KR20070022195A - Electrochemical test strip for reducing the effect of direct interference current - Google Patents

Abstract

The present invention describes an electrochemical sensor adapted to reduce the effect of interfering compounds in body fluids when measuring analytes in body fluids using electrochemical strips 62. The sensor includes a substrate 50, first and second working electrodes 10, 12, and a reference electrode 14. A reagent layer 22 is disposed over the electrodes, and in one embodiment the reagent layer completely covers all of the first working electrode 10 but only partially covers the second working electrode 12, In a second embodiment, only a portion of the first and second working electrodes are covered. The portion of the working electrodes is not covered by the Sykes reagent layer and is used to correct the interference effect on the analyte measurement.

Electrochemical sensors, substrates, working electrodes, reagent layers, body fluids

Description

ELECTROCHEMICAL TEST STRIP FOR REDUCING THE EFFECT OF DIRECT INTERFERENCE CURRENT} to Reduce the Effect of Direct Interference Current

The present invention relates generally to electrochemical strips and systems designed to reduce the interference effects of compounds on measurements taken by analyte measurement systems, in particular direct interference in glucose monitoring systems. An improved electrochemical strip for reducing the influence of electric currents, the electrochemical strip having electrodes with uncoated regions.

In many cases, the electrochemical glucose measurement system is for example acetaminophen, ascorbic acid, bilirubin, dopamine, gentiic acid, glutathione, levodopa, methyldopa, tolazimid, tolbutamide, and uric acid; It may have an elevated oxidation current due to the oxidation of the interfering compounds commonly found in the same physiological secretions. Therefore, the accuracy of glucose meters can be improved by reducing or eliminating the portion of the oxidation current generated by the interfering compounds. Ideally, no oxidation current will be generated from all interfering compounds so that the total oxidation current only follows the glucose concentration.

Therefore, it is desirable to improve the accuracy of electrochemical sensors in the presence of possible interfering compounds such as, for example, ascorbate, urate, and acetaminophen, commonly found in physiological secretions. Examples of analytes for such electrochemical sensors include glucose, lactate, and fructosamine. While glucose is the main analyte discussed, it will be apparent to those skilled in the art that the present invention described herein may utilize other analytes.

Oxidation current can be generated in several ways. In particular, the preferred oxidation current is generated due to the interaction of the redox mediator with the analyte of interest (e.g. glucose), while the undesirable oxidation current is generally at the electrode surface and redox It consists of interfering compounds that are oxidized by interaction with the mediator. For example, some interfering compounds (eg acetominophene) are oxidized at the electrode surface. Other interfering compounds (eg, ascorbic acid) are oxidized by chemical reaction with redox mediators. Oxidation of this interfering compound in a glucose measurement system causes the measured oxidation current to follow the concentration of both glucose and any interfering compound. Therefore, in a situation where the concentration of the interference compound is oxidized as efficiently as glucose and the interference concentration is higher than the glucose concentration, the measurement of the glucose concentration is improved by reducing or eliminating the contribution of the interference compounds to the total oxidation current.

Another known method that can be used to reduce the effects of interfering compounds is to cover the working electrode with a negatively charged membrane. As an example, sulfonated flow polymers such as NAFION ^™ are used to repel all negatively charged chemicals. In general, most interfering compounds, such as ascorbate and urate, have a negative charge, so that the negatively charged membrane prevents the negatively charged interfering compounds from reaching and oxidizing at the electrode surface. However, this technique is not always successful because some interfering compounds, such as acetaminophen, do not have a net negative charge and can therefore pass through a negatively charged membrane. The technique also does not reduce the oxidation current generated by the interaction of some redox mediators with the compound's interference. Using a negatively charged membrane on the working electrode also prevents some commonly used redox mediators, such as ferrocyanide compounds, from passing through the negatively charged membrane to exchange electrons with the electrode.

Another known method that can be used to reduce the effects of interference compounds is to use a size selective membrane on top of the working electrode. As an example, a 100 Dalton exclusion membrane, such as cellulose acetate, can be used to cover the working electrode to exclude all chemicals with molecular weights greater than 100 Daltons. In general, most interfering compounds have a molecular weight greater than 100 Daltons, which excludes oxidation at the electrode surface. However, such selective membranes typically complicate the manufacture of the test strips and increase the test time since oxidized glucose must diffuse through the selective membrane and collect at the electrode.

Another method that can be used to reduce the effects of interfering compounds is to use a redox mediator with a low redox potential, for example about -300mV to + 100mV (saturated calomel electrode). Has a low redox potential, the voltage applied to the working electrode is also relatively low, and then reduces the rate at which interfering compounds are oxidized by the working electrode Examples of redox mediators with relatively low redox potential Examples include osmium bipyridyl complexes, ferrosine derivatives and quinone derivatives A disadvantage of this strategy is that redox mediators with relatively low potential are often difficult to synthesize, and are unstable and have low water solubility. .

Another known method that can be used to reduce the effects of interfering compounds is to use a dummy electrode coated with a redox mediator. In some examples, the dummy electrode may also be coated with inactive protein or inactivated redox enzyme. The purpose of the dummy electrode is to oxidize the interference compound at the electrode surface and / or to oxidize the redox mediator reduced by the interference compound. In this strategy, the current measured at the dummy electrode is subtracted from the total oxidation current measured at the working electrode to eliminate the interference effect. The disadvantage of this strategy is that the test strip needs to include additional electrodes and electrical connections (ie dummy electrodes) that cannot be used to measure glucose. Including a dummy electrode makes the electrode inefficient use in a glucose measurement system.

The invention described herein relates to an electrochemical sensor that reduces the effects of interference. The electrochemical sensor according to the invention comprises a substrate, at least first and second working electrodes, and a reference electrode. In one embodiment of the electrochemical sensor according to the invention, a reagent layer is disposed on the electrodes so as to completely cover all of the first working electrodes and only partially cover the second working electrodes. In the method according to the invention, the oxidation current generated in the second working electrode portion not covered by the reagent layer is used to correct the influence of the interfering substance on the glucose measurement.

In one embodiment of the present invention, the electrochemical glucose test strip comprises a first and a second working electrode, the first working electrode is completely covered with the reagent layer, and the second working electrode is only partially covered with the reagent layer. . Thus, the second working electrode has a reagent coated area and an uncoated area. The reagent layer may comprise, for example, a redox enzyme, such as a glucose oxidant, and a redox mediator, such as, for example, ferricyanide. The first working electrode has two overlapping sources of oxidation current, one from glucose and the other from interferent. Similarly, the second working electrode will have overlapping three sources of oxidation current from glucose, interferences in the reagent coded portion and interferences in the uncoated portion. The uncoated portion of the second working electrode merely oxidizes the interfering agents and does not oxidize glucose because there is no reagent in this region. The oxidation current measured at the uncoated portion of the second working electrode can then be used to estimate the total interference oxidizing current to calculate a modified oxidation current that eliminates the effects of the interferences.

In an alternative strip embodiment according to the present invention, the electrochemical glucose test strip comprises first and second working electrodes, the first and second working electrodes being only partially covered with a reagent layer. Thus, in this embodiment, both the first and second working electrodes have a reagent coated portion and an uncoated portion. The first uncovered area of the first working electrode and the second uncovered area of the second working electrode are different. The oxidation current measured at the uncoated portion of the first and second working electrodes is used to estimate the modified oxidation current by estimating the interference oxidation current for the uncoated portion.

The features and advantages of the present invention will be better understood from the following detailed description and the accompanying drawings, in which the principles of the invention are described.

1 is an exploded perspective view of a test strip according to an embodiment of the present invention.

2 is a simplified plan view of the distal end of a test strip according to the embodiment of the present invention shown in FIG. 1 including a conductive layer and an insulating layer;

FIG. 3 is a simplified plan view of the distal end of a test strip according to the embodiment of the present invention shown in FIG.

4 is an exploded perspective view of another test strip of a further embodiment of the present invention;

5 is a simplified plan view of the distal end of a test strip according to the embodiment of the invention shown in FIG. 4 including a conductive layer and an insulating layer.

Figure 6 is a simplified plan view of the distal end of a test strip according to the embodiment of the present invention shown in Figure 4 with the reagent layer shown with the conductive and insulating layers.

7 is a simplified plan view of the distal end of a test strip according to the embodiment of the present invention shown in FIG. 4 with the reagent layer shown with the conductive layer.

8 is a simplified plan view of the distal end of a test strip according to another embodiment of the present invention in which a reagent layer is shown with a conductive layer that reduces the IR drop effect.

9 is a simplified plan view of the distal end of a test strip according to another embodiment of the present invention shown with a conductive layer and an insulating layer such that there are two working electrodes with portions of the reagent layer uncoated.

10 is a simplified plan view of the distal end of a test strip according to another embodiment of the present invention, shown with a conductive layer and an insulating layer such that there are two working electrodes with portions of the reagent layer uncoated.

FIG. 11 is a graph showing current at a first working electrode of a strip designed according to the present invention tested with 70 mg / dL glucose samples in blood spiked with varying levels of uric acid.

12 is a graph showing current at a first working electrode of a strip designed according to the present invention tested with 240 mg / dL glucose samples in blood spiked with varying levels of uric acid.

13 is an exploded perspective view of a test strip having an integrated lance.

FIG. 14 is a simplified schematic diagram illustrating a meter interfering with a test strip having a first contact, a second contact, and a reference contact disposed on a substrate. FIG.

The present invention described herein includes test strips and methods for improving the sensitivity of an electrochemical glucose measurement system.

