BLOOD GLUCOSE MONITORING SYSTEM

• US 20070213605A1
• Filed: 05/14/2007
• Published: 09/13/2007
• Est. Priority Date: 04/26/1994
• Status: Active Grant

• Current Assignee: Health Hero Network Incorporated (Robert Bosch GmbH)
• Original Assignee: Health Hero Network Incorporated (Robert Bosch GmbH)
• Inventors: Brown, Stephen
• Granted Patent: US 9,123,083 B2
• Time in Patent Office: Days
• US Class Current: 600/300
• CPC Class Codes: A61B 2560/0431 Portable apparatus, e.g. comprising a handle or case
• CPC Class Codes: A61B 2560/0443 Modular apparatus
• CPC Class Codes: A61B 2562/0295 Strip shaped analyte sensors for apparatus classified in A61B5/145 or A61B5/157 disposable multilayered or laminated electrodes G01N27/307; details of handling chemical test elements G01N33/4875
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/087 Measuring breath flow
• CPC Class Codes: A61B 5/14 Devices for taking samples of blood hypodermic syringes A61M5/00; Measuring characteristics of blood in vivo, e.g. gas concentration within the blood, pH-value of blood measuring of blood pressure A61B5/02; non-radiation detecting or locating of foreign bodies in blood A61B5/06
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/150022 for capillary blood or interstitial fluid
• CPC Class Codes: A61B 5/150854 long distance, e.g. between patient's home and doctor's office
• CPC Class Codes: A61B 5/6896 Toys
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: G01N 33/48792 Data management, e.g. communication with processing unit for in vivo diagnostics A61B5/0002; transmission systems for measured values G08C
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 40/40 for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: Y10S 128/90 Blood pressure recorder

Abstract

A system and method is described that enables a health care provider to monitor and manage a health condition of a patient. The system includes a health care provider apparatus operated by a health care provider and a remotely programmable patient apparatus that is operated by a patient. The health care provider develops a script program using the health care provider apparatus and then sends the script program to a remotely programmable patient apparatus through a communication network such as the World Wide Web. The script program is a computer-executable patient protocol that provides information to the patient about the patient'"'"'s health condition and that interactively monitors the patient health condition by asking the patient questions and by receiving answers to those questions. The answers to these health related questions are then forwarded as patient data from the remotely programmable patient apparatus to the health care provider apparatus through the communication network. The patient data may also include information supplied by a physiological monitoring device such as a blood glucose monitor that is connected to the remotely programmable patient apparatus. When the patient data arrives at the health care provider apparatus, the patient data is processed for further management of the patient'"'"'s health condition by the health care provider, such as forwarding another script program to the remotely programmable patient apparatus.

Claims

1. A method of performing diabetes self-care with a system of integrated electronic devices, comprising:

(a) powering a portable blood glucose monitor;

(b) receiving an amount of blood sufficient for the portable blood glucose monitor to run a blood glucose test sequence;

(c) controlling the blood glucose test sequence;

(d) computing a blood glucose level;

(e) coupling the blood glucose monitor directly to a portable microprocessor-based device;

(f) transmitting blood glucose test results from said blood glucose monitor directly to said portable microprocessor-based device;

(g) running program instructions stored in a memory of the portable microprocessor-based device for performing analysis of the blood glucose test results, signal processing of insulin dosage data, and detecting a need for a change in insulin dosage; and

(h) recording data and time stamped blood glucose test results, calibration information, and insulin dosage information in a memory of the portable microprocessor-based device, said memory also containing programming for establishing a data protocol that allows digital data signal processing, and for performing said analysis of blood glucose.

2. The method of claim 1, the receiving including (i) inserting a test strip into a receptacle of the blood glucose monitor and (ii) applying a drop of blood to the strip.

3. The method of claim 1, further comprising displaying the blood glucose level on a display.

4. The method of claim 1, wherein said portable microprocessor-based electronic device comprises a palm-top computer.

5. The method of claim 1, the receiving comprising receiving a test strip including a reagent impregnated portion having blood applied thereto.

6. The method of claim 1, the controlling comprising monitoring whether a sufficient amount of blood has been applied to a reagent impregnated portion of a test strip.

7. The method of claim 6, the controlling comprising monitoring whether said test strip is properly inserted into the monitor.

