO 03093780 Nov 2003 WO
WO 2004035115 Apr 2004 WO
WO 2004060455 Jul 2004 WO
WO 2004070556 Aug 2004 WO
WO 2004070994 Aug 2004 WO
WO 2004112579 Dec 2004 WO
WO 2005018716 Mar 2005 WO
WO 2005030489 Apr 2005 WO
WO 2005036447 Apr 2005 WO
WO 2005057175 Jun 2005 WO
WO 2005065146 Jul 2005 WO
WO 2005065749 Jul 2005 WO
WO 2005082450 Sep 2005 WO
WO 2005118015 Dec 2005 WO
WO 2006016122 Feb 2006 WO
WO 2006022906 Mar 2006 WO
WO 2007000426 Jan 2007 WO
WO 2007033025 Mar 2007 WO
WO 2007035567 Mar 2007 WO
WO 2007087443 Aug 2007 WO
WO 2008004560 Jan 2008 WO
WO 2008019016 Feb 2008 WO
WO 2008053193 May 2008 WO
WO 2008059492 May 2008 WO
WO 2008063429 May 2008 WO
WO 2008067245 Jun 2008 WO
WO 2008088490 Jul 2008 WO
WO 2008134146 Nov 2008 WO
WO 2009016504 Feb 2009 WO
WO 2009023406 Feb 2009 WO
WO 2009023407 Feb 2009 WO
WO 2009023634 Feb 2009 WO
WO 2009039203 Mar 2009 WO
WO 2009039214 Mar 2009 WO
WO 2009049252 Apr 2009 WO
WO 2009127683 Oct 2009 WO
WO 2009141504 Nov 2009 WO
WO 2010017279 Feb 2010 WO
WO 2010075371 Jul 2010 WO
WO 2010099313 Sep 2010 WO
WO 2010114929 Oct 2010 WO
WO 2010119409 Oct 2010 WO
WO 2010124127 Oct 2010 WO
WO 2010135646 Nov 2010 WO
WO 2010135654 Nov 2010 WO
WO 2010135670 Nov 2010 WO
WO 2010135686 Nov 2010 WO
WO 2010148205 Dec 2010 WO
WO 2011017778 Feb 2011 WO
WO 2011080188 Jul 2011 WO
WO 2011109774 Sep 2011 WO
WO 2012042763 Apr 2012 WO
WO 2012082599 Jun 2012 WO
WO 2012108910 Aug 2012 WO
WO 2012167090 Dec 2012 WO
WO 2013036854 Mar 2013 WO
WO 2013096769 Jun 2013 WO
WO 2015134478 Sep 2015 WO
WO 2017051271 Mar 2017 WO
WO 2017144366 Aug 2017 WO
WO 2019092680 May 2019 WO
WO 2020214717 Oct 2020 WO
WO 2022020184 Jan 2022 WO
WO 2022125471 Jun 2022 WO
WO 2023064662 Apr 2023 WO
Non-Patent Literature Citations (60)
Entry
Daimiwal et al., “Wireless Transfusion Supervision and Analysis Using Embedded System”, IEEE, 2010 International Conference ICBBT, China, Apr. 2010, pp. 56-60.
Alaedeen et al., “Total Parenteral Nutrition-Associated Hyperglycemia Correlates with Prolonged Mechanical Ventilation and Hospital Stay in Septic Infants”, Journal of Pediatric Surgery, Jan. 2006, vol. 41, No. 1, pp. 239-244.
ALARIS® Medical Systems, “Signature Edition® Gold—Single & Dual Channel Infusion System”, San Diego, CA, USA, date unknown, but believed to be at least as early as Nov. 29, 2008, pp. 2-88 & 2-91.
Allegro, “3955—Full-Bridge PWM Microstepping Motor Drive”, Datasheet, 1997, pp. 16.
Aragon, Daleen RN, Ph.D., CCRN, “Evaluation of Nursing Work Effort and Perceptions About Blood Glucose Testing in Tight Glycemic Control”, American Journal of Critical Care, Jul. 2006, vol. 15, No. 4, pp. 370-377.
