APPARATUS AND METHOD FOR BATTERY PASSIVATION COMPENSATION IN MEDICAL DEVICES - Patent application

Abstract

A method for operating a medical device includes activating a processor in the medical device in a low-power operating mode, measuring a first voltage level of a battery, applying at least one discharge pulse to the battery in response to the first voltage level of the battery being greater than a predetermined passivation minimum voltage threshold and less than a predetermined passivation maximum voltage threshold, measuring a second voltage level of the battery after the at least one discharge pulse, and operating the processor in the medical device in a high-power operating mode only in response to a second voltage level greater than or equal to a predetermined operating voltage threshold, the second voltage level being greater than a predetermined passivation minimum voltage threshold and less than or equal to the predetermined passivation maximum voltage threshold, and continuing operation of the medical device.

Description

[Technical field]

[0001] Priority claim This application claims priority to U.S. Application No. 16 / 720,273, entitled “APPARATUS AND METHOD FOR BATTERY PASSIVATION COMPENSATION IN A MEDICAL DEVICE,” filed December 19, 2019, the entire contents of which are incorporated herein by reference.

[0002] The present disclosure relates generally to the field of battery-powered medical devices, and more specifically to battery-powered medical devices susceptible to battery passivation, including blood glucose test meters. [Background technology]

[0003] Analyte test meters known in the art allow for the analysis of a bodily fluid sample provided by a user to identify the level of one or more analytes in the user's body using electronic devices and one or more electrochemical reactions. These analyte meters provide significant advantages in the accurate measurement of analytes in an individual user's fluid sample (i.e., biological or environmental). The analyte meter applies an electrical signal to a combination of a reagent and the fluid sample, records the response to the applied electrical signal, and a combination of electronic hardware and software within the analyte test meter implements a detection engine that detects the level of an analyte in the user's body based on the recorded response to the electrical signal. For example, a person with diabetes can benefit from measuring glucose by providing a fluid sample of blood or another bodily fluid to a reagent formed on an electrochemical test strip electrically connected to a blood glucose meter (BGM). The BGM provides a measurement of the user's blood glucose level, and many BGM devices use disposable electrochemical test strips that are discarded after each blood glucose measurement. Analyte test meters can also provide benefits to users at risk for heart disease by providing measurements of cholesterol and triglycerides, among other analytes. However, these are just a few of the advantages of measuring analytes in biological samples. Advances in medical science have identified an increasing number of analytes that can be electrochemically analyzed in fluid samples.

[0004] Many existing analyte test meters use a battery as an energy source to provide power to the electronic components of the analyte meter to provide a compact, portable test meter that is carried by a person with diabetes (PwD) or other medical user. In typical use, the test meter is activated for use for a relatively short period of time, usually one minute or less, to obtain a blood glucose reading. During this period, one or more batteries provide current to operate the components in the test meter. The test meter is in a stopped or "hibernating" mode for a relatively long period of time, where the test meter is deactivated and the battery in the test meter provides a small amount of current or no current to the test meter. Even in a high-use scenario, for example, where a PwD tests their blood glucose 10 times a day, the blood glucose meter spends most of the day in stopped mode, and many blood glucose meters go through less frequent use that creates longer periods of inactivity. For example, some PwD test their blood glucose only three times a day, and some PwD who employ continuous glucose monitors (CGMs) use portable blood glucose meters only occasionally (e.g., once every few days or even once every few weeks / months) to validate and supplement the data from the CGM.

[0005] Passivation is a challenge that affects existing batteries during long periods of inactivity during which the battery produces small or no current to drive a load. As one non-limiting example, passivation occurs in non-rechargeable lithium batteries when a passivation layer of lithium chloride forms on the surface of the lithium at the battery's anode. The passivation layer reduces the nominal voltage level of the battery. This mimics the effect of actually discharging the battery to a low voltage level. However, the passivation process does not substantially discharge the battery, and in fact, the passivation process may inhibit the "self-discharge" of the battery. Passivation occurs over periods during which the battery does not discharge a significant amount of current, and large temperature changes in the battery's surrounding environment encourage the passivation process. Passivation can occur to batteries used in blood glucose monitors and other battery-powered medical devices because users typically carry these devices with them in a variety of weather conditions and may leave these devices in vehicles or other locations that experience large high and low temperature fluctuations.

[0006] As described above, passivation reduces the nominal voltage level of the battery. In some circumstances, the medical device will erroneously identify that the battery has been discharged to the point that the battery cannot be used to operate the medical device, because the voltage drop due to passivation is similar to the voltage drop that occurs as the battery is discharged. This problem is exacerbated because in many devices, the same battery that may be passivated or discharged is also the sole source of energy to operate voltage measuring devices and other electronic components that determine whether the battery is sufficiently charged to allow normal operation of the medical device. As a result, improvements to blood glucose meters and other battery-powered medical devices that detect and compensate for battery passivation would be beneficial. Summary of the Invention

[0007] In one embodiment, a method for operating a medical device to compensate for battery passivation is developed, the method including activating a processor in the medical device, the processor receiving power from a battery electrically connected to the medical device, in a low power operating mode, measuring a first voltage level of the battery with the processor, applying at least one discharge pulse to the battery in response to the first voltage level of the battery being greater than a predetermined passivation minimum voltage threshold and less than a predetermined passivation maximum voltage threshold, measuring a second voltage level of the battery with the processor after the at least one discharge pulse, and operating the processor in the medical device in a high power operating mode only in response to a second voltage level greater than or equal to a predetermined operating voltage threshold, the second voltage level greater than or equal to a predetermined operating voltage threshold, the second voltage level greater than or equal to a predetermined operating voltage threshold, the second voltage level greater than or equal to a predetermined operating voltage threshold.

[0008] In another embodiment, a method for operating a medical device to compensate for battery passivation is developed, the method includes activating a processor in the medical device in a low power operating mode, the processor receiving power from a primary battery electrically connected to the medical device, measuring a first voltage level of the primary battery using the processor, receiving a second voltage level of a secondary battery electrically connected to the medical device providing power to at least one peripheral device in the medical device using the processor, increasing a clock speed of the processor to apply at least one discharge pulse to the primary battery in response to the first voltage level of the primary battery being above a predetermined passivation minimum voltage threshold and below a predetermined passivation maximum threshold, activating the at least one peripheral device in the medical device using the processor, and applying at least one discharge pulse to the secondary battery in response to the first voltage level of the secondary battery being above a predetermined passivation minimum voltage threshold and below a predetermined passivation maximum threshold. and measuring, with the processor, a third voltage level of the primary battery after the at least one discharge pulse applied to the primary battery; measuring, with the processor, a fourth voltage level of the secondary battery after the at least one discharge pulse applied to the secondary battery; operating the processor in the medical device in a high power mode of operation; and powering up the at least one peripheral device and continuing operation of the medical device only in response to the third voltage level that is greater than or equal to a first predetermined operating voltage threshold, the first predetermined operating voltage threshold being greater than a predetermined passivation minimum voltage threshold and less than or equal to a predetermined passivation maximum voltage threshold, and the fourth voltage level that is greater than or equal to a second predetermined operating voltage threshold, the second predetermined operating voltage threshold being greater than a predetermined passivation minimum voltage threshold and less than or equal to a predetermined passivation maximum voltage threshold.

