IP Library Granted Patent US 8,915,849
Granted Patent B2
US 8,915,849 · App. 12/364,786 · Granted Dec 23, 2014

Transcutaneous analyte sensor

Inventors: James H. Brauker (Cement City, MI); Apurv Ullas Kamath (San Diego, CA); Paul V. Goode (Cherry Hill, NJ)
Assignee: DexCom, Inc.
A61B5/14532A61B5/6833A61B2562/085A61B5/14546A61B2560/0252A61B5/1495A61B5/0031A61B5/4839A61B5/6848A61B5/0002A61B5/14865A61B5/743A61B2560/04A61B2560/0223
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Quick Facts
Patent No.
US 8,915,849
App. No.
12/364,786
Granted
Dec 23, 2014
Kind
B2
Abstract

The present invention relates generally to systems and methods for measuring an analyte in a host. More particularly, the present invention relates to systems and methods for transcutaneous measurement of glucose in a host.

Claims (38)

1. An electronic device for processing sensor data from a subcutaneous continuous glucose sensor, the device comprising:

a processor module configured to process sensor data from a subcutaneous continuous glucose sensor, the sensor data comprising a plurality of sensor data points; and

a computer readable memory comprising:

instructions configured to cause the processor module to determine a rate of change of the sensor data; and

instructions comprising a threshold rate of about 4 mg/dL/min, wherein the instruction are configured to allow the processor module to calibrate the sensor data using a reference glucose measurement when the rate of change is less than the threshold rate, but not allow the processor module to calibrate the sensor data using the reference glucose measurement when the rate of change is greater than the threshold rate.

2. The device of claim 1 , wherein the calibration is based on a matched data pair formed by matching a sensor data point of the sensor data with the reference glucose measurement.

3. The device of claim 1 , wherein the instructions configured to allow the processor module to calibrate the sensor data comprise instructions configured to cause the processor module to compensate for a time lag between the reference glucose measurement and a time-corresponding sensor data point.

4. The device of claim 1 , wherein the instructions configured to allow the processor module to calibrate the sensor data comprise instructions configured to cause the processor module to evaluate the sensor data to determine a sensor break-in and to request the reference glucose measurement in response to the sensor break-in determination.

5. The device of claim 1 , wherein the reference glucose measurement is obtained from a reference glucose monitor operatively and/or physically coupled to the electronic device.

6. The device of claim 1 , wherein the instructions configured to allow the processor module to calibrate the sensor data comprise instructions configured to cause the processor module to determine a best matched data pair from a plurality of matched data pairs, wherein the plurality of matched data pairs comprise the reference glucose measurement matched with a plurality of individual sensor data points.

7. The device of claim 1 , wherein the instructions configured to cause the processor module to calibrate the sensor data comprise instructions configured to cause the processor module to evaluate a clinical acceptability of the reference glucose measurement and a time-corresponding sensor data point based on a deviation of the time-corresponding sensor data point from the reference glucose measurement and a clinical risk associated with the deviation based on the glucose concentration indicated by the reference glucose measurement or the sensor data point.

8. The device of claim 7 , wherein the instructions configured to cause the processor module to evaluate a clinical acceptability are based on a clinical error grid.

9. The device of claim 8 , wherein the clinical error grid is a Clarke error grid.

10. The device of claim 1 , wherein the sensor data is indicative of the concentration of glucose in a subcutaneous space of the host.

11. The device of claim 1 , wherein the computer readable memory further comprises instructions configured to cause the processor module to prospectively calibrate the sensor data when calibration is allowed.

12. The device of claim 1 , wherein the rate of change is calculated using calibrated sensor data.

13. The device of claim 1 , wherein the computer readable memory further comprises instructions configured to cause the processor module to calculate real-time glucose concentration values based on the calibrated sensor data.

14. The device of claim 13 , further comprising a user interface, wherein the computer readable memory further comprises instructions configured to cause the processor module to initiate display, on the user interface, of real-time glucose concentration information based on the calculated real-time glucose concentration values.

15. The device of claim 1 , further comprising instructions configured to cause the processor module to estimate at least one projected glucose concentration value based at least in part on a linear extrapolation of calibrated sensor data and on a variation analysis.

