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US20210189451A1 - Analyte sensing layers, analyte sensors and methods for fabricating the same - Google Patents

Analyte sensing layers, analyte sensors and methods for fabricating the same Download PDF

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US20210189451A1
US20210189451A1 US17/197,712 US202117197712A US2021189451A1 US 20210189451 A1 US20210189451 A1 US 20210189451A1 US 202117197712 A US202117197712 A US 202117197712A US 2021189451 A1 US2021189451 A1 US 2021189451A1
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analyte
layer
glucose
sensor
analyte sensor
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Kelly Lu
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Medtronic Minimed Inc
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    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/001Enzyme electrodes
    • C12Q1/005Enzyme electrodes involving specific analytes or enzymes
    • C12Q1/006Enzyme electrodes involving specific analytes or enzymes for glucose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/14244Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
    • A61M5/14248Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body of the skin patch type
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
    • A61B5/14532Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue for measuring glucose, e.g. by tissue impedance measurement
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
    • A61B5/1468Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using chemical or electrochemical methods, e.g. by polarographic means
    • A61B5/1486Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using chemical or electrochemical methods, e.g. by polarographic means using enzyme electrodes, e.g. with immobilised oxidase
    • A61B5/14865Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using chemical or electrochemical methods, e.g. by polarographic means using enzyme electrodes, e.g. with immobilised oxidase invasive, e.g. introduced into the body by a catheter or needle or using implanted sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/158Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/162Needle sets, i.e. connections by puncture between reservoir and tube ; Connections between reservoir and tube
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/001Enzyme electrodes
    • C12Q1/002Electrode membranes
    • C12Q1/003Functionalisation
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/001Enzyme electrodes
    • C12Q1/005Enzyme electrodes involving specific analytes or enzymes
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N27/00Investigating or analysing materials by the use of electric, electrochemical, or magnetic means
    • G01N27/26Investigating or analysing materials by the use of electric, electrochemical, or magnetic means by investigating electrochemical variables; by using electrolysis or electrophoresis
    • G01N27/28Electrolytic cell components
    • G01N27/30Electrodes, e.g. test electrodes; Half-cells
    • G01N27/327Biochemical electrodes, e.g. electrical or mechanical details for in vitro measurements
    • G01N27/3271Amperometric enzyme electrodes for analytes in body fluids, e.g. glucose in blood
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N27/00Investigating or analysing materials by the use of electric, electrochemical, or magnetic means
    • G01N27/26Investigating or analysing materials by the use of electric, electrochemical, or magnetic means by investigating electrochemical variables; by using electrolysis or electrophoresis
    • G01N27/28Electrolytic cell components
    • G01N27/30Electrodes, e.g. test electrodes; Half-cells
    • G01N27/327Biochemical electrodes, e.g. electrical or mechanical details for in vitro measurements
    • G01N27/3271Amperometric enzyme electrodes for analytes in body fluids, e.g. glucose in blood
    • G01N27/3273Devices therefor, e.g. test element readers, circuitry
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • A61M5/172Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic
    • A61M5/1723Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic using feedback of body parameters, e.g. blood-sugar, pressure
    • A61M2005/1726Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic using feedback of body parameters, e.g. blood-sugar, pressure the body parameters being measured at, or proximate to, the infusion site
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • A61M2205/502User interfaces, e.g. screens or keyboards
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/82Internal energy supply devices
    • A61M2205/8206Internal energy supply devices battery-operated

Definitions

  • Embodiments of the subject matter described herein relate generally to analyte sensing layers for monitoring analyte levels in patients. More particularly, embodiments of the subject matter relate to glucose sensors, and to methods for fabricating glucose sensors.
  • infusion pump therapy has been increasing in a number of medical situations, including for delivering insulin to diabetic individuals.
  • external infusion pumps may be worn on a belt, in a pocket, or the like, and they can deliver insulin into a body via an infusion tube with a percutaneous needle or a cannula placed in subcutaneous tissue.
  • Type 1 diabetic individuals in the United States were using infusion pump therapy.
  • the percentage of Type 1 diabetic individuals that use an infusion pump is growing at a rate of over 2% each year.
  • the number of Type 2 diabetic individuals is growing at 3% or more per year, and growing numbers of insulin-using Type 2 diabetic individuals are also adopting infusion pumps.
  • physicians have recognized that continuous infusion can provide greater control of a diabetic individual's condition, so they too are increasingly prescribing it for patients.
  • An infusion pump system may include an infusion pump that is automatically and/or semi-automatically controlled to infuse insulin into a patient.
  • the infusion of insulin may be controlled to occur at times and in amounts that are based, for example, on blood glucose measurements obtained from an embedded analyte sensor, such as a glucose sensor, in real-time.
  • a typical glucose sensor works according to the following chemical reactions:
  • a method for fabricating an analyte sensor includes providing a base layer and forming a conductive layer over the base layer. Further, the method includes forming an analyte sensing layer disposed over the conductive layer.
  • the analyte sensing layer includes glucose oxidase entrapped within a thermally-cured polymer matrix and within a UV-cured polymer matrix.
  • a method for fabricating an analyte sensing layer includes blending an enzyme, a polymer binder, a thermal cross-linker, a photo-initiator, and a monomer or oligomer including multifunctional acrylate to form a mixture.
  • the method further includes thermally-curing the polymer binder and the thermal cross-linker by drying the mixture to form an intermediate film with a thermally-cured polymer matrix.
  • the method includes UV-curing the monomer or oligomer including multifunctional acrylate by exposing the intermediate film to UV light to form a UV-cured polymer matrix.
  • the enzyme is entrapped within the thermally-cured polymer matrix and within the UV-cured polymer matrix.
  • the analyte sensor includes a base layer and a conductive layer over the base layer. Further, the analyte sensor includes an analyte sensing layer disposed over the conductive layer.
  • the analyte sensing layer includes glucose oxidase entrapped within a thermally-cured polymer matrix and within a UV-cured polymer matrix.
  • FIG. 1 is a block diagram of an analyte monitoring apparatus in accordance with an embodiment.
  • FIG. 2 is a front view of an analyte monitoring apparatus located on a body in accordance with an embodiment.
  • FIG. 3 is a cross sectional view of an analyte sensor for use in an analyte monitoring apparatus in an embodiment.
  • FIG. 4 is an overhead schematic view of the analyte sensing layer of the analyte sensor of FIG. 3 for an embodiment.
  • the word “exemplary” means “serving as an example, instance, or illustration.” Any implementation described herein as exemplary is not necessarily to be construed as preferred or advantageous over other implementations.
  • the word “exemplary” means “serving as an example, instance, or illustration.” Any implementation described herein as exemplary is not necessarily to be construed as preferred or advantageous over other implementations.
  • the preceding background discusses glucose sensing and exemplary analyte sensors are described as glucose sensors herein, such description is for convenience and is not limiting.
  • the claimed subject matter may include any type of analyte sensor utilizing an embodiment of the sensor electrodes described herein.
  • an analyte sensing layer is formed as a single layer overlying the electrode and includes an enzyme, components for immobilizing the enzyme, and components for regulating analyte contact with the enzyme.
  • a method for forming an analyte sensing layer includes a dual cure process in which certain components are thermally cured before other components are cured by exposure to ultraviolet (UV) radiation or light, i.e., UV-cured. As a result, the enzyme is entrapped by both a thermally cured matrix and a UV-cured matrix.
  • UV radiation or light i.e., UV-cured.
  • the terms “thermal cure” and “thermal curing” refer to a change in state, condition, and/or structure in a material that is induced by increased temperature.
  • UV cure and “UV curing” refer to a change in state, condition, and/or structure in a material that is induced by UV radiation.
  • a “thermal cross-linker” is a compound that only upon thermal treatment, i.e., heating, links one polymer chain to another.
  • a “UV photo-initiator” is a molecule that creates reactive species (free radicals, cations or anions) when exposed to UV radiation to initiate a photopolymerization process, where monomer or oligomer molecules react to form polymer chains or three-dimensional networks.
  • examples of analyte sensors and/or analyte sensing layers as described herein may be implemented in a hospital environment to monitor levels of glucose in a patient.
  • examples of analyte sensors and/or analyte sensing layers as described herein may be implemented in non-hospital environments to monitor levels of glucose in a patient.
  • a patient or other non-medical professional may be responsible for interacting with an analyte sensors and/or analyte sensing layers.
  • FIG. 1 is a block diagram of an example analyte monitoring apparatus 10 for use with a glucose control system in accordance with an embodiment.
  • the analyte monitoring apparatus 10 may include an analyte sensor 11 , including an analyte sensing layer, and a controller 12 .
  • the analyte monitoring apparatus 10 is provided for use with an insulin delivery system 14 , a glucagon delivery system 13 , and a glucose delivery system 15 , as shown in FIG. 1 .
  • the analyte monitoring apparatus 10 may be considered to include the insulin delivery system 14 , glucagon delivery system 13 , and glucose delivery system 15 .
