Patent Application
20230329594
The present disclosure relates generally to continuous glucose monitoring (CGM) and more particularly to apparatus and methods for sensor assemblies for CGMs.
Existing CGM products provide frequent measurements of a patient's glucose levels without the need for each such measurement to be accompanied by the drawing of blood, such as by “finger sticks.” CGM products may include a sensor portion that is inserted so as to be located under the skin, and a processing portion that is adhered to the outer surface of the skin, for example the abdomen or back of the upper arm. These CGM products are worn for a number of days before being removed and replaced.
The sensor that has been inserted under the skin provides a signal to the processing portion of the CGM product, and that signal is indicative of the patient's blood glucose level. These measurements may be made automatically many times throughout the day (e.g., every 5 minutes or at some other interval).
The processing portion of a CGM product may include electrical circuitry for interpreting the signal provided by the sensor, and for storing and/or communicating information regarding the patient's blood glucose levels.
Embodiments In some embodiments, a sensor assembly for a continuous glucose monitoring system is provided that includes (1) a sensor carrier having a sensor unit receiving area and an electronics receiving area, the electronics receiving area including a substrate; (2) a sensor unit having a sterilized region, the sterilized region including at least a portion of a sensor and an introducer; and (3) electronics for the continuous glucose monitoring system. The sensor unit is positioned within the sensor unit receiving area of the sensor carrier and the electronics are positioned on the substrate within the electronics receiving area of the sensor carrier so as to form a sensor assembly having the sensor electrically connected to the substrate of the electronics receiving area while maintaining sterilization of the sterilized region of the sensor unit.
In some embodiments, an insertion device for a continuous glucose monitoring system is provided that includes (1) an insertion unit; (2) a sensor carrier positioned within the insertion unit and having a sensor unit receiving area and an electronics receiving area, the electronics receiving area including a substrate; (3) a sensor unit having a sterilized region, the sterilized region including at least a portion of a sensor and an introducer; and (4) electronics for the continuous glucose monitoring system. The sensor unit is positioned within the sensor unit receiving area of the sensor carrier and the electronics are positioned on the substrate within the electronics receiving area of the sensor carrier so as to form a sensor assembly having the sensor electrically connected to the substrate of the electronics receiving area while maintaining sterilization of the sterilized region of the sensor unit. The insertion device also includes a removable cover attached to the insertion unit that interfaces with the sensor unit such that removal of the removable cover exposes the introducer and the sensor.
In some embodiments, a sterilized sensor unit for a continuous glucose monitor is provided that includes (1) a sensor, an introducer having an insertion shaft, and an insertion shaft cover; and (2) a sensor housing having (a) a first end configured to receive the insertion shaft of the introducer; (b) a second end having a sealing surface configured to seal against the insertion shaft cover; and (c) an insertion shaft opening that extends between the first end and the second end and having a width that allows the insertion shaft of the introducer to travel through the opening. A portion of the sensor and insertion shaft of the introducer are positioned within the insertion shaft opening of the sensor housing. The insertion shaft cover is sealingly coupled to the second end of the sensor housing, the insertion shaft cover having an inner region. The sensor housing, the introducer and the insertion shaft cover form a sealed region that includes the inner region of the insertion shaft cover. The sealed region and all components within the sealed region are sterilized.
In some embodiments, a method of forming a sensor assembly for a continuous glucose monitoring system includes (1) providing a sensor carrier having a sensor unit receiving area and an electronics receiving area, the electronics receiving area including a substrate; (2) providing a sensor unit having a sterilized region, the sterilized region including at least a portion of a sensor and an introducer; (3) providing electronics for the continuous glucose monitoring system; and (4) positioning the sensor unit within the sensor unit receiving area of the sensor carrier and positioning the electronics on the substrate within the electronics receiving area of the sensor carrier so as to form a sensor assembly having the sensor electrically connected to the substrate of the electronics receiving area while maintaining sterilization of the sterilized region of the sensor unit.
In some embodiments, a method of forming an insertion device for a continuous glucose monitoring system includes (1) providing a sensor carrier having a sensor unit receiving area and an electronics receiving area, the electronics receiving area including a substrate; (2) providing a sensor unit having a sterilized region, the sterilized region including at least a portion of a sensor and an introducer; (3) providing electronics for the continuous glucose monitoring system; (4) positioning the sensor unit within the sensor unit receiving area of the sensor carrier and positioning the electronics on the substrate within the electronics receiving area of the sensor carrier so as to form a sensor assembly having the sensor electrically connected to the substrate of the electronics receiving area while maintaining sterilization of the sterilized region of the sensor unit; (5) providing an insertion unit; (6) positioning the sensor carrier within the insertion unit; and (7) attaching a removable cover to the insertion unit that interfaces with the sensor unit such that removal of the removable cover exposes the introducer and the sensor.
