Title of Invention

DETERMINATION OF SAMPLE VOLUME ADEQUACY IN BIOSENSOR DEVICES.

Abstract A method for determining the volume of a biological sample held within an electrochemical biosensor, comprising: applying an alternating voltage having a selected amplitude and a selected frequency to the biosensor; measuring the current generated by applying said alternating voltage; determining the capacitance of the biosensor from said measured current; determining the surface area of the biosensor in contact with the sample based on said determined capacitance; and determining the volume of the sample within the biosensor based on said determined surface area.
Full Text FIELD OF THE INVENTION
The field of this invention is the electrochemical determination of analyte in
biological fluids, particularly the electrochemical determination of the adequacy
of the volume of the biological fluid sample to be tested for analyte
concentration.
BACKGROUND OF THE INVENTION
Analyte concentration determination in biological fluids, e.g., blood or blood-
derived products such as plasma, is of ever increasing importance to today"s
society. Such assays find use in a variety of applications and settings, including
clinical laboratory testing, home testing, etc., where the results of such testing
play a prominent role in the diagnosis and management of a variety of disease
conditions. Common analytes of interest include glucose for diabetes
management, cholesterol for monitoring cardiovascular conditions, and the like.
In response to this growing importance of analyte concentration detection, a
variety of analyte detection protocols and devices for both clinical and home use
have been developed.
One type of method that is employed for analyte detection is an electrochemical-
based method. In such methods, an aqueous liquid sample is placed into a
reaction zone in an electrochemical cell made up of at least two electrodes, i.e.,
a counter/reference electrode and a working electrode, where the electrodes
have an impedance which renders them suitable for amperometric measurement.
The component to be analyzed, i.e., analyte, is allowed to react directly with an
electrode, or directly or indirectly with a redox reagent to form an oxidisable (or
reducible) substance in an amount corresponding to the concentration of the
analyte. The quantity of the oxidisable (or reducible) substance present is then
estimated electrochemically and related to the amount of analyte present in the
initial sample.
Commonly, the electrochemical cell is in the form of a disposable test strip on
which the biological sample is deposited and which is receivable within a meter
by which the electrochemical analyte concentration measurement is made.
Examples of assay systems that employ these types of test strips, often referred
to as biosensors, and meters may be found in U.S.Patent Nos.
5,942,102,6,174,420 Bl and 6,179,979 Bl, the disclosures of which are herein
incorporated by reference. With these systems, determination of the
concentration of an analyte in a biological sample first involves obtaining a
biological sample and bringing that sample into contact with a reaction area of
the test strip so that the biological sample, and more particularly the analyte of
interest or derivative thereof, may react with the chemistry, e.g., the testing
reagent(s), associated with the reaction area. In order to obtain an accurate
measurement of the particular analyte(s) of interest, a minimum sample volume
must be applied to the reaction area. It is not uncommon for an inadequate
amount of sample volume to be provided, often due to user error or patient
inexperience or misjudgment. Inaccurate measurements can result in a
misdiagnosis or improper treatment, such as administering an inappropriate
dosage of a drug, patient non-compliance, etc. Such can result in serious and
even life-threatening consequences for those whose lives depend on frequent
monitoring of an analyte in their body, for example, diabetics.
One approach to ensuring an adequate biological sample volume is to over-
saturate or use a greater volume of sampled fluid than is necessary to fill the
reaction area of the test strip. A disadvantage of using an unnecessarily large
volume of a sampled fluid, a blood sample in particular, is the need to draw a
greater volume of blood sample from the patient. This requires use of a blood
sample volume, which is rather large, thus necessitating use of a larger diameter
needle and/or deeper penetration into the skin. These factors can increase the
discomfort and pain felt by the patient, and may be difficult to achieve for those
individuals whose capillary blood does not readily express. As this sampling
process may be repeated frequently within a single day, for many diabetics, for
example, an increase in pain quickly becomes less tolerable or intolerable all
together.
Some analyte detection biosensors have been developed to provide visual
confirmation of the adequacy of sample volume, however, this feature does not
exclude potential error by the patient in judging the adequacy of the sample"s
volume, e.g., diabetics may experience deteriorated vision. Certain other analyte
determination biosensors do provide user-independent means for determining
the adequacy of the sample volume. Examples of such biosensors are disclosed
in U.S.Patent Nos. 5,628,890 and 5,650,062 and PCT Patent Application
Publication No. WO 99/32881 (PCT Patent Application NO.PCT/US98/27203). In
particular, the "881 publication describes an electrochemical glucose monitoring
system which attempts to determine the adequacy of a volume of sample applied
to a biosensor by applying a low-level AC voltage signal (without a DC voltage
offset) at a known frequency to the biosensor and then measuring both the real
component and the imaginary component of the resulting impedance. These
impedance values are then compared to a look-up table in the microprocessor"s
program memory. The accuracy of this method may be additionally questionable
considering that his system is dependent on blood hematocrit levels and
environmental temperature variations.
Another disadvantage of the technique disclosed in the "881 publication is that
the analyte measurement test must be aborted if the sample volume is
determined to be inadequate, i.e., a "go-no-go" situation. This results in the
need to take yet another sample from the patient which, as mentioned above, is
inconvenient and may be very painful to the patient, likely resulting in patient
non-compliance in his or her medication regime.
Additionally, the test must be repeated resulting in the waste of test strips and
increasing the cost of the procedure.
As such, there is continued interest in the identification of new techniques for
accurately and precisely measuring the adequacy of the volume of the sample
used for electrochemical analyte concentration determination. Of particular
interest would be the development of methods that can very accurately and
expeditiously determine the adequacy of the volume of sample. It would be
additionally beneficial to develop such a sample volume adequacy determination
technique in which a determination that a sample volume is inadequate does not
require abortion of the analyte concentration measurement test. Ideally, this
technique would compensate for the less than optimal sample volume and
provide an accurate analyte concentration measurement without having to
provide a new sample or conduct a new test.
SUMMARY OF THE INVENTION
The present invention provides methods and systems for measuring the volume
of biological sample and determining whether such volume is adequate to
produce an accurate measurement of at least one selected characteristic of the
biological sample, such as the concentration of an analyte contained therein.
Certain such methods and systems provide the additional function of
compensating for a sample volume determined to be less than adequate in order
to proceed with a measurement procedure.
The present invention is employed with a biosensor, such as an electrochemical
test strip to which the sample volume of biological solution is deposited, and a
meter configured to receive such test strip and to measure the concentration of
selected analytes within the biological sample. The electrochemical test strip, as
will be more fully described below, includes an electrochemical cell comprised of
opposing electrodes between which a reaction zone is defined for receiving the
biological sample, wherein the reaction zone has a defined thickness and volume.
When sufficient voltage is applied to an electrochemical cell, both double-layer
charging and electrochemical reaction will occur. As a consequence, charge flows
to the electrodes of an electrical cell. The electrode-solution interface is
