U.S. patent application number 17/191172 was filed with the patent office on 2021-06-24 for systems and methods for processing and transmitting sensor data.
The applicant listed for this patent is DexCom, Inc.. Invention is credited to Sebastian Bohm, Mark Dervaes, Shawn Larvenz, Jacob S. Leach, Phong Lieu, Thomas Miller, Peter C. Simpson.
Application Number | 20210194542 17/191172 |
Document ID | / |
Family ID | 1000005433126 |
Filed Date | 2021-06-24 |
United States Patent
Application |
20210194542 |
Kind Code |
A1 |
Miller; Thomas ; et
al. |
June 24, 2021 |
SYSTEMS AND METHODS FOR PROCESSING AND TRANSMITTING SENSOR DATA
Abstract
Systems and methods for processing, transmitting and displaying
data received from an analyte sensor, such as a glucose sensor, are
disclosed. In an embodiment, a method for transmitting data between
a first communication device associated with an analyte sensor and
a second communication device configured to provide user access to
sensor-related information comprises: activating a transceiver of a
first communication device associated with an analyte sensor at a
first time; and establishing a two-way communication channel with
the second communication device; wherein the activating comprises
waking the transceiver from a low power sleep mode using a forced
wakeup from the second communication device.
Inventors: |
Miller; Thomas; (Valley
Center, CA) ; Dervaes; Mark; (Carlsbad, CA) ;
Lieu; Phong; (San Diego, CA) ; Simpson; Peter C.;
(Cardiff, CA) ; Larvenz; Shawn; (Ramona, CA)
; Leach; Jacob S.; (San Diego, CA) ; Bohm;
Sebastian; (San Diego, CA) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
DexCom, Inc. |
San Diego |
CA |
US |
|
|
Family ID: |
1000005433126 |
Appl. No.: |
17/191172 |
Filed: |
March 3, 2021 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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16925233 |
Jul 9, 2020 |
10985804 |
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17191172 |
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16546099 |
Aug 20, 2019 |
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16925233 |
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15413206 |
Jan 23, 2017 |
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16546099 |
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13830330 |
Mar 14, 2013 |
9788354 |
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15413206 |
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13827577 |
Mar 14, 2013 |
9445445 |
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13830330 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61B 5/1486 20130101;
H04B 5/02 20130101; H04B 5/0043 20130101; H04B 5/0031 20130101;
Y02D 30/70 20200801; H04W 12/06 20130101; H04W 76/14 20180201; A61B
5/1495 20130101; G01N 27/3271 20130101; H04W 12/068 20210101; A61B
5/14532 20130101; H04W 4/80 20180201; H04W 52/0229 20130101 |
International
Class: |
H04B 5/00 20060101
H04B005/00; H04W 76/14 20060101 H04W076/14; A61B 5/145 20060101
A61B005/145; A61B 5/1486 20060101 A61B005/1486; A61B 5/1495
20060101 A61B005/1495; G01N 27/327 20060101 G01N027/327; H04W 12/06
20060101 H04W012/06; H04W 4/80 20060101 H04W004/80; H04W 52/02
20060101 H04W052/02 |
Claims
1. A transcutaneous glucose sensor system, the system comprising: a
transcutaneous glucose sensor comprising an in vivo portion,
wherein the transcutaneous sensor is an electrochemical sensor,
wherein the transcutaneous glucose sensor comprises a membrane and
at least one electrode, wherein the at least one electrode is a
working electrode; a sensor electronics unit operatively connected
to the transcutaneous glucose sensor, wherein the sensor
electronics unit comprises circuitry associated with measuring and
processing sensor data received from the transcutaneous glucose
sensor; and a display device operatively connected to the sensor
electronics unit, wherein the display device is configured to
display a glucose value.
Description
INCORPORATION BY REFERENCE TO RELATED APPLICATIONS
[0001] Any and all priority claims identified in the Application
Data Sheet, or any correction thereto, are hereby incorporated by
reference under 37 CFR 1.57. This application is a continuation of
U.S. application Ser. No. 16/925,233, filed Jul. 9, 2020, which is
a continuation of U.S. application Ser. No. 16/546,099, filed Aug.
20, 2019, which is a continuation of U.S. application Ser. No.
15/413,206, filed Jan. 23, 2017, now abandoned, which is a
continuation of U.S. application Ser. No. 13/830,330, filed Mar.
14, 2013, now U.S. Pat. No. 9,788,354, which is a continuation of
U.S. application Ser. No. 13/827,577, filed Mar. 14, 2013, now U.S.
Pat. No. 9,445,445. Each of the aforementioned applications is
incorporated by reference herein in its entirety, and each is
hereby expressly made a part of this specification.
FIELD
[0002] The present invention relates generally to systems and
methods for processing, transmitting and displaying data received
from an analyte sensor, such as a glucose sensor.
BACKGROUND
[0003] Diabetes mellitus is a disorder in which the pancreas cannot
create sufficient insulin (Type 1 or insulin dependent) and/or in
which insulin is not effective (Type 2 or non-insulin dependent).
In the diabetic state, the victim suffers from high blood sugar,
which causes an array of physiological derangements (kidney
failure, skin ulcers, or bleeding into the vitreous of the eye)
associated with the deterioration of small blood vessels. A
hypoglycemic reaction (low blood sugar) may be induced by an
inadvertent overdose of insulin, or after a normal dose of insulin
or glucose-lowering agent accompanied by extraordinary exercise or
insufficient food intake.
[0004] Conventionally, a diabetic person carries a self-monitoring
blood glucose (SMBG) monitor, which typically requires
uncomfortable finger pricking methods. Due to the lack of comfort
and convenience, a diabetic will normally only measure his or her
glucose level two to four times per day. Unfortunately, these time
intervals are spread so far apart that the diabetic will likely
find out too late, sometimes incurring dangerous side effects, of a
hyperglycemic or hypoglycemic condition. In fact, it is not only
unlikely that a diabetic will take a timely SMBG value, but
additionally the diabetic will not know if his blood glucose value
is going up (higher) or down (lower) based on conventional
methods
[0005] Consequently, a variety of non-invasive, transdermal (e.g.,
transcutaneous) and/or implantable electrochemical sensors are
being developed for continuously detecting and/or quantifying blood
glucose values. These devices generally transmit raw or minimally
processed data for subsequent analysis at a remote device, which
can include a display.
SUMMARY
[0006] Details of one or more implementations of the subject matter
described in this specification are set forth in the accompanying
drawings and the description below. Other features, aspects, and
advantages will become apparent from the description, the drawings,
and the claims. Note that the relative dimensions of the following
figures may not be drawn to scale.
[0007] In a first aspect, a method for transmitting data between a
first communication device associated with an analyte sensor and a
second communication device configured to provide user access to
sensor-related information is disclosed, the method comprising:
activating a transceiver of a first communication device associated
with an analyte sensor at a first time; and establishing a two-way
communication channel with the second communication device; wherein
the activating comprises waking the transceiver from a low power
sleep mode using a forced wakeup from the second communication
device. In an embodiment of the first aspect, establishing the
two-way communication channel includes using authentication
information related to the transceiver. In an embodiment of the
first aspect, authentication information comprises a transmitter
serial number. In an embodiment of the first aspect, the
transceiver of the first communication device is configured to
engage in near field communication (NFC) with second communication
device. In an embodiment of the first aspect, the transceiver of
the first communication device comprises an NFC tag that may be
powered by the second communication device. In an embodiment of the
first aspect, the second communication device is configured to
engage in NFC with the transceiver of the first communication
device and wherein the second communication device comprises an NFC
initiator. In an embodiment of the first aspect, the second
communication device comprises a software application that allows a
user to initiate NFC with the first communication device. In an
embodiment of the first aspect, the software application instructs
the user to place second communication in close proximity to the
first communication device. In an embodiment of the first aspect,
close proximity comprises a distance that is less than 12 inches.
In an embodiment of the first aspect, close proximity comprises a
distance that is less than 6 inches. In an embodiment of the first
aspect, the method further comprises: sending sensor-related
information to the second communication device using the two-way
communication channel during a transmission window; deactivating
the transceiver of the first communication device at a second time;
and periodically repeating the activating, establishing, sending
and deactivating, wherein a difference between the first time and
the second time is less than or equal to one minute, and wherein
the periodic repeating is performed at least once every 30 minutes.
In an embodiment of the first aspect, the forced wakeup is out of
sync with the periodic activating and deactivating, causing a break
in a transmission window. In an embodiment of the first aspect, the
method further comprises: sending a calibration value to the first
communication device and receiving an updated glucose value at the
second communication device immediately thereafter. In an
embodiment of the first aspect, the method further comprises:
sending new setting information to the first communication device.
In an embodiment of the first aspect, the first communication
device and second communication device are paired using NFC.
[0008] In a second aspect, a method of providing a transmission
pause mode is disclosed, the method comprising: sending a
transmission pause command from a second communication device to a
first communication device, wherein the first communication device
is in communication with analyte sensor circuitry. In an embodiment
of the second aspect, a software application running on the second
communication device prompts the user to enter the transmission
pause mode, the transmission pause mode having a reduced power
level. In an embodiment of the second aspect, the transmission
pause mode is in compliance with the federal aviation
administration guidelines for electronic devices. In an embodiment
of the second aspect, the user is requested to enter a duration of
time that the first communication device will remain in the
transmission pause mode. In an embodiment of the second aspect, the
second communication device deactivates the transceiver of the
first communication device for the transmission pause mode
duration.
[0009] In a third aspect, a method for detecting sleep current in a
sensor device using a sleep current circuit in communication with
the sensor device is disclosed, the method comprising: initiating a
reduced power state for the sensor device; providing a sleep pulse
signal to a capacitor in the sleep current circuit; measuring a
charge on the capacitor in the sleep current circuit; and comparing
the charge on the capacitor to a predetermined threshold to
determine if the charge on the capacitor exceeds the predetermined
threshold. In an embodiment of the third aspect, the method further
comprises: terminating the reduced power state for the sensor
device. In an embodiment of the third aspect, the measuring a
charge on the capacitor is performed after the reduced power state
is terminated. In an embodiment of the third aspect, the method
further comprises: terminating the sleep pulse signal while the
sensor device is in a reduced power state. In an embodiment of the
third aspect, the method further comprises: terminating the reduced
power state for the sensor device within 1 second of terminating
the sleep pulse signal. In an embodiment of the third aspect, the
sleep pulse signal is provided to the capacitor via a switch. In an
embodiment of the third aspect, the predetermined threshold is an
expected charge on the capacitor that correlates with the sleep
pulse signal. In an embodiment of the third aspect, the sleep
current is any unexpected current flowing within the sensor device
while it is in the reduced power state. In an embodiment of the
third aspect, the sleep current is detected by subtracting the
predetermined threshold from the charge on the capacitor. In an
embodiment of the third aspect, the method further comprises:
providing an error message to a user if sleep current is
detected.
[0010] In a fourth aspect, a system for measuring sleep current is
disclosed, the system comprising: sensor measurement circuitry in
communication with one or more power supply circuitry configured to
provide power to the measurement circuitry: sleep current circuitry
configured to detect sleep current in the system; and control
circuitry configured to provide instructions to measurement
circuitry to switch to a sleep mode and configured to provide a
sleep pulse signal to the sleep current circuitry for determining
if any sleep current is present in the system. In an embodiment of
the fourth aspect, the sleep current circuitry comprises a
capacitor configured to collect a charge that correlates with the
sleep pulse signal. In an embodiment of the fourth aspect, the
sleep current circuitry is configured to detect sleep current by
comparing the charge on the capacitor with a predetermined
threshold.
[0011] In a fifth aspect, a method of providing an adjustable
integration window is disclosed, the method comprising: storing two
or more sensor data points in a memory buffer to create an
integrated data point, wherein each of the sensor data points is
associated with a time stamp and the stored data points define an
integration window; receiving a reference value associated with a
time stamp; and adjusting the integration window to correspond to
the time stamp for the reference value. In an embodiment of the
fifth aspect, the integration window comprises two or more sensor
data points taken at 30-second time intervals. In an embodiment of
the fifth aspect, the integration window comprises ten sensor data
points taken at 30-second time intervals. In an embodiment of the
fifth aspect, the two or more sensor data points are averaged to
create an integrated data point. In an embodiment of the fifth
aspect, wherein upon receipt of a new sensor data point, the sensor
data point associated with an oldest time stamp stored in the
memory buffer is deleted, and the sensor data points stored in the
memory buffer and the new sensor data point are averaged to create
an integrated data point. In an embodiment of the fifth aspect, the
reference value is a blood glucose value. In an embodiment of the
fifth aspect, adjusting the integration window to correspond to the
time stamp for the reference value comprises: selecting an even
number of sensor data points having time stamps before and after
the time stamp associated with the reference value; and averaging
the sensor data points to provide an integrated data point having a
close time proximity to the time stamp associated with the
reference value. In an embodiment of the fifth aspect, the time
proximity of the integrated data point is within thirty seconds of
the time stamp associated with the reference value. In an
embodiment of the fifth aspect, the sensor data points closest in
time to the time stamp for the reference value are more heavily
weighted than sensor data points furthest from the time stamp for
the reference value in the integration window. In an embodiment of
the fifth aspect, the integrated data point is extrapolated using
one or more sensor data points stored in the memory buffer. In an
embodiment of the fifth aspect, the integrated data point is
extrapolated to a point of 2.5 minutes in the future using five
30-second data values stored in the memory buffer. In an embodiment
of the fifth aspect, the sensor data points defining the
integration window are taken at a fixed time interval, wherein the
fixed time interval is adjusted depending on sensor data
information. In an embodiment of the fifth aspect, sensor data
information comprises a glucose rate of change.
[0012] In a sixth aspect, a method of providing leak detection
adjustment is disclosed, the method comprising: detecting a leakage
current using a leak detection circuit in communication with an
analyte sensor system having a processor; receiving, using the
processor, the leakage current from the leak detection circuit; and
performing an adjustment to a sensor signal using the leakage
current. In an embodiment of the sixth aspect, the adjustment to
the sensor signal comprises subtracting the leakage current from
the sensor signal. In an embodiment of the sixth aspect, performing
an adjustment to the sensor signal is performed using the processor
of the analyte sensor system. In an embodiment of the sixth aspect,
performing an adjustment to the sensor signal is performed using an
external processing device. In an embodiment of the sixth aspect,
the method further comprises: providing the adjusted sensor signal
to a user.
BRIEF DESCRIPTION OF THE DRAWINGS
[0013] FIG. 1 is a diagram illustrating some embodiments of a
continuous analyte sensor system including a sensor electronics
module.
[0014] FIG. 2A is a block diagram of a sensor electronics module in
accordance with some embodiments.
[0015] FIG. 2B is a perspective view of the sensor electronics
module of FIG. 2A held in a mounting unit in accordance with some
embodiments.
[0016] FIG. 2C is a side cross-sectional view of the sensor
electronics module and mounting unit of FIG. 2B in accordance with
some embodiments.
[0017] FIG. 3 is an exemplary block diagram illustrating various
elements of some embodiments of a continuous analyte sensor system
and display device.
[0018] FIG. 4A is a schematic circuit diagram of a low power
measurement circuit in accordance with some embodiments.
[0019] FIG. 4B is a schematic circuit diagram of a sleep current
measurement circuit in accordance with some embodiments.
[0020] FIG. 4C is a sleep timing graph for the circuit of FIG. 4A
in accordance with some embodiments.
[0021] FIG. 5A is a simplified block diagram of an embodiment of
sensor electronics module with a low power storage mode
feature.
[0022] FIG. 5B is a flow chart of an exemplary process for placing
sensor electronics module into a storage mode and taking sensor
electronics module out of the storage mode.
[0023] FIG. 6 illustrates an embodiment of a split connector having
an axial symmetric layout in accordance with some embodiments.
[0024] FIG. 7 illustrates an embodiment of a split connector having
a concentric layout in accordance with some embodiments.
[0025] FIG. 8 is a schematic cross-sectional view of a sensor
electronics module attached to a mounting unit in accordance with
some embodiments.
[0026] FIG. 9A is a flow diagram of an exemplary communication
between an analyte sensor system and a display device for
communicating glucose measurement values.
[0027] FIG. 9B is a timing diagram of an exemplary sequence for
establishing a communication channel between an analyte sensor
system and a display device.
[0028] FIG. 10 is a flowchart of an exemplary method for sending
glucose measurement values from an analyte sensor system to a
display device.
DETAILED DESCRIPTION
[0029] The following description and examples illustrate some
exemplary embodiments of the disclosed invention in detail. Those
of skill in the art will recognize that there are numerous
variations and modifications of this invention that are encompassed
by its scope. Accordingly, the description of a certain exemplary
embodiment should not be deemed to limit the scope of the present
invention.
