# US 10,499,811 B2 · Remote monitoring of analyte measurements

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- Number: US 10,499,811 B2
- Document ID: US10499811B2
- Status: Granted
- Kind: B2
- Application number: 14/945,327
- Filed: 2015-11-18
- Published: 2016-03-10
- Granted: 2019-12-10
- Earliest claimed: 2012-12-31
- Assignees: DexCom, Inc.
- Applicants: DexCom, Inc.
- Inventors: Michael Robert Mensinger; Eric Cohen; Phil Mayou; Eli Reihman; Katherine Yerre Koehler; Rian Draeger; Angela Marie Traven
- Web page: https://patentgrep.com/patent/US10499811B2

## CPC

- A61B 5/0004: {characterised by the type of physiological signal transmitted}
- A61B 5/0002: {Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network (endoradiosondes A61B5/07)}
- A61B 5/0022: {Monitoring a patient using a global network, e.g. telephone networks, internet}
- A61B 5/145: Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value {; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue} (non-radiation detecting or locating of foreign bodies in blood A61B5/06)
- A61B 5/14532: {for measuring glucose, e.g. by tissue impedance measurement}
- A61B 5/1486: using enzyme electrodes, e.g. with immobilised oxidase
- A61B 5/7264: {Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems}
- A61B 5/7282: {Event detection, e.g. detecting unique waveforms indicative of a medical condition (cough events A61B5/0823; seizures A61B5/4094; sleep apnoea A61B5/4818)}
- A61B 5/742: {using visual displays (displays for heart-related electrical signals, e.g. ECG, A61B5/339)}
- A61B 5/743: {Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots}
- A61B 5/746: {Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms}
- G16H 40/67: for remote operation
- 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
- A61B 5/0015: {characterised by features of the telemetry system}
- A61B 5/0024: {for multiple sensor units attached to the patient, e.g. using a body or personal area network}
- A61B 5/02: Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
- A61B 5/14546: {for measuring analytes not otherwise provided for, e.g. ions, cytochromes}
- A61B 5/7435: {Displaying user selection data, e.g. icons in a graphical user interface}
- 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)}
- G16H 10/60: for patient-specific data, e.g. for electronic patient records
- G16H 15/00: ICT specially adapted for medical reports, e.g. generation or transmission thereof
- 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
- G16H 20/40: relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
- G16H 40/20: for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
- G16H 40/63: for local operation
- G16H 50/20: for computer-aided diagnosis, e.g. based on medical expert systems
- G16H 50/70: for mining of medical data, e.g. analysing previous cases of other patients
- 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
- H04Q 2209/00: Arrangements in telecontrol or telemetry systems
- H04Q 2209/10: using a centralized architecture
- H04Q 2209/40: using a wireless architecture
- H04Q 2209/50: using a mobile data collecting device, e.g. walk by or drive by
- H04Q 2209/70: Arrangements in the main station, i.e. central controller
- Y02A 90/10: Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- H04L: TRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION (arrangements common to telegraphic and telephonic communication H04M)
- H04Q: SELECTING (switches, relays, selectors H01H; wireless communication networks H04W)
- Y02A: TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE

## 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

### Claim 1

A method for setting up remote monitoring of a host's analyte data, the method comprising:
receiving from a host device, at a secure server system, a request to authorize one or more remote monitor devices to receive the analyte data of a host user, the analyte data being stored on the secure server system, and to authorize the one or more remote monitor devices to receive a notification based, at least in part, on the analyte data provided by the host device, wherein the analyte data is associated with an analyte concentration state of a host user of the host device, the host device being operable to receive sensor data generated by a continuous analyte sensor worn by the host user and being operable to provide alerts to the host user based on the sensor data received from the continuous analyte sensor and a sensor data rule;
receiving from the host device, at the secure server system, a set of permissions for the one or more remote monitor devices indicating at least some of the analyte data that is to be available to the one or more remote monitor devices once authorized, wherein the set of permissions are modifiable by the host device;
receiving from a first remote monitor device of the one or more remote monitor devices, at the secure server system, an acceptance of an invitation to monitor the analyte data associated with the host user and receive the notification;
authorizing, by the secure server system, the first remote monitor device from which the acceptance of the invitation is received based, at least in part, on the invitation and the request to authorize one or more remote monitor devices;
determining, by the secure server system, a set of notification rules for the first remote monitor device defining a remote monitor threshold indicating, at least in part, a rate of change of the analyte concentration state of the user that must be satisfied in order to send the notification to the first remote monitor device informative of an event associated with the analyte concentration state of the host user, the set of notification rules further defining a host user threshold indicating, at least in part, a condition of the analyte concentration state of the user that must be satisfied in order to send the notification to the host user by the host device, the remote monitor threshold being different than the host user threshold, the condition of the analyte concentration state being determined based on at least some of the analyte data; and
determining, by the secure server system, if at least some analyte data satisfies a rule within the set of notification rules and upon determining that the analyte data satisfies the host user threshold but not the remote monitor threshold, then triggering an alert message to be sent to the host user by the host device without triggering an alert notification to be sent to the first remote monitor device by the secure server system, and if at least some analyte data satisfies both the host user threshold and the remote monitor threshold, then triggering the alert message to be sent to the host user by the host device and triggering the alert notification to be sent to the first remove monitor device by the secure system.

### Claim 2 (depends on 1)

The method of claim 1, further comprising: generating, by the secure server system, the invitation to be provided to the first remote monitor device of the one or more remote monitor devices based on the request to authorize the one or more remote monitor devices.

### Claim 3 (depends on 2)

The method of claim 2, wherein the generating the invitation includes producing a code associated with the first remote monitor device of the one or more remote monitor devices or both the first remote monitor device of the one or more remote monitor devices and the host device, and wherein the authorizing the first remote monitor device is contingent upon the secure server system receiving the code with the acceptance of the invitation.

### Claim 4 (depends on 2)

The method of claim 2, wherein the generating the invitation includes producing a single use token that permits the first remote monitor device of the one or more remote monitor devices to accept the invitation without requiring a login by a remote monitor user.

### Claim 5 (depends on 2)

The method of claim 2, further comprising: sending, from the secure server system, the invitation to the first remote monitor device.

### Claim 6 (depends on 1)

The method of claim 1, wherein the invitation is sent to the first remote monitor device by a computer or computing system in communication with the secure server system, or wherein the invitation is sent to the first remote monitor device by the host device.

### Claim 7 (depends on 1)

The method of claim 1, wherein the alert notification is sent to the first remote monitor device by a computer or computing system in communication with the secure server system.

### Claim 8 (depends on 1)

The method of claim 1, further comprising: providing, by the secure server system, status information to the host device indicating whether the invitation is pending, denied, or accepted by the first remote monitor device.

### Claim 9 (depends on 1)

The method of claim 1, wherein one or both of the host device and the first remote monitor device include a respective mobile computing device including a smartphone.

### Claim 10 (depends on 1)

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

### Claim 11 (depends on 1)

The method of claim 1, wherein the receiving the acceptance of the invitation to monitor the analyte data associated with the host user is received from a second remote monitor device of the one or more remote monitor devices, the method further comprising: authorizing, at the secure server system, the second remote monitor device from which the acceptance of the invitation is received; and providing, at the secure server system, a second set of notification rules for the second remote monitor device at least partially different than the set of notification rules for the remote monitor device.

### Claim 12 (depends on 1)

The method of claim 1, further comprising: receiving from the first remote monitor device of the one or more remote monitor devices, at the secure server system, one or more settings associated with one or both of an analyte level and a trend of the analyte level to establish the set of notification rules; and establishing the set of the notification rules for the first remote monitor device, wherein the notification rules are modifiable by the first remote monitor device within a scope of the set of permissions to the analyte data for the first remote monitor device.