analogous to that of a capacitor. The ratio of this charge to the voltage
determines the capacitance of the electrode solution interface. Since the total
charge is due to the charging of the double layer and to the electrochemical
reaction, two distinct capacitance components, Cdl and Cs, respectively,
contribute to the total or equivalent capacitance of the cell (see Bard, A.J. and
Faulkner, L.R., Electrochemical Methods, 1980).
The inventors have discovered that the equivalent capacitance of an
electrochemical cell is the most relevant factor in precisely determining sample
volume, as the equivalent cell capacitance is linearly proportional to the amount
of surface area of the cell electrodes in contact with the sample (the "covered
cell area"), and thus, is linearly proportional to the volume of the sample within
the cell, i.e., between the electrodes. The inventors have also discovered that
the equivalent resistance of the electrochemical cell is additionally relevant in
precisely determining sample volume, as the equivalent cell resistance is
inversely proportional to the covered cell area, and thus, is inversely proportional
to the sample volume.
Thus, a feature of the present invention is to derive such covered cell area and
the corresponding sample volume from the equivalent cell capacitance or from
both the equivalent cell capacitance and the equivalent cell resistance.
Another feature of the present invention is to control certain other factors (e.g.,
the thickness of the cell, the concentration of ionic species, etc.) that may
interfere with accurately measuring sample volume in order that the value of the
equivalent cell capacitance is independent and unaffected by the glucose
concentration and blood hematocrit levels within the sample, the environmental
temperature, particularities of the blood donor and other commonly interfering
components of blood.
Yet another feature of the present invention is to provide the additional function
of compensating for a sample volume determined to be less than adequate in
order to proceed with an accurate analyte concentration measurement.
Accordingly, the present invention provides methods for determining the
adequacy of the volume of a biological sample to be used for determining he
concentration of one or more selected analytes within the donor sample, which
achieves these objectives and provides these features.
In certain embodiments of the subject methods, an alternating current voltage
(AC voltage) of low amplitude and having a selected frequency is applied to a
biosensor containing the biological sample to be tested, thereby charging the
biosensor. Optionally, a direct current voltage (DC voltage) may be applied
simultaneously along with the AC voltage in order to increase the rate at which
the capacitance of the biosensor becomes stabilized. The resulting alternating
current generated from such charging is then measured, and the equivalent cell
capacitance of the biosensor is then determined from the resulting alternating
current. The equivalent cell capacitance is then used to determine the amount of
surface area of the biosensor in contact with the sample solution, which surface
area is then used to derive the volume of the sample within the biosensor. Upon
a determination that the sample volume is adequate to make an accurate analyte
concentration measurement, such analyte concentration is measured. On the
other hand, if it is determined that the sample volume is inadequate, the subject
methods may further include compensating for such inadequate sample volume
during the analyte concentration measurement process.
Inadequate volume compensation involves determining the necessary
compensation factor which includes, at least in part, determining the ratio of the
equivalent cell capacitance of the biosensor containing the actual sample volume
to the cell capacitance of the biosensor when its entire available volume is filled.
The present invention also includes systems for carrying out the subject
methods. The subject systems include electronic components and/or circuitry
intended to be used with and electronically coupled to a biosensor, e.g., an
electrochemical measurement cell in the form of, e.g., a disposable test strip,
into which the sampled solution to be tested is deposited or is drawn by a
capillary action. Most typically, such electronic circuitry is incorporated into a
meter or other automated device configured to receive and operatively engage
with such electrochemical cell, e.g., a disposable test strip, and to measure one
or more physical or chemical characteristics of a biological sample held within the
electrochemical cell. Most typically, such characteristics include the concentration
of one or more target analytes within the biological sample. Such electronic
circuitry may comprise discrete electronic components, e.g., a voltage supply,
and/or integrated circuits having multiple circuit elements and/or semiconductor
devices, e.g., a microprocessor suitably programmed to execute certain steps or
functions of the subject methods based on certain signal or data inputs received
from the electrochemical cell.
In certain embodiments, the systems of the present invention include such
electronic circuitry and such an automated measurement device or meter, as just
described, wherein the electronic circuitry is completely structurally and
functionally integral with the automated measurement device.
While the subject methods and systems may be used to determine the sample
volume of different biological samples, such as urine, tears, saliva, and the like,
they are particularly suited for use in determining the sample volume of blood or
blood fractions and the like. Furthermore, while the subject systems and
methods for determining the sample volume in preparation for measuring a
variety of physical and chemical characteristics of the sample, they are
particularly useful in preparation for measuring the concentration of selected
analytes within the sample.
These and other objects, advantages, and features of the invention will become
apparent to those persons skilled in the art upon reading the details of the
methods and systems of the present invention which are more fully described
below.
BRIEF DESCRIPTION OF THE ACCOMPAN YING DRAWINGS
Fig. 1 is an exploded view of an exemplary conventional electrochemical test
strip for electrochemical analyte concentration determination, which is usable
with the present invention.
Fig. 2 is a schematic illustration of a circuit representative of the equivalent cell
impedance of the test strip of Fig. 1.
Fig. 3 is a block diagram illustration of a system of the present invention
operatively coupled to an electrochemical biosensor for measuring the equivalent
cell capacitance of the electrochemical biosensor when a voltage is applied to the
biosensor.
Fig. 4 is a graph depicting the relationship of the change in the equivalent cell
capacitance (y-axis) over time (x-axis) of the electrochemical cell of the test strip
of Fig. 1 when the cell is completely filled and half filled, respectively, with a
sampled solution.
Fig. 5 is a graph depicting the relationship of the change in the equivalent
resistance (y-axis) of the electrochemical over time (x-axis) when the cell of the
test strip of Fig. 1 is completely filled and half filled, respectively, with a sampled
solution.
Fig. 6 is a histogram depicting the relationship of the change in the equivalent
cell capacitance (x-axis) of the electrochemical cell of the test strip of Fig. 1 at
0.5 seconds after application of the sample solution to the test strip (y-axis)
when the cell is completely filled and half filled, respectively, with a sampled
solution.
Fig. 7 is a graph depicting the ratio of the equivalent cell capacitance and the
equivalent cell resistance (y-axis) over time (x-axis) when the electrochemical
cell of the test strip of Fig. 1 is completely filled and half filled, respectively, with
a sampled solution.
Fig. 8 is a scatter diagram of the ratio of the equivalent cell capacitance and the
equivalent cell resistance (y-axis) versus the equivalent cell capacitance (x-axis)
measured at 0.5 seconds following sample application when the electrochemical
cell is completely filled and half filled, respectively, with a sampled solution.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
The present invention provides systems and methods for determining the volume
of a biological sample for purposes of measuring a selected characteristic of the
sample, e.g., analyte concentration, and determining whether such volume is
adequate to produce an accurate measurement of such selected characteristic.
Certain such systems and methods provide the additional function of
compensating for a sample volume determined to be less than adequate in order
to provide an accurate measurement of such characteristic.