Definitions
[0030] In order to facilitate an understanding of the systems and
methods discussed herein, a number of terms are defined below. The
terms defined below, as well as other terms used herein, should be
construed to include the provided definitions, the ordinary and
customary meaning of the terms, and any other implied meaning for
the respective terms. Thus, the definitions below do not limit the
meaning of these terms, but only provide exemplary definitions.
[0031] The terms "processor module," "microprocessor" and
"processor" as used herein are broad terms and are to be given
their ordinary and customary meaning to a person of ordinary skill
in the art, and furthermore refer without limitation to a computer
system, state machine, and the like that performs arithmetic and
logic operations using logic circuitry that responds to and
processes the basic instructions that drive a computer.
[0032] The terms "sensor data", as used herein is a broad term and
is to be given its ordinary and customary meaning to a person of
ordinary skill in the art, and furthermore refers without
limitation to any data associated with a sensor, such as a
continuous analyte sensor. Sensor data includes a raw data stream,
or simply data stream, of analog or digital signal directly related
to a measured analyte from an analyte sensor (or other signal
received from another sensor), as well as calibrated and/or
filtered raw data. In one example, the sensor data comprises
digital data in "counts" converted by an A/D converter from an
analog signal (e.g., voltage or amps) and includes one or more data
points representative of a glucose concentration. Thus, the terms
"sensor data point" and "data point" refer generally to a digital
representation of sensor data at a particular time. The term
broadly encompasses a plurality of time spaced data points from a
sensor, such as a from a substantially continuous glucose sensor,
which comprises individual measurements taken at time intervals
ranging from fractions of a second up to, e.g., 1, 2, or 5 minutes
or longer. In another example, the sensor data includes an
integrated digital value representative of one or more data points
averaged over a time period. Sensor data may include calibrated
data, smoothed data, filtered data, transformed data, and/or any
other data associated with a sensor.
[0033] The term "algorithm" as used herein is a broad term and is
to be given its ordinary and customary meaning to a person of
ordinary skill in the art, and furthermore refers without
limitation to a computational process (associated with computer
programming or other written instructions) involved in transforming
information from one state to another.
[0034] The term "sensor" as used herein is a broad term and is to
be given its ordinary and customary meaning to a person of ordinary
skill in the art, and furthermore refers without limitation to any
device (or portion of a device) that measures a physical quantity
and converts it into a signal that can be processed by analog
and/or digital circuitry. Thus, the output of a sensor may be an
analog and/or digital signal. Examples of sensors include analyte
sensors, glucose sensors, temperature sensors, altitude sensors,
accelerometers, and heart rate sensors.
[0035] The terms "coupled", "operably connected" and "operably
linked" as used herein are broad terms and are to be given their
ordinary and customary meaning to a person of ordinary skill in the
art, and furthermore refer without limitation to one or more
components being linked to another component(s), either directly or
indirectly, in a manner that allows transmission of signals between
the components. For example, modules of a computing device that
communicate via a common data bus are coupled to one another. As
another example, one or more electrodes of a glucose sensor can be
used to detect the amount of glucose in a sample and convert that
information into a signal, e.g., an electrical or electromagnetic
signal; the signal can then be transmitted to an electronic
circuit. In this case, the electrode is "operably linked" to the
electronic circuitry, even though the analog signal from the
electrode is transmitted and/or transformed by analog and/or
digital circuitry before reaching the electronic circuit. These
terms are broad enough to include wireless connectivity.
[0036] The term "physically connected" as used herein is a broad
term and is to be given its ordinary and customary meaning to a
person of ordinary skill in the art, and furthermore refers without
limitation to one or more components that are connected to another
component(s) through direct contact and/or a wired connection,
including connecting via one or more intermediate physically
connecting component(s). For example, a glucose sensor may be
physically connected to a sensor electronics module, and thus the
processor module located therein, either directly or via one or
more electrical connections.
[0037] The term "continuous analyte sensor" as used herein is a
broad term and is to be given its ordinary and customary meaning to
a person of ordinary skill in the art, and furthermore refers
without limitation to a device, or portion of a device, that
continuously or continually measures a concentration of an analyte,
for example, at time intervals ranging from fractions of a second
up to, for example, 1, 2, or 5 minutes, or longer. In one exemplary
embodiment, a glucose sensor comprises a continuous analyte sensor,
such as is described in U.S. Pat. No. 7,310,544, which is
incorporated herein by reference in its entirety.
[0038] The term "sensor session" as used herein, is a broad term
and is to be given its ordinary and customary meaning to a person
of ordinary skill in the art, and refers without limitation to a
period of time a sensor is in use, such as but not limited to a
period of time starting at the time the sensor is implanted (e.g.,
by the host) to removal of the sensor (e.g., removal of the sensor
from the host's body and/or removal of the sensor electronics
module from the sensor housing).
[0039] The term "sensor information" as used herein is a broad
term, and is to be given its ordinary and customary meaning to a
person of ordinary skill in the art, and furthermore refers without
limitation to information associated with measurement, signal
processing (including calibration), alarms, data transmission,
and/or display associated with a sensor, such as a continuous
analyte sensor. The term is broad enough to include raw sensor data
(one or more raw analyte concentration values), as well as
transformed sensor data. In some embodiments, sensor information
includes displayable sensor information.
[0040] The term "displayable sensor information" as used herein is
a broad term, and is to be given its ordinary and customary meaning
to a person of ordinary skill in the art, and furthermore refers
without limitation to information that is transmitted for display
on one or more display devices. As is discussed elsewhere herein,
the content of displayable sensor information that is transmitted
to a particular display device may be customized for the particular
display device. Additionally, formatting of displayable sensor
information may be customized for respective display devices.
Displayable sensor information may include any sensor data,
including raw sensor data, transformed sensor data, and/or any
information associated with measurement, signal processing
(including calibration), and/or alerts associated with one or more
sensors.
[0041] The term "data package" as used herein is a broad term, and
is to be given its ordinary and customary meaning to a person of
ordinary skill in the art, and furthermore refers without
limitation to a combination of data that is transmitted to one or
more display devices, such as in response to triggering of an
alert. A data package may include displayable sensor information
(e.g., that has been selected and formatted for a particular
display device) as well as header information, such as data
indicating a delivery address, communication protocol, etc.
Depending on the embodiment, a data package may comprises multiple
packets of data that are separately transmitted to a display device
(and reassembled at the display device) or a single block of data
that is transmitted to the display device. Data packages may be
formatted for transmission via any suitable communication protocol,
including radio frequency, Bluetooth, universal serial bus, any of
the wireless local area network (WLAN) communication standards,
including the IEEE 802.11, 802.15, 802.20, 802.22 and other 802
communication protocols, and/or a proprietary communication
protocol.
[0042] The term "direct wireless communication" as used herein is a
broad term, and is to be given its ordinary and customary meaning
to a person of ordinary skill in the art, and furthermore refers
without limitation to a data transmission that goes from one device
to another device without any intermediate data processing (e.g.,
data manipulation). For example, direct wireless communication
between a sensor electronics module and a display device occurs
when the sensor information transmitted from the sensor electronics
module is received by the display device without intermediate
processing of the sensor information. The term is broad enough to
include wireless communication that is transmitted through a
router, a repeater, a telemetry receiver (e.g., configured to
re-transmit the sensor information without additional algorithmic
processing), and the like. The term is also broad enough to include
transformation of data format (e.g. via a Bluetooth receiver)
without substantive transformation of the sensor information
itself.
Overview
[0043] In some embodiments, a system is provided for continuous
measurement of an analyte in a host that includes: a continuous
analyte sensor configured to continuously measure a concentration
of the analyte in the host and a sensor electronics module
physically connected to the continuous analyte sensor during sensor
use. In some embodiments, the sensor electronics module includes
electronics configured to process a data stream associated with an
analyte concentration measured by the continuous analyte sensor in
order to generate sensor information that includes raw sensor data,
transformed sensor data, and/or any other sensor data, for example.
The sensor electronics module may further be configured to generate
sensor information that is customized for respective display
devices, such that different display devices may receive different
sensor information.
Display Devices
[0044] In some embodiments, the sensor electronics module is
configured to search for and/or attempt wireless communication with
a display device from a list of display devices. In some
embodiments, the sensor electronics module is configured to search
for and/or attempt wireless communication with a list of display
devices in a predetermined and/or programmable order (e.g., grading
and/or escalating), for example, wherein a failed attempt at
communication with and/or alarming with a first display device
triggers an attempt at communication with and/or alarming with a
second display device, and so on.
[0045] Depending on the embodiment, one or more display devices
that receive data packages from the sensor electronics module are
"dummy displays", wherein they display the displayable sensor
information received from the sensor electronics module without
additional processing (e.g., prospective algorithmic processing
necessary for real-time display of sensor information). In some
embodiments, the displayable sensor information comprises
transformed sensor data that does not require processing by the
display device prior to display of the displayable sensor
information. Some display devices may comprise software including
display instructions (software programming comprising instructions
configured to display the displayable sensor information and
optionally query the sensor electronics module to obtain the
displayable sensor information) configured to enable display of the
displayable sensor information thereon. In some embodiments, the
display device is programmed with the display instructions at the
manufacturer and can include security and/or authentication to
avoid plagiarism of the display device. In some embodiments, a
display device is configured to display the displayable sensor
information via a downloadable program (for example, a downloadable
Java Script via the internet), such that any display device that
supports downloading of a program (for example, any display device
that supports Java applets) therefore can be configured to display
displayable sensor information (e.g., mobile phones, PDAs, PCs and
the like).
[0046] In some embodiments, certain display devices may be in
direct wireless communication with the sensor electronics module,
however intermediate network hardware, firmware, and/or software
can be included within the direct wireless communication. In some
embodiments, a repeater (e.g., a Bluetooth repeater) can be used to
re-transmit the transmitted displayable sensor information to a
location farther away than the immediate range of the telemetry
module of the sensor electronics module, wherein the repeater
enables direct wireless communication when substantive processing
of the displayable sensor information does not occur. In some
embodiments, a receiver (e.g., Bluetooth receiver) can be used to
re-transmit the transmitted displayable sensor information,
possibly in a different format, such as in a text message onto a TV
screen, wherein the receiver enables direct wireless communication
when substantive processing of the sensor information does not
occur. In some embodiments, the sensor electronics module directly
wirelessly transmits displayable sensor information to one or a
plurality of display devices, such that the displayable sensor
information transmitted from the sensor electronics module is
received by the display device without intermediate processing of
the displayable sensor information.
[0047] In some embodiments, one or more display devices comprise
built-in authentication mechanisms, wherein authentication is
required for communication between the sensor electronics module
and the display device. In some embodiments, to authenticate the
data communication between the sensor electronics module and
display devices, a challenge-response protocol, such as a password
authentication is provided, where the challenge is a request for
the password and the valid response is the correct password, such
that pairing of the sensor electronics module with the display
devices can be accomplished by the user and/or manufacturer via the
password. However, any known authentication system or method useful
for telemetry devices can be used.
[0048] In some embodiments, one or more display devices are
configured to query the sensor electronics module for displayable
sensor information, wherein the display device acts as a master
device requesting sensor information from the sensor electronics
module (e.g., a slave device) on-demand, for example, in response
to a query. In some embodiments, the sensor electronics module is
configured for periodic, systematic, regular, and/or periodic
transmission of sensor information to one or more display devices
(for example, every 1, 2, 5, or 10 minutes or more). In some
embodiments, the sensor electronics module is configured to
transmit data packages associated with a triggered alert (e.g.,
triggered by one or more alert conditions). However, any
combination of the above described statuses of data transmission
can be implemented with any combination of paired sensor
electronics module and display device(s). For example, one or more
display devices can be configured for querying the sensor
electronics module database and for receiving alarm information
triggered by one or more alarm conditions being met. Additionally,
the sensor electronics module can be configured for periodic
transmission of sensor information to one or more display devices
(the same or different display devices as described in the previous
example), whereby a system can include display devices that
function differently with regard to how they obtain sensor
information.
[0049] In some embodiments, as described in more detail elsewhere
herein, a display device is configured to query the data storage
memory in the sensor electronics module for certain types of data
content, including direct queries into a database in the sensor
electronics module's memory and/or requests for configured or
configurable packages of data content therefrom; namely, the data
stored in the sensor electronics module is configurable, queryable,
predetermined, and/or pre-packaged, based on the display device
with which the sensor electronics module is communicating. In some
additional or alternative embodiments, the sensor electronics
module generates the displayable sensor information based on its
knowledge of which display device is to receive a particular
transmission. Additionally, some display devices are capable of
obtaining calibration information and wirelessly transmitting the
calibration information to the sensor electronics module, such as
through manual entry of the calibration information, automatic
delivery of the calibration information, and/or an integral
reference analyte monitor incorporated into the display device.
U.S. Patent Publication Nos. 2006/0222566, 2007/0203966,
2007/0208245, and 2005/0154271, all of which are incorporated
herein by reference in their entirety, describe systems and methods
for providing an integral reference analyte monitor incorporated
into a display device and/or other calibration methods that can be
implemented with the disclosed embodiments.
[0050] In general, a plurality of display devices (e.g., a small
(key fob) display device, a larger (hand-held) display device, a
mobile phone, a reference analyte monitor, a drug delivery device,
a medical device and a personal computer) are configured to
wirelessly communicate with the sensor electronics module, wherein
the one or more display devices are configured to display at least
some of the displayable sensor information wirelessly communicated
from the sensor electronics module, wherein displayable sensor
information includes sensor data, such as raw data and/or
transformed sensor data, such as analyte concentration values, rate
of change information, trend information, alert information, sensor
diagnostic information and/or calibration information, for
example.
Small (Key Fob) Display Device
[0051] In some embodiments, one the plurality of display devices is
a small (e.g., key fob) display device 14a (FIG. 1) that is
configured to display at least some of the sensor information, such
as an analyte concentration value and a trend arrow. In general, a
key fob device is a small hardware device with a built-in
authentication mechanism sized to fit on a key chain. However, any
small display device 14a can be configured with the functionality
as described herein with reference to the key fob device 14a,
including a wrist band, a hang tag, a belt, a necklace, a pendent,
a piece of jewelry, an adhesive patch, a pager, an identification
(ID) card, and the like, all of which are included by the phrase
"small display device" and/or "key fob device" herein.
[0052] In general, the key fob device 14a includes electronics
configured to receive and display displayable sensor information.
In some embodiments, the electronics include a RAM and a program
storage memory configured at least to display the sensor data
received from the sensor electronics module. In some embodiments,
the key fob device 14a includes an alarm configured to warn a host
of a triggered alert (e.g., audio, visual and/or vibratory). In
some embodiments, the key fob device 14a includes a user interface,
such as an LCD 602 and one or more buttons 604 that allows a user
to view data, such as a numeric value and/or an arrow, to toggle
through one or more screens, to select or define one or more user
parameters, to respond to (e.g., silence, snooze, turn off) an
alert, and/or the like.
[0053] In some embodiments, the key fob display device has a memory
(e.g., such as in a gig stick or thumb drive) that stores sensor,
drug (e.g., insulin) and other medical information, enabling a
memory stick-type function that allows data transfer from the
sensor electronics module to another device (e.g., a PC) and/or as
a data back-up location for the sensor electronics module memory
(e.g., data storage memory). In some embodiments, the key fob
display device is configured to be automatically readable by a
network system upon entry into a hospital or other medical
complex.
[0054] In some embodiments, the key fob display device includes a
physical connector, such as USB port 606, to enable connection to a
port (e.g., USB) on a computer, enabling the key fob to function as
a data download device (e.g., from the sensor electronics module to
a PC), a telemetry connector (e.g., Bluetooth adapter/connector for
a PC), and/or enables configurable settings on the key fob device
(e.g., via software on the PC that allows configurable parameters
such as numbers, arrows, trend, alarms, font, etc.). In some
embodiments, user parameters associated with the small (key fob)
display device can be programmed into (and/or modified) by a
display device such as a personal computer, personal digital
assistant, or the like. In some embodiments, user parameters
include contact information, alert/alarms settings (e.g.,
thresholds, sounds, volume, and/or the like), calibration
information, font size, display preferences, defaults (e.g.,
screens), and/or the like. Alternatively, the small (key fob)
display device can be configured for direct programming of user
parameters. In some embodiments, wherein the small (key fob)
display device comprises a telemetry module, such as Bluetooth, and
a USB connector (or the like), such that the small (key fob)
display device additionally functions as telemetry adapter (e.g.,
Bluetooth adapter) enabling direct wireless communication between
the sensor electronics module and the PC, for example, wherein the
PC does not include the appropriate telemetry adapter therein.
