WO2001068901A2 - Implantable analyte sensor - Google Patents

Implantable analyte sensor Download PDF

Info

Publication number
WO2001068901A2
WO2001068901A2 PCT/EP2001/003027 EP0103027W WO0168901A2 WO 2001068901 A2 WO2001068901 A2 WO 2001068901A2 EP 0103027 W EP0103027 W EP 0103027W WO 0168901 A2 WO0168901 A2 WO 0168901A2
Authority
WO
WIPO (PCT)
Prior art keywords
membrane
electrodes
implantable
analyte sensor
test result
Prior art date
Application number
PCT/EP2001/003027
Other languages
French (fr)
Other versions
WO2001068901A3 (en
Inventor
Matthias Essenpreis
Tejal A. Desai
Mauro Ferrari
Derek J. Hansford
Original Assignee
Roche Diagnostics Gmbh
The Regents Of The University Of California
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 Roche Diagnostics Gmbh, The Regents Of The University Of California filed Critical Roche Diagnostics Gmbh
Priority to EP01913889A priority Critical patent/EP1267705A2/en
Priority to CA002406878A priority patent/CA2406878A1/en
Priority to AU2001239304A priority patent/AU2001239304A1/en
Priority to JP2001567382A priority patent/JP2003526491A/en
Publication of WO2001068901A2 publication Critical patent/WO2001068901A2/en
Publication of WO2001068901A3 publication Critical patent/WO2001068901A3/en

Links

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, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/1486Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using enzyme electrodes, e.g. with immobilised oxidase
    • A61B5/14865Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using enzyme electrodes, e.g. with immobilised oxidase invasive, e.g. introduced into the body by a catheter or needle or using implanted sensors
    • 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

