WO2000078992A2 - Mass transport limited in vivo analyte sensor - Google Patents

Mass transport limited in vivo analyte sensor Download PDF

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Publication number
WO2000078992A2
WO2000078992A2 PCT/US2000/016773 US0016773W WO0078992A2 WO 2000078992 A2 WO2000078992 A2 WO 2000078992A2 US 0016773 W US0016773 W US 0016773W WO 0078992 A2 WO0078992 A2 WO 0078992A2
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WO
WIPO (PCT)
Prior art keywords
sensor
edge
layer
sensing layer
analyte
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Ceased
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PCT/US2000/016773
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English (en)
French (fr)
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WO2000078992A3 (en
Inventor
James Say
Michael F. Tomasco
Henning Sakslund
Jay D. Audett
Hyun Cho
Duane O. Yamasaki
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Therasense Inc
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Therasense Inc
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Priority to AU57471/00A priority Critical patent/AU5747100A/en
Priority to JP2001505732A priority patent/JP4801301B2/ja
Priority to EP00942919A priority patent/EP1192269A2/en
Publication of WO2000078992A2 publication Critical patent/WO2000078992A2/en
Publication of WO2000078992A3 publication Critical patent/WO2000078992A3/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
    • A61B5/1468Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using chemical or electrochemical methods, e.g. by polarographic means
    • A61B5/1486Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using chemical or electrochemical methods, e.g. by polarographic means using enzyme electrodes, e.g. with immobilised oxidase
    • A61B5/14865Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using chemical or electrochemical methods, e.g. by polarographic means using enzyme electrodes, e.g. with immobilised oxidase invasive, e.g. introduced into the body by a catheter or needle or using implanted sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
    • A61B5/1468Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using chemical or electrochemical methods, e.g. by polarographic means
    • A61B5/1486Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using chemical or electrochemical methods, e.g. by polarographic means using enzyme electrodes, e.g. with immobilised oxidase
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING 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
    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/001Enzyme electrodes
    • C12Q1/002Electrode membranes
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING 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
    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/001Enzyme electrodes
    • C12Q1/005Enzyme electrodes involving specific analytes or enzymes
    • C12Q1/006Enzyme electrodes involving specific analytes or enzymes for glucose
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S977/00Nanotechnology
    • Y10S977/902Specified use of nanostructure
    • Y10S977/904Specified use of nanostructure for medical, immunological, body treatment, or diagnosis
    • Y10S977/925Bioelectrical

Definitions

  • the invention relates to electrochemical analyte sensors, and more particularly to in vivo electrochemical analyte sensors.
  • Subcutaneous glucose sensors based on hydrogen peroxide generation and its electrooxidation are known, for example, as described by David Gough in U.S. Patents Nos. 4,484,987, 4,671,288, 4,890,620, 4,703,756, 4,650,547 and in Diabetes Care, vol. 5, No. 3, May-June 1982, Part 1, pp. 190-198.
  • enzymes e.g., glucose oxidase
  • a core problem of these sensors is that the signal in such sensors is heavily dependent on a stoichiometrically adequate supply of oxygen to the sensing layer. Often, there is a relatively low concentration of oxygen in the sensing environment, as compared to glucose, which results in oxygen-dependence of the sensor.
  • the invention is directed to an electrochemical sensor including a working electrode, and an analyte-responsive sensing layer proximate the working electrode.
  • the sensing layer is exposed at or near an edge of the sensor, where the sensor signal is limited, at least in part, by mass transport of analyte to the sensing layer.
  • the sensor is configured and arranged for implantation into the body of a mammal for contact with body fluids of the mammal.
  • the analyte diffuses to the sensing layer via the edge of the sensor, thereby restricting mass transport of the analyte to the sensing layer. This is because the solution-contacting surface area of the sensor edge is much smaller than an open face of the sensing layer.
  • the edge is a peripheral edge of the sensor, for example a distal edge of the sensor. In other embodiments, the edge is a side edge of the sensor. In yet other embodiments, the sensor defines a channel having an inner peripheral surface extending into the sensor, and the edge is defined by at least a portion of the inner peripheral surface of the channel.
  • the geometry of the sensor can be any of a broad variety of shapes, but in some embodiments the sensor is planar, and in other embodiments, the sensor is cylindrical.
  • the senor includes a base layer and a top layer, and the sensing layer is at least partially disposed between the base layer and the top layer.
  • the base layer and the top layer are impervious to the analyte.
  • the top layer is oxygen permeable.
  • the sensor includes a sensor body having an edge, and the analyte-responsive sensing layer is disposed within the sensor body and is exposed at the edge of the sensor body. In at least some embodiments, the sensor body is impervious to analyte.
  • sensors developed in accordance with the invention are intended for use in the subcutaneous glucose monitoring system described in U.S. Patent Application Serial No. 09/070,677, incorporated herein by reference, although they can be used with other devices and for monitoring other analytes in other parts of the body.