1 is an exploded perspective view of a test strip according to a first embodiment of the present invention. In the embodiment of the present invention shown in FIG. 1, an electrochemical test strip 62 that can be used to measure glucose concentration in bodily fluids, such as blood or intercellular secretions, comprises a first working electrode, 10) and a second working electrode 12, wherein the first working electrode 10 is completely covered by the reagent layer 22, and the second working electrode 12 is only covered by the reagent layer 22. Partially covered. Thus, the second working electrode has a reagent coated portion and an uncoated portion. Reagent layer 22 may comprise, for example, a redox enzyme such as glucose oxidase and a redox mediator such as, for example, a ferrocyanide compound. Since the ferrocyanide compound has a redox potential of approximately 400 mV at the carbon electrode (which is measured for a saturated calomel electrode), for example, the introduction of body secretions, such as blood, may be achieved by the redox mediator and / or the working electrode. Interfering agents can be significantly oxidized to generate significant amounts of undesirable oxidation current. Therefore, the oxidation current measured at the first working electrode 10 is the second undesired oxidation generated by the interfering oxidation current sources, i.e., the first preferred oxidation current and the interferences generated by the oxidation of glucose. It will be a current. The oxidation current measured at the second working electrode 12 is also determined by the interfering oxidation current sources, ie the first preferred oxidation current generated by glucose oxidation, by the interfering agents in the covered part of the working electrode 12. It will be the second preferred oxidation current generated and the third oxidation current generated by the interfering agents in the uncovered portion of the working electrode 12. The uncoated portion of the second working electrode 12 oxidizes only the interfering agents and does not oxidize glucose because no reagent is present on the uncoated portion of the second working electrode 12. The coating of the second working electrode 12 is known because the uncoated region of the second working current 12 is known and the oxidation current measured at the uncoated portion of the second working electrode 12 is not dependent on glucose. It is possible to calculate the interfering agent oxidation current for the portion that is not present. Then, using the interfering agent oxidation current calculated for the uncoated portion of the second working electrode 12 and removing the area of the first working electrode 10 and the coated portion of the second working electrode 12. Knowing, one can calculate a modified glucose current that accounts for the effects of oxidized interference compounds on this electrode.

1 is an exploded perspective view of a test strip 62 according to a first embodiment of the present invention. The test strip 62 as shown in FIG. 1 may be manufactured by a series of six successive printing steps lying under six layers of material on the substrate 50. Six layers may be deposited by screen printing, for example, on the substrate 50. In an embodiment of the invention, the six layers may include a conductive layer 64, an insulating layer 16, a reagent layer 22, an adhesive layer 66, a hydrophilic layer 68, and a top layer 40. have. The conductive layer 64 includes the first working electrode 10, the second working electrode 12, the reference electrode 140, the first contact 11, the second contact 13, the reference contact 15, and the strip detection. And a bar 17. The insulating layer 16 may further include a cutout 18. The adhesive layer 66 may include a first adhesive pad 24, a second adhesive pad 26, And third adhesive pads 28. The hydrophilic layer 68 may further include a first hydrophilic film 32 and a second hydrophilic film 34. The top layer 40 It may further comprise a transparent portion 36 and an opaque portion 38. The test strip 62 has a first side 54 and a second side 56, a terminal electrode side 58 as shown in FIG. ), And the near-end electrode side 60. The following section will describe each layer of the test strip 62 in more detail.

In one embodiment of the invention, the substrate 50 is an electrically insulating material such as plastic, glass, ceramic, and the like. In a preferred embodiment of the invention, the substrate 50 may be, for example, a plastic such as nylon, polycarbonate, polyimide, polyvinylchloride, polyethylene, polypropylene, PETG, or polyester. In particular, the polyester can be for example Melinex® ST328 manufactured by DuPont Teijin Films. Substrate 50 may also include an acrylic coating applied to one or both sides to improve ink adhesion.

The first layer deposited on the substrate 50 is a conductive layer 64 comprising a first working electrode 10, a second working electrode 12, a reference electrode 14, and a strip detection bar 17. According to the present invention, a screen mesh having an emulsion pattern can be used to deposit a material, such as a conductive carbon ink, for example in a defined geometry as shown in FIG. The reference electrode 14 may also be a counter electrode, a reference / counter electrode or a quas reference electrode. The conductive layer 64 may be deposited on the substrate 50 by using screen printing, rotogravure printing, sputtering, evaporation, electroless plating, ink jet, sublimition, chemical vapor deposition, or the like. . Suitable materials that can be used for the conductive layer 64 are Au, Pd, Ir, Pt, Rh, stainless steel, doped tin oxide, carbon, and the like. In an embodiment of the invention, the carbon ink layer may have a height of 1 to 100 microns, preferably 5 to 25 microns, more preferably approximately 13 microns. The height of the conductive layer can vary depending on the desired resistance of the conductive layer and the conductivity of the material used to print the conductive layer.

The first contact 11, the second contact 13 and the reference contact 15 can be used to electrically interface with the meter. This allows the meter to communicate with the first working electrode 10, the second working electrode 12 and the reference electrode 14 through each of the first contact 11, the second contact 12 and the reference contact 15. .

The second layer deposited on the substrate 50 is the insulating layer 16. The insulating layer 16 is disposed on at least a portion of the conductive layer 64 as shown in FIG. 2 is a simplified plan view showing the distal end of the test strip 62 highlighting the position of the first working electrode 10, the second working electrode 12, and the reference electrode with respect to the insulating layer 16. The insulating layer 16 further includes a cutout that may have a T-shaped structure as shown in FIGS. 1 and 2. The cutout 18 exposes a portion of the first working electrode 10, the second working electrode 12 and the reference electrode 14, which may be wetted with liquid. The cutout 18 further includes a distal cutout width W1, a distal end cutout width W2, a distal cutout length L4 and a distal end cutout length L5. The terminal cutout width W1 corresponds to the width of the first working electrode 10 and the reference electrode 14 as shown in FIG. The terminal cutout length L4 corresponds to the greater length of both the first working electrode 10 and the reference electrode 14. The near end cutout width W2 and the near end cutout length L5 form a rectangular section that exposes the width and length of the second working electrode 12. According to the present invention, the end cutout width W1, the near end cutout width W2, the end cutout length L4, and the near end cutout length L5 have respective dimensions of approximately 0.7, 1.9, 3.2 and 0.43 mmm. Can have. In one embodiment of the present invention, the first working electrode 10, the reference electrode 14, and the second working electrode 12 measure the length of each of L1, L2, and L3, which may be about 0.8, 1.6, and 0.4 mm. Have According to the invention, the electrode spacing S1 is the distance between the first working electrode 10 and the reference electrode 140, and is the distance between the reference electrode 14 and the second working electrode 12, which may be about 0.4 mm.

The third layer disposed on the substrate 50 is the reagent layer 22. The reagent layer 22 is disposed on at least a portion of the conductive layer 64 and the insulating layer 16 as shown in FIG. Figure 3 illustrates a first embodiment of the present invention that emphasizes the position of the reagent layer 22 relative to the first working electrode 10, the second working electrode 12, the reference electrode 14 and the insulating layer 16. A simplified plan view of the distal end of the test strip 62 according. The reagent layer 22 may be rectangular in shape with reagent width W3 and reagent length L6 as shown in FIGS. 1 and 3. In one embodiment of the present invention, the reagent width with W3 may be about 1.3 mm and the reagent length L6 may be about 4.7 mm. In an additional embodiment of the present invention, the reagent layer 22 has a sufficiently large width W3 and length L6, such that the reagent layer 22 is formed by the first working electrode 10 and the reference electrode 14. Cover it completely. However, the reagent layer 22 has a width W3 and length L6 of an appropriate size such that the second working electrode is not completely covered by the reagent layer 22. In such a scenario, the second working layer 12 has a coated portion 12c and an uncoated portion 12u as shown in FIG. The uncoated portions 12u may be two rectangles, where the uncoated portions 12u have a length corresponding to the wing width W4 and the second working electrode length L3. As a non-limiting example, the wing width W4 may be about 0.3 mm. In one embodiment of the invention, reagent layer 22 is a redox enzyme such as, for example, glucose oxidase or PPQ-glucose dehydrogenase, where PQQ is an alias for pyrrole-quinoline-quinone and for example ferro Redox mediators such as cyanide compounds.

The fourth layer disposed on the substrate 50 is an adhesive layer 66 comprising a first adhesive pad 24, a second adhesive pad 26, and a third adhesive pad 28. The first adhesive pad 24 and the second adhesive pad 26 form the walls of the sample receiving chamber. In one embodiment of the present invention, the first adhesive pad 24 and the second adhesive pad 26 are disposed on the substrate 50 such that none of the adhesive pads are in contact with the reagent layer 22. In still other embodiments of the invention where the strip volume needs to be reduced, the first adhesive pad 24 and / or the second adhesive pad 26 are disposed on the substrate 50 to form a reagent layer 22. To overlap. In an embodiment of the present invention, the adhesive layer 66 has a height of about 70 to 110 microns. The adhesive layer 66 may include double sided pressure sensitive adhesives, UU cured adhesives, thermally active adhesives, thermosetting plastics, or other adhesives known to those skilled in the art. As a non-limiting example, the adhesive layer 66 is pressure sensitive, such as, for example, a water based acrylic copolymer pressure sensitive adhesive available from Tape Specialties LTD (part # A6435), Hearts, Tring, UK. It can be formed by screen printing the adhesive.

The fifth layer disposed on the substrate 50 is a hydrophilic 68 comprising a first hydrophilic film 32 and a second hydrophilic film 34 as shown in FIG. Hydrophilic layer 68 forms a "loop" of the sample receiving chamber. The "side walls" and "floor" of the sample receiving chamber are formed by portions of the adhesive layer 66 and the substrate 50 respectively. As a non-limiting example, hydrophilic layer 68 may be an optically transmissive polyester with hydrophilic anti-fog for coatings available from 3M. The hydrophilic nature of the coating is used in the design of the strip 62 because it facilitates the filling of liquid into the sample receiving chamber.

The sixth and final layer disposed on the substrate 50 is a top layer 40 comprising a transparent portion 36 and an opaque portion 38 as shown in FIG. 1. According to the present invention, the top layer 40 comprises a polyester coated on one side with a pressure sensitive adhesive. Top layer 40 has an opaque portion 38 that allows a user to observe a high degree of constrast when blood is below the transparent portion 36. This allows the user to visually confirm that the sample receiving chamber is sufficiently filled. After the strips 62 are completely stacked, they are cut along a cutting line A-A ', in which a sample inlet 52 is created as shown in FIG.

