In many fields of healthcare, repeated measurement and monitoring of certain analytes present in bodily fluids, such as blood or urine, is of particular importance. One special case concerns, for example, patients affected by diabetes who need to measure the concentration of glucose very frequently in order to respond promptly with the correct medication. Exceeding certain blood glucose limits can result in coma or death. Even mildly elevated levels of blood glucose can result in gradually deteriorating health requiring long term monitoring to keep glycemic levels under control. As such, blood glucose data are useful both to the physician who has the task to determine the most appropriate long-term therapy, and to the patient who daily needs to adapt the administration of medications according to the measured glucose levels. These depend not only on the diet, but also on the daily physical activity and many other factors, which influence the metabolism.
A number of small, reliable and low-cost medical devices, which can be handheld, are available today to the patient for self monitoring. Devices for controlled administration of therapeutic agents, such as insulin pumps, are also commercially available. The number of exemplary medical devices to which this invention refers to is, however, not limited to diabetes care. Worth mentioning are, for example, those devices for monitoring blood pressure or other blood parameters like coagulation factors.
A new test strip provides opportunities for improvements in biosensors as well as in their production. As generally contemplated, a test strip can be used in monitoring various disorders, such as diabetes, since it can test fluid samples for the presence or concentration of an analyte, such as blood glucose. The test strip includes a capillary chamber for receiving a liquid sample and a vent. The sample chamber is bounded on the top and bottom by two substrate layers that are spaced apart by a spacing layer. At least one of the substrates is optionally clear (transparent or translucent) to allow the user to visually confirm dosing of the capillary chamber. Horizontally, the capillary chamber is bounded by a cutout portion of the spacing layer and an opening. The cutout portion in some embodiments is configured to provide the capillary chamber with an aspect ratio of the chamber depth to the chamber width that is optimized for fast sample filling.
Embodiments include a generally square-ended test strip with a wide sample application port where the user is able to easily and quickly dose a fluid sample. Non-square-ended embodiments, e.g. taper or round ended, provide similar advantageous dosing flexibility. The wider dosing location provided on the strip can be helpful for those with reduced eyesight, hand dexterity or hand stability difficulties. Embodiments also provide sample chambers that require small volumes of fluid for testing and fill rapidly with sample fluid. Other features include increasing manufacturing efficiencies and cost savings when producing test strips according to other embodiments. Some or all of these features may be present in the corresponding independent or dependent claims, but should not be construed to be a limitation unless expressly recited in a particular claim.
This summary is provided to introduce a selection of the concepts that are described in further detail in the detailed description and drawings contained herein. This summary is not intended to identify any primary or essential features of the claimed subject matter, nor is it intended to be used as an aid in determining the scope of the appended claims. Each embodiment described herein is not intended to address every object described herein, and each embodiment does not include each feature described. Other forms, embodiments, objects, advantages, benefits, features, and aspects of the present invention will become apparent to one of skill in the art from the detailed description and drawings contained herein.
For the purposes of promoting an understanding of the principles of the invention, reference will now be made to the selected embodiments illustrated in the drawings and specific language will be used to describe the same. It will nevertheless be understood that no limitation of the scope of the invention is hereby intended, such alterations, modifications, and further applications of the principles of the invention being contemplated as would normally occur to one skilled in the art to which the invention relates. At least one embodiment of the invention is shown in great detail, although it will be apparent to those skilled in the relevant art that some features or some combinations of features may not be shown for the sake of clarity.
Depicted in
Turning to
The terms “upper” and “lower” (as well as similar terms such as “top” and “bottom”) are used for illustrative purposes in lieu of terminology such as “first” and “second” in an effort to make the description of the illustrated embodiments easier to read and comprehend without narrowing the scope of the embodiments disclosed herein. No directional preference is intended. For example, “first,” “second” and “lower” may alternatively be used instead of “upper,” and “second,” “first” and “upper” (respectively) may alternatively be used instead of “lower.” It is understood that the embodiments can be inverted, with the “upper” layer becoming the “bottom” layer and the “bottom” layer becoming the “upper” layer.
The term “front” is also used for illustrative purposes in an effort to make the description of the illustrated embodiments easier to read and comprehend without narrowing the scope of the embodiments disclosed herein. No directional preference is intended. For example, the term “edge” alone may alternatively be used instead of “front edge.” It is understood that the embodiments can be rotated, with the “front” becoming the “back.”