  • Fig. 1 is a perspective view of an analyte sensor in accordance with one embodiment of the invention.
  • Fig. 2 is a perspective view of an analyte sensor in accordance with another embodiment of the invention.
  • Fig. 3 is a perspective view of an analyte sensor in accordance with another embodiment of the invention.
  • Fig. 4 is a perspective view of an analyte sensor in accordance with another embodiment of the invention.
  • Fig. 5 shows a calibration curve of the sensors of Example 1, before and after the 23 hour operation of the sensors.
  • Fig. 6 show a graph indicating the one day stability of the sensors of Example 1.
  • Fig. 7 shows a calibration curve of the sensor of Example 2, before the 43 hour operation of the sensors.
  • Fig. 8 shows a calibration curve of the sensors of Example 2, after the 43 hour operation of the sensors.
  • Fig. 9 shows a graph indicating the decline in signal of the sensors during the 43 hour experiment of Example 2.
  • Fig. 10 shows a graph indicating the decline in signal of the sensors during the experiment of Examples 3 and 4.
  • Fig. 11 shows a calibration curve of the sensors of Example 3 and 4, before the stability experiments of Examples 3 and 4.
  • Fig. 12 shows a calibration curve of the sensors of Example 3 and 4, after the stability experiments of Examples 3 and 4.
  • Fig. 13 shows a calibration curve of the sensors of Example 5, before the stability experiments of Examples 5.
  • Fig. 14 shows a calibration curve of the sensors of Example 5, after the stability experiments of Examples 5.
  • Fig. 15 shows a graph indicating the decline in signal of the sensors during the experiment of Examples 5.
  • Fig. 16 is a perspective view of an analyte sensor in accordance with another embodiment of the invention.
  • FIG. 1 The structure of the subcutaneously implanted portion of one embodiment of a sensor 100 is shown schematically in Figure 1.
  • the drawing is not to scale.
  • the portion of the sensor 100 containing the contact pads (not shown) for the electrodes 104 and 108, which sits on the skin of a user, is not shown but can be the same as that disclosed in U.S. Patent Application Serial No. 09/070,677.
  • the sensor 100 includes a sensor body 101 having a top surface 111, a bottom surface 113, side edges 128 and 130, a distal edge 124, and a proximal end 120. The side edges 128 and 130 and the distal edge 124 are considered peripheral edges of the sensor body.
  • the body also includes a working electrode 104, a reference/counter electrode 108, and a sensing layer 134.
  • the sensor 100 includes a base layer 112 and a top layer 116.
  • the base layer 112 is typically a thin, polymeric sheet material that is biocompatible or whose external surface has a biocompatible coating.
  • the material is flexible. Suitable materials include, for example, polyesters and polyimides (e.g., KaptonTM). Other polymers are also suitable and known to those skilled in the art. Suitable thicknesses are, for example, between 50 ⁇ m and 250 ⁇ m, although thicker or narrower materials may be used.
  • the working electrode 104 is formed on the base layer 112 or the top layer 116.
  • Materials and processes for forming working electrodes 104 are known to those skilled in the art, including those materials and processes identified in U.S. Patent Application Serial No. 09/070,677 and U.S. Patent Application Serial No. 09/034,422, both of which are incorporated herein by reference.
  • Suitable materials for working electrodes 104 include, for example, carbon, gold, platinum, palladium and other non-corroding, conductive materials.
  • Suitable methods of depositing the conductive material include, for example, screen printing, ink jet printing, lithographic processes, sputtering, or any other method of forming a conductive film on a surface so that its components do not leach into the body, including those described, for example, in U.S. Patent Application Serial No. 09/034,422.
  • the conductive layer of the working electrode 104 terminates at a contact pad (not shown) for connection to an electronic measuring device (not shown).
  • the conductive layer of the working electrode 104 can completely cover the base layer 112 of the sensor 100, or it may only cover a portion of the base layer 112, as shown in Figure 1.
  • suitable widths for one embodiment of the working electrode 104 are no more than 500 ⁇ m, no more than 375 ⁇ m or no more than 250 ⁇ m, and suitable lengths between the electrochemically active portion of the sensor and the contact pad is 4 cm or less, or 2 cm or less.
  • the working electrode 104 reach at least one edge of the sensor body, preferably a peripheral edge. In the embodiment shown, the working electrode 104 reaches the distal edge 124 of the sensor body. It is also acceptable if the working electrode 104 is recessed from the edge 124, although in such a case care must be taken to ensure that the working electrode 104 is in contact with the body fluid to be analyzed either directly or through an analyte-permeable membrane. In other embodiments, it is acceptable that the working electrode 104 contact body fluids through a side edge or side edges 128 and 130 of the sensor 100 rather than through the distal tip edge 124. If all or a portion of the base layer 112 is itself conductive then the base layer 112 can serve as the working electrode.
  • sensing layers 134 are deposited, which transduce the analyte concentration into an electrical signal.