Definitions

  • the present invention relates to implantable analyte sensors.
  • implantable glucose sensors have been developed Examples include those described in U S. Patent numbers 5,387,327; 5,411,647; and 5,476,776; as well as those described in PCT International Publication numbers WO 91/15993; WO 94/20602; WO 96/06947, and WO 97/ 19344
  • the implantable glucose sensors usually include a polymer substrate, with metal electrodes printed on the surface of the substrate.
  • a biocompatible membrane covers the electrodes, allowing glucose to reach the electrodes, while excluding other molecules, such as proteins.
  • Electrochemistry often with the aid of enzymes at the electrodes, is used to determine the quantity of glucose present.
  • the glu- cose sensor is implanted into a patient, and the electrodes may be attached via wires that pass out of the patient's body to external circuitry that controls the electrodes, measures and reports the glucose concentration.
  • external circuitry that controls the electrodes, measures and reports the glucose concentration.
  • all or part of this external circuitry may be miniaturized and included in the implantable glucose sensor
  • a transmitter such as that described in WO 97/19344, may even be included in the implantable glucose sensor, completely eliminating the need for leads that pass out of the patient
  • a problem associated with an amperomet ⁇ c glucose sensor is unstable signals. This may result from degradation of the enzyme from interaction with protein, leakage of the enzyme, and/or fouling of the electrode
  • the usual way to overcome this is to use the above described biocompatible membrane, or a coating.
  • several problems are also associated with these membranes. For example, Nafion-based biosensor membranes exhibit cracking, flaking, protein adhesion, and calcium deposits Mineralization of polymer-based membranes occurs in the biological environment, resulting in cracking and changes in permeabihtv
  • the tortuous porosity associated with polymer membranes has also been shown to be important in membrane stability and mineralization in vivo.
  • the pore size distribution usually follows some kind of probability distribution (e g gaussian), which leaves a finite probability for large proteins to eventually transfer through the membrane. Drift may be caused by this leakage or inadequate diffusion properties, and events at the body-sensor interface such as bio- fouling and protein adsorption, encapsulation with fibrotic tissue, and degradation of the device material over time
  • membranes with nominal pore sizes as small as 20 nm are available. Even so, the filtration at these dimensions is far from absolute.
  • the most common filters are polymeric membranes formed from a solvent-casting process, which result in a pore size distribution with variations as large as 30%.
  • the use of ion-track etching to form membranes e.g. MILLPORE ISOPORE
  • MILLPORE ISOPORE ion-track etching to form membranes
  • these membranes have low porosities ( ⁇ 10 9 pores/cm ), limited pore sizes, and the pores are randomly distributed across the surface.
  • Porous alumina e.g. WHATMAN
  • the present invention is an implantable analyte sensor, comprising a substrate, electrodes on the substrate, and a membrane on the electrodes.
  • the membrane has a glucose diffusion test result of at least 1 mg/dl in 330 min., and an albumin diffusion test result of at most 0 1 g/dl in 420 mm. and can comprise elemental silicon.
  • the present invention relates to a method of making an implantable analyte sensor, comprising covering electrodes with a membrane.
  • the electrodes are on a substrate, and the membrane has a glucose diffusion test result of at least 1 mg/dl in 330 min., and an albumin diffusion test result of at most 0.1 g/dl in 420 min.
  • the membrane can comprise elemental silicon.
  • FIGS. 1-9 illustrate the process of making a membrane for use in an embodiment of the present invention
  • Figure 10 shows a cut-away view of an implantable analyte sensor
  • Figure 11 shows an exploded view of an implantable analyte sensor
  • Figure 12 shows a cut-away view of an implantable analyte sensor.
  • FIG 10 shows a cut away view of an embodiment of the present invention.
  • an implantable analyte sensor 2 includes a substrate 6 on which are electrodes 8 and 8. The electrodes are covered with a membrane 4. Leads 12 and 12 allow for electrically connecting the implantable analyte sensor to external circuitry (not shown).
  • the implantable analyte sensor also includes an external coating 16 and an internal coating 14.
  • FIG 11 shows an exploded view of an embodiment of the present invention.
  • the implantable analyte sensor 2 includes the electrodes 8 and 8 on the substrate 6 surface, which are electrically connected with microelectronic circuitry 10.
  • the microelectronic circuitry is electrically connected to leads 12 and 12, which allow for electri- cally connecting the implantable analyte sensor to external circuitry (not shown).
  • the electrodes are covered with the membrane 4.
  • Figure 12 shows a cut away view of an embodiment of the present invention similar to that shown in Figure 10, except for the presence of a third electrode 8 and a third lead 12 Although so illustrated, the number of electrodes may be different from the number of leads
  • the membrane is composed of a hard material that has been micromachined
  • the membrane comprises elemental silicon, but other hard, biocompatable materials that can be micromachined are possible, such as metals (for example titanium), ceramics (for example, silica or silicon nitride), and polymers (such as polytetrafluoroethylene, polymethylmethacrylate, polystyrenes and sihcones)
  • Micromachining is a process that includes photolithography, such as that used in the semiconductor industry, to remove material from, or add material too, a substrate. These techniques are well known, and are described, in Encyclopedia of Chemical Technology, Kirk-Othmer, Volume 14, pp
  • a special property of the membrane is a defined pore size, which has a small size distribution compared to the si e distribution of standard membranes. Due to tight toler- ances in the manufacturing process, the pore size can be controlled at precise diameters, for example 1 to 50 nm, or 5 to 20 nm, or even 5 to 15 nm (such as 12 nm, 18 nm or even 25 nm), with a variation of +/- 0 01-20%, +/-0 1-10% or even +/-l-5% Therefore molecules abo ⁇ e this si/e can be excluded with high certainty, since the size distribution has the shape of a top hat, rather than a bell curve, and hence pore sizes above, for example 12 nm, 18 nm, 25 nm or 50 nm are not present These membranes can exclude interfering molecules, such as proteins, which could otherwise cause major drift problems of the sensor, when the sensor is implanted in vivo.
  • Signal drift is a change in the magnitude of the signal from a sensor which is unrelated to changes in analyte concentration
  • the amount of signal drift is based on the magnitude of the signal prior to the drifting
  • the implantable analyte sensors of the present invention exhibit a signal drift of less than 20% per day in vivo, more preferably less than 10% per day in ⁇ IVO, most preferably less than 5% per day in vivo
  • Membranes for use in the present invention may be characterized by a glucose diffusion test and an albumin diffusion test. These tests are described below.
  • the membrane has a glucose diffusion test result of at least 1 mg/dl in 330 min., more preferably at least 10 mg/dl in 330 min., even more preferably at least 30 mg/dl in 330 min., and most preferably at least 60 mg/dl in 330 min.
  • the membrane has an albumin diffusion test result of at most 0.1 g/dl in 420 min., more preferably at most 0.05 g/dl in 420 min., even more preferably at most 0.01 g/dl in 420 min., and most preferably at most 0.001 g/dl in 420 min.
  • the manufacturing process of the membranes may allow a simple and economical pro- duction of small, implantable analyte sensors.
  • the membranes can be first manufactured, and then on a substrate, the electrodes for the sensor and the electrical connectors can be formed.
  • the substrate is silicon, but other materials are possible, such as ceramics, or polymers.
  • electronic components for example, amplifiers, filters, transmitters and/or signal preconditioning components, can easily be incorporated in this layer.
  • the substrate comprises elemental silicon, well known integrated circuit technology may be used to place all the circuitry in miniaturized form on a single chip.
  • the substrate and the membrane are thermally bonded before the reagent is deposited on the electrodes.
  • an opening preferably in the membrane is provided (since this may be manufactured with a micromachining process, an opening is easily generated during one of the processing steps).
  • a further etching step may be used to separate the individual membrane/substrate units.
  • the reagent is deposited through the individual openings and the openings are sealed using, for example a polymer sealant.
  • the individual sensors are then separated, incorporated into a flexible, inner coating, for example silicone rubber, and individually coated with an outer coating, such as a biocompatible layer.
  • the reagent is deposited on the electrodes before the membrane and substrate are attached. In this case, thermal bonding is not possible, since the enzyme in the reagent would be destroyed.
  • the individual membranes and substrates are first sepa- rated and the individual sensors are assembled by bonding one membrane with one substrate using a suitable bonding agent, for example, cyanoacrylate As a final step, the individual sensors are incorporated into a flexible, inner coating, for example silicone rubber, and individually coated with an outer coating, such as a biocom- patible layer
  • the sensor can be inserted into the skin using a needle applicator
  • the control unit typically remains outside the body and can be connected to the sensor element through electrical wires (leads)
  • the electrodes are formed on the surface of the substrate They may be formed by well known semiconductor processing techniques, from conductive materials, such as pure metals or alloys, or other materials which are metallic conductors Examples include aluminum, carbon (such as graphite), cobalt, copper, gallium, gold, indium, indium, iron, lead, magnesium, mercury (as an amalgam), nickel, niobium, osmium, palladium, platinum, rhenium, rhodium, selenium, silicon (such as highly doped polycrystalline silicon), silver, tantalum, tin, titanium, tungsten, uranium, vanadium, zinc, zirconium, mixtures thereof, and alloys or metallic compounds of these elements
  • the electrodes include gold, platinum, palladium, indium, or alloys of these metals, since such noble metals and their alloys are unreactive in biological systems
  • the electrodes may be any thickness, but preferably are 10 nm to 1 mm, more preferably, 20 nm to 100 ⁇
