1. Field of the Invention
The present invention relates, in general, to medical devices and, in particular, to indwelling biosensors and related methods.
2. Description of Related Art
A variety of indwelling biosensors are of interest to the scientific and medical community. For example, indwelling biosensors for continuous glucose monitoring have recently become available. These biosensors are subcutaneously inserted below a user's skin using a separate insertion device (e.g., a rigid hollow needle). The separate insertion device is removed after the biosensor is deployed. The biosensor then remains below the user's skin to continuously measure glucose concentrations in the user's interstitial fluid for an extended period of time.
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, in which like numerals indicate like elements, of which:
The following detailed description should be read with reference to the drawings, in which like elements in different drawings are identically numbered. The drawings, which are not necessarily to scale, depict exemplary embodiments for the purpose of explanation only and are not intended to limit the scope of the invention. The detailed description illustrates by way of example, not by way of limitation, the principles of the invention. This description will clearly enable one skilled in the art to make and use the invention, and describes several embodiments, adaptations, variations, alternatives and uses of the invention, including what is presently believed to be the best mode of carrying out the invention.
Flexible indwelling electrochemical-based biosensors according to embodiments of the present invention include an elongated framework and an integrated electrochemical-based biosensor. The elongated framework is formed, at least partially, from an electrically conductive flexible material (e.g., a Nitinol) with a body portion, a sharp head, a distal end and a proximal end. The integrated electrochemical-based biosensor (such as an electrochemical-based glucose sensor) is integrated with the elongated framework in that the biosensor has a sensing element that is disposed over at least one of the body portion or sharp head of the elongated framework and a portion of the elongated framework is configured as an electrode component that electrically cooperates with the sensing element. The electrode component can be, for example, configured to electrically cooperate (i.e., function) as a counter electrode, a working electrode base a reference electrode base or combined reference and counter electrode base of the sensing element.
Moreover, the sharp head is disposed at the distal end of the elongated framework and the sharp head, the electrode component and at least the sensing element of the biosensor are configured for insertion into a target site (for example, a subcutaneous target site). Further features, characteristics and benefits of such flexible indwelling biosensors are described below with respect to various drawings.
One skilled in the art will recognize that a biosensor is a device that detects and produces a signal related to a physiological change, process or analyte (such as information regarding glucose concentration in interstitial fluid). Such biosensors include those based on enzymatic reactions combined with electrochemical techniques (also referred to as electrochemical-based biosensors). Relevant, but non-limiting, examples of biosensors are described in U.S. Pat. Nos. 7,498,132 B2, 7,429,630 B2, 7,109,271 B2, 7,465,380 B2 and 7,351,770 B2, each of which is hereby incorporated by reference as if fully set forth.
Channel 112 extends along the length of the elongated strip 102. Sharp head 110 is configured for subcutaneous skin insertion.
Flexible indwelling electrochemical-based biosensor 100 also includes a biosensor 114 (shown in cross-hatching) that has a sensing element 116 and a signal transmitting line 118. Once apprised of the present invention, one skilled in the art will recognize that biosensor 114 can include a signal transmitting line of any suitable type including, for example, a co-axial cable, optical cable, a paired two-wire line, or a three-wire line. Moreover, biosensors employed in flexible indwelling electrochemical-based biosensors according to embodiments of the present invention can transmit signals using wireless methodologies including those that employ radio frequency (RF) and capacitive coupling techniques. In the embodiment of
Biosensor 114 is integrated with the elongated framework and sensing element 116 is securely positioned on sharp head 110 using, for example, a suitable adhesive (not shown). Moreover, sharp head 110, electrode component 113 and sensing element 116 are configured for insertion into a subcutaneous target site. The integration of biosensor 114 with the elongated framework includes cooperative electrical integration with electrode component 113.
Flexible indwelling electrochemical-based biosensors according to embodiments of the present invention are beneficial in that, for example, they can be consistently inserted to a predetermined depth below the skin, are comfortably flexible while being kink-resistant, and have a relatively small cross-sectional area. Moreover, since the flexible framework includes an electrode component that electrically cooperates with the sensing element, the flexible indwelling electrochemical-based biosensors are compact and relatively simple to manufacture.
Once apprised of the present disclosure, one skilled in the art will recognize that sensing elements employed in flexible indwelling biosensors according to embodiments of the present invention can be generally disposed on and/or suspended over the body portion or the sharp head of the elongated framework.
Since flexible indwelling biosensors according to embodiments of the present invention can be formed with an elongated framework that is flexible and kink-resistant, they can have a relatively small cross-sectional area. It is hypothesized, without being bound, that such small cross-sectional areas result in minimal subcutaneous insertion pain and will be comfortable to wear.
Nitinol employed in embodiments of the present invention can be beneficially pre-processed (also referred to as preprogrammed) using techniques known to one skilled in the art to possess a variety of superelastic characteristics that are also known to those of skill in the art (such as, for example, kink-resistance, the ability to accommodate large loads and the ability to return to an original (preprogrammed) shape following release of mechanically deforming stresses).
