US20150176049A1 - Determining usability of analytical test strip - Google Patents

Determining usability of analytical test strip Download PDF

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Publication number
US20150176049A1
US20150176049A1 US14/139,747 US201314139747A US2015176049A1 US 20150176049 A1 US20150176049 A1 US 20150176049A1 US 201314139747 A US201314139747 A US 201314139747A US 2015176049 A1 US2015176049 A1 US 2015176049A1
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US
United States
Prior art keywords
reagent
test strip
analytical test
impedance
electrically
Prior art date
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Abandoned
Application number
US14/139,747
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English (en)
Inventor
David Elder
Raymond Welsh
David McColl
Prasanta PATI
Ryan Magennis
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Cilag GmbH International
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Cilag GmbH International
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Priority to US14/139,747 priority Critical patent/US20150176049A1/en
Assigned to CILAG GMBH INTERNATIONAL reassignment CILAG GMBH INTERNATIONAL ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: PATI, PRASANTA, ELDER, DAVID, MCCOLL, DAVID, WELSH, RAYMOND, MAGENNIS, RYAN
Priority to KR1020167019733A priority patent/KR20160102249A/ko
Priority to RU2016129749A priority patent/RU2016129749A/ru
Priority to PCT/EP2014/079040 priority patent/WO2015097173A1/en
Priority to EP14820871.3A priority patent/EP3087382A1/en
Priority to JP2016539251A priority patent/JP2016540984A/ja
Priority to CN201480070675.1A priority patent/CN105849541A/zh
Priority to CA2934566A priority patent/CA2934566A1/en
Priority to AU2014372603A priority patent/AU2014372603A1/en
Publication of US20150176049A1 publication Critical patent/US20150176049A1/en
Priority to US15/002,552 priority patent/US9879302B2/en
Abandoned legal-status Critical Current

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    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N27/00—Investigating or analysing materials by the use of electric, electrochemical, or magnetic means
    • G01N27/26—Investigating or analysing materials by the use of electric, electrochemical, or magnetic means by investigating electrochemical variables; by using electrolysis or electrophoresis
    • G01N27/28—Electrolytic cell components
    • G01N27/30—Electrodes, e.g. test electrodes; Half-cells
    • G01N27/327—Biochemical electrodes, e.g. electrical or mechanical details for in vitro measurements
    • G01N27/3271—Amperometric enzyme electrodes for analytes in body fluids, e.g. glucose in blood
    • G01N27/3272—Test elements therefor, i.e. disposable laminated substrates with electrodes, reagent and channels
    • C—CHEMISTRY; METALLURGY
    • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q1/00—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/26—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving oxidoreductase
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N27/00—Investigating or analysing materials by the use of electric, electrochemical, or magnetic means
    • G01N27/26—Investigating or analysing materials by the use of electric, electrochemical, or magnetic means by investigating electrochemical variables; by using electrolysis or electrophoresis
    • G01N27/28—Electrolytic cell components
    • G01N27/30—Electrodes, e.g. test electrodes; Half-cells
    • G01N27/327—Biochemical electrodes, e.g. electrical or mechanical details for in vitro measurements
    • G01N27/3271—Amperometric enzyme electrodes for analytes in body fluids, e.g. glucose in blood
    • G01N27/3273—Devices therefor, e.g. test element readers, circuitry
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/66—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving blood sugars, e.g. galactose

Definitions

  • the present invention relates, in general, to the field of analyte measurement and, in particular, to test meters and related methods for detecting error conditions of analytical test strips based on specified criteria.
  • the determination (e.g., detection or concentration measurement) of an analyte in a fluid sample is of particular interest in the medical field. For example, it can be desirable to determine glucose, ketone bodies, cholesterol, lipoproteins, triglycerides, acetaminophen or HbA1c concentrations in a sample of a bodily fluid such as urine, blood, plasma or interstitial fluid. Such determinations can be achieved using a hand-held test meter in combination with analytical test strips (e.g., electrochemical-based analytical test strips).
