IPC분류정보
국가/구분 |
United States(US) Patent
등록
|
국제특허분류(IPC7판) |
|
출원번호 |
US-0418305
(2012-03-12)
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등록번호 |
US-8718958
(2014-05-06)
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발명자
/ 주소 |
- Breton, Marc D.
- Kovatchev, Boris P.
- Budiman, Erwin S.
- Doniger, Kenneth J.
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출원인 / 주소 |
- Abbott Diabetes Care Inc.
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대리인 / 주소 |
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인용정보 |
피인용 횟수 :
7 인용 특허 :
322 |
초록
Method, system and computer program product for providing real time detection of analyte sensor sensitivity decline is continuous glucose monitoring systems are provided.
대표청구항
▼
1. A computer implemented method for detecting early signal attenuation in an analyte sensor, comprising: receiving a first plurality of analyte sensor related signals within a first predetermined time period after insertion of an analyte sensor into a user, wherein the first predetermined time peri
1. A computer implemented method for detecting early signal attenuation in an analyte sensor, comprising: receiving a first plurality of analyte sensor related signals within a first predetermined time period after insertion of an analyte sensor into a user, wherein the first predetermined time period occurs within the first 24 hours of insertion;determining a probability of early signal attenuation associated with the analyte sensor based at least in part on the first plurality of analyte sensor related signals;receiving a second plurality of analyte sensor related signals during a second predetermined time period, wherein the second predetermined time period is offset from the first predetermined time period by a predetermined offset time;receiving a reference analyte measurement during the second predetermined time period;determining a sensitivity of the analyte sensor based on the second plurality of analyte sensor related signals and the reference analyte measurement;determining a sensitivity ratio based on the determined sensitivity of the analyte sensor divided by a nominal sensitivity, the nominal sensitivity determined at the time the analyte sensor is manufactured;verifying a presence of early signal attenuation when the determined sensitivity ratio is less than a first predetermined threshold level; andgenerating a first output signal with a processor associated with the verification of the presence of early signal attenuation. 2. The method of claim 1, wherein determining the probability of early signal attenuation includes: determining one or more characteristics associated with the first plurality of analyte sensor related signals;wherein each of the one or more characteristics has a corresponding predetermined coefficient. 3. The method of claim 2, wherein the determined one or more characteristics includes one or more of a mean value associated with the first plurality of analyte sensor related signals, an average slope associated with the first plurality of analyte sensor related signals, a standard deviation associated with the first plurality of analyte sensor related signals, an average elapsed time from insertion of the analyte sensor, or a variance of the first plurality of analyte sensor related signals. 4. The method of claim 1, wherein when the determined probability of early signal attenuation does not exceed a second predetermined threshold level, generating a second output signal associated with absence of early signal attenuation. 5. The method of claim 1, wherein verifying the presence of early signal attenuation includes: selecting an early signal attenuation threshold level; andconfirming the presence of early signal attenuation based at least in part on a comparison of the determined sensitivity ratio and the selected early signal attenuation threshold level. 6. The method of claim 5, wherein the selected early signal attenuation threshold level is associated with the reference analyte measurement. 7. The method of claim 6, wherein the reference analyte measurement includes a capillary blood analyte sample measurement. 8. The method of claim 5, wherein verifying the presence of early signal attenuation includes determining that the sensitivity ratio of the analyte sensor is less than the selected early signal attenuation threshold level. 9. The method of claim 1, wherein the sensitivity of the analyte sensor is determined as a ratio of the average of the second plurality of analyte sensor related signals and the reference analyte measurement. 10. An apparatus, comprising: a data storage unit; anda processing unit operatively coupled to the data storage unit configured to receive a first plurality of analyte sensor related signals within a first predetermined time period after insertion of an analyte sensor into a user, wherein the first predetermined time period occurs within the first 24 hours of insertion, determine a probability of early signal attenuation associated with the analyte sensor based at least in part on the first plurality of analyte sensor related signals, receive a second plurality of analyte sensor related signals during a second predetermined time period, wherein the second predetermined time period is offset from the first predetermined time period by a predetermined offset time, receive a reference analyte measurement during the second predetermined time period, determine a sensitivity of the analyte sensor based on the second plurality of analyte sensor related signals and the reference analyte measurement, determine a sensitivity ratio based on the determined sensitivity of the analyte sensor divided by a nominal sensitivity, the nominal sensitivity determined at the time the analyte sensor is manufactured, verify a presence of early signal attenuation when the determined sensitivity ratio is less than a first predetermined threshold level, and generate a first output signal associated with the verification of the presence of early signal attenuation. 11. The apparatus of claim 10, wherein the processing unit is configured to determine the probability of early signal attenuation is configured to determine one or more characteristics associated with the first plurality of analyte sensor related signals, and to apply a predetermined coefficient to the first plurality of analyte sensor related signals. 12. The apparatus of claim 11, wherein the determined one or more characteristics includes one or more of a mean value associated with the first plurality of analyte sensor related signals, a least square slope associated with the first plurality of analyte sensor related signals, a standard deviation associated with the first plurality of analyte sensor related signals, an average elapsed time from positioning the analyte sensor, or a variance about a least squares slope associated with the first plurality of analyte sensor related signals. 13. The apparatus of claim 10, wherein when the determined probability of early signal attenuation does not exceed the first predetermined threshold level, the processing unit is further configured to generate a second output signal associated with absence of early signal attenuation. 14. The apparatus of claim 10, wherein the processing unit is further configured to select an early signal attenuation threshold level and confirm the presence of early signal attenuation based at least in part on a comparison of the determined sensitivity ratio and the selected early signal attenuation threshold level. 15. The apparatus of claim 14, wherein the selected early signal attenuation threshold level is associated with the reference analyte measurement. 16. The apparatus of claim 15, wherein the reference analyte measurement includes a capillary blood analyte sample measurement. 17. The apparatus of claim 14, wherein the processing unit is further configured to determine that the sensitivity ratio of the analyte sensor is less than the selected early signal attenuation threshold level. 18. The apparatus of claim 10, wherein the sensitivity of the analyte sensor is determined as a ratio of the average of the second plurality of analyte sensor related signals and the reference analyte measurement. 19. The apparatus of claim 10, including a user output unit operatively coupled to the processing unit to display the first output signal. 20. A system for detecting early signal attenuation in an analyte sensor, comprising: an analyte sensor for transcutaneous positioning through a skin layer of a user; anda data processing device operatively coupled to the analyte sensor, the data processing device configured to receive a first plurality of analyte sensor related signals within a first predetermined time period after insertion of the analyte sensor into the user, wherein the first predetermined time period occurs within the first 24 hours of insertion, determine a probability of early signal attenuation associated with the analyte sensor based at least in part on the first plurality of analyte sensor related signals, receive a second plurality of analyte sensor related signals during a second predetermined time period, wherein the second predetermined time period is offset from the first predetermined time period by a predetermined offset time, receive a reference analyte measurement during the second predetermined time period, determine a sensitivity of the analyte sensor based on the second plurality of analyte sensor related signals and the reference analyte measurement, determine a sensitivity ratio based on the determined sensitivity of the analyte sensor divided by a nominal sensitivity, the nominal sensitivity determined at the time the analyte sensor is manufactured, verify a presence of early signal attenuation when the determined sensitivity ratio is less than a first predetermined threshold level, and generate a first output signal associated with the verification of the presence of early signal attenuation.
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