Before the present invention is described in further detail, it is to be understood
that this invention is not limited to the particular embodiments described, as
such may, of course, vary. It is also to be understood that the terminology used
herein is for the purpose of describing particular embodiments only, and is not
intended to be limiting, since the scope of the present invention will be limited
only by the appended claims.
Where a range of values is provided, it is understood that each intervening
value, to the tenth of the unit of the lower limit unless the context clearly
dictates otherwise, between the upper and lower limit of that range and any
other stated or intervening value in that stated range is encompassed within the
invention. The upper and lower limits of these smaller ranges may independently
be included in the smaller ranges is also encompassed within the invention,
subject to any specifically excluded limit in the stated range. Where the stated
range includes one or both of the limits, ranges excluding either both of those
included limits are also included in the invention.
Unless defined otherwise, all technical and scientific terms used herein have the
same meaning as commonly understood by one of ordinary skill in the art to
which this invention belongs. Although any methods and materials similar or
equivalent to those described herein can also be used in the practice or testing
of the present invention, a limited number of the exemplary methods and
materials are described herein.
It must be noted that as used herein and in the appended claims, the singular
forms "a", "an", and "the" include plural referents unless the context clearly
dictates otherwise.
All publications mentioned herein are incorporated herein by reference to
disclose and describe the methods and/or materials in connection with which the
publications are cited. The publications discussed herein are provided solely for
their disclosure prior to the filing date of the present application. Nothing herein
is to be construed as an admission that the present invention is not entitled to
antedate such publication by virtue of prior invention. Further, the dates of
publications provided may differ from the actual publication dates, which may
need to be independently confirmed.
DEFINITIONS
The term "double layer" as used herein refers to the whole array of charged
species and oriented dipoles existing at the interface between an electrode
surface and a solution, e.g., a sample of a biological solution, in contact with the
electrode surface when a voltage is applied to the electrode.
The term "double layer capacitance ", Cdl, as used herein means the capacitance
contributed by the charging of the double layer of the electrode-solution
interface.
The term "Faradaic capacitance", CS, as used herein refers to the
pseudocapacitance component due to the electrochemical reaction process that
occurs on the electrode surface.
The term "Faradic current", iF, as used herein means the current or electron
transfer that occurs at the surface of an electrode to which a voltage has been
applied. The term "equivalent cell capacitance", C, when used herein in reference
to an electrochemical cell means the total equivalent capacitance across the
electrochemical cell, which results when a voltage has been applied to the
electrochemical cell. The equivalent cell capacitance is dominated by the double
layer capacitance and the Faradaic capacitance.
The term "equivalent cell resistance", R, as used herein in reference to an
electrochemical cell means the total equivalent resistance across the
electrochemical cell, which results when a voltage has been applied to
electrochemical cell.
The "equivalent cell impedance", Z, as used interchangeably herein in reference
to an electronic circuit or component, e.g., an electrochemical cell, means the
total impedance of the circuit including but not necessarily limited to the
combination of the equivalent cell capacitance and the equivalent cell resistance,
which results when a voltage has been applied to the electrochemical cell.
The term "Faradaic current", iF, as used herein, means the current resulting from
electron transfer between sample component and surface of an electrode as a
result of electrochemical reaction when a voltage has been applied.
The terms "derive", "determine", "calculate", and the like, and their respective
derivatives, are used interchangeably herein.
The present invention will now be described in detail. In further describing the
present invention, exemplary electrochemical biosensors, usable with the
systems and employable by the methods of the present invention, will be
described first, followed by a detailed description of the subject methods and
systems, as well as a description of the subject kits that include the subject
systems for use in practicing the subject methods.
ELECTROCHEMICAL BIOSENSORS
As summarized above, the invention provides methods and systems for
measuring the volume of a sample of biological material used for analyte
concentration measurement and determining whether such volume is adequate
to produce an accurate analyte concentration measurement. These methods and
systems are usable with a biosensor, more particularly an electrochemical cell-
based biosensor, into which the sampled biological material is deposited or
transferred. There are varying designs of electrochemical cell-based biosensors.
The most common of these designs employed in the field of analyte
concentration monitoring include test strip configurations, such as those
disclosed in U.S. Patent No. 6,193,873 and in copending U.S.Patent Application
Serial Nos. 09/497,304, 09/497,269, 09/736,788 and 09/746,116, the disclosures
of which are herein incorporated by reference. Such test strips are used with
meters configured for electrochemical measurements, such as those disclosed in
the above-identified patent references.
Electrochemical biosensors other than test strips may also be suitable for use
with the present invention. For example, the electrochemical cell may have a
cylindrical configuration wherein a core electrode is co-axially positioned within a
second tubular electrode. Such electrochemical cell configurations may be in the
form of micro-needles and, as such, are either integral within the needle
structure for in situ (e.g., typically under the skin surface) measurements or
otherwise in physical or fluid communication with a micro-needle structure.
Examples of such micro-needle are disclosed in copending U.S. Patent
Application Serial Nos. 09/878,742 and 09/879,106 filed on June 12,2001, hereby
incorporated by reference. For purposes of this disclosure, the subject devices
will be described in use with electrochemical cells in test strip configurations;
however, those skilled in the art will appreciate that the subject devices may be
used with any suitable electrochemical cell configuration, including micro-needle
configurations.
The type of electrochemical measurement that is made may vary depending on
the particular nature of the assay and the meter with which the electrochemical
test strip is employed, e.g., depending on whether the assay is coulometric,
amperometric or potentiometric. The electrochemical cell will measure charge in
a coulometric assay, current in an amperometric assay and potential in a
potentiometric assay. For purposes of this disclosure, the present invention will
be described in the context of amperometric assays; however, the subject
devices may be employed with any type of assay and electrochemical
measurement.
Generally, in any configuration, an electrochemical cell includes at least two
electrodes spaced-apart in either a facing arrangement or in a side-by-side
arrangement in the same plane. In the first arrangement, the electrodes are
separated by a thin spacer layer, which defines a reaction area or zone, or
chamber into which a biological sample is deposited or transferred for analyte
concentration measurement. In the side-by-side configuration, the electrodes are
in a chamber with a defined thickness and volume. Present in the reaction area
or chamber, i.e., coated on one or more of the facing surfaces of the electrodes,
are one or more redox reagents selected to chemically react the target
analyte(s). Such redox reagents typically comprise at least one enzyme and a
mediator.
A representation of an exemplary conventional electrochemical test strip 2
suitable for use with the present invention is provided in the exploded view of
Fig.l. Test strip 2 is made up of a two electrodes 4,8 separated by a spacer layer
12 which has a cutaway section that defines the reaction zone or area 14.
Generally, the electrodes 4,8 are configured in the form of elongated rectangular
strips each having a length in the range from about 2 to 6 cm, usually from