  • analyte sensor 11 may generate a sensor signal 16 representative of blood glucose levels 18 in body 20 , and it may provide sensor signal 16 to controller 12 .
  • Controller 12 may receive sensor signal 16 and generate commands 22 that are communicated to insulin delivery system 14 , glucagon delivery system 13 , and/or glucose delivery system 15 .
  • Insulin delivery system 14 may receive commands 22 and infuse insulin 24 into body 20 in response to commands 22 .
  • glucagon delivery system 13 may receive commands 22 and infuse glucagon 23 into body 20 in response to commands 22 .
  • glucose delivery system 15 may receive commands 22 and provide glucose 25 into body 20 in response to commands 22 .
  • Analyte sensor 11 may include a glucose sensor, sensor electrical components to provide power to a sensor and to generate sensor signal 16 , a sensor communication system to carry sensor signal 16 to controller 12 , and a sensor system housing for electrical components and a sensor communication system.
  • a glucose sensor may measure blood glucose directly from a blood stream, indirectly via interstitial fluid using, e.g., a subcutaneous sensor, some combination thereof, and so forth, just to name a few examples.
  • blood glucose “measured blood glucose”, “blood glucose concentration”, “measured blood glucose concentration”, and the like may refer to a glucose level, a blood glucose level, a blood glucose concentration, and so forth that has been obtained via any type of glucose sensor.
  • Controller 12 may include electrical components and software to generate commands 22 for insulin delivery system 14 , glucagon delivery system 13 , and/or glucose delivery system 15 based on sensor signal 16 . Controller 12 may also include a controller communication system to receive sensor signal 16 and provide commands 22 to insulin delivery system 14 , glucagon delivery system 13 , and/or glucose delivery system 15 . In particular example implementations, controller 12 may include a user interface and/or operator interface (not shown) including a data input device and/or a data output device. Such a data output device may, for example, generate signals to initiate an alarm and/or include a display or printer for showing status of a controller 12 and/or a patient's vital indicators.
  • Such a data input device may include dials, buttons, pointing devices, manual switches, alphanumeric keys, a touch-sensitive display, combinations thereof, and/or the like for receiving user and/or operator inputs.
  • Such a data input device may be used for scheduling and/or initiating insulin bolus injections for meals, for example. It should be understood, however, that these are merely examples of input and output devices that may be a part of an operator and/or user interface and that claimed subject matter is not limited in these respects.
  • Insulin delivery system 14 may include an infusion device and/or an infusion tube to infuse insulin 24 into body 20 .
  • glucagon delivery system 13 may include an infusion device and/or an infusion tube to infuse glucagon 23 into body 20 .
  • glucose delivery system 15 may include an infusion device and/or an infusion tube to infuse glucose 25 into body 20 .
  • insulin 24 , glucagon 23 , and/or glucose 25 may be infused into body 20 using a shared infusion tube.
  • insulin 24 , glucagon 23 , and/or glucose 25 may be infused using an intravenous system for providing fluids to a patient (e.g., in a hospital or other medical environment). It should be understood, however, that certain example embodiments may include an insulin delivery system 14 without a glucagon delivery system 13 and/or without a glucose delivery system 15 .
  • an infusion device may include infusion electrical components to activate an infusion motor according to commands 22 , an infusion communication system to receive commands 22 from controller 12 , and an infusion device housing (not shown) to hold the infusion device.
  • controller 12 may be housed in an infusion device housing, and an infusion communication system may include an electrical trace or a wire that carries commands 22 from controller 12 to an infusion device.
  • controller 12 may be housed in a sensor system housing, and a sensor communication system may include an electrical trace or a wire that carries sensor signal 16 from sensor electrical components to controller electrical components.
  • controller 12 may have its own housing or may be included in a supplemental device.
  • controller 12 may be co-located with an infusion device and a sensor system within a single housing.
  • a sensor, a controller, and/or infusion communication systems may utilize a cable, a wire, a fiber optic line, RF, IR, or ultrasonic transmitters and receivers, combinations thereof, and/or the like instead of electrical traces, just to name a few examples.
  • FIG. 2 illustrates an analyte monitoring apparatus in accordance with an embodiment.
  • Such an analyte monitoring apparatus may be used, for example, in controlling a patient's glucose level about a target range as discussed above. It should be understood, however, that these are merely examples that may be used for controlling a patient's glucose level about a target range and that claimed subject matter is not limited in this respect.
  • FIG. 2 is a front view of closed loop hardware located on a body in accordance with certain embodiments.
  • Particular embodiments may include a sensor 11 , a sensor set 28 , a telemetered characteristic monitor 30 , a sensor cable 32 , an infusion device 34 , an infusion tube 36 , and an infusion set 38 , any or all of which may be worn on a body 20 of a user or patient, as shown in FIG. 2 .
  • Embodiments of a telemetered characteristic monitor 30 may include a monitor housing that supports a printed circuit board, battery or batteries, antenna a sensor cable connector, and so forth.
  • a sensing end of sensor 11 may have exposed electrodes that may be inserted through skin to a sensor placement site such as into a subcutaneous tissue of a user's body 20 . Electrodes may be in contact with interstitial fluid (ISF) that is usually present throughout subcutaneous tissue.
  • ISF interstitial fluid
  • Sensor 11 may be held in place by sensor set 28 , which may be adhesively secured to a user's skin.
  • Sensor set 28 may provide for a connector end of sensor 11 to connect to a first end of sensor cable 32 .
  • a second end of sensor cable 32 may connect to monitor 30 .
  • a power source such as batteries, that may be included in a monitor housing to provide power for sensor 11 and electrical components on an associated printed circuit board.
  • Electrical components may sample sensor signal 16 (e.g., of FIG. 1 ) and store digital sensor values (Dsig) in a memory. Digital sensor values Dsig may be periodically transmitted from a memory to controller 12 , which may be included in an infusion device.
  • a controller 12 may process digital sensor values Dsig and generate commands 22 (e.g., of FIG. 1 ) for infusion device 34 .
  • Infusion device 34 may respond to commands 22 and actuate a plunger 48 that forces insulin 24 (e.g., of FIG. 1 ) out of a reservoir 50 that is located inside an infusion device 34 .
  • Glucagon may be infused from a reservoir responsive to commands 22 using a similar and/or analogous device (not shown).
  • glucose may be administered to a patient orally.
  • a connector tip of a reservoir may extend through an infusion device housing, and a first end of infusion tube 36 may be attached to the connector tip.
  • a second end of infusion tube 36 may connect to infusion set 38 (e.g., of FIG. 2 ).
  • insulin 24 may be forced through infusion tube 36 into infusion set 38 and into body 20 .
  • Infusion set 38 may be adhesively attached to a user's skin.
  • a cannula may extend through skin and terminate in subcutaneous tissue 4 to complete fluid communication between a reservoir and subcutaneous tissue of a user's body 20 .
  • a system in particular implementations may be a part of a hospital-based glucose management system.
  • insulin therapy during intensive care has been shown to dramatically improve wound healing and reduce blood stream infections, renal failure, and polyneuropathy mortality, irrespective of whether subjects previously had diabetes (See, e.g., Van den Berghe G. et al. NEJM 345: 1359-67, 2001)
  • particular implementations may be used in a hospital setting to control a blood glucose level of a patient in intensive care.
  • IV hookup may be implanted into a patient's arm while the patient is in an intensive care setting (e.g., ICU)
  • an intensive care setting e.g., ICU
  • IV catheters that are directly connected to a patient's vascular system for purposes of quickly delivering IV fluids, may also be used to facilitate blood sampling and direct infusion of substances (e.g., insulin, glucose, glucagon, etc.) into an intra-vascular space.
  • a sensor and associated component(s) would be capable of providing a real time, noise-free measurement of a parameter, such as a blood glucose measurement, that a control system is intended to control.
  • a parameter such as a blood glucose measurement
  • a delay may arise from, for instance, a particular level of noise filtering that is applied to a sensor signal.
  • Such delays and/or time lags in obtaining sensor glucose measurements may ultimately affect closed-loop operation. Accordingly, and as discussed in greater detail below, feedback control mechanisms using various approaches by application of a predicted duration of a blood glucose level being outside of a target range to better address a patient's glycemic health.
  • FIG. 3 illustrates a cross sectional of an exemplary sensor electrode 80 , such as for use in an analyte monitoring apparatus.
  • the sensor electrode 80 is formed from a plurality of components that are typically in the form of layers of various conductive and non-conductive constituents disposed on each other according to accepted methods.
  • the embodiment shown in FIG. 3 includes a base layer 82 to support the sensor electrode 80 .
  • the base layer 82 can be made of a material such as a polymeric substrate, which may be self-supporting or further supported by another material as is known in the art.
  • the base layer 82 may be a non-toxic biocompatible polymer, such as silicone compounds, polyimides, biocompatible solder masks, epoxy acrylate copolymers, or the like.
