Adaptive interface for continuous monitoring devices

• US 9,847,038 B2
• Filed: 10/28/2014
• Issued: 12/19/2017
• Est. Priority Date: 10/31/2013
• Status: Active Grant

• Current Assignee: DexCom Incorporated
• Original Assignee: DexCom Incorporated
• Inventors: Mayou, Phil, Bhavaraju, Naresh C., Bowman, Leif N., Carlton, Alexandra Lynn, Dunn, Laura J., Grubstein, Katherine Yerre, Mahalingam, Aarthi, Reihman, Eli, Simpson, Peter C.
• Primary Examiner(s): Natnithithadha, Navin
• Application Number:
  US14/526,254
• Publication Number:
  US 20150119668A1
• Time in Patent Office: 1,148 Days
• Field of Search: 600309, 600345-366
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/1112 Global tracking of patients, e.g. by using GPS
• CPC Class Codes: A61B 5/1118 Determining activity level
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/165 Evaluating the state of mind, e.g. depression, anxiety
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• 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 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: G09B 19/00 Teaching not covered by other main groups of this subclass teaching or practice apparatus for gun-aiming or gun-laying F41G3/26
• CPC Class Codes: G09B 5/02 with visual presentation of the material to be studied, e.g. using film strip
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• 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

Abstract

Systems and methods that continuously adapt aspects of a continuous monitoring device based on collected information to provide an individually tailored configuration are described. The adaptations may include adapting the user interface, the alerting, the motivational messages, the training, and the like. Such adaptation can allow a patient to more readily identify and understand the information provided by/via the device.

Claims

1. A method for adaptive configuration of an analyte monitoring device, the method comprising:

measuring a glucose concentration in a host via a glucose sensor at least partially inserted in the host the glucose sensor configured to provide continuous sensor data associated with the glucose concentration in the host;

transmitting a first report of first physiological information of a host based on the continuous sensor data using a first reporting format, wherein the first reporting format comprises a first reporting format characteristic;

determining at least one of behavioral and contextual information comprising at least one of behavioral and contextual characteristic of the host, wherein the at least one of behavioral and contextual characteristic is associated with a physiological condition of the host, wherein the at least one of behavioral and contextual characteristic includes calibration frequency;

comparing the at least one of behavioral and contextual characteristic with one or more behavioral or contextual criteria;

adjusting the reporting format based at least in part on said comparing, wherein the reporting format comprises a second reporting format characteristic that is different from the first reporting format characteristic, wherein the second reporting format characteristic includes a dynamic display of calibration frequency; and

transmitting a second report of second physiological information using the second reporting format.

2. The method of claim 1, wherein comparing the at least one of behavioral and contextual characteristic with one or more behavioral or contextual criteria comprises comparing the characteristic with a behavioral or contextual criteria associated with an interface adaptation.

3. The method of claim 2, wherein the interface adaptation comprises at least one of an alert frequency, an alert volume, an alert tone, a display font, a display font size, a display font color, a message delivery address, a message delivery telephone number, a listing of menu items, or an operational setting for the analyte monitoring device.

4. The method of claim 1, further comprising:

transmitting a message identifying the adjustment of the reporting format;

upon receipt of a confirmation of the adjustment of the reporting format, activating the second reporting format for subsequent reporting; and

upon receipt of a denial of the adjustment or no response to the message, activating the first reporting format for subsequent reporting.

5. The method of claim 1, wherein the first report is transmitted to a common destination as the second report.

6. The method of claim 1, wherein the first report is transmitted to a first destination and the second report is transmitted to a second destination.

7. The method of claim 1, wherein the different first and second reporting format characteristics include at least one of frequency, tone, or volume of an alarm.

8. The method of claim 1, wherein the different first and second reporting format characteristics include at least one of resolution of a trend graph, brightness intensity, colors for graphs, interface iconography, interface symbology, or magnification level of displayed information.

9. The method of claim 1, wherein the different first and second reporting format characteristics include at least one of orientation of trend graphs, trend graph ranges, graph color scheme, or dynamic trend graphs.