In some embodiments, a method of forming a sterilized sensor unit for a continuous glucose monitor includes (1) providing a sensor, an introducer having an insertion shaft, and an insertion shaft cover; and (2) providing a sensor housing having (a) a first end configured to receive the insertion shaft of the introducer; (b) a second end having a sealing surface configured to seal against the insertion shaft cover; and (c) an insertion shaft opening that extends between the first end and the second end and having a width that allows the insertion shaft of the introducer to travel through the opening, a portion of the sensor and insertion shaft of the introducer positioned within the insertion shaft opening of the sensor unit. The method further includes (3) sealingly coupling the insertion shaft cover to the second end of the sensor housing, the insertion shaft cover having an inner region; (4) inserting the introducer into the first end so that the sensor housing, the introducer and the insertion shaft cover form a sealed region that includes the inner region of the insertion shaft cover; and (5) sterilizing the sealed region and all components within the sealed region.
Other features, aspects, and advantages of embodiments in accordance with the present disclosure will become more fully apparent from the following detailed description, the subjoined claims, and the accompanying drawings by illustrating a number of example embodiments and implementations. Various embodiments in accordance with the present disclosure may also be capable of other and different applications, and its several details may be modified in various respects, all without departing from the spirit and scope of the claims. Accordingly, the drawings and descriptions are to be regarded as illustrative in nature, and not as restrictive. The drawings are not necessarily drawn to scale.
Embodiments of the present invention allow formation of a sensor unit having a sensor and an insertion shaft of an introducer that may be separately sterilized and then easily and securely connected to an electronic circuit of a continuous glucose monitor during assembly. The sensor unit may be sterilized using a process such as electron or gamma beam sterilization which may be effective for sterilizing sensors and insertion shafts without damaging the enzymes used by the sensors for glucose detection, but which may damage sensitive electrical circuitry of the continuous glucose monitor.
In some embodiments, the sensor unit may include a sealed, sterilized region formed by a sensor housing, an introducer and a cover of the insertion shaft of the introducer. The sensor unit may form part of a sensor assembly that includes a sensor carrier which joins the sensor unit to electronics for a continuous glucose monitor, while maintaining sterilization of the sensor and insertion shaft of the introducer. In some embodiments, the sensor assembly may be employed within an insertion device which removes the cover of the insertion shaft to expose the sensor and insertion shaft when a cover of the insertion device is removed (e.g., prior to insertion).
In order to perform continuous glucose monitoring, a sensor is inserted into a patient and electrical circuitry is coupled to the sensor. The electrical circuitry may be used for processing information obtained from the sensor, and transmitting information to one or more external devices used by patients and/or healthcare providers to, among other things, track the patient's blood glucose level over time. A housing containing the electrical circuitry is adhered to the patient's skin with the sensor extending into the patient, and remains on the patient's skin for several days (e.g., up to a week or more in some cases).
Embodiments provided herein may simplify manufacturing of continuous glucose monitoring devices by providing a sensor unit that may be separately sterilized and then easily and securely connected to an electronic circuit of a continuous glucose monitor during assembly. Embodiments provided herein may also simplify the insertion process for patients. For example, use of an insertion device which exposes the sensor and insertion shaft prior to insertion when a cover of the insertion device is removed may reduce the number of steps a patient must perform during insertion.
These and other embodiments of the present disclosure are described below with reference to
Insertion shaft cover 202 covers sensor 206 and insertion shaft 216, and in some embodiments, is sealed against top member 204. For example, insertion shaft cover 202 may be sealed relative to top member 204 using an O-ring, a sealant such as silicone, or the like. Top member 204 includes an insertion shaft opening 220, defined by cylindrical member 221, that extends between a first end 222 (e.g., a top surface of top member 204) and a second end 224, and has a width that allows insertion shaft 216 to travel through the insertion shaft opening 220.
As shown in
Spacer pad 208 is configured to hold sensor 206 in position within sensor unit 102. For example, spacer pad 208 extends the height and width of the internal space defined by top member 204 and bottom member 210, and surrounds sensor 206 as sensor 206 extends into the internal space defined by top member 204 and bottom member 210. In some embodiments, spacer pad 208 may be a polymer, rubber or other elastomer member and/or may be slightly compressed when positioned within sensor unit 102 between top member 204 and bottom member 210.
Space pad 208 includes a first opening 228 through which cylindrical member 221 of top member 204 may extend, and a second opening 230 through which conductive member 212 may extend. Conductive member 212 may be a conductive elastomer pad, for example, that makes electrical contact to a contact portion 232 of sensor 206 and allows sensor 206 to make electrical contact with a substrate that supports electronic circuitry of a continuous glucose monitor as described further below.