  • An exemplary base layer 82 is polyethylene terephthalate (PET), polyimide (PI), or a composite thereof.
  • the exemplary sensor electrode 80 includes a conductive layer 84 which is disposed over, and/or directly on and/or combined with the base layer 82 .
  • An exemplary conductive layer 84 is platinum.
  • the base layer 82 and/or conductive layers 84 can be generated using many known techniques and materials.
  • the electrical circuit of the sensor is defined by etching the disposed conductive layer 84 into a desired pattern of conductive paths.
  • An electrically insulating layer may be formed around the conductive layers 84 .
  • the electrically insulating layer may be a polymer coating, such as non-toxic biocompatible polymers such as silicone compounds, polyimides, biocompatible solder masks, epoxy acrylate copolymers, or the like.
  • the conductive layer 84 is exposed to open the conductive layers 84 to the external environment and to, for example, allow an analyte such as glucose to permeate the layers of the sensor electrode 80 and be sensed by the sensing elements.
  • the conductive layers 84 include an electrode surface 86 .
  • an analyte sensing layer 88 (which is typically a sensor chemistry layer, meaning that materials in this layer undergo a chemical reaction to produce a signal that can be sensed by the conductive layers) is formed over and/or is disposed on the exposed electrode surface 86 .
  • the analyte sensing layer 88 forms the sensor surface 89 where an analyte such as glucose may bind as described above.
  • FIG. 4 provides an overhead schematic view of the analyte sensing layer 88 .
  • the exemplary analyte sensing layer 88 includes an enzyme 91 .
  • the exemplary analyte sensing layer 88 includes a thermally-cured polymer matrix 92 and a UV-cured polymer matrix 93 .
  • the enzyme 91 is entrapped within the matrix 92 and matrix 93 .
  • the hydrogen peroxide is oxidized at an electrode surface 86 that is an anode (also termed herein the anodic electrode), with the resulting current being proportional to the hydrogen peroxide concentration.
  • anode also termed herein the anodic electrode
  • Such modulations in the current caused by changing hydrogen peroxide concentrations can by monitored by any one of a variety of sensor detector apparatuses such as a universal sensor amperometric biosensor detector or one of the other variety of similar devices known in the art such as glucose monitoring devices produced by Medtronic MiniMed.
  • An exemplary method for forming the analyte sensing layer 88 provides a simplified process as compared to methods for forming conventional multi-layer sensing components. Specifically, the method includes mixing the enzyme 91 , such as glucose oxidase, a polymer binder, a thermal cross-linker, an ultraviolet (UV) curable monomer or oligomer, a photo-initiator, such as a UV photo-initiator, and solvents to form a blended mixture or formulation.
  • the enzyme 91 such as glucose oxidase, a polymer binder, a thermal cross-linker, an ultraviolet (UV) curable monomer or oligomer, a photo-initiator, such as a UV photo-initiator, and solvents to form a blended mixture or formulation.
  • UV ultraviolet
  • TABLE 1 provides an exemplary blended mixture before curing:
  • the polymer binder has hydroxy end groups.
  • An exemplary polymer binder is poly(vinyl alcohol) (PVA), hydroxypropyl methylcellulose (HPMC), chitosan, or other hydroxyl-containing polymers. Other suitable polymer binders may be used.
  • the thermal cross-linker is glyoxal or glutaraldehyde.
  • Other cross-linkers may be suitable.
  • the monomer or oligomer includes multifunctional acrylate.
  • the multifunctional acrylate is selected from the group consisting of pentaerythritol triacrylate, dipentaerythritol pentaacrylate, ethoxylated pentaerythritol tetraacrylate, and multifunctional urethane acrylate monomers or oligomers.
  • An exemplary photo-initiator is adapted to initiate curing of the monomer or oligomer upon exposure to ultraviolet (UV) light.
  • the photo-initiator is selected from the group consisting of 1-Hydroxy-cyclohexyl-phenyl-ketone, 1,2-Diphenyl-2,2dimethyoxyethanone, and Bis(2,4,6-trimethylbenzoyl)-phenylphosphineoxide.
  • Other photo-initiators may be suitable.
  • the solvent is water, alcohol, ketone, acetate, or mixtures thereof.
  • the blended mixture may be coated onto a surface such as onto the electrode surface 86 of the conductive layer 84 to form a wet film.
  • the blended mixture may be coated onto the surface by slot-die, gravure, knife coating, spray coating, curtain coating, dip coating, Mayer rod application, or other coating methods.
  • the wet film may be dried.
  • the wet film may be dried at a temperate of from about 40 to about 55° C. for a selected duration.
  • the wet film may be dried for from about 15 to about 30 minutes.
  • thermal curing of the polymer binder and thermal cross-linker occurs.
  • substantially all of the solvent may evaporate.
  • the drying process may produce a dry film in which a portion of the solvent may remain unevaporated.
  • the process may continue with exposing the dried film to UV light.
  • the monomer or oligomer is cured in the presence of a photo-initiator.
  • the permeability of the analyte sensing layer 88 can be finely tuned to provide desired performance of the analyte sensor.
  • the ratio may be from about 1:10 to about 10:1.
  • the analyte sensing layer 88 can be applied over portions of the conductive layers or over the entire region of the conductive layers. Typically the analyte sensing layer 88 is disposed on the working electrode which can be the anode or the cathode. Optionally, the analyte sensing layer 88 is also disposed on a counter and/or reference electrode.
  • the analyte sensing layer 88 can be up to about 1000 microns ( ⁇ m) in thickness, typically the analyte sensing layer is relatively thin as compared to those found in sensors previously described in the art, and is for example, typically less than about 100, less than about 50, less than about 25 or less than about 10 microns in thickness, and greater than about 1, greater than about 5, greater than about 10, or greater than about 25 microns in thickness.
  • the analyte sensing layer 88 is not coated and or disposed next to one or more additional layers, such as protein layers like human serum albumin, bovine serum albumin or the like, analyte modulating layers to regulate analyte contact with the analyte sensing layer 88 , such as a glucose limiting membrane to regulates the amount of glucose that contacts an enzyme such as glucose oxidase that is present in the analyte sensing layer 88 , interference rejection layers, or adhesion promoter layers disposed between such additional layers.
  • the analyte sensing layer 88 performs by itself, with no additional layers, to regulate analyte contact, for example between glucose and glucose oxidase.
  • the analyte sensing layer 88 performs by itself, with no additional layers, to immobilize the enzyme therein.
  • a special purpose computer or a similar special purpose electronic computing device or apparatus may be capable of manipulating or transforming signals, which are typically represented as physical electronic and/or magnetic quantities within memories, registers, or other information storage devices; transmission devices; display devices of a special purpose computer; or similar special purpose electronic computing device; and so forth, just to name a few examples.
  • a special purpose computer or similar may include one or more processors programmed with instructions to perform one or more specific functions.
  • a special purpose computer may refer to a system or a device that includes an ability to process or store data in the form of signals.
  • a process or method as described herein, with reference to flow diagrams or otherwise may also be executed or controlled, in whole or in part, by a special purpose computer.
  • Storage medium may relate to media capable of storing information or instructions which may be operated on, or executed by, one or more machines (e.g., that include at least one processor).
  • a storage medium may include one or more storage articles and/or devices for storing machine-readable instructions or information.
  • Such storage articles and/or devices may include any one of several non-transitory media types including, for example, magnetic, optical, semiconductor, a combination thereof, or other storage media.
  • one or more computing platforms may be adapted to perform one or more processes, methods, etc. in accordance with claimed subject matter, such as methods, processes, etc. that are described herein.
  • these are merely examples relating to a storage medium and a computing platform and claimed subject matter is not limited in these respects.

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Abstract

Analyte sensors and methods for fabricating analyte sensors and analyte sensing layers are presented here. In accordance with certain embodiments, a method for fabricating an analyte sensor includes providing a base layer and forming a conductive layer over the base layer. Further, the method includes forming an analyte sensing layer disposed over the conductive layer. The analyte sensing layer includes glucose oxidase entrapped within a thermally-cured polymer matrix and within a UV-cured polymer matrix.

Description

    CROSS REFERENCE TO RELATED APPLICATIONS
  • This application is a divisional application which claims the benefit under 35 U.S.C. § 120 and § 121 of U.S. patent application Ser. No. 16/111,057, filed Aug. 23, 2018, the contents of which are incorporated herein by reference.
  • TECHNICAL FIELD
  • Embodiments of the subject matter described herein relate generally to analyte sensing layers for monitoring analyte levels in patients. More particularly, embodiments of the subject matter relate to glucose sensors, and to methods for fabricating glucose sensors.