  • At least two electrodes must be present The number of electrodes may be 2-1000, or 3-
  • Individual electrode sets (2 or 3 electrodes) may be separated into individual chambers each covered with the membrane Furthermore, individual electrode sets (2 or 3 electrodes) may each have a different reagent, allowing for an implantable analyte sensor that can measure at least two, such as 3-100, or 4-20, different analytes
  • the microelectronic circuitry may include some or all of the electrical components normally external to the implantable analyte sensor, such as a microproc- essor, an amplifier, or a power supply. If the microelectronic circuitry also includes a transmitter, or another device for sending information wirelessly, such as a laser which emits light through the skin, then there is no need to include the leads. Alternatively, the microelectronic circuitry may not be present, in which case the lead will directly electrically connect the electrodes with external electrical components.
  • one or more internal coatings may be present.
  • the internal coating may function to regulate diffusion.
  • examples of internal coatings include cellulose acetate, polyurethanes, polyallylamines (PAL), polyaziridine (PAZ), and silicon-containing polymers.
  • one or more external coatings may be present.
  • the implantable analyte sensors of the present invention are intended to be used in vivo, preferably subcutane- ously in mammals, such as humans, dogs or mice.
  • the external coatings function to improve the biocompatibilitv of the implantable analyte sensor.
  • external coatings include nafion, polvurethanes, polytetrafluoroethylenes (PTFE), poly (ethylene oxide) (PEO), and 2-methacryloyloxyethyl phosphorylcholine-co-n-butyl methacrylate (MPC) membranes
  • PTFE polytetrafluoroethylenes
  • PEO poly (ethylene oxide)
  • MPC 2-methacryloyloxyethyl phosphorylcholine-co-n-butyl methacrylate
  • the electrodes mav be coated with a reagent.
  • the reagent is optional, and may be used to provide electrochemical probes for specific analytes.
  • the reagent may be as simple as a single enzyme, such as glucose oxidase or glucose hydrogenase for the detection of glucose.
  • the enzyme may be immobilized or "wired" as described in PCT Publication WO 96/06947.
  • the reagents may optionally also include a mediator, to enhance sensitivity of the sensor.
  • the starting reagents are the reactants or components of the reagent, and are often compounded together in liquid form before application to the electrodes. The liquid may then evaporate, leaving the reagent in solid form.
  • a reagent for measurement of glucose can contain 62.2 mg polyethylene oxide (mean molecular weight of 100-900 kilodaltons), 3.3 mg NATROSOL 250 M, 41.5 mg AVICEL RC-591 F, 89.4 mg monobasic potassium phosphate, 157.9 mg dibasic potassium phosphate, 437.3 mg potassium ferricyanide, 46.0 mg sodium succinate, 148.0 mg trehalose, 2.6 mg TRITON X- 100 surfactant, and 2,000 to 9,000 units of enzvme activity per gram of reagent.
  • the enzyme is prepared as an enzyme solution from 12 5 mg coenzyme PQQ and 1.21 million units of the apoen- zyme of quinoprotein glucose dehydrogenase, forming a solution of quinoprotein glucose dehydrogenase.
  • This reagent is described in WO 99/30152, pages 7- 10, hereby incorporated bv referece
  • At least one additional enzyme is used as a reaction catalyst.
  • some of the examples shown in Table 1 may utilize an additional mediator, which facilitates electron transfer to the oxidized form of the mediator.
  • the additional mediator may be provided to the reagent in lesser amount than the oxidized form of the mediator. While the above assays are described, it is appreciated that a variety of electrochemical assays may be conducted in accordance with this disclosure.
  • the buried nitride etch stop layer acts as an etchant stop during the formation of nanometer scale pores.
  • the buried nitride etch stop layer facilitates three-dimensional control of the pore structure, and facilitates the formation of pores less than 50 nanometers in diameter. Moreover, these pores can be uniformly formed across the entire wafer.
  • the first step in the fabrication protocol is to etch a support ridge structure into a substrate.
  • the ridges provide mechanical rigidity to the subsequently formed membrane structure.
  • FIG. 1 illustrates a substrate 20 with a nitride etch stop layer 22 formed thereon.
  • the base structural layer (base layer) of the membrane is deposited on top of the stop layer 22. Since the etch stop layer 22 is thin, the structural layer is deposited down into the support ridges formed in the substrate 20. In one embodiment, 5 ⁇ m of polysihcon is used as the base layer.
  • Figure 2 illustrates the base layer 24 positioned on the etch stop layer 22. Low stress silicon nitride may also be used as the base layer, in which case it operates as its own etch stop layer.
  • the next processing step is to etch holes in the base layer 24 to define the shape of the pores.
  • Masks such as those used in traditional semiconductor processing, may be used to define the pores.
  • the holes may be etched through the polysihcon by chlorine plasma, with a thermally grown oxide layer used as a mask.
  • the buried nitride etch stop 22 acts as an etch stop for the plasma etching of a silicon base layer 24.
  • Figure 3 illustrates the result of this processing.
  • the figure illustrates holes 26 formed in the base layer 24, but terminating in the nitride etch stop layer 22.
  • Pore sacrificial oxide is subsequently grown on the base layer 24.
  • Figure 4 illustrates a sacrificial oxide 28 positioned on the base layer 24.
  • the sacrificial oxide thickness determines the pore size in the final membrane, so control of this step is critical to reproducible membranes. This is accomplished by the thermal oxidation of the base layer 24 (e.g., a growth temperature of between 850-950°C for approximately one hour with a ten minute anneal). Naturally, many techniques may be used to form a controlled thickness sacrificial layer. For example, a thermally evaporated tungsten film may be used as a sacrificial layer for polymer membranes and selectively removed with hydrogen peroxide. The basic requirement of the sacrificial layer is the ability to control the thickness with high precision across the entire wafer.
  • Thermal oxidation of both polysihcon and nitride allows the control of the sacrificial layer thickness of less than 5% across the entire wafer. Limitations on this control arise from local inhomogeneities in the base layer, such as the initial thickness of the native oxide (especially for polysihcon) the grain size or the density, and the impurity concentrations.
  • anchor points were defined in the sacrificial oxide layer 26.
  • a plug structural laver is subsequently deposited to fill in the holes 26 This step has been implemented by depositing 1 5 ⁇ m of polysihcon
  • the resultant plug layer 32 is shown in Figure 6
  • the plug layer 32 is planarized down to the base layer, leaving the final structure with the plug layer only in the pore hole openings, as shown in Figure 7
  • planan/ation depends on the material used as the plug material
  • the hard micro-fabrication materials polysihcon and nitride
  • chemical mechanical polishing was used for planan/ation
  • the other materials studied were roughly planarized using a plasma etch, with a quick wet chemical smoothing
  • This technique has the advantage that, assuming it is not etched by the plasma used, the base layer is not affected, but has the disadvantage of the need for controlled etch timing to avoid completely etching the plugs themselves
  • a protective layer 34 is deposited on the wafer (completel ⁇ co ⁇ e ⁇ ng both sides of the wafer)
  • the requirements of the protective layer 34 are that it be impervious to the silicon etch (KOH for these studies) and that it be removed without removing the plug 32 or base 24 structural layers
  • a thin nitride layer is used as the protective layer (nitride is not etched at all bv KOH and dissolves slowly in HF)
  • silicon is used as a protective layer, due to the processing temperature necessary for nitride deposition (835° C)
  • Figure 8 illustrates the resultant aperture 36 formed in the substrate 20 At this point, the buried nitride layer 22, the sacrificial oxide layer 34, and plug layer 32 are removed by etching in HF or SF 6 /oxygen plasma The resultant membrane 4 with nanometer scale pores is shown in Figure 9
  • the purpose of the membranes is to allow the analvte of interest (such as glucose) to diffuse through the membrane, while excluding large molecules (such as proteins) Therefore, two important characteristics of the membranes are glucose diffusion and albumin diffusion All tests are carried out at room temperature (25°C)
  • Diffusion of glucose is measured using a mini diffusion chamber constructed around the membranes
  • the diffusion chamber fabricated out of acrylic, consists of two compartments A and B with fixed volumes of 2 ml, separated by the desired membrane, sealed with o-rings, and screwed together
  • Glucose is measured on either side of the membrane using the diffusion chamber by means of a quantitative enzymatic assay (TRINDER T , SIGMA) and coloromet ⁇ c reading via a spectrophotometer Starting glucose concentrations for all tests were 6,666 mg/dl and 0 0 mg/dl in chambers A and B, respectively Samples of 0 1 ml are taken from the diffusion chamber and 10 ⁇ l of that are added to 3 ml of glucose reagent in a cuvette, and mixed gentlv by inversion Each tube is incubated for 18 minutes at room temperature and then readings are taken at a wavelength of 505 nm The reagent is linear up to 750 mg/dl The diffusion chamber itself is attached to a motor for stirring in order to minimize boundary layer effects (diffusion resistance at the liquid/membrane interface) In order to ensure wetting of the pores, the receptor cell is first filled with phosphate buffer saline (PBS) for fifteen minutes before the filling of the donor cell The donor
  • the presence of albumin does not seem to impede passage of glucose through the membranes, nor slow down glucose transport No detectable amounts of albumin diffuse through the micromachined membrane
  • the same membrane shows glucose diffusion
  • the micromachined membranes are able to achieve complete exclusion of albumin (to within the limits of detection), while allowing glucose diffusion Comparing diffusion rates with that of commercially available membranes, the micromachined membranes have glucose diffusion properties comparable to MILLIPORE and alumina WHATMAN membranes with similar pore sizes
  • the passage of albumin through the micromachined membrane is measured by looking at the change of albumin concentration in chamber A and chamber B over time.
  • Glucose does diffuse through micromachined membranes at a rate comparable to commercially available membranes At the same time, albumin is excluded from passage. In mixed solutions of glucose and albumin, only glucose diffuses through the micromachined membranes