[0009] In another embodiment, a medical device configured to compensate for the passivation of a battery is developed, the medical device includes a processor configured to be connected to a battery and receive power from the battery, the processor is configured to start in a low power operating mode, measure a first voltage level of the battery, apply at least one discharge pulse to the battery in response to the first voltage level of the battery being higher than a predetermined passivation minimum voltage threshold and lower than a predetermined passivation maximum voltage threshold, measure a second voltage level of the battery after the at least one discharge pulse, and operate the processor in a high power operating mode only in response to a second voltage level higher than or equal to a predetermined operating voltage threshold, the second voltage level being higher than or equal to a predetermined operating voltage threshold, the second voltage level being higher than or equal to a predetermined operating voltage threshold, the second voltage level being higher than or equal to a predetermined operating voltage threshold.

[0010] In another embodiment, a medical device configured to compensate for battery passivation is developed, the medical device includes a processor configured to receive power from a primary battery electrically connected to the medical device, and at least one peripheral device in the medical device operably connected to the processor and configured to receive power from a secondary battery electrically connected to the medical device, the processor powering up in a low power operating mode, measuring a first voltage level of the primary battery, receiving a second voltage level of the secondary battery, increasing a clock speed of the processor, applying at least one discharge pulse to the primary battery in response to the first voltage level of the primary battery being above a predetermined passivation minimum voltage threshold and below a predetermined passivation maximum threshold, powering up the at least one peripheral device in the medical device, applying at least one discharge pulse to the secondary battery in response to the second voltage level of the secondary battery being above a predetermined passivation minimum voltage threshold and below a predetermined passivation maximum threshold, and measuring a third voltage level of the primary battery in response to the at least one discharge pulse applied to the primary battery. and measuring a fourth voltage level of the secondary battery after at least one discharge pulse applied to the secondary battery; and operating a processor in the medical device in a high power operating mode to power up the at least one peripheral device and continue operation of the medical device only in response to a third voltage level that is greater than or equal to a first predetermined operating voltage threshold, the third voltage level being greater than or equal to a first predetermined operating voltage threshold that is greater than a predetermined passivation minimum voltage threshold and less than or equal to a predetermined passivation maximum voltage threshold, and a fourth voltage level that is greater than or equal to a second predetermined operating voltage threshold that is greater than a predetermined passivation minimum voltage threshold and less than or equal to a predetermined passivation maximum voltage threshold. [Brief description of the drawings]

[0011] Further advantages, benefits, features and objects will become more readily apparent from a consideration of the following detailed description, which refers to the following drawings, in which:

[0012] [Figure 1] FIG. 1 is a schematic diagram of a battery-powered medical device, further depicted as a blood glucose monitor that operates using a single battery. [Diagram 2] FIG. 1 is a schematic diagram of a battery-powered medical device, further depicted as a blood glucose monitor that operates using two batteries. [Diagram 3] FIG. 3 is a block diagram of a process for detecting and compensating for passivation in batteries of battery-powered medical devices, including the battery of the blood glucose meter of FIG. 1 and the primary battery of the blood glucose meter of FIG. 2. [Figure 4] FIG. 3 is a block diagram of a process for detecting and compensating for passivation in secondary batteries of battery-powered medical devices, including the secondary battery of the blood glucose meter of FIG. 2. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0013] These and other benefits, advantages, features and objects will be better understood from the following description, in which reference is made to the accompanying drawings which form a part hereof and in which are shown by way of example, and not by way of limitation, embodiments of the inventive concepts. Corresponding reference characters indicate corresponding parts throughout the several views of the drawings.

[0014] While the inventive concept is susceptible to various modifications and alternative forms, exemplary embodiments thereof are shown by way of example in the drawings and will be described in detail herein. However, it should be understood that the following description of exemplary embodiments is not intended to limit the inventive concept to the particular form disclosed, but rather, the intention is to cover all advantages, effects, and features included within the spirit and scope thereof as defined by the embodiments described herein and the following claims. Therefore, reference should be made to the embodiments described herein and the following claims to interpret the scope of the inventive concept. Therefore, it should be noted that the embodiments described herein may have advantages, effects, and features that are useful for solving other problems.

[0015] The devices, systems, and methods will now be described more fully hereinafter with reference to the accompanying drawings, in which some, but not all embodiments of the inventive concepts are shown. Indeed, the devices, systems, and methods may be embodied in many different forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will satisfy applicable legal requirements.

[0016] Similarly, many modifications and other embodiments of the devices, systems, and methods described herein will come to mind to one skilled in the art to which this disclosure pertains having the benefit of the teachings presented in the foregoing descriptions and the associated drawings. It is therefore to be understood that the devices, systems, and methods are not limited to the specific embodiments disclosed, and that modifications and other embodiments are intended to be included within the scope of the appended claims. Although specific terms are employed herein, they are used in a generic and descriptive sense only and not for purposes of limitation.

[0017] Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by those skilled in the art to which this disclosure pertains. Although any methods and materials similar or equivalent to those described herein can be used in the practice or testing of the methods, the preferred methods and materials are described herein.

[0018] Furthermore, reference to an element by the indefinite article "a" or "an" does not exclude the possibility that more than one element is present, unless the context clearly requires that one and only one element is present. Thus, the indefinite article "a" or "an" usually means "at least one". Similarly, the terms "have", "comprise", or "include", or any grammatical variant thereof, are used in a non-exclusive manner. Thus, both of these terms may refer to situations in which no further features are present in the entity described in this context, as well as situations in which one or more further features are present, in addition to the features introduced by these terms. For example, the expressions "A has B," "A comprises B," and "A includes B" can all refer to a situation in which no other elements are present in A other than B (i.e., A consists solely and exclusively of B), or a situation in which, other than B, one or more additional elements are present in A, such as element C, elements C and D, or additional elements.

