This application claims priority to German Application No. 10 2015 111 712.6, filed on Jul. 20, 2015, and incorporated herein by reference in its entirety.
Blood tests and body-fluid tests are carried out on patients to determine various diseases and body condition such as glucose, salts, hormones, blood-gas, infection, viscosity, for example. Today, blood-tests are carried out in clinical laboratories or performed using point-of-care testing (POCT) at home, mainly for diabetes/glucose analysis. While the clinical procedure is manual, laborious and time-consuming, the state of the art POCT technology employs the use of three distinct devices, namely a lancet for finger-pricking, a test-strip containing electrodes and a reagent, and a dedicated electronic device for sensing/read-out of the test-strip, data display and data registration. Thus, the patients are always required to carry three distinct devices in order to successfully and safely perform the blood-test or the body-fluid tests. This may cause inconvenience to the patients, especially when travelling. It is thus desirable to provide an apparatus which facilitates point-of-care testing.
According to an embodiment of a test strip, the test strip comprises a test strip body comprising a fluid reservoir. The test strip further comprises a sensor unit configured to determine measurement data of a probe fluid in the fluid reservoir, and a communication unit electrically connected to the sensor unit, the communication unit including an antenna unit configured to transmit the measurement data.
According to another embodiment of a test strip, the test strip comprises a test strip body comprising a fluid reservoir. The test strip further comprises a sensor unit configured to determine measurement data of a probe fluid in the fluid reservoir, and a lancet fixed to the test strip body and configured to penetrate a skin of a test strip user.
According to an embodiment of a system for determining measurement data of a probe fluid, the system comprises a test strip and an external reader. The test strip comprises a test strip body comprising a fluid reservoir, a sensor unit configured to determine measurement data of the probe fluid in the fluid reservoir, and a communication unit electrically connected to the sensor unit. The communication unit includes an antenna unit configured to transmit the measurement data. The external reader is configured to transmit radio frequency energy powering the test strip and is further configured to receive the measurement data from the test strip.
Those skilled in the art will recognize additional features and advantages upon reading the following detailed description and on viewing the accompanying drawings.
The accompanying drawings are included to provide a further understanding of embodiments of the invention and are incorporated in and constitute a part of this specification. The drawings illustrate the embodiments of the present invention and together with the description serve to explain the principles. Other embodiments of the invention and many of the intended advantages will be readily appreciated, as they become better understood by reference to the following detailed description. The elements of the drawings are not necessarily to scale relative to each other. Like reference numbers designate corresponding similar parts.
In the following detailed description reference is made to the accompanying drawings, which form a part hereof and in which are illustrated by way of illustration specific embodiments in which the invention may be practiced. In this regard, directional terminology such as “top”, “bottom”, “front”, “back”, “leading”, “trailing” etc. is used with reference to the orientation of the Figures being described. Since components of embodiments of the invention can be positioned in a number of different orientations, the directional terminology is used for purposes of illustration and is in no way limiting. It is to be understood that other embodiments may be utilized and structural or logical changes may be made without departing from the scope defined by the claims.
As used herein, the terms “having”, “containing”, “including”, “comprising” and the like are open ended terms that indicate the presence of stated elements or features, but do not preclude additional elements or features. The articles “a”, “an” and “the” are intended to include the plural as well as the singular, unless the context clearly indicates otherwise.
The Figures and the description illustrate relative doping concentrations by indicating “−” or “+” next to the doping type “n” or “p”. For example, “n−” means a doping concentration which is lower than the doping concentration of an “n”-doping region while an “n+”-doping region has a higher doping concentration than an “n”-doping region. Doping regions of the same relative doping concentration do not necessarily have the same absolute doping concentration. For example, two different “n”-doping regions may have the same or different absolute doping concentrations. In the Figures and the description, for the sake of a better comprehension, often the doped portions are designated as being “p” or “n”-doped. As is clearly to be understood, this designation is by no means intended to be limiting. The doping type can be arbitrary as long as the described functionality is achieved. Further, in all embodiments, the doping types can be reversed.
As employed in this specification, the terms “coupled” and/or “electrically coupled” are not meant to mean that the elements must be directly coupled together—intervening elements may be provided between the “coupled” or “electrically coupled” elements. The term “electrically connected” intends to describe a low-ohmic electric connection between the elements electrically connected together.
