JPWO2021063695A5 - - Google Patents

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JPWO2021063695A5
JPWO2021063695A5 JP2022520011A JP2022520011A JPWO2021063695A5 JP WO2021063695 A5 JPWO2021063695 A5 JP WO2021063695A5 JP 2022520011 A JP2022520011 A JP 2022520011A JP 2022520011 A JP2022520011 A JP 2022520011A JP WO2021063695 A5 JPWO2021063695 A5 JP WO2021063695A5
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Priority claimed from PCT/EP2020/076022 external-priority patent/WO2021063695A1/en
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被験者の血液中の分析対象物を非侵襲的に測定するための装置であって、前記装置は、
(a)前記被験者に由来する検査すべき身体部位を収容するユニット、
(b)前記検査すべき身体部位に照射するためのテラヘルツ放射線、特に約0.1mm~約5mm、約0.12mm~約5mm、または約0.1mm~約1mmの波長領域のテラヘルツ放射線を発生させる放射線源、
(c)以下のものを備えた、前記検査すべき身体部位から生じる放射線を検出するユニット:
(i)前記検査すべき身体部位から反射されたテラヘルツ放射線を検出するユニットであって、前記反射されたテラヘルツ放射線の強度が、前記測定すべき分析対象物の濃度に応じて変化する波長範囲のテラヘルツ放射線を検出するために設置されているユニット、
(ii)前記検査すべき身体部位から生じる身体固有の赤外線を検出するユニットであって、前記ユニットは、約0.7μm~約20μm、約1μm~約20μm、約5μm~約15μm、特に約8μm~約12μmの波長領域における少なくとも2つの異なる波長または波長範囲の赤外線を別個に検出するために設置されており、ここで、第1の波長または第1の波長範囲において、前記身体固有の赤外線の強度は、前記測定すべき分析対象物の濃度に実質的に依存せず、第2の波長または第2の波長範囲において、前記身体固有の赤外線の強度は、前記測定すべき分析対象物の濃度に応じて変化し、前記ユニットは、必要に応じてさらに、身体固有の赤外線を非特異的に検出するために設置されている、ユニット、
(d)
(i)前記検査すべき身体部位の温度を測定する素子、
(ii)任意に、前記検査すべき身体部位の温度を調整する素子、
(e)
(i)前記検出ユニット(c)の温度を測定する素子、
(ii)前記検出ユニット(c)の温度を調整する素子であって、前記検出ユニット(c)の温度が、前記検査すべき身体部位の温度よりも低くなるように設計されている、素子、
(f)前記検出ユニット(c)から生じる信号を温度補正して評価し、評価された信号に基づいて前記分析対象物の濃度を求めるために設置されているユニットであって、前記ユニットは、必要に応じて、前記身体部位の真皮の毛細血管から生じる身体固有の赤外線を選択的に評価するために設置されている、ユニット
を備える、装置。
A device for non-invasively measuring an analyte in the blood of a subject, the device comprising:
(a) a unit containing a body part to be examined derived from the subject;
(b) generating terahertz radiation for irradiating the body part to be examined, particularly in the wavelength range of about 0.1 mm to about 5 mm, about 0.12 mm to about 5 mm, or about 0.1 mm to about 1 mm; radiation source,
(c) a unit for detecting radiation originating from said body part to be examined, comprising:
(i) a unit for detecting terahertz radiation reflected from the body part to be examined, wherein the intensity of the reflected terahertz radiation falls within a wavelength range that varies depending on the concentration of the analyte to be measured; A unit installed to detect terahertz radiation,
(ii) A unit for detecting body-specific infrared rays emitted from the body part to be examined, wherein the unit detects infrared rays specific to the body, the unit detecting infrared rays specific to the body, which detects infrared rays specific to the body, which emit infrared rays from about 0.7 μm to about 20 μm, about 1 μm to about 20 μm, about 5 μm to about 15 μm, particularly about 8 μm. installed for separately detecting at least two different wavelengths or wavelength ranges of infrared radiation in the wavelength range of ~12 μm, wherein a first wavelength or wavelength range of infrared radiation specific to the body; The intensity is substantially independent of the concentration of the analyte to be measured, and at a second wavelength or a second wavelength range, the intensity of the body-specific infrared radiation depends on the concentration of the analyte to be measured. the unit is further installed as necessary to non-specifically detect infrared rays specific to the body;
(d)
(i) an element that measures the temperature of the body part to be examined;
(ii) optionally an element for regulating the temperature of the body part to be examined;
(e)
(i) an element that measures the temperature of the detection unit (c);
(ii) an element for adjusting the temperature of the detection unit (c), the element being designed such that the temperature of the detection unit (c) is lower than the temperature of the body part to be examined;
(f) A unit installed for temperature-correcting and evaluating the signal generated from the detection unit (c) and determining the concentration of the analyte based on the evaluated signal, the unit comprising: An apparatus comprising a unit installed to selectively evaluate body-specific infrared rays originating from capillaries in the dermis of the body region, if necessary.