[0019] FIG. 1 depicts a schematic diagram of a battery-powered medical device 100 configured to compensate for battery passivation. A housing 50 in the medical device 100 includes a receptacle for a replaceable battery 128 electrically connected to the medical device 100 and houses other components of the medical device 100. The medical device 100 operates using power provided by the battery 128 to operate the processor 104, memory 116, user input / output (I / O) peripherals 140, and wireless transceiver 144 peripheral devices. In the illustrative embodiment of FIG. 1, the battery 128 is a single lithium battery, commercially available as a CR2032 coin cell battery with a nominal 3V voltage level when the battery is fully charged. However, in alternative embodiments, the battery 128 is a different type of battery that may undergo passivation. Additionally, in alternative embodiments, what is referred to as a single battery 128 further includes multiple battery cells electrically connected in a series, parallel, or series-parallel configuration to act as a power source for components in the medical device. In the illustrative example of FIG. 1, the medical device 100 is a blood glucose meter that includes a test strip port 136. The test strip port 136 accepts a portion of an electrochemical test strip and provides an electrical connection between electrodes in the test strip and the processor 104, allowing the processor 104 to apply signals in an electrical test sequence and receive response signals from the test strip, allowing for the measurement of glucose levels in a blood sample applied to the test strip 136. Other medical device embodiments that do not perform blood glucose measurements or other forms of electrochemical analyte measurements do not include a test strip port 136.

[0020] In the medical device 100, the processor 104 includes one or more digital logic devices, such as a microcontroller, microprocessor, application specific integrated circuit (ASIC), or any other electronic device or devices for the operation of the medical device 100 to perform digital logic functions and operations for battery passivation compensation. Although not depicted in further detail herein, the processor 104 also incorporates or is operably connected to digital-to-analog converters, drive signal generators, signal measurement circuits, and analog-to-digital converters, and any other electronic components necessary for the processor 104 to generate electrical test sequences that are applied to the electrodes in the electrochemical test strip through the test strip port 136, and for the processor 104 to detect electrical response signals from the electrochemical test strip in response to the electrical test sequences. Although not depicted in further detail herein, the processor 104 also includes input / output (I / O) hardware that operably connects the processor 104 to the I / O peripherals 140, the wireless transceiver 144, and the memory 116.

[0021] In the medical device 100, the processor 104 incorporates or is operably connected to a clock generator 106. The clock generator 106 includes oscillators and other electronic components, commonly known to those skilled in the art, for generating clock signals that synchronize the execution of operations of the processor 104. The clock generator 106 generates clock signals of at least two different frequencies that regulate the speed of execution of instructions in the processor 104 and, in turn, affect the level of power consumption of the processor 104 during operation at a lower frequency clock rate, which draws a lower power level than a higher frequency clock rate. In one configuration, the processor 104 operates the clock generator 106 to generate a 1 MHz clock signal in a low power operating mode, and the processor 104 operates the clock generator 106 to generate a 16 MHz clock signal in a high power operating mode. Of course, alternative processor configurations employ clock generators that generate different specific clock frequencies, and clock generators that are configurable to generate clock signals at three or more different frequencies as well.

[0022] In the medical device 100, the processor 104 incorporates or is operably connected to a voltage sensor 108 that includes an analog voltage measurement device and an analog-to-digital converter that provides the processor 104 with digital data corresponding to the voltage of the battery 128. The voltage sensor 108 is operably connected to the battery 128 and a switchable battery test resistor 132. The voltage sensor 108 detects the voltage across the terminals of the battery 128 both when there is minimal load on the battery 128 and when the battery 128 is connected to the switchable battery test resistor 132. The switchable battery test resistor 132 includes a resistor of a predetermined resistance level (e.g., 820 ohms) that applies a high impedance load across the terminals of the battery 128. The high impedance load draws minimal current from the battery 128 but allows the voltage sensor 108 to measure both open circuit and loaded voltage levels of the battery 128. The processor 104 actuates a switch, such as a solid-state switching transistor or a relay, to connect the resistor to the battery 128, enabling the voltage sensor 108 to measure the voltage of the battery 128 under a predetermined load, and to disconnect the battery check resistor 132 from the battery 128 after measuring the voltage.

[0023] In the medical device 100, the memory 116 is a digital data storage device including at least one non-volatile data storage device, such as an EEPROM, NAND or NOR flash, phase change memory, or other suitable data storage device, that retains stored digital data even without power from the battery 128. The memory 116 further includes one or more volatile memory devices, including static or dynamic random access memory (RAM), either integrated with the processor 104 or embodied as a separate memory device. The memory 116 holds a set of battery voltage thresholds 118, recorded error code data 120, and stored program instructions 122 for the processor 104 to execute and perform the battery passivation compensation operations and other functions of the medical device described herein.

[0024] The battery voltage threshold 118 includes predetermined data indicating a level of battery voltage sufficient to allow operation of the medical device 100 despite potential battery passivation (high battery voltage threshold), a minimum operating voltage level that allows operation of the medical device 100 that is potentially necessary to compensate for battery passivation and reach an operating voltage (operating voltage threshold), and a minimum voltage level below which the medical device 100 cannot continue to operate if the battery 128 is affected by passivation (minimum voltage threshold). Table 1 illustrates an illustrative example of voltage thresholds in a blood glucose meter operating using a lithium battery 128 with a nominal voltage level of 3V, although the exact voltage thresholds may differ based on the battery configuration and voltage requirements of electronic components in different medical devices.

[0025] [Table 1]

[0026] In Table 1, the passivation maximum voltage threshold corresponds to the maximum voltage at which the medical device 100 will perform a passivation compensation process to attempt to reduce or eliminate passivation in the battery. Once the battery voltage exceeds this threshold, passivation compensation is no longer necessary for normal operation of the medical device 100. The passivation minimum voltage threshold corresponds to the minimum voltage level at the battery that the medical device 100 requires to compensate for potential passivation. If the battery voltage level is lower than the passivation minimum voltage threshold, the medical device 100 will subsequently shut down without attempting to compensate for the battery passivation.