about 3 to 4 cm, having a width in the range from about 0.3 to 1.0 cm, usually
from about 0.5 to 0.7 cm, and having a thickness in the range from about 0.2 to
1.2 mm, and usually from 0.38 to 0.64 mm.
The surfaces of electrodes 4,8 that face the reaction area in the strip is made of
a conductive material, preferably a metal, where metals of interest include
palladium, gold, platinum, iridium, doped indium tin oxide, stainless steel, carbon
and the like. The outside surfaces 6,10 of electrodes 4,8 are made of an inert
support or backing material. Any suitable inert backing material may be used
with electrodes 4,8, where typically the material is a rigid material that is capable
of providing structural support to the electrode and, in turn, the electrochemical
test strip as a whole. Such suitable materials include plastics, e.g., PET, PETG,
polyimide, polycarbonate, polystyrene, silicon, ceramic, glass, and the like.
Electrodes 4,8 and test strip 2 may be fabricated using any of various
manufacturing techniques known to those skilled in the relevant art.
As described above, a thin spacer layer 12 is positioned or sandwiched between
electrodes 4,8. The thickness of spacer layer 12 generally ranges from about 1 to
500 urn, and usually from about 50 to 150 urn. Spacer layer 12 may be
fabricated from any convenient material, where representative suitable materials
include PET, PETG, polyimide, polycarbonate and the like. The surfaces of spacer
layer 12 may be treated so as to be adhesive with respective electrodes 4,8 and
thereby maintain the structure of the electrochemical test strip 2.
Spacer layer 12 is cut so as to provide a reaction zone or area 14 having any
appropriate shape including circular, square, triangular, rectangular, or irregular
shaped reaction areas. The top and bottom of the reaction zone 14 is defined by
the facing surfaces of electrodes 4,8 while spacer layer 12 defines the side walls
of the reaction area 14. The volume of the reaction area ranges from at least
about 0.1 to 10 µl, usually from about 0.2 to 5.0µL and more usually from about
0.3 to 1.6 µL
Present in the reaction area 14 is a redox reagent system, which reagent system
provides for the species that is detected by the electrode and therefore is used
to derive the concentration of analyte in a biological sample. The redox reagent
system present in the reaction area typically includes at least an enzyme (s) and
a mediator. In many embodiments, the enzyme member(s) of the redox reagent
system is an enzyme or plurality of enzymes that work in concert to oxidize the
analyte of interest. In other words, the enzyme component of the redox reagent
system is made up of a single analyte oxidizing enzyme or a collection of two or
more enzymes that work in concert to oxidize the analyte of interest. Typical
enzymes of interest include oxidoreductases, hydrolases, transferases and the
like; however, the specific enzyme present in the reaction area depends on the
particular analyte for which the electrochemical test strip is designed to detect.
Where the analyte of interest is glucose, for example, suitable enzymes include
glucose oxidase, glucose dehydrogenase (eitherp- nicotineamide adennine
dinucleotide based (NAD) or 4,5-Dihydro-4, 5-dioxo-lH-pynolo[2,3-f] quinoline-
2,7,9-tricarboxylic acid based (PQQ)). Where the analyte is cholesterol, suitable
enzymes include cholesterol esterase and cholesterol oxidaso. For other analytes,
enzymes including but not limited to lipoprotein lipase, glycerol kinase, glycerol-
3-phosphate oxidase, lactate oxidase, lactate dehydrogenase, pyruvate oxidase,
alcohol oxidase, bilirubin oxidase, uricase, and the like may be used.
The second component of the redox reagent system is a mediator component,
which is made up of one or more mediator agents. A variety of different
mediator agents are known in the art and include: ferricyanide, phenazine
ethosulphate, phenazine methosulfate, pheylenediamine, 1-methoxy-phenazine
methosulfate, 2,6-dimethyl-1, 4-benzoquinone, 2,5-dichloro-l, 4-benzoquinone,
ferrocene derivatives, osmium bipyridyl complexes, ruthemum complexes and the
like. In those embodiments where glucose is the analyte of interest and glucose
oxidase or glucose dehydrogenase is the enzyme components, mediator of
particular interest is ferricyanide. Other reagents that may be present in the
reaction area include buffering agents, e.g., citraconate, citrate, phosphate,
"Good" buffers and the like .
The redox reagent system is generally present in dry form. The amounts of the
various components may vary, where the amount of enzyme component typically
ranges from about 0.1 to 20% by weight.
METHODS OF THE PRESENT INVENTION
As summarized above, the subject invention includes methods for determining
the volume of biological sample deposited or transferred to an electrochemical
cell having a reaction zone or chamber with a defined volume and determining
whether such volume is adequate to produce an accurate analyte concentration
measurement. As mentioned above, a feature of the subject methods in
determining sample volume is the determination of the equivalent capacitance of
the cell, as well as the equivalent cell resistance. As such, the subject methods
provide a more accurate of sample volume than that which has been achieved by
the prior art.
Another feature of the subject methods in determining the equivalent cell
capacitance and resistance and sample volume is to disregard certain
characteristics or factors of the sampled solution or ambient conditions which
either have no affect on the determination of the equivalent capacitance and/or
equivalent resistance or arc otherwise strictly controlled so as not to have such
an affect. Such factors which are controlled or independent of the equivalent
capacitance include but are not limited to the concentration of ionic species,
blood hematocrit, blood glucose concentration, environmental temperature, the
blood donor, and sensor interferences typically found in blood, cell thickness and
biosensor aging.
For purpose of understanding the description of the subject methods, a
simplified model of an impedance circuit 40 of the electrochemical cell of the test
strip of Fig. 1 is provided in Fig. 2. Impedance circuit 40 is representative of the
impedance factors of the test strip when containing a sample of biological
solution and having a voltage applied to it. When both AC and DC voltages are
applied to the cell, impedance circuit 40 comprises equivalent cell capacitance ( C
) 42, which includes the double layer and the Faradaic capacitances, and the
equivalent cell resistance ( R) 46 of the electrochemical cell.
Prior to practicing the subject methods, it is first necessary to obtain the
biological sample to be measured and placing such sample within the test strip
cell. Placement of the sample within the test strip may be accomplished by first
inserting the test strip into the test meter and then applying the sample to the
test strip ("on-meter dosing"), or by first applying the sample to the test strip
and then inserting the test strip into the test meter ("off-meter dosing"). The
latter sequence is often preferred in hospital environments as it is more likely to
cross-contamination within the meter. The measurement meter then detects that
the biological sample has been introduced into the electrochemical cell (as
disclosed in U.S. Patent No. 6,193,873).
Once such sample is detected, the first step of the subject methods is to apply
an alternating voltage (VAc) of low amplitude to the biosensor. The amplitude of
the applied AC voltage is selected such that its application does not result in a
Faradaic current (iF), i.e., the electron transfer that occurs at the electrode
surface as result of electrochemical reaction upon application of a voltage to the
electrode. As such, the amplitude of the applied AC voltage is in the range from
about 2 to 100 mV rms, typically is in the range from about 5 to 75 mV rms, and
more typically is about 50 mV rms. The frequency (0 of the applied AC voltage is
also selected so as to maximize the signal to noise ration (i.e., the ratio of the
measured equivalent cell capacitance to the variability in the measured
equivalent cell capacitance) of the cell. As such, an acceptable frequency of the
applied AC voltage is in the range from about 50 to 10,000 Hz, typically in the
range from about 75 to 1,000 Hz, and more typically is about 100 Hz.
Optionally, a DC voltage may be applied to the biosensor, either simultaneously
with the AC voltage or fractions of a second prior to application of the AC
voltage. This DC voltage is generally in the range from about 0 to 600 mV,
typically from about 200 to 500 mV and more typically from 300 to 400 mV. The
DC voltage component causes the electrochemical cell equivalent capacitance to