  • a suitable sensing layer 134 includes, for example, an enzyme hydrogel, e.g., a redox polymer, an enzyme, and a cross-linker.
  • Suitable sensing layers 134 include those described in U.S. Patent Application Serial Nos. 09/070,677, 08/795,767, and 09/295,962, and in U.S. Provisional Patent Application No. 60/165,565, which are all incorporated herein by reference.
  • the sensing chemistry be non-leachable, e.g., that no toxic, immunogenic or operationally essential materials (e.g., mediators or enzymes) leach out from the sensing layer 134 while it is implanted in the body.
  • a non-leachable layer may include, for example, enzyme and/or redox mediator that is immobilized on the sensor via crosslinking, entrapment or chemical bonding.
  • suitable sensing layer 134 thicknesses are less than 80 ⁇ m, less than 50 ⁇ m, or less than 20 ⁇ m when the sensing layer is hydrated.
  • the sensing layer 134 reach at least one edge of the sensor body, preferably a peripheral edge.
  • the sensing layer 134 reaches the edge such that it is exposed to the environment external to the sensor at the edge.
  • the sensing layer is exposed at the edge such that it can come in
  • the sensing layer 134 reaches the distal edge 124 and is exposed. It is also acceptable if the sensing layer 134 is recessed from the edge, although in such a case care must be taken to ensure that the sensing layer 134 is directly or through a permeable membrane, exposed and is able to make contact with the body fluid to be analyzed.
  • the top layer 116 is located above the sensing layer 134.
  • This material can be a polymeric sheet, similar to or identical to the base layer 112.
  • the top layer 116 can be a polymer film formed in situ.
  • Suitable top layers 116 that are formed in situ include UN curable polymers, elastomeric and silicone sealants, two part epoxies, pressure sensitive adhesives, polyurethanes, and water-based coatings such as polyacrylates.
  • the top layer 116 can cover most or all of the sensor 101 (except for the contact pads) or only the portion of the sensor near the sensing layer 134. It is desirable that the top layer 116 cover as much of the implanted portion of the working electrodes 104 as possible, other than at the sensing region edge.
  • the top layer 116 can allow passage of analyte or reactants (e.g., oxygen) through the top layer 116; more preferably, it can be impervious to the analyte.
  • analyte or reactants e.g., oxygen
  • the top layer 116 can be attached to the working electrode 104 or to the base layer 112 in a variety of ways known to those skilled in the art. The most preferred method utilizes a top layer 116 that itself adheres to the working electrode 104 or base layer 112. As examples, adhesives, glues, and chemical or heat bonding can be used for top layer 116 adhesion.
  • the sensor 100 typically includes a counter electrode, a reference electrode, or a combined counter/reference electrode 108.
  • a suitable counter/reference electrode 108 is a silver/silver chloride electrode.
  • the counter or counter/reference electrodes 108 can be placed on the skin using, for example, a silver/silver chloride EKG electrode.
  • the terms "counter electrode” and "reference electrode” include a combined counter/reference electrode.
  • Counter or reference electrodes may be formed using a variety of materials and processes known in the art, including those in U.S. Patent Application Serial No. 09/070,677 and U.S. Patent Application Serial No. 09/034,422. These materials and processes can be the same as those used to form the working electrode described above.
  • the counter electrode or reference electrode 108 can be located at a variety of sites on the sensor 100, so long as it is in contact with the body fluid.
  • a combined counter/reference electrode 108 is shown on the external surface of the top layer 116.
  • the counter or reference electrode can be on the external surface of the base layer, or even located on an interior portion of the top or base layers, so long as it is in contact with the body fluid and it is electrically insulated from the working electrode in the absence of a sample.
  • the analyte diffuses to the distal or leading edge 124 of the sensor 100.
  • the working electrode 104 and sensing layer 134 can be located at any position on the sensor 100 adjacent to an edge. This may be advantageous in order to reduce stresses and strains on the sensing edge 124 as the sensor 100 is inserted into the body or as it moves slightly in the body. For the same reason, it will be appreciated that the sensor shape need not be rectangular. Examples of suitable sensing positions include the side edges, recesses in the external perimeter of the sensor, or the edge of a hole made through the sensor that passes through the sensing layer and the working electrode.
  • an interferant eliminating layer having a peroxide-generating enzyme can be deposited near the entrance of the diffusion path, with the sensing layer behind it.
  • interferant eliminating layers are described in U.S. Patents Nos. 5,262,305 and 5,365,786, incorporated herein by reference.
  • Another approach to eliminate interferants is to have a two electrode sensor.
  • a first electrode at the diffusion path entrance is kept at a potential sufficiently high to electrolyze certain easily oxidizable interferants such as urate, ascorbate or acetaminophen.
  • a second electrode is located behind the first electrode and serves to measure the analyte concentration. No electrical path connects these two electrodes.
  • One approach to minimize the contribution of interferants to current is to select a redox polymer having an oxidation potential that precludes the oxidation of interferants such as acetaminophen or urate.