Abstract

An implantable analyte sensor includes a substrate, electrodes on the substrate, and a membrane on the electrodes. The membrane can comprise elemental silicon and has a glucose diffusion test result of at least 1 mg/dl in 330 min., and an albumin diffusion test result of at most 0.1 g/dl in 420 min.

Description

Implantable Analyte Sensor
BACKGROUND
The present invention relates to implantable analyte sensors.
Several implantable glucose sensors have been developed Examples include those described in U S. Patent numbers 5,387,327; 5,411,647; and 5,476,776; as well as those described in PCT International Publication numbers WO 91/15993; WO 94/20602; WO 96/06947, and WO 97/ 19344 The implantable glucose sensors usually include a polymer substrate, with metal electrodes printed on the surface of the substrate. A biocompatible membrane covers the electrodes, allowing glucose to reach the electrodes, while excluding other molecules, such as proteins. Electrochemistry, often with the aid of enzymes at the electrodes, is used to determine the quantity of glucose present. The glu- cose sensor is implanted into a patient, and the electrodes may be attached via wires that pass out of the patient's body to external circuitry that controls the electrodes, measures and reports the glucose concentration. Alternatively, all or part of this external circuitry may be miniaturized and included in the implantable glucose sensor A transmitter, such as that described in WO 97/19344, may even be included in the implantable glucose sensor, completely eliminating the need for leads that pass out of the patient
A problem associated with an amperometπc glucose sensor is unstable signals. This may result from degradation of the enzyme from interaction with protein, leakage of the enzyme, and/or fouling of the electrode The usual way to overcome this is to use the above described biocompatible membrane, or a coating. However, several problems are also associated with these membranes. For example, Nafion-based biosensor membranes exhibit cracking, flaking, protein adhesion, and calcium deposits Mineralization of polymer-based membranes occurs in the biological environment, resulting in cracking and changes in permeabihtv The tortuous porosity associated with polymer membranes has also been shown to be important in membrane stability and mineralization in vivo. Biological components, which enter pores or voids in the material, cause metabolic shadows, which are loci for ion and calcium accumulation. This situation, coupled with the fact that mineral deposits have been known to propagate surface fractures in polvmeπc membranes, presents a potentially serious problem for implantable glucose sensors
In polymer membranes the pore size distribution usually follows some kind of probability distribution (e g gaussian), which leaves a finite probability for large proteins to eventually transfer through the membrane. Drift may be caused by this leakage or inadequate diffusion properties, and events at the body-sensor interface such as bio- fouling and protein adsorption, encapsulation with fibrotic tissue, and degradation of the device material over time
Currently, membranes with nominal pore sizes as small as 20 nm are available. Even so, the filtration at these dimensions is far from absolute. The most common filters are polymeric membranes formed from a solvent-casting process, which result in a pore size distribution with variations as large as 30%. The use of ion-track etching to form membranes (e.g. MILLPORE ISOPORE) produces a much tighter pore size distribution (±10%). However, these membranes have low porosities (<109 pores/cm ), limited pore sizes, and the pores are randomly distributed across the surface. Porous alumina (e.g. WHATMAN) has also been used to achieve uniform pores. Although the aluminas typically have higher pore densities (>1010/cm2), only certain pore sizes (typically greater than 20 nanometers ) can be achieved and the pore configurations and arrangements are difficult to control
BRIEF SUMMARY
In one aspect, the present invention is an implantable analyte sensor, comprising a substrate, electrodes on the substrate, and a membrane on the electrodes. The membrane has a glucose diffusion test result of at least 1 mg/dl in 330 min., and an albumin diffusion test result of at most 0 1 g/dl in 420 mm. and can comprise elemental silicon.
In another aspect, the present invention relates to a method of making an implantable analyte sensor, comprising covering electrodes with a membrane. The electrodes are on a substrate, and the membrane has a glucose diffusion test result of at least 1 mg/dl in 330 min., and an albumin diffusion test result of at most 0.1 g/dl in 420 min. The membrane can comprise elemental silicon.
BRIEF DESCRIPTION OF THE DRAWINGS
The following drawings form part of the present specification and are included to further demonstrate certain aspects of the present invention. The invention may be better understood by reference to one or more of these drawings in combination with the detailed description of specific embodiments presented herein:
Figures 1-9 illustrate the process of making a membrane for use in an embodiment of the present invention;
Figure 10 shows a cut-away view of an implantable analyte sensor;
Figure 11 shows an exploded view of an implantable analyte sensor; and
Figure 12 shows a cut-away view of an implantable analyte sensor.
DETAILED DESCRIPTION
Figure 10 shows a cut away view of an embodiment of the present invention. In the figure, an implantable analyte sensor 2 includes a substrate 6 on which are electrodes 8 and 8. The electrodes are covered with a membrane 4. Leads 12 and 12 allow for electrically connecting the implantable analyte sensor to external circuitry (not shown). The implantable analyte sensor also includes an external coating 16 and an internal coating 14.
Figure 11 shows an exploded view of an embodiment of the present invention. The internal and external coatings are not included in the figure for clarity. As shown in the figure, the implantable analyte sensor 2 includes the electrodes 8 and 8 on the substrate 6 surface, which are electrically connected with microelectronic circuitry 10. The microelectronic circuitry is electrically connected to leads 12 and 12, which allow for electri- cally connecting the implantable analyte sensor to external circuitry (not shown). The electrodes are covered with the membrane 4.
Figure 12 shows a cut away view of an embodiment of the present invention similar to that shown in Figure 10, except for the presence of a third electrode 8 and a third lead 12 Although so illustrated, the number of electrodes may be different from the number of leads
The membrane is composed of a hard material that has been micromachined Preferably, the membrane comprises elemental silicon, but other hard, biocompatable materials that can be micromachined are possible, such as metals (for example titanium), ceramics (for example, silica or silicon nitride), and polymers (such as polytetrafluoroethylene, polymethylmethacrylate, polystyrenes and sihcones) Micromachining is a process that includes photolithography, such as that used in the semiconductor industry, to remove material from, or add material too, a substrate. These techniques are well known, and are described, in Encyclopedia of Chemical Technology, Kirk-Othmer, Volume 14, pp
677-709 ( 1995), Semiconductor Device Fundamentals, Robert F Pierret, Addison- Wesley, 1996, and Microchip Fabrication 3rd edition, Peter Van Zant, McGraw-Hill, 1997 A detailed fabrication method for a membrane comprising elemental silicon is described in the dissertation of Derek James Hansford, submitted in partial satisfaction of the requirements for the degree of Doctor of Philosophy in Engineering-Materials