Large (Hand-Held) Display Device
[0055] In some embodiments, one the plurality of display devices is
a hand-held display device 14b (FIG. 1) configured to display
sensor information including an analyte concentration and a
graphical representation of the analyte concentration over time. In
general, the hand-held display device comprises a display 608
sufficiently large to display a graphical representation 612 of the
sensor data over a time period, such as a previous 1, 3, 5, 6, 9,
12, 18, or 24-hours of sensor data. In some embodiments, the
hand-held device 14b is configured to display a trend graph or
other graphical representation, a numeric value, an arrow, and/or
to alarm the host. U.S. Patent Publication No. 2005/0203360, which
is incorporated herein by reference in its entirety, describes and
illustrates some examples of display of data on a hand-held display
device. Although FIG. 1 illustrates some embodiments of a hand-held
display device 14b, the hand-held device can be any single
application device or multi-application device, such as mobile
phone, a palm-top computer, a PDA, portable media player (e.g.,
iPod, MP3 player), a blood glucose meter, an insulin pump, and/or
the like.
[0056] In some embodiments, a mobile phone (or PDA) 14c is
configured to display (as described above) and/or relay sensor
information, such as via a voice or text message to the host and/or
the host's care provider. In some embodiments, the mobile phone 14c
further comprises an alarm configured to warn a host of a triggered
alert, such as in response to receiving a data package indicating
triggering of the alert. Depending on the embodiment, the data
package may include displayable sensor information, such as an
on-screen message, text message, and/or pre-generated graphical
representation of sensor data and/or transformed sensor data, as
well as an indication of an alarm, such as an auditory alarm or a
vibratory alarm, that should be activated by the mobile phone.
[0057] In some embodiments, one of the display devices is a drug
delivery device, such as an insulin pump and/or insulin pen,
configured to display sensor information. In some embodiments, the
sensor electronics module is configured to wirelessly communicate
sensor diagnostic information to the drug delivery device in order
to enable to the drug delivery device to consider (include in its
calculations/algorithms) a quality, reliability and/or accuracy of
sensor information for closed loop and/or semi-closed loop systems,
which are described in more detail in U.S. Patent Publication No.
2005/0192557, which is incorporated herein by reference in its
entirety. In some alternative embodiments, the sensor electronic
module is configured to wirelessly communicate with a drug delivery
device that does not include a display, for example, in order to
enable a closed loop and/or semi-closed loop system as described
above.
[0058] In some embodiments, one of the display devices is a drug
delivery device is a reference analyte monitor, such as a blood
glucose meter, configured to measure a reference analyte value
associated with an analyte concentration in a biological sample
from the host.
Personal Computer Display Device
[0059] In some embodiments, one of the display devices is personal
computer (PC) 14d (FIG. 1) configured to display sensor
information. Preferably, the PC 14d has software installed, wherein
the software enables display and/or performs data analysis
(retrospective processing) of the historic sensor information. In
some embodiments, a hardware device can be provided (not shown),
wherein the hardware device (e.g., dongle/adapter) is configured to
plug into a port on the PC to enable wireless communication between
the sensor electronics module and the PC. In some embodiments, the
PC 14d is configured to set and/or modify configurable parameters
of the sensor electronics module 12 and/or small (key fob device)
14a, as described in more detail elsewhere herein.
Other Display Devices
[0060] In some embodiments, one of the display devices is an
on-skin display device that is splittable from, releasably attached
to, and/or dockable to the sensor housing (mounting unit, sensor
pod, or the like). In some embodiments, release of the on-skin
display turns the sensor off; in other embodiments, the sensor
housing comprises sufficient sensor electronics to maintain sensor
operation even when the on-skin display is released from the sensor
housing.
[0061] In some embodiments, one of the display devices is a
secondary device, such as a heart rate monitor, a pedometer, a
temperature sensor, a car initialization device (e.g., configured
to allow or disallow the car to start and/or drive in response to
at least some of the sensor information wirelessly communicated
from the sensor electronics module (e.g., glucose value above a
predetermined threshold)). In some alternative embodiments, one of
the display devices is designed for an alternative function device
(e.g., a caller id device), wherein the system is configured to
communicate with and/or translate displayable sensor information to
a custom protocol of the alternative device such that displayable
sensor information can be displayed on the alternative function
device (display of caller id device).
Exemplary Configurations
[0062] FIG. 1 is a diagram illustrating some embodiments of a
continuous analyte sensor system 8 including a sensor electronics
module 12. In the embodiment of FIG. 1, the system includes a
continuous analyte sensor 10 physically connected to a sensor
electronics module 12, which is in direct wireless communication
with a plurality of different display devices 14.
[0063] In some embodiments, the sensor electronics module 12
includes electronic circuitry associated with measuring and
processing the continuous analyte sensor data, including
prospective algorithms associated with processing and calibration
of the sensor data. The sensor electronics module 12 may be
physically connected to the continuous analyte sensor 10 find can
be integral with (non-releasably attached to) or releasably
attachable to the continuous analyte sensor 10. The sensor
electronics module 12 may include hardware, firmware, and/or
software that enables measurement of levels of the analyte via a
glucose sensor, such as an analyte sensor. For example, the sensor
electronics module 12 can include a potentiostat, a power source
for providing power to the sensor, other components useful for
signal processing and data storage, and a telemetry module for
transmitting data from the sensor electronics module to one or more
display devices. Electronics can be affixed to a printed circuit
board (PCB), or the like, and can take a variety of forms. For
example, the electronics can take the form of an integrated circuit
(IC), such as an Application-Specific Integrated Circuit (ASIC), a
microcontroller, and/or a processor. The sensor electronics module
12 includes sensor electronics that are configured to process
sensor information, such as sensor data, and generate transformed
sensor data and displayable sensor information. Examples of systems
and methods for processing sensor analyte data are described in
more detail herein and in U.S. Pat. Nos. 7,310,544 and 6,931,327
and U.S. Patent Publication Nos 2005/0043598, 2007/0032706,
2007/0016381, 2008/0033254,
2005/0203360,2005/0154271,2005/0192557,2006/0222566,2007/0203966and
2007/0208245, all of which are incorporated herein by reference in
their entirety.
[0064] Referring again to FIG. 1, a plurality of display devices 14
are configured for displaying (and/or alarming) the displayable
sensor information that has been transmitted by the sensor
electronics module 12 (e.g., in a customized data package that is
transmitted to the display devices based on their respective
preferences). For example, the display devices are configured to
display the displayable sensor information as it is communicated
from the sensor electronics module (e.g., in a data package that is
transmitted to respective display devices), without any additional
prospective processing required for calibration and real-time
display of the sensor data.
[0065] Because different display devices provide different user
interfaces, content of the data packages (e.g., amount, format,
and/or type of data to be displayed, alarms, and the like) can be
customized (e.g., programmed differently by the manufacture and/or
by an end user) for each particular display device. Accordingly, in
the embodiment of FIG. 1, a plurality of different display devices
are in direct wireless communication with the sensor electronics
module (e.g., such as an on-skin sensor electronics module 12 that
is physically connected to the continuous analyte sensor 10) during
a sensor session to enable a plurality of different types and/or
levels of display and/or functionality associated with the
displayable sensor information, which is described in more detail
elsewhere herein.
Continuous Sensor
[0066] In some embodiments, a glucose sensor comprises a continuous
sensor, for example a subcutaneous, transdermal (e.g.,
transcutaneous), or intravascular device. In some embodiments, the
device can analyze a plurality of intermittent blood samples. The
glucose sensor can use any method of glucose-measurement, including
enzymatic, chemical, physical, electrochemical, spectrophotometric,
polarimetric, calorimetric, iontophoretic, radiometric,
immunochemical, and the like.
[0067] A glucose sensor can use any known method, including
invasive, minimally invasive, and non-invasive sensing techniques
(e.g., fluorescent monitoring), to provide a data stream indicative
of the concentration of glucose in a host. The data stream is
typically a raw data signal, which is converted into a calibrated
and/or filtered data stream that is used to provide a useful value
of glucose to a user, such as a patient or a caretaker (e.g., a
parent, a relative, a guardian, a teacher, a doctor, a nurse, or
any other individual that has an interest in the wellbeing of the
host).
[0068] A glucose sensor can be any device capable of measuring the
concentration of glucose. One exemplary embodiment is described
below, which utilizes an implantable glucose sensor. However, it
should be understood that the devices and methods described herein
can be applied to any device capable of detecting a concentration
of glucose and providing an output signal that represents the
concentration of glucose.
[0069] In some embodiments, the analyte sensor is an implantable
glucose sensor, such as described with reference to U.S. Pat. No.
6,001,067 and U.S. Patent Publication No. US-2005-0027463-A1. In
another embodiment, the analyte sensor is a transcutaneous glucose
sensor, such as described with reference to U.S. Patent Publication
No US-2006-0020187-A1. In still other embodiments, the sensor is
configured to be implanted in a host vessel or extracorporeally,
such as is described in U.S. Patent Publication No.
US-2007-0027385-A1, U.S. Patent Publication No. US-2008-0119703-A1,
U.S. Patent Publication No. US-2008-0108942-A1, and U.S. Pat. No.
7,828,728. In one alternative embodiment, the continuous glucose
sensor comprises a transcutaneous sensor such as described in U.S.
Pat. No. 6,565,509 to Say et al., for example. In another
alternative embodiment, the continuous glucose sensor comprises a
subcutaneous sensor such as described with reference to U.S. Pat.
No. 6,579,690 to Bonnecaze et al. or U.S. Pat. No. 6,484,046 to Say
et al., for example. In another alternative embodiment, the
continuous glucose sensor comprises a refillable subcutaneous
sensor such as described with reference to U.S. Pat. No. 6,12,939
to Colvin et al. for example. In another alternative embodiment,
the continuous glucose sensor comprises an intravascular sensor
such as described with reference to U.S. Pat. No. 6,477,395 to
Schulman et al., for example. In another alternative embodiment,
the continuous glucose sensor comprises an intravascular sensor
such as described with reference to U.S. Pat. No. 6,424,847 to
Mastrototaro et al., for example.
Sensor Electronics Module
[0070] FIG. 2A is a block diagram illustrating embodiments of the
sensor electronics module 12 (FIG. 1). The sensor electronics
module 12 can include an application-specific integrated circuit
(ASIC) 205, a user interface 222, compression sensor 254 and
temperature sensor 252. ASIC 205 can also be coupled to a
communication port 238 and a battery 234. Although FIG. 2A shows an
ASIC 205 that includes much of the electronic circuitry, the ASIC
205 may be replaced with one or more of any suitable logic device,
such as field programmable gate arrays (FPGA), microprocessors,
analog circuitry, or other digital and/or analog circuitry.
Further, ASIC 205 can include one or more additional features of
sensor electronics module 12 discussed elsewhere herein, or one or
more features illustrated in FIG. 2A as being part of the
ASIC--such as telemetry module 232, potentiostat 210, data storage
memory 220--can be separate from the ASIC.
[0071] In this embodiment, a potentiostat 210 is coupled to a
glucose sensor via data line 212, for example, in order to receive
sensor data from the glucose sensor. In some embodiments, the
potentiostat 210 provides a voltage to the glucose sensor via a
data line 212 in order to bias the sensor to enable measurement of
a current value indicative of the analyte concentration in the host
(also referred to as the analog portion). The potentiostat can have
one channel or multiple channels (and a corresponding one or
multiple data lines 212), depending on the number of working
electrodes, for example. In some embodiments, the potentiostat 210
includes a resistor (not shown) that translates the current into
voltage. In some embodiments, a current to frequency converter is
provided that is configured to continuously integrate the measured
current, for example, using a charge counting device. In some
embodiments, an A/D converter digitizes the analog signal into
"counts" for processing. Accordingly, the resulting raw data stream
in counts is directly related to the current measured by the
potentiostat 210.
[0072] A processor module 214 is the central control unit that
controls the processing of the sensor electronics module 12. In
some embodiments, the processor module 214 is formed as part of a
custom chip, such as an ASIC, however a computer system other than
an ASIC can be used to process data as described herein, for
example a microprocessor can be used for some or all of the sensor
electronics module processing. The processor module 214 typically
provides a program memory 216, which provides semi-permanent
storage of data, for example, storing data such as sensor
identifier (ID) and programming to process data streams (for
example, filtering, calibration, fail-safe checking, and the like).
The processor additionally can be used for the system's cache
memory, for example for temporarily storing recent sensor data. In
some embodiments, the processor module comprises memory storage
components such as ROM, RAM, dynamic-RAM, static-RAM, non-static
RAM, EEPROM, rewritable ROMs, flash memory, and the like. In one
exemplary embodiment, RAM 218 can be used for the system's cache
memory, for example for temporarily storing recent sensor data.
[0073] In some embodiments, the processor module 214 comprises a
digital filter, for example, an IIR or FIR filter, configured to
smooth the raw data stream from the A/D converter. Generally,
digital filters are programmed to filter data sampled at a
predetermined time interval (also referred to as a sample rate). In
some embodiments, such as when the potentiostat 210 is configured
to measure the analyte at discrete time intervals, these time
intervals determine the sample rate of the digital filter. In some
alternative embodiments, wherein the potentiostat 210 is configured
to continuously measure the analyte, for example, using a
current-to-frequency converter, the processor module 214 can be
programmed to request a digital value from the integrator at a
predetermined time interval, also referred to as the acquisition
time. In these alternative embodiments, the values obtained by the
processor module 214 are advantageously averaged over the
acquisition time due the continuity of the current measurement.
Accordingly, the acquisition time determines the sample rate of the
digital filter.
[0074] In an embodiment, the processor module 214 may be further
configured to generate data packages for transmission to one or
more display devices. Furthermore, the processor module 215 may
generate data packets for transmission to these outside sources,
e.g., via telemetry. As discussed above, the data packages may be
customizable for each display device, for example, and may include
any available data, such as displayable sensor information having
customized sensor data and/or transformed sensor data,
sensor/sensor electronics module ID code, raw data, filtered data,
calibrated data, rate of change information, trend information,
error detection or correction, and/or the like.
[0075] A data storage memory 220 is operably connected to the
processor module 214 and is configured to store a variety of sensor
information. In some embodiments, the data storage memory stores 1,
3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 20, 30 or more days of
continuous analyte sensor data. In some embodiments, the data
storage memory 220 stores sensor information such as raw sensor
data (one or more raw analyte concentration values), calibrated
data, filtered data, transformed sensor data, and/or any other
displayable sensor information.
[0076] In some embodiments, sensor electronics module 12 is
configured to receive and store contact information in the data
storage memory (and/or program memory), including a phone number
and/or email address for the sensor's host and/or health care
providers for the host (e.g., family members), nurse(s), doctor(s),
or other health care providers)), which enables communication with
a contact person (e.g., via phone, pager and/or text messaging in
response to an alarm (e.g., a hypoglycemic alarm that has not been
responded to by the host)). In some embodiments, user parameters
can be programmed into (and/or modified in) the data storage memory
(and/or program memory) of the sensor electronics module, via a
display device such as a personal computer, personal digital
assistant, or the like. Preferably, user parameters include contact
information, alert/alarms settings (e.g., thresholds, sounds,
volume, and/or the like), calibration information, font size,
display preferences, defaults (e.g., screens), and/or the like.
Alternatively, the sensor electronics module can be configured for
direct programming of certain user parameters.
[0077] In one embodiment, clinical data of a medical practitioner
may be uploaded to the sensor electronics module 12 and stored on
the data storage memory 220, for example. Thus, information
regarding the host's condition, treatments, medications, etc., may
be stored on the sensor electronics module 12 and may be viewable
by the host or other authorized user. In some embodiments, certain
of the clinical data may be included in a data package that is
transmitted to a display device in response to triggering of an
alert. The clinical data may be uploaded to the sensor electronics
module 12 via any available communication protocol, such as direct
transmission via a wireless Bluetooth, infrared, or RF connection,
or via a wired USB connection, for example. Additionally, the
clinical data may be uploaded to the sensor electronics module 12
via indirect transmission, such as via one or more networks (e.g.,
local area, personal area, or wide area networks, or the Internet)
or via a repeater device that receives the clinical data from a
device of the medical practitioner and retransmits the clinical
data to the sensor electronics module.
[0078] Although separate data storage 220 and program memory 216
are shown in FIG. 2A, one skilled in the art appreciates a variety
of configurations, including one or multiple memories that provide
the necessary storage space to support the sensor electronic module
12 data processing and storage requirements. Accordingly, the
described location of storage of any particular information and/or
or programming is not meant to be limiting, but rather
exemplary.