  • the invention solves a core problem of subcutaneous glucose sensors based on hydrogen peroxide generation and its electrooxidation, such as that described by David Gough in U.S. Patents Nos. 4,890,620, 4,703,756, 4,650,547 and in Diabetes Care, vol. 5, No. 3, May-June 1982, Part 1, pp. 190-198, all of which are hereby incorporated by reference.
  • this type of sensor the production of peroxide or consumption of oxygen by enzymes (e.g., glucose oxidase) is detected on a platinum electrode using an analyte mass transport limiting structure.
  • the problem relates to the relatively low concentration of oxygen, as compared to glucose, which results in oxygen-dependence of the sensor.
  • the sensors of Gough can be modified, according to the invention, to allow limited analyte flux to the sensing layer via the edge of the sensor and enhanced oxygen flux to the sensing layer via the top layer and through the sensor edge.
  • Oxygen smaller than glucose, will have enhanced diffusion through the sensing layer coating.
  • Analyte flux to the sensing layer can be limited by making the sensing layer very thin and thereby reducing the area of the solution-exposed edge.
  • Oxygen flux to the sensing layer via the top sheet material can be made high by utilizing an oxygen permeable, preferably elastomeric, top layer.
  • Such an arrangement would address a fundamental constraint on subcutaneous glucose sensors based on peroxide detection, namely the dependence of the signal on a stoichiometrically adequate supply of oxygen to the sensing layer. Oxygen can now diffuse rapidly through the top elastomer layer.
  • An example of a structure would include a platinum-group metal-comprising carbon film on the base layer; a thin (1-5 ⁇ m thick) layer of crosslinked enzyme (e.g. glucose oxidase) on the platinized carbon; and an oxygen-permeable polysiloxane or other elastomer coating on the
  • Such a sensor may be significantly easier to manufacture than the sensor of Gough, as well as smaller.
  • the sensor 200 includes a sensor body 201 having a top surface 211, a bottom surface 213, side edges 228 and 230, a distal edge 224, and a proximal end 220.
  • the body 201 also includes a working electrode 206, a counter/reference electrode 208, and a sensing layer 234.
  • the working electrode 206 and the sensing layer 234 are still located at an "edge" 225 of the sensor 200, but a channel 250 is formed in the sensor 200 to define an edge 225 that is actually located inside the body of the sensor 200.
  • the base layer 212 and the top layer 216 are generally the same as those described above. They are separated by a spacer 214 which is adhered, glued or bonded to the top 212 and base layers 216.
  • the spacer and adhesive can be combined into a single layer, for example, by using a double-sided adhesive as a spacer.
  • a channel 250 is formed in the spacer 214.
  • the channel 250 can pass entirely through the sensor 200, as shown, or have only one opening and pass only part of the way through the sensor.
  • the channel 250 is designed to permit body fluid to pass into the channel 250 and contact the edge 225.
  • the working electrode 206 and the sensing layer 234 are generally the same as those described above and are exposed at the edge 225 such that they can be in contact with fluid at the edge 225 in the channel 250.
  • the counter and reference electrodes 208 are generally the same as those described above, and may be located at a variety of positions. In addition to those described above, the positions include positions within the channel 250 that are electrically isolated from the working electrode 206.
  • FIG. 1 and Figure 2 illustrate embodiments of planar sensors. However, other geometries can also be used. As one example, the topography of the sensor can be curved.
  • an example of another embodiment includes a sensor 300 that is cylindrical.
  • the sensor 300 includes a sensor body 301 including an outer layer 352, a sensing layer 334 and a working electrode 304.
  • the sensor body is generally cylindrical in shape and defines a distal front edge 324.
  • the sensing layer 334 is coated on the rod or wire 304, and the insulating layer 352 is coated on top of the sensing layer 334.
  • the sensing layer 334 and the insulating layer 352 can be applied in dip or spray coating processes.
  • the sensing layer and working electrode are exposed at the distal edge 324 such that they can come into contact with fluid to be measured when the sensor is inserted. It will be appreciated that a long, continuous rod, wire, or fiber bundle can be formed in such a fashion, and cut into individual sensors.
  • the sensor 400 includes a sensor body 401 including an outer layer 452, a working electrode 404, a reference electrode 408, and a sensing layer 434.
  • the working electrode 404, reference electrode 408, and sensing layer 434 are formed in the insulating layer or outer jacket 452.
  • the sensing layer 434, working electrode 404, and reference electrode 408 are exposed at a distal edge 424 of the body.
  • the sensing layer 434 is exposed such that it can come in contact with fluids exposed to the distal edge 424 of the sensor.
  • Such a sensor 400 may be built to very tight tolerances in high volumes with high reproducibility and at a low cost using plastic production methods, such as extrusion molding and injection molding.
  • the working 404 and reference 408 electrodes can be conductive materials or can include plastic or resin which serves to bind conductive materials, such as carbon, gold, platinum, palladium, silver and others known to those skilled in the art.
