Remote monitoring of analyte measurements

• US 9,980,646 B2
• Filed: 11/18/2015
• Issued: 05/29/2018
• 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:
  US14/945,176
• Publication Number:
  US 20160073880A1
• Time in Patent Office: 923 Days
• Field of Search: 34087001, 34087002, 34087007
• 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 health data, comprising:

presenting a user interface of a software application resident on a remote monitor device, the software application being configured to enable remote monitoring of an analyte concentration state of each of two or more hosts, the two or more hosts including a first host and a second host, wherein an analyte concentration state of each of the two or more hosts is monitored by different continuous analyte concentration sensor devices,

the first host having identified a particular user and provided the particular user of the remote monitor device an indication of permission to first permissible data associated with the analyte concentration state of the first host, the first host further providing the particular user an indication of permission to receive notifications associated with the first permissible data of the first host, the second host having identified the particular user and provided the particular user of the remote monitor device an indication of permission to second permissible data associated with the analyte concentration state of the second host, the second host providing an indication that the particular user does not have permission to receive notifications associated with the second permissible data of the second host, the remote monitor device being remote from the first and second host;

displaying, in the user interface, a dashboard display, the dashboard display comprising two or more cells, each cell of the two or more cells corresponding to at least one of the two or more hosts configured to be remotely monitored;

displaying, in a first cell of the two or more cells, the first permissible data associated with the analyte concentration state of the first host, the first permissible data being received from a secure server configured to determine that the remote monitor device is authorized to receive the first permissible data based on the first host'"'"'s indication of the permission to the first permissible data;

displaying, in a second cell of the two or more cells, the second permissible data associated with the analyte concentration state of the second host, the second permissible data being received from the secure server configured to determine that the remote monitor device is authorized to receive the second permissible data based on the second host'"'"'s indication of the permission to the second permissible data provided to the particular user; and

displaying, in the dashboard display, an interactive icon that, when engaged, navigates in the user interface to a first remote monitoring settings display associated with the first host, the settings page display comprising at least three cells, the first cell of the at least three cells including an option for the particular user to set a first alert based on a first trigger condition of the first permissible data associated with the analyte concentration state of the first host, the second cell of the at least three cells including an option for the particular user to set a second alert based on a second trigger condition of the first permissible data associated with the analyte concentration state of the first host, and the third cell of the at least three cells including an option for the particular user to set a third alert if no data associated with the first host is received over a particular duration of time, the particular duration of time being configurable by the particular user, the first and second trigger conditions being different from each other, the particular user being denied options to set notifications associated with the second host based on the indication that the particular user does not have the permission to receive the notifications associated with the second permissible data of the second host.

2. The method of claim 1, wherein the two or more cells each include identifier information about the first and second host, respectively, the identifier information including one or both of a name of the respective host and a picture of the respective host.

3. The method of claim 1, wherein the first cell includes current status information about the first host, the first host having provided the particular user permission to the current status information, the current status information including one or more of (i) a time when an analyte value of the first host was measured, (ii) a time when the analyte concentration state of the first host was determined, (iii) condition information about the analyte concentration state of the first host, (iv) usage data about the first host'"'"'s use of a remote monitoring service, (v) device status information about an operational parameter of a host device including a first of the different continuous analyte sensor devices or a mobile computing device in communication with the first of the different continuous analyte sensor devices, or (vi) monitoring status information indicating if the remote monitor device has been paused or suspended from remotely monitoring the analyte concentration state of the first host.

4. The method of claim 3, wherein the two or more cells are grouped in the dashboard display according to the monitoring status information of the corresponding hosts.

5. The method of claim 4, wherein groups of the two or more cells grouped according to the monitoring status information includes (i) the continuous analyte concentration sensor device of the corresponding host is removed, (ii) the monitoring status information of the continuous analyte concentration sensor device of the corresponding host indicates a status of active, and (iii) the monitoring status information of the continuous analyte concentration sensor device of the corresponding host indicates a status of inactive.

6. The method of claim 3, wherein the two or more cells are grouped in the dashboard display according to a severity of the condition information of the corresponding host.