[0027] The high battery voltage threshold, the operating voltage threshold, and the minimum voltage threshold refer to battery voltage levels that affect the operation of the medical device 100 after the completion of the passivation compensation operation. The high battery voltage threshold indicates a voltage above which the medical device 100 can perform standard operation without any further testing of the battery 128. The high battery voltage threshold is typically set below the nominal voltage level of a fully charged battery (3V in the example of the medical device 100). The operating voltage threshold represents a minimum voltage level at which the medical device 100 can continue to operate, but the medical device 100 optionally generates an output to inform the user that the level of charge of the battery is approaching a point that requires the battery to be replaced. For example, in one embodiment, the processor 104 generates an output, for example, via a display device or indicator light, that the battery 128 should be replaced soon if the voltage level is higher than or equal to the predetermined operating voltage threshold but lower than the predetermined high battery voltage threshold. However, the medical device 100 continues to operate if the battery voltage is higher than or equal to the predetermined operating voltage threshold. A voltage range above the minimum voltage threshold and below the operating voltage threshold indicates a voltage level at which the medical device 100 cannot complete standard operation without risk of unacceptable malfunction due to low battery voltage. However, in this voltage range, the processor 104 is still operable and generates an error message output to alert the user that the battery 128 needs to be replaced. The minimum voltage threshold indicates a level at which the medical device cannot continue to operate without risk of unacceptable malfunction and issue a battery error message, and below this threshold the processor 104 performs a device shutdown operation without attempting to compensate for potential battery damage. Those skilled in the art will recognize that the minimum voltage threshold does not indicate a completely discharged battery, because the battery 128 still holds some charge, enough to at least allow minimal operation of the processor 104 to check the battery voltage.As is commonly known to those skilled in the art, an excessively discharged battery, or no battery at all, will prevent the processor 104 from booting in the first place.

[0028] The embodiments described herein allow the medical device 100 to compensate for battery passivation that reduces the voltage of the battery 128 in a voltage range between a passivation maximum voltage threshold and a passivation minimum voltage threshold. Once the battery 128 has undergone passivation, the compensation process described herein can raise the voltage of the battery 128 above the operating voltage threshold or high battery threshold in at least some circumstances. The passivation compensation reduces or eliminates false error messages indicating that the battery 128 needs replacing or premature failure of the medical device 100 operating with the battery 128. While the examples depicted above include a passivation high voltage threshold higher than the high battery voltage threshold and a passivation minimum voltage threshold lower than the minimum voltage threshold, another configuration is at least one of the passivation high voltage threshold being equal to the high battery voltage threshold and the passivation minimum voltage threshold being equal to the minimum voltage threshold. Further, in some embodiments, the actuation voltage threshold has the same voltage level as the high battery voltage threshold, the passivation maximum voltage threshold, or both of these thresholds, instead of being lower than the high battery voltage threshold and the passivation maximum voltage threshold, as depicted in Table 1.

[0029] 1, the user I / O peripherals 140 include input and output devices that allow a user to interact with the medical device 100. Examples of input devices include touchpad and touchscreen inputs, buttons, switches, dials, and the like. At least some types of input devices receive power from the battery 128, either directly or via drive circuitry in the processor 104. Output devices include display devices such as LCD or OLED display screens, indicator lights, audio output speakers, electromechanical actuators for tactile feedback devices, and the like, which also draw power from the battery 128, either directly or via drive circuitry in the processor 104.

[0030] The wireless transceiver 144 may be, for example, a Bluetooth, Bluetooth Low Energy (BLE), IEEE 802.11 “Wi-Fi”, Near Field Communication (NFC), cellular, or other wireless transceiver that allows the medical device 100 to communicate wirelessly with external computing devices, including, but not limited to, smartphones, personal computers (PCs), and network services over data networks. In one non-limiting embodiment, the wireless transceiver 144 is implemented as a BLE transceiver with an antenna contained within the housing 50. The wireless transceiver 144 receives power from the battery 128 either directly or via driving circuitry in the processor 104. In some medical device embodiments, the wireless transceiver 144 draws a significant level of power from the battery 128 during operation, particularly during radio transmission operations. The wireless transceiver 144 is an optional component that need not be included in all embodiments of the medical device, as some medical devices are not configured for wireless communication with external computing devices.

[0031] FIG. 2 depicts a schematic diagram of another battery-powered medical device 200. The medical device 200 includes several elements common to the medical device 100, including a housing 50, a processor 104, a memory 116, a user I / O peripheral 140, and a wireless transceiver 144. The medical device 200 is also depicted as a blood glucose meter that includes a test strip port 136. Unlike the medical device 100, the medical device 200 includes a receptacle for two different replaceable batteries, depicted as a primary battery 228 and a secondary battery 254, both of which are electrically connected to the medical device 200. In the configuration of FIG. 2, the primary battery 228 provides power to the processor 104, including the components that generate the electrical test signals for the test strip port 136, and the memory 116. The secondary battery 254 provides power to run the wireless transceiver 144 and the user I / O peripheral 140. In the medical device 200, the processor 104 uses the voltage sensor 108 and switchable battery check resistor 132 to measure the voltage level of the primary battery 228 in a manner similar to that described above with respect to Figure 1, while a separate power management integrated circuit (PMIC) 250 provides the processor 104 with a voltage measurement of the secondary battery 254. In the illustrative example of Figure 2, both the primary battery 228 and the secondary battery 254 are lithium batteries commercially available as CR2032 coin cell batteries with a nominal 3V voltage level when the batteries are fully charged.

[0032] 2, either or both of the primary battery 228 and the secondary battery 254 may undergo passivation, and the two batteries may generate different voltage levels during the operation of the medical device 200. The memory 116 stores battery voltage thresholds 218 similar to the battery thresholds 118 in the medical device 100, but optionally includes separate sets of voltage thresholds for the primary battery 228 and the secondary battery 254. However, in some embodiments, both the primary battery 228 and the secondary battery 254 use the same voltage thresholds. Table 2 illustrates an illustrative example of voltage thresholds in a blood glucose meter operating using two lithium batteries with a 3V nominal voltage level, although the exact voltage thresholds may differ based on the battery configuration and voltage requirements of electronic components in different medical devices.

[0033] [Table 2]

[0034] In the embodiment of FIG. 2, the processor 104 in the medical device 200 uses the same passivation maximum and minimum voltage thresholds for both the primary battery 128 / 228 and the secondary battery 254, although alternative configurations may employ different passivation maximum and minimum voltage thresholds for the primary and secondary batteries. The processor 104 uses the primary high battery voltage threshold, the primary operating voltage threshold, and the primary minimum voltage threshold in a substantially similar manner as described above for the corresponding voltage thresholds in the medical device 100. The secondary high battery voltage threshold, the secondary operating voltage threshold, and the secondary minimum voltage threshold have similar functions as the corresponding thresholds described above, because the processor 104 compensates for potential passivation in the secondary battery 254 and enables operation of the wireless transceiver 144 using power from the secondary battery 254. Additional details of the operation of the medical devices 100 and 200 are provided below with reference to the processes of FIGS. 3 and 4.

