Fluid delivery device, system and method

0001This invention generally relates to fluid delivery devices, systems, and methods. It further relates to small volume, disposable medical devices for the precision delivery of medicines or drugs such as insulin, and associated systems and methods.

0002Insulin pumps are widely available and are used by diabetic people to automatically deliver insulin over extended periods of time. All currently available insulin pumps employ a common pumping technology, the syringe pump. In a syringe pump, the plunger of the syringe is advanced by a lead screw that is turned by a precision stepper motor. As the plunger advances, fluid is forced out of the syringe, through a catheter to the patient. The choice of the syringe pump as a pumping technology for insulin pumps is motivated by its ability to precisely deliver the relatively small volume of insulin required by a typical diabetic (about 0.1 to about 1.0 cm3 per day) in a nearly continuous manner. The delivery rate of a syringe pump can also be readily adjusted through a large range to accommodate changing insulin requirements of an individual (e. g., basal rates and bolus doses) by adjusting the stepping rate of the motor. While the syringe pump is unparalleled in its ability to precisely deliver a liquid over a wide range of flow rates and in a nearly continuous manner, such performance comes at a cost. Currently available insulin pumps are complicated and expensive pieces of equipment costing thousands of dollars. This high cost is due primarily to the ccmplexity of the stepper motor and lead screw mechanism. These components also contribute significantly to the overall size and weight of the insulin pump. Additionally, because of their cost, currently available insulin pumps have an intended period of use of up to two years, which necessitates routine maintenance of the device such as recharging the power supply and refilling with insulin.

0003<patcit id="pcit0001" dnum="US6375638A"><text>US Patent No: 6,375, 638</text></patcit> of Clyde Nason and William H Stutz, Jr. , entitled "Incremental Motion Pump Mechanisms Powered by Shape Memory Alloy wire or the Like," describes various ratchet type mechanisms for incrementally advancing the plunger of a syringe pump. The ratchet mechanisms are actuated by a shape memory alloy wire. The embodiments taught in this Patent involve a large number of moving parts, and are and can reduce reliability. Reference is also directed to us Patent Nos: 6,059,546 and 3,606,592. Each discloses a pump mechanism in which the actuating element uses a shape memory or heat treat memory alloy as defined in the preamble of patent claim 1. The present invention is directed at a device for pumping a predetermined volume of fluid, comprising a cavity operably associated with an inlet and an outlet, the inlet of a construction sufficient for operable communication with a source of fluid, the cavity at least partially defined by a resilient housing; an inlet check valve operably associated with the inlet and an outlet check valve operably associated with the outlet. According to the invention a member operably associated with the resilient housing is disposed in a first position by way of an element providing a biasing force and movable therefrom to a second position, which member is sufficient to fully compress the resilient housing when in one of its first and second positions, and sufficient to fully decompress the resilient housing when in a different one of the first and second positions, and an actuator comprising a shape memory alloy is operably associated with the member and of a construction sufficient to move the member from its first position to its second position when the shape memory alloy undergoes a dimensional change relative to an original condition thereof, and sufficient to move the member from the second position to the first position when the shape memory alloy returns toward the original condition. When the inlet is in operable communication with the source of fluid, the cavity is empty of the predetermined volume of fluid when the resilient housing is fully compressed, and the cavity is filled with the predetermined volume of fluid when the resilient housing is frilly decompressed.

0004Devices according to the invention can be utilized in a variety of applications. As described in detail below, such a device can be used to deliver medication to a person or animal. The invention can be applied in other medical fields, such as for implantable micro-pump applications, or in non-medical fields such as for small, low-power, precision lubricating pumps for precision self-lubricating machinery -

0005A preferred embodiment of the present invention is a mechanical insulin delivery device for diabetics that obviates the above-mentioned limitations of the syringe pump namely size, weight, cost and complexity. By overcoming these limitations, a precise and reliable insulin delivery system can be produced with sufficiently low cost to be marketed as a disposable product and of sufficiently small size and weight to be easily portable by the user. For example, it is envisioned that such a device can be worn discretely on the skin as an adhesive patch and contain a three-day supply of insulin after the use of which the device is disposed of and replaced.

0006As noted above, devices of the present invention are operated by a shape memory alloy actuator. Shape memory alloys belong to a class of materials that undergo a temperature induced phase transition with an associated significant dimensional change. During this dimensional change, shape memory alloys can exert a significant force and can thus serve as effective actuators. The shape memory alloy actuator provides an energy efficiency about one thousand times greater than that of a conventional electromechanical actuator, such as a solenoid, and a force to mass ratio about ten thousand times greater. Additionally, the cost of shape memory alloy materials compares favorably to the cost of electromechanical devices with similar capabilities. The invention is also directed at methods of pumping using devices of the kind described above. Such a method comprises providing a cavity operably associated with an inlet and an outlet, the cavity at least partially defined by a resilient housing; providing an inlet check valve operably associated with the inlet, and an outlet check valve operably associated with the outlet; providing a member in a first position under bias via a biasing element; providing a shape memory alloy operably associated with the member; providing at least one pulse of electricity to the shape memory alloy to move the member to a second position; and ceasing the providing of at least one pulse of electricity to the shape memory alloy to return the member to the first position; the resilient housing being fully compressed when the member is in one of the first position and the second position, and being fully decompressed the resilient housing when the member is in a different one of the first position and the second position; wherein, when the inlet is in operable communication with a source of fluid, the cavity is empty of the predetermined volume of fluid when the resilient housing is fully compressed and the cavity is filled with the predetermined volume of fluid when the resilient housing is fully decompressed. In the above method, the steps of providing and ceasing to provide a pulse or pulses of electricity to move the shape memory alloy are replaced by steps of increasing and reducing its temperature.