  • Analytical test strips generally include a sample chamber (also referred to herein as an “analyte chamber”) for maintaining a liquid analyte, e.g., whole blood, in contact with two or more electrodes. Analytes can then be determined electrochemically using signals conveyed by the electrodes.
  • a sample chamber also referred to herein as an “analyte chamber”
  • analyte chamber for maintaining a liquid analyte, e.g., whole blood
  • test meters are used to make care decisions relating to medical conditions, it is desirable that these devices measure with as much accuracy and precision as possible.
  • conventional reagents used on analytical test strips can be affected by environmental conditions. For example, a measurement can be affected by the moisture content of the reagent, which is correlated with the relative humidity of the atmosphere around the analytical test strip. It is therefore desirable to measure the effect of humidity to notify a user in advance of obtaining an analyte reading if such an inaccuracy may be present.
  • FIG. 1 is a simplified depiction of a system according to an embodiment of the present invention
  • FIG. 2 is an exploded view of an exemplary test strip 150 and a schematic of related components
  • FIG. 3 is a flow diagram depicting stages in an exemplary method for determining usability of an analytical test strip inserted in a hand-held test meter;
  • FIGS. 4A and 4B show experimental data of a tested analytical test strip with a reagent
  • FIG. 5 is a flow diagram depicting stages in an exemplary method for the determination of an analyte in a bodily-fluid sample.
  • the terms “about” or “approximately” for any numerical values or ranges indicate a suitable dimensional tolerance that allows the part or collection of components to function for its intended purpose as described herein.
  • the term “in”, as used throughout this description, does not necessarily require that one component or structure be completely contained within another, unless otherwise indicated.
  • portable test meters for use with an analytical test strip in the determination of an analyte (such as glucose) in a bodily-fluid sample (i.e., a whole blood sample)
  • analyte such as glucose
  • a bodily-fluid sample i.e., a whole blood sample
  • portable test meters include a circuit and a processor configured to apply an AC waveform across a sample chamber of the test strip and measure the impedance of a reagent disposed on the strip while applying the waveform. This permits accurately determining whether reagent moisture is likely to affect an electrochemical measurement taken using the reagent.
  • Hand-held test meters are beneficial in that they provide a qualitative determination of test strip usability. For example, the detection of an unusually low resistance can indicate that the reagent is moist. It is desirable to avoid using such test strips, since the moisture may reduce the accuracy of the results.
  • a problem solved by various embodiments is to determine the moisture content of a reagent.
  • Various embodiments discussed herein can readily be incorporated by one of sufficient skill into a hand-held test meter.
  • a test meter that can be suitably configured is the commercially available OneTouch® Ultra® 2 glucose meter from LifeScan Inc. (Milpitas, Calif.). Additional examples of hand-held test meters that can also be modified are described in U.S. Patent Application Publication Nos. 2007/0084734 (published on Apr. 19, 2007) and 2007/0087397 (published on Apr. 19, 2007) as well as International Publication Number WO2010/049669 (published on May 6, 2010), incorporated by reference in their entirety.
  • Control test strips were stored at room temperature in a vial.
  • Experimental test strips were stored in an environmental chamber at 30° C. and 90% relative humidity (RH) for approximately 1.5 hours.
  • Glucose assays were performed using a control solution in each group of test strips. The assay was conducted using a conventional hand-held blood-glucose test meter. The experimental test strips were tested directly after removal from the environmental chamber. The results were as given in Table 1.
  • FIG. 1 shows an exemplary system 10 for determining usability of an analytical test strip 150 .
  • the system 10 can determine whether the test strip 150 has a reagent 171 that has absorbed moisture.
  • the system 10 includes the analytical test strip 150 having two spaced-apart detection electrodes 151 , 152 connected in series with a sample chamber 140 .
  • the sample chamber 140 is adapted to receive a fluid sample.
  • the reagent 171 is arranged at least partly in the sample chamber 140 , and the detection electrodes 151 , 152 are in contact with the reagent 171 .
  • the reagent 171 has an impedance that varies with moisture content.
