This application claims priority from Japanese Patent Application Publication No. 2018-015740, filed on Jan. 31, 2018, entitled “Apparatus for Measuring In-Vivo Components and Method for Measuring In-Vivo Components”, the entire contents of which are incorporated herein by reference.
The present invention relates to an in-vivo component measuring apparatus and an in-vivo component measuring method for measuring in-vivo components contained in interstitial fluid collected from a subject.
As a method and apparatus for measuring in-vivo components contained in interstitial fluid collected from a subject, a measuring method and a measuring apparatus described in WIPO Publication No. 2010/013808 are known. In WIPO Publication No. 2010/013808, after a process is performed in which micropores are formed on the skin of a subject using a puncture tool to promote exudation of the interstitial fluid from the skin of the subject, then a gel is applied to the skin on which micropores were formed for a predetermined period of time, and the interstitial fluid exudate is collected from the skin in the gel. Then, as shown in
In WIPO Publication No. 2010/013808, the gel 1000 is manually placed on the sensor chip 1002, and the glucose and sodium ion concentrations contained in the interstitial fluid are measured. Therefore, since the positional relationship between the gel 1000 and the electrode units 1003 and 1004 varies from measurement to measurement because the force and angle of pressing the gel 1000 against the sensor chip 1002 varies depending on the user, there is room for improvement inasmuch as the components contained in the gel 100 may not be stably and accurately measured.
A first aspect of the present invention relates to an in-vivo component measuring apparatus 1. The in-vivo component measuring apparatus 1 according to this aspect is an apparatus for measuring a component contained in interstitial fluid collected from a subject and includes a setting unit 20 in which is installed a collector 110 that collects interstitial fluid, an acquiring unit 21 that acquires a signal reflecting the amount of the measurement target component contained in the interstitial fluid when in a state of contact with the collector 110 installed in the setting unit 20, and a moving unit 60 that brings the collector 110 installed in the setting unit 20 into contact with the acquiring unit 21 by changing the relative position between the setting unit 20 and the acquiring unit 21 to a predetermined positional relationship. The “predetermined positional relationship” refers to a positional relationship in which the relative distance, the arrangement direction, and the like of the acquiring unit 21 relative to the setting unit 20 are within a predetermined range, and if the relative position between the setting unit 20 and the acquiring unit 21 is in this positional relationship, the acquiring unit 21 comes into contact with the collector 110 installed in the setting unit 20.
According to the first aspect of the present invention, the acquiring unit 21 is brought into contact with the collector 110 by automatically changing the relative position between the setting unit 20 and the acquiring unit 21 to a predetermined positional relationship. Therefore, it is possible to suppress variations in the positional relationship between the collector 110 and the acquiring unit 21 at the time of measurement from measurement to measurement, as compared with manual placement. Hence, it is possible to stably and precisely measure the collector that has collected the interstitial fluid.
In the first aspect of the present invention, it also is preferable to further include an analyzing unit that generates a value related to the amount of the measurement target component based on a signal reflecting the amount of the measurement target component acquired by the acquiring unit. In this way the value related to the amount of the measurement target component can be generated by the same apparatus.
In the first aspect of the present invention, the acquiring unit 21 preferably is moved to a predetermined position relative to the setting unit 20, thereby changing the relative position between the setting unit 20 and the acquiring unit 21 to a predetermined positional relationship. In this way it is possible to automatically change the relative position between the setting 20 and the acquiring unit 21 to a predetermined positional relationship with a simple operation. “Predetermined position” refers to a position where the relative distance of the acquiring unit 21 relative to the setting unit 20 is within a predetermined range. In this case, the moving unit 60 may move the acquiring unit 21 in the vertical direction relative to the setting unit 20.
It is preferable to further include position detecting sensors 9 and 19 for detecting the position of the acquiring unit 21; the moving unit 60 moves the acquiring unit 21 to a predetermined position based on detection signals from the position detecting sensors 9 and 19. In this way the acquiring unit 21 can be accurately positioned at a predetermined position. More preferably, the position detecting sensor 19 detects a reference position of the acquiring unit 21, and the moving unit 60 moves the acquiring unit 21 a fixed distance from the reference position, thereby moving the acquiring unit 21 to a predetermined position. In this way the acquiring unit 21 can be accurately positioned at a predetermined position with a simple configuration. The “fixed distance” refers to a preset distance, and the numerical value of the distance may have a range.
In the first aspect of the present invention, it is preferable that while the acquiring unit 21 acquires a signal reflecting the amount of the measurement target component, the moving unit 60 maintains a state in which the acquiring unit 21 is pressed against the collector 110 installed in the setting unit 20. In this way the acquiring unit 21 can reliably acquire a signal relating to the amount of the measurement target component contained in the interstitial fluid in the collector 110.
In the first aspect of the present invention, it is preferable that the moving unit 60 includes a pressure adjusting part 61 for adjusting the contact pressure to a constant pressure when the acquiring part 21 contacts the collector 110 to a constant. In this way it is possible to further suppress variations in the contact state between the acquiring unit 21 and the collector 110 since the acquiring unit 21 can be brought into contact with the collector 110 with a constant contact pressure. Therefore, a signal reflecting the amount of the measurement target component contained in the interstitial fluid in the collector 110 can be acquired more stably and accurately. The “constant contact pressure” refers to a preset contact pressure, and the pressure numerical value may have a range.
In this case, the pressure regulator 61 includes a pressure absorbing member 217 provided in the acquiring unit 21. The pressure regulator 61 also includes a pressure absorbing member 2014 provided in the setting unit 20. In this way the acquiring unit 21 can be brought into contact with the collector 110 with a constant contact pressure even if the shape of the collector 110 varies.
The moving unit 60 preferably includes an angle adjuster 216 that adjusts the angle at which the acquiring unit 21 makes contact with the collector 110. In this way the acquiring unit 21 can accurately acquire a signal reflecting the amount of the measurement target component contained in the interstitial fluid in the collector 110 even if the shape of the collector 110 varies since the acquiring unit 21 can be brought into good contact with the collector 110.
The moving unit 60 preferably moves the setting unit 20 and the acquiring unit 21 such that the movement direction of the setting unit 20 and the movement direction of the acquiring unit 21 intersect, and more preferably moves the setting unit 20 in a horizontal direction and moves the acquiring unit 21 in a vertical direction. In this way it is possible to simplify the configuration for moving the setting unit 20 and the acquiring unit 21.
In the first aspect of the present invention, it is preferable to further include a collector detecting sensor 8 for detecting whether the collector 110 is installed in the setting unit 20. In this way it is possible to confirm whether the collector 110 is installed in the setting unit 20 before measurement of the collector 110.
In the first aspect of the present invention, the setting unit 20 preferably includes a positioning unit 2001 for positioning the collector 110. In this way it is possible to position the collector 110 at an appropriate position relative to the setting unit 20, so that the acquiring unit 21 can be brought into good contact with the collector 110, and the acquiring unit 21 can be placed in the interstitial fluid in the collector 110 to accurately acquire a signal reflecting the amount of the measurement target component contained therein.
In the first aspect of the present invention, a plurality of collector 110 preferably are installed in the setting unit 20, and the moving unit 60 brings the acquiring unit 21 into contact with each of the collectors 110 with respect to the plurality of collectors 110 installed in the setting unit 20. In this way it is possible to reduce the burden on the user when continuously measuring a plurality of collectors 110.
In the first aspect of the present invention, it is preferable to further include a second acquiring unit 22 that acquires a signal reflecting the amount of electrolyte contained in the interstitial fluid when in a state of being in contact with the collector 110, and the moving unit 60 brings the collector 110 installed in the setting unit 20 into contact with the second acquiring unit 22 by changing the relative position between the setting unit 20 and the second acquiring unit 22 to a predetermined positional relationship. It is possible to suppress variations in the positional relationship between the collector 110 and the second acquiring unit 22 at the time of measurement, so that a signal reflecting the amount of the electrolyte contained in the interstitial fluid can be stably and accurately acquired. In this way it is possible to make the analysis result more reliable by using a signal reflecting the amount of the electrolyte to generate a value relating to the amount of the measurement target component more accurately.