0007Typical devices of the present invention can be operated in a periodic dosing manner, i.e. , liquid is delivered in periodic discrete doses of a small fixed volume rather than in a continuous flow manner. In such a device the overall liquid delivery rate for the device may be controlled and adjusted by controlling and adjusting the dosing period. Thus the device can employ a precision timing mechanism in conjunction with a relatively simple mechanical system, as opposed to a complex mechanical system, such as that embodies by the syringe pump. A precision timing device is an inherently small, simple and inexpensive device. It is an underlying assumption of the invention (and a reasonable conclusion of process control theory) that in the treatment of diabetes, there is no clinical difference between administering insulin in periodic discrete small doses and administering insulin in a continuous flow, as long as the administration period of the discrete dose is small compared to the interval of time between which the blood glucose level is measured. For the present invention, a small dose size is regarded as on the order of 0-10 units of insulin (1 microliter) assuming a standard pharmaceutical insulin preparation of 100 units of insulin per ml (U100). A typical insulin dependent diabetic person uses between 10 and 100 units of insulin per day, with the average diabetic person using 40 units of insulin. Thus the present invention would deliver the daily insulin requirements of the average diabetic person in 400 individual discrete doses of 1 ul each with a dosing period that can be programmed by the user. A pump constructed according to the present invention can have a predetermined discrete dosage volume that is larger or smaller than 1, ul, but preferably falls within the range of 0.5 to 5 gl, and more preferably falls within the range of 1 to 3, ul. The smaller the discrete dose is of a particular pump design, the more energy required by the device to deliver a given amount of fluid, since each pump cycle consumes roughly the same amount of energy regardless of discrete dosage size. On the other hand, the larger the discrete dosage is, the less precise the pump can mimic the human body in providing a smooth delivery rate. A device constructed according to the present invention is also suitable for delivery of other drugs that might be administered in a manner similar to insulin.

0008It is further intended that devices of the present invention could be used as disposable components of a larger diabetes management system comprised of additional disposable and non-disposable components. For example, the present invention could be coupled with a continuous blood glucose monitoring device and remote unit, such as a system described in <patcit id="pcit0002" dnum="US6560471A"><text>US Patent No: 6,560, 471</text></patcit>, entitled "Analyte Monitoring Device and Methods of Use, "issued May 6,2003. In such an arrangement, the hand-held remote unit that controls the continuous blood glucose monitoring device could wirelessly communicate with and control both the blood glucose monitoring unit and the fluid delivery device of the present invention. The monitor and pump could be physically separate units, or could share one or more disposable and/or non-disposable components. For example, a disposable pump constructed according to the present invention and charged with a 3-day supply of insulin, a small battery and a disposable glucose sensor could be integrated into a single housing and releasably coupled with non-disposable components such as control electronics, a transmitter/receiver and a user interface to comprise a small insulin delivery device that could be worn on the skin as an adhesive patch. Alternatively, the battery (or batteries) and/or sensor could be replaced separately from the disposable pump. Such arrangements would have the advantage of lowering the fixed and recurring costs associated with use of the invention.

0009What follows is a detailed description of various embodiments of the invention in which reference is made to the accompanying drawings, which are briefly described below.

0010<figref idref="f0001">Figure 1A</figref> shows a schematic representation of a most general embodiment of the invention.

0011<figref idref="f0002">Figure 1B</figref> shows a schematic representation of an alternative general embodiment of the invention.

0012<figref idref="f0003">Figure 2A</figref> shows a schematic representation of a preferred embodiment of the invention.

0013<figref idref="f0004">Figures 2B and 2C</figref> show enlarged details of a preferred embodiment of the invention.

0014<figref idref="f0005">Figure 3</figref> shows a schematic representation of a preferred embodiment of a check valve to be used in the intention.

0015<figref idref="f0005">Figure 4</figref> shows a schematic representation of a preferred embodiment of a pulse generation circuit to be used with the invention.

0016<figref idref="f0006">Figure 5</figref> shows data from the experimental characterization of the reproducibility of a functional model of the invention.

0017<figref idref="f0007">Figure 6</figref> shows data from the experimental characterization of the energy utilization of a functional model of the invention.

0018<figref idref="f0008">Figure 7</figref> shows a schematic representation of a first alternative embodiment of the invention.

0019<figref idref="f0009">Figure 8</figref> shows a schematic representation of a second alternative embodiment of the invention.

0020<figref idref="f0010">Figure 9</figref> shows a schematic representation of a first alternative embodiment of a pulse generation circuit to be used with the invention.

Detailed Description of a Most General Embodiment of the Invention

0021A device of the present invention includes a miniature precision reciprocating displacement pump driven by a shape memory alloy wire linear actuator and controlled by a programmable pulse generating circuit. For purposes of description, the device is divided into three subcomponents, a precision miniature reciprocating displacement pump head, a shape memory alloy linear actuator, and a programmable pulse generating circuit. Each subcomponent is comprised of multiple elements. A schematic representation of a most general embodiment of the invention is shown in <figref idref="f0001">Figure 1A</figref> and is described below.