Baxter, “Baxter Receives 510(k) Clearance for Next-Generation SIGMA Spectrum Infusion Pump with Master Drug Library” Press Release, May 8, 2014, pp. 2. <http://web.archive.org/web/20160403140025/http://www.baxter.com/news-media/newsroom/press-releases/2014/05_08_14_sigma.page>.
Bequette, Ph.D., “A Critical Assessment of Algorithms and Challenges in the Development of a Closed-Loop Artificial Pancreas”, Diabetes Technology & Therapeutics, Feb. 28, 2005, vol. 7, No. 1, pp. 28-47.
Bequette, B. Wayne, Ph.D., “Analysis of Algorithms for Intensive Care Unit Blood Glucose Control”, Journal of Diabetes Science and Technology, Nov. 2007, vol. 1, No. 6, pp. 813-824.
Binder et al., “Insulin Infusion with Parenteral Nutrition in Extremely Low Birth Weight Infants with Hyperglycemia”, Journal of Pediatrics, Feb. 1989, vol. 114, No. 2, pp. 273-280.
Bode et al., “Intravenous Insulin Infusion Therapy: Indications, Methods, and Transition to Subcutaneous Insulin Therapy”, Endocrine Practice, Mar./Apr. 2004, vol. 10, Supplement 2, pp. 71-80.
Buhrdorf et al., “Capacitive Micromachined Ultrasonic Transducers and their Application”, Proceedings of the IEEE Ultrasonics Symposium, Feb. 2001, vol. 2, pp. 933-940.
Cannon, MD et al., “Automated Heparin-Delivery System to Control Activated Partial Thromboplastin Time”, Circulation, Feb. 16, 1999, vol. 99, pp. 751-756.
“CareAware® Infusion Management”, Cerner Store, as printed May 12, 2011, pp. 3, <https://store.cerner.com/items/7>.
Chen et al., “Enabling Location-Based Services on Wireless LANs”, The 11th IEEE International Conference on Networks, ICON 2003, Sep. 28-Oct. 1, 2003, pp. 567-572.
Cheung et al., “Hyperglycemia is Associated with Adverse Outcomes in Patients Receiving Total Parenteral Nutrition”, Diabetes Care, Oct. 2005, vol. 28, No. 10, pp. 2367-2371.
Coley et al., “Performance of Three Portable Infusion-Pump Devices Set to Deliver 2 mL/hr”, American Journal of Health-System Pharmacy, Jun. 1, 1997, vol. 54, No. 11, pp. 1277-1280.
“Continually vs Continuously”, <https://web.archive.org/web/20090813092423/http://www.diffen.com/difference/Continually_vs_Continuously>, as accessed Aug. 13, 2009 in 4 pages.
“CritiCore@ Monitor: Critical Fluid Output and Core Bladder Temperature Monitor”, BARD Urological Catheter Systems, Advertisement, 2005, pp. 2.
Davidson et al., “A Computer-Directed Intravenous Insulin System Shown to be Safe, Simple, and Effective in 120,618 h of Operation”, Diabetes Care, Oct. 2005, vol. 28, No. 10, pp. 2418-2423.
“Decision of the Administrative Council of Oct. 16, 2013 Amending Rule 135 and 164 of the Implementing Regulations to the European Patent Convention (CA/D 17/13)”, Official Journal EPO Nov. 2013, Nov. 2013, pp. 503-506. <http://archive.epo.org/epo/pubs/oj013/11_13/11_5033.pdf>.
“Decision of the Administrative Council of Oct. 27, 2009 Amending the Implementing Regulations to the European Patent Convention (CA/D 20/09)”, Official Journal EPO dated Dec. 2009, dated Dec. 2009, pp. 582-584. <http://archive.epo.org/epo/pubs/oj009/12_09/12_5829.pdf>.
Diabetes Close Up, Close Concerns AACE Inpatient Management Conference Report, Consensus Development Conference on Inpatient Diabetes and Metabolic Control, Washington, D.C., Dec. 14-16, 2003, pp. 1-32.
“Differential Pressure Transmitter, Series PD-39 X”, SensorsOne Ltd., Advertisement, Dec. 2005, pp. 2.