The spacer 120 includes a first cutout portion 148. When the test strip 100 is assembled, the first cutout portion 148 defines a sample chamber 150. The sample chamber 150 is sized to receive a fluid sample for testing. The sample chamber 150 is formed in a space provided by the cutout portion 148 between the upper substrate layer 110 and the lower substrate layer 130. A portion of the upper substrate layer 110 forms an upper border of the sample chamber 150 and a portion of the lower substrate layer 130 forms a lower border of the sample chamber 150. The sample chamber 150 includes an opening 151 at the sampling end 108. The dimensions of the sample chamber 150 include a height 144, a width 142 and a depth 146. In the illustrated embodiment, the area of the first cutout portion 148 exposes lower substrate layer 130 and a portion of electrodes thereon as described in more detail below. In the illustrated embodiment, the upper substrate layer 110 includes a vent opening 170 that is aligned with the sample chamber 150. Alternatively, in other embodiments, the lower substrate layer 130 includes a vent hole. Moreover, a vent opening for the sample chamber 150 is provided in any suitable manner. Some examples can include a hole aligned with the sample chamber 150 as described herein, or by a slot vent arrangement such as disclosed in U.S. Pat. No. 7,829,023, which is hereby incorporated by reference.
In yet another embodiment, vent opening 170 comprises a plurality of linearly spaced apart holes 171 in top substrate 110. Holes 171 may be provided in a transverse arrangement in the cover and spaced apart a maximum distance that is less than the width 142 of the sample chamber in order to facilitate registration of the vent over the cutout portion 148. As a result, registration of the vent opening 170 is only generally required in a longitudinal dimension because at least one hole 171 will always overlay the cutout portion 148, leaving only the alignment at the desired position relative to the depth of the sample chamber as a manufacturing concern.
Referring to
Examples of adhesives that can be employed include pressure-sensitive adhesives, hot melt and other heat sealable adhesives, and cold sealable adhesives. In yet other embodiments, rather than using adhesion films or layers, the layers of the biosensor can be fixed together by heat or laser sealing according to such methods as are generally known in the art.
Depicted in
In one embodiment, broad field laser ablation is used in a reel to reel configuration to form multiple electrode patterns 155 with each laser pulse. That is, two or more adjacent patterns can be formed by a single laser pulse as a web of metalized substrate is wound through a laser ablation chamber. By forming multiple patterns with a single pulse, the throughput of the electrode forming step in the overall manufacturing process is increased. This can typically be achieved using known broad field laser ablation technology by providing an appropriate laser mask that includes the multiple electrode patterns (and thus is larger than a single-pattern mask), and a lens for directing the laser through the mask, which lens provides a broader dispersion of the laser to be sufficiently directed through the larger mask. This multiple pattern formation using a single pulse also provides advantages in the 2-up manufacturing process discussed further below.
In use, a test meter connection end of a test strip 100 is inserted into a test meter 165 as depicted in
As shown in the illustrated embodiment in
Embodiments of the present invention exhibit improved sample acquisition characteristics. For example, unexpectedly fast fill times were realized when testing embodiments of the disclosed invention. Fast fill times reduce the amount of time required by users to test sample fluid. Fast fill times also result in less evaporation, which, for example, reduces the total amount of blood that must be expressed from a user. Smaller sample sizes enable the user to obtain blood from alternate test sites that may not be as vascular but do not result in as much pain. In some embodiments, the lower surface of the upper substrate layer 110 (the surface facing the sample chamber 150) is comprised of hydrophilic material, which can further enhance the ability of the sample chamber 150 to rapidly fill with fluid. In other embodiments, the bottom of the sample chamber 150 is coated with a reagent layer 152 that is hydrophilic, which can also enhance the ability of the sample chamber to rapidly fill with fluid.
It was discovered that the aspect ratio of the sample chamber 150 (the ratio equal to the sample chamber depth 146 divided by the sample chamber width 142) affected the fill times of the sample chamber 150. In general, smaller aspect ratios result in quicker fill times than larger aspect ratios. Sample chambers with aspect ratios less than 1.0 were capable of two-dimensional filling (see, e.g.,
In addition to the aspect ratio, the overall dimension (size) of the sample chamber affects how quickly the sample chamber fills. In general, less fluid is required to fill a small sample chamber than a large sample chamber, indicating that the time to fill a small sample chamber should be less than a larger sample chamber. However, it was discovered that certain smaller dimensions for sample chamber height 144 would result in increased fill times. For example, when sampling whole blood, the fill times for the sample chamber 150 increases as the sample chamber height 144 decreases below one hundred micrometers (100 μm).