  • BACKGROUND
  • The pancreas of a normal healthy person produces and releases insulin into the blood stream in response to elevated blood plasma glucose levels. Beta cells (β-cells), which reside in the pancreas, produce and secrete insulin into the blood stream as it is needed. If β-cells become incapacitated or die, a condition known as Type 1 diabetes mellitus (or in some cases, if β-cells produce insufficient quantities of insulin, a condition known as Type 2 diabetes), then insulin may be provided to a body from another source to maintain life or health.
  • Traditionally, because insulin cannot be taken orally, insulin has been injected with a syringe. More recently, the use of infusion pump therapy has been increasing in a number of medical situations, including for delivering insulin to diabetic individuals. For example, external infusion pumps may be worn on a belt, in a pocket, or the like, and they can deliver insulin into a body via an infusion tube with a percutaneous needle or a cannula placed in subcutaneous tissue.
  • As of 1995, less than 5% of Type 1 diabetic individuals in the United States were using infusion pump therapy. Currently, over 7% of the more than 900,000 Type 1 diabetic individuals in the U.S. are using infusion pump therapy. The percentage of Type 1 diabetic individuals that use an infusion pump is growing at a rate of over 2% each year. Moreover, the number of Type 2 diabetic individuals is growing at 3% or more per year, and growing numbers of insulin-using Type 2 diabetic individuals are also adopting infusion pumps. Additionally, physicians have recognized that continuous infusion can provide greater control of a diabetic individual's condition, so they too are increasingly prescribing it for patients.
  • An infusion pump system may include an infusion pump that is automatically and/or semi-automatically controlled to infuse insulin into a patient. The infusion of insulin may be controlled to occur at times and in amounts that are based, for example, on blood glucose measurements obtained from an embedded analyte sensor, such as a glucose sensor, in real-time.
  • Analyte sensors such as biosensors include devices that use biological elements to convert a chemical analyte in a matrix into a detectable signal. There are many types of biosensors used for a wide variety of analytes. The most studied type of biosensor is the amperometric glucose sensor, which is crucial to the successful glucose level control for diabetes.
  • A typical glucose sensor works according to the following chemical reactions:
  • Figure US20210189451A1-20210624-C00001
  • In equation 1, the glucose oxidase is used to catalyze the reaction between glucose and oxygen to yield gluconic acid and hydrogen peroxide (H2O2). The hydrogen peroxide reacts electrochemically as shown in equation 2 and the resulting current can be measured by a potentiostat. These reactions, which occur in a variety of oxidoreductases known in the art, are used in a number of sensor designs.
  • As analyte sensor technology matures and new applications for sensor technology are developed, there is a need for improved sensors for monitoring analyte levels in patients, and for improved methods for fabricating such sensors.
  • Accordingly, it is desirable to have an improved analyte sensing layer, and improved analyte sensor, and improved methods for fabricating analyte sensing layers and methods for fabricating analyte sensors that address the shortcomings of traditional sensor systems and methods. Furthermore, other desirable features and characteristics will become apparent from the subsequent detailed description and the appended claims, taken in conjunction with the accompanying drawings and the foregoing technical field and background.
  • BRIEF SUMMARY
  • A method for fabricating an analyte sensor is presented here. In accordance with certain embodiments, a method for fabricating an analyte sensor includes providing a base layer and forming a conductive layer over the base layer. Further, the method includes forming an analyte sensing layer disposed over the conductive layer. The analyte sensing layer includes glucose oxidase entrapped within a thermally-cured polymer matrix and within a UV-cured polymer matrix.
  • A method for fabricating an analyte sensing layer is also presented here. The method includes blending an enzyme, a polymer binder, a thermal cross-linker, a photo-initiator, and a monomer or oligomer including multifunctional acrylate to form a mixture. The method further includes thermally-curing the polymer binder and the thermal cross-linker by drying the mixture to form an intermediate film with a thermally-cured polymer matrix. Also, the method includes UV-curing the monomer or oligomer including multifunctional acrylate by exposing the intermediate film to UV light to form a UV-cured polymer matrix. In the analyte sensing layer, the enzyme is entrapped within the thermally-cured polymer matrix and within the UV-cured polymer matrix.
  • Also provided is an exemplary embodiment of an analyte sensor. The analyte sensor includes a base layer and a conductive layer over the base layer. Further, the analyte sensor includes an analyte sensing layer disposed over the conductive layer. The analyte sensing layer includes glucose oxidase entrapped within a thermally-cured polymer matrix and within a UV-cured polymer matrix.
  • This summary is provided to introduce a selection of concepts in a simplified form that are further described below in the detailed description. This summary is not intended to identify key features or essential features of the claimed subject matter, nor is it intended to be used as an aid in determining the scope of the claimed subject matter.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • A more complete understanding of the subject matter may be derived by referring to the detailed description and claims when considered in conjunction with the following figures, wherein like reference numbers refer to similar elements throughout the figures.
  • FIG. 1 is a block diagram of an analyte monitoring apparatus in accordance with an embodiment.
  • FIG. 2 is a front view of an analyte monitoring apparatus located on a body in accordance with an embodiment.
  • FIG. 3 is a cross sectional view of an analyte sensor for use in an analyte monitoring apparatus in an embodiment.
  • FIG. 4 is an overhead schematic view of the analyte sensing layer of the analyte sensor of FIG. 3 for an embodiment.
  • DETAILED DESCRIPTION
  • The following detailed description is merely illustrative in nature and is not intended to limit the embodiments of the subject matter or the application and uses of such embodiments. As used herein, the word “exemplary” means “serving as an example, instance, or illustration.” Any implementation described herein as exemplary is not necessarily to be construed as preferred or advantageous over other implementations. Furthermore, there is no intention to be bound by any expressed or implied theory presented in the preceding technical field, background, brief summary or the following detailed description. Also, while the preceding background discusses glucose sensing and exemplary analyte sensors are described as glucose sensors herein, such description is for convenience and is not limiting. The claimed subject matter may include any type of analyte sensor utilizing an embodiment of the sensor electrodes described herein.
  • In an exemplary embodiment, an analyte sensing layer is formed as a single layer overlying the electrode and includes an enzyme, components for immobilizing the enzyme, and components for regulating analyte contact with the enzyme. In particular embodiments, a method for forming an analyte sensing layer includes a dual cure process in which certain components are thermally cured before other components are cured by exposure to ultraviolet (UV) radiation or light, i.e., UV-cured. As a result, the enzyme is entrapped by both a thermally cured matrix and a UV-cured matrix. As used herein, the terms “thermal cure” and “thermal curing” refer to a change in state, condition, and/or structure in a material that is induced by increased temperature. As used herein, the terms “UV cure” and “UV curing” refer to a change in state, condition, and/or structure in a material that is induced by UV radiation. As used herein, a “thermal cross-linker” is a compound that only upon thermal treatment, i.e., heating, links one polymer chain to another. As used herein a “UV photo-initiator” is a molecule that creates reactive species (free radicals, cations or anions) when exposed to UV radiation to initiate a photopolymerization process, where monomer or oligomer molecules react to form polymer chains or three-dimensional networks.
  • According to certain embodiments, examples of analyte sensors and/or analyte sensing layers as described herein may be implemented in a hospital environment to monitor levels of glucose in a patient. Alternatively, according to certain embodiments, examples of analyte sensors and/or analyte sensing layers as described herein may be implemented in non-hospital environments to monitor levels of glucose in a patient. Here, a patient or other non-medical professional may be responsible for interacting with an analyte sensors and/or analyte sensing layers.
  • FIG. 1 is a block diagram of an example analyte monitoring apparatus 10 for use with a glucose control system in accordance with an embodiment. Particular embodiments of the analyte monitoring apparatus 10 may include an analyte sensor 11, including an analyte sensing layer, and a controller 12. The analyte monitoring apparatus 10 is provided for use with an insulin delivery system 14, a glucagon delivery system 13, and a glucose delivery system 15, as shown in FIG. 1. The analyte monitoring apparatus 10 may be considered to include the insulin delivery system 14, glucagon delivery system 13, and glucose delivery system 15.
  • In certain exemplary embodiments, analyte sensor 11 may generate a sensor signal 16 representative of blood glucose levels 18 in body 20, and it may provide sensor signal 16 to controller 12. Controller 12 may receive sensor signal 16 and generate commands 22 that are communicated to insulin delivery system 14, glucagon delivery system 13, and/or glucose delivery system 15. Insulin delivery system 14 may receive commands 22 and infuse insulin 24 into body 20 in response to commands 22. Likewise, glucagon delivery system 13 may receive commands 22 and infuse glucagon 23 into body 20 in response to commands 22. Similarly, glucose delivery system 15 may receive commands 22 and provide glucose 25 into body 20 in response to commands 22.