  • a suitable plastic is styrene elastomer (RTP 2799X66439 black, L.N.P. Plastics, Chicago, IL).
  • the working electrode 404, counter electrode 408 and outer jacket 452 can be co-extruded using existing techniques. While a cylindrical sensor 400 is illustrated many other geometries are suitable, including planar sensors. Such a sensor can be used either in vivo or in vitro. It can be operated using an amperometric or coulometric method.
  • Such a sensor and production process is suitable, for example, for the in vitro coulometric sensors described in U.S. Patent Application Serial No. 09/295,962, "Small Volume In Vitro Analyte Sensor with Diffusible or Non-leachable Redox Mediator," incorporated herein by reference.
  • a particular advantage of such manufacturing processes for such sensors is the ability to provide the very reproducible thin layer cell described in the patent application.
  • a sensor in which analyte diffuses from one of the large, planar or curved surfaces.
  • analyte diffusion from a peripheral edge is not required.
  • a small hole, incision or channel can be formed in the body of the sensor to form a non-peripheral edge.
  • a sensor 500 including a body 501 having a top layer 516 a bottom layer 512, a working electrode 506, a sensing layer 534, and a counter/reference electrode 508 is shown.
  • the sensor body 501 includes a small hole 552 in the top layer 516 to permit analyte diffusion to the sensing layer 534.
  • the hole or incision is typically small enough to restrict mass transport of the analyte to the sensing layer.
  • the hole or incision may be formed by a number of methods, including use of a laser, die cutting, or slitting the surface.
  • the hole, incision or channel is formed completely through a portion of the sensor, passing through the top layer and the base layer.
  • analyte diffusion to the sensing layer can take place from both sides of the sensor. Diffusion takes place from the hole to the sensing layer via an internal edge of the sensor.
  • Sensors embodying the invention can operate in the same manner as the sensor described in U.S. Patent Application Serial No. 09/070,677.
  • the sensor can be operated in an amperometric or coulometric method and can directly substitute for the sensor described in U.S. Patent Application Serial No. 09/070,677.
  • the sensor also operates in the analyte monitoring system described in U.S. Patent Application Serial No. 09/070,677.
  • Sensors embodying the invention can be designed for high-volume manufacturing processes, including both batch processes and continuous processes.
  • the sensors are formed on cards or sheets.
  • the sensors can be formed on a web with the electrodes being a repeated pattern along the running axis of the web.
  • the sensors are designed to be manufactured using known manufacturing process steps, such as electrode screen printing on the bottom or top layers, nano-scale reagent deposition, coating and curing the top layer, lamination of sheet materials, and cutting of the sensors from the sheets or rolls.
  • the sensors may also be made using extrusion processes.
  • the sensors can be made using manufacturing techniques described in U.S. Patent Application Serial No. 09/034,422 and in U.S. Patent Application Serial No. 09/295,962, both of which are incorporated herein by reference.
  • One example of a suitable sensor configuration is made by screen printing a carbon ink on the front side of a plastic sheet, and a silver/silver chloride counter- reference electrode on the back of the sheet.
  • the sensing layer formulation is striped onto the carbon electrode providing widths less than 0.40 mm xl6 milx, and lengths less than 0.75 mm x30 milx.
  • High percent solids formulations, 10-30wt.%, are preferred so that adequate thicknesses can be achieved from a single application.
  • a biocompatible coating for example a silicone sealant, a pressure sensitive adhesive, or a polyurethane coating, is used to encapsulate the carbon ink and sensing layer.
  • the urethanes are materials are hydrophobic (non-swellable) and amorphous (low content of crystalline regions, hard segments). Such materials provide good adhesion to the substrate.
  • the moisture cured polypropylene oxide or glycol urethanes are preferred.
  • Some other examples of polyurethanes include thos commercially available under the following names: LORD 2941 and LORD 2940.
  • the sensing layer After curing the biocompatible coating, the sensing layer is exposed by slitting the tip of the sensor to reveal the edge.
  • Connections are made to the l 3 silver/silver chloride and carbon electrodes in a variety of ways; some embodiments encapsulate the connection to eliminate or reduce the occurrence or magnitude of corrosion currents.
  • the individual sensors can be cut from the card, sheet or web by a steel die or comparable process.
  • the die cuts are made such that the cut profile remains substantially outside the perimeter of the working electrode pattern on all sides except for the region of the sensing layer. In this region the cut crosses the working electrode, thus exposing a cross-section of all the layers described above. This cut region becomes the analyte-sensing region of the sensor.
  • Other cutting processes are suitable, such as slitting or kiss-cutting.
  • the preferred method is slitting because fewer particulates are formed in a slitting operation compared to a die cutting process.
  • Embodiments of the sensors described herein can have one or more of the following advantages over previous implantable analyte sensors: 1.
  • the sensor geometry inherently limits the mass transport of analyte to the sensing layer, thereby eliminating the need for a mass transport limiting membrane.
  • the sensor's linear range is wide even without a mass transport limiting membrane.