It is expected that the fill times for the sample chamber 150 will be higher when dosing with sample fluid having higher than nominal hematocrit levels, e.g. 65-85%. Sample chambers adapted to sample and test serum, plasma, or aqueous solutions can use a smaller sample chamber height and can potentially achieve faster fill times.
Although
While the ability of the sample chamber 150 to fill two-dimensionally enhances the ability of the sample chamber 150 to fill rapidly, the relatively small size of the sample chamber 150 further enhances its ability to fill rapidly and minimizes the amount of sample fluid required for testing. For example, the more fluid required for testing, the more time will be required to fill the sample chamber given the same or similar flow rate of fluid into the sample chamber. However, too small of a sample volume can, through evaporation, result in relatively large sample size variations during testing, which can adversely impact test results. In balancing these and other factors, alternate embodiments include sample chamber volumes that are at most one thousand nanoliters (1,000 nl), five hundred nanoliters (500 nl), and one hundred nanoliters (100 nl).
For a given sample chamber width 142, a larger sample chamber depth 146 increases the volume, increases the aspect ratio and increases sample chamber fill times of the sample chamber 150. However, the sample chamber depths 146 that are too small can have adverse effects during the manufacturing process. For example, when producing test strips using the methods described in relation to, for example,
In one embodiment, at least the upper substrate layer 110 is transparent in the region of the sample chamber 150 to provide visual feedback to the user while the sample chamber 150 fills with fluid. Once the user verifies that the sample chamber 150 is filled with fluid, by visual confirmation through the transparent upper substrate layer 110, the user can remove the supply of sample fluid from the sample chamber 150 to avoid perturbing the fluid in the sample chamber 150 during testing, which could adversely affect the test results.
The electrode pattern 155 is typically formed on one substrate layer—the lower substrate layer 130. However, alternate embodiments include opposing (otherwise referred to as “facing”) sample end electrode patterns that are formed on two substrate surfaces that face one another in the assembled test strip. This arrangement can assist in further reducing test strip width. However, if a test strip is too narrow it can be difficult for users to handle, especially impaired users.
Forming the electrode pattern on a single substrate can help reduce variations in electrode separation, which can adversely affect test strip performance and test results. The separation distance between facing electrodes (electrodes that are formed on two facing substrate layers and face one another) changes with variations in sample chamber height, such as variations in sample chamber height caused by varying the thickness of spacer 120 or adhesion layers 158 and 158′. However, variations in sample chamber height do not affect the separation between electrodes formed on the same substrate. This feature can be particularly beneficial when producing test strips intended for use without entry of a batch-related code (generally related to a predetermined correction factor) prior to use. Further advantages of coplanar electrodes (electrodes located on the same plane, such as when they are formed on the same substrate layer) can be realized during manufacture since one or more simple changes can be made to the electrode pattern design to adjust the geometry, size or spacing of electrodes as needed or desired.
Furthermore, in other embodiments, including the electrode pattern 155 on a single substrate (e.g., the lower substrate layer 130) allows a portion or all of the other substrate layer (e.g., the upper substrate layer 110) to be transparent or translucent, which assists the user to clearly identify the sample location and obtain visual confirmation that the sample chamber is properly filling and/or filled. The ability to obtain visual feedback of the sample chamber filling with fluid provides advantages in helping the user know to stop trying to fill a full sample chamber, since attempting to fill an already full sample chamber can perturb the sample and adversely affect the test results.
In other embodiments, translucent layer 110 may be used as a light guide or light pipe to carry illumination from a light source, e.g., from a strip port on a meter, placed adjacent to the contact end of the biosensor. The illumination allows a user to visualize the dose area 148 of the strip in low light conditions. The light is emitted along edge 112 and can provide illumination to visualize a sample to be applied.
Further advantages of a transparent or translucent upper substrate layer, also referred to commonly as a cover, lid, or roof by those of ordinary skill in the art, are set forth in U.S. Pat. No. 5,997,817 to Crismore, the disclosure of which is incorporated herein by reference.
Referring to
The sample chamber electrode patterns 355 are located near each other and near the center of the lower substrate strip 330, with the contact pads 306 being spaced apart from one another and located near the opposite edges of the lower substrate strip. In the depicted embodiment, the electrode patterns are all similar; however in alternate embodiments at least some of the electrode patterns are different from other electrode patterns.