The present specification refers to a “first” and a “second” conductivity type of dopants, semiconductor portions are doped with. The first conductivity type may be p type and the second conductivity type may be n type or vice versa. As is generally known, depending on the doping type or the polarity of the source and drain regions, MOSFETs may be n-channel or p-channel MOSFETs. For example, in an n-channel MOSFET, the source and the drain region are doped with n-type dopants, and the current direction is from the drain region to the source region. In a p-channel MOSFET, the source and the drain region are doped with p-type dopants, and the current direction is from the source region to the drain region. As is to be clearly understood, within the context of the present specification, the doping types may be reversed. If a specific current path is described using directional language, this description is to be merely understood to indicate the path and not the polarity of the current flow, i.e. whether the transistor is a p-channel or an n-channel transistor. The Figures may include polarity-sensitive components, e.g. diodes. As is to be clearly understood, the specific arrangement of these polarity-sensitive components is given as an example and may be inverted in order to achieve the described functionality, depending whether the first conductivity type means n-type or p-type.
The terms “lateral” and “horizontal” as used in this specification intends to describe an orientation parallel to a first surface of a semiconductor substrate or semiconductor body. This can be for instance the surface of a wafer or a die.
The term “vertical” as used in this specification intends to describe an orientation which is arranged perpendicular to the first surface of the semiconductor substrate or semiconductor body.
The terms “wafer”, “substrate” or “semiconductor body” used in the following description may include any semiconductor-based structure that has a semiconductor surface. Wafer and structure are to be understood to include silicon, silicon-on-insulator (SOI), silicon-on sapphire (SOS), doped and undoped semiconductors, epitaxial layers of silicon supported by a base semiconductor foundation, and other semiconductor structures. The semiconductor need not be silicon-based. The semiconductor could as well be silicon-germanium, germanium, or gallium arsenide. According to other embodiments, silicon carbide (SiC) or gallium nitride (GaN) may form the semiconductor substrate material.
It is to be understood that the features of the various embodiments described herein may be combined with each other, unless specifically noted otherwise.
Thus, a test strip 10 is provided, which easily transmits measurement data after performing a measurement on the probe fluid 112 without the need of any further distinct device.
By providing a lancet 120 fixed to the test strip body 100 of the test strip 10, no further distinct finger-pricking device is needed, thus the process of determining measurement data of the probe fluid 112 in the fluid reservoir 110 is facilitated. Furthermore, since the test strip 10 may be a disposable test strip 10 provided for single-use, the lancet 120 is also provided for single-use, thus reducing the probability of infection to a test strip user.
By providing the system 30 for determining measurement data of a probe fluid 112, a new approach for point-of-care testing (POCT) of blood, of a body-fluid or any fluid to be tested is provided by using a so-called smart test strip having an integrated sensing and data transmission capability to an external reader 20 such as a cellular phone, a personal computer, a tablet personal computer or a watch. The electric components of the test strip 10 such as the sensor unit 200, the communication unit 300 and the antenna unit 400 may be integrated directly into the test strip. Thus, a patient is allowed to measure at lest one blood-related parameter or body-fluid related parameter at their homes using a POCT device, instead of clinical/laboratory-based testing.
As shown in
For storing and transport purposes of the test strip 10, a lancet cover element 130 may be provided, which is configured to accommodate the lancet 120. The lancet cover element 130 may comprise a synthetic material. The test strip body 100 may also comprise a synthetic material. The base part 124 of the lancet 120 may be fixed to the test strip body 100 by gluing. In addition, the lancet 120 may be form-locked within the test strip body 100 by its base part 124, wherein the lancet part 122 protrudes from the test strip body 100. The lancet 120 may be fixed at an end portion of the test strip body 100, where the fluid reservoir 110 is provided.
As can be seen from
The fluid reservoir 110 is a portion of the test strip body 100 being adapted to receive a fluid such as a body fluid, blood, urine, of a human or an animal, for example. The fluid may, however, also be a fluid to be probed in an environmental investigation. Thus, the probe fluid 112 may also be water of a lake or a river, the quality of which has to be tested. In addition, the probe fluid 112 may also be water contained in a swimming pool. In such a case, the lancet 120 may also be omitted. In the test strip body 100, the sensor unit 200, the communication unit 300 and the antenna unit 400 are integrated. The test strip 10 may further comprise an energy storage unit 500 electrically connected to the sensor unit 200 and the communication unit 300, to supply electric energy to the sensor unit 200 and the communication unit 300.