The moving unit 60 preferably controls a drive source 23 to move the setting unit 20 between a setting position at which the collector 110 is installed, a measuring position at which the collector 110 and the acquiring unit are in contact, and a second measuring position at which the second acquiring unit 22 and the collector 110 are in contact. In this way the setting unit 20 moves between the different acquiring units 21 and 22, so that the measurement operation can be made more efficient and simplified.
It is preferable that the collector 110 that collects the interstitial fluid and a second collector 111 that collects perspiration from the subject are installed in the setting unit 20, the moving unit 60 brings the second collector 111 installed in the setting unit 20 into contact with the second acquiring unit 22 by changing the relative position between the setting unit 20 and the second acquiring unit 22 to a predetermined positional relationship, and the second acquiring unit 22 also acquires a signal reflecting the amount of the electrolyte contained in the perspiration in the second collector 111. In this way it is possible to make the analysis result highly reliable by reliably and accurately measuring the second collector 111 which collects perspiration and considering the influence of perspiration mixed in the interstitial fluid.
In the first aspect of the present invention, it is preferable to further include a tank 31 for storing the cleaning liquid and a pump 40 for delivering the cleaning liquid from the tank 31, and the moving unit 60 moves the setting unit 20 from the measurement position after measuring the collector 110 by the acquiring unit 21, and the pump 40 sends cleaning liquid to the acquiring unit 21 to perform cleaning. In this way after the measurement of the collector 110, the acquiring unit 21 can be automatically cleaned in preparation for the next measurement.
It is preferable to further include a tank 31 for storing the cleaning liquid and a pump 40 for delivering the cleaning liquid from the tank 31, the moving unit 60 moves the setting unit 20 after the collector 110 is measured by one of the acquiring unit where the collector 110 is measured by the other acquiring unit, and the pump 40 sends cleaning liquid to one acquiring unit to perform cleaning. In this way the cleaning of each acquiring unit can be performed efficiently, and the efficiency of the measurement operation can be improved since the cleaning of one of the acquiring units is performed during the measurement by the other acquiring unit.
A second aspect of the present invention relates to a method for measuring in-vivo components. The in-vivo component measuring method according to this aspect is a method for measuring a component contained in interstitial fluid collected from a subject, and includes a step of horizontally moving the setting unit 20 in which the collector 110 that has collected the interstitial fluid is installed to the measuring position, a step of bringing the component detecting sensor 21 down to a predetermined position relative to the setting unit 20 at the measurement position to bring component detecting unit 21 into contact with the collector 110 installed in the setting unit 20, a step of acquiring a signal reflecting the amount of the measurement target component contained in the interstitial fluid by the component detecting sensor 21 in a state where the component detecting sensor 21 is in contact with the collector 110, a step of generating a value relating to the amount of the measurement target component based on a signal reflecting the amount of the acquired measurement target component.
According to the second aspect of the present invention, the contact between the collector 110 and the component detecting sensor 21 can be easily automated simply by bringing the collector 110 and the component detecting sensor 21 into contact with each other by a simple operation of moving the setting unit 20 horizontally and lowering the component detecting sensor 21 to a predetermined position. Since the component detecting sensor 21 and the collector 110 are brought into contact with each other by lowering the component detecting sensor 21 to a predetermined position, it is possible to suppress variations in the positional relationship between the collector 110 and the component detecting sensor 21 for each measurement by collecting more components than the case where the collector 110 and the component detecting sensor 21 are manually brought into contact. Hence, it is possible to stably and precisely measure the collector that has collected the interstitial fluid.
A third aspect of the present invention relates to a method for measuring in-vivo components. The in-vivo component measuring method according to this aspect is a method for measuring a component contained in interstitial fluid collected from a subject, and includes a step of changing the relative position between the setting unit 20 in which the collector 110 that has collected the interstitial fluid is installed and the component detecting sensor 21 to a predetermined positional relationship, a step of bringing the component detecting sensor 21 into contact with the collector 110 installed in the setting unit 20 with a constant pressure in a predetermined positional relationship, a step of acquiring a signal reflecting the amount of the measurement target component contained in the interstitial fluid by the component detecting sensor 21 in a state where the component detecting sensor 21 is in contact with the collector 110, a step of generating a value relating to the amount of the measurement target component based on a signal reflecting the acquired amount of the measurement target component. In this way it is possible to suppress variations in the positional relationship between the collector 110 and the component detecting sensor 21 for each measurement and to make the acquiring unit 21 contact the collector 110 with a constant contact pressure so as to acquire a signal reflecting the amount of the measurement target component contained in the interstitial fluid in the collector 110 with high accuracy.
In the second and third aspects of the present invention, it is preferable that the component detecting sensor 21 includes a pair of a working electrode and a counter electrode, and includes a pretreatment step of alternately repeating the application of a potential higher and a potential lower than the measurement potential. In this way the detection sensitivity of the measurement target component by the component detecting sensor 21 can be maintained with high sensitivity over a long period.
In the second and third aspects of the present invention, it is preferable that the interstitial fluid is collected from the skin of the subject subjected to a treatment for promoting exudation of the interstitial fluid, and the value related to the amount of the measurement target component is an integrated value of the concentration of the component to be measured in the collecting time of the interstitial fluid. Since this integrated value is obtained by integrating the concentration of the in-vivo measurement target component within the sampling time of the interstitial fluid, it is possible to determine how long the in-vivo measurement target component has been maintained in the high concentration state based on the integrated value.
Hereinafter, embodiments of the in-vivo component measuring apparatus and the in-vivo component measuring method of the present invention will be described in detail with reference to the accompanying drawings.
In the present embodiment, an example in which the present invention is applied to the case of measuring the area under the glucose-time curve (hereinafter referred to as “glucose AUC”) will be described. Blood glucose AUC is the area (unit: mg h/dl) of a portion circumscribed by the horizontal axis and a curve drawn by a graph representing the time course of blood glucose level. Blood glucose AUC is an index used for judging the effect of insulin or an oral agent in diabetes treatment. For example, it is possible to estimate the total amount of glucose circulating in the subject's body after glucose loading by measuring the value reflecting the total amount of glucose (blood glucose) circulating in the blood after a glucose load (after meal) within a predetermined period by blood glucose AUC. The total amount of glucose circulating in the subject's body after glucose loading is extremely useful information for knowing how long the hyperglycemic state due to glucose tolerance has lasted. For example, this value becomes a clue to know the secretory response rate of insulin after glucose tolerance, or it becomes a clue to know the effect of diabetes oral medication or insulin when they are administered.
The significance of measuring blood glucose AUC in this manner is that measurement of blood glucose AUC can suppress the influence of individual differences in glucose metabolism in glucose tolerance evaluation by blood glucose measurement at one time point. That is, since there are individual differences in the time until the reaction responds to the blood glucose level due to glucose load, it is not possible to grasp whether the glucose level is at peak by measuring the blood glucose level at a certain point after glucose loading. Even if it is possible to measure the blood glucose level at peak time, it is not possible to grasp how long the hyperglycemic state has lasted. In recent years, diseases of “hidden diabetes mellitus” have attracted attention, but the characteristic of this disease is that although the blood glucose level at the time of fasting is normal or only slightly high, the rise in blood glucose level after meals is steep, and the speed with which the blood glucose value falls afterward is slow and the state of hyperglycemia is longer lasting than that of healthy subjects. Therefore, the blood glucose level measurement at one time point cannot clarify how long the hyperglycemic state lasted, and it is obviously not able to provide useful information for screening for hidden diabetes. In this regard, if blood glucose AUC is measured, a value reflecting the total amount of blood glucose circulated in the blood within a predetermined period can be obtained, so that the measured value is influenced by the time until the response appears in the blood glucose level due to glucose loading, and how long the hyperglycemic state has lasted can be estimated based on the measured value. In this way, it is possible to obtain a value useful for estimating the glucose tolerance due to glucose tolerance without being influenced by individual differences in glucose metabolism by measuring glucose AUC.
Usually, blood glucose AUC is measured by collecting blood at predetermined time intervals (for example, at intervals of 30 minutes) and acquiring the blood glucose levels of the collected blood, respectively. Then, a blood glucose value AUC is obtained by acquiring a graph showing the time course of the blood glucose level and obtaining the area of the part surrounded by the curve drawn by the graph and the horizontal axis. The value of blood glucose AUC obtained by using the measuring apparatus and the measuring method according to the following embodiments can be used for judging diabetes instead of the measured value of blood glucose AUC by such blood sampling.
