An aspect of the present invention relates to interface cables for medical devices which communicate with base devices. Examples of a base device are a standard personal computer or another device with at least one serial port or Universal Serial Bus (USB) port. More particularly, the present invention relates to a data transfer cable for use with a glucose monitor for communications with a personal computer. In addition, another aspect of the present invention relates to graphical status displays for connecting a personal computer to a medical device using a data transfer cable. In particular, this aspect of the present invention relates to a system for generating a graphical display to assist a user in connecting a medical device to a base device.
In the present healthcare environment, it is desirable to download data from devices regularly used by patients to other devices, such as PCs and the like, so that the data may be analyzed. Treatment of various medical conditions may then be optimized by analysis of the data. The transfer of information needs to occur without undue strain on the patient's medical device, such as a drain on the medical device battery, as well as maintaining safe conditions including electrical isolation, for the patient. Interface cables have the problem of maintaining isolation of the patient from electrical hazards presented by having a cable in electrical contact with powered devices, such as a PC, that may present a hazard to the patient. In the past, infrared communications have been proposed as a solution to the isolation problem; however, this puts an undue strain on the battery of the medical device. A medical device may be a device that monitors a medical condition and collects data, such as a blood glucose monitor. Alternatively, a medical device could also be a device that administers treatment to a patient in response to a treatment regime determined by a healthcare professional, such as a drug therapy regime for the treatment of diabetes. Finally, a medical device could be a combination device that both monitors a medical condition and administers a treatment in response to the medical conditions monitored.
Normally when a medical device is connected to a serial port, such as a standard serial or USB port on a base device, the user must select the type of serial port to which the device is connected. Also, when a base device has a plurality of standard serial ports, the user must configure the base device to communicate on the particular serial port to which the medical device is connected, which can cause confusion. It would be advantageous for the base device to have the ability to detect the presence of a medical device so that it may begin downloading data or performing other processes. In addition, it is not desirable to require the medical device to use a standard serial communication interface, which involves a complex connection. Such a connection may possibly require using a secondary connector on the medical device, thereby increasing costs and complexity. What is needed is an interface cable that provides isolation, automatic detection and a simple connection to the medical device.
The automatic detection feature has great advantages in a healthcare setting where multiple vendors' software and cables are used. In such a setting, it is very annoying and tedious for the healthcare provider to figure out which port they are connected to every time they connect or re-connect a cable. Some serial connecting devices tie the request to send (RTS) connection and clear to send (CTS) connection together and the data terminal ready (DTR) connection and data set ready (DSR) connection together, this allows the software to determine that a cable is connected to a particular port, but does not identify to which vendor the cable belongs. Also on some computers this tie back scenario causes the power to be sent back to the PC and not to power any internal circuitry of the cable. A clear solution that automatically detects the identity of the connecting device would help solve the above problems, save time, reduce undue frustration, and facilitate quicker exchanges of patient data.
The computer skills among persons required to use various medical devices vary greatly. For instance, persons of all ages may have diabetes, the onset of which can happen at a very early age or much later in life, so there is a wide variety of computer proficiency among diabetes patients and their families. Connecting a medical device to a cable or connecting device and then to a base device can be tedious particularly when neither the medical device nor the base device provide any indication whether a connection problem exists or on which end the problem may lie. Presently, there does not exist a connecting device for medical devices that includes an animated meter-to-connecting device-to-PC connection graphics and text messaging display system to assist the user in properly connecting their medical device to a PC.
Other meter download software programs have some graphics associated with the meter download process but none of them provide the combined state detection, graphics, and messages of an embodiment of the present invention.
The aforementioned disadvantages are overcome, and other advantages are realized, in a system and method according to an embodiment of the present invention. The present invention provides a simple interface between medical device and base device, which provides power from the base device to the cable, thereby isolating the medical device. The isolation circuit prevents the user from being subject to the possible electrical hazards presented by the connection to the base device.
In addition, the cable insures that the base device is able to identify the cable as belonging to a medical device that uses the specific software applications associated with the medical device. Automatic detection of the serial port address is accomplished by a loopback feature, which polls the ports of the base device to identify where the cable is located. This allows the base device to automatically identify the cable without a meter connected.
Furthermore, the connectors of the cable are standard connectors familiar to most users, which make connecting the cable to a base device and to a medical device simple. To facilitate even greater ease of use, the connectors to the base device are USB connectors as well as well known serial connectors, such as RS-232C connectors.
According to an embodiment of the present invention, graphics and text messages provide a way to pinpoint specific problems that may be preventing a successful connection of the cable to either the base device or the medical device. According to another aspect of the present invention, animations and messages provide a visual indicator that there is some activity between the base device, cable and the medical device.
The invention will be more readily understood with reference to the attached drawings figures, in which:
In the drawing figures, it will be understood that like numerals refer to like features and structures.
Preferred embodiments of the present invention will now be described with reference to the attached drawing figures.
Referring to
Now referring to
The following describes the operation of cable 10 input control lines. When the software application of base device 20 starts it makes RTS line 150 and DTR line 140 high in order to detect the serial cable 10 on a port automatically. After the serial cable is detected, RTS line 150 should be made low and DTR line 140 should be left high. This allows the software application of base device 20 to echo characters back in order to identify cable 10 as the cable 10 of the present invention is connected to base device 20. It also removes power from any unnecessary circuitry on the isolated side 200 of isolation barrier 340, which reduces the drain on the battery within medical device 30. When the base device 20 is ready to send data, the base device 20 makes RTS line 150 high. Then base device 20 transmits and receives data in a half duplex mode. Once the communication is complete, RTS line 150 is preferably made low in order to conserve the battery power of the medical device 30. If more data is requested later, the above procedure is preferably repeated. If the base device 20 is done communicating with the medical device 30, the base device 20 makes DTR line 140 low.