0022The miniature precision pump head is comprised of the following elements: a rigid substrate <b>101</b> to which other components may be attached so as to fix their orientation and position relative to one another, a fluid reservoir <b>102</b> for storing the fluid to be pumped 103 and a small cavity, henceforth referred to as the displacement cavity <b>104,</b> whose volume can be varied between precisely defined limits. The limit corresponding to a state of maximum volume for the displacement cavity <b>104</b> is defined as the first limit <b>105</b> and the limit corresponding to a state of minimum volume for the displacement cavity <b>104</b> is defined as the second limit <b>106</b>. An inlet conduit <b>107</b> connects the displacement cavity <b>104</b> to the fluid reservoir <b>102</b> and thus permits fluid flow between the two. An inlet check valve <b>108</b> is situated within the inlet conduit <b>107</b> such that fluid flow is restricted to flowing from the fluid reservoir <b>102</b> to the displacement cavity <b>104</b>. An outlet conduit <b>109</b> connects the displacement cavity <b>104</b> to some point <b>111</b> to which it is desired to deliver the fluid. An outlet check valve <b>110</b> is situated within the outlet conduit 109 such that fluid flow is restricted to flowing from the displacement cavity 104 to the point 111 to which it is desired to deliver the fluid.

0023The shape memory alloy actuator is comprised of a shape memory allow material, such as a nickel-titanium alloy material, sometimes referred to as "nitinol." The shape memory alloy material is sensitive to temperature or heat. For example, the material temporarily shrinks at a certain temperature, or shrinkage temperature, such as about 70 °C above ambient temperature for nitinol, and expands at a relatively lower temperature to return to its original condition. In response to being heated to the above-described shrinkage temperature, the shape memory alloy undergoes a dimensional change, such as a change in its length. In this way, a wire composed of a material such as nitinol, can undergo a change in length and a return toward its original length one or more times via temperature treatment or repeated temperature cycling. It is contemplated that a material that expands by going through a phase transition at a certain temperature and shrinks at a different temperature to return toward its original condition could be used.

0024In the process of undergoing a dimensional change, as described above, the shape alloy material goes through a reversible phase transition or transformation, or a reversible structural phase transition, upon a change in temperature. Generally, such a transition represents a change in the material from one solid phase of the material to another, for example, by virtue of a change in the crystal structure of the material or by virtue of a reordering of the material at a molecular level. In the case of nitinol, for example, the superelastic alloy has a low temperature phase, or martensitic phase, and a high temperature phase, or austenitic phase. These phases can also be referred to in terms of a stiff phase and a soft and malleable phase, or responsive phase. The particular phase transition associated with a particular alloy material may vary.

0025The shape memory alloy actuator is also comprised of the following elements. A movable member is referred to as a plunger <b>112</b> and is fixed by a rigid restraint <b>113</b> such that it is constrained to a periodic motion of precisely fixed limits. The plunger <b>112</b> is situated in relation to and/or attached to the displacement cavity <b>104</b> such that movement of the plunger <b>112</b> within the limits of its constrained motion will cause the volume of the displacement cavity <b>104</b> to be varied between its limits <b>105, 106</b>. A biasing spring <b>115</b> is situated relative to the rigid restraint <b>113</b> and the plunger <b>112</b> such that at equilibrium, the biasing spring <b>115</b> exerts a force on the plunger <b>112</b> whose direction is that which would induce the displacement cavity <b>104</b> toward a state of minimum volume, i.e., toward its second limit <b>106</b>. A length of shape memory alloy wire <b>114</b> is connected at one end to the plunger <b>112</b> and at another end to the rigid substrate <b>101</b>. The shape memory alloy wire <b>114</b> is situated such that its dimensional change will give rise to motion of the plunger <b>112</b>. The shape memory alloy wire <b>114</b> and the biasing spring <b>115</b> are both of sufficient dimension such that when the shape memory alloy wire <b>114</b> is heated so as to induce phase transition and associated dimensional change, the wire will move the plunger <b>112</b> against the force of the biasing spring <b>115</b> "in one generally uninterrupted motion" to its second limit <b>105</b> so as to create a state of maximum volume within the displacement cavity <b>104,</b> whereas when the shape memory alloy is allowed to cool to ambient temperature, the force imparted by the biasing spring <b>115</b> will stretch the shape memory alloy wire <b>114</b> until the point where the displacement cavity <b>104</b> is in a state of minimum volume.

0026The programmable pulse generating circuit is comprised of a source of electric power <b>116,</b> an electrical connection <b>117</b> from the source of electric power <b>116</b> to each end of the shape memory alloy wire <b>114</b> and a programmable pulse generating circuit <b>118</b> situated along the electrical connection <b>117</b> such that pulses of electricity from the electric power source <b>116</b> may be applied to the shape memory alloy wire <b>114</b> automatically in a preset regular periodic manner.