  • Analyte sensor 11 may include a glucose sensor, sensor electrical components to provide power to a sensor and to generate sensor signal 16, a sensor communication system to carry sensor signal 16 to controller 12, and a sensor system housing for electrical components and a sensor communication system. A glucose sensor may measure blood glucose directly from a blood stream, indirectly via interstitial fluid using, e.g., a subcutaneous sensor, some combination thereof, and so forth, just to name a few examples. As used herein, “blood glucose”, “measured blood glucose”, “blood glucose concentration”, “measured blood glucose concentration”, and the like may refer to a glucose level, a blood glucose level, a blood glucose concentration, and so forth that has been obtained via any type of glucose sensor. It should be understood, however that using a blood glucose sensor is only one particular technique for obtaining such observations or measurements, and that other techniques, such as measuring blood glucose inform observations of other body fluids (e.g., observations of the presence of glucose in interstitial fluid using a subcutaneous sensor), may be used without deviating from claimed subject matter.
  • Controller 12 may include electrical components and software to generate commands 22 for insulin delivery system 14, glucagon delivery system 13, and/or glucose delivery system 15 based on sensor signal 16. Controller 12 may also include a controller communication system to receive sensor signal 16 and provide commands 22 to insulin delivery system 14, glucagon delivery system 13, and/or glucose delivery system 15. In particular example implementations, controller 12 may include a user interface and/or operator interface (not shown) including a data input device and/or a data output device. Such a data output device may, for example, generate signals to initiate an alarm and/or include a display or printer for showing status of a controller 12 and/or a patient's vital indicators. Such a data input device may include dials, buttons, pointing devices, manual switches, alphanumeric keys, a touch-sensitive display, combinations thereof, and/or the like for receiving user and/or operator inputs. Such a data input device may be used for scheduling and/or initiating insulin bolus injections for meals, for example. It should be understood, however, that these are merely examples of input and output devices that may be a part of an operator and/or user interface and that claimed subject matter is not limited in these respects.
  • Insulin delivery system 14 may include an infusion device and/or an infusion tube to infuse insulin 24 into body 20. Similarly, glucagon delivery system 13 may include an infusion device and/or an infusion tube to infuse glucagon 23 into body 20. Likewise, glucose delivery system 15 may include an infusion device and/or an infusion tube to infuse glucose 25 into body 20. In alternative embodiments, insulin 24, glucagon 23, and/or glucose 25 may be infused into body 20 using a shared infusion tube. In other alternative embodiments, insulin 24, glucagon 23, and/or glucose 25 may be infused using an intravenous system for providing fluids to a patient (e.g., in a hospital or other medical environment). It should be understood, however, that certain example embodiments may include an insulin delivery system 14 without a glucagon delivery system 13 and/or without a glucose delivery system 15.
  • In particular embodiments, an infusion device (not explicitly identified in FIG. 1) may include infusion electrical components to activate an infusion motor according to commands 22, an infusion communication system to receive commands 22 from controller 12, and an infusion device housing (not shown) to hold the infusion device.
  • In particular embodiments, controller 12 may be housed in an infusion device housing, and an infusion communication system may include an electrical trace or a wire that carries commands 22 from controller 12 to an infusion device. In alternative embodiments, controller 12 may be housed in a sensor system housing, and a sensor communication system may include an electrical trace or a wire that carries sensor signal 16 from sensor electrical components to controller electrical components. In other alternative embodiments, controller 12 may have its own housing or may be included in a supplemental device. In yet other alternative embodiments, controller 12 may be co-located with an infusion device and a sensor system within a single housing. In further alternative embodiments, a sensor, a controller, and/or infusion communication systems may utilize a cable, a wire, a fiber optic line, RF, IR, or ultrasonic transmitters and receivers, combinations thereof, and/or the like instead of electrical traces, just to name a few examples.
  • FIG. 2 illustrates an analyte monitoring apparatus in accordance with an embodiment. Such an analyte monitoring apparatus may be used, for example, in controlling a patient's glucose level about a target range as discussed above. It should be understood, however, that these are merely examples that may be used for controlling a patient's glucose level about a target range and that claimed subject matter is not limited in this respect. FIG. 2 is a front view of closed loop hardware located on a body in accordance with certain embodiments.
  • Particular embodiments may include a sensor 11, a sensor set 28, a telemetered characteristic monitor 30, a sensor cable 32, an infusion device 34, an infusion tube 36, and an infusion set 38, any or all of which may be worn on a body 20 of a user or patient, as shown in FIG. 2. Embodiments of a telemetered characteristic monitor 30 may include a monitor housing that supports a printed circuit board, battery or batteries, antenna a sensor cable connector, and so forth. A sensing end of sensor 11 may have exposed electrodes that may be inserted through skin to a sensor placement site such as into a subcutaneous tissue of a user's body 20. Electrodes may be in contact with interstitial fluid (ISF) that is usually present throughout subcutaneous tissue.
  • Sensor 11 may be held in place by sensor set 28, which may be adhesively secured to a user's skin. Sensor set 28 may provide for a connector end of sensor 11 to connect to a first end of sensor cable 32. A second end of sensor cable 32 may connect to monitor 30. A power source, such as batteries, that may be included in a monitor housing to provide power for sensor 11 and electrical components on an associated printed circuit board. Electrical components may sample sensor signal 16 (e.g., of FIG. 1) and store digital sensor values (Dsig) in a memory. Digital sensor values Dsig may be periodically transmitted from a memory to controller 12, which may be included in an infusion device.
  • With reference to FIGS. 1 and 2, a controller 12 may process digital sensor values Dsig and generate commands 22 (e.g., of FIG. 1) for infusion device 34. Infusion device 34 may respond to commands 22 and actuate a plunger 48 that forces insulin 24 (e.g., of FIG. 1) out of a reservoir 50 that is located inside an infusion device 34. Glucagon may be infused from a reservoir responsive to commands 22 using a similar and/or analogous device (not shown). In alternative implementations, glucose may be administered to a patient orally.
  • In particular example embodiments, a connector tip of a reservoir may extend through an infusion device housing, and a first end of infusion tube 36 may be attached to the connector tip. A second end of infusion tube 36 may connect to infusion set 38 (e.g., of FIG. 2). With reference to FIG. 1, insulin 24 may be forced through infusion tube 36 into infusion set 38 and into body 20. Infusion set 38 may be adhesively attached to a user's skin. As part of infusion set 38, a cannula may extend through skin and terminate in subcutaneous tissue 4 to complete fluid communication between a reservoir and subcutaneous tissue of a user's body 20.
  • In exemplary alternative embodiments, as pointed out above, a system in particular implementations may be a part of a hospital-based glucose management system. Given that insulin therapy during intensive care has been shown to dramatically improve wound healing and reduce blood stream infections, renal failure, and polyneuropathy mortality, irrespective of whether subjects previously had diabetes (See, e.g., Van den Berghe G. et al. NEJM 345: 1359-67, 2001), particular implementations may be used in a hospital setting to control a blood glucose level of a patient in intensive care. In such alternative embodiments, because an intravenous (IV) hookup may be implanted into a patient's arm while the patient is in an intensive care setting (e.g., ICU), a closed loop glucose control may be established that piggy-backs off an existing IV connection. Thus, in a hospital or other medical-facility based system, IV catheters that are directly connected to a patient's vascular system for purposes of quickly delivering IV fluids, may also be used to facilitate blood sampling and direct infusion of substances (e.g., insulin, glucose, glucagon, etc.) into an intra-vascular space.
  • Certain examples of system and/or environmental delays are described herein. Ideally, a sensor and associated component(s) would be capable of providing a real time, noise-free measurement of a parameter, such as a blood glucose measurement, that a control system is intended to control. However, in real-world implementations, there are typically physiological, chemical, electrical, algorithmic, and/or other sources of time delays that may contribute to a sensor measurement lagging behind an actual present value. Also, as noted herein, such a delay may arise from, for instance, a particular level of noise filtering that is applied to a sensor signal. Such delays and/or time lags in obtaining sensor glucose measurements may ultimately affect closed-loop operation. Accordingly, and as discussed in greater detail below, feedback control mechanisms using various approaches by application of a predicted duration of a blood glucose level being outside of a target range to better address a patient's glycemic health.
  • FIG. 3 illustrates a cross sectional of an exemplary sensor electrode 80, such as for use in an analyte monitoring apparatus. The sensor electrode 80 is formed from a plurality of components that are typically in the form of layers of various conductive and non-conductive constituents disposed on each other according to accepted methods.
  • The embodiment shown in FIG. 3 includes a base layer 82 to support the sensor electrode 80. The base layer 82 can be made of a material such as a polymeric substrate, which may be self-supporting or further supported by another material as is known in the art. The base layer 82 may be a non-toxic biocompatible polymer, such as silicone compounds, polyimides, biocompatible solder masks, epoxy acrylate copolymers, or the like. An exemplary base layer 82 is polyethylene terephthalate (PET), polyimide (PI), or a composite thereof.