前記テラヘルツ放射線を発生させる放射線源(b)は、アンテナ、特にパッチアンテナまたはダイポールアンテナを備える、および/または
前記テラヘルツ放射線を発生させる放射線源(b)は、周波数変調またはパルス変調されたテラヘルツ放射線を放射するために設置されている、請求項1記載の装置。
Said radiation source (b) for generating terahertz radiation comprises an antenna, in particular a patch antenna or a dipole antenna, and/or
2. The device according to claim 1, wherein the radiation source (b) for generating terahertz radiation is arranged to emit frequency-modulated or pulse-modulated terahertz radiation.
前記テラヘルツ放射線を発生させる放射線源(b)と前記検査すべき身体部位との間の放射経路に、例えば、球面レンズ、非球面レンズ、またはフレネルレンズなどの集束レンズが配置されており、前記集束レンズは、テラヘルツ放射線を実質的に透過させる材料からなり、ここで、前記集束レンズは、前記テラヘルツ放射線(b)によって生成された放射線を、前記検査すべき身体部位の所定のゾーン、特に毛細血管を含むゾーンに集束させるために好ましくは設置されている、請求項1または2記載の装置。 A focusing lens, such as a spherical lens, an aspherical lens, or a Fresnel lens, is disposed in the radiation path between the radiation source (b) that generates the terahertz radiation and the body part to be examined, and the focusing lens The lens is made of a material that is substantially transparent to terahertz radiation, wherein said focusing lens directs the radiation generated by said terahertz radiation (b) to a predetermined zone of said body part to be examined, in particular to the capillaries. 3. Device according to claim 1 or 2 , preferably arranged for focusing on a zone containing blood vessels . 前記ユニット(c)(i)は、テラヘルツ範囲、特に約0.12mm~約5mmの周波数範囲内(60GHz~約2.5THzに相当)の広帯域スペクトルを検出するために設置されている、および/または
前記ユニット(c)(i)は、前記検査すべき身体部位から反射されたテラヘルツ放射線の単段または多段増幅、特に二段増幅を生じさせるために設置されている、および/または
前記ユニット(c)(i)は、前記検査すべき身体部位から反射されたテラヘルツ放射線と、前記検査すべき身体部位に照射されたテラヘルツ放射線とを複合的に検出するために設置されており、その際、前記ユニット(c)(i)は特に、周波数変調またはパルス変調された信号を検出するために設置されている、請求項1からまでのいずれか1項記載の装置。
said unit (c)(i) is arranged for detecting a broadband spectrum in the terahertz range, in particular in the frequency range of about 0.12 mm to about 5 mm (corresponding to 60 GHz to about 2.5 THz), and/ or
said unit (c)(i) is arranged for producing a single or multi-stage amplification, in particular a two-stage amplification, of the terahertz radiation reflected from said body part to be examined; and/or
The unit (c) (i) is installed to detect in combination the terahertz radiation reflected from the body part to be inspected and the terahertz radiation irradiated to the body part to be inspected, 4. The device according to claim 1, wherein the unit (c)(i) is arranged in particular for detecting frequency-modulated or pulse-modulated signals.
前記装置は、外部赤外線発生源を備えていない、請求項1からまでのいずれか1項記載の装置。 5. Device according to any one of claims 1 to 4 , characterized in that the device does not include an external infrared source. 前記検査すべき身体部位を収容するユニット(a)は、前記放射線検出ユニット(c)に対して少なくとも部分的に熱絶縁性である、前記検査すべき身体部位を支持する素子を備え、前記素子は、テラヘルツ放射線、特に約0.12mm~約5mm(約60GHz~約2.5THzに相当)またはその部分範囲のテラヘルツ放射線を透過する、および特に約8μm~12μmまたはその部分範囲の波長領域の赤外線を透過する範囲を含む、請求項1からまでのいずれか1項記載の装置。 The unit (a) accommodating the body part to be examined comprises an element supporting the body part to be examined which is at least partially thermally insulating with respect to the radiation detection unit (c); transmits terahertz radiation, particularly in the wavelength range from about 0.12 mm to about 5 mm (equivalent to about 60 GHz to about 2.5 THz), or a subrange thereof, and in particular in the wavelength range from about 8 μm to 12 μm, or a subrange thereof. 6. A device according to any one of claims 1 to 5 , comprising a range transmitting. 前記検査すべき身体面範囲を収容するユニット(a)は、前記検査すべき身体部位の支持位置および/または支持圧力を検出および/または制御する手段、例えばセンサを備え、その際、特に、約0.5~100Nの範囲、好ましくは約1~50Nの範囲、特に好ましくは約20Nの支持圧力を検出および/または制御する手段が設けられている、請求項1からまでのいずれか1項記載の装置。 The unit (a) accommodating the body area to be examined comprises means, such as sensors, for detecting and/or controlling the support position and/or the support pressure of the body part to be examined, in particular about 7. Means for detecting and/or controlling a support pressure in the range 0.5 to 100N, preferably in the range about 1 to 50N, particularly preferably about 20N , are provided. The device described. 前記身体固有の赤外線を検出するユニット(c)(ii)は、少なくとも1つの第1のセンサと、少なくとも1つの第2のセンサと、任意に少なくとも1つの第3のセンサとを備え、前記第1のセンサは、前記身体固有の赤外線の強度が測定すべき分析対象物のグルコース濃度に実質的に依存しない約0.7μm~約20μm、約1μm~約20μm、約5μm~約15μm、特に約8μm~約12μmの領域の第1の波長または波長範囲を有する赤外線を検出するために設置されており、前記第2のセンサは、前記身体固有の赤外線の強度が測定すべき分析対象物の濃度に応じて変化する約0.7μm~約20μm、約1μm~約20μm、約5μm~約15μm、特に約8μm~約12μmの領域の第2の波長または第2の波長範囲を有する赤外線を検出するために設置されており、前記第3のセンサは、前記身体固有の赤外線を参照するために設置されており、