0027Operation of the device proceeds in a cyclic manner. For purposes of description the beginning of the cycle is defined as the following state. All void space within the fluid reservoir <b>102,</b> inlet <b>107</b> and outlet <b>109</b> conduit, inlet <b>108</b> and outlet <b>110</b> check valves and displacement cavity <b>104</b> are completely filled with the fluid <b>103</b> to be pumped. The shape memory alloy wire <b>114</b> is at ambient temperature and thus in a state of maximum length. Correspondingly, the position of the plunger <b>112</b> is such that the volume of the displacement chamber <b>104</b> is at its minimum value. The biasing spring <b>115</b> is in a compressed state such that it exerts a force on the plunger <b>112</b> consistent with a state of minimum volume of the displacement cavity <b>104</b>. Operation of the device involves first a heating of the shape memory alloy wire <b>114</b> to a temperature and for a period of time sufficient to induce phase transition and an associated dimensional change. Heating of the shape memory alloy wire <b>114</b> is accomplished by passing an electric current though it. The duration of the electric heating period is preset and is controlled by the timing and switching circuit <b>118.</b> The dimensional change of the shape memory alloy wire <b>114</b> will result in the movement of the plunger <b>112</b> against the opposing force of biasing spring <b>115</b> so as to vary the volume of the displacement chamber <b>104</b> toward its first limit <b>105</b> and a state of maximum volume. As the volume of the displacement cavity <b>104</b> is increased, fluid <b>103</b> is drawn into the displacement cavity <b>104</b> from the fluid reservoir <b>102</b> through the inlet conduit <b>107</b> and inlet check valve <b>108</b>. Fluid <b>103</b> is not drawn into the displacement cavity <b>104</b> through the outlet conduit <b>109</b> due to the one-way flow restriction of the outlet check valve <b>110.</b> After the preset duration, the current is then switched off by the timing and switching circuit <b>118</b> allowing the shape memory alloy wire <b>114</b> to cool below its phase transition temperature. Cooling proceeds via natural convection to the ambient environment. When the shape memory alloy wire <b>114</b> cools below its phase transition temperature, the force exerted by the biasing spring <b>115</b> stretches the shape memory alloy wire <b>114</b> to its original maximum length. This allows the movement of the plunger <b>112</b> so as to vary the volume of the displacement cavity <b>104</b> toward its second limit <b>106</b> and a state of minimum volume. As the volume of the displacement cavity <b>104</b> is decreased, fluid <b>103</b> is pushed out of the displacement cavity <b>104</b> through the outlet conduit <b>109</b> and outlet check valve <b>110</b>. Fluid <b>103</b> is not pushed out of the displacement cavity <b>104</b> through the inlet conduit <b>107</b> due to the one-way flow restriction of the inlet check valve <b>108.</b> Thus one complete heating and cooling cycle of the shape memory alloy wire <b>114</b> results in the delivery of a volume of fluid <b>103</b> from the fluid reservoir <b>102</b> to the end of the outlet conduit <b>111</b>. The volume of fluid delivered with each cycle is precisely equal to the difference between the maximum and minimum volumes of the displacement cavity <b>104</b> as determined by the precisely defined limits <b>105, 106</b>. The overall rate of fluid delivery is controlled by varying the period of time between actuations of the shape memory alloy actuator <b>104</b>.

An Alternative General Embodiment of the Invention

0028A schematic representation of an alternative general embodiment of the invention is shown in <figref idref="f0002">Figure 1B</figref>. The alternative general embodiment includes all of the same components and elements as the general embodiment shown in <figref idref="f0001">Figure 1A</figref> with the following exceptions. In this embodiment of the invention, heating of the shape memory alloy material <b>114</b> so as to cause a phase transition associated shortening of its length results in a minimum volume condition for the displacement cavity <b>104</b>. This may be achieved, for example, through the use of a pivoting linkage assembly <b>119</b> connecting the biasing spring <b>115</b> to the plunger <b>112</b>.

Detailed Description of a Preferred Embodiment of the Invention

0029As stated previously, it is an intention of the present invention that it be sufficiently small and sufficiently inexpensive to be practically used as both a portable device and as a disposable device. For example, a device that can be comfortably worn on the skin as an adhesive patch and can be disposed of and replaced after 3 days of use. A preferred embodiment of the invention includes specific embodiments of the various elements and components of the general embodiment that are consistent with this intention.

0030A preferred embodiment of the invention is diagrammed schematically in <figref idref="f0003">Figures 2A</figref>, <figref idref="f0004">2B and 2C</figref> and is comprised of all of the same elements and components of the general embodiment of the invention shown in <figref idref="f0001">Figures 1A</figref> and <figref idref="f0002">1B</figref> with the following exceptions. In a preferred embodiment of the invention the displacement cavity is comprised of an elastomeric diaphragm pump head <b>201.</b> An enlarged view of the details of the diaphragm pump head <b>201</b> is shown by <figref idref="f0004">Figure 2B</figref> with pump head <b>201</b> in a state of minimum volume and by <figref idref="f0004">Figure 2C</figref> with pump head <b>201</b> in a state of maximum volume. The diaphragm pump head is comprised of an elastomeric diaphragm <b>202</b> set adjacent to a rigid substrate <b>203</b> and sealed about a perimeter of the elastomeric diaphragm <b>202.</b> The displacement cavity <b>204</b> is then comprised of the volume in between the adjacent surfaces of the rigid substrate <b>203</b> and the elastomeric diaphragm <b>202</b> within the sealed perimeter.

0031Separate inlet <b>205</b> and outlet <b>206</b> conduits within the rigid substrate <b>203</b> access the displacement volume of the elastomeric diaphragm pump head <b>201</b> with the inlet conduit <b>205</b> connecting the displacement cavity <b>204</b> with a fluid reservoir <b>207</b> and the outlet conduit <b>206</b> connecting the displacement cavity <b>204</b> to the point to which it is desired to deliver fluid <b>208</b>. An inlet check valve <b>209</b> and an outlet check valve <b>210</b> are situated within the inlet conduit <b>205</b> and outlet conduit <b>206</b> respectively, oriented such that the net direction of flow is from the fluid reservoir <b>207</b> to the point to which it is desired to deliver fluid <b>208</b>.