In the measurement of blood glucose AUC according to the in-vivo component measuring method of the present embodiment, a plurality of micropores first are formed on the skin of a subject using a puncture tool 100 (shown in
When the subject perspires, sodium ions derived from perspiration are accumulated in the collector from the skin of the subject so as to be superposed on the sodium ions derived from the interstitial fluid, and the sodium ion concentration is increased. In the in-vivo component measuring method of the present embodiment, since the blood glucose AUC of the subject is measured based on sodium ions accumulated together with glucose, the measured blood glucose AUC may be reduced in some cases if excessive accumulation of sodium ions derived from perspiration occurs. Therefore, in the in-vivo component measuring method of the present embodiment, in step S2 the interstitial fluid collector 110 for main measurement is fixed to the region where the micropores are formed in the subject's skin, and a second collector 111 (shown in
Configurations of the in-vivo component measuring apparatus 1, the puncture tool 100, the interstitial fluid collector 110, and the perspiration collector 111 used in the in-vivo component measuring method of the present embodiment will be described hereinafter.
As shown in
The puncture tool 100 also includes a fixing mechanism (not shown) that fixes the array chuck 103 in a state of pushing the array chuck 103 upward against the biasing force of the spring member 104 such that fixation of the array chuck 103 by the fixing mechanism is released when the user such as the subject presses the release button 102. In this way the array chuck 103 moves toward the skin by the force exerted by the spring member 104, and the plurality of fine needles 106 of the microneedle chip 105 protrude from the lower opening of the housing 100 and puncture the skin.
The interstitial fluid collector 110 and the perspiration collector 111 are made of, for example, a gel having water retentivity and capable of holding interstitial fluid and perspiration. The gel is not particularly limited insofar as it is capable of collecting interstitial fluid and perspiration, but a gel formed from at least one hydrophilic polymer selected from the group consisting of polyvinyl alcohol and polyvinyl pyrrolidone is preferable. The hydrophilic polymer forming the gel may be polyvinyl alcohol alone or polyvinyl pyrrolidone alone, or may be a mixture of both, but it is preferred that the gel is polyvinyl alcohol alone or a mixture of polyvinyl alcohol and polyvinyl pyrrolidone.
The gel can be formed by crosslinking the hydrophilic polymer in an aqueous solution. The gel can be formed by a method in which an aqueous solution of a hydrophilic polymer is applied onto a substrate to form a coating film, and the hydrophilic polymer contained in the coating film is crosslinked. As a crosslinking method of the hydrophilic polymer, a chemical crosslinking method, a radiation crosslinking method and the like are available, but it is preferable to adopt a radiation crosslinking method from the viewpoint that it is difficult for various chemical substances to be mixed in the gel as impurities.
Although the interstitial fluid collector 110 has a circular shape in a plan view and the perspiration collector 111 has a rectangular shape in plan view in this embodiment, the shape of the interstitial fluid collector 110 and the perspiration collector 111 is not limited to this. The size (volume) of the interstitial fluid collector 110 and the perspiration collector 111 is determined according to the collection time of interstitial fluid and perspiration.
In the present embodiment, the interstitial fluid collector 110 and the perspiration collector 111 are held by a holding sheet 112 having a rectangular shape in plan view. The holding sheet 112 is flexible and transparent, and is made of a resin material such as polyethylene terephthalate. A transparent pressure-sensitive adhesive layer 113 is formed on one side of the holding sheet 112, and the interstitial fluid collector 110 and the perspiration collector 111 are attached to the pressure-sensitive adhesive layer 113 at intervals in the longitudinal direction. As shown in
When removing the interstitial fluid collector 110 and the perspiration collector 111 from the subject's skin S, a support sheet 114 shown in
A transparent adhesive layer 115 is formed on one side of the support sheet 114, and the support sheet 114 is adhered by the adhesive layer 115 on the other side of the holding sheet 112 (the side on which the interstitial fluid collector 110 and the perspiration collector 111 are not adhered). The force of the pressure-sensitive adhesive layer 115 of the support sheet 114 is stronger than the adhesive force of the pressure-sensitive adhesive layer 113 of the holding sheet 112, thereby supporting the pressure-sensitive adhesive layer 115 of the support sheet 114 in a state of being adhered to the holding sheet 112, and by separating the sheet 114 from the skin S the holding sheet 112 can be smoothly removed together with the interstitial fluid collector 110 and the perspiration collector 111 from the skin S.
In the present embodiment, the interstitial fluid collector 110 and the perspiration collector 111 are subjected to measurement while being supported by the support sheet 114. In order to accurately measure the interstitial fluid collector 110 and the perspiration collector 111, the support sheet 114 is formed with small diameter through holes 116 at two corner portions on one end side in the longitudinal direction. A notch 117 having a rectangular shape in a plan view also is formed at one corner portion on the other end side in the longitudinal direction of the support sheet 114.
The interstitial fluid collector 110 and the perspiration collector 111 removed from the subject's skin S can be protected by a protective sheet 118 shown in
As shown in
After the interstitial fluid and the perspiration are collected from the skin of the subject with the interstitial fluid collector 110 and the perspiration collector 111, the interstitial fluid collector 110 and the perspiration collector 111 can be stored without being contaminated immediately when the interstitial fluid collector 110 and the perspiration collector 111 are not subjected to measurement by sealing the interstitial fluid collector 110 and the perspiration collector 111 with the support sheet 114 and the protective sheet 118 in this way. The interstitial fluid collector 110 and the perspiration collector 111 also can be transported to the measurement site without being contaminated when the interstitial fluid or perspiration collection location and the measurement location are separated.
Note that the support sheet 114 and the protective sheet 118 are not necessarily separate sheets. The support sheet 114 and the protective sheet 118 may be integrated so that the support sheet 114 can be folded over the protective sheet 118.
The in-vivo component measuring apparatus 1 includes a setting unit 20 where an interstitial fluid collector 110 that collects interstitial fluid is installed, a glucose sensor 21 that acquires a signal reflecting the amount of the measurement target component contained in the interstitial fluid in contact with the interstitial fluid collector 110 installed in the setting unit 20, and a moving unit 60 that brings the glucose sensor 21 into contact with the interstitial fluid collector 110 installed in the setting part 20 by changing the relative position between the setting part 20 and the glucose sensor 21 to a predetermined positional relationship. The in-vivo component measuring apparatus 1 acquires a signal reflecting the amount of glucose contained in the interstitial fluid by the glucose sensor 21, and measures the glucose concentration in the interstitial fluid. In the present embodiment, the in-vivo component measuring apparatus 1 includes a sodium ion sensor 22 that acquires a signal reflecting the amount of the electrolyte contained in the interstitial fluid while being in contact with the interstitial fluid collector 110 installed in the setting unit 20, and the moving unit 60 changes the relative position between the setting unit 20 and the sodium ion sensor 22 to a predetermined positional relationship so as to produce contact of the interstitial fluid collector 110 installed in the setting unit 20 and the sodium ion sensor 22, and acquire a signal reflecting the amount of sodium ions contained in the interstitial fluid, and the sodium ion concentration in the interstitial fluid is measured. Then, based on the measured glucose concentration and sodium ion concentration, the in-vivo component measuring apparatus 1 calculates the blood glucose AUC of the subject and generates and displays an analysis result including blood glucose AUC.
