Remote monitoring of analyte measurements

• US 9,801,541 B2
• Filed: 03/15/2013
• Issued: 10/31/2017
• 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:
  US13/842,679
• Publication Number:
  US 20140184422A1
• Time in Patent Office: 1,691 Days
• Field of Search: 34087001, 34087002, 34087007, 705 2, 705 3, 600300, 600301, 600316, 600365, 600421, 600522, 607 28, 607 30
• 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 wireless mobile remote monitor, an alert notification message from a server system, the alert notification message representative of a detected event, the event being based on analyte concentration sensor data obtained from a receiver monitoring an analyte state of a host, the analyte concentration sensor data indicating a concentration of an analyte of the host, the wireless mobile remote monitor being remote to the host and the server system;

presenting, at the wireless mobile remote monitor, the alert notification message, wherein the wireless mobile remote monitor or a user of the wireless mobile remote monitor is specifically authorized by the host to receive the alert notification message to augment the receiver monitoring of the analyte state of the host, wherein the wireless mobile remote monitor or the user of the wireless mobile remote monitor is authenticated by the server system;

receiving, at the wireless mobile remote monitor, user input indicative of acknowledgment of the presented alert notification message;

sending an acknowledgment message from the wireless mobile remote monitor to the server system indicating acknowledgement of the presented alert notification message to enable the server system to confirm that the alert notification message has been received;

after sending the acknowledgment accessing, by the wireless mobile remote monitor, at least some of the analyte concentration sensor data from the server system; and

receiving, in response to the accessing, information the at least some of the analyte concentration sensor data including historical data, the at least some of the analyte concentration sensor data being generated by the receiver monitoring the analyte state of the host;

wherein the event is detected by the server system based on one or more sets of recommended alert rules settings configured by the host using the receiver, at least one of the sets of recommended alert rules settings being modifiable by the user of the wireless mobile remote monitor using the wireless mobile remote monitor.

2. The method of claim 1, wherein the presenting further comprises inhibiting access to one or more applications at the wireless mobile remote monitor until an action at the wireless mobile remote monitor is detected to indicate an interaction by the user with the alert notification message.

3. The method of claim 1, wherein the presenting further comprises presenting the alert notification message as a momentary message on a display at the wireless mobile remote monitor.

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

5. The method of claim 1, wherein the server system comprises at least one processor configured to receive analyte sensor data from the receiver, process the analyte sensor data to detect the event, and forward, when the event is detected, the alert notification message to the wireless mobile remote monitor based on one or more rules mapping the event to the wireless mobile remote monitor designated to receive alert messages related to the detected event.

6. The method of claim 1, further comprising detecting, based on a first set of rules at the server system, the event, wherein the first set of rules used to generate the alert notification message are different from a second set of rules used to generate alerts to be sent to the receiver coupled to a sensor system at the host.

7. The method of claim 1, wherein the receiver includes, or couples to, a gateway interfacing a wireless connection to a public land mobile network and the server system.

8. The method of claim 1 further comprising configuring a plurality of remote monitors, wherein at least one of the plurality of remote monitors is designated as a primary monitor that is assigned a higher alert priority status, and at least one of the plurality of remote monitors is designated as a secondary monitor that is assigned a lower alert priority status than the primary monitor.

9. The method of claim 1, further comprising configuring, by the wireless mobile remote monitor, at least one rule including a trigger that when triggered causes an alert to be sent by the server system to the receiver.

10. The method of claim 1, further comprising configuring, by the wireless mobile remote monitor, one or more invitations sent to one or more devices to invite the one or more devices to receive future alerts of the host based on at least some of the analyte concentration sensor data from the receiver.

11. The method of claim 1, further comprising sending, to the server system, a message acknowledging a receipt of the alert notification message.

12. The method of claim 1, wherein the alert notification message includes at least one of an indication to the user of a need to calibrate a sensor coupled to the receiver and an acknowledgement message indicating at least one of an action or an acknowledgement sent by the receiver in response to an alarm sent to the receiver.

13. The method of claim 1, wherein the presenting the alert notification message comprises opening a monitoring application on the wireless mobile remote monitor, and the monitoring application initiating the accessing the at least some of the analyte concentration sensor data from the server system.

