Biosensing technologies have enormous potential for applications ranging from athletics, to neonatology, to pharmacological monitoring, to personal digital health, to name a few applications. However, one repeated challenge with biosensing systems is development of sensing modalities that work at challenging concentrations of the analytes measured in a biofluid. This challenge is unfortunate and may be unexpected at first glance because benchtop assay technologies already exist for most analytes of interest. However, those benchtop assays are not easily integrated into biosensor device formats, which typically require miniaturization and simplicity not found with conventional benchtop assays.
A second challenge is that most assays are developed for very specific fluid conditions (e.g., pH, salinity, etc.). In biosensor devices, the fluid conditions can vary significantly as determined by biology and other factors. If these issues can be resolved, a greater array of conventional assay technology can be used in biosensor devices.
Many of the drawbacks and limitations stated above can be resolved by creating novel and advanced interplays of chemicals, materials, sensors, electronics, microfluidics, algorithms, computing, software, systems, and other features or designs, in a manner that affordably, effectively, conveniently, intelligently, or reliably brings sensing technology into proximity with biofluid and analytes.
Embodiments of the disclosed invention provide membrane-coupled continuous biofluid sensing systems capable of allowing a greater array of conventional assays to be used in continuous biosensing devices. Even new assays may be used in embodiments described herein, benefiting from the inventive aspects disclosed herein.
The objects and advantages of the disclosed invention will be further appreciated in light of the following detailed descriptions and drawings in which:
As used herein, “biofluid” means a fluid source of analytes. For example, sweat is a biofluid source of analytes that is from eccrine or apocrine glands. For another example, a biofluid could be a solution that bathes and surrounds tissue cells such as interstitial fluid. Embodiments of the disclosed invention may focus on interstitial fluid found in the skin extracted through microneedles and, particularly, interstitial fluid found in the dermis. Biofluid could also include blood, saliva, tears, or other possible biofluids.
As used herein, “continuous monitoring” means the capability of a device to provide at least one measurement of a biofluid, determined by a continuous or multiple collection and sensing of that measurement or to provide a plurality of measurements of that biofluid over time. For example, a sensor could repeatedly sense analytes coming from a continuous stream of biofluid with analytes (e.g., multiple measurements). For example, a sensor could sense analytes coming from a biofluid stream that flows for a long enough duration or enough times of repeated flow such that the sensor is able to reach its proper signal (e.g., single measurement achieved by continuously collecting analyte from a continuous flow of biofluid with the analyte).
As used herein, “measured” can imply an exact or precise quantitative measurement and can include broader meanings such as, for example, measuring a relative amount of change of something. Measured can also imply a binary measurement, such as ‘yes’ or ‘no’ type measurements.
As used herein, “advective transport” is a transport mechanism of a substance or conserved property by a fluid due to the fluid's bulk motion.
As used herein, “diffusion” is the net movement of a substance from a region of high concentration to a region of low concentration. This is also referred to as the movement of a substance down a concentration gradient.
As used herein, “convection” is the concerted, collective movement of groups or aggregates of molecules within fluids and rheids, either through advection or through diffusion or a combination of both.
As used herein, “reversible sensor” means the sensor is able to measure both increasing and decreasing concentrations without any additional change in stimulus or environment for the sensor other than the change in the analyte concentration.
The embodiments described herein will be primarily, but not entirely, limited to wearable sweat sensing devices, and methods or sub-methods using wearable sweat sensing devices. The disclosed embodiments may be practiced using any type of wearable sweat sensing device that measures sweat, sweat generation rate, sweat chronological assurance, sweat solutes, solutes that transfer into sweat from skin, a property of or things on the surface of skin, or properties or things beneath the skin. A sweat sensing device as discussed herein can take on many forms, including patches, bands, straps, portions of clothing or equipment, or any suitable mechanism that reliably brings sweat stimulating, sweat collecting, and/or sweat sensing technology into intimate proximity with sweat as it is generated.
Certain embodiments of the disclosed invention show sensors as simple individual elements. It is understood that many sensors may utilize two or more electrodes, reference electrodes, or additional supporting technology or features that are not captured in the description herein for the sake of simplicity. Sensors are preferably electrical in nature, but may also include optical, chemical, mechanical, or other biosensing mechanisms. Sensors can be in duplicate, triplicate, or more, to provide improved data and readings. Certain embodiments of the disclosed invention show sub-components of what would be sensing devices with more sub-components needed for use of the device in various applications, which are known (e.g., a battery, antenna, adhesive), and for purposes of brevity and focus on inventive aspects, such components are not explicitly shown in the diagrams or described in the embodiments of the disclosed invention. Additionally, descriptions of elements in the alternative may be considered as distinct alternative embodiments that are exclusive of one another. Further, the specific embodiments have distinct combinations of elements, but these elements may be incorporated across embodiments shown. Likewise, the advantages disclosed for an embodiment may apply equally to other embodiments.
