SYSTEMS AND METHODS FOR REMOTE AND HOST MONITORING COMMUNICATIONS

• US 20170181630A1
• Filed: 12/13/2016
• Published: 06/29/2017
• Est. Priority Date: 12/28/2015
• Status: Active Grant

• Current Assignee: DexCom Incorporated
• Original Assignee: DexCom Incorporated
• Inventors: Cabrera, JR., Esteban, Moore, Michael Levozier, Pal, Andrew Attila, Reihman, Eli, Mahalingam, Aarthi, Dattaray, Basab, Draeger, Rian, Dunn, Laura J., Hampapuram, Hari, Polytaridis, Nicholas, Smith, Brian Christopher, Escobar, Derek James, Kamath, Apurv Ullas, Koehler, Katherine Yerre, Mayou, Phil, Mensinger, Michael Robert, Hall, Thomas
• Granted Patent: US 10,932,672 B2
• Time in Patent Office: Days
• CPC Class Codes: A61B 2505/07 Home care
• CPC Class Codes: A61B 2560/0242 adapted to measure environmental factors, e.g. temperature, pollution
• CPC Class Codes: A61B 5/0004 characterised by the type of physiological signal transmitted
• 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 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/4806 Sleep evaluation A61B5/4821 takes precedence; devices for inducing sleep A61M21/02
• CPC Class Codes: A61B 5/6802 Sensor mounted on worn items
• CPC Class Codes: A61B 5/74 Details of notification to user or communication with user or patient indicating measured values G01D7/00; user input means input or output arrangements for computers G06F3/00
• CPC Class Codes: A61B 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: A63B 24/0062 Monitoring athletic performances, e.g. for determining the work of a user on an exercise apparatus, the completed jogging or cycling distance
• CPC Class Codes: G09B 5/02 with visual presentation of the material to be studied, e.g. using film strip
• CPC Class Codes: G09B 5/08 providing for individual presentation of information to a plurality of student stations
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

Systems and methods for remote and host monitoring communication are disclosed. In some implementations, monitoring systems can comprise a host monitoring device associated with a Host communicatively coupled to one or more remote monitoring devices associated with Remote Monitors. The host monitoring device can send communications based at least in part on analyte measurements of a Host sensor and/or other contextual data giving such measurements context. Different remote monitoring devices can receive different communications based at least in part on the role of the respective Remote Monitors relative to the Host. These roles can be reflected in classifications of Remote Monitors.

Claims

1. A method for remote monitoring of a subject'"'"'s health data by authorized monitors, comprising:

receiving, at a secure server, data associated with an analyte state of a host that is provided by a host device operable to receive sensor data generated by a continuous analyte sensor worn by the host, wherein a plurality of host-designated remote monitoring devices are authorized by the secure server to access permissible data of the received data stored on the secure server based on a set of permissions pre-selected and modifiable by the host for each host-designated remote monitoring device, wherein the permissions are associated with what data is available to a remote monitoring device once authorized;

receiving, by the server, location information of the host-designated remote monitoring devices and the host device;

determining, by the server, the ability or inability of each of the host-designated selected remote monitoring devices to react to an alert informative of a dangerous event associated with the analyte state of the host based on a proximity of a host-designated selected remote monitoring device to the host device within a predetermined distance; and

upon the determining the inability of all of the host-designated selected remote monitoring devices to react to an alert, assigning, by the server, a universal remote monitoring device not among the host-designated selected remote monitoring devices, wherein the assigning includes generating a set of notifications rules pertaining to circumstances to send a message to the universal remote monitoring device informative of the dangerous event associated with the analyte state of the host.

2. The method of claim 1, wherein the assigning the universal remote monitoring device to at least some of the data associated with the analyte state of the host includes authorization to access the at least some of the data for a temporary time frame.

3. The method of claim 1, further comprising:

providing, by the server, a communication to the host device informative of assignment of the universal remote monitoring device and prompting the host device to accept or decline the assignment.

4. The method of claim 3, receiving, at the server, a response communication by the host device with an acceptance or declination of the assignment.

5. The method of claim 4, wherein the temporary time frame is determined by the host device.

6. The method of claim 1, further comprising:

upon the determining the ability of at least one of the host-designated selected remote monitoring devices to react to an alert, revoking, by the server, assignment of the universal remote monitoring device, wherein the revoking includes removing access of the universal remote monitoring device to at least some of the data associated with the analyte state of the host.