stabilize more rapidly than it would with an AC voltage alone. The rapid
stabilization of the cell capacitance allows a determination of the sample volume
before commencing the analyte measurement, thus minimizing overall testing
time.
After application of the AC and DC voltages, the alternating current (iAc)
generated from charging the electrochemical cell is then measured. The
equivalent cell capacitance of the biosensor can then be determined from the
amplitude and the phase of the resulting alternating current.
For the equivalent cell capacitance to depend only on the cell surface area
contacted by biological sample, the charge separation distance (ddl) of the
double layer capacitance must be strictly controlled such that its constant during
the determination of the volume of the sample solution. The thickness of the
double layer capacitor is dependent on the applied voltage, concentrations of the
charged species in the solution. In order to ensure a constant thickness of the
charge separation layer, and thus ensure an accurate determination of the
surface area of each electrode in contact with the sample solution and an
accurate determination of the sample volume, the ion concentration of the redox
reagent is strictly controlled, while the ion concentration of the sample is
physiologically controlled in a very narrow range.
As mentioned above, the equivalent resistance of the electrochemical cell is
additionally relevant to accurately determining sample volume. Thus, establishing
that the equivalent cell resistance ( R ) is inversely proportional to the surface
area of the cell covered by the sample and that the equivalent cell
capacitance(C) is linearly proportional to the covered cell area, as represented by
the following relationships:
R= ?l/A and C ? A
where ? is the resistivity of the electrochemical cell, I is the length of the cell
electrode, and A is the conducting surface area of the cell, the following
relationship exists:
C/R ? A2
Thus, the amount of surface area of the cell covered by the biological sample
can be determined by the ratio of the equivalent cell capacitance to the
equivalent cell resistance. By taking into consideration the effect of sample
volume on two impedance components (capacitance and resistance) of the cell
rather than just on one of them (e.g., capacitance), a relationship is established
which offers more sensitivity in response to the variations in the amount of cell
surface area covered by a biological sample. More specifically, the ratio of the
cell capacitance to cell resistance provides a quadratic relationship rather than a
linear relationship with respect to the surface area of the cell covered by a
biological sample, thus increasing the sensitivity in the measured change(s) to
the covered cell area. Therefore, the determination of the covered cell area
according to this method is even more accurate than when only the equivalent
cell capacitance is considered.
Upon a determination of the surface area of the electrode in contact with or
covered by the sample solution, the volume (Vs) of the sample solution within
the biosensor, i.e., within the reaction zone of the electrochemical cell, can then
be determined according to the following equation:
Vs = A • d
where d is the distance between the cell electrodes in a facing electrode
configuration or the depth of the cell in a side-to-side electrode configuration.
A determination is then made as to whether the volume of the sample provided
to the test strip is adequate to proceed with the analyte concentration
measurement. Such a determination is made by comparing the calculated sample
volume with the total volume of the electrochemical cell. As is discussed in more
detail below with respect to the systems of the present invention, certain
parameters including but not limited to the value of the total cell volume,
operating temperature range, proper test strip insertion into the meter, among
other data (both static and dynamic) or parameters related to the particular cell,
are stored in the memory of a microprocessor, for example, upon calibration of
the meter and other related components of the subject systems.
If the sample volume is determined to be adequate, measurement of the desired
characteristic, e.g., an analyte concentration, is made, the results of which may
be displayed on a display unit, described in more detail below with respect to the
subject systems. On the other hand, if the sample volume is determined to be
inadequate, i.e., too low, to provide an accurate measurement, the display unit
may be configured to display a low volume icon.
As discussed above, certain embodiments of the subject methods include the
additional function of compensating for an inadequate sample solution volume in
order to make an accurate measurement of the selected characteristic, e.g.,
concentration of the targeted analyte(s), without having to redo the sampling
and testing steps.
It is known in the art that the concentration of a selected analyte, such as
glucose, of the biological sample within the cell is proportional to the Faradaic
current (IF) that is passed through the electrochemical cell when a DC voltage is
applied, that the cell current is proportional to the cell surface area covered by
the sample solution. As mentioned above, the inventors have determined that
such surface area is proportional to the equivalent capacitance of the cell. Thus,
the concentration of the selected analyte is proportional to the equivalent cell
capacitance. By determining the equivalent cell capacitance when a sample
solution is present and by knowing the capacitance of the cell when completely
filled with a biological solution(determined by a calibration process), the
compensation factor (Fcf) necessary to compensate for a low sample volume and
to provide an accurate analyte concentration measurement can be determined
according to the following equation:
Fcf = Cf / Cpf
where Cf is the equivalent capacitance of the completely filled electrochemical
cell and Cpf is the equivalent capacitance of the electrochemical cell containing
the inadequate volume of biological sample. The corrected analyte concentration
measurement (G) is then made with the appropriate compensation factor (FCf)
according to the following equation:
G = Fcf • GPf
where Gpf is the analyte concentration calculated from the cell containing
inadequate volume of biological sample. In being able to compensate for
inadequately low sample volume, the subject methods avoid wasting test strips,
decrease costs and reduce the time necessary for conducting the analyte
measurement.
Thus, generally summarized in accordance with the above principles and
discoveries, certain methods of the present invention include the steps of
applying an AC voltage having a selected amplitude and a selected frequency to
the biosensor with or without also applying a DC voltage to the biosensor;
measuring the AC current generated by application of the voltage(s);
determining the capacitance or both the capacitance and the resistance of the
biosensor from the measured AC current; determining the surface area of the
portion of the biosensor in contact with the sample based on the determined
capacitance or based on both the determined capacitance and the determined
resistance; and then determining the volume of the sample within the biosensor
based on the determined surface area.
Other subject methods further include the step of measuring one or more
physical or chemical characteristics of the biological sample, such as the
concentration of one or more selected analytes, based on a determination that
the sample volume is adequate. Still other subject methods include
compensating for an inadequate volume of a biological sample held within an
electrochemical biosensor for measurement of at least one characteristic of the
biological sample in order to accurately measure the value of the characteristic.
Such compensation method includes determining the necessary compensation
factor to compensate for an inadequate sample volume if such is determined,
and thereafter compensating for the inadequate sample volume while measuring,
for example, the concentration of a selected analyte present within the sample.
The step of determining the necessary compensation factor includes determining
the ratio of the equivalent capacitance of the biosensor when completely filled
with the sample to the determined equivalent capacitance of the biosensor with
the inadequate sample volume. The value of the equivalent capacitance of the
biosensor when completely filled within said sample may be accessed from a
memory storage means.
SYSTEMS OF THE PRESENT INVENTION
The present invention also provides systems for practicing the above-described
subject methods. Generally described, such a system may include the following