[0035] 3 depicts a block diagram of a process 300 for activating a battery-powered medical device and compensating for passivation in batteries in a medical device. In particular, the process 300 is applicable to a medical device 100 that uses a single battery 128 and to a primary battery 228 in a medical device 200. These batteries are referred to interchangeably in the context of the process 300 unless otherwise noted herein. In the following description, references to the process 300 performing a function or action refer to operation of a processor that executes stored program instructions and performs a function or action related to other components of the medical device.

[0036] 1 and 2, the processor 104 is activated in response to the insertion of an electrochemical test strip into the test strip port 136 or through a power button, switch, or other input device on the I / O device 140. As described above, in the low power mode of operation, the clock generator 106 generates a low frequency clock signal (e.g., 1 MHz) to enable operation of the processor 104 at a lower performance level during start-up of the medical device, but with a correspondingly lower power consumption level that enables further battery voltage measurements and compensation for passivation of the battery 128 / 228.

[0037] The process 300 continues with the processor 104 measuring the voltage of the battery 128 / 228 (block 308). In the meters 100 and 200, the processor 104 initially uses a voltage comparator to identify the approximate level of voltage at the battery 128 / 228 after start-up. If the approximate voltage level of the battery 128 / 228 is equal to or greater than the passivation minimum voltage threshold, the processor 104 then uses the voltage sensor 108 to measure the voltage across the terminals of the battery 128 / 228, both in an open circuit configuration, and provides a predetermined load using a switchable battery check resistor 132 connected to the battery 128 / 228. The processor 104 then determines whether the measured battery voltage is less than or equal to the passivation minimum voltage threshold stored in the memory 116 (block 312), and the processor 104 then shuts down itself and any other activated components and stops operation of the medical device 100 / 200 (block 316). As described above, a battery voltage below or equal to the passivation minimum voltage threshold for the battery 128 / 228 will not allow stable operation of the medical device 100 / 200 and the processor 104 will take a shutdown action to prevent a reset loop or other unstable operation. As described above, if the measured voltage is below a predetermined passivation minimum voltage threshold, then if passivation of the battery occurs, the potential increase in voltage from compensation for the passivation will be unlikely to return the battery to the minimum operating voltage threshold and the passivation compensation process may cause unstable operation of the medical device.

[0038] During the process 300, if the measured voltage level is higher than a predetermined passivation minimum voltage threshold stored in the memory 116 (block 312) and additionally higher than or equal to a predetermined passivation maximum voltage threshold (block 320), the processor 104 then proceeds with a standard wake-up from hibernation or device reset operation and initiates standard operation of the medical device 100 / 200 (block 324). For voltage levels higher than or equal to the passivation maximum voltage threshold, the battery 128 / 228 either does not undergo passivation or the effect from passivation is negligible, because the battery voltage level is sufficient for normal operation of the medical device. In the embodiment of FIG. 1 and FIG. 2, the wake-up from hibernation process occurs after the medical device 100 / 200 has successfully completed a previous operation, entered a low-power hibernation state, and then returned to operation from hibernation using the same battery 128 / 228 as during the previous operation. The reset process occurs during the initial start-up of the medical device 100 / 200 after the battery 128 / 228 has been replaced. This entails additional processing steps performed by the processor 104 to return the medical device 100 / 200 to operation. In both cases, the clock generator 106 increases the clock frequency and causes the processor 104 to operate in a high-power operating mode. The processor 104 operates the memory 116, the user I / O peripherals 140, and the wireless transceiver 144 as necessary to operate the medical device 100 / 200 using power received from the battery 128 / 228. In the specific configuration of Figures 1 and 2, the processor 104 in the blood glucose meter medical device 100 / 200 operates in a high-power operating mode and continues to operate the medical device to generate blood glucose measurements by generating a sequence of electrical test signals that are applied to the electrochemical test strip via the test strip port 136. The processor 104 measures and generates an output corresponding to the level of glucose in the blood sample on the test strip.

[0039] As described above, during process 300, in situations where the measured battery voltage is either lower than or equal to a predetermined passivation minimum voltage threshold or higher than or equal to a predetermined passivation maximum voltage threshold, the processor 104 does not directly compensate for the passivation of the battery. However, if the measured battery voltage is both higher than a predetermined passivation minimum battery voltage threshold (block 312) and lower than a predetermined passivation maximum voltage threshold (block 320), the processor 104 proceeds to control the application of at least one discharge pulse to the battery 128 / 228 to compensate for potential passivation in the battery.

[0040] A discharge pulse refers to the connection of a load to the battery 128 / 228 that draws current from the battery for a predetermined time, creating a discontinuity in the passivation layer within the battery. The load used for the discharge pulse typically draws a large amount of current from the battery 128 / 228. This creates changes within the battery's chemistry, reducing or eliminating the passivation layer, resulting in a rise in the voltage level of the battery 128 / 228. After the predetermined time, the processor 104 completes the discharge pulse by waiting another predetermined idle period, allowing the battery 128 / 228 to return to a quiescent state. The processor 104 then takes another voltage measurement to identify the voltage level of the battery 128 / 228 after application of the discharge pulse. Once the battery 128 / 228 has undergone passivation, the voltage of the battery 128 / 228 will subsequently be higher after the discharge pulse than the voltage of the battery 128 / 228 before the discharge pulse. In a specific configuration of the medical device 100 / 200, the processor 104 applies multiple discharge pulses to allow compensation for both higher and lower levels of battery passivation. Once the battery 128 / 228 undergoes passivation, subsequent discharge pulses compensate for the passivation and return the battery 128 / 228 to a higher voltage level that allows operation of the medical device 100 / 200. Specific examples of discharge pulses in the medical device 100 / 200 are described in further detail below.

[0041] In one configuration, the processor 104 applies a discharge pulse directly to the battery 128 / 228 while the clock generator 106 increases its frequency, and the processor 104 operates at a high clock frequency (e.g., 16 MHz) in a high power mode of operation. During the discharge pulse, the processor 104 optionally performs busy loops or other operations that increase the current draw of the processor 104 but are not otherwise necessary for normal operation of the medical device 100 / 200. In the non-limiting embodiment described herein, the processor 104 operates at a high frequency clock speed in a high power mode of operation for 300 milliseconds. During that time, the clock generator 106 reduces the clock frequency and returns the processor 104 to a low power mode of operation for an idle period of 2 milliseconds. The voltage sensor 108 then generates another voltage measurement of the battery 128 / 228. Of course, alternative embodiments can use different active idle periods during the discharge pulse.