A layer of the reagent 352 is preferably applied in a stripe over the two sample chamber electrode patterns 355 simultaneously and dried to a thickness of, for example, two to ten micrometers (2-10 μm). The reagent layer 352 may be applied using a high speed coating process such as a modified slot die coater with vacuum assist, or may be applied using, for example, blade coating, dispensing, inkjet coating, screen printing and rotary screen printing. An exemplary alternate embodiment having more discrete deposition of the reagent layers 352 is illustrated in
By employing a 2-up manufacturing technique, twice as many test strips are produced in the same length (as measured perpendicular to the test strip longitudinal axis 102, see
One elongated strip (tape) forms the spacer layer 320 to cover both columns of electrode patterns. The spacer layer 320 is attached to the top of the lower substrate layer 330, either before or after application of the reagent 352. Alternatively, two elongated strips (tapes) form two spacer layers wherein two separate strips of spacer material are individually attached to the lower substrate layer 330, one for column A and one for column B. In this embodiment (not shown), the front edges of both spacer layers can be aligned along a centerline 331.
The spacer 320 includes a plurality of cutout portions 348 arranged along centerline 331. Cutout portions 348 in spacer 320 can be formed by a variety of techniques. One technique of forming cutout portions 348 may include die cutting. When the spacer 320 is assembled with the lower substrate layer 330, the cutout portions 348 will form the perimeters of the sample chambers.
An upper substrate layer 310 is attached to the top of the spacer layer 320. The upper substrate layer 310 is a single, continuous layer. In the illustrated embodiment, the lower substrate 330, the spacer layer 320, and the upper substrate 310 are attached with the adhesive layers 358 and 358′. The adhesive layers may be elongated strips of PSA, adhesive tape, sprayed-on adhesive stripes, hot melt, co-extruded, or heat seal layers. In the illustrated embodiment, adhesive layers 358 and 358′ include a plurality of cutout portions 359 and 359′ arranged along the centerline 331 and corresponding to cutout portions 348. The cutout portions 359 and 359′ are sized similarly to cutout portions 348. Alternatively, the top adhesive layer 358 may be a solid layer without any openings or cutouts. Further, a hydrophilic coating may be placed between the spacer 320 and the top adhesive layer 358 to prevent direct contact between the adhesive layer 358 and the reagent 352. The hydrophilic coating is chosen to impart a hydrophilic nature to the internal surface of the sample chamber to encourage flow of an aqueous sample, such as blood, into the sample chamber. Alternatively, spacer layer 320 may be a double sided adhesive tape, obviating the need for separate adhesive layers 358 and 358′. Alternative manners of fixing layers of a biosensor without adhesion layers include heat sealing, laser sealing, cold sealing, etc.
After the lower substrate 330, the reagent 352, the spacer layer 320 and the upper substrate 310 are combined and laminated together, the sheet or roll is separated into individual test strips. The test strips in column A are separated from the test strips in column B (the sample chambers of the head-to-head oriented test strips are separated from one another approximately along the centerline 331) typically using a single cut along centerline 331, and the test strips in adjacent rows (side-by-side oriented test strips) are separated from one another between the electrode patterns. An alternative embodiment discussed below relating to
As discussed above, when a broad field laser ablation technique is employed to form the electrode patterns 355, it is possible to configure the ablation technique so that multiple patterns are formed from each laser pulse. In a 2-up manufacturing process, the multiple patterns can be the facing patterns of columns A and B, and if the laser lens is sufficiently broad (and an appropriate mask is provided), the multiple patterns may include laterally adjacent patterns within a particular column as well as oppositely adjacent patterns between the columns. In one embodiment, four patterns are formed in a single pulse. In other embodiments, six or more patterns are formed in a single pulse. In addition to throughput advantages mentioned above, the ability to form the electrode patterns that oppose each other between columns A and B in a single ablation pulse also helps keep the spacing variation between the columns at a minimum. This helps control variation seen in the capillary width 146 by using the electrode pattern to position and control the placement of the spacer 120. The precise spacing of the electrode patterns can be used as a datum for locating and placing other components in the strip.
Depicted in
Depicted in
Depicted in
In one embodiment, three cuts are made to separate column A from column B and to form the forward edges of the test strips, for example, the forward edges 112, 122, and 132 depicted in
In another embodiment, two cuts are made to separate column A from column B, and to form the forward edges of the test strip. A cut is made along line 333 adjacent the electrode patterns 355 in column A to form the forward edge of the test strips in column A and separate column A from the margin 332 and column B. Another cut is made along line 333′ to form the forward edge of column B and separate column B from the margin 332.