Science and Mineral Engineering in the Graduate Division of the University of California, Berkeley, submitted in the spring of 1999
A special property of the membrane is a defined pore size, which has a small size distribution compared to the si e distribution of standard membranes. Due to tight toler- ances in the manufacturing process, the pore size can be controlled at precise diameters, for example 1 to 50 nm, or 5 to 20 nm, or even 5 to 15 nm (such as 12 nm, 18 nm or even 25 nm), with a variation of +/- 0 01-20%, +/-0 1-10% or even +/-l-5% Therefore molecules abo\ e this si/e can be excluded with high certainty, since the size distribution has the shape of a top hat, rather than a bell curve, and hence pore sizes above, for example 12 nm, 18 nm, 25 nm or 50 nm are not present These membranes can exclude interfering molecules, such as proteins, which could otherwise cause major drift problems of the sensor, when the sensor is implanted in vivo. Signal drift is a change in the magnitude of the signal from a sensor which is unrelated to changes in analyte concentration The amount of signal drift is based on the magnitude of the signal prior to the drifting Preferably, the implantable analyte sensors of the present invention exhibit a signal drift of less than 20% per day in vivo, more preferably less than 10% per day in \ IVO, most preferably less than 5% per day in vivo Membranes for use in the present invention may be characterized by a glucose diffusion test and an albumin diffusion test. These tests are described below. Preferably, the membrane has a glucose diffusion test result of at least 1 mg/dl in 330 min., more preferably at least 10 mg/dl in 330 min., even more preferably at least 30 mg/dl in 330 min., and most preferably at least 60 mg/dl in 330 min. Preferably, the membrane has an albumin diffusion test result of at most 0.1 g/dl in 420 min., more preferably at most 0.05 g/dl in 420 min., even more preferably at most 0.01 g/dl in 420 min., and most preferably at most 0.001 g/dl in 420 min.
The manufacturing process of the membranes may allow a simple and economical pro- duction of small, implantable analyte sensors. For example, the membranes can be first manufactured, and then on a substrate, the electrodes for the sensor and the electrical connectors can be formed. Preferably, the substrate is silicon, but other materials are possible, such as ceramics, or polymers. If desired, electronic components, for example, amplifiers, filters, transmitters and/or signal preconditioning components, can easily be incorporated in this layer. In particular, if the substrate comprises elemental silicon, well known integrated circuit technology may be used to place all the circuitry in miniaturized form on a single chip.
There are two possible approaches to attach the substrate and the membrane, when a reagent is included in the sensor:
1. The substrate and the membrane are thermally bonded before the reagent is deposited on the electrodes. In this case, an opening, preferably in the membrane is provided (since this may be manufactured with a micromachining process, an opening is easily generated during one of the processing steps). In the case where multiple membranes are formed as a single piece, and or multiple substrates are formed as a single piece, after thermal bonding, a further etching step may be used to separate the individual membrane/substrate units. The reagent is deposited through the individual openings and the openings are sealed using, for example a polymer sealant. The individual sensors are then separated, incorporated into a flexible, inner coating, for example silicone rubber, and individually coated with an outer coating, such as a biocompatible layer. i The reagent is deposited on the electrodes before the membrane and substrate are attached. In this case, thermal bonding is not possible, since the enzyme in the reagent would be destroyed. The individual membranes and substrates are first sepa- rated and the individual sensors are assembled by bonding one membrane with one substrate using a suitable bonding agent, for example, cyanoacrylate As a final step, the individual sensors are incorporated into a flexible, inner coating, for example silicone rubber, and individually coated with an outer coating, such as a biocom- patible layer The sensor can be inserted into the skin using a needle applicator The control unit typically remains outside the body and can be connected to the sensor element through electrical wires (leads)
The electrodes are formed on the surface of the substrate They may be formed by well known semiconductor processing techniques, from conductive materials, such as pure metals or alloys, or other materials which are metallic conductors Examples include aluminum, carbon (such as graphite), cobalt, copper, gallium, gold, indium, indium, iron, lead, magnesium, mercury (as an amalgam), nickel, niobium, osmium, palladium, platinum, rhenium, rhodium, selenium, silicon (such as highly doped polycrystalline silicon), silver, tantalum, tin, titanium, tungsten, uranium, vanadium, zinc, zirconium, mixtures thereof, and alloys or metallic compounds of these elements Preferably, the electrodes include gold, platinum, palladium, indium, or alloys of these metals, since such noble metals and their alloys are unreactive in biological systems The electrodes may be any thickness, but preferably are 10 nm to 1 mm, more preferably, 20 nm to 100 μm, or even 25 nm to 1 μm
At least two electrodes must be present The number of electrodes may be 2-1000, or 3-
200, or even 3-99 Individual electrode sets (2 or 3 electrodes) may be separated into individual chambers each covered with the membrane Furthermore, individual electrode sets (2 or 3 electrodes) may each have a different reagent, allowing for an implantable analyte sensor that can measure at least two, such as 3-100, or 4-20, different analytes
The remaining individual part of the implantable analyte sensors are well known to those of ordinary skill in the art, and are described, for example, in U S Patent numbers 5,387,327, 5,411,647, and 5,476,776, as well as in PCT International Publication numbers WO 91/15993, WO 94/20602, WO 96/06947, and WO 97/19344
Although illustrated with both leads and microelectronic circuitry, these components are optional The microelectronic circuitry may include some or all of the electrical components normally external to the implantable analyte sensor, such as a microproc- essor, an amplifier, or a power supply. If the microelectronic circuitry also includes a transmitter, or another device for sending information wirelessly, such as a laser which emits light through the skin, then there is no need to include the leads. Alternatively, the microelectronic circuitry may not be present, in which case the lead will directly electrically connect the electrodes with external electrical components.
Optionally, one or more internal coatings may be present. The internal coating may function to regulate diffusion. Examples of internal coatings include cellulose acetate, polyurethanes, polyallylamines (PAL), polyaziridine (PAZ), and silicon-containing polymers. Some specific examples are described in PCT Publications WO 98/17995, WO 98/13685 and WO 96/06947, and in U.S. Patent Nos. 4,650,547 and 5,165,407.