  • the sensor is easily manufactured using standard, existing methods for electrode printing, reagent deposition, lamination, and slitting.
  • the need to reliably attach a mass transport limiting membrane with reproducible analyte mass transport characteristics to the surface of an electrode can be eliminated.
  • the operational stability and hence operational life of the sensor can be enhanced. Some of the reasons for the enhancement can include:
  • the reduced flux of analyte (e.g., glucose) to the sensing layer reduces the rate of enzyme turnover, thereby extending the life of the enzyme.
  • analyte e.g., glucose
  • the immobilization of the sensing layer between the base and top layers stabilizes the sensing layer, thereby extending the life of the sensor.
  • the immobilization of the sensing layer between the base and top layers limits the swelling of the hydrogel, reduces the probability that portions of the t 3 sensing layer that are distant from the working electrode will not be in electrical communication with the working electrode, and reduces the risk of poorly bound sensing hydrogel being lost into the environment. 4. The risk of enzyme or mediator leaching into tissue is reduced. 5. Sensor materials can be selected to permit the diffusion of appropriate amounts of different reactants to the sensing layer, even when they are present in 10 or 100-fold different concentrations in the body. An example is diffusion of glucose from the edge and diffusion of oxygen from the top and edge in an oxygen or peroxide-detecting glucose sensor. Similarly, the sensor materials can be chosen to permit the necessary levels of transport of reaction products away from the sensing layer.
  • the sensitivity of the sensor is determined by a number of factors that may be controlled in the design of the sensor, including: (i) the surface area (length and height) of the exposed edge; (ii) the length of the analyte diffusion path in the sensor; and (iii) the diffusion coefficient of the analyte in the diffusion path and in the sensing layer.
  • the following is an analysis of the conditions for signal stability for a defined glucose concentration range for the sensor 100 shown in Figure 1.
  • the height of the solution-exposed face of the analyte-responsive region of the sensor is h and its length is L.
  • the sensing layer 134 is a glucose oxidase/redox polymer layer on a printed carbon electrode that has at least the same length as the sensing layer
  • h represents the thickness of the sensing layer
  • L represents its length.
  • the condition for signal (current output) stability is complete electrooxidation of glucose-flux by the working electrode 104.
  • this flux is D so) x h x L x C sol where D sol (cm 2 /sec) is the diffusivity (diffusion coefficient) of glucose in the assayed solution.
  • D sol cm 2 /sec
  • D film a diffusivity of D film (cm 2 /sec). It is electrooxidized on the face in a reaction the rate constant of which is k (moles/cm 2 ), when the reaction is controlled by the kinetics of one of the reaction steps, not by glucose transport.
  • the amount of glucose reacted is thus proportional to D ⁇ x k , yielding the condition for a stable signal: D 50l x h x L x C sol ⁇ a x D film x k x L (1) where a is a constant, or simply:
  • the stabilities of redox polymer- enzyme biosensors are largely limited by the effective enzyme lifetime, assuming sufficient optimization of the redox polymer chemistry.
  • the advantage of the inventive sensor design is continued sensor performance with the occurrence of decreased enzyme activity. Enzymatic conversion of the analyte occurs further up the channel as the enzyme at the tip of the sensor loses activity.
  • the inventive sensor design provides improved stability over traditional open-face biosensors because 1) glucose diffusion is restricted to the edge of the sensing layer, increasing enzyme lifetime, and 2) any enzyme deactivation is compensated by further diffusion of the analyte up the sensor channel to regions of the sensing layer with sufficient enzyme activity.
  • sensing layer Upon making the sensing layer thin, the structural stress resulting from sensing layer swelling is reduced.
  • a sensing layer less than lOO ⁇ m thickness is suitable, and 1-10 ⁇ m thickness is preferred.
  • the sensing layer includes a water-swollen gel then an elastically deforming top layer is preferred, to accommodate structural stress in the sensor created by the swelling gel.
  • a suitable material is an elastomeric overcoating.
  • Use of a sensing layer characterized by a high D film is desirable.
  • a suitable sensing layer is a hydrogel in which glucose diffuses nearly as rapidly as in water. Nevertheless, it is desirable to cross link the gel to prevent extraction of the gel constituents, as long as D ⁇ ira is not drastically reduced. Reduction of D r ⁇ m can lead to increased signal contributions from interferants, as well as worsened current stability.
  • oxygen is not required as a reactant, and variations in oxygen concentration can lead to measurement errors. For example, in some cases oxygen can oxidize electron transport mediators, thereby interfering with their ability to
  • / -T carry charge to an electrode.
  • a top layer material that is not very permeable or is impermeable to oxygen.
  • Most elastomeric top layers are highly permeable to oxygen, but oxygen impermeable elastomers can be selected.
  • oxygen access can be blocked by placing a chlorided silver foil counter-reference electrode on the top layer.
  • Suitable sensing layers for sensors embodying the invention typically include three major components: 1) redox polymer, 2) enzyme, and 3) crosslinker.