The fluid reservoir 110 may comprise a porous material adapted to absorb the probe fluid 112 and further to contain the probe fluid 112 to be tested by the sensor unit 200. The sensor unit 200 comprises a sensor being in contact with the fluid reservoir 110 and, in a measurement process, being in contact with the probe fluid 112 contained in the fluid reservoir 110. Thus, by providing the fluid reservoir 110, the probe fluid 112 may be soaked, sponged up or sucked up by the fluid reservoir 110 comprising a porous material. The fluid reservoir 110 and the test strip body 100 may comprise the same material such as a synthetic material, wherein the material within the fluid reservoir 110 is made porous. It is also possible to provide the fluid reservoir 110 as a distinct element comprising, for example, an absorbent paper.
Although the test strip 10 in
Thus, the test strip 10 may include a lancet 120 for finger-pricking, wherein, in a first approach, the test strip 10 with on-strip analysis is inserted into a built-in slot in a smart-phone or a tablet PC, or a smart watch, or a laptop, or a personal computer to read out measured values, display and record test results. In a second approach, the test strip 10 with on-strip analysis may directly transmit measured values to the external reader 20. Here, an energy storage unit 500 like a MEMS battery or an energy harvester may be included in the test strip 10. In a third approach, a semi-smart test strip may be provided, which contains only electrodes and is inserted into a built-in slot in an external reader 20 such as a smart-phone, a tablet PC, a smart watch, a laptop or a personal computer, The external reader 20 may contain the sensor unit 200 to analyze, display and record test results. Thus, a smart or a semi-smart test strip for point-of-care-testing is provided, which has an integrated lancet 120 and eliminates the requirement of intermediate dedicated electronic device read-out/display device. The external reader 20 may be used for either just displaying and registering the blood-parameter values from the test strip 10 (first or second approach) or sensing, displaying and registering the blood parameter value when using a semi-smart test strip (third approach). The above concepts use a blood sensor capable of impedance spectroscopy or amperometric sensing, for example. The second approach employs direct wireless communication through an integrated energy storage unit, while the first and third approach employs a slot-based approach, where energy is provided by the external reader 20.
The energy storage unit 500 may comprise a DC/DC-converter 510 for converting between the voltage supplied by the energy storage unit 500 and an operating voltage of the electronic components of test strip 10. The energy storage unit 500 may comprise a chargeable storage device. Herein, the chargeable storage device may comprise a silicon-based rechargeable lithium battery. As silicon has highest lithium ion storage capacity/volume, even a battery having a size lower than 1 mm2 may provide a storage capacity in the order to up to 250 to 500 μAh. The silicon-based rechargeable lithium battery may have a size in a range between 1 mm2 to 20 mm2. The silicon-based rechargeable lithium battery may have an energy storage capacity in a range between 0.01 mAh to 2 mAh and an operating voltage in a range between 2 V to 5 V. The energy storage unit 500 may further comprise a capacitor. Herein, printed or silicon integrated energy storage devices or supercapacitors may be used. The capacitor may have a size in a range between 1 mm2 to 15 mm2 and may have a capacitance of 0.5 μF to 20 μF at a voltage of 1.5 V to 15 V.
The antenna unit 400 may comprise at least one of a radio frequency identification (RFID)/nearfield communication (NFC) antenna 410 and a radio frequency identification (RFID)/ultra-high frequency (UHF) antenna 420. The antennas 410 and 420 may be integrated in a monolithic circuit 12 together with the sensor unit 200 and the communication unit 300. Optionally, external antennas 430 adapted for high frequency (HF) and/or ultra-high frequency (UHF) radio frequency identification (RFID) communication may be provided.
RFID devices operate at different radio frequency ranges, e.g. low frequency (LF) at about 28 to 135 kHz, high frequency (HF) at about 13.56 MHz, and ultra-high frequency (UHF) at 860 to 960 MHz. Each frequency range has unique characteristic in terms of RFID performance.
NFC is a short range technology that enables two devices to communicate when they are brought into actual touching distance. NFC enables sharing power and data using magnetic field induction at 13.56 MHz (HF) band, at short range, supporting varying data rates from 106 kbps, 212 kbps to 424 kbps. A key feature of NFC is that is allows two devices to interconnect. In reader/writer mode, an NFC tag is a passive device that stores data that can be read by an NFC enable device. In peer-to-peer mode, two NFC devices can exchange data. Bluetooth or WiFi link set up parameters can be shared using NFC and data such as virtual business cards or digital photos can be exchanged. In card emulation mode, the NFC device itself acts as an NFC tag, appearing to an external interrogator as a traditional contact less smart card. These NFC standards are acknowledged by major standardisation bodies and based on ISO/IEC 18092.