  • An example of the sample chamber 140 is an electrochemical sample cell, as discussed below with reference to FIG. 2 .
  • the sample chamber 140 can have a volume ranging, e.g., from about 0.1 microliters to about 5 microliters, or about 0.2 microliters to about 3 microliters, or about 0.3 microliters to about 1 microliter.
  • the herein described system 10 also includes a test meter 100 adapted to receive the analytical test strip 150 .
  • the test meter 100 has an impedance-measurement circuit 190 configured to apply an alternating-current (AC) waveform across the reagent 171 via the detection electrodes 151 , 152 and concurrently measure an impedance of the reagent 171 .
  • the test meter 100 also includes a processor 186 configured to automatically determine whether the measured impedance of the reagent 171 meets a selected dryness criterion.
  • the selected dryness criterion can be stored, e.g., in a memory block 118 .
  • the selected dryness criterion is an impedance of about 00 to about 1 M ⁇ and the impedance-measurement circuit 190 is configured to apply the AC waveform at a frequency of about 10 kHz, or at a frequency in the range from about 1 kHz to about 100 kHz.
  • the AC waveform can have an amplitude of about 50 mVrms to about 500 mVrms.
  • the test meter 100 further includes a user interface 189 including, e.g., a display 181 and one or more user interface buttons 180 .
  • the processor 186 is configured to, if the measured impedance does not meet the selected dryness criterion, present an error indication via the user interface 189 .
  • the error indication can, e.g., request the user to insert a new test strip 150 , or request the user to check the package of test strips and make sure it has not expired or been punctured, or inform the user that measurements may have reduced accuracy due to a high moisture level in the reagent 171 .
  • the display 181 can be, for example, a liquid crystal display or a bi-stable display configured to show a screen image.
  • the exemplary screen image shown in FIG. 1 provides indications of glucose concentration (“120”) and of date and time (“3/14/15 8:30 am”), as well as a units indication (“mg/dL”).
  • the display 181 can also present error messages or instructions to a user on how to perform a test (analyte determination).
  • the impedance-measurement circuit 190 includes a voltage supply, e.g., an AC voltage source 191 , configured to apply the alternating-current waveform.
  • the voltage supply can be controlled by the processor 186 .
  • the AC voltage source 191 includes a low-pass filter that receives a square wave from the processor 186 and provides a filtered voltage that is closer to a sinusoid as a result of the filtering.
  • Exemplary low-pass filters for this purpose can include fourth-order filters, multiple feedback low pass filters, and Sallen and Key low pass filters.
  • the impedance-measurement circuit 190 can further include a transimpedance amplifier configured to detect a current through the reagent while the alternating-current waveform is applied.
  • the AC voltage source 191 is connected to the detection electrode 151 .
  • the transimpedance amplifier in the impedance-measurement circuit 190 includes a resistor 192 in series between the detection electrode 152 and the AC voltage source 191 .
  • the voltage across the resistor 192 is directly proportional to the current through the AC voltage source 191 and the detection electrodes 151 , 152 .
  • An amplifier 193 amplifies the voltage across the resistor 192 to provide a voltage signal to the processor 186 that is representative of current through the detection electrodes 151 , 152 .
  • the test meter 100 can be a hand-held test meter for use with an analytical test strip 150 in the determination of at least one analyte in a bodily-fluid sample.
  • the exemplary test meter 100 can include a housing 104 and a strip port connector (SPC) 106 that is configured to receive the analytical test strip 150 , which is inserted into a port of the housing 104 .
  • the SPC 106 can include spring contacts arranged so that the test strip 150 can be slid into the SPC 106 to electrically connect the spaced-apart detection electrodes 151 , 152 of the received analytical test strip 150 with the impedance-measurement circuit 190 or other components of the test meter 100 .
  • the SPC 106 can also or alternatively include pogo pins, solder bumps, pin or other receptacles, jacks, or other devices for selectively and removably making electrical connections.
  • the impedance-measurement circuit 190 can thus apply the alternating-current waveform via the SPC 106 .
