A medical device controller operating in conjunction with a medical device determines one or more current versions of executable code associated with one or more processors in a medical device. Medical devices may include infusion pumps, other patient treatment devices as well as vital signs monitors. The medical device controller determines one or more current versions of executable code and configuration information associated with the one or more processors in the medical device. The medical device controller further determines which of the processors in the medical device require updated executable code, and which of the processors in the medical device require updated configuration information. The medical device controller distributes to the medical device as required at least one of the updated executable code and the updated configuration information. The medical device deploys the distributed updates, and activates the updates at a clinically appropriate time.

Example systems, methods, and apparatus are disclosed herein for on-screen parameter programming guidance based on user-inputted data and patient history graphical display generation based on a user-inputted command. The example systems, methods, and apparatus are configured to use a preloaded drug library to determine the upper and lower limits of parameters, and display a color graph and differently-colored text on a PCA pump user interface screen accordingly. Additionally, the example systems, methods, and apparatus are configured to use real-time patient history data to generate and display a patient history graph on a user interface screen. The disclosed systems, methods, and apparatus prevent human programming errors by minimizing the need for extensive user interaction with PCA pumps and the need to toggle between programming screens. Further, the disclosed systems, methods, and apparatus prevent human programming errors by displaying patient history in a single, consolidated graph.

A pump is disclosed that comprises a primary control unit comprising a first processor and one or more modular pumping units removably docked to the primary control unit. Each modular pumping unit comprises a pumping mechanism and a second processor configured to control the pumping mechanism and communicate with the first processor. The modular pumping unit is configured to manipulate a portion of a fluid delivery set to pump a fluid. The first processor and the second processor are configured to exchange one or more operating parameters when the modular pumping unit is docked to the primary control unit. The modular pumping unit is configured to pump the fluid after being undocked.

An apparatus for coupling to a fluid delivery system and for receiving a fluid into the apparatus; a portion of the apparatus permitting a change in shape or size to accommodate the fluid volume or pressure received therein. The apparatus including a housing with a cavity, an expandable reservoir with an opening and a passage, and a cap; the expandable reservoir positioned within the cavity and coupled to a fluid source. The expandable reservoir includes an unrestrained orientation when a fluid volume or pressure therein is below a threshold, and an expanded orientation, when the fluid volume or pressure therein is above the threshold; the expandable reservoir moving toward the expanded orientation to accommodate a fluid volume or pressure received through an opening, and the expandable reservoir moving toward the unrestrained orientation to direct a fluid volume or pressure through an opening.

An infusion pump apparatus including a pain controlled analgesic (PCA) input device is disclosed. The infusion pump apparatus includes a housing, a pump actuator supported by the housing, and a PCA input device. The infusion pump apparatus also includes electronics configured to control the pump actuator, provide a voltage to the PCA input device, and sense an electrical signal in response to the pain controlled analgesic input device being depressed. The infusion pump apparatus further includes a controller electrically coupled to the electronics and programmed to determine whether the sensed electrical signal is discontinuous, and if the sensed signal is discontinuous, transmit an output indicative of the pain controlled analgesic input device functioning improperly.

A portable therapeutic fluid delivery device and a method for delivering a therapeutic fluid into a body of a patient are provided. In one aspect the therapeutic fluid delivery device and the method can be implemented using at least one housing securable to the body of the patient, a reservoir coupled to the at least one housing, a therapeutic fluid dispensing mechanism, a memory component, a controller, at least one bolus delivery button configured to signal the controller to initiate the delivery of the therapeutic fluid into the body of the patient; and, an inadvertent initiation prevention mechanism adapted for preventing the patient from activating the at least one bolus delivery button.

Disclosed are methods and medical device systems for automated delivery of therapies for pain and determination of need for and safety of treatment. In one embodiment, such a medical device system may comprise a sensor configured to sense at least one body signal from a patient; and a medical device configured to receive a first sensed body signal from the sensor; determine a patient pain index based at least in part on said first sensed body signal; determine whether said patient pain index is above at least a first pain index threshold; determine a safety index based at least in part on a second sensed body signal; select a pain treatment regimen based on at least one of said safety index and or a determination that said pain index is above said first pain index threshold; and deliver said pain treatment regimen.

A drug infusion device determines whether an infusion program is stored within a memory. If so, a user is prompted to confirm usage of the program and a drug identifier, and to review the configuration of the device. If the program is not in the memory, the drug infusion device is enabled to receive an auto program with which it can configure itself. When auto program receipt is enabled, the drug infusion device waits for the auto program or for a selection for manual entry of the infusion program. A menu screen is displayed to indicate that the drug infusion device is waiting for the auto program, but the menu screen is not displayed if the auto program is already received. Therefore, a waiting for auto program menu screen may be avoided in many cases, reducing device setup time. In some embodiments, removal of a drug vial resets the device to a point after a power-on self-test and thus provides an easy method for resetting the device to a point that avoids unnecessary steps and expands a window of opportunity for receiving an auto program compared to prior work flows.

Disclosed is an ambulatory therapeutic fluid delivery device. The device includes at least one housing connectable to a cannula, the at least one housing retaining a reservoir to hold the therapeutic fluid. The device also includes a mechanically powered pumping mechanism to cause delivery of at least some of the fluid from the reservoir, and a power-transfer mechanism to transfer manually-delivered power provided by a user to mechanically actuate the pumping mechanism.

Disclosed are methods and medical device systems for automated delivery of therapies for pain and determination of need for and safety of treatment. In one embodiment, such a medical device system may comprise a sensor configured to sense at least one body signal from a patient; and a medical device configured to receive a first sensed body signal from the sensor; determine a patient pain index based at least in part on said first sensed body signal; determine whether said patient pain index is above at least a first pain index threshold; determine a safety index based at least in part on a second sensed body signal; select a pain treatment regimen based on at least one of said safety index and or a determination that said pain index is above said first pain index threshold; and deliver said pain treatment regimen.