Remote monitoring of analyte measurements

• US 9,585,563 B2
• Filed: 03/15/2013
• Issued: 03/07/2017
• 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
• Primary Examiner(s): Phan, Hai
• Assistant Examiner(s): BALSECA, FRANKLIN D
• Application Number:
  US13/843,382
• Publication Number:
  US 20140184423A1
• Time in Patent Office: 1,453 Days
• Field of Search: 340/870.01, 340/870.02, 340/870.07, 705/2, 705/3, 600/300, 600/301, 600/316, 600/365, 600/421, 600/522, 607/28, 607/30
• US Class Current: 1/1
• 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 mobile remote monitoring apparatus configured to be used by a remote monitoring user, an invitation to access a secure server storing data associated with a mobile receiver that at least periodically monitors an analyte concentration state of a host and to receive a message on the mobile remote monitoring apparatus regarding a health condition based on the analyte concentration state of the host who is remote to the mobile remote monitoring apparatus and who is not in a medical facility, wherein the invitation is triggered to be sent to the mobile remote monitoring apparatus in response to the host providing, using the mobile receiver, an identifier that identifies the remote monitoring user;

receiving, by the mobile remote monitoring apparatus, a set of recommended rule settings associated with the invitation, the set of recommended rule settings being configured by the host using the mobile receiver, at least one of the set of recommended rule settings being modifiable by the remote monitoring user using the mobile remote monitoring apparatus;

receiving, by the mobile remote monitoring apparatus, user input indicative of acceptance of the invitation to access the secure server and receive the data associated with the analyte concentration state of the host from the mobile receiver, wherein the access is activated by the secure server after receipt of the acceptance by the secure server; and

modifying, by the mobile remote monitoring apparatus, a rule setting of the set of recommended rules settings defining an alert, the alert being representative of an event associated with the health condition based on the analyte concentration state of the host, wherein the alert, when triggered, causes the message to be sent to the mobile remote monitoring apparatus to notify the remote monitoring user of the event.

2. The method of claim 1, wherein the modifying the rule setting 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 setting 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 setting comprises varying a delay before the message is sent to the mobile remote monitoring apparatus.

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

6. The method of claim 1, wherein the rule setting of the set of recommended rules settings is stored at the secure server, and wherein triggering the alert comprises the secure server comparing the data associated with the mobile receiver to a threshold associated with the rule setting of the set of recommended rules settings.

7. The method of claim 1, further comprising:

in response to the alert being triggered, receiving the message at the mobile remote monitoring apparatus;

displaying the message on a display of the mobile remote monitoring apparatus;

receiving user acknowledgement of the message at the mobile remote monitoring apparatus;

automatically requesting, using the mobile remote monitoring apparatus, analyte concentration information stored on the secure server; and

automatically displaying on the mobile remote monitoring apparatus, host analyte information associated with the analyte concentration state of the host, the host analyte information at least partially based on the requested analyte concentration information.

8. The method of claim 7, wherein the analyte concentration information includes a most recent measured analyte concentration value of the host.

9. The method of claim 7, wherein the analyte concentration information includes a trend graph of the analyte concentration information of the host over time.

10. The method of claim 7, wherein the mobile remote monitoring apparatus comprises a mobile digital device running a remote monitoring application, wherein the remote monitoring application runs in a background mode and a foreground mode, wherein the mobile digital device causes the remote monitoring application to automatically run in the foreground mode upon user acknowledgement of the message triggered by the alert.

11. The method of claim 1, wherein the identifier that identifies the remote monitoring user comprises an electronic mail address associated with the remote monitoring user.

12. The method of claim 1, wherein the user input indicative of the acceptance includes one or more of a code, a shared secret, or a password.

13. The method of claim 1, wherein the user input indicative of the acceptance includes a selection of a link to a uniform resource locator (URL), wherein the link to the URL is included in the received invitation.

14. A method comprising:

receiving, at a mobile remote monitoring apparatus configured to be used by a remote monitoring user, an invitation to access a secure server storing data associated with a mobile receiver that at least periodically monitors an analyte concentration state of a host and to receive a message regarding a health condition based on the analyte concentration state of the host who is remote to the mobile remote monitoring apparatus and who is not in a medical facility, wherein the invitation is triggered to be sent to the mobile remote monitoring apparatus in response to the host providing, using the mobile receiver, an identifier that identifies the remote monitoring user;

receiving, by the mobile remote monitoring apparatus, a set of recommended rule settings associated with the invitation, the set of recommended rule settings being configured by the host using the mobile receiver, at least one of the set of recommended rule settings being modifiable by the remote monitoring user using the mobile remote monitoring apparatus; and

modifying, by the mobile remote monitoring apparatus, a rule setting of the set of recommended rules settings defining an alert, the alert being representative of an event associated with the health condition based on the analyte concentration state of the host, wherein the alert, when triggered, causes the message to be sent to the mobile remote monitoring apparatus from a server to notify the remote monitoring user of the event.