Medical device 30 should be disconnected from cable 10 when not in use to increase battery life of medical device 30. A warning message may be presented by the software of base device 20 after the download to indicate to the user to disconnect medical device 30. In addition, a small delay could be added when switching the state of the RTS line 150 and DTR line 140 in order to allow them to settle into their steady states. This delay should be approximately on the order of 100 ms. In addition, it is desirable for the microprocessor of medical device 30 to block the measurement portion of the microprocessor of medical device 30 while cable 10 is connected to medical device 30. This is accomplished by a signal from cable 10 to medical device 30, which prohibits measurements from taking place in medical device 30.
The isolation circuit 340 and 200 are substantially the same for either the Serial-to-Serial or the USB-to-Serial embodiment of the present invention; therefore, reference will be made to
The cable 10 may also be implemented to operate as a full duplex cable by changing the connections to the photocoupler 155 within isolation barrier 340. As shown in
The software loopback program 330 shown in
Overall, the present invention operates in the fashion shown in the flowchart of
There are several possible combinations of the design of cable 10 including the following permutations:
In order to assist the user in connecting a medical device 30 to a base device 20 using a cable 10 according to an embodiment of the present invention, the associated software detects a variety of connection states and causes the display of appropriate graphics and text messages.
In another embodiment of the present invention, the cable is accompanied with software that provides a graphical interface to assist the user in connecting the cable 10 to both the base device 20 and the medical device 30. In this case, the medical device 30 is a blood glucose meter and the base device 20 is a PC. An interface, such as a web browser interface, presents a Home Page from which the user may select to perform a number of functions. In particular, when a user selects the Meter Download and Print option from the Home Page, the software provides step by step graphical images, including text messages, of how the meter 30 and PC 20 should be connected. If a connection is not detected, an error message as well as graphics will be prominently displayed.
The operation of the software will now be described in more detail using the flowchart of
Referring back to
Once the meter is connected, the software then downloads the unique serial number from the meter and looks in the database for a match to an existing database record (S50). While it is performing this check, the graphic changes, as shown in
Once a meter is assigned or a matching record is found, the software initiates the download of information from the meter (S70, S80, S90 and S100). While the data are downloading, the graphic changes as shown in
If any errors are detected by the software during the data download, the graphics and text message shown in
As described above, the graphical indication of both what is happening and what could be wrong if the connection is not working when making the physical connection between the blood glucose meter 30 and the PC 20 is accomplished through establishing a series of states that the software can detect. The graphical representations of these states are presented to the user through the display of the graphics and text messages.
The above graphics and text messages shown in
Each of the images and text-messages of
Referring to
Identification of the meter serial number will be dependent on the protocol implementation. In the case of BD, the “GETSETTINGS” command will be used to retrieve a serial number for the attached meter.
Once the meter is identified (S40), the meter download component will query the database to determine which patient is associated with the given meter (S50). If a match is made then the download will proceed for that patient, uninterrupted (S60). If a match cannot be found, the user will be prompted to select a patient to be associated with the meter or to enter a new patient to be associated with the meter. If the user selects a new or existing patient download will be performed for the so-selected patient. If the user cancels selection or creation of a patient, then the entire download operation will be aborted. If a database or other system related error occurs during association, the entire download session will be aborted.
Once a match is made, then the glucose values will be downloaded (S70), verified and saved (S80) in the database. Then insulin values will be downloaded (S90) and saved (S100) in the database. The database update will not update values that already exist for the given meter, date and time.
An entire download will be treated as a discrete transaction, it either succeeds completely or it fails. If any errors occur during the glucose download (S70), no values will be stored. Similarly, if any errors occur during the insulin download (S90), no values will be stored.
The download interface program is preferably written in a combination of C++ programming language and Assembly language. The Home Page is preferably written in HTML programming language. The charts, graphs, and forms are preferably written in C++ and Visual Basic. Of course, one of ordinary skill may use other programming languages and the invention should not be limited by the use of these programming languages.
The meter download process is divided into three distinct layers: User Interface, Protocol and Communications. The purpose of this design is to facilitate handling different meters, download protocols and communications mechanisms in the future and to provide a generic data exchange format between the user interface layer and the protocol layer:
BD.MeterControl will provide an ActiveX control implementation of the meter download user interface. It provides a single button allowing the user to initiate a download and displays images to depict the various states of the download.
The BD.MeterControl implements the IBDObject interface and handles the following messages:
As explained above,
While the invention herein disclosed has been described by means of specific embodiments and applications thereof, numerous modifications and variations could be made thereto by those skilled in the art without departing from the scope of the invention set forth in the claims.
This application claims the benefit of U.S. Provisional Application No. 60/483,230 filed Jun. 30, 2003, and U.S. Provisional Application No. 60/483,247 filed Jun. 30, 2003, the entire contents of each of said applications being incorporated herein by reference. Related subject matter is disclosed and claimed in a concurrently filed U.S. nonprovisional patent application of Paul Upham et al. entitled “Method and Apparatus for Managing Data Received From a Medical Device”, the entire content of which is incorporated herein by reference.
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