WO1993009421A1 - Apparatus for ex vivo measurement of blood sugar levels - Google Patents

Apparatus for ex vivo measurement of blood sugar levels Download PDF

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Publication number
WO1993009421A1
WO1993009421A1 PCT/DK1992/000317 DK9200317W WO9309421A1 WO 1993009421 A1 WO1993009421 A1 WO 1993009421A1 DK 9200317 W DK9200317 W DK 9200317W WO 9309421 A1 WO9309421 A1 WO 9309421A1
Authority
WO
WIPO (PCT)
Prior art keywords
light
substance
sample
attenuated total
reflection device
Prior art date
Application number
PCT/DK1992/000317
Other languages
French (fr)
Inventor
Vaughan Clift
Original Assignee
Novo Nordisk A/S
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Novo Nordisk A/S filed Critical Novo Nordisk A/S
Publication of WO1993009421A1 publication Critical patent/WO1993009421A1/en

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Classifications

    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/543Immunoassay; Biospecific binding assay; Materials therefor with an insoluble carrier for immobilising immunochemicals
    • G01N33/54366Apparatus specially adapted for solid-phase testing
    • G01N33/54373Apparatus specially adapted for solid-phase testing involving physiochemical end-point determination, e.g. wave-guides, FETS, gratings
    • 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
    • C12Q1/54Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving glucose or galactose
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/17Systems in which incident light is modified in accordance with the properties of the material investigated
    • G01N21/55Specular reflectivity
    • G01N21/552Attenuated total reflection
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/17Systems in which incident light is modified in accordance with the properties of the material investigated
    • G01N21/25Colour; Spectral properties, i.e. comparison of effect of material on the light at two or more different wavelengths or wavelength bands
    • G01N21/31Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry
    • G01N21/35Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry using infrared light

Definitions

  • the invention concerns an apparatus for measuring ex vivo blood sugar levels, and especially a portable apparatus for measuring the glucose concentration in the blood.
  • Persons suffering from diabetes must frequently check the glucose concentration in their blood to be able to adjust their insulin treatment so that a close to normal glucose concentration is maintained.
  • the concentration should be measured once a day and a profile involving several measurements within 24 hours should be taken once a fortnight.
  • a device is wanted which the patient may carry in his pocket and use to make a measurement when and where he should want to without being dependent on outer installations.
  • an apparatus must have dimensions making it portable and it must permit measurements on samples of unprepared blood, the needed size of the sample should not exceed 25 ⁇ l corresponding to a drop of blood which may be provided by pricking a finger or an earlobe, and the apparatus should be able to perform a great number of measurements without needing any services.
  • Portable glucose sensors are known which are based on colouring a strip when the glucose in a sample placed on the strip is oxidized using an enzyme. The colouring is evaluated by visual inspection or using a miniaturized photometer.
  • glucose sensors are based on the use of amperometric sensors measuring oxygen consumption or hydrogen peroxide production when glucose is oxidized in the presence of glucose oxidase.
  • amperometric sensors measuring oxygen consumption or hydrogen peroxide production when glucose is oxidized in the presence of glucose oxidase.
  • the use of amperometric sensors causes problems such as large drift, short lifetime, difficulties with calibration, lack of accuracy, and various interferences.
  • the enzyme based methods are based on a timed reaction and in order to attain sufficient accuracy it usually takes at least one minute to make the measurement. Consequently, it is the object of the invention to provide an apparatus which provides a simple, rapid, robust method for intermittent glucose assay of a blood sample, and which requires no other reagents or extra components to be purchased and which is, therefore, always ready for use.
  • a light aggregate able to provide single or pairs of narrow light bands in the wavelength range of 1-40 ⁇ m whereof at least one band lies in the range of 3-10 ⁇ m,
  • a computer for calculating the concentration of the substance by unvariate analysis directly comparing the pairs of wavelengths for each substance, the substances being the analyte in question and the major interfering substances, and correcting for the error produced by the light absorption due to each specific interfering substance.
  • Such an apparatus can, by virtue of its design, use smaller and more varied sample volumes permitting the user to make fewer painful blood extractions. Further, the blood may be smeared onto the window surface as the device is not affected by direct contact of a finger onto the test area, and being based on measurement of light absorption the apparatus may reduce the measurement time to seconds.
  • the apparatus is confined by a housing 10 and comprises a light source 1 from which light the chosen wavelengths are led to an ATR crystal 2 having a surface 3, which is accessible from the outside of the housing and acts as the window onto which the sample should be placed.
  • the light from the light source 1 is by a mirror 4 led to the ATR crystal, and in the beam leaving the crystal 2 a detector 5 is placed, which detector converts the light signals to electric signals, which through electrical leads 6 are led to a computer 7, which on the basis of the electric signals calculates the wanted concentrations.
  • the results may be displayed on a not shown display.
  • a power supply 8 is provided to supply the light source and the computer.