  • other components can be present such as, for example, enzyme stabilizers, processing aids, plasticizers, and humectants.
  • stabilizers include glutamate, gluconate, proteins, zinc salts, calcium salts, polyethylene glycol, and a variety of other materials such as buffers.
  • Processing aids include, for example, viscosity modifiers used to facilitate the sensing layer deposition, materials to improve the drying characteristics, or surfactants used to improve wetting of the substrate.
  • Humectants and plasticizers such as glycerol
  • glycerol can be used to maintain the sensing layer gel in a swollen state during application of the top layer. This can reduce mechanical stresses in the sensing layer during actual use if the sensing layer exchanges the plasticizer for water, and there is little change in volume.
  • One useful redox polymer for a glucose sensor is prepared from polyvinyl pyridine (160K) by first quaternizing 15% of the pyridine functionalities with bromohexanoic acid, then converting all the pendant carboxylic acid functionality into amides by reacting with an amide-containing redox mediator, such as, for example, (4-(6- aminohexyl)amino-2,2'-bipyridine)bis(l,r-dimethyl-2,2'-biimidazole)osmium (III) trichloride.
  • Another useful redox polymer is formed by complexing (Os(bpy) 2 Cl) + 2+ with polyvinyl pyridine.
  • the redox polymer comprises 20 to 80wt.% of the formulation solids.
  • Suitable crosslinkers for polyvinylpyridine redox polymers include multifunctional epoxides such as poly(ethylene glycol) 400 diglycidylether from Polysciences, N,N-diglycidyl-4-glycidyloxyaniline from Aldrich Chemical Co.
  • the crosslinker is typically 5 to 50wt.% of the formulation solids.
  • the enzyme component, glucose oxidase, is typically 5 to 60wt.% of the formulation solids.
  • a glucose sensor with key elements similar to those shown in Figures 1 and 2 was designed and constructed.
  • the working electrode and sensing layer were formed in a manner very similar to that shown in Figure 1, but the working electrode and sensing layer were slightly recessed from the distal tip of the sensor. Glucose diffused from the solution to the distal tip and into the recessed working electrode.
  • the Ag/AgCl counter/reference electrode was located in a sandwiched channel, very similar to the channel shown in Figure 2.
  • the sensor was constructed as follows. A piece of polyester approximately
  • 150 ⁇ m thick was printed with Ercon G449 graphite ink (Ercon, Inc., Wareham, MA) to a trace width of approximately 750 ⁇ m and an ink thickness of about 12 ⁇ m.
  • the polyester was cut to a width of approximately 3 mm so that the ink trace was centered.
  • Enzyme/redox polymer sensing chemistry was applied to the distal end of the carbon trace as three 0.1 ⁇ L drops, allowing the drops to dry before the addition of the next drop. During the coating the sensing layer extended beyond the width of the carbon trace.
  • the coated assembly was cut with a sharp blade perpendicular to the carbon trace to expose a sensing layer portion free from drying edge effects.
  • a mating top half of the device was constructed from the same polyester but coated with silver/silver-chloride ink (Ercon R414) to serve as the counter-reference.
  • This ink was patterned similarly to the graphite except that the length of the trace was shorter by about 2 mm and ended in a rectangular "paddle".
  • the silver face was then covered with 3M 467 pressure sensitive adhesive (3M Co., St. Paul, MN) everywhere to about 25 ⁇ m thick except for a connection surface at the proximal end of the device and a channel of about 1.25 mm width over the silver paddle and perpendicular to the long axis of the trace. This channel served to allow fluid communication with the electrode, and the adhesive at the distal end of the piece after the channel served to seal the sensing layer from fluid penetration except from the cut edge.
  • 3M 467 pressure sensitive adhesive (3M Co., St. Paul, MN) everywhere to about 25 ⁇ m thick except for a connection surface at the proximal end of the device and a channel
  • the two halves were joined together by hand pressure so that the sensing layer was covered by adhesive except for the cut edge; fluid could travel into the channel to make contact with the reference electrode but did not communicate with the sensing layer.
  • the chemistry of the sensing layer included [Os(bpy) 2 Cl] + 2+ complexed with poly-4- vinyl pyridine (10 mg/ml in 30% ethanol/70% HEPES buffer lOmM pH 8.0), where bpy is 2,2'-bipyridine, glucose oxidase (10 mg/ml in HEPES buffer 10 mM pH 8.0) and poly (ethylene glycol) diglycidyl ether (400 MW 2.5 mg/ml in water).
  • the sensing layer was allowed to cure at 20°C, 50% relative humidity for 20 hours.
  • Figure 5 shows the calibration curve of the four sensors before and after the 23 hour operation of the sensor, wherein the diamond symbols indicate the first sensor, the squares indicate the second sensor, the triangles indicate the third sensor, and the circles indicate the fourth sensor. Additionally, the solid symbols indicate pre-operation calibration data and the hollow symbols indicate post-operation data.