[0079] In some embodiments, the sensor electronics module 12 is
configured to perform smoothing and/or filtering algorithms on the
sensor data (e.g., raw data stream and/or other sensor
information), wherein the smoothed and/or filtered data is stored
in the data storage memory as transformed data. U.S. Patent
Publication No. US-2005-0043598-A1, U.S. Patent Publication No.
US-2007-0032706-A1, U.S. Patent Publication No. US-2007-0016381-A1
and U.S. Patent Publication No. US-2008-0033254-A1 describe some
algorithms useful in performing data smoothing and/or filtering
herein (including signal artifacts replacement), and are
incorporated herein by reference in their entirety.
[0080] In some embodiments, the sensor electronics module 12 is
configured to calibrate the sensor data, and the data storage
mentors 220 stores the calibrated sensor data points as transformed
sensor data. In some further embodiments, the sensor electronics
module 12 is configured to wirelessly receive calibration
information from a display device, from which the sensor
electronics module is configured to calibrate the sensor data. U.S.
Pat. Nos. 7,310,544 and 6,931,327 describe some algorithms useful
in sensor calibration herein, and are incorporated herein by
reference in their entirety.
[0081] In some embodiments, the sensor electronics module 12 is
configured to perform additional algorithmic processing on the
sensor data (e.g., calibrated and/or filtered data and/or other
sensor information) and the data storage memory 220 is configured
to store the transformed sensor data and/or sensor diagnostic
information associated with the algorithms. U.S. Pat. Nos.
7,310,544 and 6,931,327 describe some algorithms that can be
processed by the sensor electronics module, and are incorporated
herein by reference in their entirety.
[0082] Referring again to FIG. 2A, a user interface 222 can include
a variety of interfaces, such as one or more buttons 224, a liquid
crystal display (LCD) 226, a vibrator 228, an audio transducer
(e.g., speaker) 230, backlight, and/or the like. A backlight can be
provided, for example, to aid the user in reading the LCD in low
light conditions. The components that comprise the user interface
222 provide controls to interact with the user (e.g., the host).
One or more buttons 224 can allow, for example, toggle, menu
selection, option selection, status selection, yes/no response to
on-screen questions, a "turn off" function (e.g., for an alarm), a
"snooze" function (e.g., for an alarm), a reset, and/or the like.
The LCD 226 can be provided, for example, to provide the user with
visual data output. The audio transducer 230 (e.g., speaker)
provides audible signals in response to triggering of certain
alerts, such as present and/or predicted hyper- and hypoglycemic
conditions. In some embodiments, audible signals are differentiated
by tone, volume, duty cycle, pattern, duration, and/or the like. In
some embodiments, the audible signal is configured to be silenced
(e.g., snoozed or turned off) by pressing one or more buttons 224
on the sensor electronics module and/or by signaling the sensor
electronics module using a button or selection on a display device
(e.g., key fob, cell phone, and/or the like).
[0083] A telemetry module 232 is operably connected to the
processor module 214 and provides the hardware, firmware, and/or
software that enable wireless communication between the sensor
electronics module 12 and one or more display devices. A variety of
wireless communication technologies that can be implemented in the
telemetry module 232 include radio frequency (RF), infrared (IR),
Bluetooth, spread spectrum communication, frequency hopping
communication, ZigBee, IEEE 802.11/802.16, wireless (e.g.,
cellular) telecommunication, paging network communication, magnetic
induction, satellite data communication, GPRS, ANT, and/or the
like. In one preferred embodiment, the telemetry module comprises a
Bluetooth chip. In some embodiments, Bluetooth technology is
implemented in a combination of the telemetry module 232 and the
processor module 214.
[0084] A battery 234 is operatively connected to the processor
module 214 (and possibly other components of the sensor electronics
module 12) and provides the necessary power for the sensor
electronics module 12. In some embodiments, the battery is a
Lithium Manganese Dioxide battery, however any appropriately sized
and powered battery can be used (e.g., AAA, Nickel-cadmium,
Zinc-carbon, Alkaline, Lithium, Nickel-metal hydride, Lithium-ion,
Zinc-air, Zinc-mercury oxide, Silver-zinc, or hermetically-sealed).
In some embodiments the battery is rechargeable. In some
embodiments, a plurality of batteries can be used to power the
system. In yet other embodiments, the receiver can be
transcutaneously powered via an inductive coupling, for
example.
[0085] A battery charger and/or regulator 236 may be configured to
receive energy from an internal and/or external charger. In some
embodiments, a battery regulator (or balancer) 236 regulates the
recharging process by bleeding off excess charge current to allow
all cells or batteries in the sensor electronics module to be fully
charged without overcharging other cells or batteries. In some
embodiments, the battery 234 (or batteries) is configured to be
charged via an inductive and/or wireless charging pad. One skilled
in the art appreciates a variety of known methods of charging
batteries, which can be implemented with the system described
herein, including wired (cable/plug) and wireless methods.
[0086] One or more communication ports 238, also referred to as
external connector(s), can be provided to allow communication with
other devices, for example a PC communication (com) port can be
provided to enable communication with systems that are separate
from, or integral with, the sensor electronics module. The
communication port, for example, may comprise a serial (e.g.,
universal serial bus or "USB") communication port, allows for
communicating with another computer system (e.g., PC, smart mobile
phone, personal digital assistant or "PDA," server, or the like).
In one exemplary embodiment, the sensor electronics module 12 is
able to transmit historical data to a separate computing device for
retrospective analysis by a patient and/or physician.
[0087] In conventional continuous analyte sensor systems, the
on-skin portion of the sensor electronics is generally simplified
to minimize complexity and/or size of on-skin electronics, for
example, providing only raw, calibrated, and/or filtered data to a
secondary display device configured to run calibration and other
algorithms required for displaying the sensor data. In contrast,
the sensor electronics module 12 executes prospective algorithms
used to generate transformed sensor data and/or displayable sensor
information, including, for example, algorithms that: evaluate a
clinical acceptability of reference and/or sensor data, evaluate
calibration data for best calibration based on inclusion criteria,
evaluate a quality of the calibration, compare estimated analyte
values with time corresponding measured analyte values, analyze a
variation of estimated analyte values, evaluate a stability of the
sensor and/or sensor data, detect signal artifacts (noise), replace
signal artifacts, determine a rate of change and/or trend of the
sensor data, perform dynamic and intelligent analyte value
estimation, perform diagnostics on the sensor and/or sensor data,
set modes of operation, evaluate the data for aberrancies, and/or
the like, which are described in more detail in U.S. Pat. Nos.
7,310,544, 6,931,327, U.S. Patent Publication No.
US-2005-0043598-A1, U.S. Patent Publication No. US-2007-0032706-A1,
U.S. Patent Publication No. US-2007-0016381-A1, U.S. Patent
Publication No. US-2008-0033254-A1, U.S. Patent Publication No.
US-2005-0203360-A1, U.S. Patent Publication No. US-2005-0154271-A1.
U.S. Patent Publication No US-2005-0192557-A1, U.S. Patent
Publication No. US-2006-0222566-A1, U.S. Patent Publication No
US-2007-0203966-A1 and U.S. Patent Publication No.
US-2007-0208245-A1, each of which is incorporated herein by
reference in its entirety. Furthermore, the sensor electronics
module 12 is configured to store the transformed sensor data (e.g.,
values, trend information) and to communicate the displayable
sensor information to a plurality of different display devices. In
some embodiments, the display devices are "dummy" devices, namely,
they are configured to display the displayable sensor information
as received from the sensor electronics module 12, without any
additional sensor data processing.
[0088] FIGS. 2B and 2C are perspective and side views of a sensor
system including a mounting unit 240 and sensor electronics module
12 attached thereto in some embodiments, shown in its functional
position, including a mounting unit and a sensor electronics module
matingly engaged therein. In some preferred embodiments, the
mounting unit 240, also referred to as a housing or sensor pod,
comprises a base 242 adapted for fastening to a host's skin. The
base 242 can be formed from a variety of hard or soft materials,
and preferably comprises a low profile for minimizing protrusion of
the device from the host during use. In some embodiments, the base
242 is formed at least partially from a flexible material, which is
believed to provide numerous advantages over conventional
transcutaneous sensors, which, unfortunately, can suffer from
motion-related artifacts associated with the host's movement when
the host is using the device. The mounting unit 240 and/or sensor
electronics module 12 can be located over the sensor insertion site
to protect the site and/or provide a minimal footprint (utilization
of surface area of the host's skin).
[0089] In some embodiments, a detachable connection between the
mounting unit 240 and sensor electronics module 12 is provided,
which enables improved manufacturability, namely, the relatively
inexpensive mounting unit 240 can be disposed of when replacing the
sensor system after its usable life, while the relatively more
expensive sensor electronics module 12 can be reusable with
multiple sensor systems. In some preferred embodiments, the sensor
electronics module 12 is configured with signal processing
(programming), for example, configured to filter, calibrate and/or
other algorithms useful for calibration and/or display of sensor
information. However, an integral (non-detachable) sensor
electronics module can be configured.
[0090] In some embodiments, the contacts 244 are mounted on or in a
subassembly hereinafter referred to as a contact subassembly 246
configured to fit within the base 242 of the mounting unit 240 and
a hinge 248 that allows the contact subassembly 246 to pivot
between a first position (for insertion) and a second position (for
use) relative to the mounting unit 240. The term "hinge" as used
herein is a broad term and is used in its ordinary sense,
including, without limitation, to refer to any of a variety of
pivoting, articulating, and/or hinging mechanisms, such as an
adhesive hinge, a sliding joint, and the like, the term hinge does
not necessarily imply a fulcrum or fixed point about which the
articulation occurs. In some embodiments, the contacts 244 are
formed from a conductive elastomeric material, such as a carbon
black elastomer, through which the sensor 10 extends.
[0091] In certain embodiments, the mounting unit 240 is provided
with an adhesive pad 250, disposed on the mounting unit's back
surface and including a releasable backing layer. Thus, removing
the backing layer and pressing the base portion 242 of the mounting
unit 240 onto the host's skin adheres the mounting unit to the
host's skin. Additionally or alternatively, an adhesive pad 240 can
be placed over some or all of the sensor system 8 after sensor
insertion is complete to ensure adhesion, and optionally to ensure
an airtight seal or watertight seal around the wound exit-site (or
sensor insertion site) (not shown). Appropriate adhesive pads can
be chosen and designed to stretch, elongate, conform to, and/or
aerate the region (e.g., host's skin). The embodiments described
with reference to FIGS. 2B and 2C are described in more detail with
reference to U.S. Pat. No. 7,310,544, which is incorporated herein
by reference in its entirety. Preferably, configurations and
arrangements that provide water resistant, waterproof, and/or
hermetically sealed properties are provided associated with the
mounting unit/sensor electronics module embodiments described
herein.
Communication between Sensor System and Display Devices
[0092] FIG. 3 is an exemplary block diagram illustrating various
elements of some embodiments of a continuous analyte sensor system
8 in communication with display device(s) 14. The sensor system 8
may include a sensor 312 (also designated 10 in FIG. 1) coupled to
a sensor measurement circuit 310 for processing and managing sensor
data. The sensor measurement circuit 310 may be coupled to a
processor 314 (also designated 214 in FIG. 2A). In some
embodiments, the processor 314 may perform pan or all of the
functions of the sensor measurement circuit 310 for obtaining and
processing sensor measurement values from the sensor 312. The
processor may be further coupled to a transceiver 316 (e.g., part
of item 12 in FIG. 1) for sending sensor data and receiving
requests and commands from an external device, such as the display
device 14, which is used to display or otherwise provide the sensor
data to a user. The sensor system 8 may further include a memory
318 (also designated 220 in FIG. 2A) and a real time clock 320
(part of item 12 in FIG. 1) for storing and tracking sensor
data.
[0093] Wireless communication protocols may be used to transmit and
receive data between the sensor system 8 and the display device 14.
The wireless protocol used may be designed for use in a wireless
sensor network that is optimized for periodic and small data
transmissions (that may be transmitted at low rates if necessary)
to and from multiple devices in a close range (e.g., a personal
area network (PAN)). For example, the protocol may be optimized for
periodic data transfers where transceivers may be configured to
transmit data for short intervals and then enter low power modes
for long intervals. The protocol may have low overhead requirements
both for normal data transmissions and for initially setting up
communication channels (e.g., by reducing header overhead) to
reduce power consumption. In some embodiments, burst broadcasting
schemes (e.g., one way communication) may be used. This may
eliminate overhead required for acknowledgement signals and allow
for periodic transmissions that consume little power.
[0094] The protocol may further be configured to establish
communication channels with multiple devices while implementing
interference avoidance schemes. In some embodiments, the protocol
may make use of adaptive isochronous network topologies that define
various time slots and frequency bands for communication with
several devices. The protocol may thus modify transmission windows
and frequencies in response to interference and to support
communication with multiple devices. Accordingly, the wireless
protocol may use time and frequency division multiplexing (TDMA)
based schemes. The wireless protocol may also employ direct
sequence spread spectrum (DSSS) and frequency-hopping spread
spectrum schemes. Various network topologies may be used to support
low power wireless communication such as peer-to-peer, start, tree,
or mesh network topologies. The wireless protocol may operate in
various frequency bands such as an open ISM band such as 2.4 GHz.
Furthermore, to reduce power usage, the wireless protocol may
adaptively configure data rates according to power consumption.
[0095] The display device 14 may be used for alerting and providing
sensor information to a user, and may include a processor 330 for
processing and managing sensor data. The display device 14 may
include a display 332, a memory 334, and a real time clock 336 for
displaying, storing and tracking sensor data respectively. The
display device 14 may further include a transceiver 338 for
receiving sensor data and for sending requests, instructions, and
data to the sensor system 8. The transceiver 338 may further employ
a communication protocol.
[0096] In some embodiments, when a standardized communication
protocol is used, commercially available transceiver circuits may
be utilized that incorporate processing circuitry to handle low
level data communication functions such as the management of data
encoding, transmission frequencies, handshake protocols, and the
like. In these embodiments, the processor 314, 330 does not need to
manage these activities, but rather provides desired data values
for transmission, and manages high level functions such as power up
or down, set a rate at which messages are transmitted, and the
like. Instructions and data values for performing these high level
functions can be provided to the transceiver circuits via a data
bus and transfer protocol established by the manufacturer of the
transceiver circuit 316.
[0097] Components of the analyte sensor system 8 may require
replacement periodically. For example, the analyte sensor system 8
may include an implantable sensor 312 that may be attached to a
sensor electronics module that includes the sensor measurement
circuit 310, the processor 314, memory 318, and transceiver 316,
and battery (not shown). The sensor 312 may require periodic
replacement (e.g., every 7-30 days). The sensor electronics module
may be configured to be powered and active for much longer than the
sensor 312 (e.g., for three, six or more months) until the battery
needs replacement. Replacing these components may be difficult and
require the assistance of trained personnel. Reducing the need to
replace such components, particularly the battery, significantly
improves the convenience of the analyte sensor system 8 to the
user. In some embodiments, the sensor session as defined above may
correspond to the life of the sensor 312 (e.g., 7-30 days). When a
sensor electronic module is used for the first time (or reactivated
once a battery has been replaced in some cases), it may be
connected to a sensor 312 and a sensor session may be established.
As will be further described below, there may be a process for
initially establishing communication between a display device 14
and the sensor electronics module when it is first used or
re-activated (e.g., the battery is replaced). Once the display
device 14 and sensor electronics module have established
communication, the display device 14 and sensor electronics module
may periodically and/or continuously be in communication over the
life of several sensors 312 until, for example, the battery needs
to be replaced. Each time a sensor 312 is replaced, a new sensor
session may be established. The new sensor session may be initiated
through a process completed using a display device 14 and the
process may be triggered by notifications of a new sensor via the
communication between the sensor electronics module and the display
device 14 that may be persistent across sensor sessions.
[0098] The analyte sensor system 8 gathers analyte data from the
sensor 312 that it periodically sends to the display device 14.
Data points are gathered and transmitted over the life of the
sensor (e.g., 1, 3, 7, 10, 15, 30 or more days). New measurements
may need to be transmitted often enough to adequately monitor
glucose levels. Rather than having the transmission and receiving
circuitry of each of the sensor system 8 and display device 14
continuously communicating, the analyte sensor system 8 and display
device 14 may regularly and periodically establish a communication
channel between them. Thus, sensor system 8 can communicate via
wireless transmission with display device 14 at predetermined time
intervals. The duration of the predetermined time interval can be
selected to be long enough so that the sensor system 8 does not
consume too much power by transmitting data more frequently than
needed, yet frequent enough to provide substantially real-time
sensor information (e.g., measured glucose values) to the display
device 14 for output (e.g., display) to a user. While the
predetermined time interval is every five minutes in some
embodiments, it is appreciated that this time interval can be
varied to be any desired length of time. These predetermined time
intervals and associated communications are discussed in more
detail with respect to FIG. 9, below.