### Claim 13

A continuous analyte monitoring system, comprising:
a continuous analyte sensor;
a sensor electronics unit communicatively coupled to the continuous analyte sensor, the sensor electronics unit configured to generate sensor data indicative of an analyte concentration state of a host user using the continuous analyte sensor, to wirelessly transmit the sensor data, and to provide an alert to the host device based on at least some of the sensor data based on a comparison of the at least some of the sensor data to a sensor electronics rule; and
a secure server system comprising one or more computers in communication with the sensor electronics unit via a communications network, the secure server system operable to receive at least some of the sensor data and store the at least some of the sensor data in non-transitory memory therein, the secure server system comprising system instructions that, when executed by one or more processors of the secure server system, cause the secure server system to:
receive, from the host device of the host user in communication with the sensor electronics unit and the secure server system, a request to authorize one or more remote monitor devices to receive the at least some sensor data associated with the analyte concentration state of the host user, the at least some sensor data being stored on the secure server system,
receive, from the host device, a set of permissions for the one or more remote monitor devices indicating the at least some of the sensor data that is to be available to the one or more remote monitor devices once authorized, wherein the set of permissions are modifiable by the host device,
receive, from a remote monitor device of the one or more remote monitor devices, an acceptance of an invitation to monitor the sensor data associated with an analyte concentration state of the host user,
authorize the remote monitor device from which the acceptance of the invitation is received based on the acceptance of the invitation and the request to authorize the one or more remote monitor devices,
determine a set of notification rules for the remote monitor device defining a remote monitor threshold indicating, at least in part, a rate of change of the analyte concentration state of the user that must be satisfied in order to send a notification to the remote monitor device informative of an event associated with the analyte concentration state of the host user, the set of notification rules further defining a host user threshold indicating, at least in part, a condition of the analyte concentration state of the user that must be satisfied in order to send the notification to the host user by the host device, the remote monitor threshold being different than the host user threshold, the condition of the analyte concentration state being determined based on at least some of the analyte data, and
determine if at least some analyte data satisfies a rule within the set of notification rules and upon determining that the analyte data satisfies the host user threshold but not the remote monitor threshold, then triggering an alert message to be sent to the host user by the host device without triggering an alert notification to be sent to the first remote monitor device, and if the analyte data satisfies both the host user threshold and the remote monitor threshold, then triggering the alert message to be sent to the host user by the host device and triggering the alert notification to be sent to the first remove monitor device by the secure system.

### Claim 14 (depends on 13)

The system of claim 13, further comprising: a software application comprising application instructions stored on a computer-readable medium of the host device, which when executed by a processor of the host device, the application instructions cause the host device to receive the sensor data from the sensor electronics unit, at least partially process the sensor data, and transmit the processed sensor data to the secure server system, wherein the software application is operable to cause the host device to receive input from a user of the host device indicative of the request that is associated with the remote monitor device to authorize, and to transmit the request to the secure server system.

### Claim 15 (depends on 14)

The system of claim 14, wherein the application instructions, when executed by the processor of the host device, cause the host device to present, on a user interface displayable on the host device, the invitation and permissions associated with what analyte data may be available to an invited remote monitor device once authorized.

### Claim 16 (depends on 15)

The system of claim 15, wherein the application instructions, when executed by the processor of the host device, cause the host device to present, on the user interface, information about the invited remote monitor device including a status of the invitation and types of analyte data able to be accessed by the remote monitor device.

### Claim 17 (depends on 14)

The system of claim 14, wherein the system instructions, when executed by the one or more processors of the one or more computers, cause the secure server system to generate the invitation including a code associated with the remote monitor device or both the remote monitor device and the host device, and wherein the system instructions, when executed by the one or more processors of the one or more computers, causes the secure server system to authorize the remote monitor device contingent upon the secure server system receiving the code with the acceptance of the invitation.

### Claim 18 (depends on 14)

The system of claim 14, wherein the system instructions, when executed by the one or more processors of the one or more computers, causes the secure server system to generate the invitation including a single use token that permits the remote monitor device to accept the invitation without requiring a login by the remote monitor user.

### Claim 19 (depends on 14)

The system of claim 14, wherein the system instructions, when executed by the one or more processors of the one or more computers, causes the secure server system to send the invitation to the remote monitor device.

### Claim 20 (depends on 14)

The system of claim 14, wherein the analyte concentration or state includes a glucose level.

### Claim 21 (depends on 14)

The system of claim 14, wherein the system instructions, when executed by the one or more processors of the one or more computers, causes the secure server system to receive, from the remote monitor device, one or more settings associated with one or both of an analyte level and a trend of the analyte level to establish the set of notification rules for the remote monitor device, wherein the notification rules are modifiable by the remote monitor device within a scope of the set of permissions to the analyte data for the remote monitor device.