A REAGENT FORMULATION USING RUTHENIUM HEXAMINE AS A MEDIATOR FOR ELECTROCHEMICAL TEST STRIPS

2. DESCRIPTION OF THE RELATED ART

Electrochemical glucose test strips, such as those used in the OneTouch® Ultra® whole blood testing kit, which is available from LifeScan, Inc., are designed to measure the concentration of glucose in a blood sample from patients with diabetes. The measurement of glucose is based upon the specific oxidation of glucose by the enzyme glucose oxidase (GO). The reactions which may occur in a glucose test strip are summarized below in Equations 1 and 2.

Glucose+GO_(ox)→Gluconic Acid+GO_(red) Eq. 1

GO_(red)+2Fe(CN)₆³⁻→GO_(ox)+2Fe(CN)₆⁴⁻ Eq. 2

As illustrated in Equation 1, glucose is oxidized to gluconic acid by the oxidized form of glucose oxidase (GO_(ox)). It should be noted that GO_(ox)may also be referred to as an “oxidized enzyme.” During the reaction in Equation 1, the oxidized enzyme GO_(ox)is converted to its reduced state which is denoted as GO_(red)(i.e., “reduced enzyme”). Next, the reduced enzyme GO_(red)is re-oxidized back to GO_(ox)by reaction with Fe(CN)₆³⁻ (referred to as either the oxidized mediator or ferricyanide) as illustrated in Equation 2. During the re-generation of GO_(red)back to its oxidized state GO_(ox), Fe(CN)₆³⁻ is reduced to Fe(CN)₆⁴⁻ (referred to as either reduced mediator or ferrocyanide).

When the reactions set forth above are conducted with a test voltage applied between two electrodes, a test current may be created by the electrochemical re-oxidation of the reduced mediator at the electrode surface. Thus, since, in an ideal environment, the amount of ferrocyanide created during the chemical reaction described above is directly proportional to the amount of glucose in the sample positioned between the electrodes, the test current generated would be proportional to the glucose content of the sample. A mediator, such as ferricyanide, is a compound that accepts electrons from an enzyme such as glucose oxidase and then donates the electrons to an electrode. As the concentration of glucose in the sample increases, the amount of reduced mediator formed also increases; hence, there is a direct relationship between the test current, resulting from the re-oxidation of reduced mediator, and glucose concentration. In particular, the transfer of electrons across the electrical interface results in the flow of a test current (2 moles of electrons for every mole of glucose that is oxidized). The test current resulting from the introduction of glucose may, therefore, be referred to as a glucose current.

Because it can be very important to know the concentration of glucose in blood, particularly in people with diabetes, test meters have been developed using the principals set forth above to enable the average person to sample and test their blood for determining their glucose concentration at any given time. The glucose current generated is detected by the test meter and converted into a glucose concentration reading using an algorithm that relates the test current to a glucose concentration via a simple mathematical formula. In general, the test meters work in conjunction with a disposable test strip that includes a sample receiving chamber and at least two electrodes disposed within the sample receiving chamber in addition to the enzyme (e.g. glucose oxidase) and the mediator (e.g. ferricyanide). In use, the user pricks their finger or other convenient site to induce bleeding and introduces a blood sample to the sample receiving chamber, thus starting the chemical reaction set forth above.

In electrochemical terms, the function of the meter is two fold. Firstly, it provides a polarizing voltage (approximately 400 mV in the case of OneTouch® Ultra®) that polarizes the electrical interface and allows current flow at the carbon working electrode surface. Secondly, it measures the current that flows in the external circuit between the anode (working electrode) and the cathode (reference electrode). The test meter may, therefore be considered to be a simple electrochemical system that operates in a two-electrode mode although, in practice, third and, even fourth electrodes may be used to facilitate the measurement of glucose and/or perform other functions in the test meter.

As previously described, the amount of reduced mediator should be proportional to the glucose concentration present in a physiological fluid based on the reactions described in Equation 1 & 2. Under certain circumstances, oxidized mediators such as, for example, ferricyanide can be converted to ferrocyanide (reduced mediator) in the presence of a humid environment. The generation of reduced mediator by non-glucose dependent reactions may cause a falsely elevated glucose concentration to be measured which, in turn, affects the assay's accuracy.