As shown in
A first cover 11 is provided at a position adjacent to the operation display unit 6 on the upper front of the housing 10. The first cover 11 is a push-open type cover, and the first cover 11 is erected by pushing, and the first cover 11 is brought into the open state shown in
The detecting unit 2 acquires a signal related to the amount of component (glucose or electrolyte) contained in the interstitial fluid collected in the interstitial fluid collector 110, and a signal on the amount of component (electrolyte) contained in the perspiration collected in the perspiration collector 111. As shown in
An interstitial fluid collector 110 and a perspiration collector 111 are installed in the setting unit 20. The setting unit 20 is configured by a sample plate 200 (see
As shown in
Small protrusions 2001 are respectively provided at two corner portions on one end side in the longitudinal direction of the sample plate 200. The two small protrusions 2001 function as positioning parts for positioning the interstitial fluid collector 110 and are formed on the support sheet 114, and are fitted into the two through holes 116 when the support sheet 114 is placed on the sample plate 200 as shown in
As shown in
As shown in
As shown in
An engaging concave part 2011 is formed at the center of the upper surface of the sample stage 201. When the sample plate 200 is placed on the sample stage 201, the engaging convex part 2005 of the sample plate 200 fits into the engaging concave part 2011. A pressure absorbing member 2014 is accommodated in the engaging concave part 2011, and the engaging convex part 2005 is supported by the pressure absorbing member 2014 in the engaging concave part 2011. A spring member such as a coil spring can be used as the pressure absorbing member 2014, for example. The pressure absorbing member 2014 configures a pressure regulator 61 for regulate a constant contact pressure when each sensor 21 and 22 makes contact with the interstitial fluid collector 110, and is included in the moving unit 60. When the sensors 21 and 22 come into contact with the interstitial fluid collector 110 and the perspiration collector 111, the pressure absorbing member 2014 expands and contracts, and the sample plate 200 is displaced upward and downward on the sample stage 201, so that it is possible to adjust the contact pressure of the electrode units 212 and 222 in contact with the perspiration collector 111 to be a constant pressure. In the present embodiment, specifically, it is possible to adjust the contact pressure to 1N (tolerance±2 to 3%). Therefore, even if there are variations in the shapes of the interstitial fluid collector 110 and the perspiration collector 111, the electrode units 212 and 222 can be brought into contact with the interstitial fluid collector 110 and the perspiration collector 111 at a constant contact pressure. Note that a single pressure absorbing member 2014 interposed between the sample plate 200 and the sample stage 201 is not provided at the center of the sample plate 200 and the sample stage 201, for example, one pressure absorbing member 2014 is provided for each of the four corners of the sample plate 200 and the sample stage 201 four total), and there are no particular restrictions on the installation position.
A second detection hole 2010 is formed in the sample stage 201. The second detection hole 2010 is formed at a position coinciding with the first detection hole 2000 of the sample plate 200 when the sample plate 200 is placed on the sample stage 201. The first detection hole 2000 and the second detection hole 2010 configure a detecting unit for confirming whether the interstitial fluid collector 110 and the like are installed in the sample stage 201.
The in-vivo component measuring apparatus 1 includes a collector detecting sensor 8 (shown in (a) of
When the interstitial fluid collector 110 and the like is not installed on the sample stage 201, the light emitted from the light emitting element of the collector detecting sensor 8 does not enter the light receiving element, whereas the light emitted from the light emitting element of the collector detecting sensor 8 is reflected by the interstitial fluid collector 110 or the perspiration collector 111 and is incident on the light receiving element when the interstitial fluid collector 110 is installed on the sample stage 201. The collector detecting sensor 8 is connected to a control unit 5, and when the light receiving element receives light, an electric signal is output to the control unit 5. The control unit 5 detects that the interstitial fluid collector 110 and the like are installed on the sample stage 201 based on the electric signal from the collector detecting sensor 8.
Note that although in the present embodiment, the collector detecting sensor 8 is a reflection type photosensor (photoreflector), a transmission type photosensor (photointerrupter) also may be used. The collector detecting sensor 8 is not limited to the photosensor, and also may be any object detecting sensor that can detect the installation of the interstitial fluid collector 110 and the like on the sample stage 201 in a noncontact manner.
The glucose sensor 21 is a component detecting sensor that acquires a signal reflecting the amount of glucose which is a measurement target component contained in the interstitial fluid, and functions as an acquiring unit. The sodium ion sensor 22 also is a component detecting sensor that acquires a signal reflecting the amount of sodium ions as an auxiliary component contained in the interstitial fluid, and functions as a second acquiring unit.
As shown in
The body 210, 220 has an upper part and a lower part and has a shape having a step between the upper part and the lower part, and terminals 213, 223 connected to the control unit 5 are provided on the lower surface of the upper part. Openings are formed in the lower portions of the body 210 and 220, and the slide 211 and 221 protrude from the openings. Pressure absorbing members 217 and 227 are provided in the body 210 and 220. For the pressure absorbing members 217 and 227, for example, a spring member such as a coil spring can be used. The pressure absorbing members 217 and 227 configure a pressure regulator 61 for regulating a constant contact pressure when each sensor 21 and 22 makes contact with the interstitial fluid collector 110, and are included in the moving unit 60. The slides 211, 221 are connected to the pressure absorbing members 217, 227 and slide up and down with respect to the main body 210, 220 by expansion and contraction of the pressure absorbing members 217, 227. When the sensors 21 and 22 come into contact with the interstitial fluid collector 110 and the perspiration collector 111, the pressure absorbing members 217 and 227 expand and contract, and the electrode units 212 and 222 are displaced upward and downward, whereby it is possible to regulate a constant contact pressure of the electrode units 212 and 222 in contact with the interstitial fluid collector 110 and perspiration collector 111. Therefore, even if there are variations in the shapes of the interstitial fluid collector 110 and the perspiration collector 111, the electrode units 212 and 222 can be brought into contact with the interstitial fluid collector 110 or the perspiration collector 111 at a predetermined contact pressure. Note that a plurality of pressure absorbing members 217, 227 connected to the slides 211, 221 in the main body 210, 220 may be provided instead of one.
An opening is formed in the lower portion of the slides 211, 221, and the cartridges 216, 226 can be attached to the lower portion of the slides 211, 221 through this opening. Engaging holes 215 and 225 are formed on both side surfaces of the lower portions of the slides 211, 221.
The cartridges 216, 226 are expendable items that are disposable when they are subjected to the measurement of the interstitial fluid collector 110 or the like for a predetermined number of times. The cartridges 216, 226 are provided with a pair of engaging claws 214, 224 so as to correspond to the engaging holes 215, 225 of the slides 211, 221. The engaging claws 214 and 224 are engaged with the corresponding engaging holes 215 and 225, respectively, so that the cartridges 216 and 226 are held by the slides 211 and 221. At this time, it is preferable that the cartridges 216, 226 are held stationary relative to the slides 211, 221, for example, so as to be able to oscillate by being slightly tapped. The cartridges 216, 226 configure an angle adjuster 62 for adjusting the angle at which the sensors 21, 22 come into contact with the interstitial fluid collector 110, and are included in the moving unit 60. In this way when the sensors 21 and 22 contact the interstitial fluid collector 110 and the perspiration collector 111, the cartridges 216, 226 oscillate along the surfaces of the interstitial fluid collector 110 and the perspiration collector 111 relative to the slides 211, 221. Therefore, it is possible to adjust the angle of the surface of the electrode units 212, 222 in contact with the interstitial fluid collector 110 and the perspiration collector 111, and the electrode units 212, 222 can be brought into good contact with the interstitial fluid collector 110 and the perspiration collector 111 even if the interstitial fluid collector 110 or the perspiration collector 111 varies in shape.
The electrode units 212 and 222 include a pair of a working electrode and a counter electrode, and a reference electrode. For example, the glucose sensor electrode unit 21 for glucose measurement of the glucose sensor 21 has a working electrode configured by a platinum electrode unit and a glucose oxidase enzyme membrane formed thereon, and the counter electrode is configured by a platinum electrode unit. On the other hand, the electrode unit 222 for sodium ion measurement of the sodium ion sensor 22 has, for example, a working electrode configured by an ion selective electrode unit having a sodium ion selective membrane, and a counter electrode configured by a reference electrode.
The glucose sensor 21 includes a circuit for glucose measurement (not shown) as an electric circuit connected to the electrode unit 212, and the glucose sensor 21 applies a constant voltage to the interstitial fluid collected in the interstitial fluid collector 110 via the electrode unit 212 in contact with the interstitial fluid collector 110, and the current at that time is acquired as a detection value. This current value depends on the glucose concentration in the interstitial fluid. On the other hand, the sodium ion sensor 22 includes a sodium ion measurement circuit (not shown) as an electric circuit connected to the electrode unit 222, and the electrode unit 222 comes in contact with the interstitial fluid collector 110 or the perspiration collector 111, whereby the voltage of the interstitial fluid collected in the interstitial fluid collector 110 or the perspiration collected in the perspiration collector 111 is acquired as the detection value. This voltage value depends on the sodium ion concentration in interstitial fluid and perspiration. The glucose sensor 21 and the sodium ion sensor 22 are connected to the control unit 5 and output the obtained current value and voltage value as a detection signal to the control unit 5. The control unit 5 measures the glucose concentration and the sodium ion concentration based on the current value and the voltage value included in the detection signal and a calibration curve stored in the storage unit.