The first test strip embodiment, as shown in FIGS. 1-3, is characterized by the reagent layer 22 being dissolved in the liquid sample and dissolved in the uncoated portions 12u of the second working electrode 12. It may have the disadvantage of moving parts. When such a scenario occurs, the uncoated portions 12u also measure the oxidation current in proportion to the glucose concentration. This degrades the performance of using mathematical algorithms to eliminate the effects of interference interference. In an alternative embodiment of the invention, the reagent layer 22 must be designed to dissolve in such a way that it does not migrate to the uncoated portions 12u. For example, the reagent layer 22 may be chemically coupled to the first working electrode 10, the second working electrode 12, and the reference electrode 14 or minimize the movement of the dissolved reagent layer 22. May have a thickening agent.

An additional embodiment of the present invention as shown in FIG. 4 reduces and minimizes the movement of reagents dissolved in the uncoated portion of the second working electrode in certain circumstances. In this embodiment, the second working electrode 102 has a C-shaped structure in which two separate portions of the second working electrode 102 are exposed by the cutout 108 as shown in FIG. 4. According to the present invention, the reagent layer 110 is disposed only on a portion of the second working electrode 102 to form an uncoated portion 102u and a coated portion 102c as shown in FIG. The uncoated portion 102u is adjacent to the sample inlet 52. The coated portion 102c is adjacent to the first working electrode 100. When applying liquid to the sample inlet 52 of the assembled test strip 162, the liquid will flow from the sample inlet 52 to the coated portion 102c until all the electrodes are covered with liquid. By placing the uncoated portion 102c upstream of the liquid flow, the reagent layer 110 is almost completely prevented from dissolving and moving to the uncoated portion 102u. This allows the mathematical algorithm to accurately remove the effects of the interferences from the measured oxidation current.

4 is an exploded perspective view of the test strip 162. The test strip 162 is fabricated in a manner similar to the test strip 62 except that it is geometric or positional variations with respect to the conductive layer 164, the insulating layer 106, and the reagent layer 110. For the second embodiment of the present invention, the substrate 50, the adhesive layer 66, the hydrophilic layer 68, and the top layer 40 are the same as in the first strip embodiment. The test strip 162 has a first side 54 and a second side 56, a terminal electrode side 58 and a near end electrode side 60. It should be noted that the first and second test strips of the present invention may have elements with similar structures, denoted by the same reference numerals and names. If similar elements between the respective test strip embodiments are different in structure, they may have the same name but are represented by different element numbers. Each of the layers of the test strip 162 will be described in more detail in the sections below.

For the strip embodiment shown in FIG. 4, the first layer deposited on the substrate 50 may include a first working electrode 100, a second working electrode 102, a reference electrode 104, and a first contact 101. ), A second contact 103, a reference contact 105, and a strip detection bar 17. According to the present invention, screen meshes having an emulsion pattern can be used to deposit materials, such as conductive carbon inks, for example in a defined geometry as shown in FIG. The first contact 101, the second contact 103, and the reference contact 105 can be used to electrically interface with the meter. This is because the meter is electrically connected to the first working electrode 100, the second working electrode 102, and the reference electrode 104 through the first contact 101, the second contact 103, and the reference contact 105, respectively. Communicate.

The second layer deposited on the substrate 50 of FIG. 4 is an insulating layer 106. An insulating layer 106 is deposited on at least a portion of the conductive layer 164 as shown in FIG. FIG. 5 is a simplified plan view of the distal end of the test strip 1620 highlighting the position of the first working electrode 100, the second working electrode 102 and the reference electrode 104 relative to the insulating layer 106.

The third layer deposited on the substrate 50 of FIG. 4 is the reagent layer 110, which is at least a portion of the conductive layer 164 and the insulating layer 106 as shown in FIG. 6. Is disposed on. 6 illustrates a second embodiment of the present invention that emphasizes the position of the reagent layer 110 relative to the first working electrode 100, the second working electrode 102, the reference electrode 104, and the insulating layer 106. A simplified plan view of the distal end of the test strip 162 according. The reagent layer 102 may be in the shape of a rectangle having a reagent width W1 and a reagent length L16. In one embodiment of the present invention, reagent width W13 may be about 1.3 mm, and reagent length L16 may be about 3.2 mm. In a preferred embodiment of the present invention, the reagent layer 110 has a sufficient width W13 and length L16 such that the reagent layer 110 has a first working electrode 100, a coating portion 102c, and a reference electrode. Completely cover 104, but do not cover uncoated portion 102u.

FIG. 7 is a plan view simply showing the distal end of a test strip according to the embodiment of the present invention shown in FIG. 4 with the reagent layer shown with the conductive layer. In contrast to FIG. 6, FIG. 7 does not show the insulating layer 106. This represents the conductivity relationship between the uncoated portion 102u and the coated portion 102c hidden under the opaque character of the insulating layer 106.

For the strip embodiment shown in FIG. 4, the insulating layer 106 is used to define the width of the first working electrode 100, the second working electrode 102, and the reference electrode 104. The insulating layer 106 further includes a cutout 108, which may have a T-shaped structure as shown in FIGS. 4-6. The cutout 108 exposes a portion of the first working electrode 100, the second working electrode 102 and the reference electrode 104 that may be wetted with liquid. The cutout 108 further includes a distal cutout width W11, a near end cutout width W12, a distal cutout length L14, and a near end cutout length L15 as shown in FIGS. do. Terminal cutout width W11 corresponds to the width of uncoated portion 102u. The terminal cutout length L14 is greater than the length of the uncoated portion 102u. The proximal cutout width W12 and the proximal cutout length L15 form a rectangular section that approximately exposes the width and length of the first working electrode 100, the reference electrode 104, and the coated portion 102c.

According to the present invention, the end cutout width W11, the near end cutout width W12, the end cutout length L14, and the near end cutout length L15 have respective dimensions of approximately 1.1, 0.7, 2.5 and 2.6 mm. Can have.

In the embodiment of Figure 4, the uncoated portion 102u, reference electrode 104, first working electrode 100 and coated portion 102c may be L10, which may be about 0.7, 0.7, 0.4 and 0.4 mm. L12, L12, and L13 each have a length. The electrode spacing S11 is the distance between the uncoated portion 102u and the reference electrode 104, which may be about 0.2 to 0.75 mm, more preferably 0.6 to 0.7 mm. The electrode spacing S10 is the distance between the reference electrode 104 and the first working electrode 100 and is the distance between the coated portion 102c and the first working electrode 100, which may be about 0.2 mm. It should be noted that the electrode spacing S11 is greater than S10 to reduce the likelihood of the reagents dissolving and moving to the uncoated portion 102u. In addition, the electrode spacing S11 is greater than S10 to reduce the likelihood of the reagent layer 110 being disposed on the uncoated portion 102u due to changes in the printing process. The fourth to sixth layers are continuously disposed on the strip 162 in the same manner as the first strip embodiment. The relative positions and shapes of the adhesive layer 66, hydrophilic layer 68, and top layer 40 are shown in FIG.

In the embodiment of the present invention shown in Fig. 8, the C-shape of the second working electrode 102 is partially changed, so that the order in which the liquid wets the electrode 102u, the first working electrode 100 ), The reference electrode 104 is then coated portion 102c. In an alternative format, the first working electrode 100 and coated portion 102c are equidistant from the reference electrode 104, which is desirable from the IR drop perspective. In the second strip embodiment (i.e., the test strip 162) shown in FIG. 7, the electrodes are provided with an uncoated portion 102u, a reference electrode 104, a first working electrode 100) and then coated portion 102c. For the test strip 162, the coated portion 102c is farther than the distance between the first working electrode 100 and the reference electrode 104.

Therefore, an algorithm can be used to calculate a modified glucose current independent of interference. After dosing the sample onto the test strip, a constant potential is applied to the first and second working electrodes and the current is measured for the two electrodes. In the first working electrode where the reagent covers the entire electrode region, the following equation can be used to describe the components that contribute to the oxidation current.

[Equation 1]

WE ₁ = G + I _cov

Where WE ₁ is the current density at the first working electrode, G is the current density due to glucose independent of the interferences, and I _cov is the current density due to the interferences at the part of the working electrode covered with the reagent.

In a second working electrode partially covered with a reagent, the following equation can be used to describe the components that contribute to the oxidation current.

[Equation 2]

WE ₂ = G + I _cov + I _unc

Where WE ₂ is the current density at the second working electrode and I _unc is the current density due to interferences at the part of the working electrode not covered with the reagent. Alternative embodiments of the present invention can be done using different regions of reagent coating for the first and second working electrodes, but these equations should take into account different uncoated regions.

In order to reduce the effects of the interferences, the equation describes the relationship between the interference currents in the coated part of the second working electrode and the uncoated part of the second working electrode. The interfering agent oxidation current density measured at the coated part is approximated equally to the current density measured at the uncoated part. This relationship is further explained by the following.

Equation 3a

Where A _cov is the area of the second working electrode covered with the reagent and A _unc is the area of the second working electrode not covered with the reagent.

It should be noted that the uncoated portions 12u and coated portions 12c may have respective regions labeled A _unc and A _cov . The uncoated portions 12u can oxidize the interfering agents, but the glucose cannot oxidize because it is not coated with the reagent layer 22. In contrast, the coated portion 12c can oxidize glucose and interferences. Since it has been experimentally found that the uncoated portions 12u oxidize the interferences in a manner proportional to the area of the coated portion 12c, the ratio of the total measured interference currents at the second working electrode 12 Can be predicted. This allows the total current measured at the second working electrode 12 to be corrected by subtracting the contribution of the interfering agent current. In an embodiment of the present invention, the ratio of A _unc : A _cov may be about 0.5: 1 to 5: 1 and preferably about 3: 1. This mathematical algorithm for current correction will be described in more detail in the sections below.

In alternative embodiments of the invention, the interfering agent oxidation current density measured at the coated portion may be different from the current density measured at the uncoated portion. This may make it more efficient than less efficient oxidation of the interfering agents in the coated portion. In one scenario, the presence of redox mediators can improve the oxidation of interferences to the uncoated portion. In another scenario, the presence of a viscosity increasing material, such as hydroxyethyl cellulose, can reduce the oxidation of interference to the uncoated portion. Depending on the components included in the reagent layer that partially coats the second working electrode, the interference oxidation current density measured at the coated portion may be more or less than the uncoated portion. This action can be modeled phenomenologically by rewriting equation 3a in the following form.