Passive UHF systems use propagation coupling, where an interrogator antenna emits electromagnetic energy radio frequency waves and the RFID tag receives the energy from the interrogator antenna, and the integrated circuit uses the energy to change the load on the antenna and reflect back an altered signal that is then demodulated. For the LF and HF RFID systems using interactive coupling, the range of the interrogator field is small (0.2 to 80 cm) and can be relatively easily controlled. UHF systems that use propagation coupling are harder to control, because energy is sent over long distances. The radio waves can reflect on hard surfaces and reach tags that are not in the normal range. LF and HF systems perform better than UHF systems around metal and water. The radio waves do reflect off metal and cause false reads, and they are better able to penetrate water. UHF radio waves are attenuated by water.
In addition, communication may be performed via any one of an Industrial, Scientific and Medical (ISM) Band, which operates in a frequency range between 6.765 MHz to 246 GHz and has bandwidths of up to 2 GHz.
The test strip 10 may further comprise an energy harvesting unit 600 configured to harvest energy from an external power source, wherein the energy harvesting unit 600 is connected to the antenna unit 400. The energy harvesting unit 600 may comprise a power management unit 610, a high frequency (HF) power converter unit 620 being connected to the radio frequency identification (RFID)/nearfield communication (NFC) antenna 410, and an ultra-high frequency (UHF) power converter unit 630 being connected to the radio frequency identification (RFID)/ultra-high frequency (UHF) antenna 420.
Energy may be harvested through a dedicated radio frequency source such as the external reader 20 comprising an antenna unit 25 being adapted for RFID/NFC communication and/or RFID/UHF communication. The energy may also be harvested from ambient radio frequency. The HF power converter unit 620 connected to the RFID/NFC antenna 410 is able to harvest energy from different external readers 20 such as smart phones or RFID readers to power data transmission. The UHF power converter unit 630 connected to the RFID/UHF antenna 420 is able to harvest ambient radio frequency energy from existing external energy sources like TV signal, WiFi/WiMAX, GSM an others.
Furthermore, the energy harvesting unit 600 may comprise a capacitor 640 for storing electric energy to be provided to the energy storage unit 500. In addition, the test strip 10 may further comprise a temperature control unit 700, which is configured to regulate the temperature of the fluid reservoir 110 in the test strip body 100 of the test strip 10. A temperature sensor 710 (
The HF/UHF RF digital front end unit 310 may also communicate via the RFID/UHF antenna 420 by means of an UHF/RFID interface. The radio communication frequency for UHF/RFID communication may be in a range between 800 to 900 MHz, or at 868 MHz.
The HF/UHF RF digital front end unit 310 may communicate with the sensor unit 200 or the temperature control unit 700 via write-read commands transmitted on a system bus 320, as indicated in
A microcontroller 330 is provided in the communication unit 300, which is adapted to handle an radio frequency protocol. The microcontroller 330 may be electrically connected to a read-only memory 340a for storing RFID firmware and/or to a pseudo read-only memory 340b for storing prototyping firmware. In addition, a random access memory 350 may be connected to the system bus 320 for buffering measurement raw data of the sensor unit 200 or processed measurement data determined by an analysis of the measurement raw data. Furthermore, a timer unit 360 may be provided and electrically connected to the system bus 320 for providing the communication unit 300 with a clock.
The sensor bus 210 is further connected to a control logic unit 216, which is adapted to control the measurement processes performed by the sensor unit 200. A reference generator unit 222 is provided with temperature data of the fluid reservoir 110 measured by the temperature sensor 710, which will be discussed in detail below. The reference generator unit 222 is further provided with a clock rate by an oscillator unit 214. The reference generator unit 222 is connected to an analog digital converter 220, which converts the analog measurement data into digital measurement data to be provided to the sensor bus 210 and the data management unit 211.
The sensor unit 200 may comprise a sensor electrode unit 205 (
The impedance spectroscopy unit 260 comprises a ramp generation unit 226, which receives a clock signal from the oscillator unit 214. The ramp signal from the ramp generation unit 226 is transmitted to a sine lookup table unit 224 and to a current steering digital analog conversion unit 234. The sine signal of the sine lookup table unit 224 is transmitted also to the current steering digital analog converting unit 234. The impedance spectroscopy signal output to the sensor electrode unit 205 is shown in
As can be further seen from
Furthermore, analog measurement data of the amperometric measurement unit 262 may be transmitted to the analog digital converting unit 220 and then transmitted to the sensor bus 210 and the communication unit 300.
The amperometric measurement unit 262 is connected to the sensor electrode unit 205 having sensor electrodes as shown in
An example of a characteristic curve of the amperometric data of the amperometric measurement unit 262 is shown in
By providing the amperometric measurement unit 262, a differential measurement may be performed by using a reference spectrum. A reference spectrum may be determined from a measurement process of water having a conductance in a range between 300 to 800 μS at a temperature of 20° C.