15. The method of claim 14, further comprising accepting the invitation at the mobile remote monitoring apparatus, wherein the accepting the invitation programically establishes an account associated with the remote monitor user at the secure server.

16. A mobile remote monitoring apparatus configured to be used by a remote monitoring user for remote monitoring of a host'"'"'s analyte concentration levels, the mobile remote monitoring apparatus comprising:

at least one processor; and

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

receive, at the mobile remote monitoring apparatus, an invitation to access a secure server storing data associated with a mobile receiver at least periodically monitors an analyte concentration state of a host and to receive a message regarding a health condition based on the analyte concentration state of the host who is remote to the mobile remote monitoring apparatus and who is not in a medical facility, wherein the invitation is triggered to be sent to the mobile remote monitoring apparatus in response to the host providing, using the mobile receiver, an identifier that identifies the remote monitoring user;

receive, by the mobile remote monitoring apparatus, a set of recommended rule settings associated with the invitation, the set of recommended rule settings being configured by the host using the mobile receiver, at least one of the set of recommended rule settings being modifiable by the remote monitoring user using the mobile remote monitoring apparatus; and

modify, by the mobile remote monitoring apparatus, a rule setting of the set of recommended rules settings defining an alert, the alert being representative of an event associated with the health condition based on the analyte concentration state of the host, wherein the alert, when triggered, causes the message to be sent to the mobile remote monitoring apparatus from a server to notify the remote monitoring user of the event.

17. The mobile remote monitoring apparatus of claim 16, wherein the code that causes the mobile remote monitoring apparatus to modify the rule setting comprises code that causes the mobile remote monitoring apparatus to vary a first threshold associated with a low level of glucose at the host.

18. The mobile remote monitoring apparatus of claim 16, wherein the code that causes the mobile remote monitoring apparatus to modify the rule setting comprises code that causes the mobile remote monitoring apparatus to vary a second threshold associated with a high level of glucose at the host.

19. The mobile remote monitoring apparatus of claim 16, wherein the code that causes the mobile remote monitoring apparatus to modify the rule setting comprises code that causes the mobile remote monitoring apparatus to vary a delay before the message is sent to the mobile remote monitoring apparatus.

20. The mobile remote monitoring apparatus of claim 16, wherein the code that causes the mobile remote monitoring apparatus to modify the rule setting comprises code that causes the mobile remote monitoring apparatus to vary a time value between when the message is sent to the mobile remote monitoring apparatus and a reminder message is sent to the mobile remote monitoring apparatus.

21. The mobile remote monitoring apparatus of claim 16, wherein the mobile remote monitoring apparatus is configured to accept the invitation responsive to user input at the mobile remote monitoring apparatus, wherein accepting the invitation programically establishes an account associated with the remote monitoring user at the secure server.

22. The mobile remote monitoring apparatus of claim 16, wherein the rule setting of the set of recommended rules settings is stored at the secure server, and wherein triggering the alert comprises the secure server comparing the data associated with the mobile receiver to a threshold associated with the rule setting of the set of recommended rules settings.

23. The mobile remote monitoring apparatus of claim 22, further comprising memory code, which when executed by the one or more processors causes the mobile remote monitoring apparatus to:

receive the message at the mobile remote monitoring apparatus;

display the message on a display of the mobile remote monitoring apparatus, the message pertaining to the alert having been triggered;

receive user acknowledgement of the message at the mobile remote monitoring apparatus;

automatically request analyte concentration information stored on the secure server; and

automatically display on the mobile remote monitoring apparatus, host analyte information associated with the analyte concentration state of the host, the host analyte information at least partially based on the requested analyte concentration information.

24. The mobile remote monitoring apparatus of claim 23, wherein the analyte concentration information includes a most recent measured analyte concentration value of the host.

25. The mobile remote monitoring of claim 23, wherein the analyte concentration information includes a trend graph of the analyte concentration information of the host over time.

26. The mobile remote monitoring of claim 23, wherein the code comprises a remote monitoring application, wherein the remote monitoring application runs in a background mode and a foreground mode, wherein the mobile remote monitoring apparatus causes the remote monitoring application to automatically run in the foreground mode upon user acknowledgement of the message triggered by the alert.