Remote monitoring of analyte measurements

• US 9,839,353 B2
• Filed: 11/18/2015
• Issued: 12/12/2017
• 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:
  US14/945,363
• Publication Number:
  US 20160066868A1
• Time in Patent Office: 755 Days
• Field of Search: 34087001, 34087002, 34087007, 34087016, 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 for remote monitoring of a patient'"'"'s analyte concentration state, the method comprising:

receiving from a user device, at a secure server system, a primary remote monitor device identifier and a secondary remote monitor device identifier, the primary remote monitor device identifier identifying a primary remote monitor device to receive a first data set from a continuous analyte sensor device, the secondary remote monitor device identifier identifying a secondary remote monitor device to receive a second data set from the continuous analyte sensor device, the first and second data sets including at least some analyte data generated by the continuous analyte sensor device, the user device being local to the continuous analyte sensor device;

receiving, from the user device, at the secure server system, a first set of notification rules associated with the primary remote monitor device and a second set of notification rules associated with the secondary remote monitor device, the first set of notification rules indicating that the secure server system is to provide an alert to the primary remote monitor device when the at least some analyte data exceeds a first threshold, the second set of notification rules indicating that the secure server system is to provide the alert to the secondary remote monitor device if the primary remote monitor device does not respond within a predetermined period of time after previously providing the alert;

storing, at the secure server system, the at least some analyte data associated with an analyte concentration state of the patient;

authorizing, at the secure server system, the primary remote monitor device and the secondary remote monitor device, the primary monitor device being authorized to have access to the first data set to remotely monitor the analyte concentration state of the patient, the secondary remote monitor device being authorized to have access to the second data set to remotely monitor the analyte concentration state of the patient; and

associating, at the secure server system, the first set of notification rules with the first remote monitor device based in part on the primary remote monitor device identifier received from the user device and associating the second set of notification rules with the second remote monitor device based in part on the secondary remote monitor device identifier received from the user device.

2. The method of claim 1, wherein the first set of notification rules are modifiable by the primary remote monitor device.

3. The method of claim 1, wherein the host device is operable by the patient user or by a caregiver of the patient user.

4. The method of claim 1, further comprising:

receiving from the host device, at the secure server system, a permission instruction to allow or disallow the primary remote monitor device access to a portion or a category of the analyte data.

5. The method of claim 4, wherein the permission instruction includes a categorical instruction selected by the host device, the categorical instruction being associated with the portion or the category of the analyte data.

6. The method of claim 1, further comprising:

receiving from the primary remote monitor device, at the secure server system, a rule setting instruction to establish a rule or modify an established rule of the first set of the notification rules pertaining to when the secure server system causes the alarm to be sent to the primary remote monitor device based on the analyte concentration state of the patient exceeding a predetermined threshold.

7. The method of claim 6, wherein the rule setting instruction includes a predetermined threshold value for one or more of an urgently low analyte level, a low analyte level, or a high analyte level of the analyte concentration state.

8. The method of claim 6, wherein the rule setting instruction includes a setting for when no notifications are to be sent to the primary remote monitor device.

9. The method of claim 1, wherein the second set of notification rules further comprises an escalation rule whereby the secure server system provides the alert to the secondary remote monitor device if the at least some analyte data exceeds a second threshold without waiting for the predetermined period of time, the second threshold being lower than the first threshold.

10. The method of claim 9, the method further comprising receiving, at the secure server system, a change notification rule, the change rule instructing the secure server system to alter the first set of notification rules to indicate that the secure server system is to provide the alert to the secondary remote monitor device when the at least some analyte data exceeds the first threshold, the change rules further instructing the secure server system to alter the second set of notification rules to indicate that the secure server system is to provide the alert to the primary remote monitor device if the secondary remote monitor device does not respond within the predetermined period of time after previously sending the alert.

11. The method of claim 10, wherein the change rule is triggered if the primary remote monitor device does not respond to the alert with a second predetermined period of time.

12. The method of claim 1, further comprising:

applying the first notification rules by at least partially overwriting a previous set of notification rules previously established for the primary remote monitor device.