16. The device of claim 15 , further comprising instructions configured to cause the processor module to activate an alarm when a projected glucose concentration value is greater than a high threshold value or less than a low threshold value.

17. An electronic device for processing sensor data from a subcutaneous continuous glucose sensor, the device comprising:

a processor module configured to process sensor data from a subcutaneous continuous glucose sensor, the sensor data comprising a plurality of sensor data points; and

a computer readable memory comprising:

instructions configured to cause the processor module to determine a rate of change of the sensor data; and

instructions configured to cause the processor module to evaluate the rate of change of the sensor data against an acceptability criterion a threshold rate of 3.5 mg/dL/min. to determine whether a reference glucose measurement is acceptable for calibration of the sensor data, wherein the acceptability criterion allows for the instructions allow for calibration of the sensor data using the reference glucose measurement when the rate of change of the sensor data less than 3.5 mg/dL/min the threshold rate, but does not allow for calibration of the sensor data using the reference glucose measurement when the rate of change of the sensor data is above 3.5 mg/dL the threshold rate.

18. The device of claim 17 , wherein the calibration is based on a matched data pair formed by matching a sensor data point of the sensor data with the reference glucose measurement.

19. The device of claim 17 , further comprising instructions configured to cause the processor module to compensate for a time lag between the reference glucose measurement and a time-corresponding sensor data point.

20. The device of claim 17 , further comprising instructions configured to cause the processor module to evaluate the sensor data to determine a sensor break-in and to request the reference glucose measurement in response to the sensor break-in determination.

21. The device of claim 17 , wherein the reference glucose measurement is obtained from a reference glucose monitor operatively and/or physically coupled to the electronic device.

22. The device of claim 17 , further comprising instructions configured to cause the processor module to determine a best matched data pair from a plurality of matched data pairs, wherein the plurality of matched data pairs comprise the reference glucose measurement matched with a plurality of individual sensor data points.

23. The device of claim 17 , further comprising instructions configured to cause the processor module to evaluate a clinical acceptability of the reference glucose measurement and a time-corresponding sensor data point based on a deviation of the time-corresponding sensor data point from the reference glucose measurement and a clinical risk associated with the deviation based on the glucose concentration indicated by the reference glucose measurement or the sensor data point.

24. The device of claim 23 , wherein the instructions configured to cause the processor module to evaluate a clinical acceptability are based on a clinical error grid.

25. The device of claim 24 , wherein the clinical error grid is a Clarke error grid.

26. The device of claim 17 , wherein the sensor data is indicative of the concentration of glucose in a subcutaneous space of the host.

27. The device of claim 17 , wherein the computer readable memory further comprises instructions configured to cause the processor module to prospectively calibrate the sensor data when calibration is allowed.

28. The device of claim 17 , wherein the rate of change is calculated using calibrated sensor data.

29. The device of claim 17 , wherein the computer readable memory further comprises instructions configured to cause the processor module to calculate real-time glucose concentration values based on the calibrated sensor data.

30. The device of claim 29 , further comprising a user interface, wherein the computer readable memory further comprises instructions configured to cause the processor module to initiate display, on the user interface, of real-time glucose concentration information based on the calculated real-time glucose concentration values.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 5, 2009
From: BRAUKER, JAMES H.; KAMATH, APURV ULLAS; GOODE, PAUL
To: DEXCOM, INC.
Reel/Frame 022215/0115 →
Continuity (12)
Continuation 11334876 · Jan 18, 2006
Continuation In Part 10633367 · Aug 1, 2003
Continuation In Part 11007920 · Dec 8, 2004
Continuation In Part 10991966 · Nov 17, 2004
Continuation In Part 11077715 · Mar 10, 2005
Provisional Application 60528382 · Dec 9, 2003
Provisional Application 60587787 · Jul 13, 2004
Provisional Application 60614683 · Sep 30, 2004
Provisional Application 60523840 · Nov 19, 2003
Provisional Application 60587800 · Jul 13, 2004
Provisional Application 60614764 · Sep 30, 2004
Related Publication 20090192724A1 · Jul 30, 2009