By measuring a diffusion threshold current between the polarisable auxiliary and working electrode and the reference electrode at a constant potential, a salt concentration can be derived when the temperature and the potential are known. Thus, a salt concentration of the probe fluid 112 may be determined.
By the optical sensor 264, the sensor electrode unit 205 of the impedance spectroscopy unit 260, and by the sensor electrode unit 205 of the amperometric measurement unit 262, measurement data of the probe fluid 112 may be determined, which is indicative of one of a glucose concentration, a ph-value, a salt concentration, a potassium concentration, a concentration of a chemical substance, a concentration of a biochemical substance, or a conductivity value of the probe fluid 112 in the fluid reservoir 110. The test strip 10 is thus adapted to measure a multitude of different fluid parameters of different fluids. The selectivity of the sensor electrode unit 205 may be achieved by a respective functionalisation of the electrode surfaces of the sensor electrode unit 205. It should be emphasized that the sensor unit 200 may comprise a multitude of sensors or sensor electrode units 205 each selectively functionalized to measure a respective fluid parameter. Furthermore, a multitude of sensor units 200 may be integrated in the test strip 10, each being adapted to measure respective measurement data by means of respective functionalised sensor electrode units 205.
The measurement data, which is converted from an analog to a digital form in the analog digital conversion unit 220 may be further processed by the data management unit 211 connected to the sensor bus 210, which is, in turn connected to the analog digital conversion unit 220. By processing of the digital measurement data, the data management unit 211 may determine a fluid parameter of the probe fluid 112 such as the glucose concentration, the pH-value the salt concentration or the conductivity value. Thus, only a fluid parameter may be transmitted to the communication unit 300, reducing the amount of data to be transmitted to the external reader 20.
For processing the measurement data, external configuration data may be necessary to determine a fluid parameter of the probe fluid 112. According to an embodiment, the external configuration data may be related to body related data of a test strip user. The external configuration data may be transmitted from the external reader 20 to the communication unit 300, to be used for processing the digital measurement data transmitted from the analog digital conversion unit 220 to the sensor bus 210. Thus, according to an embodiment, the antenna unit 400 may be further configured to receive external configuration data.
According to an embodiment, the antenna unit 400 may constitute the sensor electrode unit 205. Thus, according to an embodiment, the antenna unit 400 may comprise the interdigitated electrodes 205a, 205b having the connection terminal 246 and the connection terminal 248, respectively, to transmit the measurement data to the external reader 20 via radio frequency signals in a ultra-high frequency range or a high frequency range. According to another embodiment, the antenna unit 400 may comprise at least two of the sensor electrodes 205c, 205d, and 205e of the sensor electrode unit 205 as shown in
In case the antenna unit 400 constitutes a sensor electrode unit 205, the area consumption of the fluid sensing system comprising the sensor unit 200, the communication unit 300 and the antenna unit together with the sensor electrode unit 205 may be reduced. According to another embodiment, the antenna unit 400 may comprise an inductive coil antenna surrounding the sensor electrode unit 205. According to still another embodiment as shown in
The temperature control unit 700 is connected to the temperature sensor 710 via the connection terminal 710a. The temperature control unit 700 may further comprise a heating device 730 (
At the second surface 14b of the semiconductor body 14, the energy storage unit 500 may be provided. As can be seen from
Thus, according to an embodiment, a test strip 10 comprising an integrated lancet for finger-pricking, an integrated blood-sensor chip, an integrated energy source and a communication module including an antenna for analyzing and transmitting blood-test data to a smart-phone for data display and data registration is provided. Such a test strip 10 allows for a simple and mobile point-of-care-testing by enabling patients to directly use their smart-phone (or tablet/smart watch/laptop/PC) for data display and data registration. The sensor can be an impedance spectrometer or an amperometer or a similar device, which is be able to detect at least one blood-parameter/body-fluid-parameter related to the body condition of patients, like glucose level, infection, hormones, salts, for example.
Although specific embodiments have been illustrated and described herein, it will be appreciated by those of ordinary skill in the art that a variety of alternate and/or equivalent implementations may be substituted for the specific embodiments shown and described without departing from the scope of the present invention. This application is intended to cover any adaptations or variations of the specific embodiments discussed herein. Therefore, it is intended that this invention be limited only by the claims and the equivalents thereof.
Number | Date | Country | Kind |
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10 2015 111 712.6 | Jul 2015 | DE | national |