13. The method of claim 1, wherein the analyte data includes one or more of past sensor data from the continuous analyte sensor device, current sensor data from the continuous analyte sensor device, or a trend in the rate of change of the analyte state of the patient.

14. The method of claim 1, wherein the primary remote monitor devices include a mobile computing device including a smartphone.

15. The method of claim 1, wherein the analyte concentration state includes a glucose level.

16. A system for remote monitoring of a patient'"'"'s analyte concentration state, the system comprising:

a secure server system comprising;

one or more processors; and

memory, the memory storing instructions that, when executed by the one or more processors, cause the secure server system to;

receive, from a user device, a primary remote monitor device identifier and a secondary remote monitor device identifier, the primary remote monitor device identifier identifying a primary remote monitor device to receive a first data set from a continuous analyte sensor device, the secondary remote monitor device identifier identifying a secondary remote monitor device to receive a second data set from the continuous analyte sensor device, the first and second data sets including at least some analyte data generated by the continuous analyte sensor device, the user device being local to the continuous analyte sensor device,

receive, from the user device, a first set of notification rules associated with the primary remote monitor device and a second set of notification rules associated with the secondary remote monitor device, the first set of notification rules indicating that the secure server system is to provide an alert to the primary remote monitor device when the at least some analyte data exceeds a first threshold, the second set of notification rules indicating that the secure server system is to provide the alert to the secondary remote monitor device if the primary remote monitor device does not respond within a predetermined period of time after previously providing the alert,

store the at least some analyte data associated with an analyte concentration state of the patient,

authorize the primary remote monitor device and the secondary remote monitor device, the primary monitor device being authorized to have access to the first data set to remotely monitor the analyte concentration state of the patient, the secondary remote monitor device being authorized to have access to the second data set to remotely monitor the analyte concentration state of the patient, and

associate the first set of notification rules with the first remote monitor device based in part on the primary remote monitor device identifier received from the user device and associating the second set of notification rules with the second remote monitor device based in part on the secondary remote monitor device identifier received from the user device, wherein the first set of notification rules are modifiable by the authorized primary remote monitor device.

17. The system of claim 16, further comprising:

a remote monitoring software application resident on the primary remote monitor device, wherein the remote monitoring software application is operable to cause the remote primary monitor device to;

receive, from the secure server system, at least some of the analyte data, and

display, on a display of the primary remote monitor device, the at least some of the analyte data.

18. The system of claim 16, wherein the instructions stored in the memory of the secure server system, when executed by the one or more processors, causes the secure server system to receive, from the primary remote monitor device, a rule setting instruction to establish a rule or modify an established rule of the first set of the notification rules pertaining to when the secure server system causes the alarm to be sent to the primary remote monitor device based on the analyte concentration state of the patient exceeding a predetermined threshold.

19. The system of claim 18, wherein the rule setting instruction includes a predetermined threshold value for one or more of an urgently low analyte level, a low analyte level, or a high analyte level of the analyte concentration state.

20. The system of claim 18, wherein the rule setting instruction includes a setting for when no notifications are to be sent to the primary remote monitor device.

21. The system of claim 16, wherein the instructions stored in the memory of the secure server system, when executed by the one or more processors, causes the secure server system to provide the alert to the secondary remote monitor device if the at least some analyte data exceeds a second threshold without waiting for the predetermined period of time, the second threshold being lower than the first threshold.

22. The system of claim 21,

wherein the instructions stored in the memory of the secure server, when executed by the one or more processors, causes the secure server system to alter the first set of notification rules to indicate that the secure server system is to provide the alert to the secondary remote monitor device when the at least some analyte data exceeds the first threshold, and further causing the secure server system to alter the second set of notification rules to indicate that the secure server system is to provide the alert to the primary remote monitor device if the secondary remote monitor device does not respond within the predetermined period of time after previously sending the alert.

23. The system of claim 21, wherein the instructions stored in the memory of the secure server, when executed by the one or more processors, causes the secure server to alter the first and second set of notification rules when the primary remote monitor device does not respond to the alert with a second predetermined period of time.