The presence of interfering compounds may also cause the test current to be falsely elevated because the interfering compound may become oxidized at the working electrode. Additionally, the oxidized mediator may become reduced by the interfering compound where the resulting reduced mediator can become oxidized at the working electrode. One strategy for decreasing the effects of interfering compounds is to use a relatively low test voltage between the working electrode and reference electrode. In order to employ a lower test voltage, the reagent formulation requires the mediator to have a lower redox voltage.

As such, applicants recognize that there is a great need for using mediators which do not convert to the reduced state in the presence of humidity and have a relatively low redox voltage. Further, such mediators need to be incorporated into a reagent formulation that can be easily coated onto a test strip in a robust manner enabling accurate and precise glucose measurements.

SUMMARY OF INVENTION

In one embodiment, a test strip is provided which is capable of measuring an analyte. The test strip may include a working electrode and a reference electrode where the reagent formulation is disposed on the working electrode. The reagent formulation may be coated onto the test strip. The reagent formulation includes an enzyme, a ruthenium hexamine mediator, and a solution for dissolving the enzyme and the ruthenium hexamine mediator. The ruthenium hexamine has a concentration range from about 15% to about 20% (weight of mediator/volume) of solution. The enzyme may be either glucose oxidase and glucose dehydrogenase. When using glucose oxidase, the enzyme activity per unit volume may range from about 1500 units/mL to about 8000 units/mL. The solution for dissolving the enzyme may be a buffer such as, for example, phosphate, citrate, or citraconate. When using phosphate buffer, the pH may be about 7.

In another embodiment, the reagent formulation may further include a filler having hydrophilic and hydrophobic domains. In one embodiment, the filler may be a silica such as for example Cab-o-Sil TS 610. The formulation may be disposed on the working electrode using a process of screen printing. The screen may have a frame which secures a plurality of interwoven threads. The plurality of interwoven threads may form a plurality of open rectangular spaces for allowing the reagent formulation to pass therethrough. The plurality of interwoven threads may have a thread spacing and a thread diameter. The thread spacing may range from about 90 threads per centimeter to about 120 threads per centimeter. The thread diameter may range from about 30 microns to about 50 microns.

In another aspect, a test strip includes a substrate, two electrodes and a reagent. The generally planar substrate extends from a first end to a second end. The first and second electrodes are disposed on the substrate proximate one of the first and second ends with a reagent layer disposed thereon. The reagent layer has ruthenium hexamine trichloride in a buffer solution with a concentration range from about 15% to about 20% (weight/volume) such that the test strip shows essentially no increase in bias to reference when a blood sample is tested at about 400 millivolts after storage for seven days at 40 degrees Celsius at 75% relative humidity.

In a further aspect, a test strip is provided that includes a substrate, two electrodes and a reagent. The generally planar substrate extends from a first end to a second end. The first and second electrodes are disposed on the substrate proximate one of the first and second ends with a reagent layer disposed thereon. The reagent layer has a reagent layer with ruthenium hexamine Trichloride in a buffer solution with a concentration range from about 15% to about 20% (weight/volume) such that the test strip shows essentially no increase in bias to reference when tested at about 400 millivolts with blood glucose sample of about 70 mg/dL with uric acid concentration of about 0 mg/dL to about 20 mg/dL.

In a further aspect, a test strip is provided that includes a substrate, two electrodes and a reagent. The generally planar substrate extends from a first end to a second end. The first and second electrodes are disposed on the substrate proximate one of the first and second ends with a reagent layer disposed thereon. The reagent layer has a reagent layer with an enzyme and ruthenium hexamine trichloride in a buffer solution with a concentration range from about 15% to about 20% (weight/volume) such that the test strip shows essentially no increase in bias to reference when tested at about 400 millivolts with blood glucose sample of about 70 mg/dL with gentisic acid concentration from about 0 mg/dL to about 50 mg/dL.