components for carrying out the steps of the above-described methods of the
present invention: a voltage supply configured for applying a voltage to the
electrochemical cell, means for measuring a current generated by the cell when
the voltage is applied to the cell, means for deriving the capacitance and/or
resistance of the cell from the measured current; means for deriving the surface
area of the cell covered by the biological sample from the cell capacitance and/or
resistance; and means for deriving the volume of the biological sample from the
cell surface area. Certain systems further include means for determining whether
the sample volume is adequate for making an accurate measurement of one or
more selected characteristics of the biological sample, including but not limited to
the concentration of one or more selected analytes within the biological sample.
Certain of these systems further include means for compensating for an
inadequate sample volume while the selected characteristic of the biological
sample.
Fig.3 illustrates a block diagram of an exemplary system 50 of the present
invention. System 50 includes electronic components and circuitry configured to
be electronically coupled to a biosensor 70, e.g., an electrochemical
measurement cell in the form of a disposable test strip as described above with
respect to Fig. 1, into which the sampled biological solution to be tested is
deposited or transferred. More particularly, system 50 includes a voltage supply
52 for supplying the requisite AC and DC input voltages to biosensor 70. System
50 further includes a current-to-voltage converter 54, and analog to digital
converter 56 and a microprocessor 58, which collectively act to receive and
process data from biosensor 70. In particular, current-to-voltage converter 54 is
operatively coupled to an output terminal of biosensor 70 for receiving the
output current signal from biosensor 70 when a voltage is applied by voltage
supply 52 and for converting that current signal to a corresponding voltage
signal. This corresponding voltage signal is then provided as an input to analog-
to-digital converter 56 which converts the analog voltage signal to a
corresponding digital value. This digital voltage value is then provided as an
input signal to microprocessor 54 which is programmed to derive and/or
determine the factors or parameters of interest,e.g., equivalent cell capacitance,
equivalent cell resistance, the surface area of the biosensor in contact with the
biosensor, the volume of the biological sample, the volume compensation factor,
etc.; and to control the timing of each of these functions. As previously
mentioned, microprocessor 54 may include a memory storage means for storing
predetermined, preselected or calibrated data or information such as the total
volume of the electrochemical cell, calibration parameters, operating temperature
range, sample type information, sample detection information and the like which
are necessary or useful for performing the steps and functions of the subject
methods. Although a microprocessor has been described for purposes of storing
and processing data in accordance with the principles of the present invention,
those skilled in the art will recognize that other discrete electronic components
may be collectively configured to achieve the objectives of the present invention.
The subject system may further include a display device or unit 60 for displaying
selected empirical or symbolic data, information or outputs supplied by the
control device or microprocessor. Such data, information or outputs may include,
but are not limited to, measured or derived values of selected output signals and
impedance factors, sample volume size, volume adequacy/inadequacy indicator
icons, inadequate volume compensation factors, concentrations of analytes of
interest, biological sample versus control sample indicator icons, calibration
results, etc.
In many embodiments, the electrochemical signal application, measurement,
derivation, calculation, compensation and display steps, as described above, are
performed automatically by the subject systems designed to work with the
electrochemical cell. As such, the electronic circuitry of the subject systems may
be structurally and functionally integrated into a meter or other automated
device configured to receive and operatively engage with an electrochemical cell,
e.g., a disposable test strip, and to measure one or more physical or chemical
characteristics of a biological sample held within the electrochemical cell. Most
typically, such characteristics include the concentration of one or more target
analytes within the biological sample. A representative meter or device for
automatically practicing some of the same or similar steps and functions, such
that the user need only apply a biological sample to the reaction zone of an
electrochemical cell and then read the final analyte concentration result from the
device, is further described in U.S. Patent No. 6,193,873 Bl, the disclosure of
which is herein incorporated by reference.
Those skilled in the relevant art will appreciate that the subject systems are
usable with assay systems that do not comprise biosensors of the type described
above. Such other systems include for example, an electrochemical cell having at
least two electrodes and a redox reagent system having a fixed concentration of
ions, wherein the electrodes are configured to be placed within a biological
sample or environment having a fixed concentration of ions.
EXAMPLES
The following results have been observed in connection with the present
invention
Figs. 4-8 illustrate the variation in the experimental results of measurements
made of test strips having an adequate sample volume (i.e., test strips having
reaction zones completely filled with sample solution or material) and of test
strips having less than an adequate sample volume (i.e., test strips having
reaction zones half filled with sample solution or material). More particularly,
measurements of the equivalent capacitance of the electrochemical cells and the
sample solution resistance were made over selected periods of time during which
the appropriate voltages were applied to the test strips. The following
experimental results are offered by way of illustration and not by way of
limitation. The results illustrated were collected by dosing the strips with 5
different blood donors, glucose range of 40-600 mg/dL, hematocrit of 20% and
70%, at room temperature .
Fig.4 illustrates a comparison of the change in the equivalent cell capacitance (y-
axis) over time (x-axis) of test strips 130 completely filled with blood samples
and test strips 132 half-filled with blood samples. The graph shows that the
completely filled test strips 130 produced an equivalent cell capacitance twice as
great as the equivalent capacitance of the half-filled test strips 132.
Fig. 5 illustrates a comparison in the change in the equivalent cell resistance (y-
axis) over time (x-axis) in test strips 136 completely filled with the blood samples
and test strips 134 half-filled with the blood samples. The graph shows that the
greater volume of blood sample produced an equivalent cell resistance about one
half of that of the test strips filled with the smaller volume of blood sample.
Fig. 6 illustrates histograms of the equivalent cell capacitance (x-axis) of test
strips 140 completely filled with blood samples and test strips 138 half-filled with
blood samples, wherein the equivalent cell capacitance is measured at 0.5
seconds after blood sample is applied to the test strip. The graph shows that the
completely filled test strips 140 produced an equivalent cell capacitance twice as
great as the equivalent capacitance of the half-filled test strips 138 with a very
good reproducibility.
Fig. 7 illustrates a comparison of the change in the ratio of the equivalent cell
capacitance to the equivalent cell resistance (C/R) (y-axis) over time (x-axis) of
test strips 142 completely filled with blood samples and test strips 144 half-filled
with blood samples. The graph shows that the completely filled test strips 142
produced a C/R about four times as great as the C/R of the half-filled test strips
144.
Fig. 8 illustrates a comparison of a scatter diagram of the ratio of the equivalent
cell capacitance to the equivalent cell resistance (C/R) (y-axis) versus the
equivalent cell capacitance (x-axis) of test strips 146 completely filled with blood
samples and test strips 148 half-filled with blood samples, wherein the
capacitance and the resistance are measured at 0.5 seconds after application the
blood sample to the test strip. The graph shows that C/R produced more
sensitivity to the sample volume compared to the equivalent cell capacitance C.
KITS
Also provided by the subject invention are kits for use in practicing the subject