[0042] In the embodiment of the medical device 100 of FIG. 1, the processor 104 optionally applies the discharge pulse to the battery 128 indirectly by activating a peripheral device that draws current from the battery 128 for a predetermined time. For example, in one configuration, the processor 104 activates the wireless transceiver 144 to draw current from the battery 128. The wireless transceiver 144 draws current from the battery 128 for a predetermined period of time (e.g., 300 milliseconds or another predetermined period of time). The processor 104 then waits a predetermined idle period before shutting down the wireless transceiver and measuring the voltage level of the battery 128. During the discharge pulse, the wireless transceiver 144 optionally transmits a beacon signal or similar signal that draws current from the battery 128. However, this is not part of transmitting medical data during normal operation of the medical device 100. In another configuration, the processor 104 activates a display device or other user I / O peripheral device 140 that draws sufficient current from the battery 128 to perform the discharge pulse operation. Additionally, the processor 104 optionally activates multiple peripheral devices, such as both the wireless transceiver 144 and the display device or other user I / O peripherals 140, allowing the multiple peripherals to draw current from the battery 128. In FIG. 4, as described in more detail below, in a medical device 200 including a primary battery 228 and a secondary battery 254, the peripheral devices are used to apply a discharge pulse to the secondary battery 228 because the processor 104 does not draw significant power from the secondary battery 228. Of course, one skilled in the art will further recognize that the discharge pulse can be applied using a combination of the processor 104, the I / O devices 140, and the wireless transceiver 144, including applying the discharge pulse by simultaneously activating the wireless transceiver 144 and one or more of the I / O devices 140, or by operating all of these components simultaneously, while operating the processor 104 at a high frequency clock speed.

[0043] 3, as described above, the processor 104 identifies whether the maximum number of discharge pulses has been applied to the battery 128 / 228 (block 328). If the maximum number has not been reached, the processor 104 then applies a discharge pulse as described above (block 332). The processor 104 then takes another voltage measurement (block 308). The process 300 continues in a loop as described above with reference to the processing of blocks 308 through 332 until either the measured voltage falls below or equals a predetermined passivation minimum voltage threshold (blocks 312 and 316), the measured voltage rises above a predetermined passivation maximum voltage threshold (blocks 320 and 324), or the measured voltage remains between these thresholds after the maximum number of discharge pulses has been applied (block 328). In one embodiment of the medical device 100 / 200, the processor 104 applies a maximum of two discharge pulses, although alternative configurations use one discharge pulse or more than two discharge pulses.

[0044] After reaching the maximum number of discharge pulses, the processor 104 identifies whether the most recently measured voltage level is greater than or equal to a predetermined high battery voltage level or a predetermined operating voltage threshold (block 336). If the voltage level of the battery 128 / 228 is greater than or equal to the predetermined high battery voltage threshold or the predetermined operating voltage threshold, the medical device 100 / 200 continues to follow a device start-up or reset process for operation (block 324). In some configurations, during additional operations that occur when the voltage level of the battery 128 / 228 is sufficient for operation (≧predetermined operating voltage threshold) but less than the predetermined high battery voltage threshold, the processor 104 generates a low battery indicator message using one or more of the output peripherals 140 as part of following the device start-up or reset process. The low battery indicator message may be, for example, a graphical icon, an indicator light, or an audible alarm that alerts the user to the need for a low battery charge level and the impending need to replace the battery 128 / 228, although the medical device 100 / 200 will continue to operate at the current battery voltage level. As described above, in embodiments of the medical devices 100 and 200, the processor 104 operates in a high power operating mode using a high clock frequency from the clock generator 106 to continue operating other components of the medical device and to generate blood glucose measurements.

[0045] During the process 300, if the most recently measured voltage level after reaching the maximum number of discharge pulses is below the predetermined operating voltage threshold (block 336), the processor 104 then further determines whether the measured voltage level of the battery 128 / 228 is below the predetermined minimum voltage threshold (block 340). If the measured voltage level is greater than or equal to the predetermined minimum voltage threshold, the processor 104 then issues an error code for the battery 128 / 228 (block 344). The medical device 100 / 200 then ceases normal operation (block 316). In the configuration of FIGS. 1 and 2, the processor 104 stores the error code in a non-volatile portion of the memory 116 along with the error code data 120. In this mode of operation, the processor 104 optionally enters a hibernation state. Here, the display device or other output peripheral 140 generates an output indicating that the battery 128 / 228 is unable to provide sufficient power to enable normal operation of the medical device 100 / 200 and needs to be replaced before operation can continue. This mode of operation provides an opportunity for the medical device 100 to alert the user to the need for a battery replacement while the voltage level of the battery 128 / 228 remains above a predetermined minimum voltage threshold. During the subsequent start-up process following the battery replacement, the processor 104 uses the stored error code data 120 to identify the need to enter a reset mode of operation and resume operation using a new battery that has sufficient voltage to enable normal operation of the medical device 100 / 200. However, if the measured voltage level remains below the predetermined minimum voltage threshold (block 340), the processor 104 proceeds to immediately stop operation of the medical device 100 / 200 (block 316). This is because the battery 128 / 228 lacks sufficient charge to allow the processor 104 to continue operating reliably.

[0046] As described above, the process 300 allows the medical device 100 / 200 to apply a discharge pulse that compensates for potential battery passivation in the battery 128 / 228 while using the same battery for operation of the medical device 100 / 200 during start-up operation of the device. The passivation compensation process allows the medical device 100 / 200 to reduce or eliminate false alarm conditions that falsely alert a user to a low battery condition (if passivation compensation returns the battery voltage to >= a predetermined high battery voltage threshold), prevent incorrect battery replacement errors that would prevent normal operation of the medical device 100 / 200 (if passivation compensation returns the battery voltage to >= a predetermined operating voltage threshold), or at least allow the medical device 100 / 200 to generate an error code, display an error message, and alert a user that a battery replacement is necessary (if passivation compensation returns the battery voltage to >= a predetermined minimum voltage threshold).

[0047] 4 depicts a block diagram of a process 400 for compensating for passivation in a secondary battery in a medical device. In particular, the processor 104 in the medical device 200 performs the process 400 to compensate for passivation in the secondary battery 254 in conjunction with performing the process 300 for compensating for passivation in the primary battery 228. In the following description, references to the process 400 performing a function or action refer to operation of the processor to execute stored program instructions and perform functions or actions with respect to other components of the medical device.

