SYSTEMS AND METHODS FOR REMOTE AND HOST MONITORING COMMUNICATIONS

• US 20170181645A1
• Filed: 12/13/2016
• Published: 06/29/2017
• Est. Priority Date: 12/28/2015
• Status: Active Application

• Current Assignee: DexCom Incorporated
• Original Assignee: DexCom Incorporated
• Inventors: Mahalingam, Aarthi, Cabrera, JR., Esteban, Escobar, Derek James, Kamath, Apurv Ullas, Koehler, Katherine Yerre, Mayou, Phil, Mensinger, Michael Robert, Moore, Michael Levozier, Pal, Andrew Attila, Reihman, Eli, Hall, Thomas, Dattaray, Basab, Draeger, Rian, Dunn, Laura J., Hampapuram, Hari, Polytaridis, Nicholas, Smith, Brian Christopher
• Application Number:
  US15/377,216
• Publication Number:
  US 20170181645A1
• 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 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;

generating, at the server, a plurality of classifications including a first classification and a second classification of the remote monitoring devices authorized to access permissible data, wherein a classification of the remote monitoring devices designates a hierarchy to provide communications based on notifications rules to inform an authorized remote monitoring device about the host'"'"'s analyte state; and

assigning, at the server, each of the remote monitoring devices to one of the plurality of classifications,

wherein the second classification includes one or both of (i) greater restrictions to the permissible data than that of the first classification, and (ii) more restrictive notification rules than the first classification.

2. The method of claim 1, wherein assignment of the remote monitoring device to the first and second classifications is based on one or more of locations of the host device and the remote monitoring devices, a characteristic of a user of the remote monitoring device communicated to the server by the user'"'"'s remote monitoring device, a relationship between the user of the remote monitoring device and the host, or a behavior of a remote monitoring device.

3. The method of claim 1, wherein assignment of the remote monitoring device to the first and second classifications is based at least in part on locations of the host device and the remote monitoring devices.

4. The method of claim 3, further comprising:

receiving, at the server, the locations of the host device and the remote monitoring devices;

relegating, by the server, a remote monitoring device from the first classification to the second classification when the remote monitoring device exceeds a predetermined proximity from the host device.

5. The method of claim 1, wherein assignment of the remote monitoring device to the first and second classifications is based at least in part on one or more characteristics of the users of the remote monitoring devices.

6. The method of claim 5, wherein the characteristics include health data associated with the user of the remote monitoring device collected by one or more of a continuous glucose monitor, a heart rate monitor, or other health monitoring device.

7. The method of claim 5, wherein the characteristics include an activity status associated with the user of the remote monitoring device including an available status, a busy status, or a sleep status.

8. The method of claim 1, wherein assignment of the remote monitoring device to the first and second classifications is based at least in part on a relationship of the remote monitor user and the host.

9. The method of claim 8, wherein the first classification includes the remote monitor user being a primary caretaker of the host, and the second classification includes the remote monitor user being one or more of a primary caretaker, an assigned watcher of the host, a friend of the host, or a family member of the host.

10. The method of claim 1, wherein assignment of the remote monitoring device to the first and second classifications is based at least in part on a behavior of a remote monitoring device.

11. The method of claim 10, further comprising:

providing, by the server, a message informative of an event associated with the analyte state of the host to a first remote monitoring device assigned to the first classification; and

relegating, by the server, the first remote monitoring device from the first classification to the second classification based at least in part on a lack of acknowledgment by the first remote monitoring device within a predetermined time period after the providing the message.

12. The method of claim 11, wherein the providing includes providing a plurality of messages informative of a plurality of respective events to the first monitoring device over a duration of time, and the relegating is based on the lack of acknowledgment of the first monitoring device to a predetermined number of instances of the plurality of the provided messages.

13. The method of claim 10, further comprising:

providing, by the server, a message informative of an event associated with the analyte state of the host to a first remote monitoring device assigned to the second classification; and

elevating, by the server, the first remote monitoring device from the second classification to the first classification based at least in part on acknowledgment by the first remote monitoring device within a predetermined time period after the providing the message.

14. The method of claim 13, wherein the providing includes providing a plurality of messages informative of a plurality of respective events to the first monitoring device over a duration of time, and the elevating is based at least in part on the acknowledgment of the first monitoring device to a predetermined number of instances of the plurality of the provided messages.

15. The method of claim 1, wherein:

the plurality of classifications includes a third classification of the remote monitoring devices authorized to access permissible data, wherein the third classification includes one or both of (i) greater restrictions to the permissible data than that of the first classification or the second classification or both, and (ii) more restrictive notification rules than the first classification or the second classification or both.

16. The method of claim 1, wherein the authorized remote monitoring devices include a first remote monitoring device operated by a first remote monitor user and a second remote monitoring device operated by a second remote monitor user, wherein the first remote monitoring device is assigned to the first classification, and the second remote monitoring device is assigned to the second classification.

17. The method of claim 16, wherein the first and second remote monitoring devices are in wireless communication with each other.

18. The method of claim 16, further comprising:

receiving, at the server, a request from the first monitoring device to elevate the second remote monitoring device to the first classification; and

elevating, by the server, the second remote monitoring device from the second classification to the first classification after acceptance of the request.

19. The method of claim 18, further comprising:

prior to the elevating, accepting, by the server, the request based on an established awareness by the second remote monitoring device to accept privileges and duties associated with the first classification.

20. The method of claim 16, further comprising:

providing, by the server, an alert informative of an event associated with the analyte state of the host to the first remote monitoring device based on the notification rules associated with the first classification;

receiving, at the server, a response from the first remote monitoring device indicative of inability to react to the alert or a lack of response from the first remote monitoring device within a predetermined time period after the providing the alert; and

responsive to the receiving the response from the first remote monitoring device, providing, by the server, the alert to the second remote monitoring device.

21. The method of claim 20, further comprising:

receiving, at the server, a response from the second remote monitoring device indicative of ability to react to the alert.

22. The method of claim 21, further comprising:

elevating, by the server, the second remote monitoring device from the second classification to the first classification based at least in part on acknowledgment by the second remote monitoring device within the predetermined time duration after the providing the alert.

23. The method of claim 20, further comprising:

relegating, by the server, the first remote monitoring device from the first classification to the second classification based on the response indicative of inability or the lack of response.

24. The method of claim 20, wherein the alert includes information outside of the notification rules associated with the second classification;

and the method further comprising;

prior to the providing the alert to the second remote monitoring device, overriding, by the server, the notification rules associated with the second classification for the alert to be provided to the second remote monitoring device based on a severity factor of the information associated with the alert.

25. The method of claim 1, wherein the notification rules define circumstances to send a message to a respective remote monitoring device informative of an event associated with the analyte state of the host, and 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.

26. The method of claim 1, 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.