# US 10,869,599 B2 · Remote monitoring of analyte measurements

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- Number: US 10,869,599 B2
- Document ID: US10869599B2
- Status: Granted
- Kind: B2
- Application number: 16/831,628
- Filed: 2020-03-26
- Published: 2020-07-16
- Granted: 2020-12-22
- 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/US10869599B2

## 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 of remotely monitoring an analyte concentration state of a host, the method comprising:
receiving, at a mobile remote monitoring apparatus, an invitation to receive one or more notification messages containing information indicative of an analyte concentration state of a host based on analyte sensor data obtained from a transcutaneous analyte sensor monitoring an analyte concentration state of the host, wherein the one or more notification messages are generated based on a set of rule settings first established at a mobile host monitoring apparatus operably coupled to the transcutaneous analyte sensor and wherein at least one rule of the set of rule settings is later modifiable by the mobile remote monitoring apparatus;
presenting, at the mobile remote monitoring apparatus, the invitation to activate the mobile remote monitoring apparatus to receive the one or more notification messages for user acceptance;
receiving an indication of user acceptance, by the mobile remote monitoring apparatus, in response to the presenting of the invitation; and
configuring the mobile remote monitoring apparatus to receive, in response to receiving the indication of user acceptance, the one or more notification messages according to the set of rule settings including configuring the mobile remote monitoring apparatus to receive modifications to the at least one rule of the set of rule settings.

### Claim 2 (depends on 1)

The method of claim 1, further comprising:
receiving a modification to the at least one rule of the set of rule settings at the mobile remote monitoring apparatus;
receiving at least one notification message; and
providing the notification message for display according to the modification.

### Claim 3 (depends on 2)

The method of claim 2, wherein the providing the notification for display further comprises inhibiting access to one or more applications at the mobile remote monitoring apparatus until an action at the remote monitor is detected to indicate receipt of the notification message, wherein the mobile remote monitoring apparatus further comprises a monitoring application.

### Claim 4 (depends on 3)

The method of claim 3, further comprising opening the monitoring application.

### Claim 5 (depends on 2)

The method of claim 2, wherein the providing the notification for display further comprises presenting the notification message as a momentary message on a display at the mobile remote monitoring apparatus, without the inhibiting access.

### Claim 6 (depends on 1)

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

### Claim 7 (depends on 1)

The method of claim 1, wherein the mobile host monitoring apparatus includes, or couples to, a gateway interfacing a wireless connection to a public land mobile network.

### Claim 8 (depends on 1)

The method of claim 1, wherein at least one rule of the one or more rules defines a trigger causing an alert to be sent to the mobile host monitoring apparatus.

### Claim 9 (depends on 1)

The method of claim 1 further comprising sending, by the mobile wireless remote monitoring device, a message acknowledging a receipt of the invitation.

### Claim 10 (depends on 1)

The method of claim 1, further comprising establishing a connection between the mobile remote monitoring apparatus and a server to enable the receiving of the information.

### Claim 11 (depends on 10)

The method of claim 10, further comprising registering, at the server, at least one of the mobile remote monitoring apparatus, the mobile host monitoring apparatus, and the transcutaneous analyte sensor, wherein the registration includes a code.

### Claim 12 (depends on 1)

The method of claim 1, wherein the method is implemented on an apparatus comprising at least one processor and at least one memory including code, which when executed by the at least one processor causes the apparatus to provide the method.

### Claim 13 (depends on 1)

The method of claim 1, wherein a computer-readable storage medium includes code which when executed by at least one processor causes the method.

### Claim 14 (depends on 1)

The method of claim 1, wherein the information indicative of the analyte concentration state of the host is derived at least in part from a signal generated by the transcutaneous analyte sensor.

### Claim 15 (depends on 1)

The method of claim 1, wherein the invitation is triggered to be sent by the mobile host monitoring apparatus upon input of an identifier for a remote monitoring user into the mobile host monitoring apparatus.

### Claim 16 (depends on 1)

The method of claim 1, wherein the information indicative of the analyte concentration state of the host comprises a notification of an analyte concentration state of the host.

### Claim 17 (depends on 1)

The method of claim 1, wherein the information indicative of the analyte concentration state of the host comprises an analyte concentration value.