7. The method of claim 1, wherein the notification rules are within a scope of the set of permissions to the data associated with the host-designated remote monitoring devices.

8. The method of claim 1, wherein the data includes one or more of (i) retrospective sensor data, (ii) real time sensor data, or (iii) a trend in the rate of change of the analyte state of the host.

9. The method of claim 1, wherein the analyte state includes glucose level.

10. A continuous analyte sensor system to implement the method of claim 10, comprising:

a continuous analyte sensor device worn by the host comprising the continuous analyte sensor to detect signals associated with an analyte of the host, and a sensor electronics module to perform at least some processing of the signals to generate sensor data and transmitting the sensor data to the host device;

a non-transitory computer program product at least partially stored on the host device and including instructions that, when executed by a processor of the host device, causes the processor to perform at least some processing of the sensor data to produce the data associated with the analyte state of the host; and

the secure server in communication with the host device to perform the method of claim 1.

20. A continuous analyte sensor system to implement the method of claim 10, comprising:

a continuous analyte sensor device worn by the host comprising the continuous analyte sensor to detect signals associated with an analyte of the host, and a sensor electronics module to perform at least some processing of the signals to generate sensor data and transmitting the sensor data to the host device;

a non-transitory computer program product at least partially stored on the host device and including instructions that, when executed by a processor of the host device, causes the processor to perform at least some processing of the sensor data to produce the data associated with the analyte state of the host; and

the secure server in communication with the host device to perform the method of claim 10.

11. A method for remote monitoring of a subject'"'"'s health data by authorized monitors, comprising:

receiving, at a secure server, data associated with an analyte state of a host that is provided by a host device operable to receive sensor data generated by a continuous analyte sensor worn by the host, wherein one or more remote monitoring devices are authorized by the secure server to access permissible data of the received data stored on the secure server based on a set of permissions pre-selected and modifiable by the host for each remote monitoring device, wherein the permissions are associated with what data is available to a remote monitoring device once authorized, and wherein the one or more remote monitoring devices are assigned notification rules that define circumstances to send a message to a respective remote monitoring device informative of an event associated with the analyte state of the host, wherein the notification rules are modifiable by the authorized remote monitoring devices within a scope of the set of permissions to the data associated with the respective remote monitoring device;

processing, by the server, an alert informative of a dangerous event associated with the analyte state of the host, wherein the processed alert is within a set of notification rules associated with at least one of the authorized remote monitoring devices;

receiving, by the server, an instruction to suppress sending the message associated with the alert to the at least one of the authorized remote monitoring devices; and

suppressing, by the server, the sending of the message to the at least one of the authorized remote monitoring devices.

12. The method of claim 11, wherein the dangerous event includes the analyte state of the host exceeding a predetermined analyte concentration threshold or a predetermined rate of concentration change threshold.

13. The method of claim 11, wherein the processing the alert includes receiving alert data from the host device, wherein the alert data is generated at one or both of the host device or a sensor electronics device in communication with the continuous analyte sensor.

14. The method of claim 11, wherein the processing the alert includes generating, by the server, the alert by processing the data to determine if the analyte state exceeds the predetermined analyte concentration threshold or the predetermined rate of concentration change threshold.

15. The method of claim 11, further comprising:

sending the message associated with the alert to the at least one of the authorized remote monitoring devices after a predetermined delay.

16. The method of claim 15, wherein the sending the message includes overriding, by the server, the received instruction to suppress.

17. The method of claim 11, further comprising:

prior to the suppressing, processing the data to determine if the analyte state exceeds a second predetermined analyte concentration threshold lower than the predetermined analyte concentration threshold or a second predetermined rate of concentration change threshold lower than the predetermined rate of concentration change threshold,

wherein, if the analyte state exceeds the second predetermined analyte concentration threshold or the second predetermined rate of concentration change threshold, sending the message associated with the alert to the at least one of the authorized remote monitoring devices after a predetermined delay, wherein the sending includes overriding the received instruction to suppress.

18. The method of claim 11, wherein the permissible data includes (i) retrospective sensor data, (ii) real time sensor data, and (iii) a trend in the rate of change of the analyte state of the host.

19. The method of claim 11, wherein the analyte state includes glucose level.