[0099] It should be appreciated that sensor system 8 performs a
number of tasks, each of which consume a fair amount of power. Over
the life of sensor system 8, power consumption may serve as one of
the biggest limitations to completing more and more complex tasks,
such as increased data transfer and updates to display device 14.
Furthermore, should it be desirable to further decrease the size of
sensor system 8, the size of the battery may also need to be
reduced, likely resulting in also reducing the life of sensor
system 8. Consequently, systems and methods for achieving power
savings in conjunction with sensor system 8 are highly
desirable.
Low Power Measurement Circuit and Sleep Current Detection
[0100] Some embodiments of sensor system 8 may utilize a low power
measurement circuit that is capable of switching between a
measurement mode and a low power mode to conserve power usage.
During the measurement mode, measurement circuitry can be powered
and electrically coupled to sensor electrodes to take sensor
measurements. Also during the measurement mode, a charging circuit
can be powered and electrically coupled to a capacitive circuit to
charge the capacitive circuit. After a measurement is complete, the
circuit can enter the low power mode. In the low power mode, the
measurement circuitry can be decoupled from the sensor electrodes
and powered down, and the charging circuitry can be decoupled from
the capacitive circuit and powered down. In addition, during the
low power mode, the capacitive circuit can be electrically coupled
to the sensor electrode or sensor electrodes to maintain a voltage
across the electrode(s). In this way, measurement circuitry can be
powered down in between taking measurements to reduce power
consumption, but yet a voltage can be maintained across the sensor
electrodes through the use of capacitive circuit. Maintaining a
voltage across the sensor electrodes while measurement circuitry is
powered down may be desired. Example low power measurement circuits
are described in U.S. Patent Publication No 20120078071,
incorporated herein by reference in its entirety.
[0101] In addition to using low power measurement circuitry,
circuitry that detects any extra current flowing within sensor
system 8 may be useful in ensuring that system 8 is operating
efficiently. For example, measuring any excess current flowing
within the sensor system 8 when it is in a low power or sleep mode
would be desirable. However, to have a measurement means being
actively powered to measure the excess current while the system 8
is in sleep mode could be counterproductive, depending upon the
implementation, as it could consume power to monitor possible
excess current. Furthermore, sending information related to the
excess current while the system 8 is in sleep mode may cause the
system 8 to wake up prematurely, which could also be
undesirable.
[0102] Thus, a means for monitoring the current when sensor system
8 is in storage or sleep mode that does not need to be actively
powered would be desirable in some implementations. Additionally, a
measurement means for detecting excess current that does not cause
the system 8 to prematurely wake up from sleep mode to receive the
measurement information would be desirable in some implementations.
Such measurement means may be implemented in, for example, a
separate circuit for measuring current when system 8 is in sleep
mode (hereinafter referred to as "sleep current").
[0103] Reference is now made to FIG. 4A, which is a simplified
block diagram of an embodiment of a low power circuit 400
configured to detect sleep current. Low power circuit 400 can
include measurement circuitry 402, sensor electrodes 404a and 404b,
and sleep current circuitry 408. Also illustrated in FIG. 4A is
power supply circuitry 412 and control circuitry 414. Power supply
circuitry 412 may be configured to selectively provide power to
measurement circuitry 402. In some embodiments, power supply
circuitry 412 will not be connected to sleep current circuitry 408,
as sleep current circuitry 408 may be configured to operate
independently and not require any extra power from circuit 400.
Control circuitry 414 may be configured to selectively enable power
supply circuitry 412 and selectively enable measurement circuitry
402. Power supply circuitry 412 can include any suitable power
supply source, such as a rechargeable, replaceable or disposable
battery. Power supply circuitry 412 can also include any other
circuitry needed to convert the power source into a suitable
voltage source to power the components of circuit 400. Control
circuitry 414 can be implemented via an ASIC or a general purpose
processor, for example.
[0104] Low power circuit 400 can power down measurement circuitry
402 from an active measuring state to a low power inactive sleep
state, where the sleep current is measured through the use of sleep
current circuitry 408. Control circuitry 414 can be configured to
provide a sleep pulse signal to sleep current circuitry 408 when in
the inactive sleep state. In some embodiments, the sleep pulse
signal is simply a pulse that switches the sleep current circuitry
408 into an on mode, and does not provide any power for an ongoing
period of time.
[0105] For example, control circuitry 414 may include a timer that
places low power circuit 400 in sleep mode for 30 seconds. During
this time, a sleep pulse signal (e.g., as a single pulse) flows
from control circuitry 414 to sleep current circuitry 408 to switch
the sleep current circuitry 408 on. Sleep current circuitry 408 may
charge a capacitor, where the voltage across the capacitor
correlates with the sleep pulse signal provided to sleep current
circuitry 408. After the sleep mode has terminated, an output
voltage for the capacitor can be determined by sleep current
circuitry 408. This output voltage may be correlated with a
characteristic of the sleep pulse signal (e.g., amperes or total
charge for the sleep pulse signal) to differentiate any charge in
the capacitor resulting from the sleep pulse signal from any sleep
current. An error or fault can be identified if the output voltage
is above or below pre-determined thresholds. For example, an error
message can be displayed to a user if the output voltage is above
or below pre-determined thresholds.
[0106] FIG. 4B shows an example of sleep mode circuitry 408 for
monitoring current flowing within sensor system 8 when sensor
system 8 is in a reduced power or sleep mode. In some embodiments,
sleep mode circuitry 408 captures any current resulting from the
sleep pulse signal as well as any sleep current as a charge on a
capacitor from a large current sense resistor that may be
automatically switched out of the circuit by hardware (e.g.,
internal to a processor) when the system 8 wakes or powers up. The
system 8 can then immediately read the charge on the capacitor to
determine if the total current reading (e.g., current attributable
to sleep pulse signal and the sleep current) is within an
acceptable range.
[0107] Still referring to FIG. 4B, sleep current circuit 408 may
include an analog switch U1 powered by a battery BT1. A first
resistor R1 may maintain switch U1 in state S2, connecting battery
BT1 to system ground GND. It should be appreciated that, in some
embodiments, the sleep pulse signal may simply change the state of
sleep current circuit 408 into an active measuring or on mode. The
sleep pulse signal may comprise a single pulse, being almost
instantaneous and having no lasting duration (e.g., a millisecond
or more). Generally, the sleep pulse signal may result in some
charge in circuit 408. This resultant charge may be subtracted from
the total measured charge to determine the sleep current or taken
into account when comparing the total charge to a threshold.
[0108] FIG. 4C shows a sleep timing diagram 450 with a sleep
interval set for 30 seconds. In some embodiments, software may be
used to set up a timer that will wake the processor from its sleep
mode. The processor is briefly active when entering sleep mode to
set the timer (shown in the time series "CPU Active" in FIG. 4C).
In some embodiments, a sleep pulse signal is generated (e.g., from
a processor) that goes low for a short time (e.g., about 100 ms)
before wake up occurs, switching battery BT1 to state S1. The sleep
pulse signal is shown in the time series "SLEEP_PLS_L" in FIG. 4C.
The processor becomes active again at the end of the 30-second
sleep interval.
[0109] Referring again to FIG. 4B, at state S1, capacitor C1 has a
voltage that correlates to the sleep pulse signal (due to resistor
R2). This voltage may be transferred through resistor R2 to
capacitor C1. It will be appreciated that the sleep pulse signal is
applied long enough to charge capacitor C1 to the level of resistor
R2.
[0110] When wake up of system 8 occurs, state S2 is re-entered,
while preserving the voltage at capacitor C1. In some embodiments,
software may use an ADC channel (shown in FIG. 4B as ADC_IN) to
read the charge on capacitor C1 before it is discharged through
resistors R2 and R3. The charge at capacitor C1 due to the current
received from battery BT1 via resistor R1 may be accounted for when
correlating the sleep pulse signal with the charge on capacitor C1
(e.g., an amount of charge subtracted due to current from battery
BT1).
[0111] Because sensor system 8 may spend a substantial amount of
time sleeping or in a lower power mode, if the output voltage on
the capacitor is higher than expected (e.g., greater than an amount
expected from the sleep pulse signal, the internal battery of the
sleep current circuit, or combination thereof), battery life may be
significantly shortened due to unwanted sleep currents in the
system. This present circuit allows sensor system 8 to verify
correct operation and normal battery drain when it is sleep mode.
If a fault is indicated, diagnostics or remedial action can occur.
For example, in some implementations, the sensor system may monitor
and record possible technical issues associated with the sensor
system 8. The technical issues may be recorder in a technical
support log file stored in memory of the sensor system
Auto-Zero Compensation
[0112] In some embodiments, an additional verification may be
performed on a sensor signal due to possible leakage currents. As
used herein, leakage current refers to any current that flows when
the ideal current is zero and the system 8 is an active measurement
mode (e.g., as opposed to standby, disabled, or "sleep" mode, as
described above). These devices can draw one or two microamperes
while in their quiescent stale compared to hundreds or thousands of
milliamperes while in full operation. These leakage currents are
becoming a significant factor to portable device manufacturers
because of their undesirable effect on e.g., battery run time.
[0113] As is known by one of skill in the art, sensor data may
comprise digital data in "counts" converted by an A/D converter
from an analog signal (e.g., voltage or amps). Leakage current may
affect the sensor data reading directly by showing an increase in
counts (e.g., a high leakage current will produce an increased
value for the converted counts).
[0114] In some embodiments, the leakage current may change as a
result of the internal temperature of various hardware components
(such as illustrated in FIG. 2A) changing. In such embodiments, the
leakage current may be determined by: (1) determining if the
internal temperature of one or more hardware components has
changed, and (2) if the internal temperature of one or more
hardware components has changed, measuring the leakage current. For
example, in some embodiments, the leakage current may be measured
by creating an open circuit at or near the location where leakage
is expected. It should be appreciated that any circuit capable of
detecting leakage current, as is known by one of skill in the art,
may be implemented by the present disclosure.
[0115] In some embodiments, a leakage current is detected for
sensor system 8 using a leak detection circuit in communication
with the sensor system 8. The leakage current may be received by
the sensor system (e.g., via a processor). Thereafter, an
adjustment may be performed on or more sensor signals using the
leakage current. For example, the adjustment to the sensor signal
may be subtracting the leakage current from a sensor signal. In
other words, the leakage current may be "auto-zeroed" out from the
sensor signal. In some embodiments, the adjusted sensor signal may
be provided to a user in a desirable format (e.g. as sensor count
data).
Low Power Storage Mode
[0116] Some embodiments reduce the amount of power consumed by
sensor electronics module 12 by putting sensor electronics module
in a power saving storage mode while it is in storage. In general,
a storage mode can be activated with a command at manufacturing
that initiates a routine implemented by software stored in memory,
for example, to power off select circuitry in sensor electronics
module 12 and put processor module 414 into a low power mode (e.g.,
sleep mode). Sensor electronics module 12 can then be placed in a
package that places sensor electronics module 12 next to a storage
magnet, which keeps it in storage mode until sensor electronics
module 12 is pulled away from the magnet by a user. The storage
magnet can be incorporated into the packaging directly next to
where the sensor electronics module 12 is held, for example.
[0117] In some embodiments, pulling a magnet away from sensor
electronics module switches sensor electronics module 12 out of a
storage mode and into a normal operation mode. For example, pulling
the sensor electronics module 12 away from the magnet can trigger
an interrupt line, which initiates an interrupt routine performed
by software stored in the electronics module 12. Once started, the
interrupt routine can initiate a state machine implemented using
sleep timer interrupts which check periodically across multiple
intervals, for a predetermined amount of time, such as five
minutes, to validate that the sensor electronics module 12 has
indeed been moved away from the magnet. Once the state machine
concludes that the storage magnet has been removed, the state
machine puts sensor electronics module 12 in normal operation mode
by, for example, pulling processor 314 out of low power mode, and
restoring or providing power to other circuitry of sensor
electronic module 12.
[0118] FIG. 5A is a simplified block diagram of an embodiment of
sensor electronics module 12 with a low power storage mode feature.
For ease of explanation, FIG. 5A only illustrates select components
of a sensor electronics module 12 and it is understood that further
components can be incorporated into sensor electronics module 12,
such as any components discussed above with reference to FIG. 5A.
Furthermore, a sensor kit can also be provided that includes one or
more sensor electronics modules 12 and a plurality of sensors 10,
which include low power mode storage feature(s). Such sensor kits
are described in further detail in U.S. Patent Publication No.
20120078071, incorporated herein by reference in its entirety.
[0119] As illustrated in the embodiment of FIG. 5A, sensor
electronics module 12 includes a switch 520 configured to switch
between a first state (e.g., closed state) when a force is applied
to the switch and second state (e.g., open state) when the force is
removed or sufficiently diminished. In some embodiments, the
applied force is a magnetic field, generated by any suitable means
(e.g., mechanical or electrical). Switch 520 is operatively
connected to system processor 514, which is in turn operatively
connected to ASIC 524 via FET switch 522. Telemetry module 532 is
also operatively connected to microprocessor 514.
[0120] In some embodiments, switch 520 is a reed switch. In other
embodiments, switch 520 is a Hall-effect switch. When switch 520 is
a reed switch, it includes one or more pairs of magnetizable,
flexible, metal reeds whose end portions are separated by a small
gap when the switch is open. The reeds may be hermetically sealed
in opposite ends of a tubular glass envelope. A magnetic field
(from an electromagnet or a permanent magnet) will cause the reeds
to come together, thus completing an electrical circuit. Good
electrical contact may be assured by plating a thin layer of
non-ferrous precious metal such as low-resistivity silver over flat
contact portions of the reeds.
[0121] When switch 520 is a Hall-effect switch, it includes a
transducer that varies its output voltage in response to a magnetic
field. For example, in some embodiments, the Hall-effect switch is
mounted onto a PCB, similar to other components of FIG. 5A.
Hall-effect switch may be triggered by an external magnet, such as
magnet 526 described below. In some embodiments, a Hall-effect
switch may be preferable to other switch types such as a reed
switch, which may be sensitive to vibration and shock and to a
light switch, since not optical window is required for the
Hall-effect switch.
[0122] In some embodiments, the sensor electronics module 12
includes a light-sensitive sensor that triggers the switch between
the first state and the second state. That is, the light
sensitive-sensor takes the sensor electronics module out of a
storage mode when the light-sensitive sensor is exposed to light in
accordance with some embodiments. To illustrate, sensor electronics
module 12 can be placed in a low power, storage mode during
manufacture, shipment and storage so the sensor electronics module
consumes little power. A light-sensitive sensor can be included in
sensor electronics module 12 that is shielded from light by a
protective cover and the sensor electronics module placed in a
storage mode in a similar manner as described above. Thus, during
manufacture, shipment and storage of sensor electronics module 12,
the sensor electronics module can be in the storage mode.
[0123] A user can remove the protective cover--thereby exposing the
light-sensitive sensor to light--to cause the sensor electronics
module to switch from the storage mode to a higher power,
operational mode (e.g., when the sensor electronics module 12 needs
to be woken up for use).
[0124] An exemplary process 550 for placing sensor electronics
module 12 into a storage mode and taking sensor electronics module
out of the storage mode will now be described with reference to the
flowchart depicted in FIG. 5B. It is understood that process 550 is
illustrative only, and that additional steps can be added and/or
one or more steps of process 550 can be removed. In addition, the
steps of process 550 are not limited to the described order.
[0125] Process 550 starts with activating a storage mode at block
552. A variety of methods can be used to activate the storage mode.
In some embodiments, a storage mode command is transmitted from an
external telemetry device and received by sensor electronics module
12 via telemetry module 532. The telemetry module 532 relays the
storage mode command to microprocessor 514, which, in response,
initiates a storage mode routine. In some embodiments, a storage
mode command can be initiated by inputting a command via a user
interface, such as user interface 222 of FIG. 2, of a sensor
electronics module 12.
[0126] Further to block 552, the storage mode routine can include
turning off electronic components of sensor electronics module 12
and/or placing electronic components of sensor electronics module
12 in a low power mode (also referred to as a sleep mode). In some
embodiments, microprocessor 514 is placed in a low power mode and
all other electronic components that need not be used during
storage of the sensor electronics module 12, such as a potentiostat
210, and any unneeded circuits are turned off. For example,
processor 514 of FIG. 5A can send a switch enable signal via a data
line to turn off FET switch 522, which, in turn, turns off ASIC
524.