  • The exemplary sensor electrode 80 includes a conductive layer 84 which is disposed over, and/or directly on and/or combined with the base layer 82. An exemplary conductive layer 84 is platinum. The base layer 82 and/or conductive layers 84 can be generated using many known techniques and materials. In certain embodiments, the electrical circuit of the sensor is defined by etching the disposed conductive layer 84 into a desired pattern of conductive paths. An electrically insulating layer may be formed around the conductive layers 84. For example, the electrically insulating layer may be a polymer coating, such as non-toxic biocompatible polymers such as silicone compounds, polyimides, biocompatible solder masks, epoxy acrylate copolymers, or the like.
  • As shown, the conductive layer 84 is exposed to open the conductive layers 84 to the external environment and to, for example, allow an analyte such as glucose to permeate the layers of the sensor electrode 80 and be sensed by the sensing elements. Specifically, the conductive layers 84 include an electrode surface 86.
  • In the configuration shown in FIG. 3, an analyte sensing layer 88 (which is typically a sensor chemistry layer, meaning that materials in this layer undergo a chemical reaction to produce a signal that can be sensed by the conductive layers) is formed over and/or is disposed on the exposed electrode surface 86. The analyte sensing layer 88 forms the sensor surface 89 where an analyte such as glucose may bind as described above.
  • FIG. 4 provides an overhead schematic view of the analyte sensing layer 88. Cross-referencing FIGS. 3 and 4, it may be seen that the exemplary analyte sensing layer 88 includes an enzyme 91. Further, the exemplary analyte sensing layer 88 includes a thermally-cured polymer matrix 92 and a UV-cured polymer matrix 93. As shown, the enzyme 91 is entrapped within the matrix 92 and matrix 93.
  • An exemplary enzyme 91 is capable of producing and/or utilizing oxygen and/or hydrogen peroxide, for example, the enzyme glucose oxidase. In an illustrative embodiment, an oxidoreductase enzyme 91 such as glucose oxidase in the analyte sensing layer 88 reacts with glucose to produce hydrogen peroxide, a compound which then modulates a current at the electrode surface 86. As this modulation of current depends on the concentration of hydrogen peroxide, and the concentration of hydrogen peroxide correlates to the concentration of glucose, the concentration of glucose can be determined by monitoring this modulation in the current. In a specific embodiment, the hydrogen peroxide is oxidized at an electrode surface 86 that is an anode (also termed herein the anodic electrode), with the resulting current being proportional to the hydrogen peroxide concentration. Such modulations in the current caused by changing hydrogen peroxide concentrations can by monitored by any one of a variety of sensor detector apparatuses such as a universal sensor amperometric biosensor detector or one of the other variety of similar devices known in the art such as glucose monitoring devices produced by Medtronic MiniMed.
  • An exemplary method for forming the analyte sensing layer 88 provides a simplified process as compared to methods for forming conventional multi-layer sensing components. Specifically, the method includes mixing the enzyme 91, such as glucose oxidase, a polymer binder, a thermal cross-linker, an ultraviolet (UV) curable monomer or oligomer, a photo-initiator, such as a UV photo-initiator, and solvents to form a blended mixture or formulation. TABLE 1 provides an exemplary blended mixture before curing:
  • TABLE 1
    Component Weight Percent (Wt. %) of total
    Glucose Oxidase 1-5 
    PVA (polymer binder) 2-10
    Glyoxal (thermal cross-linker) 0.02-0.2 
    Pentaerythritol Triacrylate 5-15
    (UV monomer or oligomer)
    1-Hydroxy-cyclohexyl-phenyl-ketone 0.2-1.5 
    (UV photo-initiator
    DI-water, IPA, acetone (Solvent) 68.3-91.78
    Total 100
  • In an exemplary embodiment, the polymer binder has hydroxy end groups. An exemplary polymer binder is poly(vinyl alcohol) (PVA), hydroxypropyl methylcellulose (HPMC), chitosan, or other hydroxyl-containing polymers. Other suitable polymer binders may be used.
  • In an exemplary embodiment, the thermal cross-linker is glyoxal or glutaraldehyde. Other cross-linkers may be suitable.
  • In an exemplary embodiment, the monomer or oligomer includes multifunctional acrylate. Further, in exemplary embodiments, the multifunctional acrylate is selected from the group consisting of pentaerythritol triacrylate, dipentaerythritol pentaacrylate, ethoxylated pentaerythritol tetraacrylate, and multifunctional urethane acrylate monomers or oligomers.
  • An exemplary photo-initiator is adapted to initiate curing of the monomer or oligomer upon exposure to ultraviolet (UV) light. In an exemplary embodiment, the photo-initiator is selected from the group consisting of 1-Hydroxy-cyclohexyl-phenyl-ketone, 1,2-Diphenyl-2,2dimethyoxyethanone, and Bis(2,4,6-trimethylbenzoyl)-phenylphosphineoxide. Other photo-initiators may be suitable.
  • In an exemplary embodiment, the solvent is water, alcohol, ketone, acetate, or mixtures thereof.
  • After the blended mixture is formed, it may be coated onto a surface such as onto the electrode surface 86 of the conductive layer 84 to form a wet film. The blended mixture may be coated onto the surface by slot-die, gravure, knife coating, spray coating, curtain coating, dip coating, Mayer rod application, or other coating methods.
  • After application onto the surface, the wet film may be dried. For example, the wet film may be dried at a temperate of from about 40 to about 55° C. for a selected duration. For example, the wet film may be dried for from about 15 to about 30 minutes. During the drying process, thermal curing of the polymer binder and thermal cross-linker occurs. Further, during the drying process substantially all of the solvent may evaporate. In certain embodiments, the drying process may produce a dry film in which a portion of the solvent may remain unevaporated.
  • Then, the process may continue with exposing the dried film to UV light. Upon exposure to UV light, the monomer or oligomer is cured in the presence of a photo-initiator.
  • It has been found that by controlling ratio of the amount of polymer binder and monomer or oligomer (polymer binder:monomer-oligomer), the permeability of the analyte sensing layer 88 can be finely tuned to provide desired performance of the analyte sensor. For example, the ratio may be from about 1:10 to about 10:1.
  • In embodiments, the analyte sensing layer 88 can be applied over portions of the conductive layers or over the entire region of the conductive layers. Typically the analyte sensing layer 88 is disposed on the working electrode which can be the anode or the cathode. Optionally, the analyte sensing layer 88 is also disposed on a counter and/or reference electrode. While the analyte sensing layer 88 can be up to about 1000 microns (μm) in thickness, typically the analyte sensing layer is relatively thin as compared to those found in sensors previously described in the art, and is for example, typically less than about 100, less than about 50, less than about 25 or less than about 10 microns in thickness, and greater than about 1, greater than about 5, greater than about 10, or greater than about 25 microns in thickness.
  • Unlike conventional systems, the analyte sensing layer 88 is not coated and or disposed next to one or more additional layers, such as protein layers like human serum albumin, bovine serum albumin or the like, analyte modulating layers to regulate analyte contact with the analyte sensing layer 88, such as a glucose limiting membrane to regulates the amount of glucose that contacts an enzyme such as glucose oxidase that is present in the analyte sensing layer 88, interference rejection layers, or adhesion promoter layers disposed between such additional layers. Rather, the analyte sensing layer 88 performs by itself, with no additional layers, to regulate analyte contact, for example between glucose and glucose oxidase. Further, the analyte sensing layer 88 performs by itself, with no additional layers, to immobilize the enzyme therein.
  • Unless specifically stated otherwise, as is apparent from the preceding discussion, it is to be appreciated that throughout this specification discussions utilizing terms such as “processing”, “computing”, “calculating”, “determining”, “estimating”, “selecting”, “identifying”, “obtaining”, “representing”, “receiving”, “transmitting”, “storing”, “analyzing”, “associating”, “measuring”, “detecting”, “controlling”, “delaying”, “initiating”, “setting”, “delivering”, “waiting”, “starting”, “providing”, and so forth may refer to actions, processes, etc. that may be partially or fully performed by a specific apparatus, such as a special purpose computer, special purpose computing apparatus, a similar special purpose electronic computing device, and so forth, just to name a few examples. In the context of this specification, therefore, a special purpose computer or a similar special purpose electronic computing device or apparatus may be capable of manipulating or transforming signals, which are typically represented as physical electronic and/or magnetic quantities within memories, registers, or other information storage devices; transmission devices; display devices of a special purpose computer; or similar special purpose electronic computing device; and so forth, just to name a few examples. In particular embodiments, such a special purpose computer or similar may include one or more processors programmed with instructions to perform one or more specific functions. Accordingly, a special purpose computer may refer to a system or a device that includes an ability to process or store data in the form of signals. Further, unless specifically stated otherwise, a process or method as described herein, with reference to flow diagrams or otherwise, may also be executed or controlled, in whole or in part, by a special purpose computer.