Abstract

An apparatus for ex vivo measurement of blood sugar levels comprises a light aggregate (1) providing a single or pairs of narrow light bands in the wavelength range of 1-40 νm, at least one band lying in the range of 3-10. Light is transmitted to an attenuated total internal reflection device (2). The sample with the substance to be measured is placed on a surface (3) of said device (2) to be transversed by the light which is more or less absorbed by the substance. A detector (5) converts the intensity of light emanating from the attenutated total reflection device (2) into an electric signal which is handled by a computer (7) calculating the concentration of the substance by unvariate analysis directly comparing pairs of wavelengths for each substance.

Description

APPARATUS FOR EX VIVO MEASUREMENT OF BLOOD SUGAR LEVELS
The invention concerns an apparatus for measuring ex vivo blood sugar levels, and especially a portable apparatus for measuring the glucose concentration in the blood. Persons suffering from diabetes must frequently check the glucose concentration in their blood to be able to adjust their insulin treatment so that a close to normal glucose concentration is maintained. The concentration should be measured once a day and a profile involving several measurements within 24 hours should be taken once a fortnight. For this purpose, a device is wanted which the patient may carry in his pocket and use to make a measurement when and where he should want to without being dependent on outer installations.
To meet these wishes an apparatus must have dimensions making it portable and it must permit measurements on samples of unprepared blood, the needed size of the sample should not exceed 25 μl corresponding to a drop of blood which may be provided by pricking a finger or an earlobe, and the apparatus should be able to perform a great number of measurements without needing any services.
Portable glucose sensors are known which are based on colouring a strip when the glucose in a sample placed on the strip is oxidized using an enzyme. The colouring is evaluated by visual inspection or using a miniaturized photometer.
However, the presence of the blood cells in the sample makes the result imprecise.
Other known glucose sensors are based on the use of amperometric sensors measuring oxygen consumption or hydrogen peroxide production when glucose is oxidized in the presence of glucose oxidase. However, when the sample is placed on the electrodes of the sensor other chemical decompositions take place interfering the result of the measurement. So, the use of amperometric sensors causes problems such as large drift, short lifetime, difficulties with calibration, lack of accuracy, and various interferences.
These known methods are made inaccurately by the varying of the sample volume of the drop of blood. Sometimes this requires the user to repeatedly prick their finger to obtain in one taking an adequate sized sample. They are also affected by changes in haematocrit and variation in technique of operators.
In these known systems blood must be dropped onto the enzyme coated area with care taken not to rub or smear the blood onto the area. This makes the procedure more difficult for the young and visually disabled. Some of the known systems require the discarding of the plastic enzyme strip with the blood sample on it, and one system has an apparatus for cutting off the end of a rod, the top of which has been used for the reaction; both systems creating pollutant waste.
As the enzyme is consumed and has a limited life, these systems require the user to repeatedly purchase the enzyme containing component adding extra cost. This is inconvenient and potentially hazardous as they all need this component to measure glucose. Further, the enzyme based methods are based on a timed reaction and in order to attain sufficient accuracy it usually takes at least one minute to make the measurement. Consequently, it is the object of the invention to provide an apparatus which provides a simple, rapid, robust method for intermittent glucose assay of a blood sample, and which requires no other reagents or extra components to be purchased and which is, therefore, always ready for use.
This is obtained by an apparatus the function of which is based on measuring the absorption of selected wavelengths of infrared light, the apparatus comprising:
a) a light aggregate able to provide single or pairs of narrow light bands in the wavelength range of 1-40 μm whereof at least one band lies in the range of 3-10 μm,
b) a means of transmitting said light bands from the light aggregate to an attenuated total internal reflection device onto a window surface of which the sample is placed, the light transversing the volume of this sample, one of each pair of bands of light being absorbed by the substance being measured in proportion to the concentration of that substance, the second band of light being absorbed relatively less so, c) a detector for converting the intensity of light emanating from the attenuated total internal reflection device into an electrical signal, and
d) a computer for calculating the concentration of the substance by unvariate analysis directly comparing the pairs of wavelengths for each substance, the substances being the analyte in question and the major interfering substances, and correcting for the error produced by the light absorption due to each specific interfering substance.
Such an apparatus can, by virtue of its design, use smaller and more varied sample volumes permitting the user to make fewer painful blood extractions. Further, the blood may be smeared onto the window surface as the device is not affected by direct contact of a finger onto the test area, and being based on measurement of light absorption the apparatus may reduce the measurement time to seconds.
The invention shall now be described with reference to the drawing, which schematically shows an apparatus for measuring the blood glucose concentration.
The apparatus is confined by a housing 10 and comprises a light source 1 from which light the chosen wavelengths are led to an ATR crystal 2 having a surface 3, which is accessible from the outside of the housing and acts as the window onto which the sample should be placed.
The light from the light source 1 is by a mirror 4 led to the ATR crystal, and in the beam leaving the crystal 2 a detector 5 is placed, which detector converts the light signals to electric signals, which through electrical leads 6 are led to a computer 7, which on the basis of the electric signals calculates the wanted concentrations. The results may be displayed on a not shown display. To supply the light source and the computer a power supply 8 is provided.

