REMOTE MONITORING OF ANALYTE MEASUREMENTS

• US 20170303785A1
• Filed: 06/08/2017
• Published: 10/26/2017
• Est. Priority Date: 12/31/2012
• Status: Active Grant

• Current Assignee: DexCom Incorporated
• Original Assignee: DexCom Incorporated
• Inventors: Mensinger, Michael Robert, Cohen, Eric, Mayou, Phil, Reihman, Eli, Koehler, Katherine Yerre, Draeger, Rian, Traven, Angela Marie
• Granted Patent: US 11,213,204 B2
• Time in Patent Office: Days
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/0004 characterised by the type of physiological signal transmitted
• CPC Class Codes: A61B 5/0015 characterised by features of the telemetry system
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/0024 for multiple sensor units attached to the patient, e.g. using a body or personal area network
• CPC Class Codes: A61B 5/02 Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
• CPC Class Codes: A61B 5/145 Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissuemeasuring of blood pressure or blood flow 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 5/14546 for measuring analytes not otherwise provided for, e.g. ions, cytochromes
• CPC Class Codes: A61B 5/1486 using enzyme electrodes, e.g. with immobilised oxidase
• CPC Class Codes: A61B 5/7264 Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems neural networks per se G06N3/00; expert systems per se G06N5/00
• CPC Class Codes: A61B 5/7282 Event detection, e.g. detecting unique waveforms indicative of a medical condition A61B5/4094, A61B5/4818, A61B5/349, A61B5/0823 take precedence
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61B 5/7435 Displaying user selection data, e.g. icons in a graphical user interface
• 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: A61B 5/7465 Arrangements for interactive communication between patient and care services, e.g. by using a telephone network telemetry of measured physiological signal A61B5/0002
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/00 ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
• CPC Class Codes: G16H 20/40 : relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/20 : for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/63 : for local operation
• CPC Class Codes: G16H 40/67 : for remote operation
• CPC Class Codes: G16H 50/20 : for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 50/70 : for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: H04L 67/12 : specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks
• CPC Class Codes: H04Q 2209/00 : Arrangements in telecontrol or telemetry systems
• CPC Class Codes: H04Q 2209/10 : using a centralized architecture
• CPC Class Codes: H04Q 2209/40 : using a wireless architecture
• CPC Class Codes: H04Q 2209/50 : using a mobile data collecting device, e.g. walk by or drive by
• CPC Class Codes: H04Q 2209/70 : Arrangements in the main station, i.e. central controller
• CPC Class Codes: H04Q 9/00 : Arrangements in telecontrol or telemetry systems for selectively calling a substation from a main station, in which substation desired apparatus is selected for applying a control signal thereto or for obtaining measured values therefrom
• 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

Methods and apparatus, including computer program products, are provided for remote monitoring. In some example implementations, there is provided a method. The method may include receiving, at a remote monitor, a notification message representative of an event detected, by a server, from analyte sensor data obtained from a receiver monitoring an analyte state of a host; presenting, at the remote monitor, the notification message to activate the remote monitor, wherein the remote monitor is configured by the server to receive the notification message to augment the receiver monitoring of the analyte state of the host; accessing, by the remote monitor, the server, in response to the presenting of the notification message; and receiving, in response to the accessing, information including at least the analyte sensor data. Related systems, methods, and articles of manufacture are also disclosed.

Claims

1. A method comprising:

receiving, at a remote monitor, an invitation to access a secure server and data associated with a receiver monitoring an analyte state of a host; and

modifying, by the remote monitor, a rule defining an alert representative of an event associated with the analyte state of the host, wherein the alert, when triggered, causes a message to be sent to the remote monitor from a server to notify the remote monitor of the event.

2. The method of claim 1, wherein the modifying the rule comprises varying a first threshold associated with a low level of glucose at the host.

3. The method of claim 1, wherein the modifying the rule comprises varying a second threshold associated with a high level of glucose at the host.

4. The method of claim 1, wherein the modifying the rule comprises varying a delay between when the message is sent to the receiver and a notification message is sent to the remote monitor.

5. The method of claim 1, wherein the modifying the rule comprises varying a time value between when the message is sent to the remote monitor and a reminder message is sent to the remote monitor.

6. The method of claim 1, wherein the invitation is associated with a set of recommended rule settings configured by a host monitoring system, wherein the recommended settings are provided to the remote monitor for acceptance or modification.

7. The method of claim 1, further comprising accepting the invitation at the remote monitor, wherein accepting the invitation programically establishes an account associated with the remote monitor at the server.

8. An apparatus for remote monitoring of a hosts analyte levels, the apparatus comprising:

at least one processor; and

at least one memory including code, which when executed by the at least one processor causes the apparatus to

receive, at a remote monitor, an invitation to access a secure server and data associated with a receiver monitoring an analyte state of a host; and

modify, by the remote monitor, a rule defining an alert representative of an event associated with the analyte state of the host, wherein the alert, when triggered, causes a message to be sent to the remote monitor from a server to notify the remote monitor of the event.

9. The apparatus of claim 8, wherein the modifying the rule comprises varying a first threshold associated with a low level of glucose at the host.

10. The apparatus of claim 8, wherein the modifying the rule comprises varying a second threshold associated with a high level of glucose at the host.

11. The apparatus of claim 8, wherein the modifying the rule comprises varying a delay between when the message is sent to the receiver and a notification message is sent to the remote monitor.

12. The apparatus of claim 8, wherein the modifying the rule comprises varying a time value between when the message is sent to the remote monitor and a reminder message is sent to the remote monitor.

13. The apparatus of claim 8, wherein the invitation is associated with a set of recommended rule settings configured by a host monitoring system, wherein the recommended settings are provided to the remote monitor for acceptance or modification.

14. The apparatus of claim 8, wherein the apparatus is configured to accept the invitation responsive to user input at the remote monitor, wherein accepting the invitation programically establishes an account associated with the remote monitor at the server.