The embodiments with margin 332 between electrode patterns 355 (described with respect to
Referring to
It should be appreciated that the sample chambers in each of the head-to-head oriented pair of test strips should be exposed when the pair of test strips are bent along centerline 331. Alternative manufacturing techniques can be used to ensure both sample chambers are exposed. For example, in one embodiment, one of the substrate layers, e.g. the top layer, is fully separated along centerline 331 during manufacture while the other substrate layer, e.g. the bottom layer, is either unmodified or modified to predictably bend about centerline 331. In an alternate embodiment, one of the substrate layers is modified, such as through perforations or partial cutting to be easily separated by the user along centerline 331 while the other substrate is modified, such as by scoring, denting or crimping, to predictably bend or separate about a straight line, for example, centerline 331. In still another embodiment, both the upper substrate layer 310 and the lower substrate layer 330 are modified to allow the head-to-head test strips to be folded in either direction, i.e., the user may choose to bend the head-to-head pair of test strips to have the upper substrate layers 310 of the two test strips positioned adjacent one another or to have the lower substrate layers 330 of the two each test strips positioned adjacent one another.
The embodiments of dual-use biosensors discussed herein comprise a single biosensor that has two different electrochemical analyses which can be performed. Each sample chamber for such a dual-use biosensor has a different reagent layer configured for a particular analysis. During manufacture in a 2-up process, precise and discrete reagent layer deposition, such as by ink jetting, is used in order to provide the different reagent layers either in a continuous stripe or discretely over each electrode pattern.
In one embodiment, an angled cutting tool (angled with respect to the upper and/or lower substrate layer) is used to separate columns A and B. As shown in
In certain embodiments of the present invention, the lower substrate layer (e.g., lower substrate layer 130) is generally constructed of a 10 mil (0.01 inch) strip of insulating substrate, for example a polyethylene terephthalate (PET, for example, Melinex® manufactured by E. I. Du Pont de Nemours & Co.), polyethylene naphthalate (PEN), polyvinyl chloride (PVC), polyimide (PI) or polycarbonate (PC) film. In other embodiments, the electrodes and electrode patterns (e.g., sampling end electrode pattern 155) are formed on top of the lower substrate layer using laser ablation or other techniques appropriate for creating well-defined electrode patterns in a relatively small test area. The electrodes may be made from, for example, sputtered, printed or ink jetted gold, palladium, platinum or carbon. The spacer layer (e.g., spacer layer 120) can be opaque and can include printing or labeling, such as labeling that identifies the test strip and/or directions for using the test strip.
Depicted in
The sampling end 516 is not perpendicular to a longitudinal axis 522 of test strip 500. Instead, sampling end 516 is inclined at a nonperpendicular angle 524 from the longitudinal axis 522, i.e., angle 524 is not equal to ninety (90) degrees. For a specified lateral test strip width, the angled sampling end 516 presents an even wider chamber opening for the user to apply a sample than a typical test strip with a sampling end that is perpendicular to the longitudinal axis. Some patients find the longer, angled edge easier to use, especially patients with reduced manual dexterity. The wider chamber opening of the angled sampling end 516 can be particularly advantageous when used with a relatively narrow test strip, for example, test strips with a lateral width equal to five millimeters (5 mm) or less.
Depicted in
After the elongated spacer tape 550 and reagent layer stripe 560 are attached to the elongated lower substrate layer 540 and the electrode patterns, an elongated upper substrate tape is applied (not depicted in order to show detail of the other portions of the test strips). The test strips are separated from one another using a singulation process that separates the test strips in column A from the test strips in column B along the longitudinal axis 542. Adjacent test strips are separated also by a straight cut along the lateral sides of each strip, although the excess material 511 is first separated from each column with, for example, a ratchet-cut technique.
While illustrated examples, representative embodiments and specific forms of the invention have been illustrated and described in detail in the drawings and foregoing description, the same is to be considered as illustrative and not restrictive or limiting. The description of particular features in one embodiment does not imply that those particular features are necessarily limited to that one embodiment. Features of one embodiment may be used in combination with features of other embodiments as would be understood by one of ordinary skill in the art, whether or not explicitly described as such. Dimensions, whether used explicitly or implicitly, are not intended to be limiting and may be altered as would be understood by one of ordinary skill in the art. Only exemplary embodiments have been shown and described, and all changes and modifications that come within the spirit of the invention are desired to be protected.
This application is a continuation of International Application No. PCT/US2011/042574 filed Jun. 30, 2011, which claims the benefit of U.S. Provisional Patent Application No. 61/360,010 filed Jun. 30, 2010.
Number | Date | Country | |
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61360010 | Jun 2010 | US |
Number | Date | Country | |
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Parent | PCT/US2011/042574 | Jun 2011 | US |
Child | 13712072 | US |