Claims

1. An apparatus for determining the concentration of an analyte in a biological fluid ex vivo, especially glucose in blood, despite varying concentrations of interfering components such as protein and fat, by measuring the absorption of 5 selected wavelengths of infrared light, characterized in, that it comprises:
a) a light aggregate able to provide single or pairs of narrow light bands in the wavelength range of 1 -40 μm whereof at least one band lies in the range of 3-10 μm,
b) a means of transmitting said light bands from the light aggregate to an o attenuated total internal reflection device onto a surface of which the sample may be placed, the light transversing the volume of this sample, one of each pair of bands of light being absorbed b^ the substance being measured in proportion to the concentration of that substance. the second band of light being absorbed relatively less so,
s c) a detector for converting the intensity of light emanating from the attenuated total internal reflection device into an electrical signal, and
d) a computer for calculating the concentration of the substance by unvariate analysis directly comparing the pairs of wavelengths for each substance, the substances being the analyte in question and the major interfering substances, and correcting for the error produced by the light absorption due to each specific interfering substance.
2. An apparatus according to claim 1 , characterized in, that the light aggregate comprises a wide banded light source and a number of filters each transmitting one of the selected narrow light bands.
3. An apparatus according to claim 1 or 2, characterized, in that light aggregate comprises a chopper means for modulating at preset modulating frequencies the light wave bands.
4. An apparatus according to claim 1 , characterized in, that light 5 aggregate comprises a number of surface emitting light diodes each emitting infra red light of a chosen wavelength.
5. An apparatus according to claim 1 , characterized in, that the light aggregate comprises a number of emissivity modulating semiconductor thermal sources.
o 6. An apparatus according to claim 1 , characterized in, that light aggregate comprises a number of infra red laser diodes.
7. An apparatus according to any of the preceding claims, characterized, in that the light aggregate comprises a means for focusing the light on an optical coupling means for transmitting the light.
s 8. An apparatus according to claim 4, 5 or 6, characterized in, that chopper means is provided as an electronic circuit for energizing the diodes or semiconductor sources.
9. An apparatus according to claim 3, characterized in, that the chopping means is a rotating diaphragm with cut outs.
o 10. An apparatus according to any of the preceding claims, characterized, in that the attenuated total reflection device is in the form of a cylinder, trapezoid, rhomboid or hemisphere with the sample being placed on any external surface and having focusing means for transmitting light into the device to a light detector providing an output signal, representing, by an electric signal, the 5 absorption measured.
11. An apparatus according to any of claims 1-9, characterized in, that the attenuated total reflection device is in the form of an optical needle probe ATR cell having an input fibre and an output fibre and at the end of the output fibre a light detector providing an output signal, representing, by an electric signal, the light absorption measured.
12. An apparatus according to claim 10 or 11 , characterized in, that the attenuated total reflection device is coated with a metal such that it acts as a surface plasmon resonance device.
13. An apparatus according to claims 10 and 11 , characterized in, that the attenuated total internal reflection device is jacketed with a glucose permeable membrane.
14. An apparatus according to claim 13, characterized in, that the membrane has associated with it a glucose specific enzyme or system of enzymes, and the attenuated total internal reflection device is used to measure a product of the enzymic reaction of the glucose molecule.
15. An apparatus according to any of the preceding claims, characterized in, that the computing method does not require the use of multivariate analyses or statistical analysis of the light absorption measured, but corrects the error in absorption.measured for the analyte, by an interfering substance such as protein or fat, by empirically determined and fixed cross correlation constants.
16. An apparatus according to claim 1 , characterized in, that the device for selection of wavelengths of light and modulation of the wavelengths of light is an acoustic optic device.
17. An apparatus according to any of the preceding claims, characterized in, that the light is transmitted from the light aggregate to the attenuated total internal reflection device and from said device to a detector by an optical fibre.
18. An apparatus according to claim 1 , characterized in, that the sample is placed on an infrared transparent window and the emissivity of the sample either heated or at room temperature is used as the infra red source, the light passing through narrow band filters and a mechanical chopper to a light detector.
19. An apparatus according to claim 18, characterized in, that the light emitting from the sample is modulated by and the frequency of light is selected using an acoust-optic device.
PCT/DK1992/000317 1991-11-04 1992-11-03 Apparatus for ex vivo measurement of blood sugar levels WO1993009421A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DK1811/91 1991-11-04
DK911811A DK181191D0 (en) 1991-11-04 1991-11-04 APPARATUS