0032The plunger <b>211</b> is comprised of a cylindrical length of rigid dielectric material. The plunger <b>211</b> is situated within a cylindrical bore <b>212</b> of a rigid restraint <b>213</b> such that the axis of the plunger <b>211</b> is oriented normal to surface of the elastomeric diaphragm <b>202.</b> The flat head of the plunger <b>211</b> is functionally attached to the non-wetted surface of elastomeric diaphragm <b>202</b> opposite the displacement cavity <b>204</b> such that movement of the plunger <b>211</b> along a line of motion coincident with its axis will cause the concomitant variation in the volume of the displacement cavity <b>204.</b> The biasing spring <b>214</b> is situated within the cylindrical bore <b>212</b> of the rigid restraint <b>213,</b> coaxial with the plunger <b>211.</b> The relative positions and dimensions of the plunger <b>211,</b> the rigid restraint <b>213</b> and the biasing spring <b>214</b> are such that at equilibrium the biasing spring <b>214</b> exerts a force on the plunger <b>211</b> along a line coincident with its axis such that the displacement cavity <b>204</b> is in a state of minimum volume (<figref idref="f0003">Figure 2A</figref>).

0033A straight length of shape memory alloy wire <b>215</b> is situated in a position coincident with the axis of the plunger <b>211.</b> One end of the shape memory alloy wire <b>215</b> is fixed to the rigid restraint <b>203</b> and electrically connected by connection <b>216</b> to the programmable pulse generating circuit <b>217</b> and the electric power source <b>218.</b> The other end of the shape memory alloy wire <b>215</b> along with an electrical connection <b>219</b> to that end is connected to the end of the plunger <b>211.</b> The shape memory alloy wire <b>215</b> and the biasing spring <b>214</b> are both of sufficient dimension such that when the shape memory alloy wire <b>215</b> is heated so as to induce phase transition and associated dimensional change, it will pull the plunger <b>211</b> against the force of the biasing spring <b>214</b> so as to create a state of maximum volume within the displacement cavity <b>204,</b> whereas when the shape memory alloy is allowed to cool to ambient temperature, the force imparted by biasing spring <b>214</b> will stretch the shape memory alloy wire <b>215</b> until the point where the displacement cavity <b>204</b> is in a state of minimum volume.

0034A preferred embodiment of an inlet and outlet check valve is shown in cross-section in <figref idref="f0005">Figure 3</figref> and is comprised of a molded one-piece elastomeric valve which can be press-fit into the inlet or outlet conduit. An important feature for a check valve appropriate for use in the present invention is that it possesses a low cracking pressure and provides a tight seal in the absence of any back pressure. A preferred embodiment of such a check valve is comprised of a thin-walled elastomeric dome <b>301</b> situated on top of a thick elastomeric flange <b>302.</b> The top of the dome has a small slit <b>303</b> cut through it that is normally closed. A fluid pressure gradient directed toward the concave side <b>304</b> of the dome will induce an expansion of the dome <b>301</b> forcing the slit <b>303</b> open so as to allow fluid to flow through the valve in this direction. A fluid pressure gradient directed toward the convex side 305 of the dome will induce a contraction of the dome <b>301</b> forcing the slit <b>303</b> shut so as to prohibit fluid to flow through the valve in this direction.

0035A preferred embodiment of a pulse generating circuit is shown in <figref idref="f0005">Figure 4</figref> and is comprised of a 200 milliamp-hour, lithium-manganese oxide primary battery <b>401,</b> a high-capacitance, low-equivalent series resistance (ESR) electrochemical capacitor <b>402,</b> a programmable digital timing circuit <b>403,</b> and a low-resistance field effect transistor switch <b>404.</b> The shape memory alloy wire is indicated in <figref idref="f0005">Figure 4</figref> symbolically as a resistor <b>405.</b> The battery <b>401</b> and electrochemical capacitor <b>402</b> are electrically connected to each other in parallel and are connected to the shape memory alloy wire <b>405</b> through the transistor switch <b>404.</b> The programmable timing circuit <b>403,</b> also powered by the battery <b>401,</b> sends a gating signal to the transistor switch <b>404,</b> as programmed by the user in accordance with the user's pumping requirements. During the period of time for which the transistor switch <b>404</b> is open, the battery <b>401</b> will keep the electrochemical capacitor <b>402</b> at a state of full charge. During the period of time for which the transistor switch <b>404</b> is closed, power will be delivered to the shape memory alloy wire <b>405,</b> primarily from the electrochemical capacitor <b>402</b> rather than from the battery <b>401,</b> owing to the substantially lower ESR associated with the electrochemical capacitor <b>402</b>. As such, the battery <b>401</b> is substantially isolated from the high current draw associated with the low resistance of the shape memory alloy wire <b>405</b> and the useful life of the battery <b>401</b> is significantly extended.