methods. The kits of the subject invention include a subject system including the
electronic circuitry, as described above, or in the form of a meter or other
automated instrument, as described above, for determining whether the volume
of sample applied to a test strip is adequate enough to provide an accurate
analyte concentration measurement to be made. In certain other kits, the
subject systems also compensate for such inadequate volume when making an
analyte concentration measurement. The kits may further include instructions for
using the subject systems according to the subject methods with an
electrochemical cell, in the form of a test strip or micro-needle or the like, in the
determination of the volume of a sampled solution or material held within the
electrochemical cell. These instructions may be present on one or more of the
packaging, a label insert, and the like.
It is evident from the above description that the features of the subject methods
and systems overcome many of the disadvantages of prior art techniques for
determining the volume of a biological sample deposited on a test strip for
electrochemical analyte concentration analysis, and provide certain advantages
including, but not limited to, providing a very accurate means and technique for
making such sample volume determination and decreasing the time necessary to
conduct analyte concentration measurements. Further, such sample volume
determination is not subject to variations of blood glucose concentration, blood
hematocrit level, the blood donor, testing temperature, and the concentration of
interferences often present in blood samples. Other advantages of the invention
include the ability to compensate for an inadequate sample volume and proceed
with the analyte concentration measurement without having to abort the testing
procedure, minimizing waste and costs. As such, the subject invention represents
a significant contribution to the field of fluid of biological sample volume
determination and analyte concentration measurement.
The subject invention is shown and described herein in what is considered to be
the most practical and preferred embodiments. It is recognized, however, that
departures may be made there from, which are within the scope of the
invention, and that obvious modifications will occur to one skilled in the art upon
reading this disclosure.
The specific devices and methods disclosed are considered to be illustrative and
not restrictive. Modifications that come within the meaning and range of
equivalents of the disclosed concepts, such as those that would readily occur to
one skilled in the relevant art, are intended to be included within the scope of
the appended claims.
WE CLAIM:
1. A method for determining the volume of a biological sample held within an
electrochemical biosensor,l comprising:
applying an alternating voltage having a selected amplitude and a selected
frequency to the biosensor;
measuring the current generated by applying said alternating voltage;
determining the capacitance of the biosensor from said measured current;
determining the surface area of the biosensor in contact with the sample
based on said determined capacitance; and
determining the volume of the sample within the biosensor based on said
determined surface area.
2. The method as claimed in claim 1 comprising determining whether said
sample volume is adequate for measuring one or more selected
characteristics of said sample.
3. The method as claimed in claim 2 comprising measuring the concentration
of one or more selected analytes present within said sample after a
determination that said sample volume is adequate.
4. The method as claimed in claim 2 comprising measuring the concentration
of one or more selected analytes present within said sample after a
determination that said sample volume is inadequate, said measuring
comprising:
determining the necessary compensation factor to compensate for said
inadequate volume in order to accurately measure the at least one analyte
concentration; and compensating for said inadequate sample volume.
5. The method as claimed in claim 4 wherein determining the necessary
compensation factor comprises determining the ratio of the capacitance of
the biosensor when completely filled with said sample to the capacitance
of the biosensor with said inadequate sample volume.
6. The method as claimed in claim 1 comprising determining the resistance
of the biosensor from said measured current.
7. The method as claimed in claim 6 comprising determining the surface
area of the biosensor in contact with the sample based on said
determined capacitance and said determined resistance.
8. The method as claimed in claim 1 comprising applying a direct current
voltage to said biosensor.
9. The method as claimed in claim 8 wherein said direct voltage and said
alternating current voltage are applied simultaneously.
10.A method for measuring at least one characteristic of a biological sample
held within an electrochemical biosensor, comprising:
determining the volume of said biological sample held within said
electrochemical biosensor;
determining the adequacy of the volume of said biological sample for
measuring said at least one characteristic; and
upon determining that said volume of said biological sample is inadequate,
compensating said at least one characteristic measurement for said
inadequate volume.
11.The method as claimed in claim 11 wherein said at least one characteristic
is the concentration of one or more selected analytes present within said
sample.
12 A system for determining the volume of a biological sample within an
electrochemical cell having a surface area and a volume, comprising:
a voltage supply configured for applying a voltage to said electrochemical
cell;
means for measuring a current generated by said cell when said voltage is
applied to said cell;
means for deriving the capacitance of said cell from said measured
current;
means for deriving the surface area of said cell covered by said biological
sample from said cell capacitance; and
means for deriving the volume of said biological sample from said cell
surface area.
13.The system as claimed in claim 12 comprising means for determining whether
said sample volume is adequate for making an accurate measurement of the
concentration of one or more selected analytes within biological sample.
14.The system as claimed in claim 14 comprising:
means for measuring the concentration of one or more selected analytes
within said biological sample; and
means for compensating for said sample volume determined to be
inadequate while measuring the concentration of one or more selected
analytes within said biological sample.
15. A system for use with a meter configured for engaging an electrochemical
cell and measuring the concentration of one or more selected analytes
within a biological sample held within the electrochemical cell, said system
comprising:
a voltage supply configured for applying an alternating and/or a direct
current voltage to said cell; and
an electronic circuit configured for receiving a current generated by said
electrochemical cell when a voltage is applied to said cell, measuring said
generated current, determining the capacitance of said cell from said
measured current, determining the surface area of said cell covered by
said biological sample from said cell capacitance, and determining the
volume of said biological sample from said cell surface area covered by
said biological sample.
16. A method for compensating for a volume of a biological sample held
within an electrochemical biosensor for measurement of at least one
characteristic of said biological sample, wherein the sample volume is
inadequate for performing said measurement, the method comprising:
measuring the capacitance of the biosensor with the inadequate sample
volume; and
determining the ratio of the capacitance of the biosensor filled with an
adequate volume of the biological sample to the capacitance of the
biosensor with the inadequate sample volume, wherein the capacitance of
the biosensor with the adequate volume is known; and
compensating for the inadequate sample volume in order to provide an
accurate measurement of the at least one characteristic.
A method for determining the volume of a biological sample held within an
electrochemical biosensor, comprising: applying an alternating voltage having a
selected amplitude and a selected frequency to the biosensor; measuring the
current generated by applying said alternating voltage; determining the
capacitance of the biosensor from said measured current; determining the
surface area of the biosensor in contact with the sample based on said
determined capacitance; and determining the volume of the sample within the
biosensor based on said determined surface area.

