Remote monitoring of analyte measurements

• US 10,856,736 B2
• Filed: 03/26/2020
• Issued: 12/08/2020
• 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): Jang, Christian
• Application Number:
  US16/831,648
• Publication Number:
  US 20200221950A1
• Time in Patent Office: 257 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 of remotely monitoring a glucose concentration state of a host, the method comprising:

receiving, at a mobile remote monitoring apparatus, an invitation to receive one or more notification messages containing information indicative of glucose concentration state of a host based on glucose sensor data obtained from a transcutaneous glucose sensor monitoring a glucose concentration state of the host, wherein the one or more notification messages are generated based on a set of rule settings initially established at a mobile host monitoring apparatus wirelessly coupled to the transcutaneous glucose sensor and wherein at least one rule of the set of rule settings is later modifiable by the mobile remote monitoring apparatus;

presenting, at the mobile remote monitoring apparatus, the invitation to activate the mobile remote monitoring apparatus to receive the one or more notification messages for user acceptance;

receiving an indication of user acceptance, by the mobile remote monitoring apparatus, in response to the presenting of the invitation; and

configuring the mobile remote monitoring apparatus to receive, in response to receiving the indication of user acceptance, the one or more notification messages according to the set of rule settings including configuring the mobile remote monitoring apparatus to receive modifications to the at least one rule of the set of rule settings.

2. The method of claim 1, further comprising:

receiving a modification to the at least one rule of the set of rule settings at the mobile remote monitoring apparatus;

receiving at least one notification message; and

providing the notification message for display according to the modification.

3. The method of claim 2, wherein the providing the notification for display further comprises inhibiting access to one or more applications at the mobile remote monitoring apparatus until an action at the mobile remote monitoring apparatus is detected to indicate receipt of the notification message, wherein the mobile monitor monitoring apparatus further comprises a monitoring application.

4. The method of claim 3, further comprising opening the monitoring application.

5. The method of claim 2, wherein the providing the notification for display further comprises presenting the notification message as a momentary message on a display at the mobile remote monitoring apparatus without the inhibiting access.

6. The method of claim 1, wherein at least one of the mobile remote monitoring apparatus and the mobile host monitoring apparatus comprise one or more of a mobile station, a wireless terminal, a tablet, a smart phone, a multi-mode wireless device, and a computer.

7. The method of claim 1, wherein the mobile host monitoring apparatus includes, or couples to, a gateway interfacing a wireless connection to a public land mobile network.

8. The method of claim 1 wherein at least one rule of the one or more rules defines a trigger causing an alert to be sent to the mobile host monitoring apparatus.

9. The method of claim 1 further comprising sending, by the mobile wireless remote monitoring device, a message acknowledging a receipt of the invitation.

10. The method of claim 1, further comprising establishing a connection between the mobile remote monitoring apparatus and a server to enable the receiving of the information.

11. The method of claim 10, further comprising registering, at the server, at least one of the mobile remote monitoring apparatus, the mobile host monitoring apparatus, and the transcutaneous glucose sensor, wherein the registration includes a code.

12. The method of claim 1, wherein the method is implemented on an 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 provide the method.

13. The method of claim 1, wherein a computer-readable storage medium includes code which when executed by at least one processor causes the method.

14. The method of claim 1, wherein the information indicative of the glucose concentration state of the host is derived at least in part from a signal generated by the transcutaneous glucose sensor.

15. The method of claim 1, wherein the invitation is triggered to be sent by the mobile host monitoring apparatus upon input of an identifier for a remote monitoring user into the mobile host monitoring apparatus.

16. The method of claim 1, wherein the information indicative of the glucose concentration state of the host comprises a notification of a glucose concentration state of the host.

17. The method of claim 1, wherein the information indicative of the glucose concentration state of the host comprises a glucose concentration value.