  • It should be noted that although aspects of the above apparatuses, methods, sensors, devices, processes, etc. have been described in particular orders and in particular arrangements, such specific orders and arrangements are merely examples and claimed subject matter is not limited to the orders and arrangements as described. It should also be noted that systems, devices, methods, processes, etc. described herein may be capable of being performed by one or more computing platforms. In addition, instructions that are adapted to realize methods, processes, etc. that are described herein may be capable of being stored on a storage medium as one or more machine readable instructions. If executed, machine readable instructions may enable a computing platform to perform one or more actions. “Storage medium” as referred to herein may relate to media capable of storing information or instructions which may be operated on, or executed by, one or more machines (e.g., that include at least one processor). For example, a storage medium may include one or more storage articles and/or devices for storing machine-readable instructions or information. Such storage articles and/or devices may include any one of several non-transitory media types including, for example, magnetic, optical, semiconductor, a combination thereof, or other storage media. By way of further example, one or more computing platforms may be adapted to perform one or more processes, methods, etc. in accordance with claimed subject matter, such as methods, processes, etc. that are described herein. However, these are merely examples relating to a storage medium and a computing platform and claimed subject matter is not limited in these respects.
  • Although what are presently considered to be example features have been illustrated and described, it will be understood by those skilled in the art that various other modifications may be made, and equivalents may be substituted, without departing from claimed subject matter. Additionally, many modifications may be made to adapt a particular situation to the teachings of claimed subject matter without departing from central concepts that are described herein. Therefore, it is intended that claimed subject matter not be limited to particular examples disclosed, but that such claimed subject matter may also include all aspects falling within the scope of appended claims, and equivalents thereof.

Claims (20)

1. An analyte sensor comprising:
a base layer;
a conductive layer over the base layer; and
an analyte sensing layer disposed over the conductive layer, wherein the analyte sensing layer comprises glucose oxidase entrapped within a thermally-cured polymer matrix and a UV cured polymer matrix.
2. The analyte sensor of claim 1, wherein the analyte sensor consists essentially of:
a base layer;
a conductive layer over the base layer; and
an analyte sensing layer disposed over the conductive layer, wherein the analyte sensing layer comprises glucose oxidase entrapped within a thermally-cured polymer matrix and a UV cured polymer matrix.
3. The analyte sensor of claim 1, wherein the analyte sensing layer functions as a glucose limiting material that regulates the amount of glucose that contacts the glucose oxidase.
4. The analyte sensor of claim 1, wherein the analyte sensing layer is not coated with one or more additional layers.
5. The analyte sensor of claim 1, wherein a combination of materials comprising the base layer, the conductive layer and the analyte sensing layer is not disposed next to one or more additional layers.
6. The analyte sensor of claim 2, wherein the analyte sensing layer comprises a glucose limiting material that regulates the amount of glucose that contacts the glucose oxidase.
7. The analyte sensor of claim 3, wherein polymeric materials disposed over the conductive layer in the analyte sensor are less than 100 microns in thickness.
8. The analyte sensor of claim 6, wherein the glucose sensing and glucose limiting layer disposed over the conductive layer in the analyte sensor is less than 100 microns in thickness.
9. The analyte sensor of claim 6, wherein the analyte sensing layer comprises thermally crosslinked moieties.
10. An analyte sensor comprising:
a base layer;
a conductive layer over the base layer; and
an analyte sensing layer disposed over the conductive layer, wherein:
the analyte sensing layer comprises glucose oxidase entrapped within a thermally-cured polymer matrix and a UV cured polymer matrix;
the analyte sensing layer functions as a glucose limiting material that regulates the amount of glucose that contacts the glucose oxidase; and
the analyte sensing layer is not coated with one or more additional layers.
11. The analyte sensor of claim 10, wherein polymeric materials disposed over the conductive layer in the analyte sensor are less than 100 microns in thickness.
12. The analyte sensor of claim 10, wherein the analyte sensing layer comprises thermally crosslinked moieties.
13. The analyte sensor of claim 12, wherein the analyte sensing layer comprises a UV-cured monomer or oligomer.
14. The analyte sensor of claim 13, wherein the UV-cured monomer or oligomer comprises an acrylate.
15. An analyte sensor comprising:
a base layer;
a conductive layer over the base layer; and
an analyte sensing layer disposed over the conductive layer, wherein:
the analyte sensing layer comprises glucose oxidase entrapped within a thermally-cured polymer matrix and a UV cured polymer matrix;
the analyte sensing layer comprises a glucose limiting material that regulates the amount of glucose that contacts the glucose oxidase; and
the analyte sensing layer is not disposed next to one or more additional layers selected from:
a protein layer;
an analyte modulating layer;
an adhesion promoting layer; and
an interference rejection layer.
16. The analyte sensor of claim 15, wherein polymeric materials disposed over the conductive layer in the analyte sensor are less than 100 microns in thickness.
17. The analyte sensor of claim 16, wherein polymeric materials disposed over the conductive layer in the analyte sensor are less than 50 microns in thickness.
18. The analyte sensor of claim 15, wherein the analyte sensing layer comprises thermally crosslinked moieties.
19. The analyte sensor of claim 18, wherein the analyte sensing layer comprises a UV-cured monomer or oligomer.
20. The analyte sensor of claim 19, wherein the UV-cured monomer or oligomer comprises an acrylate.
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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5271815A (en) * 1991-12-26 1993-12-21 Via Medical Corporation Method for measuring glucose
US20060121547A1 (en) * 2004-12-03 2006-06-08 Mcintire Mark Diffusion layer for an enzyme-based sensor application
US7252912B2 (en) * 2004-03-29 2007-08-07 Kazunori Kataoka Polymer composite
US20150122645A1 (en) * 2013-11-07 2015-05-07 Medtronic Minimed, Inc. Enzyme matrices for biosensors
US20170191955A1 (en) * 2015-12-30 2017-07-06 Dexcom, Inc. Diffusion resistance layer for analyte sensors

Family Cites Families (82)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5338157B1 (en) 1992-09-09 1999-11-02 Sims Deltec Inc Systems and methods for communicating with ambulat
US4755173A (en) 1986-02-25 1988-07-05 Pacesetter Infusion, Ltd. Soft cannula subcutaneous injection set
US5307263A (en) 1992-11-17 1994-04-26 Raya Systems, Inc. Modular microprocessor-based health monitoring system
US5832448A (en) 1996-10-16 1998-11-03 Health Hero Network Multiple patient monitoring system for proactive health management
US5956501A (en) 1997-01-10 1999-09-21 Health Hero Network, Inc. Disease simulation system and method
US5545143A (en) 1993-01-21 1996-08-13 T. S. I. Medical Device for subcutaneous medication delivery
JP3131067B2 (en) * 1993-03-02 2001-01-31 富士写真フイルム株式会社 Image forming method
DK25793A (en) 1993-03-09 1994-09-10 Pharma Plast Int As Infusion set for intermittent or continuous administration of a therapeutic agent
US5536249A (en) 1994-03-09 1996-07-16 Visionary Medical Products, Inc. Pen-type injector with a microprocessor and blood characteristic monitor
US5391250A (en) 1994-03-15 1995-02-21 Minimed Inc. Method of fabricating thin film sensors
IE72524B1 (en) 1994-11-04 1997-04-23 Elan Med Tech Analyte-controlled liquid delivery device and analyte monitor
US5665065A (en) 1995-05-26 1997-09-09 Minimed Inc. Medication infusion device with blood glucose data input
DE69633573T2 (en) 1995-11-22 2005-10-06 Medtronic MiniMed, Inc., Northridge DETECTION OF BIOLOGICAL MOLECULES USING CHEMICAL AMPLIFICATION AND OPTICAL SENSOR
US6766183B2 (en) 1995-11-22 2004-07-20 Medtronic Minimed, Inc. Long wave fluorophore sensor compounds and other fluorescent sensor compounds in polymers
US6607509B2 (en) 1997-12-31 2003-08-19 Medtronic Minimed, Inc. Insertion device for an insertion set and method of using the same
DE19717107B4 (en) 1997-04-23 2005-06-23 Disetronic Licensing Ag System of container and drive device for a piston, which is held in the container containing a drug fluid
US6186982B1 (en) 1998-05-05 2001-02-13 Elan Corporation, Plc Subcutaneous drug delivery device with improved filling system
US6558351B1 (en) 1999-06-03 2003-05-06 Medtronic Minimed, Inc. Closed loop system for controlling insulin infusion
US5954643A (en) 1997-06-09 1999-09-21 Minimid Inc. Insertion set for a transcutaneous sensor
US7647237B2 (en) 1998-04-29 2010-01-12 Minimed, Inc. Communication station and software for interfacing with an infusion pump, analyte monitor, analyte meter, or the like
US6175752B1 (en) 1998-04-30 2001-01-16 Therasense, Inc. Analyte monitoring device and methods of use
US6736797B1 (en) 1998-06-19 2004-05-18 Unomedical A/S Subcutaneous infusion set
US6355021B1 (en) 1998-07-14 2002-03-12 Maersk Medical A/S Medical puncturing device
US6248067B1 (en) 1999-02-05 2001-06-19 Minimed Inc. Analyte sensor and holter-type monitor system and method of using the same
US6558320B1 (en) 2000-01-20 2003-05-06 Medtronic Minimed, Inc. Handheld personal data assistant (PDA) with a medical device and method of using the same
US6554798B1 (en) 1998-08-18 2003-04-29 Medtronic Minimed, Inc. External infusion device with remote programming, bolus estimator and/or vibration alarm capabilities
EP1413245B1 (en) 1998-10-08 2011-06-29 Medtronic MiniMed, Inc. Telemetered characteristic monitor system
DK1716884T3 (en) 1998-10-29 2014-03-10 Medtronic Minimed Inc reservoir Connection
US6248093B1 (en) 1998-10-29 2001-06-19 Minimed Inc. Compact pump drive system
US7193521B2 (en) 1998-10-29 2007-03-20 Medtronic Minimed, Inc. Method and apparatus for detecting errors, fluid pressure, and occlusions in an ambulatory infusion pump
US7806886B2 (en) 1999-06-03 2010-10-05 Medtronic Minimed, Inc. Apparatus and method for controlling insulin infusion with state variable feedback
US6453956B2 (en) 1999-11-05 2002-09-24 Medtronic Minimed, Inc. Needle safe transfer guard
US7003336B2 (en) 2000-02-10 2006-02-21 Medtronic Minimed, Inc. Analyte sensor method of making the same
US7890295B2 (en) 2000-02-23 2011-02-15 Medtronic Minimed, Inc. Real time self-adjusting calibration algorithm
US6895263B2 (en) 2000-02-23 2005-05-17 Medtronic Minimed, Inc. Real time self-adjusting calibration algorithm
US20010041869A1 (en) 2000-03-23 2001-11-15 Causey James D. Control tabs for infusion devices and methods of using the same
ES2287156T3 (en) 2000-09-08 2007-12-16 Insulet Corporation DEVICES AND SYSTEMS FOR THE INFUSION OF A PATIENT.