Documents:

00580-cal-2002-abstract.pdf

00580-cal-2002-assignment.pdf

00580-cal-2002-claims.pdf

00580-cal-2002-correspondence.pdf

00580-cal-2002-description (complete).pdf

00580-cal-2002-drawings.pdf

00580-cal-2002-form 1.pdf

00580-cal-2002-form 13.pdf

00580-cal-2002-form 18.pdf

00580-cal-2002-form 2.pdf

00580-cal-2002-form 3.pdf

00580-cal-2002-form 5.pdf

00580-cal-2002-gpa.pdf

00580-cal-2002-letter patent.pdf

00580-cal-2002-priority document.pdf

00580-cal-2002-reply f.e.r.pdf

580-CAL-2002-FORM-27.pdf


Patent Number 216882
Indian Patent Application Number 580/CAL/2002
PG Journal Number 12/2008
Publication Date 21-Mar-2008
Grant Date 19-Mar-2008
Date of Filing 09-Oct-2002
Name of Patentee LIFESCAN INC.
Applicant Address 1000 GIBRALTAR DRIVE, MS3D MILPITAS, CALIFORNIA 95035
Inventors:
# Inventor's Name Inventor's Address
1 KERMANI MAHYAR Z 3154 GULFSTREAM DRIVE, PLEASANTON, CALIFORNIA 94588
2 TEODORCZYK MARIA 6014 RUNNING SPRINGS ROAD, SAN JOSE, CALIFORNIA 95135
3 GUO SHERRY X 2651 MIGNON DRIVE, SAN JOSE, CALIFORNIA 95132
PCT International Classification Number G 01 N 27/26
PCT International Application Number N/A
PCT International Filing date
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 09/974,597 2001-10-10 U.S.A.