前記身体固有の赤外線を検出するユニット(c)(ii)は、前記身体固有の赤外線の強度が測定すべき分析対象物の濃度に応じて変化する異なる波長または波長範囲の赤外線を検出するために設置された好ましくは2つ以上の第2のセンサを備える、請求項1からまでのいずれか1項記載の装置。
The unit (c)(ii) for detecting body-specific infrared radiation comprises at least one first sensor, at least one second sensor and optionally at least one third sensor; In the sensor of No. 1, the intensity of the body-specific infrared rays is substantially independent of the glucose concentration of the analyte to be measured . The second sensor is arranged to detect infrared radiation having a first wavelength or wavelength range in the region of 8 μm to approximately 12 μm, and the second sensor is configured such that the intensity of the body-specific infrared radiation is in accordance with the concentration of the analyte to be measured. detecting infrared radiation having a second wavelength or a second wavelength range in the region of about 0.7 μm to about 20 μm, about 1 μm to about 20 μm, about 5 μm to about 15 μm, in particular about 8 μm to about 12 μm, varying according to The third sensor is installed to refer to infrared rays specific to the body,
The body-specific infrared radiation detecting unit (c)(ii) is configured to detect infrared radiation of different wavelengths or wavelength ranges, the intensity of the body-specific infrared radiation varying depending on the concentration of the analyte to be measured. 8. Device according to any one of claims 1 to 7 , comprising preferably two or more second sensors installed .
前記放射線検出ユニット(c)は、熱伝導性支持体に接触しており、その際、特に、前記テラヘルツ放射線検出ユニット(c)(i)および前記赤外線検出ユニット(c)(ii)は、同じ熱伝導性支持体に接触している、請求項1からまでのいずれか1項記載の装置。 Said radiation detection unit (c) is in contact with a thermally conductive support, in particular said terahertz radiation detection unit (c)(i) and said infrared detection unit (c)(ii) having the same 9. The device according to claim 1, wherein the device is in contact with a thermally conductive support. 前記検査すべき身体部位の温度より少なくとも5℃、少なくとも6℃、または少なくとも7℃でかつ最大15℃低い前記検出ユニット(c)内の温度が提供されている、請求項1からまでのいずれか1項記載の装置。 Any of claims 1 to 9 , wherein a temperature in the detection unit (c) is provided that is at least 5°C, at least 6°C, or at least 7°C and at most 15°C lower than the temperature of the body part to be examined. The device according to item 1. 前記装置は、テラヘルツ放射線および赤外線を順次検出するように提供されており、その際、特にまず、前記検査すべき身体部位への照射をせずに身体固有の赤外線を検出し、次いで、前記検査すべき身体部位にテラヘルツ放射線を照射し、反射されたテラヘルツ放射線を検出する、請求項1から10までのいずれか1項記載の装置。 The device is provided for sequentially detecting terahertz radiation and infrared radiation, in particular first detecting body-specific infrared radiation without irradiating the body part to be examined, and then detecting body-specific infrared radiation without irradiating the body part to be examined. 11. The device according to claim 1, wherein the device irradiates the body part to be treated with terahertz radiation and detects the reflected terahertz radiation. 前記ユニット(f)は、前記素子(d)および/または(e)により測定され、必要に応じて調整された温度値に基づいて信号を温度補正評価するために設けられている、および/または
前記ユニット(f)は、前記テラヘルツ検出ユニット(c)(i)および前記赤外線検出ユニット(c)(ii)から生じる信号を複合的に評価するために設けられている、請求項1から11までのいずれか1項記載の装置。
said unit (f) is provided for temperature-corrected evaluation of the signal on the basis of temperature values measured by said elements (d) and/or (e) and adjusted as necessary; and/or
12. Claims 1 to 11 , characterized in that the unit (f) is provided for the combined evaluation of the signals arising from the terahertz detection unit (c)(i) and the infrared detection unit (c)(ii). The device according to any one of .
