Page 443 - Handbook of Biomechatronics
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The Artificial Pancreas                                      437





                                                     Basal delivery is
                                                      spring-driven  24-h basal
                                                                 rate begins
                                                                 with the push
                                                                  of a button
                                          Viscous
                                           fluid
                                                    Insulin
                            Basal rate flow  Viscous fluid         Needle
                             restrictor


                                                         On-demand bolus function, user
                                                          pushes a button to deliver two
                                                           units of insulin per push




              Fig. 18 V-Go spring-driven disposable insulin pump. (Courtesy Valeritas Inc.)



                 Pressure sensors are incorporated into most insulin pumps to ensure nor-
              mal operation and detect occlusions. These are usually based on silicon strain
              gauges that provide signals in the millivolt range, rather than the microvolt
              level provided by bonded-wire strain gauges. The strain gauges are config-
              ured in a bridge configuration, which provides a differential signal at a
              common-mode voltage that is about half of the supply voltage. Differential
              instrumentation amplifiers followed by programmable gain amplifiers and
              analogue to digital converters interface pressure measurements to the micro-
              controller. Precision pressure measurements are not required as they are only
              used to verify normal operation and are not concerned with actual drug
              delivery (Mossman, 2010; Ganesan, 2013).


              4.2.3 Power Management
              Power is generally provided using a single 1.5V alkaline or rechargeable
              LiPo cell that is boosted to a nominal operating voltage of 2V to obtain
              the most life from a cell. Typical boost regulators used in insulin pumps
              can run from voltages as low as 0.6V. An example of the genre is the
              MAX1947 has a 0.7–3.6V input-voltage range. Its 2-MHz switching fre-
              quency and current-mode control reduces component sizes, achieves over
              94% efficiency while integrating all the required switches (power switch,
              synchronous rectifier, and reverse-current blocker) to minimize solution
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