BRIEF DESCRIPTION OF THE DRAWINGS

The novel features of the invention are set forth with particularity in the appended claims. A better understanding of the features and advantages of the present invention will be obtained by reference to the following detailed description that sets forth illustrative embodiments, in which the principles of the invention are utilized, and the accompanying drawings of which:

FIG. 1 illustrates a top exploded perspective view of a prior art embodiment of an unassembled test strip;

FIG. 2 illustrates a top plan view of the prior art test strip as shown in FIG. 1 after it has been assembled;

FIG. 3 illustrates a top plan view of a test meter connected to the prior art test strip as shown in FIGS. 1 and 2;

FIG. 4 illustrates a simplified schematic view of the test meter of FIG. 3 forming an electrical connection with the test strip of FIGS. 1 and 2;

FIG. 5
a is a graph illustrating the application of an applied test voltage, from the test meter of FIG. 3, to the test strip of FIGS. 1 and 2, for a test time interval t_Tfor generating a test current which can be used for calculating an analyte concentration;

FIG. 5
b is a graph illustrating an alternative embodiment for applying test voltages and an open-circuit time interval, from the test meter of FIG. 3, to the test strip of FIGS. 1 and 2, for a test time interval t_Tfor generating a test current which can be used for calculating an analyte concentration;

FIG. 5
c is an expanded view of the graph of FIG. 5b illustrating a serial application of an applied test voltage for detecting fluid, an open-circuit time interval, and another applied test voltage for measuring an analyte concentration;

FIG. 6 is a graph illustrating a test current which results from the applied test voltage of FIG. 5a when a blood sample is applied to the test strip of FIGS. 1 and 2;

FIG. 7 illustrates a top exploded perspective view of an unassembled test strip in another embodiment;

FIG. 8 is a graph showing the average bias to reference measurement of a test strip measurement for test strips using a ferricyanide based reagent layer stored for seven days at room temperature in a desiccated environment (filled in circles) or at 40° C. in a 75% relative humidity (RH) (open squares);

FIG. 9 is a graph showing the average bias to reference measurement of a test strip measurement for test strips using a ruthenium based reagent layer stored for seven days at room temperature in a desiccated environment (filled in circles) or at 40° C. in a 75% relative humidity (RH) (open squares);

FIG. 10 is a graph showing the average bias to reference measurement of a test strip measurement for test strips using a using either ferricyanide based reagent layer (open triangles) or a ruthenium based reagent layer (filled in diamonds) where the blood samples had varying concentrations of uric acid; and

FIG. 11 is a graph showing the average bias to reference measurement of a test strip measurement for test strips using a using either ferricyanide based reagent layer (open triangles) or a ruthenium based reagent layer (filled in diamonds) where the blood samples had varying concentrations of gentisic acid.

DETAILED DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS OF THE INVENTION

Embodiments of the present invention are directed to a reagent formulation for use in electrochemical test strips. In particular, the embodiments include the use of ruthenium hexamine as a mediator to enable the manufacture of test strips which have increased stability under high humidity environmental conditions and/or also have decreased oxidation of interfering compounds. In an embodiment, a reagent formulation is described which may be easily coated onto a test strip in a robust manner enabling accurate and precise glucose measurements.

FIG. 1 is an exploded perspective view of a prior art test strip 100, which includes six layers disposed on a substrate 5. These six layers may be a conductive layer 50, an insulation layer 16, a reagent layer 22, an adhesive layer 60, a hydrophilic layer 70, and a top layer 80. Test strip 100 may be manufactured in a series of steps wherein the conductive layer 50, insulation layer 16, reagent layer 22, adhesive layer 60 are sequentially deposited on substrate 5 using, for example, a screen printing process as described in U.S. Pre-Grant Publication No. US20050096409A1 and published International Application No.'s WO2004040948A1, WO2004040290A1, WO2004040287A1, WO2004040285A2, WO2004040005A1, WO2004039897A2, and WO2004039600A2. In an alternative embodiment, an ink jetting process may be used to deposit reagent layer 22 which is described in U.S. Pat. No. 6,179,979. Hydrophilic layer 70 and top layer 80 may be disposed from a roll stock and laminated onto substrate 5. Test strip 100 has a distal portion 3 and a proximal portion 4 as shown in FIGS. 1 and 2.

The fully assembled test strip 100, as shown in FIG. 2, includes an inlet 90 through which a blood sample may be drawn into a sample receiving chamber 92. Inlet 90 may be formed by cutting through a distal portion 3 of test strip 100. A blood sample 94 can be applied to inlet 90, as illustrated in FIG. 3, to fill a sample receiving chamber 92 so that glucose can be measured. The side edges of a first adhesive pad 24 and a second adhesive pad 26 located adjacent to reagent layer 22 each define a wall of sample receiving chamber 92. A bottom portion or “floor” of sample receiving chamber 92 includes a portion of substrate 5, conductive layer 50, and insulation layer 16. A top portion or “roof” of sample receiving chamber 92 includes distal hydrophilic portion 32.