被験者の血液中の分析対象物を非侵襲的に定量測定するための、請求項1から12までのいずれか1項記載の装置。 13. The device according to claim 1, for noninvasively quantitatively measuring an analyte in the blood of a subject. 被験者の血液中の分析対象物を非侵襲的に定量測定する方法であって、
(i)被験者に由来する身体部位に、テラヘルツ放射線、特に、約0.1mm~約5mm、約0.12mm~約5mm、または約0.1mm~約1mmの波長領域のテラヘルツ放射線を照射し、反射されたテラヘルツ放射線の強度が測定すべき分析対象物の濃度に応じて変化する波長範囲の、照射された身体部位から生じるテラヘルツ放射線を検出するユニットにより、反射されたテラヘルツ放射線を検出するステップと、
(ii)身体固有の赤外線の強度が測定すべき分析対象物の濃度に実質的に依存しない約0.7μm~約20μm、約1μm~約20μm、約5μm~約15μm、または約8μm~約12μmの波長領域における少なくとも1つの第1の波長または第1の波長範囲と、身体固有の赤外線の強度が測定すべき分析対象物の濃度に応じて変化する約0.7μm~約20μm、約1μm~約20μm、約5μm~約15μm、または約8μm~約12μmの波長領域における少なくとも1つの第2の波長または第2の波長範囲とにおいて赤外線を検出するユニットにより、前記被験者に由来する身体部位から生じる身体固有の赤外線を別個に検出し、任意に、参照用に照射された身体表面範囲から身体固有の赤外線を非特異的に検出するステップであって、赤外線検出ユニットの範囲の温度は、検査すべき身体部位の温度よりも低いものとする、ステップと、
(iii)前記検査すべき身体部位の温度と、テラヘルツ放射線ユニットおよび赤外線検出ユニットの範囲の温度とを考慮して、(i)および(ii)に従って検出された信号を複合的に評価するステップであって、必要に応じて、身体部位の真皮の毛細血管から生じる身体固有の赤外線の選択的評価を行う、ステップと、
(iv)評価された信号に基づいて、測定すべき分析対象物の濃度を求めるステップであって、前記分析対象物の測定を、好ましくは、外部赤外線源による励起なしに、被験者の指先から生じる身体固有の赤外線を検出することによって行う、ステップ
を含む、方法。
A method for non-invasively quantitatively measuring an analyte in the blood of a subject, the method comprising:
(i) irradiating a body part originating from a subject with terahertz radiation, particularly terahertz radiation in a wavelength range of about 0.1 mm to about 5 mm, about 0.12 mm to about 5 mm, or about 0.1 mm to about 1 mm; detecting reflected terahertz radiation by a unit for detecting terahertz radiation originating from the irradiated body region in a wavelength range in which the intensity of the reflected terahertz radiation varies depending on the concentration of the analyte to be measured; ,
(ii) from about 0.7 μm to about 20 μm, from about 1 μm to about 20 μm, from about 5 μm to about 15 μm, or from about 8 μm to about 12 μm, where the intensity of body-specific infrared radiation is not substantially dependent on the concentration of the analyte to be measured; at least one first wavelength or first wavelength range in the wavelength range of about 0.7 μm to about 20 μm, about 1 μm to about 1 μm, where the intensity of the body-specific infrared rays varies depending on the concentration of the analyte to be measured. at least one second wavelength or a second wavelength range in the wavelength range of about 20 μm, about 5 μm to about 15 μm, or about 8 μm to about 12 μm; separately detecting body-specific infrared radiation and optionally non-specifically detecting body-specific infrared radiation from a reference illuminated body surface area, the temperature of the area of the infrared detection unit being a step that is lower than the temperature of the desired body part;
(iii) a step of compositely evaluating the signals detected according to (i) and (ii), taking into account the temperature of the body part to be examined and the temperature in the range of the terahertz radiation unit and the infrared detection unit; and optionally performing selective evaluation of body-specific infrared rays generated from capillaries in the dermis of the body part;
(iv) determining the concentration of the analyte to be measured on the basis of the evaluated signal , the measurement of said analyte arising from a fingertip of the subject, preferably without excitation by an external infrared source; and detecting body-specific infrared radiation .
前記分析対象物は、アルコール、ラクテート、タンパク質および尿素から選択される、請求項14記載の方法。 15. The method of claim 14 , wherein the analyte is selected from alcohol, lactate, protein and urea.
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