  • the test meter 100 can also include other electronic components (not shown) for applying test voltages or other electrical signals to the analytical test strip 150 , and for measuring an electrochemical response (e.g., plurality of test current values) and determining an analyte based on the electrochemical response.
  • an electrochemical response e.g., plurality of test current values
  • the figures do not depict all such electronic circuitry. Exemplary circuits for measuring electrochemical responses are discussed in greater detail in a later portion of this description with reference to FIG. 2 .
  • the processor 186 is disposed within the housing 104 .
  • the processor 186 can be adapted to detect the fluid sample in the sample chamber 140 and subsequently cause the impedance-measurement circuit 190 to apply the excitation voltage signal.
  • the processor 186 can include any suitable microcontroller or micro-processor known to those of skill in the art.
  • One exemplary microcontroller is an MSP430F5138 microcontroller that is commercially available from Texas Instruments, Dallas, Tex. USA.
  • the processor 186 can include, e.g., a field-programmable gate array (FPGA) such as an ALTERA CYCLONE FPGA, a digital signal processor (DSP) such as a Texas Instruments TMS320C6747 DSP, or another suitable processing device adapted to carry out various algorithm(s) as described herein, e.g., flowcharts or blocks shown in FIGS. 3 and 5 .
  • the processor 186 can include signal-generation and signal-measurement functions, e.g., D/A converters, pulse-train generators, or A/D converters.
  • the memory block 118 of the hand-held test meter 100 includes one or more storage device(s), e.g., a code memory (such as random-access memory, RAM, or Flash memory) for storing, e.g., program firmware or software; a data memory (e.g., RAM or fast cache); or a disk (such as a hard drive).
  • Computer program instructions to carry out suitable algorithm(s), e.g., those shown in FIGS. 3 and 5 are stored in one of those device(s).
  • the memory block 118 can also or alternatively be incorporated in the processor 186 .
  • a Flash or other nonvolatile memory in the memory block 118 can also contain, e.g., graphics to be displayed on the display 181 , text messages to be displayed to a user, calibration data, user settings, or algorithm parameters.
  • FIG. 2 is an exploded view of an exemplary test strip 150 and a schematic of related components. Additional details of various exemplary test strips and measurement methods are provided in US Patent Application Publication No. 2007/0074977 and U.S. Pat. No. 8,163,162, each of which is incorporated herein by reference in its entirety.
  • the exemplary test strip 150 includes a sample electrode 253 arranged at least partly in the sample chamber 140 , and the detection electrodes 151 , 152 .
  • the exemplary sample electrode 253 is electrically insulated from the detection electrodes 151 , 152 , e.g., by an electrically-insulating spacer 235 arranged between the sample electrode 253 and the detection electrodes 151 , 152 .
  • the sample chamber 140 can be formed by removing a portion of the spacer 235 , or by disposing two separated portions of the spacer 235 between the first and second electrodes 151 , 152 .
  • the electrodes 151 , 152 , 253 can be arranged spaced apart in a facing or opposing faced arrangement, or in other coplanar or non-coplanar configurations.
  • the detection electrodes 151 , 152 are laterally adjacent to each other and are arranged on the opposite side of the sample chamber 140 from the sample electrode 253 .
  • the electrodes 151 , 152 , 253 include conductive thin films formed from materials such as gold, palladium, carbon, silver, platinum, tin oxide, iridium, indium, and combinations thereof (e.g., indium-doped tin oxide or “ITO”). Electrodes can be formed by disposing a conductive material onto electrically-insulating layers 225 , 215 by a sputtering, electroless plating, thermal evaporation, or screen printing process. Suitable materials that can be employed in the electrically-insulating layers 215 , 225 or the spacer 235 include, for example, plastics (e.g.
  • the sample electrode 253 is a sputtered gold electrode disposed over the electrically-insulating layer 215
  • the detection electrodes 151 , 152 are sputtered palladium electrodes disposed over the electrically-insulating layer 225 .
  • the detection electrodes 151 , 152 can be deposited separately, or can be formed by, e.g., scribing or etching an isolation channel 226 to separate a deposited film into separate electrodes 151 , 152 .