10. The method of claim 1, wherein the different first and second reporting format characteristics include at least one of reporting frequency, a number of alerts of a particular type, an amount of avatar help, a vibration intensity, a vibration frequency, or amount of data to display.

11. The method of claim 1, wherein the different first and second reporting format characteristics include at least one of default display for the report, levels of discretion for reporting based on context, input configuration for a report, glucose acceleration information, prediction mode time, or future mode time/inputs.

12. The method of claim 1, wherein the different first and second reporting format characteristics include at least one of order of screens, order of menu items, order of hide items, frequency of information transmission, or content of information transmission.

13. The method of claim 1, wherein the transmitting comprises transmitting to at least one of a continuous monitoring device, a patient record system, a smartphone, or a social media internet site.

14. The method of claim 1, wherein the transmitting comprises transmitting via a human detectable interface on at least one of a continuous monitoring device, a patient record system, a smartphone, or a social media internet site.

15. An electronic device for monitoring a glucose concentration in a host, the device comprising:

a continuous glucose sensor, wherein the continuous glucose sensor is configured to substantially continuously measure the glucose concentration in a host, and to provide continuous sensor data associated with the glucose concentration in the host; and

a processor module configured to;

transmit a first report of first physiological information of a host based on the continuous sensor data using a first reporting format, wherein the first reporting format comprises a first reporting format characteristic;

determine at least one of behavioral and contextual information comprising at least one of behavioral and contextual characteristic of the host, wherein the at least one of behavioral and contextual characteristic is associated with a physiological condition of the host wherein the at least one of behavioral and contextual characteristic includes calibration frequency;

compare the at least one of behavioral and contextual characteristic with one or more behavioral or contextual criteria;

adjust the reporting format based at least in part on said comparing, wherein the reporting format comprises a second reporting format characteristic that is different from the first reporting format characteristic,

wherein the second reporting format characteristic includes a dynamic display of calibration frequency; and

transmit a second report of second physiological information using the second reporting format.

16. The device of claim 15, wherein comparing the at least one of behavioral and contextual characteristic with one or more behavioral or contextual criteria comprises comparing the characteristic with a behavioral or contextual criteria associated with an interface adaptation.

17. The device of claim 16, wherein the interface adaptation comprises at least one of an alert frequency, an alert volume, an alert tone, a display font, a display font size, a display font color, a message delivery address, a message delivery telephone number, a listing of menu items, or an operational setting for the analyte monitoring device.

18. A system for adaptive configuration of an analyte monitoring device, the system comprising:

an input receiver configured to receive at least one of first context information and first behavior information for a host over a period of time, the input receiver further configured to receive continuous sensor data from the analyte monitoring device;

an input processor configured to identify a context or behavior based at least in part on the at least one of first context information and first behavior information received over time; and

an adaptation engine configured to provide adaptive reporting for the analyte monitoring device based on the identified context or behavior by;

transmitting a first report of first physiological information of a host based on the continuous sensor data using a first reporting format, wherein the first reporting format comprises a first reporting format characteristic;

determining at least one of second behavioral and contextual information comprising at least one of behavioral and contextual characteristic of the host, wherein the at least one of behavioral and contextual characteristic is associated with a physiological condition of the host, wherein the at least one of behavioral and contextual characteristic includes calibration frequency;

comparing the at least of one behavioral and contextual characteristic with one or more behavioral or contextual criteria;

adjusting the reporting format based at least in part on the comparing, wherein the reporting format comprises a second reporting format characteristic that is different from the first reporting format characteristic, wherein the second reporting format characteristic includes a dynamic display of calibration frequency; and

transmitting a second report of second physiological information using the second reporting format.

19. The system of claim 18, wherein comparing the at least one of behavioral and contextual characteristic with one or more behavioral or contextual criteria comprises comparing the characteristic with a behavioral or contextual criteria associated with an interface adaptation.

20. The system of claim 19, wherein the interface adaptation comprises at least one of an alert frequency, an alert volume, an alert tone, a display font, a display font size, a display font color, a message delivery address, a message delivery telephone number, a listing of menu items, or an operational setting for the analyte monitoring device.