[Equation 3b]

I _cov = f × I _unc

Where f is a modification factor that includes the effects of the interfering agent oxidation efficiency of the coated portion versus the uncoated portion.

In an embodiment of the present invention, equations (1), (2) and (3) can be adjusted to derive an equation that outputs a modified glucose current density regardless of interferences. Three equations (Equations 1, 2 and 3a) collectively have three unknowns G, I _cov , and I _unc . Equation 1 may be rearranged in the following form.

[Equation 4]

G = WE ₁ -I _cov

Next, I _cov from Equation 3a is substituted by Equation 4 to yield Equation 5.

[Equation 5]

Next, equations (1) and (2) can be combined to yield equation (6).

[Equation 6]

I _unc = WE ₂ -WE ₁

Next, I _unc from Equation 6 may be substituted by Equation 5 to yield Equation 7a.

Equation 7a

는 예를 들어 판독 전용 메모리에서 글루코스 미터로 프로그램될 수 있다. 본 발명의 또 다른 실시예에서, 이 비

는 A_cov 또는 A_unc의 제조 변화들을 설명할 수 있는 캘리브레이션 코드 칩을 통해서 미터에 전달될 수 있다.Equation 7a describes the modified glucose current density (G) and the ratio of coated to uncoated areas of the second working electrode, which eliminates the effects of interferences that only require the current density outputs of the first and second working electrodes. Output In one embodiment of the invention, this ratio

Can be programmed, for example, into a glucose meter in a read-only memory. In another embodiment of the invention, this ratio

Can be conveyed to the meter through a calibration code chip that can account for manufacturing variations of A _cov or A _unc .

In an alternative embodiment of the invention, equations (1), (2) and (3b) differ from the interference agent oxidation current density for the uncoated portion with the interference agent oxidation current density for the coated portion. In such a case, an alternative modification equation 7b is derived as shown below.

[Equation 7b]

G = WE _1- {f × (WE ₂ -WE ₁ )}

In another embodiment of the present invention, the modified glucose current equation 7a or 7b can be used by the meter only when a certain threshold is exceeded. For example, if WE ₂ is greater than about 10% or WE ₁ , the meter uses equations 7a or 7b to modify for current output. However, if WE ₂ is less than about 10% or WE ₁ , the meter only takes the average current value between WE ₁ and WE ₂ to improve the accuracy and precision of the measurement. The strategy of using Equation 7a or 7b only under certain circumstances where significant levels of interference are likely to be in the sample mitigates the concern that the level of significant interferences will overcorrect the measured glucose current. When WE ₂ is sufficiently larger than WE ₁ (eg, about 20% or more), it is an indicator with a sufficiently high concentration of interferences. In such a case, it may be desirable to output an error message instead of the glucose value because very high levels of interfering agents can destroy the accuracy of Equations 7a or 7b.

In the embodiment of the invention shown in Figures 9 and 10, the first and second working electrodes are partially covered with a reagent layer in such a way that the uncoated portions of the first and second working electrodes are different. This is in contrast to the first and second test strips described above in which the first working electrode is completely covered with a reagent layer.

9 shows the end of a test strip 2000 according to another embodiment of the present invention in which reagent layer 22 is shown with conductive and insulating layers 2002 such that there are two working electrodes with uncoated portions. It is a top view which shows a simplified part. The test strip 2002 is manufactured in a similar manner to the test strip 62 except for the geometric variations to the cutout 18 as shown in FIG. The test strip 2002 has the substrate 50, the conductive layer 64, the reagent layer 22, the adhesive layer 66, the hydrophilic layer 68, and the top layer 40, like the test strip 62. The test strip 2002 is modified to have a cutout 2004 with dumbbells similar in shape to that shown in FIG. The modified shape for the cutout 2004 causes the first working electrode 2008 to include the first coated portion 2008c and the first uncoated portion 2008u, and the second working electrode 2006 is Second coated portion 2006c and second uncoated portion 2006u. In order for the test strip 2000 to effectively reduce the effects of the interferences, the first uncoated portion 2008u must have a different total area than the second uncoated portion 2006u.

FIG. 10 is a plan view briefly showing the distal end of a test strip 5000 according to another embodiment of the present invention shown with a conductive layer such that there are two working electrodes with portions of the reagent layer 820 uncoated. . The test strip 5000 is fabricated in a manner similar to the test strip 162 except for geometrical changes to the conductive layer 164 such that the first working electrode 4002 and the second working electrode 4004 have a c-shape. . The test strip 5000 has the substrate 50, the insulating layer 106, the reagent layer 110, the adhesive layer 66, the hydrophilic layer 68, and the top layer 40, like the test strip 162. The modified geometry allows the first working electrode 4002 to include the first coated portion 4002c and the first uncoated portion 4002u and the second working electrode 4004 to the second coated portion ( 4004c) and second coated portion 4004u. In order for the test strip 2000 to effectively reduce the effects of the interfering agents, the first uncoated portion 4002u must have a different area than the second uncoated portion 4004u.

Test strips 2000 and 5000 are useful because they can facilitate fabrication in that they deposit into the reagent layer and also any subsequent deposited layers with the required registration. In addition, both the first and second working electrodes have some chemical and electrochemical interaction with any interfering material, further increasing the accuracy of the modification process. Due to the two working electrodes with some level of uncoated region, the same reactions can occur on the two electrodes but are somewhat different. Using a simple modification to equation (7a), the following equation (7c) can be used as a modification to glucose.

,

, A_unc = 제1 작동 전극의 코팅되지 않은 영역이다. A_unc2 = 제2 작동 전극의 코팅되지 않은 영역이며, A_cov1= 제1 작동 전극의 코팅된 영역이고, A_cov2= 제2 작동 전극의 코팅된 영역이다.

,

, A _unc = uncoated area of the first working electrode. A _unc2 = uncoated area of the second working electrode, A _cov1 = coated area of the first working electrode, and A _cov2 = coated area of the second working electrode.

One advantage of the present invention is the ability to determine whether the sample receiving chamber is sufficiently filled with liquid using the first and second working electrodes. An advantage of the present invention is that the second working electrode can measure glucose as well as modify the interference effect. This makes the result more accurate, because two glucose measurements can be averaged using only one strip.

Example 1

Test strips are prepared according to the first embodiment of the present invention as shown in FIGS. These test strips are tested in blood with concentrations of various interferences. To test these strips, they are electrically connected to a potentiostat having a means of applying a constant potential of 0.4 volts between the first and reference electrode and between the second and reference electrode. The blood sample is applied to the sample inlet and the first working electrode, the second working electrode and the reference electrode, which put the blood into the sample receiving chamber. The reagent layer is hydrated into the blood and then generates a ferrocyanide compound which can be proportional to the amount of glucose and / or interference concentration present in the sample. About 5 seconds after sample application to the test strip, the oxidation of the ferrocyanide compound is measured as the current to both the first and second working electrodes.

FIG. 11 shows the current responses of the first working electrode tested with 70 mg / dL glucose samples in blood spiked with varying levels of uric acid. The unmodified current at the first working electrode (indicated by squares) shows an increase in current proportional to the uric acid concentration. However, it shows that the modified current (indicated by the triangles) processed by Equation 7a is not affected by increasing uric acid concentration.

FIG. 12 shows the current responses of the first working electrode tested with 240 mg / dL samples in blood spiked with varying levels of uric acid. The purpose of testing the strips at 240 mg / dL glucose shows that the modification algorithm of Equation 7a is also valid over a range of glucose concentrations. Similar to Figure 11, the unmodified current at the first working electrode (denoted by squares) shows an increase in current proportional to the uric acid concentration. However, it shows that the modified current (indicated by triangles) is not affected by increasing uric acid concentration.

Example 2

In order to show that the method of modifying the current for the interfering agents is applied to a wide variety of different interfering agents, the strips constructed according to the embodiment of FIG. Is tested. To quantify the magnitude of this effect, a change in glucose output greater than 10% (for glucose level> 70 mg / dL) or 7 mg / dL (for glucose level <= 70 mg / dL) is defined as significant interference. Table 1 shows the significant interfering agent effect at lower interfering agent concentrations than the strips tested with the modified current response using Equation 7a. This shows that the method of modifying the current output of the first working electrode using equation 7a is efficient in interference correction. Table 1 shows that the current modification in Equation 7a is efficient against interferences to acetaminophen, genic acid and uric acid. Table 1 also shows the concentration ranges of the interfering agents commonly found in blood. In addition, Table 1 also shows that current correction in Equation 7a is efficient at 240 mg / dL glucose concentration levels.

13 is an exploded perspective view of a test strip 800 designed to cut the skin layer of a user such that physiological secretions are diverged and collected on the test strip 800 in a seamless manner. The test strip 800 includes a substrate 50, a conductive layer 802, an insulating layer 804, a reagent layer 820, an adhesive layer 830, and a top layer 824. Test strip 800 includes distal end 50 and proximal end 60.

In the test strip 800, the conductive layer 802 is a first layer disposed on the substrate 50. The conductive layer 802 includes a second working electrode 806, a first working electrode 808, a reference electrode 810, a second contact 812, a first contact 814, and a reference. The contact 816 and the strip detection bar 17 are included. The material used for the conductive layer 802 and the process for printing the conductive layer 802 are the same for both the test strip 62 and the test strip 800.

The insulating layer 804 is a second layer disposed on the substrate 50. The insulating layer 16 includes a cutout 18 which may have a rectangular shaped structure. The cutout 18 exposes a portion of the second working electrode 806, the first working electrode 808, and the reference electrode 804, which can be wetted with liquid. The material used for the insulating layer 804 and the process of printing the insulating layer 804 are the same for both the test strip 62 and the test strip 800.

The reagent layer 820 is a third layer disposed on the substrate 50, the first working electrode 808 and the reference electrode 810. The material used for reagent layer 820 and the process for printing reagent layer 820 are the same for both test strip 62 and test strip 800.