The glucose sensor 21 and the sodium ion sensor 22 are set in the detecting unit 2 by mounting on a fixture 24. As shown in
A rack 2310 is provided along the vertical direction on the side portion on the left and right sides of the back surface of the frame 240. The rack 2310 configures a vertical movement drive unit 231 of the drive unit 23 described later, and pinion gears 2311 (shown in
Next, in order to bring the interstitial fluid collector 110 installed in the setting unit 20 into contact with the sensors 21 and 22 in the present embodiment, the drive unit 23 moves the setting unit 20 and the sensors 21 and 22, and is included in the moving unit 60. The drive unit 23 includes a horizontal movement drive unit 230 that moves the setting unit 20 in the horizontal direction and a vertical movement drive unit 231 that moves the glucose sensor 21 and the sodium ion sensor 22 in the vertical direction. The vertical movement drive unit 231 is provided in the detecting unit 2 corresponding to each of the glucose sensor 21 and the sodium ion sensor 22.
As shown in
The in-vivo component measuring apparatus 1 includes an origin detecting sensor 18 (shown in (a) of
Note that although the origin detecting sensor 18 is a reflection type photosensor (photoreflector) in this embodiment, the sensor may be a transmission type photosensor (photointerrupter). The origin detecting sensor 18 is not limited to a photosensor, and may be any object detecting sensor that can detect that the setting unit 20 is located at the installation position in a non-contact manner.
As shown in
In this way the setting unit 20 is transported between the installation position, the first measurement position, the second measurement position, and the third measurement position by the horizontal movement drive unit 230. Although the horizontal movement drive unit 230 converts the forward/reverse rotation of the motor 2312 into a reciprocating linear movement by the transmission belt 2302, and transmits the same to the setting unit 20, thereby moving the setting unit 20 in the horizontal direction in the present embodiment, the drive unit 230 also be configured using a power transmission mechanism other than the transmission belt 2302, such as a configuration in which the sample stage 201 is pushed from behind.
In addition, each measurement position at which the setting unit 20 is transported from the installation position is positioned by the control unit 5 which sends the number of drive pulses corresponding to the distance from the installation position to the motor 2300, but a rotary encoder may be used to further improve the positioning accuracy.
As a method for positioning the setting unit 20 at each measurement position, an object detecting sensor such as a photosensor is provided at each measurement position, and the object detecting sensors at each measurement position detect the setting unit 20, so that the setting unit 20 may be detected when reaching the respective measurement positions.
As shown in
The in-vivo component measuring apparatus 1 includes a top dead center detecting sensor 19 (shown in
Although the top dead center detecting sensor 19 is a transmissive photosensor (photointerrupter) in the present embodiment, it also may be a reflective photosensor (photoreflector). The top dead center detecting sensor 19 is not limited to a photosensor, and also may be any object detecting sensor that can detect that each sensor 21, 22 is located at the standby position in a non-contact manner.
As shown in
In this way the sensors 21, 22 are transported between the standby position, the measurement position, and the cleaning position by the vertical movement drive unit 231. Note that although the vertical movement drive unit 231 converts forward and reverse rotation of the motor 2312 into reciprocating rectilinear movement by the rack 2310 and the pinion gear 2311 and transmits the drive to the respective sensors 21 and 22, a power transmission mechanism other than the rack 2310 and the pinion gear 2311 also may be used.
The positions to which the above-described sensors 21 and 22 are transported from the standby position, are determined by the control unit 5 giving the number of drive pulses corresponding to the distance from the standby position to the motor 2312, rotary encoders also may be used to further enhance the positioning accuracy.
A position detecting sensor 9 attached to the frame member 240 of the fixture 24 may be used as a method of positioning each sensor 21, 22 at each position, as indicated by two-dot chain lines in
Next, as shown in
Next, as shown in
The first tank 31 is connected to the first nozzle 43 and the second nozzle 44 via the solenoid valve 42A, and supplies cleaning liquid to the glucose sensor 21 and the sodium ion sensor 22 via the nozzles 43A and 43B. The second tank 32 and the third tank 33 are connected to the first nozzle 43A via the solenoid valves 42B and 42C respectively, and the calibration liquid for the first acquiring unit is supplied to the glucose sensor 21 via the first nozzle 43A. The fourth tank 34 and the fifth tank 35 are connected to the second nozzle 43B via the solenoid valves 42D and 42E respectively, and the calibration liquid for the second acquiring unit is supplied to the sodium ion sensor 22 through the second nozzle 43B. The waste liquid tank 35 is connected to the first nozzle 43A via the solenoid valve 42F and to the second nozzle 43B via the solenoid 42G, and is supplied to the glucose sensor 21 and the sodium ion sensor 22 so that the discharged liquid is recovered through the nozzle 43A and 43B after passing through a filter 44.
Next, the control unit 5 controls the drive unit 23 so as to bring the interstitial fluid collector 110 installed in the setting unit 20 into contact with the sensors 21, 22, and the structure is included in the moving unit 60. As shown in
Next, the operation display unit 6 is used for issuing instruction to start the measurement and display analysis results and the like. The operation display unit 6 can be configured by a touch panel type display. Note that the operation display unit 6 may be divided into an operation section and a display section, in which case the operation section can be configured by buttons, switches, a keyboard, and a mouse.
Next, the power supply 7 converts the AC power supply voltage input from the power supply plug (not shown) into a DC voltage and supplies it to the control unit 5. The power supply 7 is also connected to the other parts and supplies electric power to each part.
Next, the in-vivo component measurement of the present embodiment will be described.
First, in step S1 shown in
In the in-vivo component measuring apparatus 1, as shown in
Next, in step S12, the control unit calibrates each sensor 21, 22.
First, in step S100, the control unit 5 controls the motor 2312 of the vertical movement drive unit 231 to lower the glucose sensor 21 and the sodium ion sensor 22 by the set number of pulses from the standby position to the cleaning position (as shown in
Next, the control unit 5 cleans the glucose sensor 21 in S101. In this process, the flow path from the first tank 31 through the first nozzle 43A to the pump 40 is opened by opening the solenoid valve 42A, solenoid valve 42F, and solenoid valve 42H and closing the other solenoid valves. In this state, the control unit 5 drives the pump 40 to supply cleaning liquid from the first tank 31 to the first nozzle 43A to clean the electrode units 212 of the glucose sensor 21. The cleaning liquid supplied to the first nozzle 43A is collected in the waste liquid tank 30.
Next, in step S102, the control unit 5 maintains the cleaning liquid supplied to the first nozzle 43A by closing the solenoid valve 42F. Then, in step S103, a constant voltage (for example, 0.45 V) is applied to the electrode units 212 of the glucose sensor 21 while the cleaning liquid is in contact with the electrode units 212 of the glucose sensor 21, and after standing for a predetermined time, the glucose sensor 21 measures the current value I0. The current value I0 at this time is the current value when the glucose concentration is 0 mg/dl. Then, the control unit 5 opens the solenoid valve 42F and closes the solenoid valve 42A, thereby sending the cleaning liquid supplied to the first nozzle 43A to the waste liquid tank 30.
Next, in step S104, the control unit 5 opens the solenoid valve 42B, the solenoid valve 42F and the solenoid valve 42H and closes the other solenoid valves, to open the flow path from the second tank 32 through the first nozzle 43A to the pump 40. In this state, a low-concentration calibration solution for glucose is supplied from the second tank 32 to the first nozzle 43A by driving the pump 40, and thereafter the solenoid valve 42F is closed to maintain low concentration calibration solution for glucose to the first nozzle 43A. Then, in step S105, a constant voltage (for example, 0.45 V) is applied to the electrode unit 212 of the glucose sensor 21 in a state where the low concentration calibration solution for glucose is in contact with the electrode unit 212, and the control unit 5 causes the glucose sensor 21 to measure the current value IL. Then, the control unit 5 opens the solenoid valve 42F and closes the solenoid valve 42B, thereby sending the low-concentration calibration solution for glucose supplied to the first nozzle 43A to the waste liquid tank 30.