For test strip 100, as illustrated in FIG. 1, conductive layer 50 includes a reference electrode 10, a first working electrode 12, a second working electrode 14, a first contact 13, a second contact 15, a reference contact 11, a first working electrode track 8, a second working electrode track 9, a reference electrode track 7, and a strip detection bar 17. The conductive layer may be a carbon ink such as the one described in U.S. Pat. No. 5,653,918. First contact 13, second contact 15, and reference contact 11 may be adapted to electrically connect to test meter 200. First working electrode track 8 provides an electrically continuous pathway from first working electrode 12 to first contact 13. Similarly, second working electrode track 9 provides an electrically continuous pathway from second working electrode 14 to second contact 15. Similarly, reference electrode track 7 provides an electrically continuous pathway from reference electrode 10 to reference contact 11.

In FIG. 1, insulation layer 16 includes an aperture 18 which exposes a portion of reference electrode 10, first working electrode 12, and second working electrode 14 which can be wetted by a liquid sample. As an example, insulation layer 16 may be Ercon E6110-116 Jet Black Insulayer™ ink which may be purchased from Ercon, Inc (Waltham, Mass.).

Reagent layer 22 may be disposed on a portion of conductive layer 50, substrate 5, and insulation layer 16 as illustrated in FIG. 1. Reagent layer 22 may include chemicals such as an enzyme and a mediator which selectivity reacts with glucose. An example of an enzyme may be glucose oxidase and an example of a mediator may be ferricyanide.

Examples of enzymes suitable for use in this invention may include either glucose oxidase or glucose dehydrogenase. More specifically, the glucose dehydrogenase may have a pyrrylo-quinoline quinone co-factor (abbreviated as PQQ or may be referred to its common name which is methoxatin). Examples of mediator suitable for use in this invention may include either ferricyanide or ruthenium hexamine trichloride ([Ru^III(NH₃)₆]Cl₃and may also be simply referred to as ruthenium hexamine). During the reactions as illustrated in Equations 1 and 2, a proportional amount of reduced mediator can be generated that is electrochemically measured for calculating a glucose concentration. Examples of reagent formulations or inks suitable for use in the embodiments can be found in U.S. Pat. Nos. 5,708,247 6,046,051, and 6,241,862; U.S. Pre-Grant Publication No. 20030217918A1; published international applications WO01/67099 and WO01/73124.

Reagent layer 22 may be formed from an enzyme ink or formulation, which is disposed onto a conductive layer and dried. An enzyme ink or formulation typically contains a liquid, such as a buffer, for dispersing and/or dissolving materials used for the electrochemical detection of an analyte such as glucose. Buffers which may be suitable for the formulation can be phosphate, citrate and citraconate.

In an embodiment, the formulation may include a 200 mM phosphate buffer having a pH of about 7 and a ruthenium hexamine mediator concentration ranging from about 5% and greater, preferably ranging from about 10% and greater, and yet more preferably ranging from about 15% to about 20% (percentage based on weight of mediator/volume of buffer). The pH of around 7 was chosen because glucose oxidase has a sufficiently high activity at this pH when using ruthenium hexamine as a mediator. The upper range for the ruthenium hexamine concentration may be selected based on its solubility. When the enzyme ink is formulated to have greater than a 20% ruthenium hexamine concentration, solid particles of ruthenium hexamine may be present in reagent layer 22 which do not dissolve during testing. The presence of undissolved ruthenium hexamine may cause a decrease in the test strip-to-test strip precision. When the enzyme ink is formulated to have less than a 15% ruthenium hexamine concentration, the magnitude of the test current values may decrease with the concentration of ruthenium hexamine. In general, it is undesirable for the magnitude of the test current values to be dependent on the concentration of ruthenium hexamine because small changes in ruthenium hexamine concentration will cause variability in the test current values and, in turn, the strip lot-to-strip lot variability.

In an embodiment, the formulation may have an enzyme activity ranging from about 1500 units/mL to about 8000 units/mL. The enzyme activity range may be selected so that the glucose current does not depend on the level of enzyme activity in the formulation so long as the enzyme activity level is within the above stated range. The enzyme activity should be sufficiently large to ensure that the resulting glucose current will not be dependent on small variations in the enzyme activity. For instance, the glucose current will depend on the amount of enzyme activity in the formulation if the enzyme activity is less than 1500 units/mL. On the other hand, for enzyme activity levels greater than 8000 units/mL, solubility issues may arise where the glucose oxidase cannot be sufficiently dissolved in the formulation. Glucose oxidase may be commercially available from Biozyme Laboratories International Limited (San Diego, Calif., U.S.A.). The glucose oxidase may have an enzyme activity of about 250 units/mg using where the enzyme activity units are based on an o-dianisidine assay at pH 7 and 25° C.