The adhesive layer 830 is a fourth layer disposed on the substrate 50. The material used for adhesive layer 830 and the process for printing adhesive layer 830 are the same for both test strip 62 and test strip 800. The purpose of the adhesive layer 830 is to adhere the top layer 824 to the test strip 820. In an embodiment of the present invention, top layer 824 may be in the form of an integrated lance as shown in FIG. In such an embodiment, the top layer 824 may include a lance 826 located at the distal end 58.

The lance 826, which may be referred to as a penetrating member, penetrates the user's skin and injects blood into the test strip 800, whereby the second working electrode 806, the first working electrode 808 and the reference electrode 810 get wet. To do that. The lance 826 includes a lancet base 832 that terminates the distal end 58 of the assembled test strip. The lance 826 may be made of either an insulating material such as plastic, glass and silicon or a conductive material such as stainless steel and gold. Additional descriptions of integrated medical devices using integrated lances can be found in International Application PCT / GB01 / 05634 and US Patent Application 10 / 143,399. In addition, the lance 826 may be manufactured by, for example, progressive die-stamping techniques as described in the above-mentioned international application PCT / GB01 / 05634 and US patent application 10/143, 399.

14 is a simplified schematic diagram of a meter 900 that interfaces with a test stream. In an embodiment of the invention, the following test strips are a meter that is a test strip 62, a test strip 162, a test strip 800, a test strip 2000, a test strip 3000, or a test strip 5000. It may be suitable for use in 900. The meter 900 has at least three electrical contacts forming an electrical connection with the second working electrode, the first working electrode and the reference electrode. In particular, the second contact 13, 103 or 812 and the reference contact 15, 105, or 816 are connected to the first voltage source 910, and the first contact 11, 101 or 814 and the reference contact 15, 105, or 816 is connected to a second voltage source 920.

In performing the test, the first voltage source 910 applies a first potential E1 between the second working electrode and the reference electrode, and the second voltage source 920 applies a second potential E2 between the first working electrode and the reference electrode. ) Is applied. In one embodiment of the present invention, the first potential E1 and the second potential E2 may be the same, for example about +0.4 V. In another embodiment of the present invention, the first potential E1 and the second potential E2 may be different. The blood sample is applied such that the second working electrode, the first electrode electrode and the reference electrode are covered with blood. This allows the second working electrode and the first working electrode to measure the current in proportion to glucose and / or non-enzyme specific sources. After about 5 seconds from sample application, the meter 900 measures the oxidation current for both the second and first working electrodes.

Table 1. Summary of Interference Performance Using Unmodified Electrical and Modified Current Outputs

mode Interference Glucose concentration n (mg / dL) Highly Interfering Agent Concentration Normal concentration range of the interfering agent Unmodified Acetaminophen 70 11 1 to 2 Unmodified Gentian 70 10 0.05 to 0.5 Unmodified Uric acid 70 5 2.6 to 7.2 Unmodified Acetaminophen 240 16 1 to 2 Unmodified Gentian 240 12 0.05 to 0.5 Unmodified Uric acid 240 8 2.6 to 7.2 Modified Acetaminophen 70 120 1 to 2 Modified Gentian 70 47 0.05 to 0.5 Modified Uric acid 70 33 2.6 to 7.2 Modified Acetaminophen 240 59 1 to 2 Modified Gentian 240 178 0.05 to 0.5 Modified Uric acid 240 29 2.6 to 7.2

The present invention described herein includes test strips and methods for improving the sensitivity of an electrochemical glucose measurement system.

1 is an exploded perspective view of a test strip according to a first embodiment of the present invention. In the embodiment of the present invention shown in FIG. 1, an electrochemical test strip 62 that can be used to measure glucose concentration in bodily fluids, such as blood or intercellular secretions, comprises a first working electrode, 10) and a second working electrode 12, wherein the first working electrode 10 is completely covered by the reagent layer 22, and the second working electrode 12 is only covered by the reagent layer 22. Partially covered. Thus, the second working electrode has a reagent coated portion and an uncoated portion. Reagent layer 22 may comprise, for example, a redox enzyme such as glucose oxidase and a redox mediator such as, for example, a ferrocyanide compound. Since the ferrocyanide compound has a redox potential of approximately 400 mV at the carbon electrode (which is measured with respect to the saturated calomel electrode), the introduction of body secretions such as, for example, blood is carried out by the redox mediator and / or the working electrode. Interfering agents can be significantly oxidized to generate significant amounts of undesirable oxidation current. Therefore, the oxidation current measured at the first working electrode 10 is the second undesired oxidation generated by the interfering oxidation current sources, i.e., the first preferred oxidation current and the interferences generated by the oxidation of glucose. It will be a current. The oxidation current measured at the second working electrode 12 is also generated by the interfering oxidation current sources, i.e., the first preferred oxidation current generated by glucose oxidation, the interfering agents in the covered part of the working electrode 12. It will be the second preferred oxidation current to be made and the third oxidation current generated by the interfering agents in the uncovered portion of the working electrode 12. The uncoated portion of the second working electrode 12 oxidizes only the interfering agents and does not oxidize glucose because no reagent is present on the uncoated portion of the second working electrode 12. The coating of the second working electrode 12 is known because the uncoated region of the second working current 12 is known and the oxidation current measured at the uncoated portion of the second working electrode 12 is not dependent on glucose. It is possible to calculate the interfering agent oxidation current for the portion that is not present. Then, using the interfering agent oxidation current calculated for the uncoated portion of the second working electrode 12 and removing the area of the first working electrode 10 and the coated portion of the second working electrode 12. Knowing, one can calculate a modified glucose current that accounts for the effects of oxidized interference compounds on this electrode.

1 is an exploded perspective view of a test strip 62 according to a first embodiment of the present invention. The test strip 62 as shown in FIG. 1 may be manufactured by a series of six successive printing steps lying under six layers of material on the substrate 50. Six layers may be deposited by screen printing, for example, on the substrate 50. In an embodiment of the invention, the six layers may include a conductive layer 64, an insulating layer 16, a reagent layer 22, an adhesive layer 66, a hydrophilic layer 68, and a top layer 40. have. The conductive layer 64 includes a first working electrode 10, a second working electrode 12, a reference electrode 140, a first contact 11, a second contact 13, a reference contact 15, and a strip detection bar. (17) The insulating layer 16 may further include a cutout 18. The adhesive layer 66 may include a first adhesive pad 24, a second adhesive pad 26, and It may further include third adhesive pads 28. The hydrophilic layer 68 may further include a first hydrophilic film 32 and a second hydrophilic film 34. The top layer 40 is transparent It may further comprise a portion 36 and an opaque portion 38. The test strip 62 has a first side 54 and a second side 56, a terminal electrode side 58 as shown in FIG. And the near-end electrode side 60. The following section will describe each layer of the test strip 62 in more detail.

In one embodiment of the invention, the substrate 50 is an electrically insulating material such as plastic, glass, ceramic, and the like. In a preferred embodiment of the invention, the substrate 50 may be, for example, a plastic such as nylon, polycarbonate, polyimide, polyvinylchloride, polyethylene, polypropylene, PETG, or polyester. In particular, the polyester can be for example Melinex® ST328 manufactured by DuPont Teijin Films. Substrate 50 may also include an acrylic coating applied to one or both sides to improve ink adhesion.

The first layer deposited on the substrate 50 is a conductive layer 64 comprising a first working electrode 10, a second working electrode 12, a reference electrode 14, and a strip detection bar 17. According to the present invention, a screen mesh having an emulsion pattern can be used to deposit a material, such as a conductive carbon ink, for example in a defined geometry as shown in FIG. The reference electrode 14 may also be a counter electrode, a reference / counter electrode or a quas reference electrode. The conductive layer 64 may be deposited on the substrate 50 by using screen printing, rotogravure printing, sputtering, evaporation, electroless plating, ink jet, sublimition, chemical vapor deposition, or the like. . Suitable materials that can be used for the conductive layer 64 are Au, Pd, Ir, Pt, Rh, stainless steel, doped tin oxide, carbon, and the like. In an embodiment of the invention, the carbon ink layer may have a height of 1 to 100 microns, preferably 5 to 25 microns, more preferably approximately 13 microns. The height of the conductive layer can vary depending on the desired resistance of the conductive layer and the conductivity of the material used to print the conductive layer.

The first contact 11, the second contact 13 and the reference contact 15 can be used to electrically interface with the meter. This allows the meter to communicate with the first working electrode 10, the second working electrode 12 and the reference electrode 14 through each of the first contact 11, the second contact 12 and the reference contact 15. .

The second layer deposited on the substrate 50 is the insulating layer 16. The insulating layer 16 is disposed on at least a portion of the conductive layer 64 as shown in FIG. 2 is a simplified plan view showing the distal end of the test strip 62 highlighting the position of the first working electrode 10, the second working electrode 12, and the reference electrode with respect to the insulating layer 16. The insulating layer 16 further includes a cutout that may have a T-shaped structure as shown in FIGS. 1 and 2. The cutout 18 exposes a portion of the first working electrode 10, the second working electrode 12 and the reference electrode 14, which may be wetted with liquid. The cutout 18 further includes a distal cutout width W1, a distal end cutout width W2, a distal cutout length L4 and a distal end cutout length L5. The terminal cutout width W1 corresponds to the width of the first working electrode 10 and the reference electrode 14 as shown in FIG. The terminal cutout length L4 corresponds to the greater length of both the first working electrode 10 and the reference electrode 14. The near end cutout width W2 and the near end cutout length L5 form a rectangular section that exposes the width and length of the second working electrode 12. According to the present invention, the end cutout width W1, the near end cutout width W2, the end cutout length L4, and the near end cutout length L5 have respective dimensions of approximately 0.7, 1.9, 3.2 and 0.43 mmm. Can have. In one embodiment of the present invention, the first working electrode 10, the reference electrode 14, and the second working electrode 12 measure the length of each of L1, L2, and L3, which may be about 0.8, 1.6, and 0.4 mm. Have According to the invention, the electrode spacing S1 is the distance between the first working electrode 10 and the reference electrode 140, and is the distance between the reference electrode 14 and the second working electrode 12, which may be about 0.4 mm.