  • the isolation channel 226 can be scribed into a gold layer, a palladium layer, or another conductor.
  • the analytical test strip 150 can be used by a patient or healthcare provider in various ways. For example, once the analytical test strip 150 is interfaced with the hand-held test meter 100 , FIG. 1 , or prior thereto, a fluid sample (e.g., a whole blood sample or a control-solution sample) can be introduced into the sample chamber 140 of the analytical test strip 150 .
  • the analytical test strip 150 can include enzymatic reagents 171 that selectively and quantitatively transform an analyte in the fluid sample into another predetermined chemical form.
  • the analytical test strip 150 can be an electrochemical-based analytical test strip configured for the determination of glucose in a whole blood sample.
  • Such a test strip 150 can include the enzymatic reagent 171 configured in the sample chamber such that the electrochemical response represents a glucose level in the fluid sample.
  • the reagent 171 can include ferricyanide and glucose oxidase so that glucose can be physically transformed into an oxidized form. Movement of charge during this oxidation and related reactions provides a current that can be measured to determine the amount of glucose present in the fluid sample.
  • the test meter 100 includes an analyte measurement circuit 290 .
  • the processor 186 is further configured to, if the measured impedance of the reagent does meet the dryness criterion, detect the presence of the fluid sample in the sample chamber 140 of the received analytical test strip 150 .
  • the processor 186 can be further configured to, based upon (e.g., in response to) the detection, operate the analyte measurement circuit to apply a testing waveform across the fluid sample and measure a resulting electrochemical response.
  • the analyte measurement circuit 290 is electrically connected to the sample electrode and at least one of the spaced-apart detection electrodes, e.g., via the SPC 106 , FIG. 1 .
  • the analyte measurement circuit 290 includes the impedance measurement circuit 190 , FIG. 1 , or uses components of the impedance measurement circuit 190 such as the AC voltage source 191 and the amplifier 193 , both FIG. 1 .
  • the AC voltage source 191 or 291 can be shorted or bridged to provide a conductive path between the sample electrode 253 and a reference potential, e.g., ground, during analyte measurement.
  • the analyte measurement circuit 290 can be configured to provide the testing waveform including an AC waveform, a DC level, or a waveform combining AC and DC waveform(s).
  • a voltage source 291 supplies an AC waveform to the sample electrode 253 , e.g., via a contact 263 of the strip port connector 106 , FIG. 1 .
  • a transimpedance amplifier 293 is connected to one or both of the detection electrodes 151 , 152 , e.g., via respective contacts 261 , 262 of the strip port connector 106 .
  • the voltage source 291 can alternatively be connected to the detection electrode(s) 151 , 152 and the transimpedance amplifier 293 can be connected to the sample electrode 253 .
  • a switch 294 can be provided for selectively shorting the contacts 261 , 262 . Closing the switch 294 permits a single input to the transimpedance amplifier 293 to be used to measure current traveling through both of the detection electrodes 151 , 152 .
  • the processor 186 can operate the voltage source 291 and receive data from the transimpedance amplifier 293 .
  • the processor 186 can use information stored in the memory block 118 , FIG. 1 , in determining an analyte, e.g., in determining a blood glucose concentration, based on the electrochemical response of analytical test strip.
  • the memory block 118 can store calibration tables to adjust for electrical parasitics on the test strip 150 .
  • the test meter 100 includes two presence-detect contacts 265 , 266 configured to electrically contact a selected one of the detection electrodes 151 , 152 of the received analytical test strip 150 .
  • the test meter 100 or a component thereof (e.g., the impedance-measurement circuit 190 ), includes a presence-detection circuit 285 configured to detect electrical continuity between the two presence-detect contacts.
  • the processor 186 in this exemplary embodiment is further configured to automatically cause application of the alternating-current waveform subsequent to detection of the electrical continuity. Electrical continuity can be detected when the DC resistance between the presence-detect contacts 265 , 266 drops below a selected threshold, e.g., 100 ⁇ .