Next, in step S106, the control unit 5 opens the solenoid valve 42C, the solenoid valve 42F and the solenoid valve 42H and closes the other solenoid valves, to open the flow path from the third tank 33 through the first nozzle 43A to the pump 40. In this state, a high-concentration calibration solution for glucose is supplied from the third tank 33 to the first nozzle 43A by driving the pump 40, and thereafter the solenoid valve 42F is closed to maintain the supply of high concentration solution for glucose to the first nozzle 43A. Then, in step S107, with a high concentration calibration solution for glucose being in contact with the electrode unit 212 of the glucose sensor 21, the control unit 5 applies a constant voltage (for example, 0.45 V) and causes the glucose sensor 21 to measure the current value IH. Then, the control unit 5 opens the solenoid valve 42F and closes the solenoid valve 42C, thereby delivering the high-concentration calibration solution for glucose supplied to the first nozzle 43A to the waste liquid tank 30.
Next, in step S108, the control unit 5 cleans the glucose sensor 21 in the same manner as in step S101.
Next, in step S109, based on the concentrations of the low concentration calibration solution for glucose and the high concentration calibration solution for glucose stored in the storage unit, a calibration curve of glucose is prepared and stored in the storage unit based on the measured current value IL and current value IH.
Next, the control unit 5 performs the cleaning of the sodium ion sensor 22 in step S110. In this process, the solenoid valve 42A, the solenoid valve 42G and the solenoid valve 42H are opened and the other solenoid valves are closed to open the flow path from the first tank 31 through the second nozzle 43B to the pump 40. In this state, the control unit 5 drives the pump 40 to supply the cleaning liquid from the first tank 31 to the second nozzle 43B, thereby cleaning the electrode unit 222 of the sodium ion sensor 22. The cleaning liquid supplied to the second nozzle 43B is collected in the waste liquid tank 30.
Next, in step S111, the control unit 5 maintains the cleaning liquid supplied to the second nozzle 43B in the second nozzle 43B by closing the solenoid valve 42G. Then, in step S112, the control unit 5 measures the voltage value VL with the sodium ion sensor 22 in a state in which the cleaning liquid is brought into contact with the electrode unit 222 of the sodium ion sensor 22. Then, the control unit 5 opens the solenoid valve 42G and closes the solenoid valve 42A, thereby delivering the cleaning liquid supplied to the second nozzle 43B to the waste liquid tank 30.
Next, in step S113, the control unit 5 opens the solenoid valve 42D, the solenoid valve 42G and the solenoid valve 42H and closes the other solenoid valves, to open the flow path from the fourth tank 34 through the second nozzle 43B to the pump 40. In this state, a medium concentration calibration solution for sodium ions is supplied from the fourth tank 34 to the second nozzle 43B by driving the pump 40, and then the electromagnetic valve 42G is closed to maintain the medium concentration calibration solution for sodium ions. Then, in step S114, the sodium ion sensor 22 measures the voltage value VM in a state in which the medium concentration calibration solution for sodium ions is brought into contact with the electrode unit 222 of the sodium ion sensor 22. Then, the control unit 5 opens the solenoid valve 42G and closes the solenoid valve 42D, to deliver the medium concentration calibration solution for sodium ions supplied to the second nozzle 43B to the waste liquid tank 30.
Next, in step S115, the control unit 5 opens the solenoid valve 42E, the solenoid valve 42G and the solenoid valve 42H and closes the other solenoid valves, to open the flow path from the fifth tank 35 through the second nozzle 43B to the pump 40. In this state, a high-concentration calibration solution for sodium ions is supplied from the fifth tank 35 to the second nozzle 43B by driving the pump 40, and thereafter the solenoid valve 42G is closed to maintain high concentration calibration solution for sodium ions to the second nozzle 43B. In step S116, the control unit 5 measures the voltage value VH with the sodium ion sensor 22 in a state in which the high concentration calibration solution for sodium ions is brought into contact with the electrode unit 222 of the sodium ion sensor 22. Then, the control unit 5 opens the solenoid valve 42G and closes the solenoid valve 42E to deliver the high-concentration calibration solution for sodium ions supplied to the second nozzle 43B to the waste liquid tank 30.
Next, in step S117, the control unit 5 performs cleaning of the sodium ion sensor 22 in the same manner as in step S110.
Next, in step S118, the control unit 5 creates a calibration curve for sodium ions and store it in the storage unit based on the concentrations of the cleaning solution, medium concentration calibration solution for sodium ions and high concentration calibration solution for sodium ions, the measured voltage value VL, voltage value VM, and voltage value VH stored in the storage unit.
Next, in step S119, the control unit 5 controls the motor 2312 of the vertical movement drive unit 231 to raise the glucose sensor 21 and the sodium ion sensor 22 to the top dead center (step S120: YES), and move the sensors from the cleaning position to the standby position.
Returning to
Next, in step S205, the control unit 5 controls the motor 2300 of the horizontal movement drive unit 230 so as to horizontally move the setting unit 20 by the set number of pulses to move the interstitial fluid collector 110 from the first measurement position to a second measurement position (shown in (c) of
Next, in step S213, the control unit 5 controls the motor 2300 of the horizontal movement drive unit 230 so as to horizontally move the setting unit 20 a set number of pulses to move the second interstitial fluid collector 110 from the second measurement position to the third measurement position (shown in
Next, in step S219, the control unit 5 controls the motor 2300 of the horizontal movement drive unit 230 to horizontally move the setting unit 20 to the origin (step S220: YES), and move the setting unit 20 from the third measurement position to the installation position. Then, in step S221, the control unit 5 controls the motor 2312 of the vertical movement drive unit 231 to lower the sodium ion sensor 22 by the set number of pulses to move the sensor 22 from the standby position to the cleaning position. Then, in step S222, the control unit 5 cleans the sodium ion sensor 22. Then, in step S223, the control unit 5 controls the motor 2312 of the vertical movement drive unit 231 to raise the sodium ion sensor 22 to the top dead center (step S224: YES), and moves the sensor 22 from the cleaning position to the standby position.
Returning to
First, in step S300, the control unit 5 analyzes the glucose concentration CGlu and sodium concentration CNa1 contained in the interstitial fluid collector 110 and the sodium ion concentration CNa2 collected in the perspiration collector 111 I do. Specifically, the control unit 5 first reads the glucose calibration curve (relational expression between the current value and the glucose concentration) from the storage unit, and applies the current value IGlu to the calibration curve based on the detection signal output from the glucose sensor 21 to calculate the glucose concentration CGlu. A sodium ion calibration curve (a relational expression between voltage value and sodium ion concentration) is read out from the storage unit, and a voltage value VNa1 and a voltage value VNa2 are applied to the calibration curve based on the detection signal output from the sodium ion sensor 22 to calculate the sodium concentration CNa1 and the sodium ion concentration CNa2.
Next, in step S301, the control unit 5 determines whether the perspiration rate R is equal to or more than a threshold value. The perspiration rate R is expressed by R=CNa1/CNa2. When determining that the perspiration rate R is lower than the threshold value, the control unit 5 does not calculate the blood glucose AUC, and in step S302 the control unit 5 displays the analysis result of the blood glucose AUC because “the perspiration amount is large and the reliability of the analysis result cannot be guaranteed. Please do not re-measure.” In this way it is possible to avoid analysis of blood glucose AUC with low reliability. Note that the threshold value can be obtained from experimental data related to blood glucose AUC calculation value, blood glucose AUC due to blood collection and perspiration amount, which will be described later.
On the other hand, when determining that the perspiration rate R is equal to or greater than the threshold value in S301, the control unit 5 calculates the blood glucose AUC in S303. Specifically, the blood glucose AUC is calculated based on the glucose concentration CGlu, the sodium concentration CNa1 and the sodium concentration CNa2 obtained in step S300 and the following equation (1). Note that in the following equation (1), T is the sampling time of interstitial fluid. In this case a is the ratio of the transmittance between glucose and sodium ion and is a constant obtained by experiment. C′Na is the sodium ion concentration in blood and is a constant obtained by actual measurement.
AUC=C′Na×T×{CGlu/α(CNa1−C CNa2)} (1)
Then, in step S304, the control unit 5 generates an analysis result including the calculated blood glucose AUC. Analysis results can include glucose concentration, sodium concentration, perspiration rate and the like.