An enzyme ink which contains a filler having both hydrophobic and hydrophilic domains may be disposed onto the working electrode using a screen printing process. An example of a filler may be a silica such as, for example, Cab-o-Sil TS 610 which is commercially available from Cabot Inc., Boston, Mass. Typically, a screen may be in the form of a rectangular frame which secures a plurality of interwoven threads. The plurality of interwoven threads form a plurality of open rectangular spaces for allowing enzyme ink to pass therethrough. The density and the size of the open spaces influence the amount of enzyme ink which becomes deposited on the conductive layer. Characteristics of the interwoven threads which influence the deposition of the enzyme ink are thread spacing and thread diameter. The thread spacing may range from about 90 threads per centimeter to about 120 threads per centimeter. The thread diameter may range from about 30 microns to about 50 microns. More specifically, in an embodiment, a screen suitable for screen printing an enzyme ink having ruthenium hexamine and glucose oxidase may have a thread spacing of about 120 threads per centimeter and a thread diameter of about 34 microns.

For test strip 100, adhesive layer 60 includes first adhesive pad 24, second adhesive pad 26, and third adhesive pad 28 as illustrated in FIG. 1. Adhesive layer 60 may include a water based acrylic copolymer pressure sensitive adhesive which is commercially available from Tape Specialties LTD which is located in Tring, Herts, United Kingdom (part#A6435). Adhesive layer 60 is disposed on a portion of insulation layer 16, conductive layer 50, and substrate 5. Adhesive layer 60 binds hydrophilic layer 70 to test strip 100.

Hydrophilic layer 70 includes a distal hydrophilic portion 32 and proximal hydrophilic portion 34. Hydrophilic layer 70 may be a polyester having one hydrophilic surface such as an anti-fog coating which is commercially available from 3M.

For test strip 100, top layer 80 includes a clear portion 36 and opaque portion 38 as illustrated in FIG. 1. Top layer 80 is disposed on and adhered to hydrophilic layer 70. Top layer 80 may be a polyester. It should be noted that the clear portion 36 substantially overlaps distal hydrophilic portion 32 which allows a user to visually confirm that the sample receiving chamber 92 may be sufficiently filled. Opaque portion 38 helps the user observe a high degree of contrast between a colored fluid such as, for example, blood within the sample receiving chamber 92 and the opaque portion 38 of top layer 80.

FIG. 3 illustrates a test meter 200 suitable for connecting to test strip 100. Test meter 200 includes a display 202, a housing 204, a plurality of user interface buttons 206, and a strip port connector 208. Test meter 200 further includes electronic circuitry within housing 204 such as a memory 210, a microprocessor 212, electronic components for applying a test voltage, and also for measuring a plurality of test current values (see 104 and 106 in FIG. 4). Proximal portion 4 of test strip 100 may be inserted into strip port connector 208. Display 202 may output a glucose concentration and also may be used to show a user interface for prompting a user on how to perform a test. The plurality of user interface buttons 206 allow a user to operate test meter 200 by navigating through the user interface software.

FIG. 4 shows a simplified schematic of test meter 200 interfacing with test strip 100. Test meter 200 includes a first connector 103, second connector 102, and a reference connector 101 which respectively form an electrical connection to first contact 13, second contact 15, and reference contact 11. The three aforementioned connectors are part of strip port connector 208. When performing a test, a first test voltage source 104 applies a first test voltage V₁between first working electrode 12 and reference electrode 10. As a result of first test voltage V₁, test meter 200 may then measure a first test current I₁. In a similar manner, second test voltage source 106 applies a second test voltage V₂between second working electrode 14 and reference electrode 10. As a result of second test voltage V₂, test meter 200 may then measure a second test current I₂. In an embodiment, first test voltage V₁and second test voltage V₂may be about equal allowing a glucose measurement to be performed twice where a first measurement is performed with first working electrode 12 and a second measurement is performed with second working electrode 14. The use of two glucose measurements can increase accuracy by averaging the two results together. For simplifying the description of the following sections, the algorithms for determining an accurate glucose concentration will be described for only one working electrode and reference electrode. It should be apparent to one skilled in the art, that the invention should not be limited to one working electrode and reference electrode, but that multiple working electrodes can also be applied to the embodiments.