[0048] The process 400 begins with the processor 104 receiving a voltage measurement for the secondary battery 228 (block 408). In the embodiment of FIG. 2, the PMIC 250 measures the voltage level of the secondary battery 228 and provides a digital representation of the voltage level to the processor 104. However, in an alternative embodiment, the processor 104 uses a voltage sensor to directly measure the voltage of the secondary battery 228. As shown in FIG. 4, an illustrative embodiment of the process 400 begins after the process 300 begins and the processor 104 identifies in block 312 that the voltage of the primary battery 228 is at least above a predetermined passivation minimum voltage threshold. This allows the processes 300 and 400 to be performed simultaneously. In particular, the processes 300 and 400 allow at least some discharge pulses to occur simultaneously in some medical devices performing the processes 300 and 400. In another configuration, the processor 104 performs the process 400 after the process 300 reaches the continuous operation state of block 324. Here, the process 400 is part of a continuous start-up or reset process for the medical device 200 from a hibernate state.

[0049] The process 400 continues with the processor 104 identifying whether the measured voltage level of the secondary battery 254 is less than or equal to a predetermined passivation minimum voltage threshold (block 412), and if the voltage level is less than the predetermined passivation minimum voltage threshold, the processor 104 then stops operation of the medical device 200 (block 418). As noted above in Table 2, the predetermined passivation minimum voltage threshold stored in the memory 116 associated with the secondary battery 254 may be different from the corresponding passivation minimum voltage threshold of the primary battery 228, and of course the two batteries 228 and 254 may exhibit different voltage levels during operation of the medical device 200.

[0050] During the process 400, if the measured voltage of the secondary battery 254 is greater than the predetermined passivation minimum voltage threshold and greater than or equal to the predetermined passivation maximum voltage threshold (block 420), the processor 104 then continues operation of the medical device 200 with standard start-up and use of the peripheral device or devices powered by the secondary battery 254 (block 424). For example, in the medical device 200, the processor 104 during operation will normally start up the peripheral device 140, operate the wireless transceiver 144, and transmit data to and receive data from the external computing device because the voltage level of the secondary battery 254 is greater than the predetermined passivation maximum voltage threshold for the secondary battery 254. Similar to the primary battery 228, if the measured voltage level of the secondary battery 254 is less than or equal to the predetermined minimum voltage threshold or greater than or equal to the predetermined high battery voltage threshold, the processor 104 will not compensate for potential passivation in the secondary battery 254. In the medical device 200, startup of peripherals and other operations that occur in response to a fully charged secondary battery 254 also occur following completion of process 300 and continuing the startup or reset process, as described above with reference to block 324.

[0051] During process 400, if the measured voltage level of the secondary battery 254 is greater than a predetermined minimum passivation voltage threshold and less than a predetermined maximum passivation voltage threshold, the processor 104 proceeds to activate one or more peripheral devices and apply at least one discharge pulse to the secondary battery 254, up to a predetermined maximum number of discharge pulses (blocks 428 and 432). The processor 104 activates one or more peripheral devices, such as the wireless transceiver 144, for a predetermined period of time to draw current from the secondary battery 254 and reduce or eliminate a passivation layer in the secondary battery. This is followed by an idle period, allowing the secondary battery 254 to return to a quiescent state. In another configuration, instead of or in addition to activating the wireless transceiver 144, the processor 104 activates a backlight or other power consuming components in an LCD, OLED, or other display device (user I / O peripherals 140) and applies a discharge pulse. Process 400 then returns to block 408 to allow processor 104 to receive another voltage measurement of secondary battery 254. The duration of each discharge pulse and the maximum number of discharge pulses for secondary battery 254 may differ from those for primary battery 228 due to differences in the loads connected to each battery. For example, in medical device 200, processor 104 is configured to apply up to two discharge pulses to primary battery 228 in process 300, while processor 104 is configured to apply up to three discharge pulses to secondary battery 254 in process 400, although the exact maximum number of discharge pulses may differ for other embodiments. Similar to the compensation for passivation in primary battery 228 described above with respect to FIG. 3, the discharge pulses compensate for potential passivation in secondary battery 254.

[0052] During process 400, the processor 104 loops through the operations described above with respect to blocks 408 through 432 until either the measured voltage level of the secondary battery 254 falls below or equals a predetermined passivation minimum voltage threshold (blocks 412 and 418), rises above or equals a predetermined passivation maximum voltage threshold (blocks 420 through 424), or the processor 104 reaches a maximum number of discharge pulses without either of the above two conditions being met (block 428). If, after completion of the maximum number of discharge pulses, the measured voltage level of the secondary battery 254 is above or equal to a predetermined high battery voltage threshold or a predetermined operating voltage threshold (block 436), the processor 104 continues with operation of the peripheral device or devices powered by the secondary battery 254 (block 424). The processor 104 optionally generates a warning message using the output device 140 to indicate a low battery condition for the secondary battery 254 if the voltage of the secondary battery 254 is greater than or equal to a predetermined operating voltage threshold but remains below a predetermined high battery voltage threshold.

[0053] If the voltage level of the secondary battery 254 remains below the predetermined operating voltage threshold after completion of the maximum number of discharge pulses (block 436), the processor 104 then identifies whether the measured voltage for the secondary battery 254 is greater than or equal to a predetermined minimum voltage threshold for the secondary battery 254 (block 440). If the voltage of the secondary battery is greater than the predetermined minimum voltage threshold, the processor 104 then generates an error code indicating that the secondary battery 254 should be replaced (block 416) and stops operation of the medical device 200 (block 418). The processor 104 also stores the error code for the secondary battery 254 in error code data 120 in the memory 116. While the medical device 200 does not continue operation, in some configurations, the processor 104 generates an output using one or more of the I / O devices 140 to alert a user that the secondary battery 254 needs replacing and to allow the medical device 200 to resume operation if the voltage level of the secondary battery 254 is above or equal to a minimum voltage threshold. If the voltage level of the secondary battery 254 is below a predetermined minimum voltage threshold, the processor 104 then immediately stops operation of the medical device 200 (block 418).

[0054] As described above, the process 400 allows the medical device 200 to apply a discharge pulse during device start-up operation that compensates for potential battery passivation in the secondary battery 254. The passivation compensation process allows the medical device 200 to reduce or eliminate a false alarm condition that falsely alerts a user to a low battery condition in the secondary battery 254 (if the passivation compensation returns the battery voltage to >= a predetermined high battery voltage threshold) or to prevent an incorrect battery replacement error that prevents normal operation of peripherals in the medical device 200 (if the passivation compensation returns the battery voltage to >= a predetermined operating voltage threshold).