The third layer disposed on the substrate 50 is the reagent layer 22. The reagent layer 22 is disposed on at least a portion of the conductive layer 64 and the insulating layer 16 as shown in FIG. Figure 3 illustrates a first embodiment of the present invention that emphasizes the position of the reagent layer 22 relative to the first working electrode 10, the second working electrode 12, the reference electrode 14 and the insulating layer 16. A simplified plan view of the distal end of the test strip 62 according. The reagent layer 22 may be rectangular in shape with reagent width W3 and reagent length L6 as shown in FIGS. 1 and 3. In one embodiment of the present invention, the reagent width with W3 may be about 1.3 mm and the reagent length L6 may be about 4.7 mm. In an additional embodiment of the present invention, the reagent layer 22 has a sufficiently large width W3 and length L6, such that the reagent layer 22 is formed by the first working electrode 10 and the reference electrode 14. Cover it completely. However, the reagent layer 22 has a width W3 and length L6 of an appropriate size such that the second working electrode is not completely covered by the reagent layer 22. In such a scenario, the second working layer 12 has a coated portion 12c and an uncoated portion 12u as shown in FIG. The uncoated portions 12u may be two rectangles, where the uncoated portions 12u have a length corresponding to the wing width W4 and the second working electrode length L3. As a non-limiting example, the wing width W4 may be about 0.3 mm. In one embodiment of the invention, reagent layer 22 is a redox enzyme such as, for example, glucose oxidase or PPQ-glucose dehydrogenase, where PQQ is an alias for pyrrole-quinoline-quinone and for example ferro Redox mediators such as cyanide compounds.

The fourth layer disposed on the substrate 50 is an adhesive layer 66 comprising a first adhesive pad 24, a second adhesive pad 26, and a third adhesive pad 28. The first adhesive pad 24 and the second adhesive pad 26 form the walls of the sample receiving chamber. In one embodiment of the present invention, the first adhesive pad 24 and the second adhesive pad 26 are disposed on the substrate 50 such that none of the adhesive pads are in contact with the reagent layer 22. In still other embodiments of the invention where the strip volume needs to be reduced, the first adhesive pad 24 and / or the second adhesive pad 26 are disposed on the substrate 50 to form a reagent layer 22. To overlap. In an embodiment of the present invention, the adhesive layer 66 has a height of about 70 to 110 microns. The adhesive layer 66 may include double sided pressure sensitive adhesives, UU cured adhesives, thermally active adhesives, thermosetting plastics, or other adhesives known to those skilled in the art. As a non-limiting example, the adhesive layer 66 is pressure sensitive, such as, for example, a water based acrylic copolymer pressure sensitive adhesive available from Tape Specialties LTD (part # A6435), Hearts, Tring, UK. It can be formed by screen printing the adhesive.

The fifth layer disposed on the substrate 50 is a hydrophilic 68 comprising a first hydrophilic film 32 and a second hydrophilic film 34 as shown in FIG. Hydrophilic layer 68 forms a "loop" of the sample receiving chamber. The "side walls" and "floor" of the sample receiving chamber are formed by portions of the adhesive layer 66 and the substrate 50 respectively. As a non-limiting example, hydrophilic layer 68 may be an optically transmissive polyester with hydrophilic anti-fog for coatings available from 3M. The hydrophilic nature of the coating is used in the design of the strip 62 because it facilitates the filling of liquid into the sample receiving chamber.

The sixth and final layer disposed on the substrate 50 is a top layer 40 comprising a transparent portion 36 and an opaque portion 38 as shown in FIG. 1. According to the present invention, the top layer 40 comprises a polyester coated on one side with a pressure sensitive adhesive. Top layer 40 has an opaque portion 38 that allows a user to observe a high degree of constrast when blood is below the transparent portion 36. This allows the user to visually confirm that the sample receiving chamber is sufficiently filled. After the strips 62 have been completely stacked, they are cut along a cutting line A-A ', in which a sample inlet 52 is created as shown in FIG.

The first test strip embodiment, as shown in FIGS. 1-3, is characterized by the reagent layer 22 being dissolved in the liquid sample and dissolved in the uncoated portions 12u of the second working electrode 12. It may have the disadvantage of moving parts. When such a scenario occurs, the uncoated portions 12u also measure the oxidation current in proportion to the glucose concentration. This degrades the performance of using mathematical algorithms to eliminate the effects of interference interference. In an alternative embodiment of the invention, the reagent layer 22 must be designed to dissolve in such a way that it does not migrate to the uncoated portions 12u. For example, the reagent layer 22 may be chemically coupled to the first working electrode 10, the second working electrode 12, and the reference electrode 14 or minimize the movement of the dissolved reagent layer 22. May have a thickening agent.

An additional embodiment of the present invention as shown in FIG. 4 reduces and minimizes the movement of reagents dissolved in the uncoated portion of the second working electrode in certain circumstances. In this embodiment, the second working electrode 102 has a C-shaped structure in which two separate portions of the second working electrode 102 are exposed by the cutout 108 as shown in FIG. 4. According to the present invention, the reagent layer 110 is disposed only on a portion of the second working electrode 102 to form an uncoated portion 102u and a coated portion 102c as shown in FIG. The uncoated portion 102u is adjacent to the sample inlet 52. The coated portion 102c is adjacent to the first working electrode 100. When applying liquid to the sample inlet 52 of the assembled test strip 162, the liquid will flow from the sample inlet 52 to the coated portion 102c until all the electrodes are covered with liquid. By placing the uncoated portion 102c upstream of the liquid flow, the reagent layer 110 is almost completely prevented from dissolving and moving to the uncoated portion 102u. This allows the mathematical algorithm to accurately remove the effects of the interferences from the measured oxidation current.

4 is an exploded perspective view of the test strip 162. The test strip 162 is fabricated in a manner similar to the test strip 62 except that it is geometric or positional variations with respect to the conductive layer 164, the insulating layer 106, and the reagent layer 110. For the second embodiment of the present invention, the substrate 50, the adhesive layer 66, the hydrophilic layer 68, and the top layer 40 are the same as in the first strip embodiment. The test strip 162 has a first side 54 and a second side 56, a terminal electrode side 58 and a near end electrode side 60. It should be noted that the first and second test strips of the present invention may have elements with similar structures, denoted by the same reference numerals and names. If similar elements between the respective test strip embodiments are different in structure, they may have the same name but are represented by different element numbers. Each of the layers of the test strip 162 will be described in more detail in the sections below.

For the strip embodiment shown in FIG. 4, the first layer deposited on the substrate 50 may include a first working electrode 100, a second working electrode 102, a reference electrode 104, and a first contact 101. ), A second contact 103, a reference contact 105, and a strip detection bar 17. According to the present invention, screen meshes having an emulsion pattern can be used to deposit materials, such as conductive carbon inks, for example in a defined geometry as shown in FIG. The first contact 101, the second contact 103, and the reference contact 105 may be used to electrically interface with the meter. This is because the meter is electrically connected to the first working electrode 100, the second working electrode 102, and the reference electrode 104 through the first contact 101, the second contact 103, and the reference contact 105, respectively. Communicate.

The second layer deposited on the substrate 50 of FIG. 4 is an insulating layer 106. An insulating layer 106 is deposited on at least a portion of the conductive layer 164 as shown in FIG. FIG. 5 is a simplified plan view of the distal end of the test strip 1620 highlighting the position of the first working electrode 100, the second working electrode 102 and the reference electrode 104 relative to the insulating layer 106.

The third layer deposited on the substrate 50 of FIG. 4 is the reagent layer 110, which is at least a portion of the conductive layer 164 and the insulating layer 106 as shown in FIG. 6. Is disposed on. 6 illustrates a second embodiment of the present invention that emphasizes the position of the reagent layer 110 relative to the first working electrode 100, the second working electrode 102, the reference electrode 104, and the insulating layer 106. A simplified plan view of the distal end of the test strip 162 according. The reagent layer 102 may be in the shape of a rectangle having a reagent width W1 and a reagent length L16. In one embodiment of the present invention, reagent width W13 may be about 1.3 mm, and reagent length L16 may be about 3.2 mm. In a preferred embodiment of the present invention, the reagent layer 110 has a sufficient width W13 and length L16 such that the reagent layer 110 has a first working electrode 100, a coating portion 102c, and a reference electrode. Completely cover 104, but do not cover uncoated portion 102u.

FIG. 7 is a plan view simply showing the distal end of a test strip according to the embodiment of the present invention shown in FIG. 4 with the reagent layer shown with the conductive layer. In contrast to FIG. 6, FIG. 7 does not show the insulating layer 106. This represents the conductivity relationship between the uncoated portion 102u and the coated portion 102c hidden under the opaque character of the insulating layer 106.

For the strip embodiment shown in FIG. 4, the insulating layer 106 is used to define the width of the first working electrode 100, the second working electrode 102, and the reference electrode 104. The insulating layer 106 further includes a cutout 108, which may have a T-shaped structure as shown in FIGS. 4-6. The cutout 108 exposes a portion of the first working electrode 100, the second working electrode 102 and the reference electrode 104 that may be wetted with liquid. The cutout 108 further includes a distal cutout width W11, a near end cutout width W12, a distal cutout length L14, and a near end cutout length L15 as shown in FIGS. do. Terminal cutout width W11 corresponds to the width of uncoated portion 102u. The terminal cutout length L14 is greater than the length of the uncoated portion 102u. The proximal cutout width W12 and the proximal cutout length L15 form a rectangular section that approximately exposes the width and length of the first working electrode 100, the reference electrode 104, and the coated portion 102c.

According to the present invention, the end cutout width W11, the near end cutout width W12, the end cutout length L14, and the near end cutout length L15 have respective dimensions of approximately 1.1, 0.7, 2.5 and 2.6 mm. Can have.

In the embodiment of Figure 4, the uncoated portion 102u, reference electrode 104, first working electrode 100 and coated portion 102c may be L10, which may be about 0.7, 0.7, 0.4 and 0.4 mm. L12, L12, and L13 each have a length. The electrode spacing S11 is the distance between the uncoated portion 102u and the reference electrode 104, which may be about 0.2 to 0.75 mm, more preferably 0.6 to 0.7 mm. The electrode spacing S10 is the distance between the reference electrode 104 and the first working electrode 100 and is the distance between the coated portion 102c and the first working electrode 100, which may be about 0.2 mm. It should be noted that the electrode spacing S11 is greater than S10 to reduce the likelihood of the reagents dissolving and moving to the uncoated portion 102u. In addition, the electrode spacing S11 is greater than S10 to reduce the likelihood of the reagent layer 110 being disposed on the uncoated portion 102u due to changes in the printing process. The fourth to sixth layers are continuously disposed on the strip 162 in the same manner as the first strip embodiment. The relative positions and shapes of the adhesive layer 66, hydrophilic layer 68, and top layer 40 are shown in FIG.