FIG. 5
a is a chart showing a test voltage that would be applied by test meter 200 to test strip 100 for a test time interval t_Twhich starts when physiological fluid is detected by test strip 100. In FIG. 5a, the test voltage shown is 400 mV. As illustrated in FIG. 5a, before the physiological fluid is applied, test meter 200 is in a fluid detection mode in which a fluid detection voltage may be 400 mV. It will be apparent to one skilled in the art that the test voltage and the fluid detection voltage can be different. In FIG. 5a, the test meter is in a fluid detection mode during fluid detection time interval t_FDprior to the detection of physiological fluid at time t₀. In the fluid detection mode, test meter 200 determines when a fluid is applied to inlet 90 and pulled into sample receiving chamber 92 such that the fluid wets both first working electrode 12 and reference electrode 10. Note that first working electrode 12 and reference electrode 10 are effectively short-circuited when the physiological fluid contiguously covers both first working electrode 12 and reference electrode 10. Once test meter 200 recognizes that the physiological fluid has been applied because of, for example, a sufficient increase in the measured test current, test meter 200 assigns a zero second marker at time t₀and starts the test time interval t_T. For example, as shown in FIG. 5a, test time interval t_Tis about 5.4 seconds. Upon the completion of the test time interval t_T, the test voltage is removed.

In an alternative embodiment, a test voltage waveform can be applied that includes an open-circuit time interval after fluid is detected in sample receiving chamber 92. For example, the test voltage as shown in FIG. 5b is 400 mV during a fluid detection time interval t_FD. Once test meter 200 recognizes that the physiological fluid has been applied because, for example, the test current has increased to a level greater than a pre-determined threshold (e.g., about 50 nanoamperes) for a pre-determined time interval (e.g., about 20 milliseconds), test meter 200 assigns a zero second marker at time t₀and applies an open-circuit for an open-circuit time interval t_oC. For example, as shown in FIG. 5c, the open-circuit time interval t_oCis about 300 milliseconds. Upon completion of the open-circuit time interval t_oC, the test meter applies a test voltage of about 250 millivolts for a time interval ranging from about 200 milliseconds to about 5.4 seconds.

In general, it is desirable to use a test voltage which is more positive than a redox voltage of the mediator used in the test strip. In particular, the test voltage should exceed the redox voltage by an amount sufficient to ensure that the resulting test current will not be dependent on small variations in the test voltage. Note that a redox voltage describes a mediator's intrinsic affinity to accept or donate electrons when sufficiently close to an electrode having a nominal voltage. When a test voltage is sufficiently positive with respect to the mediator's redox voltage, the mediator will be rapidly oxidized. In fact, the mediator will be oxidized so quickly at a sufficiently positive test voltage (i.e., limiting test voltage) that the test current magnitude will be limited by the diffusion of the mediator to the electrode surface (i.e., limiting test current). For an embodiment where first working electrode 12 is a carbon ink and the mediator is ferricyanide, a test voltage of about +400 mV may be sufficient to act as a limiting test voltage. For an embodiment where first working electrode 12 is a carbon ink and the mediator is Ru^III(NH₃)₆, a test voltage of about +250 mV may be sufficient to act as a limiting test voltage. It will be apparent to one skilled in the art that other mediator and electrode material combinations will require different limiting test voltages.

A test meter that is designed to apply a limiting test voltage can have some variation in the applied test voltage without affecting the magnitude of the limiting test current. It is desirable for a test meter to apply a limiting test voltage because the test meter can be constructed with relatively inexpensive electronic components because it is not necessary to tightly control the test voltage. In summary, a test meter which applies a limiting test voltage can robustly measure a glucose concentration in an accurate and precise manner using low cost components.

FIG. 6 is a chart showing the test current generated by test strip 100 during test time interval t_T. In general, the test current increases rapidly when test strip 100 is initially wetted with the physiological fluid and then forms a peak at a maximum peak time t_p. After the peak maximum, the test current gradually decreases. The overall magnitude of the test currents will increase with increasing glucose concentration.