0036A preferred embodiment of a fluid reservoir <b>207</b> appropriate for use with the present invention is one for which the volume of the fluid reservoir diminishes concomitantly as fluid is withdrawn such that it is not necessary to replace the volume of the withdrawn fluid with air or any other substance. A preferred embodiment of a fluid reservoir <b>207</b> might comprise a cylindrical bore fitted with a movable piston, for example, a syringe, or a balloon constructed of a resilient material.

0037Operation of the preferred embodiment of the invention proceeds in a manner analogous to that described for the most general embodiment. In addition to its simplicity, the preferred embodiment has the advantage of physically blocking any fluid flow from the fluid reservoir to the point to which it is desired to deliver the fluid when there is no power being supplied to the system. This provides additional protection against an overdose caused by fluid expanding or being siphoned through the check valves when the system is inactive.

Detailed Description of a Functional Model of the Invention

0038A functional model of a preferred embodiment of the invention has been constructed and its performance has been characterized. The functional model is similar in appearance to the preferred embodiment of the invention shown in <figref idref="f0003 f0004">Figures 2</figref>, <figref idref="f0005">3 and 4</figref> and is described in more detail below. The fixed rigid components of the pump including the rigid restraint and the rigid substrate of the diaphragm pump head are each machined from a monolithic block of acetal. Inlet and outlet conduits are additionally machined out of the same block. Check valves are commercially available one-piece elastomeric valves (for example, Check Valve, Part # VA4914, available from Vernay Laboratories Inc. of Yellow Springs, Ohio). A length of shape memory alloy actuator is 40 mm long and 125 µm in diameter (for example, Shape Memory Alloy Wire, Flexinol 125 LT, available from Mondo-tronics, Inc. of San Rafael, California). Electrical connections to the ends of the shape memory alloy actuator are made with 30 AWG copper wire. The copper wire is twisted to the shape memory alloy wire to effect a good electrical connection. A plunger is machined out of acetal and has an overall length of 10.0 mm and a shaft diameter of 3.2 mm. An elastomer diaphragm is comprised of 0.025 mm thick silicon rubber film (for example, Silicon Rubber Film, Cat. # 86435K31, available from McMaster Carr, of Los Angeles, California). The flat head of the plunger is secured to the elastomer diaphragm with epoxy (for example, Epoxy, Stock #14250, available from ITW Devcon, of Danvers, Massachusetts). The ends of the shape memory alloy wire-copper conductor assembly are connected to the plunger and to the rigid restraint with epoxy. A stainless steel biasing spring has an overall length of 12.7 mm, an outside diameter of 3.0 mm, a wire diameter of 0.35 mm and a spring constant of 0.9 N/mm (for example, Biasing Spring, Cat. # C0120-014-0500, available from Associated Spring, of Dallas, Texas).

0039A pulse generating circuit is comprised of an adjustable analog timing circuit based on a 556 dual timing integrated circuit (for example, 556 Dual Timing Circuit, Part # TS3V556, available from ST Microelectronics, of San Jose, California). Power is supplied by a 3 V lithium-manganese dioxide primary cell (for example, Li/MgO₂ Battery, Part # DL2032, available from Duracell, of Bethel, Connecticut). Power load leveling is facilitated by the use of an electrochemical supercapacitor (for example, Electrochemical Supercapacitor, Part # B0810, available from PowerStor Inc., of Dublin, California) in parallel with the battery. High-power switching is achieved with a field effect transistor (for example, Field Effect Transistor Switch, Part # IRLZ24N, available from International Rectifier, of E1 Segundo, California).

0040The functional model was characterized with respect to reproducibility, insulin stability and energy consumption. The model was operated by heating the shape memory alloy wire with a short pulse of current and then allowing the shape memory alloy wire to cool. Each heating pulse and subsequent cooling period comprised a single actuation cycle.

0041A device that is used to automatically deliver a drug to an individual over an extended period of time should do so with extreme precision. This is particularly critical when the drug being delivered is one that might have dangerous health consequences associated with an inappropriate dose. Insulin is one such drug. An excessive dose of insulin can result in dangerously low blood glucose level, which in turn can lead to coma and death. Thus any device to be used for automatically delivering insulin to a diabetic person must be able to demonstrate a very high level of precision. To characterize the precision with which the invention can deliver insulin, the functional model was repeatedly cycled at a constant period of actuation and the total quantity of liquid delivered was measured as a function of the number of actuation cycles. <figref idref="f0006">Figure 5</figref> shows typical results. The data in <figref idref="f0006">Figure 5</figref> were obtained with an actuation period of 28 seconds and a pulse duration of 0.15 seconds. In <figref idref="f0006">Figure 5</figref> markers show actual data points and the line represents a least squares fit of the data points. Data were collected over 8500 cycles at which point the measurement was stopped. The fit to the data has a slope of 1.997 mg/cycle and a linear correlation coefficient of 0.999 indicating that the functional model delivered extremely consistent volumes of liquid with each actuation over the course of the measurement.

0042Another important requirement for any medical device that handles insulin is that the device does not damage the insulin. Insulin is a large and delicate biomolecule that can readily be damaged by the mechanical action (e.g., shear stress) of a pumping device. Three common modes of insulin destruction which result in a loss of bioactivity are aggregation, where individual insulin molecules bond together to form various polymer structures, degradation, where individual insulin molecules are broken apart, and denaturing, where individual molecules remain intact but lose their characteristic conformation. All three modes of insulin destruction are exacerbated by elevated temperatures. Thus, in the development of a practical insulin pumping device, preferably, it should be demonstrated that the device does not damage insulin. To characterize the insulin stability associated with the invention, a quantity of insulin (Insulin, Humalog U100, available from Eli Lilly, of Indianapolis, Indiana) was set up to recycle continuously through the functional model over the course of several days at 37 °C. Samples of the insulin were collected each day for evaluation. This resulted in a series of pumped insulin samples with an increasing amount of pump stress. The insulin samples were then analyzed by reverse-phase high performance liquid chromatography. The chromatography indicated a 2% loss of insulin concentration after a single pass through the pump and a further loss of another 5% of the insulin concentration after 3 days of recycling.