CA2434731C (en) 2001-02-22 2010-01-26 Insulet Corporation Modular infusion device and method
EP1383560B2 (en) 2001-04-06 2023-04-26 F. Hoffmann-La Roche AG Infusion set
US20020071225A1 (en) 2001-04-19 2002-06-13 Minimed Inc. Direct current motor safety circuits for fluid delivery systems
US6544212B2 (en) 2001-07-31 2003-04-08 Roche Diagnostics Corporation Diabetes management system
US7399277B2 (en) 2001-12-27 2008-07-15 Medtronic Minimed, Inc. System for monitoring physiological characteristics
US8364229B2 (en) * 2003-07-25 2013-01-29 Dexcom, Inc. Analyte sensors having a signal-to-noise ratio substantially unaffected by non-constant noise
US8010174B2 (en) 2003-08-22 2011-08-30 Dexcom, Inc. Systems and methods for replacing signal artifacts in a glucose sensor data stream
US7041082B2 (en) 2002-02-28 2006-05-09 Smiths Medical Md, Inc. Syringe pump control systems and methods
US6960192B1 (en) 2002-04-23 2005-11-01 Insulet Corporation Transcutaneous fluid delivery system
US7278983B2 (en) 2002-07-24 2007-10-09 Medtronic Minimed, Inc. Physiological monitoring device for controlling a medication infusion device
US20040068230A1 (en) 2002-07-24 2004-04-08 Medtronic Minimed, Inc. System for providing blood glucose measurements to an infusion device
US7488601B2 (en) 2003-06-20 2009-02-10 Roche Diagnostic Operations, Inc. System and method for determining an abused sensor during analyte measurement
US8275437B2 (en) 2003-08-01 2012-09-25 Dexcom, Inc. Transcutaneous analyte sensor
US7699807B2 (en) 2003-11-10 2010-04-20 Smiths Medical Asd, Inc. Device and method for insertion of a cannula of an infusion device
EP2301428B1 (en) 2003-12-09 2016-11-30 Dexcom, Inc. Signal processing for continuous analyte sensor
GB0329161D0 (en) 2003-12-16 2004-01-21 Precisense As Reagant for detecting an analyte
GB0329849D0 (en) 2003-12-23 2004-01-28 Precisense As Fluorometers
US7344500B2 (en) 2004-07-27 2008-03-18 Medtronic Minimed, Inc. Sensing system with auxiliary display
US8313433B2 (en) 2004-08-06 2012-11-20 Medtronic Minimed, Inc. Medical data management system and process
US7468033B2 (en) 2004-09-08 2008-12-23 Medtronic Minimed, Inc. Blood contacting sensor
CN101180093B (en) 2005-03-21 2012-07-18 雅培糖尿病护理公司 Method and system for providing integrated medication infusion and analyte monitoring system
WO2006108809A1 (en) 2005-04-13 2006-10-19 Novo Nordisk A/S Medical skin mountable device and system
US8137314B2 (en) 2006-08-23 2012-03-20 Medtronic Minimed, Inc. Infusion medium delivery device and method with compressible or curved reservoir or conduit
US8277415B2 (en) 2006-08-23 2012-10-02 Medtronic Minimed, Inc. Infusion medium delivery device and method with drive device for driving plunger in reservoir
US20080097291A1 (en) 2006-08-23 2008-04-24 Hanson Ian B Infusion pumps and methods and delivery devices and methods with same
US7641649B2 (en) 2005-05-06 2010-01-05 Medtronic Minimed, Inc. Reservoir support and method for infusion device
US7713240B2 (en) 2005-09-13 2010-05-11 Medtronic Minimed, Inc. Modular external infusion device
US8475408B2 (en) 2005-11-08 2013-07-02 Asante Solutions, Inc. Infusion pump system
US7985330B2 (en) 2005-12-30 2011-07-26 Medtronic Minimed, Inc. Method and system for detecting age, hydration, and functional states of sensors using electrochemical impedance spectroscopy
US8114268B2 (en) 2005-12-30 2012-02-14 Medtronic Minimed, Inc. Method and system for remedying sensor malfunctions detected by electrochemical impedance spectroscopy
US8114269B2 (en) 2005-12-30 2012-02-14 Medtronic Minimed, Inc. System and method for determining the point of hydration and proper time to apply potential to a glucose sensor
US7942844B2 (en) 2006-04-28 2011-05-17 Medtronic Minimed, Inc. Remote monitoring for networked fluid infusion systems
US7682338B2 (en) 2006-08-23 2010-03-23 Medtronic Minimed, Inc. Infusion medium delivery system, device and method with needle inserter and needle inserter device and method
US7828764B2 (en) 2006-08-23 2010-11-09 Medtronic Minimed, Inc. Systems and methods allowing for reservoir filling and infusion medium delivery
US20080125700A1 (en) 2006-11-29 2008-05-29 Moberg Sheldon B Methods and apparatuses for detecting medical device acceleration, temperature, and humidity conditions
US7946985B2 (en) 2006-12-29 2011-05-24 Medtronic Minimed, Inc. Method and system for providing sensor redundancy
US20080269714A1 (en) 2007-04-25 2008-10-30 Medtronic Minimed, Inc. Closed loop/semi-closed loop therapy modification system
US7963954B2 (en) 2007-04-30 2011-06-21 Medtronic Minimed, Inc. Automated filling systems and methods
US8323250B2 (en) 2007-04-30 2012-12-04 Medtronic Minimed, Inc. Adhesive patch systems and methods
JP2010534085A (en) 2007-07-20 2010-11-04 メディンゴ・リミテッド Hand operated portable injection device
US8207859B2 (en) 2008-04-28 2012-06-26 Medtronic Minimed, Inc. Automobile physiological monitoring system and method for using the same
US8181849B2 (en) 2008-12-30 2012-05-22 Medtronic Minimed, Inc. Color detection system for detecting reservoir presence and content in device
US8308679B2 (en) 2009-12-30 2012-11-13 Medtronic Minimed, Inc. Alignment systems and methods
WO2015065924A2 (en) * 2013-10-28 2015-05-07 Massachusetts Institute Of Technology Hydrogel microstructures with immiscible fluid isolation for small reaction volumes
CN106784311A (en) * 2016-12-27 2017-05-31 武汉华星光电技术有限公司 Flexible panel and preparation method thereof

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5271815A (en) * 1991-12-26 1993-12-21 Via Medical Corporation Method for measuring glucose
US7252912B2 (en) * 2004-03-29 2007-08-07 Kazunori Kataoka Polymer composite
US20060121547A1 (en) * 2004-12-03 2006-06-08 Mcintire Mark Diffusion layer for an enzyme-based sensor application
US20150122645A1 (en) * 2013-11-07 2015-05-07 Medtronic Minimed, Inc. Enzyme matrices for biosensors
US20170191955A1 (en) * 2015-12-30 2017-07-06 Dexcom, Inc. Diffusion resistance layer for analyte sensors

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