Returning to
As described above, in the present embodiment, when the interstitial fluid collector 110 is installed in the setting unit 20, the setting unit 20 moves to a measurement position separated from the installation position by a fixed distance, and the sensors 21 and 22 move from the standby position and are brought into contact with the interstitial fluid collector 110 by descending by a certain distance and moving to the measurement position. Therefore, it is possible to suppress variations in the positional relationship between the interstitial fluid collector 110 and the sensors 21 and 22 for each measurement, so that it is possible to stably obtain highly accurate measurement results.
In the present embodiment, when the measurement by the sodium ion sensor 22 is completed, a measurement is made by the glucose sensor 21 and the sodium ion sensor 22 is automatically cleaned during the measurement; and when the measurement by the glucose sensor 21 is completed, the next measurement by the sodium ion sensor 22 becomes possible and the glucose sensor 21 is automatically cleaned during the measurement by the sodium ion sensor 22 such that the next measurement becomes possible. In this way, since the cleaning of the sensors 21 and 22 is performed between the measurements, the cleaning of each of the sensors 21 and 22 can be performed efficiently, and the efficiency of the measurement work can be improved.
Although the embodiments of the in-vivo component measuring apparatus and the in-vivo component measuring method have been described above, the present invention is not limited to the above-described embodiments and various modifications are possible insofar long as they do not deviate from the scope of the present invention. For example, the following changes are possible.
For example, in the above embodiment the drive unit 23 moves the setting unit 20 in the horizontal direction and moves the glucose sensor 21 and the sodium ion sensor 22 in the vertical direction, so that the setting unit 20 and each of the sensors 21 and 22 move to predetermined position and the glucose sensor 21 and the sodium ion sensor 22 are brought into contact with the interstitial fluid collector 110. However, movement is not limited to only the horizontal movement and the vertical movement, since the setting unit 20 and the sensors 21 and 22 also may be moved such that the movement direction of the setting unit 20 intersects with the movement direction of the sensors 21 and 22 to move the setting unit 20 and glucose sensor 21 and the sodium ion sensor 22 to predetermined positions whereby the sensors 21 and 22 are brought into contact with the interstitial fluid collector 110.
In the above-described embodiment, the drive unit 23 is configured to bring the glucose sensor 21 and the sodium ion sensor 22 into contact with the interstitial fluid collector 110 by moving both the setting unit 20, the glucose sensor 21, and the sodium ion sensor 22. However, the present invention is not limited thereto, and the drive unit 23 may bring the glucose sensor 21 and the sodium ion sensor 22 into contact with the interstitial fluid collector 110 by moving at least one of the setting unit 20, the glucose sensor 21, and the sodium ion sensor 22.
In the above embodiment, when the sensors 21 and 22 contact the interstitial fluid collector 110 and the perspiration collector 111, the contact pressure of the electrode units 212 and 222 is controlled by the pressure absorbing members 217 and 227 of the sensors 21 and 22, and the contact pressure of the electrode units 212 and 222 is adjusted by the pressure absorbing member 2014 of the setting unit 20. However, the contact pressure of the electrode units 212 and 222 also may be adjusted by using only one of the pressure absorbing members of the sensors 21 and 22 and the setting unit 20.
These pressure absorbing members 217, 227, and 2014 can be configured by elastic members other than spring members such as sponge and rubber.
In the above embodiment, when the sensors 21 and 22 are brought into contact with the interstitial fluid collector 110 or the perspiration collector 111, the cartridges 216 and 226 oscillate relative to the bodies 210 and 220 and adjust the angle of the surfaces of the electrode units 212 and 222 that contact the collector 110 and the perspiration collector 111. However, the present invention is not limited to this inasmuch as, for example, in the setting unit 20, the sample plate 200 may be oscillatably supported on the sample stage 201, and when the sensors 21 and 22 come into contact with the interstitial fluid collector 110 or the perspiration collector 111, the sample plate 200 is oscillated so as to adjust the angle of the surface of the interstitial fluid collector 110 and the surface of the perspiration collector 111 supported on the sample plate 200 so that the electrode units 212 and 222 can be brought into contact with the surfaces of the interstitial fluid collector 112 and the perspiration collector 111.
In the above embodiment, only one set of the interstitial fluid collector 110 and the perspiration collector 111 is installed for measurement in the setting unit 20 of the in-vivo component measurement apparatus 1. However, as shown in
In the above embodiment, the interstitial fluid collector 110 and the perspiration collector 111 are installed in the setting unit 20 and measured by the in-vivo component measuring apparatus 1. However, the present invention is not limited to this, inasmuch as only the interstitial fluid collector 110 may be installed in the setting unit 20 for measurement, as shown in
Next, in steps S406 to S409, the control unit 5 controls the motor 2312 of the vertical movement drive unit 231 to lower the glucose sensor 21 by the set number of pulses from the standby position to the measurement position, and the motor 2312 of the vertical movement drive unit 231 is controlled to lower the sodium ion sensor 22 by the set number of pulses from the standby position to the cleaning position, then the current value IGlu of the interstitial fluid collector 110 is measured by the sensor 21 and the sodium ion sensor 22 is cleaned. Then, in steps S410 to S413, the control unit 5 controls the motor 2312 of the vertical movement drive unit 231 to raise the glucose sensor 21 and the sodium ion sensor 22 to the top dead center from the measurement position and the cleaning position, and controls the motor 2300 of the horizontal movement drive unit 230 to horizontally move the setting unit 20 to the origin, that is, from the second measurement position to the installation position.
Next, in steps S414 to S417, the control unit 5 controls the motor 2312 of the vertical movement drive unit 231 to lower the glucose sensor 21 by the set number of pulses from the standby position to the cleaning position, and after cleaning the glucose sensor 21, the motor 2312 of the vertical movement drive unit 231 is controlled to raise the glucose sensor 21 to the top dead center from the cleaning position to the standby position.
Then, in the step S17 of
AUC=C′Na×T×(CGlu/αCNa1) (2)
Note that in the modified example of
In the modification of
Then, in step S601, the control unit 5 controls the motor 2312 of the vertical movement drive unit 231 to lower the glucose sensor 21 by the set number of pulses from the standby position to the measurement position so as to contact the collector 110. Then, in step 602, the control unit 5 applies a constant voltage to the interstitial fluid collector 110 by the glucose sensor 21 and measures the current value IGlu related to the glucose concentration CGlu in the interstitial fluid. Then, in steps S603 to S604, the control unit 5 controls the motor 2312 of the vertical movement drive unit 231 to move the glucose sensor 21 to the top dead center from the measurement position to the standby position, and then in step S605 to step S606, the motor 2300 of the horizontal movement drive unit 230 is controlled to horizontally move the setting unit 20 to the origin, that is, from the measurement position to the installation position. Then, in steps S608 to S611, the control unit 5 controls the motor 2312 of the vertical movement drive unit 231 to lower the glucose sensor 21 by the set number of pulses from the standby position to the cleaning position, and after cleaning the glucose sensor 21, the motor 2312 of the vertical movement drive unit 231 is controlled to raise the glucose sensor 21 to the top dead center, that is, from the cleaning position to the standby position.
Then, in step S17 of
AUC=βCGlu (3)
Note that although the acquiring unit 21 is a glucose sensor in the modification of
In this modification, in the measurement process shown in
In the modified example of
In the above embodiment, the acquiring unit 21 also may be an integrated sensor as shown in
Then, in step 802, the control unit 5 applies a constant voltage to the interstitial fluid collector 110 by the integrated sensor 21 to measure the current value IGlu related to the glucose concentration CGlu in the interstitial fluid, and then the integral sensor 21 measures a voltage value VNa1 related to the sodium ion concentration CNa1 in the interstitial fluid of the interstitial fluid collector 110. At the same time, the sodium ion sensor 22 measures the voltage value VNa2 related to the sodium ion concentration CNa1 in the perspiration of the perspiration collector 111. Then, in steps S803 to S804, the control unit 5 controls the motor 2312 of the vertical movement drive unit 231 to raise the integrated sensor 21 and the sodium ion sensor 22 to the top dead center from the measurement position to the standby position, and in steps S805 to S806, the motor 2300 of the horizontal movement drive unit 230 is controlled to horizontally move the setting unit 20 to the origin from the measurement position to the installation position. Then, in steps S807 to S810, the control unit 5 controls the motor 2312 of the vertical movement drive unit 231 to lower the integral type sensor 21 and the sodium ion sensor 22 by the set number of pulses from the standby position to the cleaning position; and after cleaning the integrated sensor 21 and the sodium ion sensor 22, the motor 2312 of the vertical movement drive unit 231 is controlled to move the integrated sensor 21 and the sodium ion sensor 22 to the top dead center, that is, from the cleaning position to the standby position.