0043It is desirable for a small and inexpensive insulin delivery device to be able to execute its maximum intended term of use with the energy from a single small inexpensive primary battery. Based on a 0.1 unit dose size and a maximum insulin consumption of 100 units per day for 3 days, a maximum term of use for the inventive device might be considered to be 3000 cycles. To characterize the energy consumption of the invention, the functional model was operated continuously for several days at an actuation period of 85 seconds while the voltage of a 200 milliamp-hour, 2032 lithium/manganese dioxide battery was monitored. <figref idref="f0007">Figure 6</figref> shows typical results. A typical voltage vs. capacity curve for the lithium/manganese dioxide battery is characterized by an initial drop in voltage from about 3.2 V to a plateau voltage of about 2.8 V. The voltage of the battery remains at this plateau level for the duration of its useful life. The battery voltage will then drop precipitously to a value below 2 V when its capacity expires. The data in <figref idref="f0007">Figure 6</figref> indicate that the battery is still at its plateau voltage after 4000 pump cycles and thus the 200 milliamp-hour, lithium/manganese dioxide battery is more than adequate to power the device of the present invention for its intended term of use.

Alternative Embodiments of the Invention

0044A first alternative embodiment of the invention is diagrammed schematically in <figref idref="f0008">Figure 7</figref> and is comprised of all of the same subcomponents and elements of the most general embodiment of the invention shown in <figref idref="f0001 f0002">Figure 1</figref> with the following exceptions. In a first alternative embodiment of the invention, the displacement cavity, as well as the inlet and outlet conduit, are all comprised of a single length of small-diameter flexible and resilient tubing <b>701.</b> The tubing <b>701</b> is situated within a restraining fixture <b>702</b> secured to a rigid base <b>703</b> so as to fix the position and orientation of the tubing <b>701</b> relative to the other elements of the device. Inlet <b>704</b> and outlet <b>705</b> check valves are located within the bore of the tubing <b>701</b> such that they have a common orientation for flow direction and such that a length of empty tubing <b>701</b> exists in between the two check valves <b>704, 705.</b> The volume within the inner diameter of the tubing <b>701</b> and in between the two check valves <b>704, 705</b> comprises a displacement cavity <b>706.</b> The volume of the displacement cavity <b>706</b> is varied by compressing the resilient tubing <b>701</b> with a plunger <b>707</b> (described below) at a position midway between the two check valves <b>704, 705.</b> The volume within the inner diameter of the tubing <b>701</b> and in between the two check valves <b>704, 705</b> when the tubing <b>701</b> is uncompressed defines the maximum volume of displacement cavity <b>706.</b> The volume within the inner diameter of the tubing <b>701</b> and in between the two check valves <b>703, 704</b> when the tubing <b>701</b> is fully compressed by the plunger <b>707</b> defines the minimum volume of the displacement cavity <b>705.</b>

0045The plunger <b>707</b> is comprised of a cylindrical length of rigid dielectric material and includes a flange <b>708</b> and a tapered end <b>709.</b> The plunger <b>707</b> is situated within a cylindrical bore <b>710</b> of a rigid restraint <b>711</b> such that the axis of the plunger <b>707</b> is oriented normal to the axis of the resilient tubing <b>701</b> and such that the tapered head <b>709</b> of the plunger <b>707</b> may be alternately pressed against the resilient tubing <b>701</b> and removed from contact with the resilient tubing <b>701</b> with movement of the plunger <b>707</b> along a line of motion coincident with the its axis. A biasing spring <b>712</b> is fitted around the shaft of the plunger <b>707</b> in between the rigid restraint <b>711</b> and the plunger flange <b>708.</b> The relative positions and dimensions of the plunger <b>707,</b> the rigid restraint <b>711</b> and the biasing spring <b>712</b> are such that at equilibrium the biasing spring <b>712</b> exerts a force on the plunger <b>707</b> along a line coincident with its axis that is sufficient to fully collapse the resilient tubing <b>701</b> and thus create a state of minimum volume of the displacement cavity <b>706.</b>

0046A straight length of shape memory alloy wire <b>713</b> is situated in a position coincident with the axis of the plunger <b>707.</b> One end of the shape memory alloy wire <b>713</b> is attached to the rigid base <b>703</b> and electrically connected by connection <b>716</b> to the pulse generating circuit <b>714</b> and the electric power source <b>715.</b> The other end of the shape memory alloy wire <b>713</b> along with an electrical connection <b>717</b> to that end is attached to the shaft of the plunger <b>707.</b> The shape memory alloy wire <b>713</b> is of sufficient length and strength that when heated so as to induce phase transition and associated dimensional change it will pull the plunger <b>707</b> away from contact with the resilient tubing <b>701</b> against the opposing force of the biasing spring <b>713.</b>