To produce sufficiently accurate and precise glucose concentration, test strip 100 should have a sufficiently reproducible and well defined electroactive area for first working electrode 12 and second working electrode 14. The magnitude of the test current is directly proportional to the area of one of the working electrodes. For instance, if the variation in the area of first working electrode 12 was high from one test strip to another, then the variation observed in the measured glucose concentrations will also be high when testing multiple test strips. Thus, it is important that the variation for first working electrode 12 and second working electrode 14 be relatively small so that the variation in the measured glucose concentration can, in turn, also be relatively small.

The area of first working electrode 12 and second working electrode 14, as shown in FIGS. 1 and 2, may be defined by the process of screen printing. A batch of test strips made by the process of screen printing can output sufficiently precise glucose concentration measurements (e.g., less than about a 5% CV). However, under certain circumstances and conditions, there may be a need to manufacture test strip batches which have even more precise electroactive areas. For instance, there has been a customer driven desire to design test strips which can measure glucose using very small volumes of blood (e.g., <1 microliter). One of the theories being that the use of less blood will result in less pain during the glucose measuring procedure.

One strategy for designing test strips which have smaller sample volumes is to decrease the area of the first and second working electrode. However, as first and second working electrode and second working electrode become smaller, non-idealities in the screen printing process may start to significantly affect the precision of the working electrodes. For instance, variable stretching of a screen by a squeegee may affect the size of a working electrode. Additionally, a screen typically has a plurality of rectangular openings for deposing either a conductive layer or an insulation layer. The plurality of rectangular opening may cause an edge of either the conductive layer or insulation layer to be jagged especially when the size of the working electrode is comparable to the size of the rectangular opening. In the prior art embodiment as illustrated in FIGS. 1 and 2, first working electrode 12 has two sides 20 as defined by the screen printed conductive layer 50 and the other two sides 19 as defined by the screen printed insulation layer 16. It should be noted that insulation layer 16 is used to help cover the first working electrode track 9. Thus, there is a need to develop a process for manufacturing test strips which can have a more precise electrode areas that do not suffer from the disadvantages of screen printing. Further, there is a need to develop simpler manufacturing process which do not need an insulation layer for defining the electrode area and/or for covering the working electrode track.

In an embodiment, a test strip may be manufactured using a process of laser ablation for improving the accuracy and precision of the electroactive area of the first and second working electrode. The process of laser ablation on a conductive layer allows the edge definition of the electrode area to be better controlled than with other processes such as screen printing. In addition, the process of laser ablation may be used to substantially define the electrode area without the need of an insulation layer.

FIG. 7 illustrates a top exploded perspective view of an unassembled test strip 500, which is an embodiment that can also utilize the previously described reagent formulation. Similar to test strip 100, test strip 500 includes a conductive layer 501, a reagent layer 570, and a top tape 81. Test strip 500 has a distal portion 576, a proximal portion 578, and two sides 574.

Although various embodiments described herein are particularly adapted to the measurement of a glucose concentration in blood, it will be apparent to those skilled in the art that the test strip described herein may be adapted to enable an improved precision for the electrochemical measurement of other analytes. Examples of other analytes that may be measured with the test strip embodiments are lactate, ethanol, cholesterol, amino acids, choline, hemoglobin, and fructosamine in blood.

Example 1

The reagent layer was formulated as an enzyme ink suitable for screen printing as follows. 100 ml of 200 mM aqueous phosphate buffer was adjusted to pH 7. A mixture was formed by adding 5 g of hydroxyethyl cellulose (HEC), 1 g of poly(vinyl pyrrolidone vinyl acetate) (PVP-VA S-630), 0.5 ml of DC 1500 Dow Corning antifoam to 100 mL of phosphate buffer and mixed by homogenization. The mixture was allowed to stand overnight to allow air bubbles to disperse and then used as a stock solution for the formulation of the enzyme ink. Next, 7.5 grams of Cab-o-Sil TS610 was gradually added by hand to the mixture until about ⅘ of the total amount of Cab-o-Sil TS610 had been added. The remainder Cab-o-Sil TS610 was added with mixing by homogenization. The mixture was then rolled for 12 hours. About 18 g of ruthenium hexamine ([Ru^III(NH₃)₆]Cl₃) was then added and mixed by homogenization until dissolved. Finally, 2.8 g of glucose oxidase enzyme preparation (250 Units/mg) was added and then thoroughly mixed into the solution. The resulting formulation was ready for printing, or could be stored with refrigeration.