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The microfluidic component 130 is fluidically connected to the wearer's skin or mouth. During operation of the device 100, biofluid from the wearer is transported to the microfluidic component 130. The microfluidic component 130 is capable of advectively transporting a sample stream of biofluid in a direction indicated by arrow 190 from the wearer. The substrate 110 may be made of, for example, a polymer, such as polyethylene terephthalate (PET). The microfluidic component 130 may be, for example, a wicking material, such as paper, a microfluidic channel that is empty before fluid is driven into the channel by wicking force or with pressure driven flow (e.g., syringe pump), or another suitable microfluidic component. A polymer or metal housing 112 together with a buffer membrane 170, surrounds a buffer 140 which could include a buffering solute, such as citrate.
The buffer membrane 170 separates the buffer 140 from the microfluidic component 130. The buffer membrane 170 is coupled to or embedded within the substrate 110, and the buffer membrane 170 is in fluidic communication with the microfluidic component. The buffer membrane 170 may be made of a dialysis membrane or other material that allows transport of solutes in a predetermined molecular weight range. The solutes which may be allowed to transport across the buffer membrane 170 may be solutes that affect pH and salinity of the biofluid present in the microfluidic component 130. As the biofluid sample travels in the direction of the arrow 190 in the microfluidic component 130 adjacent to the buffer membrane 170, the sample is buffered via diffusion of solutes from the buffer 140 through the buffer membrane 170 (described further below). In an embodiment, the buffer 140 could have a volume that is at least ten times greater than the volume of a portion of the microfluidic component 130 in fluid communication with the buffer, for example the portion of the microfluidic component 130 bordering the buffer membrane 170, or at least ten times greater than the volume of the biofluid sample flowing through the device 100. The buffer 140 may contain a first solute composition configured to affect a property, such as pH or salinity, of the biofluid flowing through the microfluidic component. The relatively large volume of buffer 140 compared to the volume of the portion of the microfluidic component 130 is advantageous at least because the relatively large volume extends the useful lifetime of the buffer 140. The biofluid sample stream indicated by arrows 190 may have a second solute composition, different from the solute composition of the buffer 140. The biofluid sample stream is buffered by the first solute composition by diffusion of solutes through the buffer membrane 170 such that the biofluid has a predetermined value for pH or salinity.
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In some examples, the device is stored in a dry state with probes initially in a dry state. Once biofluid is first introduced into the device 100, water, for example, may pass through sensor membrane 172 and form an aqueous solution with the probes to form the sensing solution 142.
In some examples, the sensor membrane 172 may have a molecular weight cutoff of at least one of less than 100,000 Da, less than 30,000 Da, less than 10,000 Da, less than 3000 Da, less than 1000 Da, or less than 300 Da. A molecular weight cutoff means as used by standard in the industry of membranes, and is a cutoff above which analytes or solutes are unable to significantly traverse the membrane (i.e., analytes or solutes above the molecular weight cutoff are significantly blocked by the membrane).
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The device 100 may be configured to allow multiplex detection of two or more analytes. For example, sensing solution 142 could also contain two or more probes, each with distinct fluorescent properties. The probes may be calibrated to produce fluorescence in response to two different analytes, and the fluorescence detector 126 could be a spectrometer with the ability to determine the fluorescent intensities and/or colors transmitted by each probe. Similar to the process described in the previous paragraph, the LED excitation source 124 may emit light that contacts the probes, resulting in the probes producing a fluorescence based on the analyte concentration in the sensing solution 142. Although an ultraviolet, violet, blue, or white light-emitting diode 124 and visible spectrum spectrometer 126 can differentiate multiple wavelengths, in some cases, multiple source 124 and detection 126 systems may be needed, one for each wavelength, for example by using narrow spectrum lasers 124 and photodiode detectors with narrow band-pass optical filters.