  • the sensors are highly stable, losing less than about 7nA of signal across the glucose concentration range during the test.
  • the sensor response is also linear from 5-30mM glucose, without a mass transport limiting membrane. Sensitivity is very good, at about 2.5 nA/mM glucose in the 7.5 to 30 mM glucose range.
  • Figure 6 provides another illustration of the stability of the sensors during the test. Each of the four lines on this graph corresponds to signal data from one of the four sensors during operation. In each of the sensors, the current decayed rapidly
  • Example 2 The glucose sensor illustrated in Figure 1 was prepared by printing graphite ink onto a polyester substrate, applying the sensing chemistry, then coating urethane encapsulant over the dried sensing layer. A separate Ag/AgCl reference electrode was used as the counter electrode.
  • a piece of polyester was printed with ERCON G449 graphite ink (ERCON, Inc., Wareham, MA) to a trace width of approximately 750 microns and a thickness of 12 microns.
  • the enzyme/redox polymer sensing chemistry was applied as a single 4 nL droplet to the distal end of the sensor and dried at 53°C for 40 seconds.
  • the sensor was placed in an environmental chamber maintained at 80% RH (relative humidity) and 25°C for 24 hours.
  • a moisture-curable urethane prepolymer was coated at 80%RH and 25°C over the electrodes and sensing layer using a 2 '/_ wire wound rod.
  • the urethane was cured after 12 hours at the elevated humidity.
  • the sensing layer was exposed by slitting through the center of the sensing layer droplet using a rotary die.
  • the finished sensor was die cut from the remaining plastic sheet to provide a total sensor width of 35 thousandths of an inch.
  • the urethane prepolymer was prepared by mixing together 14.65 g
  • Polypropylene glycol-tolylene-2,4-diisocyanate terminated (8.4% isocyanate) from Aldrich (Milwaukee, WI) and 3.54 g Polypropylene glycol bis (aminopropyl ether) (M n 4000) from Aldrich (Milwaukee, WI).
  • the enzyme / redox polymer coating was a 15wt.% solids where the solids were composed of 34.1wt.% redox polymer X5 (described below), 41.1wt.% glucose oxidase GLO-201 from Toyobo Co., Osaka, Japan, and 24.8wt.% Poly(ethylene glycol) 400 diglycidylether (PEG-400-DGE) from Polysciences, Inc. (Warrington, PA).
  • the coating solution was prepared in dilute HEPES buffer.
  • the redox polymer X5 was prepared from Polyvinyl pyridine (160K) by first quaternizing 15% of the pyridine functionality with bromohexanoic acid, then converting all of the pendant carboxylic acid functionality into an amide by reacting with the redox mediator, (4-
  • Example 3 The electrode preparation procedure from Example 2 was repeated to make a sensor for this example, except the sensing layer was composed of 52.3wt.% X5, 12.3wt.% glucose oxidase, 35.4wt.% PEG-400-DGE at 15 t.% solids in dilute HEPES buffer. 40 nL of the solution was applied to each sensor trace, and then dried at ambient conditions. The urethane was cured at ambient conditions. The results shown in Figure 10 indicate that the current declined at an average rate equal to
  • Example 2 The procedure from Example 2 was repeated to produce a sensor for this example, except that the sensing layer was composed of 66.6wt.% X5, 13.45wt.% glucose oxidase, and 20wt.% PEG-400-DGE at 1 lwt.% solids in dilute HEPES buffer. 16 nL of the solution was coated onto each sensor trace and dried at ambient conditions. The urethane was coated and cured at ambient humidity. The results
  • ⁇ 0 shown in Figure 10 indicate that the current declined at an average rate equal to 0.53% / hour over the 64 hour stability study.
  • the calibration data collected before and after the stability experiment, shown in Figures 11 and 12, indicate a comparable loss of current with good sensitivity extending to high glucose concentrations.
  • the curve marked with the triangles in Figures 11 and 12 represent the data from the sensor in this example.
  • Example 2 The procedure from Example 2 was followed except that the sensing layer was composed of 24.3wt.% X5, 28.8wt.% glucose oxidase, 17.7wt.% PEG-400- DGE, and 29.2wt.% glycerol. Eight sensor were produced in accordance with this procedure, and tested. The results shown in Figure 13, 14, and 15 show acceptable current decline rates, and good sensitivity extending to high glucose concentrations.
  • Figure 13 shows the calibration curve for each of the sensors before the operation
  • Figure 14 shows the calibration curve for each of the sensors after the operation
  • Figure 15 shows the decline in signal for each of the eight sensors during the operation.

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EP1192269A2 (en) 2002-04-03
AU5747100A (en) 2001-01-09
US6654625B1 (en) 2003-11-25
EP2322645A1 (en) 2011-05-18
US6975893B2 (en) 2005-12-13
US20040111017A1 (en) 2004-06-10
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JP4801301B2 (ja) 2011-10-26
JP2003503090A (ja) 2003-01-28

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