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DK (1) DK181191D0 (en)
WO (1) WO1993009421A1 (en)

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1999044493A1 (en) * 1998-03-06 1999-09-10 Dittel Rudolf H Determination system for the direct qualitative and quantitative, almost immediate, highly specific, non-invasive detection of substances contained in the blood through measurement of spectral signatures
US6226082B1 (en) 1998-06-25 2001-05-01 Amira Medical Method and apparatus for the quantitative analysis of a liquid sample with surface enhanced spectroscopy
US7221440B2 (en) 2004-07-22 2007-05-22 Eastman Kodak Company System and method for controlling ink concentration using a refractometer
US7254429B2 (en) 2004-08-11 2007-08-07 Glucolight Corporation Method and apparatus for monitoring glucose levels in a biological tissue
US7356365B2 (en) 2003-07-09 2008-04-08 Glucolight Corporation Method and apparatus for tissue oximetry
US7375813B2 (en) 2004-10-21 2008-05-20 Eastman Kodak Company Method and system for diffusion attenuated total reflection based concentration sensing
US7510849B2 (en) 2004-01-29 2009-03-31 Glucolight Corporation OCT based method for diagnosis and therapy
US9060721B2 (en) 2008-03-04 2015-06-23 Glt Acquisition Corp. Flowometry in optical coherence tomography for analyte level estimation
US9078560B2 (en) 2004-08-11 2015-07-14 Glt Acquisition Corp. Method for data reduction and calibration of an OCT-based physiological monitor
US9554737B2 (en) 2004-08-11 2017-01-31 Masimo Corporation Noninvasively measuring analyte levels in a subject

Citations (5)

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Publication number Priority date Publication date Assignee Title
US3902807A (en) * 1973-10-25 1975-09-02 Du Pont Method for operating an attenuated total reflection infrared system
US4169676A (en) * 1976-02-20 1979-10-02 Nils Kaiser Method for determining the contents of metabolic products in the blood
GB2192070A (en) * 1986-06-27 1987-12-31 Secr Defence Optical attenuator
WO1990001697A1 (en) * 1988-08-05 1990-02-22 Red Kite Technology Limited Blood glucose monitoring
DE4124920A1 (en) * 1990-07-27 1992-02-06 Hitachi Ltd Biochemical analyser esp. for blood analysis - has attenuated total reflection prism., sample concentrator and IR source