In the embodiment of the present invention shown in Fig. 8, the C-shape of the second working electrode 102 is partially changed, so that the order in which the liquid wets the electrode 102u, the first working electrode 100 ), The reference electrode 104 is then coated portion 102c. In an alternative format, the first working electrode 100 and coated portion 102c are equidistant from the reference electrode 104, which is desirable from the IR drop perspective. In the second strip embodiment (i.e., the test strip 162) shown in FIG. 7, the electrodes are provided with an uncoated portion 102u, a reference electrode 104, a first working electrode 100) and then coated portion 102c. For the test strip 162, the coated portion 102c is farther than the distance between the first working electrode 100 and the reference electrode 104.

Therefore, an algorithm can be used to calculate a modified glucose current independent of interference. After dosing the sample onto the test strip, a constant potential is applied to the first and second working electrodes and the current is measured for the two electrodes. In the first working electrode where the reagent covers the entire electrode region, the following equation can be used to describe the components that contribute to the oxidation current.

WE ₁ = G + I _cov

Where WE ₁ is the current density at the first working electrode, G is the current density due to glucose independent of the interferences, and I _cov is the current density due to the interferences at the part of the working electrode covered with the reagent.

In a second working electrode partially covered with a reagent, the following equation can be used to describe the components that contribute to the oxidation current.

WE ₂ = G + I _cov + I _unc

Where WE ₂ is the current density at the second working electrode and I _unc is the current density due to interferences at the part of the working electrode not covered with the reagent. Alternative embodiments of the present invention can be done using different regions of reagent coating for the first and second working electrodes, but these equations should take into account different uncoated regions.

In order to reduce the effects of the interferences, the equation describes the relationship between the interference currents in the coated part of the second working electrode and the uncoated part of the second working electrode. The interfering agent oxidation current density measured at the coated part is approximated equally to the current density measured at the uncoated part. This relationship is further explained by the following equation.

Where A _cov is the area of the second working electrode covered with the reagent and A _unc is the area of the second working electrode not covered with the reagent.

It should be noted that the uncoated portions 12u and coated portions 12c may have respective regions labeled A _unc and A _cov . The uncoated portions 12u can oxidize the interfering agents, but the glucose cannot oxidize because it is not coated with the reagent layer 22. In contrast, the coated portion 12c can oxidize glucose and interferences. Since it has been experimentally found that the uncoated portions 12u oxidize the interferences in a manner proportional to the area of the coated portion 12c, the ratio of the total measured interference currents at the second working electrode 12 Can be predicted. This allows the total current measured at the second working electrode 12 to be corrected by subtracting the contribution of the interfering agent current. In an embodiment of the present invention, the ratio of A _unc : A _cov may be about 0.5: 1 to 5: 1 and preferably about 3: 1. This mathematical algorithm for current correction will be described in more detail in the sections below.

In alternative embodiments of the invention, the interfering agent oxidation current density measured at the coated portion may be different from the current density measured at the uncoated portion. This may make it more efficient than less efficient oxidation of the interfering agents in the coated portion. In one scenario, the presence of redox mediators can improve the oxidation of interferences to the uncoated portion. In another scenario, the presence of a viscosity increasing material, such as hydroxyethyl cellulose, can reduce the oxidation of interference to the uncoated portion. Depending on the components included in the reagent layer that partially coats the second working electrode, the interference oxidation current density measured in the coated portion may be more or less than the uncoated portion. This action can be modeled phenomenologically by rewriting equation 3a in the following form.

I _cov = f × I _unc

Where f is a modification factor that includes the effects of the interfering agent oxidation efficiency of the coated portion versus the uncoated portion.

In an embodiment of the present invention, equations (1), (2) and (3) can be adjusted to derive an equation that outputs a modified glucose current density regardless of interferences. Three equations (Equations 1, 2 and 3a) collectively have three unknowns G, I _cov , and I _unc . Equation 1 may be rearranged in the following form.

G = WE ₁ -I _cov

Next, I _cov from Equation 3a is substituted by Equation 4 to yield Equation 5.

Next, equations (1) and (2) can be combined to yield equation (6).

I _unc = WE ₂ -WE ₁

Next, I _unc from Equation 6 may be substituted by Equation 5 to yield Equation 7a.

는 예를 들어 판독 전용 메모리에서 글루코스 미터로 프로그램될 수 있다. 본 발명의 또 다른 실시예에서, 이 비

는 A_cov 또는 A_unc의 제조 변화들을 설명할 수 있는 캘리브레이션 코드 칩을 통해서 미터에 전달될 수 있다.Equation 7a describes the modified glucose current density (G) and the ratio of coated to uncoated areas of the second working electrode, which eliminates the effects of interferences that only require the current density outputs of the first and second working electrodes. Output In one embodiment of the invention, this ratio

Can be programmed, for example, into a glucose meter in a read-only memory. In another embodiment of the invention, this ratio

Can be conveyed to the meter through a calibration code chip that can account for manufacturing variations of A _cov or A _unc .

In an alternative embodiment of the invention, equations (1), (2) and (3b) differ from the interference agent oxidation current density for the uncoated portion with the interference agent oxidation current density for the coated portion. In such a case, an alternative modification equation 7b is derived as shown below.

G = WE _1- {f × (WE ₂ -WE ₁ )}

In another embodiment of the present invention, the modified glucose current equation 7a or 7b can be used by the meter only when a certain threshold is exceeded. For example, if WE ₂ is greater than about 10% or WE ₁ , the meter uses equations 7a or 7b to modify for current output. However, if WE ₂ is less than about 10% or WE ₁ , the meter only takes the average current value between WE ₁ and WE ₂ to improve the accuracy and precision of the measurement. The strategy of using Equation 7a or 7b only under certain circumstances where significant levels of interference are likely to be in the sample mitigates the concern that the level of significant interferences will overcorrect the measured glucose current. When WE ₂ is sufficiently larger than WE ₁ (eg, about 20% or more), it is an indicator with a sufficiently high concentration of interferences. In such a case, it may be desirable to output an error message instead of the glucose value because very high levels of interfering agents can destroy the accuracy of Equations 7a or 7b.

In the embodiment of the invention shown in Figures 9 and 10, the first and second working electrodes are partially covered with a reagent layer in such a way that the uncoated portions of the first and second working electrodes are different. This is in contrast to the first and second test strips described above in which the first working electrode is completely covered with a reagent layer.

9 shows the end of a test strip 2000 according to another embodiment of the present invention in which a reagent layer 22 is shown with a conductive layer and an insulating layer 2002 such that there are two working electrodes with uncoated portions. It is a top view which shows a simplified part. The test strip 2002 is manufactured in a similar manner to the test strip 62 except for the geometric variations to the cutout 18 as shown in FIG. The test strip 2002 has the substrate 50, the conductive layer 64, the reagent layer 22, the adhesive layer 66, the hydrophilic layer 68, and the top layer 40, like the test strip 62. The test strip 2002 is modified to have a cutout 2004 with dumbbells similar in shape to that shown in FIG. The modified shape for the cutout 2004 causes the first working electrode 2008 to include the first coated portion 2008c and the first uncoated portion 2008u, and the second working electrode 2006 is Second coated portion 2006c and second uncoated portion 2006u. In order for the test strip 2000 to effectively reduce the effects of the interferences, the first uncoated portion 2008u must have a different total area than the second uncoated portion 2006u.

FIG. 10 is a plan view briefly showing the distal end of a test strip 5000 according to another embodiment of the present invention shown with a conductive layer such that there are two working electrodes with portions of the reagent layer 820 uncoated. . The test strip 5000 is fabricated in a manner similar to the test strip 162 except for geometrical changes to the conductive layer 164 such that the first working electrode 4002 and the second working electrode 4004 have a c-shape. do. The test strip 5000 has the substrate 50, the insulating layer 106, the reagent layer 110, the adhesive layer 66, the hydrophilic layer 68, and the top layer 40, like the test strip 162. The modified geometry allows the first working electrode 4002 to include the first coated portion 4002c and the first uncoated portion 4002u and the second working electrode 4004 to the second coated portion 4004c. ) And the second coated portion 4004u. In order for the test strip 2000 to effectively reduce the effects of the interfering agents, the first uncoated portion 4002u must have a different area than the second uncoated portion 4004u.

Test strips 2000 and 5000 are useful because they can facilitate fabrication in that they deposit into the reagent layer and also any subsequent deposited layers with the required registration. In addition, both the first and second working electrodes have some chemical and electrochemical interaction with any interfering material, further increasing the accuracy of the modification process. Due to the two working electrodes with some level of uncoated region, the same reactions can occur on the two electrodes but are somewhat different. Using a simple modification to equation (7a), the following equation (7c) can be used as a modification to glucose.

Equation 7c

,

, A_unc = 제1 작동 전극의 코팅되지 않은 영역이다. A_unc2 = 제2 작동 전극의 코팅되지 않은 영역이며, A_cov1= 제1 작동 전극의 코팅된 영역이고, A_cov2= 제2 작동 전극의 코팅된 영역이다.

,

, A _unc = uncoated area of the first working electrode. A _unc2 = uncoated area of the second working electrode, A _cov1 = coated area of the first working electrode, and A _cov2 = coated area of the second working electrode.

One advantage of the present invention is the ability to determine whether the sample receiving chamber is sufficiently filled with liquid using the first and second working electrodes. An advantage of the present invention is that the second working electrode can measure glucose as well as modify the interference effect. This makes the result more accurate, because two glucose measurements can be averaged using only one strip.