  • the threshold can be selected based on the resistivity of one or both of the electrodes 151 , 152 . Although this particular example shows the presence-detect contacts 265 , 266 electrically connected through the detection electrode 152 , electrical connection can also or alternatively be made through the detection electrode 151 , the sample electrode 253 , or another electrode or conductive area of the test strip 150 .
  • the processor 186 is programmed to sleep or otherwise enter a low-power-draw state when the test meter 100 is not in use by a patient.
  • the presence-detection circuit 185 can be connected to an interrupt or wakeup (“INT”) pin of the processor 186 to wake up the processor 186 when continuity is detected.
  • INT interrupt or wakeup
  • the presence-detection circuit 285 includes a pullup resistor 287 (e.g., a resistor wired at one end to a voltage supply) and a current sink 288 (e.g., ground, or a voltage supply with a voltage lower than the voltage of the voltage supply of the pullup resistor 287 ).
  • a voltage or current source or other circuit for maintaining the voltage of a node within a selected range can be used in place of the pullup resistor 287 .
  • a pulldown resistor or circuit and a voltage source can alternatively be used.
  • the presence-detection circuit 285 further includes a switch 284 (here, a double-pole, single-throw switch) for selectively electrically isolating at least one of the two presence-detect contacts 265 , 266 from the received analytical test strip 150 when open, and the processor 186 is further configured to automatically cause opening of the switch 284 after the impedance of the reagent 171 is measured. This advantageously reduces noise on the analyte measurement that might otherwise be introduced by, e.g., the pullup resistor 287 .
  • the test meter 100 can apply a test potential or current, e.g., a constant current, between the sample electrode 253 and one or both of the detection electrodes 151 , 152 .
  • a constant DC current can be applied into the sample chamber 140 , and the voltage across the sample chamber 140 can be monitored.
  • AC signals as described herein, can be measured before the sample chamber 140 has filled with fluid, or after the sample chamber 140 has filled with fluid.
  • the reagent 171 can be disposed within the sample chamber 140 using a process such as slot coating, coating by dispensing liquid from the end of a tube, ink jetting, and screen printing.
  • a process such as slot coating, coating by dispensing liquid from the end of a tube, ink jetting, and screen printing.
  • Such processes are described, for example, in U.S. Pat. Nos. 6,676,995; 6,689,411; 6,749,887; 6,830,934; and 7,291,256; in U.S. Patent Application Publication No. 2004/0120848; and in PCT Application Publication No. WO/1997/018465 and U.S. Pat. No. 6,444,115, each of which is incorporated herein in relevant part by reference.
  • Suitable mediators in the reagent 171 include ferricyanide, ferrocene, ferrocene derivatives, osmium pipyridyl complexes, and quinone derivatives.
  • Suitable enzymes in the reagent 171 include glucose oxidase, glucose dehydrogenase (GDH) based on pyrroloquinoline quinone (PQQ) co-factor, GDH based on nicotinamide adenine dinucleotide (NAD) co-factor, and FAD-based GDH (EC 1.1.99.10).
  • the electrochemical-based analytical test strip 150 includes an electrically-insulating bottom layer 225 .
  • a patterned electrically-conductive layer (e.g., including the detection electrodes 151 , 152 ) is disposed on the electrically insulating bottom layer 225 .
  • the patterned electrically-conductive layer includes a first patterned portion (e.g., the detection electrode 151 ) and a second patterned portion (e.g., the detection electrode 152 ).
  • An enzymatic reagent layer (e.g., the reagent 171 ) is disposed on the first patterned portion (e.g., the detection electrode 151 ), the second patterned portion (e.g., the detection electrode 152 ) and the electrically-insulating bottom layer 225 such that the enzymatic reagent layer bridges the first patterned portion (e.g., the detection electrode 151 ) and the second patterned portion (e.g., the detection electrode 152 ).
  • a patterned spacer layer (e.g., the spacer 235 ) is arranged over the patterned electrically-conductive layer.
  • a top electrically conductive layer (e.g., the sample electrode 253 ) is arranged over the spacer 235 .