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3902807A (en) * 1973-10-25 1975-09-02 Du Pont Method for operating an attenuated total reflection infrared system
US4169676A (en) * 1976-02-20 1979-10-02 Nils Kaiser Method for determining the contents of metabolic products in the blood
GB2192070A (en) * 1986-06-27 1987-12-31 Secr Defence Optical attenuator
WO1990001697A1 (en) * 1988-08-05 1990-02-22 Red Kite Technology Limited Blood glucose monitoring
DE4124920A1 (en) * 1990-07-27 1992-02-06 Hitachi Ltd Biochemical analyser esp. for blood analysis - has attenuated total reflection prism., sample concentrator and IR source

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, Vol. 37, No. 5, May 1990, Y. MENDELSON, A.C. CLERMONT, R.A. PEURA, B-C LIN: "Blood Glucose Measurement by Multiple Attenuated Total Reflection and Infrared Absorption Spectroscopy". *

Cited By (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1999044493A1 (en) * 1998-03-06 1999-09-10 Dittel Rudolf H Determination system for the direct qualitative and quantitative, almost immediate, highly specific, non-invasive detection of substances contained in the blood through measurement of spectral signatures
US6226082B1 (en) 1998-06-25 2001-05-01 Amira Medical Method and apparatus for the quantitative analysis of a liquid sample with surface enhanced spectroscopy
US6313914B1 (en) 1998-06-25 2001-11-06 Amira Medical Method and apparatus for the quantitative analysis of a liquid sample with surface enhanced spectroscopy
US7356365B2 (en) 2003-07-09 2008-04-08 Glucolight Corporation Method and apparatus for tissue oximetry
US7510849B2 (en) 2004-01-29 2009-03-31 Glucolight Corporation OCT based method for diagnosis and therapy
US7221440B2 (en) 2004-07-22 2007-05-22 Eastman Kodak Company System and method for controlling ink concentration using a refractometer
US9078560B2 (en) 2004-08-11 2015-07-14 Glt Acquisition Corp. Method for data reduction and calibration of an OCT-based physiological monitor
US10791971B2 (en) 2004-08-11 2020-10-06 Masimo Corporation Method for data reduction and calibration of an OCT-based physiological monitor
US11426104B2 (en) 2004-08-11 2022-08-30 Masimo Corporation Method for data reduction and calibration of an OCT-based physiological monitor
US10130291B2 (en) 2004-08-11 2018-11-20 Masimo Corporation Method for data reduction and calibration of an OCT-based physiological monitor
US7254429B2 (en) 2004-08-11 2007-08-07 Glucolight Corporation Method and apparatus for monitoring glucose levels in a biological tissue
US9554737B2 (en) 2004-08-11 2017-01-31 Masimo Corporation Noninvasively measuring analyte levels in a subject
US9668679B2 (en) 2004-08-11 2017-06-06 Masimo Corporation Method for data reduction and calibration of an OCT-based physiological monitor
US7375813B2 (en) 2004-10-21 2008-05-20 Eastman Kodak Company Method and system for diffusion attenuated total reflection based concentration sensing
US7593107B2 (en) 2004-10-21 2009-09-22 Eastman Kodak Company Method and system for diffusion attenuated total reflection based concentration sensing
US9833180B2 (en) 2008-03-04 2017-12-05 Masimo Corporation Multispot monitoring for use in optical coherence tomography
US9060721B2 (en) 2008-03-04 2015-06-23 Glt Acquisition Corp. Flowometry in optical coherence tomography for analyte level estimation
US10368787B2 (en) 2008-03-04 2019-08-06 Masimo Corporation Flowometry in optical coherence tomography for analyte level estimation
US11033210B2 (en) 2008-03-04 2021-06-15 Masimo Corporation Multispot monitoring for use in optical coherence tomography
US11426105B2 (en) 2008-03-04 2022-08-30 Masimo Corporation Flowometry in optical coherence tomography for analyte level estimation
US11660028B2 (en) 2008-03-04 2023-05-30 Masimo Corporation Multispot monitoring for use in optical coherence tomography

Also Published As

Publication number Publication date
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DK181191D0 (en) 1991-11-04

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