[0127] Also included in block 552, magnet 526 is placed in
proximity to switch 520 to cause switch 520 to be in a first state
(e.g., a closed state). In some embodiments, switch 520 needs to be
in the first state prior to sensor electronics module 12 receiving
the storage mode command in order for the storage mode routine to
be initiated. In another embodiment, the storage mode interrupt
routine is initiated as long as switch 520 is placed in the first
state during a predetermined amount of time after the sensor
electronics module 12 receives the storage mode command.
[0128] In some embodiments, the sensor electronics module 12 is
checked to make sure it entered storage mode after the transmitting
the storage mode command. This can be accomplished by placing the
sensor electronics module 12 in a radio transmission detection
device that monitors radio frequencies being emitted from the
sensor electronics module. Because the sensor electronics module 12
automatically sends periodic radio frequency transmissions (e.g.
every five minutes) in some embodiments, as discussed above, the
radio transmission detection device will detect radio transmission
from the sensor electronics module should the sensor electronics
module not be placed in the storage mode and should the radio
transmission detection device be monitoring the sensor electronics
module for a time period longer than the periodic transmission time
interval. By performing this check, the manufacturer can reduce the
likelihood that a sensor electronics module 12 is sent to a
customer with a depleted battery due to the sensor electronics
module not being placed in the storage mode.
[0129] Next, at block 554, microprocessor 514, while in a low power
mode, monitors for an interrupt signal from switch 526. In some
embodiments, an interrupt signal is sent from switch 526 when
switched to a second state (e.g., open state), which occurs when
magnet 526 is no longer in sufficient proximity to switch 520 to
keep switch in the first state. This can occur, for example, when
sensor electronics module 12 is removed from storage packaging in
which magnet 526 can be embedded.
[0130] At decision block 556, process 550 determines whether an
interrupt signal has been received. If not, then process 550
returns to block 554 to continue monitoring for an interrupt
signal. If it is determined that an interrupt signal has been
received, then process 550 proceeds to block 558.
[0131] Process 550 may initiate a state machine validation routine
at block 558. In some embodiments, the state machine validation
routine verifies at predetermined intervals that the switch signal
continues for a predetermined amount of time. For example, each
predetermined interval can be one minute and the predetermined
amount of time can be five minutes. In such an example, processor
514 can be woken each interval (e.g., each minute) to verify that
the switch signal continues to be in the inactive state and the
processor is placed in a sleep mode in between verification
intervals to conserve power. Should microprocessor 514 determine
that the switch signal has returned to the activated state--which
can occur if magnet 526 is moved to be in sufficient proximity to
switch 520 or if a signal glitch occurs, (which can be further
mitigated using a debounce or second check to make sure the signal
was not glitched), for example--then the validation routine ends
and it is determined that the removed magnet state is not valid. In
some embodiments, a signal glitch may be the result of stray
magnetic fields. However, the removed magnet stale is considered
valid if, after the expiration of the predetermined amount of time,
microprocessor 514 has seen the correct switch signal level at each
verification interval.
[0132] Next, decision block 560 queries whether the removed magnet
state is valid. If not valid, then process returns to block 554.
However, if valid, then process proceeds to block 562.
[0133] At block 562, process 550 deactivates the storage mode.
Here, components of sensor electronics module 12 are switched into
a normal operation mode. For example, microprocessor can be woken
out of a sleep mode and turn on FET switch 522, which, in turn,
enables ASIC 524 and any other components of sensor electronics
module 12 that are used during a normal operation mode.
[0134] In some embodiments, process 550 can be performed not only
when the sensor electronics module 12 is placed in storage, but
also after sensor electronics module 12 is initially removed from
its packaging. In this way, a user can place the sensor electronics
module in a low power mode whenever desired; for example, when on
an airplane or any other time it is determined that the sensor
electronics module 12 should not or need not be powered. In this
regard, some embodiments provide a magnetic clip (not shown) that
is configured to hold magnet 526 in proximity to switch 520. A user
can then attach the magnetic clip to sensor electronics module 12
and initiate a storage mode command to begin process 550.
[0135] In some embodiments, sensor electronics module 12 can be
configured to prevent re-entry of the storage mode once taken out
of the storage mode. This may be beneficial to prevent the sensor
electronics module 12 from accidentally re-entering storage mode
during use, among other reasons. Sensor electronics module 12 can
be configured to prevent storage mode after the sensor electronics
module 12 is taken out of storage mode by disabling switch 420 or
the data line connecting switch 520 to processor 514, for
example.
[0136] In some embodiments, a process is used to prevent or reduce
the likelihood of inadvertent reentry into storage mode. For
example, in one implementation, a simple transition on the switch
520 is not sufficient to put the transceiver 316 (e.g., of sensor
electronics module 12) back in storage mode. In some embodiments, a
specific complex magnetic pulse waveform is required in order to
put the sensor electronics module 12 into a test mode in which the
sensor electronics module is configured to be able to receive a
storage mode command over an RF interface. In addition, the storage
mode command can be unique for each sensor electronics module 12
and can be required to be received within a predetermined amount of
time (e.g., 10 seconds) of the sensor electronics module 12
successfully entering the test mode. If any of these conditions are
not met, the sensor electronics module 12 does not return to
storage mode.
Automatically Switching on Sensor Electronics
[0137] With reference to FIG. 1, some embodiments of a system for
continuous measurement of an analyte automatically switch a sensor
electronics module 12 from a low power mode (e.g., power off mode
or low power storage mode) to a higher power operational mode when
the sensor electronics module is attached to a disposable sensor,
such as continuous analyte sensor 10 and/or mounting unit 240.
Doing so can reduce power consumption during the shelf-life of the
sensor electronics module 12 as well as in between sensor
attachments. As described above with respect to FIGS. 2B and 2C,
some embodiments of sensor system 8 can use sensor electronics
module 12 that is configured to be releasably attached to mounting
unit 240, wherein the mounting unit holds sensor 10 when the sensor
is implanted in a host.
[0138] In some embodiments, a connector pad of sensor electronics
module 12, configured to contact corresponding contact(s) of
mounting unit 240, can be split into two individual, electrically
insulated connectors. The contact(s) of the mounting unit 240 can
be in the form of a conductive, flexible "puck", designed to make
contact with the corresponding "split" connector of the sensor
electronics module when sensor electronics module is attached to
the mounting unit. Once in contact, the split connector and the
conductive puck result in a short circuit. This can cause sensor
electronics module to switch on after an impedance measurement or
switch on a battery voltage to wake up the sensor electronics
module.
[0139] FIGS. 6 and 7 are top views of respective embodiments of
split connectors 600, 700 of sensor electronics module 12. FIG. 6
illustrates an embodiment of a split connector 600 having an axial
symmetric layout, where connector 600 is split into two
semicircular partial contacts 602a and 602b. FIG. 7 is an
embodiment of a split connector 700 having a concentric (co-axial)
design, where a first partial contact 702a is encircled by a second
partial contact 702b. A space is provided between contacts 702a and
702b to insulate the contacts from one another.
[0140] FIG. 8 illustrates a partial cross-sectional view of a
sensor electronics module attached to a mounting unit in accordance
with some embodiments. Here, sensor electronics module 12 is
attached to mounting base 840, which can include any of the
features of mounting base 240 described herein. When attached, both
partial contacts 802a and 802b of sensor electronics module 12 make
contact with conductive sensor puck 804 of mounting unit 840.
Partial contacts 802a and 802b can be partial contacts 802a and
802b, respectively, or partial contacts 702a and 702b,
respectively, discussed above. The contact allows for switching on
sensor electronics module 12 its well as providing connection of a
potentiostat (not shown in FIG. 8) in the sensor electronics module
with sensor 810.
[0141] The embodiment of FIG. 8 uses electronic switch 806 based on
a measurement of impedance (resistance) between contacts 802a and
802b. Without sensor puck 804 in contact with partial contacts 802a
and 802b, the impedance measurement should be, theoretically,
infinitely high. When sensor electronics module 12 is attached to
sensor unit 820, conductive puck 804 shorts the two contacts 802a
and 802b, which results in a measurable, low resistance. This
resistance can be measured by a simple circuit incorporated in
switch 806. The circuit can draw minimum or no power. Upon
measuring the low resistance, switch 806 can switch power up the
electronics module 12 from a low power state.
[0142] The switch 806 can connect and disconnect a battery circuit
to cause sensor electronics module 12 to switch between a low power
state and a high power state. The battery circuit can be separate
from or incorporated in the sensor electronics module 12. Further,
when connected, the battery circuit can power some or all the
components of the sensor electronics module in some embodiments.
For example, in some embodiments a first battery circuit connected
to the switch 806 provides power to some, but not all, components
of the sensor electronics module, such as components used to drive
the sensor during a measurement cycle, when connected, and a
separate, second battery circuit provides power to components of
the sensor electronics module regardless of whether the first
battery circuit is connected via the switch. The first and second
battery circuits can be powered by the same or different
batteries.
[0143] When switch 806 is connected to a battery circuit,
connection of the mounting base 840 to sensor electronics module 12
causes switch 806 to close the battery circuit, which powers up the
sensor electronics module. Further, disconnecting the sensor unit
820 from the sensor electronics module 12 causes switch to open the
battery circuit, which powers down the sensor electronics
module.
[0144] In addition to or instead of one or more connector pads of
sensor electronics module 12, an electrode probe that determines if
sensor electronic module 12 is connected to a sensor 10. For
example, in some embodiments, an electrode probe e.g., part of or
in communication with a sensor electronic module 12, may send a
signal e.g., every five minutes to determine if sensor electronic
module 12 is connected to sensor 10. In some embodiments the probe
conducts periodic checking for the connection between the sensor
electronics module 12 and sensor 10. The probe signal may be
selected from electrical (e.g. resistance), mechanical, etc.
signals.
Sensor Initialization and Communication
[0145] Once sensor electronics module 12 has been switched from a
low power mode (e.g., power off mode or low power storage mode) to
a higher power operational mode (e g., when the sensor electronics
module 12 is first attached to a disposable sensor 10), a sensor
initialization process begins in accordance with some embodiments.
Accordingly, each time a new sensor 10 is connected to the sensor
electronics module 10, an initialization process may occur in
accordance with some embodiments.
[0146] For example, when a sensor is first inserted into a host,
there is a time when the sensor may need to equilibrate or
stabilize (e.g., the sensor may hydrate or swell, tissue damage and
an immune response may result from insertion of the sensor, etc.),
as is known to those of skill in the art. Furthermore, during this
equilibration time period, the sensor may not provide accurate
measurements because the bias voltage when first applied needs to
come up to a stable value. Consequently, in some situations it can
be desirable to wait an amount of time after insertion of the
sensor to allow the sensor to equilibrate in vivo. In some
embodiments, the sensor electronics can perform an initialization
process aid in stabilizing the sensor. A non-limiting example
includes applying a voltage that is higher than the normal bias
voltage to the sensor.
Use of Data Communication Protocols
[0147] FIG. 9A is a flow diagram of an exemplary communication
between an analyte sensor system 8 and a display device 14 for
communicating glucose measurement values. The data transfer may
happen periodically, at times separated by an update interval
T.sub.update that may correspond to a period of obtaining and
sending a recently measured glucose value (e.g., five minutes). In
between these data transfer procedures, the transceiver 316 of the
analyte sensor system 8 can be powered down or in a sleep mode to
conserve battery life. As such, the analyte sensor system 8 may
therefore establish a communication channel with the display device
14 once per update interval T.sub.update. Establishing a
communication channel may occur during a transmission window
T.sub.window within an update interval T.sub.update.
[0148] To establish a communication channel, the analyte sensor
system 8 may send one or more message beacons during of a
transmission window T.sub.window within an update interval
T.sub.update. Each message beacon may be considered an invitation
for a display device 14 to establish a communication channel with
the sensor system 8. A beacon may include data including a
challenge value for authenticating a display device 14. During
initial system set up, the display device 14 may listen
continuously until such a message beacon is received. When the
beacon is successfully received, the display device 14 can
acknowledge the reception to establish communication between the
devices. In response to the beacon, the display device 14 may send
a message requesting a measurement along with a computed value for
authentication. Once authenticated, the analyte sensor system 8 and
display device 14 may exchange information to determine how data
will be exchanged (e.g., a specific frequency, time slot
assignment, etc.) When the desired data communication is complete,
the channel can be closed, and the transceiver 316 of the analyte
sensor system 8 (and possibly the transceiver 338 of the display
device 14 as well) can be powered down. The entire data
transmission window interval T.sub.window for providing data to one
or more display devices 14 may be a small fraction of the update
interval T.sub.update. For example, T.sub.update may be five
minutes and the data transmission window interval T.sub.window may
be thirty seconds. As such, the transceiver 316 of the analyte
sensor system 8 may only be powered for substantially 30 seconds of
a five minute T.sub.update interval. This may significantly reduce
power consumption. In some cases, the transceiver 316 is not
completely powered down, but enters a low-power mode when not
transmitting. After a T.sub.update interval has elapsed, the
transceivers 316, 338 can be synchronized to power up again
substantially simultaneously, and establish a new communication
channel using the same process to exchange any new data as shown in
FIG. 9A. This process may continue, with new communication channels
being established at the predetermined intervals.
[0149] To allow for some loss of synchronization between the two
devices in between transmissions, the analyte sensor system 8 may
be configured to send a series of message beacons 902 in a window
of time around the scheduled transmission time (e.g., 8 message
beacons per second for 4 seconds). Any one of the message beacons
can be used to initiate the establishment of a new communication
channel when it is received by the display device 14. After
communicating with one device during the transmission window, the
analyte sensor system 8 may send out further message bacons 904.
These beacons can be received and used to establish other
communication channels with other devices (e.g., other display
devices) during the transmission window T.sub.window. However, in
some embodiments, if it is known that the analyte sensor system 8
is only communicating with a single display device, then the
transmission window T.sub.window can be terminated at the same time
as closing the communication channel with the display device.
[0150] FIG. 9B is a timing diagram of an exemplary sequence for
establishing a communication channel between an analyte sensor
system 8 and a display device 14. The display device 14 may
initially "wake up" its transceiver 316 and wait to receive a
beacon from the analyte sensor system 8. Once the analyte sensor
system 8 begins sending beacons, it may take one, two, or more
beacons for the display device 14 to receive the beacon and respond
with a request. Once the beacon is received and the request sent,
data may thereafter be sent and/or received as shown by the shaded
time slots. The channel can then be closed once analyte sensor
system 8 and display device 14 determines that all requested data
has been transmitted to the respective devices or it the
transmission window time expires. At the start of a new
T.sub.update interval, the process is repeated.
[0151] Continuously re-establishing a new communication channel to
allow for partially or wholly powering down the transceiver 316
during each update interval T.sub.update can provide significant
power savings and can allow the sensor electronics module 12 to
operate continuously for six months or more without requiring a
battery replacement. Furthermore, rather than blindly transmitting
glucose data points during the transmission window T.sub.window,
communication channels may be established so that only the desired
display devices 14 may receive the glucose information. This may
prevent unauthorized use and interception of glucose measurement
values. In addition, by establishing a secure two-way communication
channel, requests for specific glucose measurement values or
communication of calibration or configuration information may be
transmitted on an as-needed/requested basis between the sensor
system 8 and display device 14.
[0152] Also, in some embodiments, the communication window need not
open during every update interval T.sub.update. Instead, the window
can open every second, third or fourth update interval
T.sub.update, for example, so that communication between the sensor
system 8 with the display device 14 occurs less frequently than
every update interval T.sub.update. Doing so can further reduce
power consumption. Accordingly, a window frequency variable
F.sub.window can be used that dictates a frequency the window
opens.
[0153] In some embodiments, the update interval T.sub.update,
transmission window T.sub.window and/or window frequency
F.sub.window may be variable. T.sub.update, T.sub.window and/or
F.sub.window can be user configurable (e.g., by inputting a value
for the variable using user interface of display device 14) and/or
automatically varied by the sensor system 8 or display device 14
based on one or more criteria. The criteria can include: (i) a
monitored battery power of the sensor system 8, (ii) a currently
measured, previously measured and/or predicted glucose
concentrations meeting or exceeding a predetermined threshold,
(iii) a glucose concentration trend of the host based on currently
measured, previously measured and/or predicted glucose
concentrations, (iv) a rate of change of glucose concentration of
the host based currently measured, previously measured and/or
predicted glucose concentrations meeting or exceeding a
predetermined threshold, (v) whether the host is determined to be
in or near hyperglycemia based on currently measured, previously
measured and/or predicted glucose concentrations, (vi) whether the
host is determined to be in or near hypoglycemia based on currently
measured, previously measured and/or predicted glucose
concentrations, (vii) user inputted activity of the host (e.g.,
exercising or sleeping), (viii) time since a sensor session has
started (e.g., when a new sensor 10 is used), (ix) one or more
errors detected by sensor system 8 or display device 14, 16, 18,
20, and (x) type of display device.