Optionally, one or more external coatings may be present. The implantable analyte sensors of the present invention are intended to be used in vivo, preferably subcutane- ously in mammals, such as humans, dogs or mice. The external coatings function to improve the biocompatibilitv of the implantable analyte sensor. Examples of external coatings include nafion, polvurethanes, polytetrafluoroethylenes (PTFE), poly (ethylene oxide) (PEO), and 2-methacryloyloxyethyl phosphorylcholine-co-n-butyl methacrylate (MPC) membranes Some specific examples are described in PCT Publication WO 96/06947, and in "Medical Progress through Technology", Nishida et al. 21: 91-103 (1995).
The electrodes mav be coated with a reagent. The reagent is optional, and may be used to provide electrochemical probes for specific analytes. The reagent may be as simple as a single enzyme, such as glucose oxidase or glucose hydrogenase for the detection of glucose. The enzyme may be immobilized or "wired" as described in PCT Publication WO 96/06947. The reagents may optionally also include a mediator, to enhance sensitivity of the sensor. The starting reagents are the reactants or components of the reagent, and are often compounded together in liquid form before application to the electrodes. The liquid may then evaporate, leaving the reagent in solid form. The choice of specific reagent depends on the specific analyte or analytes to be measured, and are well known to those of ordinary skill in the art For example, a reagent for measurement of glucose can contain 62.2 mg polyethylene oxide (mean molecular weight of 100-900 kilodaltons), 3.3 mg NATROSOL 250 M, 41.5 mg AVICEL RC-591 F, 89.4 mg monobasic potassium phosphate, 157.9 mg dibasic potassium phosphate, 437.3 mg potassium ferricyanide, 46.0 mg sodium succinate, 148.0 mg trehalose, 2.6 mg TRITON X- 100 surfactant, and 2,000 to 9,000 units of enzvme activity per gram of reagent. The enzyme is prepared as an enzyme solution from 12 5 mg coenzyme PQQ and 1.21 million units of the apoen- zyme of quinoprotein glucose dehydrogenase, forming a solution of quinoprotein glucose dehydrogenase. This reagent is described in WO 99/30152, pages 7- 10, hereby incorporated bv referece
Other non-limiting examples of enzymes and optional mediators that may be used in measuring particular analytes in the present invention are listed below in Table 1.
TABLE 1
Analyte Enzymes Mediator Additional Mediator (Oxidized Form)
Glucose Glucose DehydroFerricyanide genase and Diaphorase
Glucose Glucose- DehydrogeFerricyanide nase
Cholesterol (Quinoprotein) Ferricyanide 2,6-Dιmethyl- l,4- Cholesterol Esterase Benzoquinone and Cholesterol 2,5-Dιchloro- l ,4- Oxidase Benzoquinone or Phenazine Ethosulfate
HDL Cholesterol Cholesterol Esterase Ferricyamde 2,6-Dιmethyl-l,4- and Cholesterol Benzoquinone Oxidase 2,5-Dιchloro-l ,4- Benzoquinone or Phenazine Ethosulfate
Tπglyceπdes Lipoprotein Lipase, Ferricyanide or Phenazine MethosulGlycerol Kinase, and Phenazine fate Glycerol-3-Phos- Ethosulfate phate Oxidase
Lactate Lactate Oxidase Ferricyanide 2,6-Dιchloro- l,4- Benzoquinone
Lactate Lactate DehydrogeFerricyanide nase and Diaphorase Phenazine Ethosulfate, or Phenazine Methosulfate
Lactate Diaphorase Ferricyanide Phenazine EthosulDehydrogenase fate, or Phenazine Methosulfate
Pyruvate Pyruvate Oxidase Ferricya de
Alcohol Alcohol Oxidase Phenylenedi- amine
Bilirubin Bilirubin Oxidase 1-Methoxy-
Phenazine
Methosulfate
Uric Acid Uncase Ferricyanide In some of the examples shown in Table 1, at least one additional enzyme is used as a reaction catalyst. Also, some of the examples shown in Table 1 may utilize an additional mediator, which facilitates electron transfer to the oxidized form of the mediator. The additional mediator may be provided to the reagent in lesser amount than the oxidized form of the mediator. While the above assays are described, it is appreciated that a variety of electrochemical assays may be conducted in accordance with this disclosure.
Formation of membrane
The following describes how to make a membrane for use in the present invention, based on the description from the dissertation of Derek James Hansford, submitted in partial satisfaction of the requirements for the degree of Doctor of Philosophy in Engineering-Materials Science and Mineral Engineering in the Graduate Division of the University of California, Berkeley, submitted in the spring of 1999.
Other membranes, made from other material, may also be used. This specific method relies upon a buried nitride etch stop layer.
The buried nitride etch stop layer acts as an etchant stop during the formation of nanometer scale pores. The buried nitride etch stop layer facilitates three-dimensional control of the pore structure, and facilitates the formation of pores less than 50 nanometers in diameter. Moreover, these pores can be uniformly formed across the entire wafer.
Preferably, the first step in the fabrication protocol is to etch a support ridge structure into a substrate. The ridges provide mechanical rigidity to the subsequently formed membrane structure.
A low stress silicon nitride (LSN or nitride), which operates as an etch stop layer, is then deposited on the substrate using low pressure chemical vapor depositions (LPCVD). In one embodiment, 0.4 μm of nitride was used. The resultant structure is shown in Figure 1. Figure 1 illustrates a substrate 20 with a nitride etch stop layer 22 formed thereon.
The base structural layer (base layer) of the membrane is deposited on top of the stop layer 22. Since the etch stop layer 22 is thin, the structural layer is deposited down into the support ridges formed in the substrate 20. In one embodiment, 5 μm of polysihcon is used as the base layer. Figure 2 illustrates the base layer 24 positioned on the etch stop layer 22. Low stress silicon nitride may also be used as the base layer, in which case it operates as its own etch stop layer.
The next processing step is to etch holes in the base layer 24 to define the shape of the pores. Masks, such as those used in traditional semiconductor processing, may be used to define the pores. For example, the holes may be etched through the polysihcon by chlorine plasma, with a thermally grown oxide layer used as a mask. In this step, it is important to make sure the etching goes completely through the base layer 24, so a 10- 15% overetch is preferably used. It is useful to note that the buried nitride etch stop 22 acts as an etch stop for the plasma etching of a silicon base layer 24. Otherwise, if the plasma punched through the nitride, tighter control of the etch step would have to be exercised to prevent the complete removal of the nitride under the plug layer (to prevent removal in the final KOH etch). Figure 3 illustrates the result of this processing. In particular, the figure illustrates holes 26 formed in the base layer 24, but terminating in the nitride etch stop layer 22.
Pore sacrificial oxide is subsequently grown on the base layer 24. Figure 4 illustrates a sacrificial oxide 28 positioned on the base layer 24.
The sacrificial oxide thickness determines the pore size in the final membrane, so control of this step is critical to reproducible membranes. This is accomplished by the thermal oxidation of the base layer 24 (e.g., a growth temperature of between 850-950°C for approximately one hour with a ten minute anneal). Naturally, many techniques may be used to form a controlled thickness sacrificial layer. For example, a thermally evaporated tungsten film may be used as a sacrificial layer for polymer membranes and selectively removed with hydrogen peroxide. The basic requirement of the sacrificial layer is the ability to control the thickness with high precision across the entire wafer. Thermal oxidation of both polysihcon and nitride allows the control of the sacrificial layer thickness of less than 5% across the entire wafer. Limitations on this control arise from local inhomogeneities in the base layer, such as the initial thickness of the native oxide (especially for polysihcon) the grain size or the density, and the impurity concentrations.