Flexible indwelling electrochemical-based biosensor is very flexible, especially when bending such that the open side of the channels faces towards (or away from) the center of the radius of curvature, referred to as the flexible bending direction. Moreover, use of superelastic materials (such as Nitinol with a Young's modulus of in the range of approximately 35 to 75 GPa) provide for flexible indwelling electrochemical-based biosensors according to embodiments of the present invention to bend considerably without kinking.
Flexible indwelling electrochemical-based biosensor 200 further includes a biosensor 210 that is integrated with curved elongated framework 202. Biosensor 210 includes a sensing element 212 disposed on sharp head 206 and two signal transmission lines 214a and 214b (depicted as a single dashed line within channel 208) that are partially contained within channel 208. Once apprised of the present disclosure, one skilled in the art will recognize that sensing elements employed in flexible indwelling biosensors according to the present invention can be also be disposed on the body portion of the elongated framework.
In the embodiment of
Methods for manufacturing flexible frameworks suitable for use in flexible indwelling electrochemical-based biosensors according to embodiments of the present invention include etching a channel into an elongated Nitinol strip and forming a sharp head on a distal end of the elongated Nitinol strip. Alternatively, stamping and/or coining techniques can be employed to form the channel and sharp head of embodiments of the current invention. Moreover, conventional sharpening techniques, such as grinding, can also be used to form the sharp head. When the electrode component is an electrode base (e.g., a working electrode base or combined reference and counter electrode base) additional electrode-related layers (such as conductive and electrically insulating layers) required to form a suitable operative working electrode or combined reference and counter electrode) can be formed using any suitable layer creation technique including printing and deposition techniques. When such additional electrode-related layers are employed, they can equally be considered part of the elongated flexible framework or part of the sensing element due to the integrated nature thereof.
A flexible indwelling electrochemical-based biosensor according to embodiments of the present invention can be formed, for example, from an etched elongated Nitinol strip (with a sharp head) with a heat shrunk poly(tetrafluoroethylene) or PTFE polymer jacket serving as a flexible tube. Moreover, flexible indwelling electrochemical-based biosensors according to embodiments of the present invention can be used with insertion devices such as those described in U.S. patent application Ser. No. 12/366,466.
The sharp head of flexible indwelling electrochemical-based biosensors according to embodiments of the present invention remains in the target site during use of the flexible indwelling biosensor (for example, during the detection of glucose in interstitial fluid) and is only removed, for example, when the entire flexible indwelling biosensor is removed from the target site. Since the flexible indwelling biosensor is highly flexible (for example, being formed of Nitinol and, optionally, a flexible polymer tube), it can remain inserted without undue pain or discomfort during use.
Flexible indwelling electrochemical-based biosensor 300 also includes a sensing element that includes a reference electrode 306, and working electrode 308 and various electrical components 310 depicted schematically in
A porous insulation layer 313 (see
Moreover, an enzymatic reagent layer 309 of the sensing element (depicted in
Reference electrode 306 can be formed of any suitable material including, for example, an Ag/AgCl material. Working electrode 308 can also be formed of any suitable material including, for example, gold, platinum, palladium and carbon ink.
Flexible indwelling electrochemical-based biosensor 400 also includes a sensing element that includes a combined reference/counter electrode 406, and various electrical components 410 depicted schematically in
A conductive layer 416 (for example, an Au, Pt, Pd or carbon ink conductive layer) is disposed on working electrode base 412 to form a beneficially operative working electrode (as depicted in
Flexible indwelling electrochemical-based biosensor 500 also includes a sensing element that includes a working electrode 506, and various electrical components 510 depicted schematically in
Portion 512 is configured as a combined reference/counter electrode by including layer 516, formed of any suitable reference electrode material including, for example, an Ag/AgCl material, thereon (see
In method 600, the flexible indwelling electrochemical-based biosensor has an elongated framework, formed from an electrically conductive flexible material, and an integrated electrochemical-based biosensor with the integrated electrochemical-based biosensor includes the sensing element. Moreover, a portion of the elongated framework is configured as the electrode component (such as a working electrode base, counter electrode, reference electrode base or combined reference/counter electrode base) and the electrode component electrically cooperates with the sensing element during the determining step.
Once apprised of the present disclosure, one skilled in the art will recognize that method 600 can be readily modified to incorporate any of the procedures, uses, methodologies and actions described herein with respect to flexible indwelling electrochemical-based biosensors according to embodiments of the present invention.
While preferred embodiments of the present invention have been shown and described herein, it will be obvious to those skilled in the art that such embodiments are provided by way of example only. Numerous variations, changes, and substitutions will now occur to those skilled in the art without departing from the invention. It should be understood that various alternatives to the embodiments of the invention described herein may be employed in practicing the invention. It is intended that the following claims define the scope of the invention and that devices and methods within the scope of these claims and their equivalents be covered thereby.