A system and method are provided to monitor performance of an intraosseous device by using a supporting structure and an attachment mechanism. The attachment mechanism releasably secures the supporting structure proximate an insertion site for the intraosseous device. The supporting structure includes an opening formed therein and sized to receive at least a portion of the intraosseous device. A sensor detects parameters associated with providing fluids and/or medications through the intraosseous device to the bone marrow. The attachment mechanism and the supporting structure cooperate with each other to minimize movement of the intraosseous device relative to the insertion site when the portion of the intraosseous device is disposed in the opening of the supporting structure.

An insulin delivery supervisor (IDS) with a safety analysis and supervision function that can reside between the insulin request and the insulin delivery and can intercept any excessive insulin requests before the insulin was delivered. The IDS can be implemented in any system based on insulin pump or pen and will work with either SMBG or CGM modes of blood glucose monitoring.

A fluid extravasation detection device detects the subcutaneous extravasation of fluid from a vein containing an intravenous (IV) catheter. The device includes one or more first temperature sensors for positioning on skin near an entry point of the IV catheter into the vein, and one or more second temperature sensors for positioning on skin near a tip of the subcutaneously located IV catheter. The first and second temperature sensors are operably connected to an electronic thermometer that compares the temperature difference between a first temperature and a second temperature. The first temperature is determined based on temperature detected by at least one of the one or more first temperature sensors. The second temperature is determined based on temperature detected by at least one of the one or more second temperature sensors. An alarm is activated if the difference between the first and second temperatures changes more than a predetermined amount.

A system and method enhance clinical effectiveness for monitoring for a change in a level of fluid in tissue by using a device attached to a body portion that wirelessly reports to a remote apparatus or receiver a current received power level for indications of extravasation or infiltration. Adjusting an activation rate of fluid detection, reporting or both extends service life of the device.

There is provided a method comprising: computing a target nutritional goal to reach at an end of a time interval based on a real time energy expenditure of a patient, wherein the target nutritional goal comprises a volume to be delivered (VTBD) by the end of the time interval corresponding to a target amount of energy expenditure of the patient over the time interval, computing a target feeding profile defining a target feeding rate for enteral feeding of the patient for reaching the VTBD by the end of the time interval, continuously monitoring the real time energy expenditure, adapting the target nutritional goal and corresponding VTBD to compute a maximum VTBD to reach at the end of the time interval according to the monitoring, and dynamically adapting the target feeding rate and the corresponding target feeding profile for a remaining portion of the time interval for reaching the maximum VTBD.

A system and method enhance clinical effectiveness for monitoring for a change in a level of fluid in tissue by using a device attached to a body portion that wirelessly reports to a remote apparatus or receiver a current received power level for indications of extravasation or infiltration. Adjusting an activation rate of fluid detection, reporting or both extends service life of the device.

Disclosed herein are combined devices and methods of manufacturing such combined devices. The combined devices disclosed herein include an analyte sensor including a sensor probe; an infusion set hub including a cannula; and a flexible base. The analyte sensor and infusion set hub are attached to the flexible base such that movement of one of the analyte sensor and the infusion set hub is substantially not transferred to the other one of the analyte sensor and the infusion set hub.

A sensor for detecting infiltration at a catheter infusion site may include a first elongate sensor member couplable to a first location proximate the catheter infusion site, and a second elongate sensor member couplable to a second location proximate the catheter infusion site. The first elongate sensor member may include a first marking and the second elongate sensor member may include a second marking. The first elongate sensor member may slidably couple with and translate relative to the second elongate sensor. The first and second markings may indicate a range of relative positions between the first and second elongate sensor members as the first and second elongate sensor members translate relative to each other. At least one relative position within a range of relative positions between the first and second elongate sensor members may be indicative of infiltration at the catheter infusion site.

A fluid management and medical device system may include a fluid management system and a medical device having one or more sensors proximate the distal end of the elongate shaft of the medical device. The controller of the fluid management system may be configured to calculate a fluid deficit when the distal end of the elongate shaft is disposed within a patient and configured to automatically pause fluid deficit calculation when the distal end of the elongate shaft is removed from the patient. In some instances the controller is configured to calculate the fluid deficit using rotational speed of the inflow pump in combination with a difference between a change in weight of a fluid supply source supplying fluid to the fluid management system and a change in weight of a collection container collecting fluid from the fluid management system.

A system and method for monitoring a fluid delivery is disclosed. The system includes a processor and one or more sensors configured to measure one or more fluid state parameters associated with a fluid delivery channel through which a fluid is delivered to an infusion site of a patient. The processor receives fluid information for the fluid and at least one measured fluid state parameter from the sensor, determines at least one expected fluid state parameter for the infusion site based on the fluid information and patient information associated with the patient, and provides a communication at an output device when the at least one measured fluid state parameter deviates from the at least one expected fluid state parameter by more than a threshold deviation.