To mechanically connect the base layer 24 with the plug layer (necessary to maintain the pore spacing between layers), anchor points were defined in the sacrificial oxide layer 26.
In the present design, this is accomplished by using the same mask shifted from the pore holes by 1 μm diagonally. This produced anchors in one or two corners of each pore hole, which provides the desired mechanical connection between the structural layers while opening the pore area as much as possible Figure 5 illustrates anchors 30 formed via this process
A plug structural laver is subsequently deposited to fill in the holes 26 This step has been implemented by depositing 1 5 μm of polysihcon The resultant plug layer 32 is shown in Figure 6
To open the pores at the surface, the plug layer 32 is planarized down to the base layer, leaving the final structure with the plug layer only in the pore hole openings, as shown in Figure 7
The method of planan/ation depends on the material used as the plug material For the hard micro-fabrication materials (polysihcon and nitride), chemical mechanical polishing was used for planan/ation The other materials studied were roughly planarized using a plasma etch, with a quick wet chemical smoothing This technique has the advantage that, assuming it is not etched by the plasma used, the base layer is not affected, but has the disadvantage of the need for controlled etch timing to avoid completely etching the plugs themselves
At this point, the membrane is ready for release, so a protective layer 34 is deposited on the wafer (completel \ co \ eπng both sides of the wafer) The requirements of the protective layer 34 are that it be impervious to the silicon etch (KOH for these studies) and that it be removed without removing the plug 32 or base 24 structural layers For polysihcon and nitride structural layers, a thin nitride layer is used as the protective layer (nitride is not etched at all bv KOH and dissolves slowly in HF) For polymeric structural materials, silicon is used as a protective layer, due to the processing temperature necessary for nitride deposition (835° C)
The backside etch windows were etched in the protective layer, exposing the silicon in desired areas, and then the entire structure was placed in an 80°C KOH bath until the silicon wafer substrate 20 is etched up to the membrane base layer 24 (as evidenced by the smooth buried etch stop layer) Figure 8 illustrates the resultant aperture 36 formed in the substrate 20 At this point, the buried nitride layer 22, the sacrificial oxide layer 34, and plug layer 32 are removed by etching in HF or SF6/oxygen plasma The resultant membrane 4 with nanometer scale pores is shown in Figure 9
Characterization of membranes
The purpose of the membranes is to allow the analvte of interest (such as glucose) to diffuse through the membrane, while excluding large molecules (such as proteins) Therefore, two important characteristics of the membranes are glucose diffusion and albumin diffusion All tests are carried out at room temperature (25°C)
The following is a glucose diffusion test
Diffusion of glucose is measured using a mini diffusion chamber constructed around the membranes The diffusion chamber, fabricated out of acrylic, consists of two compartments A and B with fixed volumes of 2 ml, separated by the desired membrane, sealed with o-rings, and screwed together
Glucose is measured on either side of the membrane using the diffusion chamber by means of a quantitative enzymatic assay (TRINDERT , SIGMA) and colorometπc reading via a spectrophotometer Starting glucose concentrations for all tests were 6,666 mg/dl and 0 0 mg/dl in chambers A and B, respectively Samples of 0 1 ml are taken from the diffusion chamber and 10 μl of that are added to 3 ml of glucose reagent in a cuvette, and mixed gentlv by inversion Each tube is incubated for 18 minutes at room temperature and then readings are taken at a wavelength of 505 nm The reagent is linear up to 750 mg/dl The diffusion chamber itself is attached to a motor for stirring in order to minimize boundary layer effects (diffusion resistance at the liquid/membrane interface) In order to ensure wetting of the pores, the receptor cell is first filled with phosphate buffer saline (PBS) for fifteen minutes before the filling of the donor cell The donor cell is filled with solutions of glucose in PBS in varying concentrations
The following is an albumin diffusion test
Albumin is also measured on either side of the membrane using the same diffusion chamber as in the glucose diffusion test Albumin diffusion and/or exclusion is first measured and quantified using Albumin BCP (bromocresol purple, SIGMA) Starting albumin concentrations for all tests are 4 g/dl and 0 0 mg/dl in chambers A and B, respectively A sample of 0 1 ml is taken at time zero and at the end of the diffusion period (time = 330 minutes) An aliquot of 300 μl is then added to 3 ml of the reagent and absorbence is read at 600 nm Reagent plus deionized water is used as the blank The BCP assay is linear up to 6g/dl but is not accurate below 1 g/dl For the small concentration of albumin that might be present in chamber A, the presence of any protein in chamber B is measured using the Bradford Method (MICRO PROTEIN KIT, SIGMA) This method quantitates the binding of Coomassie brilliant blue to an unknown protein and compares this binding to that of different amounts of a standard protein Albumin is used as a standard protein This method quantifies 1 to 100 micro- grams protein using a standard curve, with sensitivity down to 10 mg/dl or 0 1 g/dl protein The absorbance is measured at 595 nm
Analysis of membranes
Diffusion of glucose was measured for three types of membranes silicon micromachined membranes (average pore size = 0 0245 microns), WHATMAN ANODISC membranes (average pore size = 02 microns), and MF-MILLIPORE mixed cellulose acetate and nitrate membrane (average pore size = 0 025 microns)
The results from the albumin test are shown in the table below
Figure imgf000014_0001
The presence of albumin does not seem to impede passage of glucose through the membranes, nor slow down glucose transport No detectable amounts of albumin diffuse through the micromachined membrane The same membrane, however, shows glucose diffusion The micromachined membranes are able to achieve complete exclusion of albumin (to within the limits of detection), while allowing glucose diffusion Comparing diffusion rates with that of commercially available membranes, the micromachined membranes have glucose diffusion properties comparable to MILLIPORE and alumina WHATMAN membranes with similar pore sizes The passage of albumin through the micromachined membrane is measured by looking at the change of albumin concentration in chamber A and chamber B over time. Using the BCP assay, there are no detectable traces of albumin in chamber B However, the amount of albumin in chamber B may have been below the limits of detectability of this assay system Therefore, the Bradford Method was also employed Using this microassay, again no detectable amounts of albumin were found in chamber B for the micromachined membrane, but small amounts of protein were found in chamber B using both the MILLIPORE and WHATMAN membranes The amounts of albumin detected after 420 minutes in chamber B were approximately 0 25 g/dl and 0 20 g/dl albumin for the MILLIPORE and WHATMAN membranes, respectively
Glucose does diffuse through micromachined membranes at a rate comparable to commercially available membranes At the same time, albumin is excluded from passage. In mixed solutions of glucose and albumin, only glucose diffuses through the micromachined membranes