Dunster et al., “Flow Continuity of Infusion Systems at Low Flow Rates”, Anaesthesia and Intensive Care, Oct. 1995, vol. 23, No. 5, pp. 5.
Fogt et al., Development and Evaluation of a Glucose Analyzer for a Glucose-Controlled Insulin Infusion System (Biostator®), Clinical Chemistry, 1978, vol. 24, No. 8, pp. 1366-1372.
“Froth”, <http://www.merriam-webster.com/dictionary/froth>, as accessed May 13, 2015 in 1 page.
Goldberg et al., “Clinical Results of an Updated Insulin Infusion Protocol in Critically Ill Patients”, Diabetes Spectrum, 2005, vol. 18, No. 3, pp. 188-191.
Halpern et al., “Changes in Critical Care Beds and Occupancy in the United States 1985-2000: Differences Attributable to Hospital Size”, Critical Care Medical, Aug. 2006, vol. 34, No. 8, pp. 2105-2112.
Hospira, “Plum A+™ Infusion System” as archived Dec. 1, 2012, pp. 2. <www.hospira.com/products_and_services/infusion_pumps/plum/index>.
Hospira, “Plum XL™ Series Infusion System” Technical Service Manual, Feb. 2005, Lake Forest, Illinois, USA, pp. i-vii, 5-14, 8-3.
Ilfeld et al., “Delivery Rate Accuracy of Portable, Bolus-Capable Infusion Pumps Used for Patient-Controlled Continuous Regional Analgesia”, Regional Anesthesia and Pain Medicine, Jan.-Feb. 2003, vol. 28, No. 1, pp. 17-23.
Ilfeld et al., “Portable Infusion Pumps Used for Continuous Regional Analgesia: Delivery Rate Accuracy and Consistency”, Regional Anesthesia and Pain Medicine, Sep.-Oct. 2003, vol. 28, No. 5, pp. 424-432.
JMS Co., Ltd., “Infusion Pump: OT-701”, Tokyo, Japan, 2002, pp. 4.
Kim, M.D., et al., “Hyperglycemia Control of the Nil Per Os Patient in the Intensive Care Unit: Introduction of a Simple Subcutaneous Insulin Algorithm”, Nov. 2012, Journal of Diabetes Science and Technology, vol. 6, No. 6, pp. 1413-1419.
Kutcher et al., “The Effect of Lighting Conditions on Caries Interpretation with a Laptop Computer in a Clinical Setting”, Elsevier, Oct. 2006, vol. 102, No. 4, pp. 537-543.
Lamsdale et al., “A Usability Evaluation of an Infusion Pump by Nurses Using a Patient Simulator”, Proceedings of the Human Factors and Ergonomics Society 49th Annual Meeting, Sep. 2005, pp. 1024-1028.
Logan et al., “Fabricating Capacitive Micromachined Ultrasonic Transducers with a Novel Silicon-Nitride-Based Wafer Bonding Process”, IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control, May 2009, vol. 56, No. 5, pp. 1074-1084.
Magaji et al., “Inpatient Management of Hyperglycemia and Diabetes”, Clinical Diabetes, 2011, vol. 29, No. 1, pp. 3-9.
Mauseth et al., “Proposed Clinical Application for Tuning Fuzzy Logic Controller of Artificial Pancreas Utilizing a Personalization Factor”, Journal of Diabetes Science and Technology, Jul. 2010, vol. 4, No. 4, pp. 913-922.
Maynard et al., “Subcutaneous Insulin Order Sets and Protocols: Effective Design and Implementation Strategies”, Journal of Hospital Medicine, Sep./Oct. 2008, vol. 3, Issue 5, Supplement 5, pp. S29-S41.
Merry et al., “A New, Safety-Oriented, Integrated Drug Administration and Automated Anesthesia Record System”, Anesthesia & Analgesia, Aug. 2001, vol. 93, No. 2 pp. 385-390.
Microchip Technology Inc., “MTA11200B; TrueGauge™ Intelligent Battery Management I.C.”, <https://www.elektronik.ropla.eu/pdf/stock/mcp/mta11200b.pdf>, 1995, pp. 44.