14. The method of claim 1, further comprising registering, at the server system, at least one of the wireless mobile remote monitor, the receiver, and an analyte sensor coupled to the receiver, wherein the registration includes a code provided by a health care provider.

15. A method comprising:

providing, by a wireless mobile remote monitor to a server system, one or more sets of alert rules including at least one analyte concentration level threshold, the one or more sets of rules being specifically associated with the wireless mobile remote monitor and a host, wherein the wireless mobile remote monitor or a user of the wireless mobile remote monitor is specifically authorized by the host to receive an alert notification message, wherein the wireless mobile remote monitor or the user of the wireless mobile remote monitor is authenticated by the server system;

receiving, at the wireless mobile remote monitor, an alert notification message from the server system, the alert notification message indicating that analyte concentration sensor data associated with the host has exceeded or fallen below the at least one analyte concentration level threshold, the analyte concentration sensor data being received by the server system from a receiver monitoring an analyte concentration state of the host, the wireless mobile remote monitor being remote to the host and the server system;

presenting, at the wireless mobile remote monitor, the alert notification message;

receiving, at the wireless mobile remote monitor, user input indicative of acknowledgment of the presented alert notification message;

sending an acknowledgment message from the wireless mobile remote monitor to the server system indicating acknowledgement of the presented alert notification message to enable the server system to confirm that the alert notification message has been received;

accessing, by the wireless mobile remote monitor, the server system using a remote monitoring software application running on the wireless mobile remote monitor; and

receiving from the server system, at the wireless mobile remote monitor, information including at least some of the analyte concentration sensor data;

wherein at least one of the sets of alert rules is configured by the host using the receiver, said at least one set configured by the host being modifiable by the user of the wireless mobile remote monitor using the wireless mobile remote monitor.

16. A wireless mobile remote system comprising:

at least one processor; and

memory, the memory including instructions to configure the processor to;

receive an alert notification message from a server system, the alert notification message representative of a detected event, the event being based on analyte concentration sensor data obtained from a receiver monitoring an analyte state of a host, the analyte concentration sensor data indicating a concentration of an analyte of the host;

present the alert notification message, wherein the wireless mobile remote system or a user of the wireless mobile remote system is specifically authorized by the host to receive the alert notification message to augment the receiver monitoring of the analyte state of the host, wherein the wireless mobile remote system or the user of the wireless mobile remote system is authenticated by the server system;

receive user input indicative of acknowledgment of the presented alert notification message;

send an acknowledgment message to the server system indicating acknowledgement of the presented alert notification message to enable the server system to confirm that the alert notification message has been received;

after sending the acknowledgment, access at least some of the analyte concentration sensor data from the server system; and

receive the at least some of the analyte concentration sensor data including historical data from the receiver monitoring the analyte state of the host;

wherein the event is detected by the server system based on one or more sets of recommended alert rules settings configured by the host using the receiver, at least one of the sets of recommended alert rules settings being modifiable by the user of the wireless mobile remote system using the wireless mobile remote system.

17. A non-transitory computer readable medium comprising executable instructions, the executable instructions being executable by a processor to perform a method, the method comprising:

receiving an alert notification message from a server system, the alert notification message representative of a detected event, the event being based on analyte concentration sensor data obtained from a receiver monitoring an analyte state of a host, the analyte concentration sensor data indicating a concentration of an analyte of the host;

presenting the alert notification message, wherein a digital device executing the instructions or a user associated with the digital device is specifically authorized by the host to receive the alert notification message to augment the receiver monitoring of the analyte state of the host, wherein the digital device or the user of the digital device is authenticated by the server system;

receiving user input indicative of acknowledgment of the presented alert notification message;

sending an acknowledgment message to the server system indicating acknowledgement of the presented alert notification message to enable the server system to confirm that the alert notification message has been received;

after sending the acknowledgment, accessing at least some of the analyte concentration sensor data from the server system; and

receiving the at least some of the analyte concentration sensor data including historical data, the at least some of the analyte concentration sensor data being generated by the receiver monitoring the analyte state of the host;

wherein the event is detected by the server system based on one or more sets of recommended alert rules settings configured by the host using the receiver, at least one of the sets of recommended alert rules settings being modifiable by the user of the digital device using the digital device.