[0154] T.sub.update, T.sub.window and/or F.sub.window and other
configuration items described herein may form part of a
communication protocol profile that may be stored on any device
that implements the fundamental communication protocol to allow for
a customized use of the protocol for receiving glucose measurement
values, such as sensor system 10 and display device 14.
[0155] FIG. 10 is a flowchart of an exemplary method for sending
glucose measurement values from an analyte sensor system 8 to a
display device 14. At a pre-determined time in an update interval
T.sub.update, an analyte sensor system 8 may activate a transceiver
316 as shown in block 1002. This may include powering the
transceiver 316 or awakening the transceiver 316 from a low power
mode/slate such as a sleep mode. In block 1004, the transceiver 316
may open and establish an authenticated two-way communication
channel between the analyte sensor system 8 and a display device
14. If the channel is established, in block 1006, the analyte
sensor system 8 and the display device 14 may transmit information
between them, either automatically (e.g., device determines a
triggering event to transmit specific information) or in response
to a request received from the other device. Such information can
include one or more glucose measurement values, calibration
information, alert settings, communication synchronization
information, and the like. Once the transmission is complete and
data requested by the display device 14 and sensor system 10 is
sent, the analyte sensor system 8 may close the communication
channel. In block 1010, the analyte sensor system 8 may deactivate
the transceiver 316 such as powering-down the transceiver or
causing it to go into a low power mode. The operations in block
1004 through 1008 may be repeated with additional display devices
until the transmission window T.sub.window closes. The analyte
sensor system 8 may then wait for the next transmission window
T.sub.window to open as shown in block 1012, and in the meantime
gather glucose measurement values, before the process is repeated
continuously over the duration of a sensor session (e.g.,
corresponding to the life of non-durable sensor). Between each
transmission window T.sub.window, a new analyte sensor measurement
may be obtained and stored for transmission.
User-Initiated Switching on Sensor Electronics via NFC
[0156] As described above, in some embodiments, sensor electronics
module 12 may be automatically switched from a low power mode
(e.g., power off mode or low power storage mode) to a higher power
operational mode when the sensor electronics module is attached to
a disposable sensor. In at least some of these embodiments, the
initialization or run-in process may take time to ensure that the
sensor is stable before allowing the sensor to make and/or transmit
measurements.
[0157] In other embodiments, the user may switch the mode of the
transceiver 316 from a low power mode to a higher operational power
mode. For example, in some embodiments, it may be advantageous to
allow the user to wake the analyte sensor system 8 from its storage
mode.
[0158] In some embodiments, analyte sensor system 8 further
includes near field communication (NFC) capability. In some
embodiments, an NFC tag is integral to the electronics in sensor
system 8 (shown as NFC tag 322 in FIG. 3) or embedded in e.g., the
housing or mounting unit 240. While not shown explicitly, NFC tag
322 may be included as part of transceiver 316, making transceiver
316 a "smart transceiver".
[0159] As can be appreciated, NFC is a set of short-range wireless
technologies, typically requiring a distance of 10 cm or less.
Currently, NFC operates at 13.56 MHz on ISO/IEC 18000-3 air
interface and at rates ranging from about 106 kbit/s to 424 kbit/s.
NFC generally includes an initiator and a target, where the
initiator actively generates a radio frequency (RF) field that can
power a passive target.
[0160] In some embodiments, analyte sensor system 8 corresponds to
the NFC target and a display device 14 such as a mobile phone
(e.g., smartphone) capable of NFC communication corresponds to the
NFC initiator. In such embodiments, the smartphone may include a
software application or "app" that can be used for communication
with analyte sensor system 8. In some embodiments, the smartphone
app may be configured to prompt the user to enter information
specific to sensor system 8 (e.g., transmitter serial number) to
wake the electronics module 12 out of storage mode. Thereafter, the
smartphone app may activate the NFC functionality and instruct the
user to hold the smartphone in close proximity (e.g., within 1 ft.)
to the sensor system 8.
[0161] In some embodiments, the smartphone provides energy to NFC
tag 322 by generating an RF field. The smartphone may also transmit
e.g., identification information, and a command for the electronics
module 12 to wake out of storage mode. It should be appreciated
that the identification information may be specific to the sensor
system 8 and serve as a validation that the NFC process is
authenticated. In some alternate embodiments, the smartphone may
read the e.g., transmitter serial number from the NFC tag 322,
automatically enter it into the application, and proceed with the
wake up process.
[0162] Once NFC tag 322 has received the correct wake up command,
it can send a signal to an interrupt input on processor 314. After
processor 314 has received the interrupt, the processor 314 may
exit the low-power sleep mode and begin the normal operation of the
sensor system 8, within minimal delay.
[0163] Because of the short communication range, NFC activation may
inherently provide good security for activating the sensor system
8. Additionally, the use of a specific unique transmitter ID and a
wake command add further security to the activation process.
[0164] In some embodiments, reading the transmitter ID from NFC tag
322 may be used for pairing electronics module 12 that is already
awake to a receiving device such as a laptop or another smartphone.
Such a pairing process is described below.
Pairing of Two or More Devices
[0165] In some embodiments, pairing of two devices (e.g., a master
and slave device) may be required to establish a relationship
between two devices that want to communicate with one another.
Pairing may be accomplished during the channel establishment
process described above between the two devices. Establishing a
channel may involve broadcasting a unique ID by one device and a
search and acquisition of this ID by another device.
[0166] A parameter that may be used in device pairing is the master
device ID. In order to establish a communication channel, a master
transmitter may broadcast its device ID (along with some other
information) in the above described beacon and the receiver checks
for the presence of the device ID of the transmitter with which it
wants to communicate in the received beacons. The device ID may be
a 2-byte value representing a specific master device, for
example.
[0167] Although a master device ID may provide some level of
security, in that a slave device can be programmed to communicate
only with a master device having a particular device ID number,
additional security can be useful in some embodiments. As described
above, to save power by deactivating the transceiver 316 of the
analyte sensor system 8, a communication channel may be
re-established during each update interval T.sub.update. As such,
as part of the channel establishment process, regular and repeated
re-authentication may also be provided.
[0168] To provide additional security, some embodiments of the
present invention can use two pieces of information to pair a
receiver with a particular transceiver device. These two pieces of
information include the device ID described above and another value
which is referred to herein as a sensor security code. The device
ID is used as described above to e.g., filter receipt of
non-matching messages at the lowest layer of the protocol stack.
The sensor security code is used for e.g., a key based
authentication scheme at the software application layer of the
system. In some embodiments, both the device ID and the sensor
security code can be derived from an identifier (e.g., a
manufacturer's serial number) associated with the sensor system
8.
[0169] As seen in the embodiment of FIG. 1, the sensor system 8
comprises two fundamental components, the continuous sensor 10 and
the electronics module 12. These two components may be separable
from one another, allowing, for example, replacement of the
continuous sensor portion 10. In this case, the identifier may be
etched into, printed on or otherwise attached to a housing of the
electronics module portion 12.
[0170] The sensor system 8 may include seven alphanumeric
characters printed on a housing of the sensor system 8, which can
comprise the identifier used for identification purposes. This
alphanumeric series of characters may be used to generate both the
device ID used in the master beacons to establish a channel and to
generate the sensor security code used for additional security in
the glucose monitoring system.
NFC and Window Transitioning
[0171] As explained above, in some embodiments, it may be desirable
to allow the user to wake up or turn on electronics module 12. As
presented above, the transceiver 316 may be off while in storage
mode or in between transmission windows (e.g., where the
transceiver 316 communicates with another device 14 every 5
minutes).
[0172] NFC wake up can cause immediate or forced communication
between electronics module 12 and e.g., a smartphone or other
device. Such forced communication can occur as described above,
such as when a user uses a smartphone application to wake up the
electronics module 12. It can be appreciated that the forced wake
up would often be out of sync with the normal communication window
(e.g., every 5 minutes). Thus, in some embodiments, the forced wake
up can cause the transmission window to start over at the time the
forced communication commences. In other embodiments, the forced
wake up can cause a break or gap in the transmission window, but
does not cause the transmission window to start over. Further
description on transmission window initialization and communication
is provided below.
[0173] Several benefits may be realized from NFC forced wake up
that is out of sync with the normal transmission window. For
example, such NFC wake up may be used to cause information to be
sent almost immediately (e.g., in real-time), such as: transfer a
calibration value to the sensor system 8 (e.g., at transceiver 316)
and get an updated estimated glucose value (EGV) back to the
display device (e.g., at transceiver 338), send down new settings
(e.g., alarm settings, calibration settings, etc.) to the sensor
system 8, pair a display device 14 to the sensor system 8. In some
embodiments, NFC wake up make also be used to enable test modes and
code upgrades.
[0174] As described above, the NFC forced wake up may allow the
pairing of electronics module 12 of sensor system 8 with another
display device 14 such as a smartphone. This pairing may be done
without requiring a mechanical button, such as is necessary for
e.g., Bluetooth pairing.
[0175] While immediate communication using NFC has generally been
referred to as NFC wake up, it should be appreciated that if the
communicating devices are already awake, that wake up is not
necessarily performed. Rather, in such embodiments, the
communication is a forced communication that sends some sort of
immediate data, such as a calibration value. For example, in some
embodiments, NFC may be used to start the initialization period
when a new sensor 10 is attached to sensor system 8. This may allow
initialization to begin immediately regardless of where the
transmission window is (e.g., when the next transmission window
will begin).
Transmission Pause Mode
[0176] In some embodiments, it may be desirable to allow a user to
cause electronics module 12 to enter a suspended or pause mode.
Such transmission pause mode may be useful during times when a user
may be prohibited from transmitting data, such as on an airplane.
Such a mode may allow a user to not have to power down electronics
module 12. Rather, the electronics module 12 is suspended from
transmitting information for a predetermined duration of time.
[0177] In some embodiments, a user may initiate a "transmission
pause mode" request in a software application on their display
device 14 such as a smartphone when the user is in the airport or
on an airplane. The smartphone may prompt the user to enter the
estimated duration e.g., of the flight or time T. The smartphone
may thereafter send a command to the electronics module 12 to enter
into the "transmission pause mode" for a certain time duration,
e.g., time T.
[0178] Upon receiving the "airplane mode" command, electronics
module 12 may be configured to decrease its RF transmission power
for the duration of time T. In some embodiments, after time T has
elapsed, electronics module 12 returns to its normal RF power level
and resumes normal operation.
[0179] A benefit of having an "transmission pause mode" is that
electromagnetic energy produced by sensor system 8 may be minimized
during a flight (e.g., minimizing any interference of airplane
electronic systems due to radio transmissions from the sensor
electronics module).
[0180] In some embodiments, "transmission pause mode" may be
implemented using NFC. In some embodiments, a user may wake
electronics module 12 from the "transmission pause mode" using
NFC/.
Adjustable Integration Window
[0181] The information communicated from the sensor system 8 to
display device 14 generally includes or relates to sensor data. In
one example, the sensor data comprises digital data in "counts"
converted by an A/D converter from an analog signal (e.g., voltage
or amps) and includes one or more data points representative of a
glucose concentration. Sensor data may include a plurality of time
spaced data points from a sensor, such as a from a substantially
continuous glucose sensor, which comprises individual measurements
taken at time intervals ranging from fractions of a second up to,
e.g., 1, 2, or 5 minutes or longer. In another example, the sensor
data includes an integrated digital value representative of one or
more data points averaged over a time period, or integration
window.
[0182] As described elsewhere herein, for sensor calibration, a
user may input or enter a reference value at some point in time.
For purposes of illustration, the following explanation uses a
blood glucose value (BGV) as the reference value, although it is
understood that other measurements can be used as a reference value
instead. In some embodiments, a calibration algorithm will then
match or pair the BGV with the last available integrated sensor
signal or value to calibrate the data set. In some embodiments, a
calibration algorithm will then match or pair the BGV with an
integrated sensor signal having a time stamp that is proximate to
the time stamp of the BGV to calibrate the data set. Accordingly,
the time difference between the entered BGV and the last available
integrated sensor value could be the maximum time between the
transmission windows (e.g., 5 minutes). In addition to this time
difference, the integrated sensor signal or value may be delayed
itself due to processing lag time due to filtering and the like.
For example, the integrated sensor signal may have a delay of 2.5
minutes because of data filtering, making a potential time delay
about 7.5 minutes. It can be appreciated that a time difference or
delay can have a negative impact on system accuracy, as the
physiological glucose level may have changed during that time,
especially in the case of when the system is calibrated when the
physiological glucose level is changing rapidly.
[0183] In some embodiments, to provide an improved match between
the BGV and integrated sensor signal, the integrated sensor signal
may be provided "on demand" or in real-time (e.g., at the point in
time when user enters a BGV for calibration). In some embodiments,
the integrated sensor signal may be provided using software (e.g.,
one or more algorithms) that records and/or manipulates sensor
signal data.
[0184] For example, in some embodiments, the sensor signal may be
captured and integrated every 30 seconds. Every 5 minutes, ten of
these 30 second values are averaged to provide an integrated sensor
signal to the algorithm. The collected sensor signals and
integrated values may be stored for example, in a memory buffer
which may be part of e.g., memory 318. It should be appreciated
that the integration value parameters used are exemplary only, and
that any sampling duration and sampling number is contemplated.
[0185] To provide an integrated sensor signal when a BGV is
entered, the integration window (and hence the values used for
providing the integrated sensor signal) may need to be shifted.
This integration window shifting or adjusting may be achieved by:
(1) storing the last ten 30 second data points in a memory buffer;
(2) when a new 30 second data point comes in, entering the new data
point in the buffer and deleting the oldest data point; and (3)
when a calibration or BGV is entered, calculating the integrated
sensor signal on the most recent data point values stored in the
buffer. In the present example, a 5 minute averaged sensor signal
can be provided that is matched within 30 seconds of the entered
calibration value, thereby yielding improved accuracy. In some
embodiments, the accuracy of the averaged sensor signal can be
confirmed by comparing a time stamp associated with the integration
value to the time stamp associated with the entered calibration
value.
[0186] While the example provides using ten 30 second values, any
number of samples or data points for any duration of time that
results in an integration window of a fixed period may be used.
However, having the values selected from integration window shifted
to be closer to the calibration value will generally be more
representative of the BGV. For example, in some embodiments, the
averaging of the integrated sensor signal may be performed or
centered around the entered glucose value (e.g., taking the five 30
second points before the BGV and the five 30 second points after
the BGV). Centering the integration sensor signal around the BGV
may result in minimizing any time delay present in the averaged
five minute value.
[0187] Also, in some embodiments, a weighted average that is more
favorably or heavily weighted on the data point(s) in time closest
to the entered BGV may be used. In some embodiments, additional
tools such as adaptive filtering may be used to monitor the noise
of the points.
[0188] In addition or instead of using data values stored in the
memory buffer, the integrated sensor signal or value may be
extrapolated using e.g., at least one or more values stored in the
memory buffer. In some examples, the integrated sensor signal may
be extrapolated to a point of 2.5 minutes in the future using five
30 second data values stored in the buffer. In other embodiments,
the integrated sensor signal may be extrapolated to a point of 2.5
minutes in the future using the rate of change on the previous
sampled data points.
[0189] In some embodiments, to improve the accuracy of matching the
entered glucose values with the integrated sensor signals, a time
stamp may be provided with the glucose values. The algorithm may
use the time stamp associated with a BGV to determine which set of
data (e.g., which 10 points) need to be averaged to yield an
integrated sensor signal that is matched or paired with the glucose
value. In preferred embodiments, the sensor system 8 and paired
device 14 in communication with each other are synchronized,
thereby ensuring proper interpretation of time stamps.
[0190] In some embodiments, when there is a delay in communication
between the paired device 14 and sensor system 8, the buffer can be
configured to store more integrated sensor signals. For example, if
there is a 5 minute delay in communication, the buffer may be
configured to store the present integrated sensor signal and a past
integrated sensor signal or a total of 20 30 second values.
[0191] Also, while the integration window may remain a fixed
duration (e.g., 5 minutes), the data presentation on paired device
14 does not need to be limited to one point for the fixed duration.
For example, if it is desired to have the glucose values displayed
within 2.5 minute intervals, every 2.5 minutes the last ten 30
second values may be averaged and fed into an integration
algorithm, thereby providing a moving average.
[0192] Other tools or strategies for improving the time lag and
accuracy of the sensor system 8 include using adaptive sampling.
For example, as the glucose rate of change increases, the sampling
rate can also increase (e.g., shorter sample times or shorter
integration window, greater number of samples, etc.).