Additionally, or alternatively, an LED source 120 and a detector system 122 allow for colorimetric detection. The LED source 120 may be coupled to a side or surface of the transparent housing 114. Aptamer sensing approaches, such as those relying on gold-nanoparticles, are generally less reversible (i.e., suitable for continuous sensing) than fluorescent-based aptamer sensing approaches. The LED source 120 directs light through the transparent housing 114 and through the sensing solution 142. The detector system 122 may be coupled to a side of the transparent housing opposite the LED source. The detector system 122 detects the light after it passes through the opposite side of the transparent housing 114 and can analyze the absorption of light as a signal output. In another embodiment, an external sensor 180, such as a smart phone or other external sensor, may be used to sense the analyte(s) of interest. A smart phone with a light, camera, and software could take photos of the sensing solution 142 though the housing 114 and use the color or fluorescence of the sensing solution 142 to extract measurement data from the device 100.
An example application of the device 100 is to continuously sense cortisol in a biofluid sample. The buffer membrane 170 could be a dialysis membrane with a molecular weight cutoff of between 100 Da and 200 Da, inclusively, which will allow buffering of salinity and pH. For example, the sample stream may enter the device 100 at a pH of 5 and a salinity of 100 mM and then be buffered to a pH of 7 and a salinity of 10 mM, which is within the range of optimal operating conditions for the aptamers in the sensing solution 142. In an example, an analyte of interest in the sample stream is cortisol (about 400 Da), which is too large to be buffered (i.e., cannot diffuse through buffer membrane 170), for example, when the membrane has a rating of less than 100 Da. The buffered sample stream is then transported further through the microfluidic component 130 where it encounters the sensor membrane 172. The sensor membrane 172 could be a dialysis membrane with a molecular weight cutoff of 5000 Da. The sensor membrane 172 allows analytes, including the cortisol, to be transported into the sensing solution 142. The probes in sensing solution 142 could be, for example, aptamers specific to cortisol with a molecular weight of greater than 15,000 Da. The probes are larger than the molecular weight cutoff for the sensor membrane 172 such that they are not able to substantially diffuse through the sensor membrane 172. The aptamers could be functionalized with known reporting techniques, such as a fluorescent tag and a quencher. As cortisol binds with the aptamers, they undergo a shape conformation change that quenches their green fluorescent emission, as detectable by the combination of a blue LED excitation source 124 and a green fluorescence detector 126. Because aptamers are reversible, as cortisol concentration decreases in the sample stream, the fluorescent signal would increase. As a result, a continuous measurement of cortisol concentration in the sample stream is achieved. As described above, the device 100 may be configured to allow multiplex detection of two or more analytes. For detection of cortisol and vasopressin (1,000 Da), the sensing solution 142 could also contain a red fluorescent probe for vasopressin, and the detector 126 could be a miniature spectrometer that is able to discriminate the intensity of both red and green fluorescent intensities. An example can be taught as follows. A biofluid sample starts flowing through the microfluidic component 130. The biofluid sample has a vasopressin concentration of X, and the sensing solution 142 has a vasopressin concentration of 0. Vasopressin passes through the sensor membrane 172 over time until the concentration in the solution 142 has a concentration of X. If the concentration of vasopressin in the flowing biofluid sample changes to X+1, more vasopressin will enter the solution 142, lowering the fluorescent signal. If the concentration of vasopressin in the flowing biofluid sample changes to X−1, vasopressin will leave the solution 142 until the concentration is X−1, increasing the fluorescent signal. Depending on the volumes of fluids, sizes of analytes (diffusion coefficients), concentration gradients for the analytes (diffusion velocity), membrane flow/diffusion resistance, and other factors, the response time for the device 100 to a change in concentration of analyte could range from seconds to hours, or even longer, with a preferable response time being on the order of minutes.
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In an alternate embodiment, probes such as fluorescent aptamers could be immobilized in a hydrogel (linked to the hydrogel structure itself) possibly eliminating the need for membrane coupling. For example, the quencher or fluorescently tagged end of the aptamer could have a functional group that bonds to agar, gelatin, or other hydrogel structures.
While the miniaturization provided by aspects of the disclosed invention is valuable to applications involving biofluids, embodiments of the present invention may also be useful in applications involving non-biofluids (e.g., river pollution).
While specific embodiments have been described in considerable detail to illustrate the disclosed invention, the description is not intended to restrict or in any way limit the scope of the appended claims to such detail. The various features discussed herein may be used alone or in any combination. Additional advantages and modifications will readily appear to those skilled in the art. The invention in its broader aspects is therefore not limited to the specific details, representative apparatus and methods and illustrative examples shown and described. Accordingly, departures may be made from such details without departing from the scope of the general inventive concept.
Filing Document | Filing Date | Country | Kind |
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PCT/US2019/030574 | 5/3/2019 | WO | 00 |
Number | Date | Country | |
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62791209 | Jan 2019 | US |