Example 1

Test strips are prepared according to the first embodiment of the present invention as shown in FIGS. These test strips are tested in blood with concentrations of various interferences. To test these strips, they are electrically connected to a potentiostat having a means of applying a constant potential of 0.4 volts between the first and reference electrode and between the second and reference electrode. The blood sample is applied to the sample inlet and the first working electrode, the second working electrode and the reference electrode, which put the blood into the sample receiving chamber. The reagent layer is hydrated into the blood and then generates a ferrocyanide compound which can be proportional to the amount of glucose and / or interference concentration present in the sample. About 5 seconds after sample application to the test strip, the oxidation of the ferrocyanide compound is measured as the current to both the first and second working electrodes.

FIG. 11 shows the current responses of the first working electrode tested with 70 mg / dL glucose samples in blood spiked with varying levels of uric acid. The unmodified current at the first working electrode (indicated by squares) shows an increase in current proportional to the uric acid concentration. However, it shows that the modified current (indicated by the triangles) processed by Equation 7a is not affected by increasing uric acid concentration.

FIG. 12 shows the current responses of the first working electrode tested with 240 mg / dL samples in blood spiked with varying levels of uric acid. The purpose of testing the strips at 240 mg / dL glucose shows that the modification algorithm of Equation 7a is also valid over a range of glucose concentrations. Similar to Figure 11, the unmodified current at the first working electrode (denoted by squares) shows an increase in current proportional to the uric acid concentration. However, it shows that the modified current (indicated by triangles) is not affected by increasing uric acid concentration.

Example 2

In order to show that the method of modifying the current for the interfering agents is applied to a wide variety of different interfering agents, the strips constructed according to the embodiment of FIG. Is tested. To quantify the magnitude of this effect, a change in glucose output greater than 10% (for glucose level> 70 mg / dL) or 7 mg / dL (for glucose level <= 70 mg / dL) is defined as significant interference. Table 1 shows significant interfering agent effects at lower interfering agent concentrations than strips tested with modified current response using Equation 7a. This shows that the method of modifying the current output of the first working electrode using equation 7a is efficient in interference correction. Table 1 shows that the current modification in Equation 7a is efficient against interferences to acetaminophen, genic acid and uric acid. Table 1 also shows the concentration ranges of the interfering agents commonly found in blood. In addition, Table 1 also shows that current correction in Equation 7a is efficient at 240 mg / dL glucose concentration levels.

13 is an exploded perspective view of a test strip 800 designed to cut the skin layer of a user such that physiological secretions are diverged and collected on the test strip 800 in a seamless manner. The test strip 800 includes a substrate 50, a conductive layer 802, an insulating layer 804, a reagent layer 820, an adhesive layer 830, and a top layer 824. Test strip 800 includes distal end 50 and proximal end 60.

In the test strip 800, the conductive layer 802 is a first layer disposed on the substrate 50. The conductive layer 802 includes a second working electrode 806, a first working electrode 808, a reference electrode 810, a second contact 812, a first contact 814, and a reference. The contact 816 and the strip detection bar 17 are included. The material used for the conductive layer 802 and the process for printing the conductive layer 802 are the same for both the test strip 62 and the test strip 800.

The insulating layer 804 is a second layer disposed on the substrate 50. The insulating layer 16 includes a cutout 18 which may have a rectangular shaped structure. The cutout 18 exposes a portion of the second working electrode 806, the first working electrode 808, and the reference electrode 804 that can be wetted with liquid. The material used for the insulating layer 804 and the process of printing the insulating layer 804 are the same for both the test strip 62 and the test strip 800.

The reagent layer 820 is a third layer disposed on the substrate 50, the first working electrode 808 and the reference electrode 810. The material used for reagent layer 820 and the process for printing reagent layer 820 are the same for both test strip 62 and test strip 800.

The adhesive layer 830 is a fourth layer disposed on the substrate 50. The material used for adhesive layer 830 and the process for printing adhesive layer 830 are the same for both test strip 62 and test strip 800. The purpose of the adhesive layer 830 is to adhere the top layer 824 to the test strip 820. In an embodiment of the present invention, top layer 824 may be in the form of an integrated lance as shown in FIG. In such an embodiment, the top layer 824 may include a lance 826 located at the distal end 58.

The lance 826, which may be referred to as a penetrating member, penetrates the user's skin and injects blood into the test strip 800, whereby the second working electrode 806, the first working electrode 808 and the reference electrode 810 get wet. To do that. The lance 826 includes a lancet base 832 that terminates the distal end 58 of the assembled test strip. The lance 826 may be made of either an insulating material such as plastic, glass and silicon or a conductive material such as stainless steel and gold. Additional descriptions of integrated medical devices using integrated lances can be found in International Application PCT / GB01 / 05634 and US Patent Application 10 / 143,399. In addition, the lance 826 may be manufactured by, for example, progressive die-stamping techniques as described in the above-mentioned international application PCT / GB01 / 05634 and US patent application 10/143, 399.

14 is a simplified schematic diagram of a meter 900 that interfaces with a test stream. In an embodiment of the invention, the following test strips are a meter that is a test strip 62, a test strip 162, a test strip 800, a test strip 2000, a test strip 3000, or a test strip 5000. It may be suitable for use in 900. The meter 900 has at least three electrical contacts forming an electrical connection with the second working electrode, the first working electrode and the reference electrode. In particular, the second contact 13, 103 or 812 and the reference contact 15, 105, or 816 are connected to the first voltage source 910, and the first contact 11, 101 or 814 and the reference contact 15, 105, or 816 is connected to a second voltage source 920.

In performing the test, the first voltage source 910 applies a first potential E1 between the second working electrode and the reference electrode, and the second voltage source 920 applies a second potential E2 between the first working electrode and the reference electrode. ) Is applied. In one embodiment of the present invention, the first potential E1 and the second potential E2 may be the same, for example about +0.4 V. In another embodiment of the present invention, the first potential E1 and the second potential E2 may be different. The blood sample is applied such that the second working electrode, the first electrode electrode and the reference electrode are covered with blood. This allows the second working electrode and the first working electrode to measure the current in proportion to glucose and / or non-enzyme specific sources. After about 5 seconds from sample application, the meter 900 measures the oxidation current for both the second and first working electrodes.

Table 1. Summary of Interference Performance Using Unmodified Electrical and Modified Current Outputs

mode Interference Glucose concentration n (mg / dL) Highly Interfering Agent Concentration Normal concentration range of the interfering agent Unmodified Acetaminophen 70 11 1 to 2 Unmodified Gentian 70 10 0.05 to 0.5 Unmodified Uric acid 70 5 2.6 to 7.2 Unmodified Acetaminophen 240 16 1 to 2 Unmodified Gentian 240 12 0.05 to 0.5 Unmodified Uric acid 240 8 2.6 to 7.2 Modified Acetaminophen 70 120 1 to 2 Modified Gentian 70 47 0.05 to 0.5 Modified Uric acid 70 33 2.6 to 7.2 Modified Acetaminophen 240 59 1 to 2 Modified Gentian 240 178 0.05 to 0.5 Modified Uric acid 240 29 2.6 to 7.2

Claims (14)

Substrate, A first working electrode disposed on the substrate; A second working electrode disposed on the substrate; A reference electrode, A reagent layer disposed over said first working electrode and completely covering said first working electrode, And the second working electrode includes a portion covered by the reagent layer and a portion not covered. The method of claim 1, wherein the first working electrode, the second working electrode and the reference electrode are disposed in a sample receiving chamber, The sample receiving chamber has a distal end including a proximal portion and a first opening adapted to receive body fluids, The uncovered portion of the second working electrode is disposed adjacent to the first opening. 3. An electrochemical sensor as in claim 2, wherein said covered portion of said second working electrode is disposed proximate said sample receiving chamber. The electrochemical sensor of claim 3, wherein the first working electrode is disposed proximate to the uncovered portion of the second working electrode and is disposed between the reference electrode and the covered portion of the second working electrode. . The method of claim 1, wherein the first working electrode, the second working electrode and the reference electrode is disposed in the sample receiving chamber, The sample receiving chamber has a distal end including a proximal portion and a first opening adapted to receive body fluids, The uncovered portion of the second working electrode comprises two sections, each section disposed adjacent to the covered portion of the second working electrode. The method of claim 5, wherein the first working electrode is disposed adjacent to the distal end of the sample receiving chamber, The second working electrode is disposed adjacent the proximal portion of the sample receiving chamber, And the reference electrode is disposed between the first and second working electrodes. Substrate, A first working electrode disposed on the substrate; A second working electrode disposed on the substrate; A reference electrode, A reagent layer disposed over the first working electrode and the second working electrode, The first working electrode has a reagent coated area and an uncoated area, And said second working electrode has said reagent layer coated and uncoated regions. The method of claim 7, wherein the first working electrode, the second working electrode and the reference electrode is disposed in the sample receiving chamber, The sample receiving chamber has a distal end including a proximal portion and a first opening adapted to receive body fluids, The uncovered portion of the first working electrode comprises two sections, each section disposed adjacent to the covered portion of the first working electrode, The uncovered portion of the second working electrode comprises two sections, each section disposed adjacent to the covered portion of the first working electrode. 9. The apparatus of claim 8, wherein the first working electrode is disposed adjacent the distal end of the sample receiving chamber, The second working electrode is disposed adjacent the proximal portion of the sample receiving chamber, And the reference electrode is disposed between the first and second working electrodes. 8. The electrochemical sensor of claim 7, wherein said uncoated region of said first working electrode is not equal to said uncoated region of said second working electrode. The method of claim 7, wherein the first working electrode, the second working electrode and the reference electrode is disposed in the sample receiving chamber, The sample receiving chamber has a distal end including a proximal portion and a first opening adapted to receive body fluids, The uncovered portion of the second working electrode is disposed in proximity of the sample receiving chamber, The uncovered portion of the first working electrode is disposed proximal to the uncovered portion of the second working electrode. 12. The apparatus of claim 11, wherein the covered portion of the first working electrode is disposed proximal to the uncovered portion of the first operating electrode, The covered portion of the second working electrode is disposed proximal to the covered portion of the first working electrode. The electrochemical sensor according to claim 1, further comprising an integral lance at the distal end of the lance. 8. The electrochemical sensor of claim 7, further comprising an integral lance at the distal end of the electrochemical sensor.

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