Bottom member 210 attaches to top member 204. For example top member 204 may be glued or otherwise attached to bottom member 210, defining an inner space for sensor 206, spacer pad 208 and conductive member 212 as shown. Bottom member 210 includes a first opening 234 through which cylindrical member 221 of top member 204 may extend, and a second opening 236 through which conductive member 212 may extend.
In some embodiments, insertion shaft cover 202, top member 204, bottom member 210, and/or handle 218 of introducer 214 may be made from acrylonitrile butadiene styrene (ABS), polycarbonate, nylon, acetal, polyphthalamide (PPA), polysulfone, polyethersulfone, polyetheretherketone (peek), polypropylene, high-density polyethylene (HDPE), low-density polyethelene (LDPE) or a similar material. Other materials may be used.
In some embodiments, sensor 206 may be made from one or more sheets, including a substrate layer such as a vinyl polymer with subsequent layers of gold, silver chloride, and/or various coatings and enzymes suitable for the sensor's use in determining blood glucose levels. Other sensor materials may be used.
In some embodiments, insertion shaft 216 may be a hollow cylinder with a sharply pointed end used to introduce a sensor into a patient's interstitial fluid. Insertion shaft 216 may be used to insert sensor 206 into a patient such that sensor 206, or at least a portion of sensor 206, is located under the patient's skin.
In some embodiments, insertion shaft 216 of introducer 214 may be made from a metal such as stainless steel or from another material such as plastic. In some embodiments, insertion shaft 216 is insert-molded with a plastic handle 218, and insertion shaft 216 may be, but is not limited to, a round C-channel tube, a round U-channel tube, a stamped sheet metal part folded into a square U-profile, a molded/cast metal part with a square U-channel profile, or a solid metal cylinder with an etched or ground square U-channel. In some example embodiments, for insertion shaft 216 implemented as a C-channel or U-channel tube insertion shaft, the tube may have an inner diameter in the range of 400 μm to 700 μm and a thickness in the range of 100 μm to 250 μm. In some example embodiments, for insertion shaft 216 implemented as stamped sheet metal folded into a square U-profile, the inner width and height may be in a range from 400 μm to 700 μm, with a wall thickness in a range from 100 μm to 250 μm. In some example embodiments, for insertion shaft 216 implemented as a molded or cast metal part, the outer diameter of insertion shaft 216 may be in the range of 1200 μm to 2000 μm, and inner channel of insertion shaft 216 may have a width and height between 400 μm to 700 μm. In some example embodiments, the length of introducer 214 including handle 218 and insertion shaft 216 may be approximately 18 to 22 mm, and the length of insertion shaft 216 of introducer 214 may be about be approximately 12 mm to 15 mm. Other introducer and/or insertion shaft configurations, sizes and/or materials may be used.
As mentioned, sensor unit 102 includes sealed region 226 in which a portion of sensor 206 and insertion shaft 216 are housed. Following assembly of sensor unit 102, sealed region 226, and sensor 206 and insertion shaft 216 residing therein, may be sterilized. Example sterilization methods include electron beam sterilization, gamma beam sterilization or any other suitable sterilization method.
Sensor assembly 100 includes a substrate 310 positioned within electronics receiving area 300. In one or more embodiments, substrate 310 may be, for example, a 4-layer printed circuit board, a laminated circuit board, a flex circuit, a flex printed circuit board, or any other suitable substrate for positioning and/or interconnecting electronic circuitry (e.g., one or more insulating or dielectric materials with electrical conductors for connecting circuitry). Substrate 310 may be electrically non-conductive, and may have electrically conductive traces formed thereon and therein, for example. In some example embodiments, substrate 310 may have a thickness in a range of, but not limited to, about 0.6 mm to 0.8 mm. Other substrate and/or printed circuit board configurations, sizes and/or materials may be employed.
Substrate 310 may have electrical circuitry 312 disposed on, and/or in, substrate 310. Electrical circuitry 312 may include circuits housed in packages that are mounted directly to substrate 310, and/or coupled to corresponding sockets, which are attached to substrate 310. Example electrical circuitry 312 may include one or more processors, memory, a battery, a transmitter and/or receiver for communicating information to and/or receiving information from an external device, or the like. In some embodiments, electrical circuitry 312 may be used for processing information obtained from sensor 206, and transmitting information to one or more external devices used by patients and/or healthcare providers to, among other things, track the patient's blood glucose level over time.
As shown in
Sensor unit 102 may be secured within sensor unit receiving area 104 using any suitable mechanism (e.g., friction, adhesives, etc.).