8. The method of claim 1, the controlling comprising performing a test sequence to confirm that the system is operating properly.

9. The system of claim 1, further comprising running a calibration procedure by reading a code strip inserted into the monitor.

10. A method of performing diabetes self-care with a system of integrated electronic devices, comprising:

(a) powering a portable blood glucose monitor;

(b) receiving an amount of blood sufficient for the portable blood glucose monitor to run a blood glucose test sequence;

(c) controlling the blood glucose test sequence;

(d) computing a blood glucose level;

(e) coupling the blood glucose monitor directly to a portable microprocessor-based device;

(f) transmitting blood glucose test results from said blood glucose monitor directly to said portable microprocessor-based device;

(g) running program instructions stored in a memory of the portable microprocessor-based device for performing analysis of the blood glucose test results, signal processing of insulin dosage data, and detecting a need for a change in insulin dosage; and

(h) recording blood glucose test results and insulin dosage information in a memory of the portable microprocessor-based device, said memory also containing programming for establishing a data protocol that allows digital data signal processing, and for performing said analysis of blood glucose, and for monitoring food intake.

11. The method of claim 10, the receiving including (i) inserting a test strip into a receptacle of the blood glucose monitor and (ii) applying a drop of blood to the strip.

12. The method of claim 10, further comprising displaying the blood glucose level on a display.

13. The method of claim 10, wherein said portable, microprocessor-based electronic device comprises a palm-top computer.

14. The method of claim 10, the receiving comprising receiving a test strip including a reagent impregnated portion having blood applied thereto.

15. The method of claim 10, the controlling comprising monitoring whether a sufficient amount of blood has been applied to a reagent impregnated portion of a test strip.

16. The method of claim 15, the controlling comprising monitoring whether said test strip is properly inserted into the monitor.

17. The method of claim 10, the controlling comprising performing a test sequence to confirm that the system is operating properly.

18. The method of claim 10, further comprising monitoring food intake quantitatively in terms of “

Bread Exchange”

units or other suitable terms.

19. The method of claim 18, wherein said food intake monitoring comprises (i) providing a food intake menu item and using a submenu display, and (ii) providing for the selecting of one or more food items using switches of portable microprocessor.

20. The method of claim 10, further comprising storing food intake data along with time and date tagged blood glucose test results.

21. The method of claim 10, further comprising monitoring exercise.

22. A method of performing diabetes self-care with a system of integrated electronic devices, comprising:

(a) powering a portable blood glucose monitor;

(b) receiving an amount of blood sufficient for the portable blood glucose monitor to run a blood glucose test sequence;

(c) controlling the blood glucose test sequence;

(d) computing a blood glucose level;

(e) coupling the blood glucose monitor directly to a portable microprocessor-based device;

(f) transmitting blood glucose test results from said blood glucose monitor directly to said portable microprocessor-based device;

(g) running program instructions stored in a memory of the portable microprocessor-based device for performing analysis of the blood glucose test results, signal processing of insulin dosage data, and detecting a need for a change in insulin dosage;

(h) recording blood glucose test results and insulin dosage information in a memory of the portable microprocessor-based device, said memory also containing programming for establishing a data protocol that allows digital data signal processing, and for performing said analysis of blood glucose; and

(i) indicating trend information of a system user.

23. The method of claim 22, the receiving including (i) inserting a test strip into a receptacle of the blood glucose monitor, and (ii) applying a drop of blood to the strip.

24. The method of claim 22, further comprising displaying the blood glucose level on a display.

25. The method of claim 22, wherein said portable, microprocessor-based electronic device comprises a palm-top computer.

26. The method of claim 22, the receiving comprising receiving a test strip including a reagent impregnated portion having blood applied thereto.

27. The method of claim 22, the controlling comprising monitoring whether a sufficient amount of blood has been applied to a reagent impregnated portion of a test strip.

28. The method of claim 27, the controlling comprising monitoring whether said test strip is properly inserted into the monitor.

29. The method of claim 22, the controlling comprising performing a test sequence to confirm that the system is operating properly.

30. The method of claim 22, further comprising displaying trend information in graphic format.

31. The method of claim 22, further comprising displaying trend information in alphanumeric format.

32. The method of claim 22, further comprising displaying daily or weekly trend information, or both.