7. The method of claim 1, further comprising:

presenting on the user interface of the software application a trend graph icon within the first cell in the dashboard display indicative of permission for the remote monitor device to view a trend graph of analyte concentration data of the first, wherein if the trend graph icon indicates that permission is not granted by the first host, a trend graph associated with the first host is not available and wherein if the trend graph icon indicates that permission is granted by the first host, providing on the user interface the trend graph, the trend graph displaying a first host'"'"'s monitored analyte concentrations over time.

8. The method of claim 1, further comprising:

presenting on the user interface of the software application a graphic icon or text within the first cell in the dashboard display, the graphic icon or text being indicative of permission for the remote monitor device to view analyte information of the first host'"'"'s first permissible data, wherein the analyte information includes one or more of (i) a current analyte concentration value associated with the first host, (ii) a trend arrow indicating a rate of change of a measured analyte concentration value associated with the first host, (iii) a time associated with measurement of a displayed analyte concentration associated with the first host, or (iv) information indicating that additional permissible data has not been received by a secure server from the first host.

9. The method of claim 1, further comprising:

receiving, at the remote monitor device, user input pertaining to notification rules corresponding to the first host, the notification rules defining circumstances when the secure server, which stores analyte sensor data of the first host, causes a notification to be sent to the remote monitor device informative of an event associated with the analyte concentration state of the first host, wherein the notification rules corresponding to the first host are modifiable by the remote monitor device within a scope established by the first host, the scope established by the first host including a set of notification rule modifications enabled by the first host for the particular user, wherein the particular user is not allowed to make changes to the notification rules corresponding to the first host outside the scope established by the first host.

10. The method of claim 9, further comprising:

receiving, at the remote monitor device, an alert notification representative of the event, the event being based on the analyte concentration state of the first host, wherein the alert notification is indicative of the analyte concentration state of the first host exceeding a predetermined threshold defined in the notification rules corresponding to the first host; and

presenting, by the software application on the remote monitor device, alert information on the user interface indicative of the alert notification.

11. The method of claim 1, wherein the remote monitoring settings display includes a plurality of field regions including:

(i) a picture field to edit or add a picture of the first or second host, (ii) a name field to edit the name of the first or second host, and (iii) one or more notification rules fields associated with the modifiable rule settings to modify at least one of the notification rules.

12. The method of claim 11, wherein the plurality of field regions include:

(i) a low alert field to enable a notification to be sent when the first permissible analyte concentration state of the first host indicates at least one analyte concentration value that is below a low concentration threshold and to set the low concentration threshold, and

(ii) a second alert field to enable a notification to be sent when the second permissible analyte concentration state of the first host indicates at least one analyte concentration value that exceeds a high concentration threshold and to set the high concentration threshold.

13. The method of claim 12, wherein each of the plurality of the field regions allows the particular user of the remote monitor device to modify a sound associated with a corresponding notification.

14. The method of claim 9, further comprising:

receiving, at the remote monitor device, user input selecting a specific cell of the two or more cells, the specific cell corresponding to the first or second; and

presenting, by the software application resident on the remote monitor device, a display screen including at least some of the first permissible data if the user input selected the first cell or at least some of the second permissible data if the user input selected the second cell.

15. The method of claim 14, wherein the at least some of the first or second permissible data presented on the display screen includes a trend graph of a monitored analyte concentration of the corresponding host.

16. The method of claim 15, wherein the trend graph includes (i) a plot line of measured analyte concentrations over time, (ii) a low threshold of measured analyte concentrations, and (iii) a high threshold of measured analyte concentrations, wherein the low and high thresholds associated with the notification rules for the corresponding host.

17. The method of claim 16, wherein the display screen includes a user selectable slider bar allowing the particular user of the remote monitor device to select different time frames of analyte sensor data of the corresponding host to view.

18. The method of claim 17, wherein the different time frames include two or more of 3 hr, 6 hr, 12 hr or 24 hr time frames.

19. The method of claim 14, wherein the at least some of the first or second permissible data presented on the display screen includes a picture of the first or second host and a name of the first or second host.

20. The method of claim 1, wherein the first permissible data includes one or more of past sensor data, current sensor data, or a trend in the rate of change of the analyte concentration state of the first host.

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

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