As described, sensor unit 102 may include a sealed, separately sterilized region 226 including at least a portion of sensor 206 and introducer 214. Sensor unit 102 may be positioned within sensor unit receiving area 104 of the sensor carrier 106 and electronics 312 may be positioned within electronics receiving area 300 of sensor carrier 106 so as to form sensor assembly 100 having sensor 206 electrically connected to electronics 312 while maintaining sterilization of the sterilized region 226 of sensor unit 102.
Insertion device 400 includes a removable cover 404 that has an interface unit 406 that interfaces with insertion shaft cover 202 such that removal of removable cover 404 removes insertion shaft cover 202 from sensor assembly 100 so as to expose insertion shaft 216 of introducer 214 and sensor 206 (
In operation, when removable cover 404 is threaded onto insertion unit 402, fingers 412a-c slide within guide channels on insertion shaft cover 202 (only two guide channels 416a-b are shown in
Peelable cover 422 may be coupled to insertion shaft cover 202 via a strap member 424, which in turn couples to insertion shaft cover 202. In this manner, when peelable cover 422 is removed, strap member 424 pulls and detaches insertion shaft cover 202 from sensor assembly 100, exposing insertion shaft 216 and sensor 206 for insertion (as previously described).
Peelable cover 422 and/or strap member 424 may be formed from plastic, polyethylene, high density polyethylene, Tyvek® available from E.I. du Pont de Nemours and Company of Wilmington, Delaware or a similar material, for example. Other peelable cover and/or strap member materials may be used.
In some embodiments, such as that shown in
While described primarily with regard to continuous glucose monitoring, it will be understood that the separately sterilizable regions described herein, such as within the sensor units and/or sensor assemblies of
An enumerated list of items (which may or may not be numbered) does not imply that any or all of the items are mutually exclusive, unless expressly specified otherwise. Likewise, an enumerated list of items (which may or may not be numbered) does not imply that any or all of the items are comprehensive of any category, unless expressly specified otherwise. For example, the enumerated list “a computer, a laptop, a smartphone,” does not imply that any or all of the three items of that list are mutually exclusive and does not imply that any or all of the three items of that list are comprehensive of any category.
A description of an embodiment with several components or features does not imply that all or even any of such components and/or features are required. On the contrary, a variety of optional components are described to illustrate the wide variety of possible embodiments in accordance with this disclosure. Unless otherwise specified explicitly, no component and/or feature is essential or required.
When an ordinal number (such as “first,” “second,” “third,” and so on) is used as an adjective before a term, that ordinal number is used (unless expressly specified otherwise) merely to indicate a particular feature, such as to distinguish that particular feature from another feature that is described by the same term or by a similar term. For example, a “first widget” may be so named merely to distinguish it from, e.g., a “second widget.” Thus, the mere usage of the ordinal numbers “first” and “second” before the term “widget” does not indicate any other relationship between the two widgets, and likewise does not indicate any other characteristics of either or both widgets. For example, the mere usage of the ordinal numbers “first” and “second” before the term “widget” (1) does not indicate that either widget comes before or after any other in order or location; (2) does not indicate that either widget occurs or acts before or after any other in time; and (3) does not indicate that either widget ranks above or below any other, as in importance or quality. In addition, the mere usage of ordinal numbers does not define a numerical limit to the features identified with the ordinal numbers. For example, the mere usage of the ordinal numbers “first” and “second” before the term “widget” does not indicate that there must be no more than two widgets.
The foregoing description discloses only example embodiments. Modifications of the above-disclosed apparatus and methods which fall within the scope of this disclosure will be readily apparent to those of ordinary skill in the art.
The present application is a continuation application claiming priority to and the benefit of U.S. patent application Ser. No. 15/974,680, filed May 8, 2018, and titled “SENSOR ASSEMBLY APPARATUS AND METHODS FOR CONTINUOUS GLUCOSE MONITORS,” which claims priority to and the benefit of U.S. Provisional Patent Application No. 62/503,859, filed May 9, 2017, and titled “SYSTEMS, APPARATUS AND METHODS FOR CONTINUOUS GLUCOSE MONITOR SENSOR INSERTION,” and U.S. Provisional Patent Application No. 62/657,612, filed Apr. 13, 2018, and titled “SENSOR ASSEMBLY APPARATUS AND METHODS FOR CONTINUOUS GLUCOSE MONITORS,” each of which is hereby incorporated by reference herein in its entirety for all purposes.
| Number | Date | Country | |
|---|---|---|---|
| 62503859 | May 2017 | US | |
| 62657612 | Apr 2018 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | 15974680 | May 2018 | US |
| Child | 18213480 | US |