  • An electrically-insulating top layer 215 is arranged over the top electrically conductive layer (e.g., the sample electrode 253 ).
  • the terms “top” and “bottom” do not constrain the orientation of the test strip 150 during manufacturing or use, but are used for clarity of explanation.
  • FIG. 3 is a flow diagram depicting stages in a method for determining usability of an analytical test strip inserted in a hand-held test meter.
  • the steps can be performed in any order except when otherwise specified, or when data from an earlier step is used in a later step.
  • processing begins with step 310 .
  • FIGS. 1 and 2 can carry out or participate in the steps of exemplary method(s). It should be noted, however, that other components can be used; that is, exemplary method(s) shown in FIG. 2 are not limited to being carried out by the identified components.
  • An exemplary method includes performing below-described steps using the processor 186 and at least one electrical circuit of the test meter, e.g., the impedance-measurement circuit 190 .
  • step 310 an alternating-current waveform is applied across a reagent 171 of the inserted analytical test strip 150 and a first electrical signal is measured. This can be performed by the processor 186 commanding and receiving data from the impedance-measurement circuit 190 , as discussed above with reference to FIGS. 1 and 2 .
  • step 320 the processor 186 determines whether the inserted analytical test strip 150 meets a selected dryness criterion based on the first electrical signal. This can be as discussed above. If so, step 330 is next. If not, step 360 is next.
  • step 330 the inserted analytical test strip 150 meets the selected dryness criterion.
  • a fluid sample is detected in a sample chamber of the inserted analytical test strip. This can be done, e.g., by applying a constant current across the sample chamber 140 as described above, or in other ways.
  • Step 340 is next.
  • step 340 a voltage signal is applied across the detected fluid sample in the sample chamber and a second electrical signal is measured.
  • the second electrical signal is mediated by the reagent. Examples are given above with respect to oxidation of glucose. Step 350 is next.
  • a physiological property of the fluid sample e.g., blood glucose level or hematocrit
  • the physiological property can be determined using, e.g., the change in phase or magnitude from the voltage signal to the second electrical signal.
  • the reagent is configured so that the second electrical signal represents a blood glucose level in the fluid sample.
  • step 360 the processor 186 automatically presents an error indication via the user interface 189 .
  • Step 360 can include automatically computing or rendering a visual representation of the error indication and displaying the visual representation on the display 181 , FIG. 1 .
  • FIGS. 4A and 4B show experimental data of a tested analytical test strip 150 with a reagent 171 .
  • FIG. 4A shows measured resistance in k ⁇ as a function of measurement frequency in Hz.
  • FIG. 4B shows measured capacitance in pF as a function of measurement frequency (Hz).
  • the tests that produced the illustrated results were carried out in a thermal chamber at 30° C. and 90% RH.
  • the resistance (not shown in FIG. 4A ) was 10 M ⁇ .
  • the moist test strip 150 showed a decrease of resistance ( FIG. 4A ) and a decrease of capacitance ( FIG. 4B ).
  • both resistance and capacitance have significantly reduced values at 10 kHz compared to 100 Hz.
  • Subsequent measurements outside the 90% RH condition demonstrated that AC impedance rose as the strip dried out.
  • test strips 150 were also performed on a control test strip that did not have a reagent.
  • both of the test strips 150 showed a resistance of approx 6 M ⁇ at 10 kHz.
  • the experimental test strip 150 showed resistance above the limit of the ohmmeter and approx 156 pF capacitance. This capacitance was determined to be the result of the test setup.
  • Characterization measurements similar to those shown in FIGS. 4A and 4B can be collected and processed or analyzed to determine the dryness criterion and alternating-current waveform frequency for a selected design of the test strip 150 .
  • the threshold can be chosen according to the resistivity of the detection electrodes 151 , 152 . In an example, the threshold can be higher for detection electrodes 151 , 152 including carbon conductors than for detection electrodes 151 , 152 including sputtered Pd conductors.
  • the geometry of the sample chamber 140 and the reagent 171 are constrained by the analyte measurement to be performed.