0047A second alternative embodiment of the invention is diagrammed schematically in <figref idref="f0009">Figure 8</figref> and is comprised of all of the same subcomponents and elements of the most general embodiment of the invention shown in <figref idref="f0001 f0002">Figure 1</figref> with the following exceptions. A displacement cavity <b>801</b> is comprised of a cylindrical shell <b>802</b> and tube <b>803</b> arrangement where the tube <b>803</b> is coaxial with the shell <b>802</b> and can move freely within the shell <b>802</b> along a line coincident with that axis. The volume of the displacement cavity <b>801</b> is varied by moving the tube <b>803</b> relative to the shell <b>802.</b> Movement of the tube 803 into the shell 802 reduces the volume of the displacement cavity 801 whereas movement of the tube out of the shell increases the volume of the displacement cavity <b>801.</b> A dynamic seal <b>804,</b> for example and elastomer o-ring, seals the displacement cavity <b>801</b> while not interfering adversely with the relative motion of the shell 802 and tube <b>803.</b> Outlet 805 and inlet <b>806</b> conduits access the displacement cavity <b>801</b> through the ends of the shell <b>802</b> and tube <b>803</b> respectively. Outlet <b>807</b> and inlet <b>808</b> check valves are situated within the shell <b>802</b> and tube <b>803</b> respectively. A biasing spring <b>809</b> is situated within the displacement cavity <b>801</b> so as to resist the motion of the displacement cavity <b>801</b> toward a state of reduced volume. A shape memory alloy wire <b>810</b> is attached between the shell <b>802</b> and the tube <b>803</b> along the outside of the assembly such that when the shape memory alloy wire <b>810</b> is heated so as to induce phase transition and associated dimensional change it will incline the displacement cavity <b>801</b> toward a state of reduced volume. The shape memory alloy wire 810 is electrically connected by connector <b>811</b> to a programmable pulse generating circuit <b>812</b> and a source of electric power <b>813.</b> Hard stops (not shown) on the limits of the relative positions of the shell <b>802</b> and tube <b>803</b> define the maximum and minimum volumes of the displacement volume <b>801.</b>

0048Operation of both the first and second alternative embodiments of the invention proceed in a manner analogous to that described for the most general embodiment and preferred embodiment of the invention.

0049In all of the embodiments described above, a shape memory alloy wire acts as an actuator to drive a movable member to increase or decrease the fluid volume in the pump head, and once the wire cools a spring is used to return the movable member back to its original position. Those of reasonable skill in this field will appreciate that a multitude of other biasing means exist, one or more of which can be used in place of or in addition to the spring. In fact, a shape memory alloy can be constructed in such a way that it drives the movable member in both directions to act as both an actuator and a return biasing element. For example, the shape memory alloy can be coiled much like a spring to drive the movable member in one direction when heated and in the other direction when cooled.

0050A first alternative embodiment of a pulse generating circuit is diagrammed schematically in <figref idref="f0010">Figure 9</figref> and is comprised of a 200 millliamp-hour lithium-manganese dioxide primary battery <b>901,</b> a DC to DC converter <b>902,</b> a capacitor <b>903,</b> a low-resistance field effect transistor switch <b>904,</b> a programmable digital timing circuit 905, an inductor <b>906</b> and a diode <b>908.</b> The shape memory alloy wire is indicated in <figref idref="f0010">Figure 9</figref> symbolically as a resistor <b>907.</b> The objective of this embodiment of a pulse generating circuit is that the pulses of power delivered to the shape memory alloy wire <b>907</b> can be of a higher voltage, and thus higher current, than that associated with the preferred embodiment of a pulse generating circuit diagrammed in <figref idref="f0005">Figure 4</figref> and described previously. A high voltage, high current power pulse has the advantage that it can actuate the circuit in a shorter more efficient time period. Additionally, the alternative embodiment of a pulse generating circuit allows the useful life of the battery <b>901</b> to be extended to a lower voltage and can prevent other circuitry powered by the battery from resetting when the battery voltage droops as is likely to happen in the preferred embodiment. The battery 901 and capacitor <b>903</b> are electrically connected to each other in parallel through the DC to DC converter <b>902.</b> The capacitor <b>903</b> is further connected to the shape memory alloy wire 907 through the transistor switch <b>904.</b> The programmable timing circuit <b>905,</b> also powered by the battery <b>901</b> sends a gating signal to the transistor switch <b>904</b> as programmed by the user in accordance with their pumping requirements. During the period for which the transistor switch <b>904</b> is open, the DC to DC converter 902 draws energy from the battery <b>901</b> and stores it in the capacitor <b>903.</b> Use of the DC to DC converter <b>902</b> allows the voltage of the capacitor <b>903</b> to be charged to a significantly higher value than that associated with the battery <b>901</b> and to be charged to the same voltage throughout the life of the battery <b>901</b> regardless of the battery voltage. It is intended that the transistor switch <b>904</b> may be modulated to send an overall energy pulse as a single pulse or as a sequence of discrete smaller pulses. It is intended that these smaller pulses may be sequenced so as to tailor a custom profile for the overall energy pulse. The custom profile would ensure optimal energy delivery to the shape memory alloy without exceeding its fusing characteristics. The inclusion of the inductor <b>906</b> and diode <b>908</b> allows current to continue to flow through the shape memory alloy wire <b>907</b> after the transistor switch <b>904</b> is opened when the pulse is modulated. This allows further control of the energy delivered to the shape memory alloy.