c12) United States Patent
`Goode, Jr. et al.
`
`I lllll llllllll Ill lllll lllll lllll lllll lllll 111111111111111111111111111111111
`US009724045B 1
`(IO) Patent No.:
`US 9,724,045 Bl
`*Aug. 8, 2017
`
`(45) Date of Patent:
`
`(54) SYSTEMS AND METHODS FOR REPLACING
`SIGNAL A RTIFACTS IN A GLUCOSE
`SENSOR DATA STREAM
`
`(56)
`
`References Cited
`
`U.S. PATENT DOCUMENTS
`
`(71 ) Applicant: DexCom, Inc., San Diego, CA (US)
`
`(72)
`
`Inventors: Paul V. Goode, Jr., Cherry Hill, NJ
`(US); James H. Branker, Addison, MI
`(US); Apurv U. Karnath, San Diego,
`CA (US); James Patrick Thrower,
`Oakland, NJ (US); V ictoria
`Carr-Brendel, San Diego, CA (US)
`
`3,210,578 A
`3,219,533 A
`
`10/1965 Sherer
`11/1965 Mullins
`(Continued)
`
`FOREIGN PATENT DOCUMENTS
`
`CA
`EP
`
`7 /1998
`2127172
`1/1984
`0 098 592
`(Continued)
`
`(73) Assignee: DexCom, Inc., San Diego, CA (US)
`
`( *) Notice:
`
`Subject to any disclaimer, the term ofthis
`patent is extended or adjusted under 35
`U.S.C. 1 54(b) by 0 days.
`
`This patent is subject to a terminal dis­
`claimer.
`
`(21 ) Appl. No.: 15/481,347
`
`OTHER PUBLICATIONS
`
`US 7,530,950, 0512009, Brister et al. (withdrawn)
`(Continued)
`
`Primary Examiner - Christian Jang
`(74) Attorney, Agent, or Firm - Knobbe Martens Olson
`& Bear, LLP
`
`(22) Filed:
`
`Apr. 6, 2017
`
`(57)
`
`ABSTRACT
`
`Related U.S. Application Data
`
`(63) Continuation of application No. 1 5/1 97,349, filed on
`Jun. 29, 201 6, now Pat. No. 9,649,069, which is a
`(Continued)
`
`(5 1 ) Int. Cl.
`
`A61B 5100
`A61B 51145
`
`(2006.01)
`(2006.01)
`(Continued)
`
`(52) U.S. Cl.
`
`CPC .......... A61B 517203 (2013.01); A61B 511495
`(2013.01); A61B 5114532 (20 1 3 .01);
`
`(Continued)
`( 58) Field of Classification Search
`CPC .............................. A61B 5/14532; A6 1B 5/72
`See application file for complete search history.
`
`Systems and methods for minimizing or eliminating tran­
`sient non-glucose related signal noise due to non-glucose
`rate limiting phenomenon such as ischemia, pH changes,
`temperatures changes, and the like. The system monitors a
`data stream from a glucose sensor and detects signal artifacts
`that have higher amplitude than electronic or diffusion­
`related system noise. The system replaces some or the entire
`data stream continually or intermittently including signal
`estimation methods that particularly address transient signal
`artifacts. The system is also capable of detecting the severity
`of the signal artifacts and selectively applying one or more
`signal estimation algorithm factors responsive to the severity
`of the signal artifacts, which includes selectively applying
`distinct sets of parameters to a signal estimation algorithm or
`selectively applying distinct signal estimation algorithms.
`
`44 Claims, 20 Drawing Sheets
`
`lsENSE
`
`I I I
`
`/
`),.. .;
`
`109 �.
`.,,.,.-----
`/ I I
`
`AGAMATRIX, INC. EXHIBIT NO. 1001
`Page 1 of 62
`
`

`

`US 9, 724,045 Bl
`
`Page 2
`
`Related U.S. Application Data
`
`continuation of application No. 1 3/1 8 1 ,3 4 1 , filed on
`Jul. 12, 201 1 , now Pat. No. 9,427, 1 83, which is a
`continuation of application No. 1 0/648,849, filed on
`Aug. 22, 2003, now Pat. No. 8,010, 174.
`
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`(2006.01)
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`
`(5 1 ) Int. Cl.
`
`(52) U.S. Cl.
`
`A61B 511486
`A61B 511495
`CPC ...... A61B 5114539 (201 3 .01); A61B 5114542
`(20 1 3 .01); A61B 5114865 (201 3 .01); A61B
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`AGAMATRIX, INC. EXHIBIT NO. 1001
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`AGAMATRIX, INC. EXHIBIT NO. 1001
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`12/1998
`412000
`212001
`212001
`1112001
`912002
`8/2010
`9/2010
`6/1991
`9/1998
`7 /1976
`6/1985
`4/1997
`4/1989
`111990
`111990
`9/1990
`8/1992
`8/1993
`10/1994
`3/1995
`5/1996
`8/1996
`10/1996
`111997
`8/1997
`1111997
`6/1998
`10/1998
`4/1999
`9/1999
`1111999
`1111999
`3/2000
`3/2000
`3/2000
`412000
`612000
`612000
`10/2000
`12/2000
`12/2000
`212001
`3/2001
`3/2001
`3/2001
`5/2001
`6/2001
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`AGAMATRIX, INC. EXHIBIT NO. 1001
`Page 6 of 62
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`

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`US 9, 724,045 Bl
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`Page 7
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`(56)
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`References Cited
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`FOREIGN PATENT DOCUMENTS
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`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
`WO
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`WO 01-52727
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`WO 02-24065
`WO 02-053764
`WO 02-082989
`WO 02-089666
`WO 02-100266
`WO 03-012422
`WO 03-032411
`WO 03-101862
`WO 2004-052190
`WO 2004-060455
`WO 2004-110256
`WO 2005-011489
`WO 2005-012873
`WO 2005-026689
`WO 2005-032400
`WO 2005-057168
`WO 2005-057175
`WO 2005-078424
`WO 2006-050405
`WO 2006-105146
`WO 2006-118713
`WO 2006-131288
`WO 2007-002579
`WO 2007-065285
`WO 2007-114943
`WO 2007-127606
`WO 2007-143225
`WO 2008-076868
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