[0055] While the exemplary battery-powered medical device described above is a blood glucose meter, those skilled in the art will appreciate that the devices and methods described herein are equally applicable to a wide range of battery-operated medical devices that undergo battery passivation. In particular, even medical devices that operate continuously or at a high duty cycle after activation may undergo battery passivation during shipping and storage before activation. Examples of such devices include, but are not limited to, pumps that deliver controlled dosages of insulin or other medications to a user over an extended period of time, and continuous glucose monitors.

[0056] The present disclosure will be described in connection with what are believed to be the most practical and preferred embodiments. However, these embodiments are presented as examples, and the present disclosure is not intended to be limited to the disclosed embodiments. Accordingly, those skilled in the art will understand that the present disclosure encompasses all modifications and alternative configurations within the spirit and scope of the present disclosure and as set forth in the following claims.

Claims

1. 1. A method for operating a medical device, comprising: activating a processor in the medical device in a low power mode of operation, the processor receiving power from a battery electrically connected to the medical device; measuring a first voltage level of the battery with the processor; applying, with the processor, at least one discharge pulse to the battery in response to the first voltage level of the battery being above a predetermined minimum passivation voltage threshold and below a predetermined maximum passivation voltage threshold; measuring, with the processor, a second voltage level of the battery after the at least one discharge pulse; in response only to the second voltage level being greater than or equal to a predetermined operating voltage threshold, the predetermined operating voltage threshold being greater than the predetermined minimum passivation voltage threshold and less than or equal to the predetermined maximum passivation voltage threshold, operating the processor in the medical device in a high power operating mode and continuing operation of the medical device; 23. A method for operating a medical device, comprising:

2. in response to the second voltage level of the battery being less than the predetermined operating voltage threshold and greater than a predetermined minimum voltage threshold, the predetermined minimum voltage threshold being greater than or equal to the passivation minimum voltage threshold, continuing to operate the processor in the low power operating mode and generating an error code that is stored in a memory; shutting down the medical device with the processor; The method of claim 1 further comprising:

3. 3. The method of claim 2, further comprising shutting down the medical device with the processor in response to the second voltage level of the battery being below the predetermined minimum voltage threshold.

4. 3. The method of claim 2, further comprising: with the processor, shutting down the medical device in response to the first voltage level of the battery being below the predetermined passivation minimum voltage threshold.

5. Applying the at least one discharge pulse comprises: increasing a clock speed of the processor to operate the processor in the high power operating mode for a predetermined period of time and drawing current from the battery; after the predetermined period of time, reducing the clock speed of the processor and operating the processor in the low power mode of operation; The method of claim 1 further comprising:

6. Applying the at least one discharge pulse comprises: activating, with the processor, at least one peripheral device in the medical device for a predetermined period of time to draw current from the battery; shutting down the at least one peripheral device after the predetermined period with the processor; The method of claim 1 further comprising:

7. The method of claim 6 , wherein the at least one peripheral device is one or more of a wireless data transceiver, a display screen, and an electromechanical actuator.

8. The method of claim 1 , wherein the processor measures the second voltage level of the battery after two discharge pulses.

9. The method of claim 1 , further comprising operating the processor in the medical device in the high power mode of operation to continue operation of the medical device and generate blood glucose measurements.

10. 1. A method for operating a medical device, comprising: activating a processor in the medical device in a low power mode of operation, the processor receiving power from a primary battery electrically connected to the medical device; measuring, with the processor, a first voltage level of the primary battery; receiving, with the processor, a second voltage level of a secondary battery electrically connected to the medical device, the secondary battery providing power to at least one peripheral device in the medical device; in response to the first voltage level of the primary battery being above a predetermined minimum passivation voltage threshold and below a predetermined maximum passivation voltage threshold, increasing a clock speed of the processor and applying at least one discharge pulse to the primary battery; using the processor, in response to the second voltage level of the secondary battery being greater than the predetermined passivation minimum voltage threshold and less than the predetermined passivation maximum voltage threshold, activating the at least one peripheral device in the medical device and applying at least one discharge pulse to the secondary battery; measuring, with the processor, a third voltage level of the primary battery after the at least one discharge pulse applied to the primary battery; measuring, with the processor, a fourth voltage level of the secondary battery after the at least one discharge pulse applied to the secondary battery; in response only to the third voltage level being greater than or equal to a first predetermined operating voltage threshold, the first predetermined operating voltage threshold being greater than the predetermined passivation minimum voltage threshold and less than or equal to the predetermined passivation maximum voltage threshold, and the fourth voltage level being greater than or equal to a second predetermined operating voltage threshold, the second predetermined operating voltage threshold being greater than the predetermined passivation minimum voltage threshold and less than or equal to the predetermined passivation maximum voltage threshold, operating the processor in the medical device in a high power operating mode, powering up the at least one peripheral device, and continuing operation of the medical device; 23. A method for operating a medical device, comprising:

11. in response to the third voltage level of the primary battery being lower than the first predetermined operating voltage threshold and higher than a first predetermined minimum voltage threshold and the fourth voltage level of the secondary battery being lower than the second predetermined operating voltage threshold and higher than a second predetermined minimum voltage threshold, continuing to operate the processor in the low power operating mode and generating an error code that is stored in a memory; shutting down the medical device with the processor; The method of claim 10 further comprising:

12. 11. The method of claim 10, wherein applying the at least one discharge pulse to the primary battery occurs before applying the at least one discharge pulse to the secondary battery.

13. 11. The method of claim 10, wherein applying the at least one discharge pulse to the primary battery occurs simultaneously with applying the at least one discharge pulse to the secondary battery.

14. the first predetermined minimum voltage threshold is equal to the second predetermined minimum voltage threshold; the first predetermined operating voltage threshold is equal to the second predetermined operating voltage threshold; The method of claim 11.

15. 11. The method of claim 10, wherein a power management integrated circuit (PMIC) measures the second voltage level of the secondary battery and provides the second voltage level to the processor.

16. The method of claim 10 , wherein the at least one peripheral device is a wireless data transceiver.

17. The method of claim 10 , wherein the at least one peripheral device is a display device.

18. The method of claim 10 , wherein the processor measures the third voltage level of the primary battery after applying two discharge pulses to the primary battery.

19. The method of claim 10 , wherein the processor measures the fourth voltage level of the secondary battery after applying three discharge pulses to the secondary battery.

20. operating the processor in the medical device in the high power mode of operation; activating the at least one peripheral device in the medical device to continue operation of the medical device and generate a blood glucose measurement; The method of claim 10 further comprising:

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