Example 2

A first batch of test strips 100 was prepared using a ruthenium based reagent formulation as described in Example 1. A second batch of test strips 100 was prepared with a reagent formulation using a ferricyanide mediator instead of ruthenium hexamine in a manner similar to Example 1. A portion of the first and second batch of test strips 100 were stored at room temperature in a desiccated environment for 7 days. Another portion of the first and second batch of test strips 100 were stored at 40° C. in a 70% relative humidity environment for 7 days.

The first and second batch of test strips were tested in a test meter using a test voltage at +400 mV. Blood samples were tested which had a glucose concentration ranging from about 70 mg/dL to about 600 mg/dL.

FIG. 8 is a graph showing that average bias to reference measurement for the second batch of test strips had a positive bias to reference measurement when they were stored for seven days at 40° C. in a 75% relative humidity (RH) (open squares). In general, the positive bias to reference measurement was the largest at low glucose concentration which in this case was about a 60% bias to reference measurement at about 70 mg/dL glucose concentration. In contrast, the second batch of test strips which was stored at room temperature for seven days in a desiccated environment showed essentially no increase in bias to reference measurement, as illustrated by the filled in circles on FIG. 8. Thus, test strips having ferricyanide which are exposed to relatively high humidity show an increase in bias to reference measurement.

FIG. 9 is a graph showing that average bias to reference measurement for the first batch of test strips that were stored for seven days at 40° C. in a 75% relative humidity (RH) (open squares) or at room temperature in a desiccated environment (filled in circles) showed no overall increase in bias to reference measurement. Thus, test strips having ruthenium which are exposed to relatively high humidity show no increase in bias to reference measurement which is in contrast to test strip having ferricyanide.

Example 3

The first and second batch of test strips (as described in Example 2) were tested in a test meter using a test voltage at +400 mV. Blood samples were tested which had a glucose concentration of about 70 mg/dL and a uric acid concentration ranging from about 0 mg/dL to about 20 mg/dL.

For the second batch of test strips as illustrated by open triangles in FIG. 10, the average bias to reference measurement of the test strip measurements increased with increasing amounts of uric acid in an approximately linear manner. Therefore, test strips using a ferricyanide based reagent layer showed that uric acid, which is an interfering compound, can be oxidized by ferricyanide creating a non-glucose related increase in the test current.

For the first batch of test strips as illustrated by filled in diamonds in FIG. 10, the average bias to reference measurement of the test strip measurements did not increase with increasing amounts of uric acid. Therefore, test strips using a ruthenium based reagent layer showed that uric acid, which is a potentially interfering compound, was not oxidized by ruthenium enabling a more glucose selective measurement.

Example 4

The first and second batch of test strips (as described in Example 2) were tested in a test meter using a test voltage at +400 mV. Blood samples were tested which had a glucose concentration of about 70 mg/dL and a gentisic acid concentration ranging from about 0 mg/dL to about 50 mg/dL.

For the second batch of test strips as illustrated by open triangles in FIG. 11, the average bias to reference measurement of the test strip measurements increased with increasing amounts of gentisic acid in an approximately linear manner. Therefore, test strips using a ferricyanide based reagent layer showed that gentisic acid, which is an interfering compound, can be oxidized by ferricyanide creating a non-glucose related increase in the test current.

For the first batch of test strips as illustrated by filled in diamonds in FIG. 11, the average bias to reference measurement of the test strip measurements did not increase with increasing amounts of gentisic acid. Therefore, test strips using a ruthenium based reagent layer showed that gentisic acid, which is a potentially interfering compound, was not oxidized by ruthenium enabling a more glucose selective measurement.

While the invention has been described in terms of particular variations and illustrative figures, those of ordinary skill in the art will recognize that the invention is not limited to the variations or figures described. In addition, where methods and steps described above indicate certain events occurring in certain order, it is intended that certain steps do not have to be performed in the order described but in any order as long as the steps allow the embodiments to function for their intended purposes. Therefore, to the extent there are variations of the invention, which are within the spirit of the disclosure or equivalent to the inventions found in the claims, it is the intent that this patent will cover those variations as well.

A REAGENT FORMULATION USING RUTHENIUM HEXAMINE AS A MEDIATOR FOR ELECTROCHEMICAL TEST STRIPS

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