  • the threshold can be selected for the test strip 150 conforming to those constraints on geometry.
  • the geometry of the test strip 150 can be selected to provide desired thresholds. For example, the width of the isolation channel 226 can be selected wider to increase AC impedance or narrower to decrease AC impedance.
  • FIG. 5 is a flow diagram depicting stages in an exemplary method for the determination of an analyte in a bodily-fluid sample. The steps can be performed in any order, with exceptions noted above. In at least one example, processing begins with step 510 . As discussed above, various components can be used in carrying out the exemplary method. The below-described steps can be carried out using the processor 186 and at least one electrical circuit of the test meter, e.g., the impedance-measurement circuit 190 .
  • step 510 it is ascertained whether an enzymatic reagent layer of an electrochemical-based analytical test strip has been exposed to a predetermined humidity level by measuring an electrical characteristic of the enzymatic reagent layer.
  • the electrochemical-based analytical test strip has an electrically-insulating bottom layer; a patterned electrically-conductive layer disposed on the electrically insulating bottom layer and including a first patterned portion and a second patterned portion; an enzymatic reagent layer disposed on the first patterned portion, the second patterned portion and the electrically-insulating bottom layer such that the enzymatic reagent layer bridges the first patterned portion and the second patterned portion; a patterned spacer layer; a top electrically conductive layer; and an electrically-insulating top layer.
  • the bodily-fluid sample is applied to the electrochemical-based analytical test strip.
  • the sample chamber 140 can be filled with the bodily-fluid sample.
  • the analyte (e.g., blood glucose level, or another physiological property) is determined based on an electrochemical response of the electrochemical-based analytical test strip.
  • the electrochemical response can be mediated by the reagent 171 .
  • the analyte can be determined, e.g., by measuring a current through the sample electrode 253 and one or both of the detection electrodes 151 , 152 as the analyte reacts with the reagent 171 .
  • Other ways of determining analytes are described, e.g., in the above-referenced patent documents.
  • Analyte determination can be performed, e.g., using AC, DC, or combined waveforms; by applying voltages or currents; and by measuring currents, voltages, or impedances, any of which can be real- or complex-valued.
  • an AC excitation waveform can be applied across the sample chamber 140 and AC measurements can be taken at one or more signal phase(s) with respect to the AC excitation waveform.
  • Using various methods, devices or systems described herein advantageously permits determining moisture content of the reagent 171 on the analytical test strip 150 , FIG. 1 .
  • Various aspects permit notifying the user before a measurement is taken using a test strip that may be inaccurate due to the moisture content of the reagent 171 .
  • Technical effects of various aspects including transducing moisture content into an electrical signal; quantitatively transforming an analyte in the fluid sample into another predetermined chemical form; carrying out an electrochemical reaction to permit measuring the analyte in the fluid sample; and computing and presenting visible representations informing a user that the test strip 150 is too moist.

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US14/139,747 US20150176049A1 (en) 2013-12-23 2013-12-23 Determining usability of analytical test strip
AU2014372603A AU2014372603A1 (en) 2013-12-23 2014-12-22 Determining usability of analytical test strip
EP14820871.3A EP3087382A1 (en) 2013-12-23 2014-12-22 Determining usability of analytical test strip
RU2016129749A RU2016129749A (ru) 2013-12-23 2014-12-22 Определение пригодности к использованию аналитической тест-полоски
PCT/EP2014/079040 WO2015097173A1 (en) 2013-12-23 2014-12-22 Determining usability of analytical test strip
KR1020167019733A KR20160102249A (ko) 2013-12-23 2014-12-22 분석 검사 스트립의 유용성의 결정
JP2016539251A JP2016540984A (ja) 2013-12-23 2014-12-22 分析用検査ストリップの有用性の判定
CN201480070675.1A CN105849541A (zh) 2013-12-23 2014-12-22 确定分析测试条的可用性
CA2934566A CA2934566A1 (en) 2013-12-23 2014-12-22 Determining usability of analytical test strip
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