[0193] Embodiments of the present disclosure are described above
and below with reference to flowchart illustrations of methods,
apparatus, and computer program products. It will be understood
that each block of the flowchart illustrations, and combinations of
blocks in the flowchart illustrations, can be implemented by
execution of computer program instructions. These computer program
instructions may be loaded onto a computer or other programmable
data processing apparatus (such as a controller, microcontroller,
microprocessor or the like) in a sensor electronics system to
produce a machine, such that the instructions which execute on the
computer or other programmable data processing apparatus create
instructions for implementing the functions specified in the
flowchart block or blocks. These computer program instructions may
also be stored in a computer-readable memory that can direct a
computer or other programmable data processing apparatus to
function in a particular manner, such that the instructions stored
in the computer-readable memory produce an article of manufacture
including instructions which implement the function specified in
the flowchart block or blocks. The computer program instructions
may also be loaded onto a computer or other programmable data
processing apparatus to cause a series of operational steps to be
performed on the computer or other programmable apparatus to
produce a computer implemented process such that the instructions
which execute on the computer or other programmable apparatus
provide steps for implementing the functions specified in the
flowchart block or blocks presented herein.
[0194] Methods and devices that are suitable for use in conjunction
with aspects of the preferred embodiments are disclosed in U.S.
Pat. Nos. 4,757,022; 4,994,167; 6,001,067; 6,558,321; 6,702,857;
6,741,877; 6,862,465; 6,931,327; 7,074,307; 7,081,195; 7,108,778;
7,110,803; 7,134,999; 7,136,689; 7,192,450; 7,226,978; 7,276,029;
7,310,544; 7,364,592; 7,366,556; 7,379,765; 7,424,318; 7,460,898;
7,467,003; 7,471,972; 7,494,465; 7,497,827; 7,519,408; 7,583,990;
7,591,801; 7,599,726; 7,613,491; 7,615,007; 7,632,228; 7,637,868;
7,640,048; 7,651,596; 7,654,956; 7,657,297; 7,711,402; 7,713,574;
7,715,893; 7,761,130; 7,771,352; 7,774,145; 7,775,975; 7,778,680;
7,783,333; 7,792,562; 7,797,028; 7,826,981; 7,828,728; 7,831,287;
7,835,777; 7,857,760; 7,860,545; 7,875,293; 7,881,763; 7,885,697;
7,896,809; 7,899,511; 7,901,354; 7,905,833; 7,914,450; 7,917,186;
7,920,906; 7,925,321; 7,927,274; 7,933,639; 7,935,057; 7,946,984;
7,949,381; 7,955,261; 7,959,569; 7,970,448; 7,974,672; 7,976,492;
7,979,104; 7,986,986; 7,998,071; 8,000,901; 8,005,524; 8,005,525;
8,010,174; 8,027,708; 8,050,731; 8,052,601; 8,053,018; 8,060,173;
8,060,174; 8,064,977; 8,073,519; 8,073,520; 8,118,877; 8,128,562;
8,133,178; 8,150,488; 8,155,723; 8,160,669; 8,160,671; 8,167,801;
8,170,803; 8,195,265; 8,206,297; 8,216,139; 8,229,534; 8,229,535;
8,229,536; 8,231,531; 8,233,958; 8,233,959; 8,249,684; 8,251,906;
8,255,030; 8,255,032; 8,255,033; 8,257,259; 8,260,393; 8,265,725;
8,275,437; 8,275,438; 8,277,713; 8,280,475; 8,282,549; 8,282,550;
8,285,354; 8,287,453; 8,290,559; 8,290,560; 8,290,561; 8,290,562;
8,292,810; 8,298,142; 8,311,749; 8,313,434; 8,321,149; 8,332,008;
8,346,338; 8,364,229; 8,369,919; 8,374,667; 8,386,004; and
8,394,021.
[0195] Methods and devices that are suitable for use in conjunction
with aspects of the preferred embodiments are disclosed in U.S.
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2013-0035865-A1; U.S. Patent Publication No. 2013-0035871-A1; U.S.
Patent Publication No. 2005-0056552-A1; U.S. Patent Publication No.
2005-0182451-A1; U.S. Patent Publication No. 2013000536650A1; and
U.S. Patent Publication No. 2013-0053666-A1.
[0196] Methods and devices that are suitable for use in conjunction
with aspects of the preferred embodiments are disclosed in U.S.
application Ser. No. 09/447,227 filed on Nov. 22, 1999 and entitled
"DEVICE AND METHOD FOR DETERMINING ANALYTE LEVELS"; U.S.
application Ser. No. 12/828,967 filed on Jul. 1, 2010 and entitled
"HOUSING FOR AN INTRAVASCULAR SENSOR"; U.S. application Ser. No.
13/461,625 filed on May 1, 2012 and entitled "DUAL ELECTRODE SYSTEM
FOR A CONTINUOUS ANALYTE SENSOR"; U.S. application Ser. No.
13/594,602 filed on Aug. 24, 2012 and entitled "POLYMER MEMBRANES
FOR CONTINUOUS ANALYTE SENSORS"; U.S. application Ser. No.
13/594,734 filed on Aug. 24, 2012 and entitled "POLYMER MEMBRANES
FOR CONTINUOUS ANALYTE SENSORS"; U.S. application Ser. No.
13/607,162 filed on Sep. 7, 2012 and entitled "SYSTEM AND METHODS
FOR PROCESSING ANALYTE SENSOR DATA FOR SENSOR CALIBRATION"; U.S.
application Ser. No. 13/624,727 filed on Sep. 21, 2012 and entitled
"SYSTEMS AND METHODS FOR PROCESSING AND TRANSMITTING SENSOR DATA";
U.S. application Ser. No. 13/624,808 filed on Sep. 21, 2012 and
entitled "SYSTEMS AND METHODS FOR PROCESSING AND TRANSMITTING
SENSOR DATA"; U.S. application Ser. No. 13/624,812 filed on Sep.
21, 2012 and entitled "SYSTEMS AND METHODS FOR PROCESSING AND
TRANSMITTING SENSOR DATA"; U.S. application Ser. No. 13/732,848
filed on Jan. 2, 2013 and entitled "ANALYTE SENSORS HAVING A
SIGNAL-TO-NOISE RATIO SUBSTANTIALLY UNAFFECTED BY NON-CONSTANT
NOISE"; U.S. application Ser. No. 13/733,742 filed on Jan. 3, 2013
and entitled "END OF LIFE DETECTION FOR ANALYTE SENSORS"; U.S.
application Ser. No. 13/733,810 filed on Jan. 3, 2013 and entitled
"OUTLIER DETECTION FOR ANALYTE SENSORS"; U.S. application Ser. No.
13/742,178 filed on Jan. 15, 2013 and entitled "SYSTEMS AND METHODS
FOR PROCESSING SENSOR DATA"; U.S. application Ser. No. 13/742,694
filed on Jan. 16, 2013 and entitled "SYSTEMS AND METHODS FOR
PROVIDING SENSITIVE AND SPECIFIC ALARMS"; U.S. application Ser. No.
13/742,841 filed on Jan. 16, 2013 and entitled "SYSTEMS AND METHODS
FOR DYNAMICALLY AND INTELLIGENTLY MONITORING A HOSTS GLYCEMIC
CONDITION AFTER AN ALERT IS TRIGGERED"; U.S. application Ser. No.
13/747,746 filed on Jan. 23, 2013 and entitled "DEVICES, SYSTEMS,
AND METHODS TO COMPENSATE FOR EFFECTS OF TEMPERATURE ON IMPLANTABLE
SENSORS"; U.S. application Ser. No. 13/779,607 filed on Feb. 27,
2013 and entitled "ZWITTERION SURFACE MODIFICATIONS FOR CONTINUOUS
SENSORS"; U.S. application Ser. No. 13/780,808 filed on Feb. 28,
2013 and entitled "SENSORS FOR CONTINUOUS ANALYTE MONITORING, AND
RELATED METHODS"; U.S. application Ser. No. 13/784,523 filed on
Mar. 4, 2013 and entitled "ANALYTE SENSOR WITH INCREASED REFERENCE
CAPACITY"; U.S. application Ser. No 13/789,371 filed on Mar. 7,
2013 and entitled "MULTIPLE ELECTRODE SYSTEM FOR A CONTINUOUS
ANALYTE SENSOR, AND RELATED METHODS"; U.S. application Ser. No.
13/789,279 filed on Mar. 7, 2013 and entitled "USE OF SENSOR
REDUNDANCY TO DETECT SENSOR FAILURES"; U.S. application Ser. No
13/789,339 filed on Mar. 7, 2013 and entitled "DYNAMIC REPORT
BUILDING"; U.S. application Ser. No. 13/789,341 filed on Mar. 7,
2013 and entitled "REPORTING MODULES"; U.S. application Ser. No.
13/790,281 filed on Mar. 8, 2013 and entitled "SYSTEMS AND METHODS
FOR MANAGING GLYCEMIC VARIABILITY"; U.S. application Ser. No.
13/796,185 filed on Mar. 12, 2013 and entitled "SYSTEMS AND METHODS
FOR PROCESSING ANALYTE SENSOR DATA"; U.S. application Ser. No.
13/796,642 filed on Mar. 12, 2013 and entitled "SYSTEMS AND METHODS
FOR PROCESSING ANALYTE SENSOR DATA"; U.S. application Ser. No.
13/801,445 filed on Mar. 13, 2013 and entitled "SYSTEMS AND METHODS
FOR LEVERAGING SMARTPHONE FEATURES IN CONTINUOUS GLUCOSE
MONITORING"; U.S. application Ser. No. 13/802,424 filed on Mar. 13,
2013 and entitled "SYSTEMS AND METHODS FOR LEVERAGING SMARTPHONE
FEATURES IN CONTINUOUS GLUCOSE MONITORING"; U.S. application Ser.
No. 13/802,237 filed on Mar. 13, 2013 and entitled "SYSTEMS AND
METHODS FOR LEVERAGING SMARTPHONE FEATURES IN CONTINUOUS GLUCOSE
MONITORING"; and U.S. application Ser. No. 13/802,317 filed on Mar.
13, 2013 and entitled "SYSTEMS AND METHODS FOR LEVERAGING
SMARTPHONE FEATURES IN CONTINUOUS GLUCOSE MONITORING".
[0197] The above description presents the best mode contemplated
for carrying out the present invention, and of the manner and
process of making and using it, in such full, clear, concise, and
exact terms as to enable any person skilled in the art to which it
pertains to make and use this invention. This invention is,
however, susceptible to modifications and alternate constructions
from that discussed above that are fully equivalent. Consequently,
this invention is not limited to the particular embodiments
disclosed. On the contrary, this invention covers all modifications
and alternate constructions coming within the spirit and scope of
the invention as generally expressed by the following claims, which
particularly point out and distinctly claim the subject matter of
the invention. While the disclosure has been illustrated and
described in detail in the drawings and foregoing description, such
illustration and description are to be considered illustrative or
exemplary and not restrictive.
[0198] All references cited herein are incorporated herein by
reference in their entirety. To the extent publications and patents
or patent applications incorporated by reference contradict the
disclosure contained in the specification, the specification is
intended to supersede and/or take precedence over any such
contradictory material.
[0199] Unless otherwise defined, all terms (including technical and
scientific terms) are to be given then ordinary and customary
meaning to a person of ordinary skill in the art, and are not to be
limited to a special or customized meaning unless expressly so
defined herein. It should be noted that the use of particular
terminology when describing certain features or aspects of the
disclosure should not be taken to imply that the terminology is
being re-defined herein to be restricted to include any specific
characteristics of the features or aspects of the disclosure with
which that terminology is associated. Terms and phrases used in
this application, and variations thereof, especially in the
appended claims, unless otherwise expressly staled, should be
construed as open ended as opposed to limiting. As examples of the
foregoing, the term `including` should be read to mean `including,
without limitation,` `including but not limited to,` or the like;
the term `comprising` as used herein is synonymous with
`including,` `containing,` or `characterized by,` and is inclusive
or open-ended and does not exclude additional, unrecited elements
or method steps; the term `having` should be interpreted as `having
at least,` the term `includes` should be interpreted as `includes
but is not limited to;` the term `example` is used to provide
exemplars instances of the item in discussion, not an exhaustive or
limiting list thereof; adjectives such as `known`, `normal`,
`standard`, and terms of similar meaning should not be construed as
limiting the item described to a given time period or to an item
available as of a given time, but instead should be read to
encompass known, normal or standard technologies that may be
available or known now or at any time in the future; and use of
terms like `preferably,` `preferred,` `desired,` or `desirable,`
and words of similar meaning should not be understood as implying
that certain features are critical, essential, or even important to
the structure or function of the invention, but instead as merely
intended to highlight alternative or additional features that max
or max not be utilized in a particular embodiment of the invention.
Likewise, a group of items linked with the conjunction `and` should
not be read as requiring that each and every one of those items be
present in the grouping, but rather should be read as `and/or`
unless expressly slated otherwise. Similarly, a group of items
linked with the conjunction `or` should not be read as requiring
mutual exclusivity among that group, but rather should be read as
`and/or` unless expressly stated otherwise.
[0200] Where a range of values is provided, it is understood that
the upper and lower limit, and each intervening value between the
upper and lower limit of the range is encompassed within the
embodiments.
[0201] With respect to the use of substantially any plural and/or
singular terms herein, those having skill in the art can translate
from the plural to the singular and/or from the singular to the
plural as is appropriate to the context and/or application. The
various singular/plural permutations may be expressly set forth
herein for sake of clarity. The indefinite article `a` or `an` does
not exclude a plurality. A single processor or other unit may
fulfill the functions of several items recited in the claims. The
mere fact that certain measures are recited in mutually different
dependent claims does not indicate that a combination of these
measures cannot be used to advantage. Any reference signs in the
claims should not lie construed as limiting the scope.
[0202] It will be further understood by those within the art that
if a specific number of an introduced claim recitation is intended,
such an intent will be explicitly recited in lire claim, and in the
absence of such recitation no such intent is present. For example,
as an aid to understanding, the following appended claims may
contain usage of the introductory phrases `at least one` and `one
or more` to introduce claim recitations. However, the use of such
phrases should not be construed to imply that the introduction of a
claim recitation by the indefinite articles `a` or `an` limits any
particular claim containing such introduced claim recitation to
embodiments containing only one such recitation, even when the same
claim includes the introductory phrases `one or more` or `at least
one` and indefinite articles such as `a` or `an` (e.g., `a` and/or
`an` should typically be interpreted to mean `at least one` or `one
or more`); the same holds true for the use of definite articles
used to introduce claim recitations. In addition even if a specific
number of an introduced claim recitation is explicitly recited,
those skilled in the art will recognize that such recitation should
typically be interpreted to mean at least the recited number (e.g.,
the bare recitation of `two recitations,` without other modifiers,
typically means at least two recitations, or two or more
recitations). Furthermore, in those instances where a convention
analogous to `at least one of A, B, and C, etc.` is used, in
general such a construction is intended in the sense one having
skill in the art would understand the convention (e.g., `a system
having at least one of A, B, and C` would include but not be
limited to systems that have A alone, B alone, C alone, A and B
together, A and C together, B and C together, and/or A, B, and C
together, etc.). In those instances where a convention analogous to
`at least one of A, B, or C, etc.` is used, in general such a
construction is intended in the sense one having skill in the art
would understand the convention (e.g., `a system having at least
one of A, B, or C` would include but not be limited to systems that
have A alone, B alone, C alone, A and B together, A and C together,
B and C together, and/or A, B, and C together, etc.). It will be
further understood by those within the art that virtually any
disjunctive word and/or phrase presenting two or more alternative
terms, whether in the description, claims, or drawings, should be
understood to contemplate the possibilities of including one of the
terms, either of the terms, or both terms. For example, the phrase
`A or B` will be understood to include the possibilities of`A` or
`B` or `A and B.`
[0203] All numbers expressing quantities of ingredients, reaction
conditions, and so forth used in the specification are to be
understood as being modified in all instances by the term `about.`
Accordingly, unless indicated to the contrary, the numerical
parameters set forth herein are approximations that may vary
depending upon the desired properties sought to be obtained. At the
very least, and not its an attempt to limit the application of the
doctrine of equivalents to the scope of any claims in any
application claiming priority to the present application, each
numerical parameter should be construed in light of the number of
significant digits and ordinary rounding approaches.
[0204] Furthermore, although the foregoing has been described in
some detail by way of illustrations and examples for purposes of
clarity and understanding, it is apparent to those skilled in the
art that certain changes and modifications may be practiced.
Therefore, the description and examples should not be construed as
limiting the scope of the invention to the specific embodiments and
examples described herein, but rather to also cover all
modification and alternatives coming with the true scope and spirit
of the invention.
* * * * *