Moghissi, Etie, MD, FACP, FACE, “Hyperglycemia in Hospitalized Patients”, A Supplement to ACP Hospitalist, Jun. 15, 2008, pp. 32.
Nuckols et al., “Programmable Infusion Pumps in ICUs: An Analysis of Corresponding Adverse Drug Events”, Journal of General Internal Medicine, 2007, vol. 23, Supp. 1, pp. 41-45.
Pretty et al., “Hypoglycemia Detection in Critical Care Using Continuous Glucose Monitors: An in Silico Proof of Concept Analysis”, Journal of Diabetes Science and Technology, Jan. 2010, vol. 4, No. 1, pp. 15-24.
Saager et al., “Computer-Guided Versus Standard Protocol for Insulin Administration in Diabetic Patients Undergoing Cardiac Surgery”, Annual Meeting of the American Society of Critical Care Anesthesiologists, Oct. 13, 2006.
Sebald et al., “Numerical Analysis of a Comprehensive in Silico Subcutaneous Insulin Absorption Compartmental Model”, 31st Annual International Conference of the IEEE Engineering in Medicine and Biology Society, Sep. 2-6, 2009, pp. 3901-3904.
SGS—Thomson Microelectronics, “L6219—Stepper Motor Drive”, Datasheet, Dec. 1996, pp. 10.
SGS—Thomson Microelectronics, “PBL3717A—Stepper Motor Drive”, Datasheet, Apr. 1993, pp. 11.
Simonsen, Michael Ph.D., POC Testing, New Monitoring Strategies on Fast Growth Paths in European Healthcare Arenas, Biomedical Business & Technology, Jan. 2007, vol. 30, No. 1, pp. 1-36.
Smith, Joe, “Infusion Pump Informatics”, CatalyzeCare: Transforming Healthcare, as printed May 12, 2011, pp. 2.
Tang et al., “Linear Dimensionality Reduction Using Relevance Weighted LDA”, Pattern Recognition, 2005, vol. 38, pp. 485-493, <http://staff.ustc.edu.cn/˜ketang/papers/TangSuganYaoQin_PR04.pdf>.
Thomas et al., “Implementation of a Tight Glycaemic Control Protocol Using a Web-Based Insulin Dose Calculator”, Anaesthesia, 2005, vol. 60, pp. 1093-1100.
Van Den Berghe, M.D., Ph.D., et al., “Intensive Insulin Therapy in Critically Ill Patients”, The New England Journal of Medicine, Nov. 8, 2001, vol. 345, No. 19, pp. 1359-1367.
Van Den Berghe, M.D., Ph.D., et al., “Intensive Insulin Therapy in the Medical ICU”, The New England Journal of Medicine, Feb. 2, 2006, vol. 354, No. 5, pp. 449-461.
Westbrook et al., “Errors in the Administration of Intravenous Medications in Hospital and the Role of Correct Procedures and Nurse Experience”, BMJ Quality & Safety, 2011, vol. 20, pp. 1027-1034.
Zakariah et al., “Combination of Biphasic Transmittance Waveform with Blood Procalcitonin Levels for Diagnosis of Sepsis in Acutely Ill Patients”, Critical Care Medicine, 2008, vol. 36, No. 5, pp. 1507-1512.
International Search Report and Written Opinion received in PCT Application No. PCT/US2013/034041, dated Jun. 19, 2013 in 11 pages.
International Preliminary Report on Patentability and Written Opinion received in PCT Application No. PCT/US2013/034041, dated Oct. 9, 2014 in 10 pages.
Abbott Laboratories, “LifeCare® 5000, Plum®: Concurrent Flow Infusion System with DataPort™”, System Operating Manual, Version 1.6, Jul. 1998, pp. 76.
Related Publications (1)
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20230058894 A1 Feb 2023 US
Provisional Applications (1)
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61618129 Mar 2012 US
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Parent 16806967 Mar 2020 US
Child 17810541 US
Parent 16001680 Jun 2018 US
Child 16806967 US
Parent 13851207 Mar 2013 US
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