Then, in step S17 of
According to the modification of
Note that in the modification of
In the above-described embodiment and modifications, the sodium ion sensor 22 also acquires the voltage values of the interstitial fluid collector 110 and the perspiration collector 111 in order to measure the concentration of sodium ions contained in the interstitial fluid or perspiration. However, the invention is not limited to this, inasmuch as the sodium ion sensor 22 also may acquire the current value by applying a constant voltage to the interstitial fluid collector 110 or the perspiration collector 111.
In the above embodiment and each modification, the blood glucose AUC also is calculated by substituting the glucose concentration and the sodium ion concentration into the above equations (1) to (3). However, the present invention is not limited thereto, and the blood glucose AUC can be calculated using various known calculation methods.
In the above-described embodiment and modifications, the interstitial fluid collector 110 also is directly fixed to the skin of the subject to collect interstitial fluid. However, the present invention is not limited to this, inasmuch as the skin of a subject may be covered with a film or sheet that prevents permeation of perspiration, and the skin may be pierced so as to penetrate the film or sheet with the puncture tool 100 from above the film or sheet. By collecting interstitial fluid from the plurality of micropores formed in the skin through the film or sheet with the interstitial fluid collector 110, perspiration from the skin is restricted from moving to the interstitial fluid collector 110 by the film or sheet. In this way it is possible to prevent perspiration from mixing in the interstitial fluid at the time of collecting the interstitial fluid by the interstitial fluid collector 110 and accumulating perspiration-derived sodium ions in the interstitial fluid collector 110, hence, when calculating the blood glucose AUC the effect of perspiration can be avoided. Therefore, even without using the perspiration collector 111, it is possible to calculate the blood glucose AUC with high reliability, and it is possible to improve the efficiency and simplification of the measurement work. Note that, for example, the film described in Japanese Patent Application Publication No. 2012-217667 can be used as the film or sheet.
In the above-described embodiment and each modification, the calibration is performed at the time of activation of the apparatus. However, the present invention is not limited to this, and the calibration may be performed as necessary; for example, the calibration may be performed each time measurement of one interstitial fluid collector 110 is completed, or the calibration may be performed for a predetermined number of interstitial fluid collectors 110.
In the above embodiment and modifications, a refresh process for recovering a decrease in sensitivity also may be performed when the sensitivity of the electrode unit 212 of the glucose sensor 21 decreases. For example, by applying a potential opposite to the measurement potential applied at the time of measurement to the working electrode of the electrode unit 212 in a pulsed manner, the electrode unit 212 is refreshed to restore the detection sensitivity of glucose by the electrode unit 212.
In the above-described embodiment and modifications, pretreatment for suppressing reduction in sensitivity of the electrode unit 212 of the glucose sensor 21 also may be performed. For example, by repeatedly applying a potential higher than the measurement potential applied at the time of measurement and a potential lower than the measurement potential to the working electrode of the electrode unit 212 for a predetermined time period, the glucose sensor 21 the detection of glucose by the electrode section 212 can be maintained with high sensitivity even when used for a long period of time.
On a ceramic substrate, a working electrode composed of platinum paste with a diameter of 5 mm and a counter electrode, and a reference electrode made of silver/silver chloride paste were formed by a screen printing method.
To 12.7 μL of phosphate buffered saline (PBS) were added 6.8 μL of glucose oxidase (GOD) solution, 6.8 μL of mutarotase (MUT) solution, 7.8 μL of BSA solution, and finally 4.9 μL of GA solution was added and stirred to prepare BSA (214.92 mg/dL)·glucose oxidase (0.87 U/μL)·GA (2%)·mutarotase (1 U/mL) solution. The working electrode was coated with 0.57 μL of the above solution. In this state, electrodes were placed in a petri dish, and were allowed to stand for 24 hours in a thermostatic chamber (Espec, SH-221, Japan) set at a temperature of 25° C., and humidity of 30%, and the solution on the working electrode was dried to form a membrane on the working electrode to prepare a glucose sensor. The glucose sensor also was stored at 4° C. until use.
Each electrode of the glucose sensor was connected to a potentiostat, and 150 μL of a 268 mm potassium chloride aqueous solution was dripped so as to cover the three poles, and a potential was applied to the working electrode and scanned by the method shown in Table 1.
After performing the pretreatment described above, the glucose sensor was connected to the potentiostat, 150 μL of the PB-K solution was dripped so as to cover the three poles, and a voltage of 0.45 V was applied to the working electrode with the reference electrode as reference. Thereafter, the sensor was allowed to stand for 600 seconds. The PB-K solution was removed, 150 μL of 1 mg/dL glucose·PB-K solution was added drop-wise, and the mixture was allowed to stand for 3 minutes. Thereafter, the above solution was removed, 150 μL of a 5 mg/dL glucose·PB-K solution was added drop-wise, and the mixture was allowed to stand for 3 minutes. Again, the above solution was removed, 150 μL of a 40 mg/dL glucose·PB-K solution was added drop-wise and left to stand for 3 minutes. Finally, the above solution was removed, and the glucose sensor was washed by repeating dripping, removing, and dripping 150 μL of PB-K solution. This series of operations was carried out in a state where a voltage of 0.45 V was applied and variation of the current value during that time was recorded. In addition, the current value for the glucose sensor in each concentration solution was set as the average value for 60 seconds from 120 seconds after the solution of each concentration was dripped.
Although an example in which a plurality of micropores are formed in the skin of a subject using the puncture tool 100 to promote exudation of the interstitial fluid has been described in the above embodiment, the present invention is not limited to this example, inasmuch as various known methods such as promoting exudation of interstitial fluid by so-called peeling or the like can be used.
In the above embodiment, the control unit 5 functions as a control unit that controls the drive unit 23 of the detecting unit 2, and also functions as an analysis unit that measures glucose concentration and sodium ion concentration based on a signal reflecting the amount of measurement target component (glucose) and a signal reflecting the amount of electrolyte (sodium ion) as an auxiliary component by the sensors 21 and 22 of the detecting unit 2, and calculates blood glucose AUC. However, the present invention is not limited to this, and apart from the control unit 5 that controls the drive unit 23, an analysis device such as a computer that calculates blood glucose AUC may be provided. This analysis device may be, for example, a server device on the cloud connected to the control unit 5 via a network, such that the control unit 5 transmits each signal acquired by each of the sensors 21 and 22 to the analysis device, and the analysis device calculates blood glucose AUC based on each received signal, and generates an analysis result including blood glucose AUC, and the control unit 5 may display the analysis result on the operation display unit 6 by receiving the analysis result from the analysis device.
In the above embodiment, sodium ions are measured as the electrolyte in the interstitial fluid, but the present invention is not limited to this, inasmuch as inorganic ions such as potassium ion, calcium ion, magnesium ion, zinc ion, chloride ion, and the like also may be measured.
Although an example of calculating the blood glucose AUC is described in the above embodiment, the calculated value is not limited to blood glucose AUC and another value may be calculated insofar as it is a value corresponding to the in-vivo concentration of glucose.
Although an example in which glucose in the interstitial fluid is measured is described in the above embodiment, the present invention is not limited to this example, and components other than glucose contained in the interstitial fluid also may be measured. Examples of components measured according to the present invention include biochemical components and drugs administered to a subject. Examples of biochemical components include albumin, globulin, and enzymes of proteins which are one type of biochemical component. In addition, creatinine, creatine, uric acid, amino acids, fructose, galactose, pentose, glycogen, lactic acid, caffeine, pyruvic acid, ketone bodies and the like can be mentioned as biochemical components other than protein. Examples of the drugs include digitalis preparations, theophylline, drugs for arrhythmia, antiepileptics, amino acid sugar antibiotics, glycopeptide antibiotics, antithrombotics and immunosuppressants.
Number | Date | Country | Kind |
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2018-015740 | Jan 2018 | JP | national |