Claims

1. An implantable analyte sensor, comprising:
(a) a substrate,
(b) electrodes on said substrate, and
(c) a membrane on said electrodes,
wherein said membrane comprises elemental silicon and has a glucose diffusion test result of at least 1 mg/dl in 330 min., and an albumin diffusion test result of at most 0.1 g/dl in 420 min.
2. The implantable analyte sensor of Claim 1, further comprising:
(d) microelectronic circuitry electrically connected to said electrodes.
3. The implantable analyte sensor of Claim 1, further comprising:
(e) leads electrically connected to said electrodes.
4. The implantable analyte sensor of Claim 2, further comprising:
(e) leads electrically connected to said electrodes,
wherein said leads are electrically connected to said electrodes via said microelectronic circuitry.
5. The implantable analyte sensor of Claim 2, wherein said microelectronic circuitry comprises a transmitter and a power supply.
6. The implantable analyte sensor of Claim 1, further comprising:
(f) a coating surrounding said substrate and said membrane.
7. The implantable analyte sensor of Claim 6, wherein said coating comprises an internal coating and an external coating.
8. The implantable analyte sensor of Claim 1, wherein said substrate comprises elemental silicon. The implantable analvte sensor of Claim 1, wherein said membrane is prepared by micromachining
The implantable analvte sensor of Claim 1, wherein said glucose diffusion test result is at least 60 mg/dl in 330 min , and said albumin diffusion test result is at
Figure imgf000017_0001
The implantable analyte sensor of Claim 1, wherein the implantable analyte sensor is a glucose sensor
An implantable analyte sensor, comprising-
(a) a substrate,
(b) electrodes on said substrate, and
(c) a membrane on said electrodes,
wherein said membrane has a glucose diffusion test result of at least 1 mg/dl in 330 min., and an albumin diffusion test result of at most 0 1 g/dl in 420 mm
The implantable anahte sensor of Claim 12, wherein said glucose diffusion test result is at least 60 mg/dl in 330 min., and said albumin diffusion test result is at
Figure imgf000017_0002
The implantable analvte sensor of Claim 12, further comprising
(d) microelectronic circuitry electrically connected to said electrodes
The implantable analvte sensor of Claim 12, further comprising
(e) leads electrically connected to said electrodes
The implantable analyte sensor of Claim 14, further comprising
(e) leads electrically connected to said electrodes,
wherein said leads are electrically connected to said electrodes via said microelectronic circuitry The implantable analyte sensor of Claim 14, wherein said microelectronic circuitry compπses a transmitter and a power supply
The implantable analyte sensor of Claim 12, further comprising:
(f) a coating surrounding said substrate and said membrane.
The implantable analyte sensor of Claim 18, wherein said coating comprises an internal coating and an external coating.
The implantable analyte sensor of Claim 12, wherein said substrate comprises elemental silicon
The implantable analyte sensor of Claim 12, wherein said membrane is prepared by micromachining
The implantable analyte sensor of Claim 12, wherein the implantable analyte sensor is a glucose sensor
A method of making an implantable analyte sensor, comprising:
covering electrodes with a membrane;
wherein said electrodes are on a substrate and said membrane comprises elemental silicon and has a glucose diffusion test result of at least 1 mg/dl in 330 mm., and an albumin diffusion test result of at most 0 1 g/dl in 420 min
The method of Claim 23, further comprising:
forming said membrane by micromachining elemental silicon
The method of Claim 23, further comprising-
surrounding said membrane and said substrate with a coating
The method of Claim 23, wherein said glucose diffusion test result is at least 60 mg/dl in 330 mm , and said albumin diffusion test result is at most 0 001 g/dl in
Figure imgf000018_0001
The method of Claim 23, wherein the implantable analyte sensor is a glucose sensor 8 A method of making an implantable analvte sensor, comprising:
covering electrodes with a membrane;
wherein said electrodes are on a substrate, and
said membrane has a glucose diffusion test result of at least 1 mg/dl in 330 min., and an albumin diffusion test result of at most 0.1 g/dl in 420 min.
9 The method of Claim 28, further comprising:
forming said membrane by micromachining elemental silicon.
30 The method of Claim 28, further comprising:
surrounding said membrane and said substrate with a coating
31 The method of Claim 28, wherein said glucose diffusion test result is at least 60 mg/dl in 330 min , and said albumin diffusion test result is at most 0.001 g/dl in
Figure imgf000019_0001
32. The method of Claim 28, wherein said membrane is prepared by micromachining.
33 The method of Claim 28, wherein the implantable analyte sensor is a glucose sensor
34 In an implantable anahte sensor including electrodes on a substrate and a membrane covering the electrodes, the improvement comprising the membrane having a glucose diffusion test result of at least 1 mg/dl in 330 min., and an albumin diffusion test result of at most 0 1 g/dl in 420 min
35 An implantable analvte sensor, comprising:
(I) means for measuring an analyte electrochemically, and
(n) a membrane on said means,
wherein said membrane has a glucose diffusion test result of at least 1 mg/dl in 330 min., and an albumin diffusion test result of at most 0 1 g/dl in 420 min.
PCT/EP2001/003027 2000-03-17 2001-03-16 Implantable analyte sensor WO2001068901A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
EP01913889A EP1267705A2 (en) 2000-03-17 2001-03-16 Implantable analyte sensor
CA002406878A CA2406878A1 (en) 2000-03-17 2001-03-16 Implantable analyte sensor
AU2001239304A AU2001239304A1 (en) 2000-03-17 2001-03-16 Implantable analyte sensor
JP2001567382A JP2003526491A (en) 2000-03-17 2001-03-16 Embedded analyte sensor

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/528,277 2000-03-17
US09/528,277 US6405066B1 (en) 2000-03-17 2000-03-17 Implantable analyte sensor

Publications (2)

Publication Number Publication Date
WO2001068901A2 true WO2001068901A2 (en) 2001-09-20
WO2001068901A3 WO2001068901A3 (en) 2001-12-27

Family

ID=24104988

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2001/003027 WO2001068901A2 (en) 2000-03-17 2001-03-16 Implantable analyte sensor

Country Status (6)

Country Link
US (1) US6405066B1 (en)
EP (1) EP1267705A2 (en)
JP (1) JP2003526491A (en)
AU (1) AU2001239304A1 (en)
CA (1) CA2406878A1 (en)
WO (1) WO2001068901A2 (en)

Cited By (47)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6702857B2 (en) 2001-07-27 2004-03-09 Dexcom, Inc. Membrane for use with implantable devices
US6862465B2 (en) 1997-03-04 2005-03-01 Dexcom, Inc. Device and method for determining analyte levels
US7074307B2 (en) 2003-07-25 2006-07-11 Dexcom, Inc. Electrode systems for electrochemical sensors
US7108778B2 (en) 2003-07-25 2006-09-19 Dexcom, Inc. Electrochemical sensors including electrode systems with increased oxygen generation
EP2027812A1 (en) * 2007-08-24 2009-02-25 F. Hoffman-la Roche AG Method for manufacturing a micro-dialysis catheter and micro-dialysis catheter manufactured accordingly
US7774145B2 (en) 2003-08-01 2010-08-10 Dexcom, Inc. Transcutaneous analyte sensor
US7778680B2 (en) 2003-08-01 2010-08-17 Dexcom, Inc. System and methods for processing analyte sensor data
US8010174B2 (en) 2003-08-22 2011-08-30 Dexcom, Inc. Systems and methods for replacing signal artifacts in a glucose sensor data stream
US8277713B2 (en) 2004-05-03 2012-10-02 Dexcom, Inc. Implantable analyte sensor
EP1681992B2 (en) 2003-09-30 2015-03-04 Roche Diagnostics GmbH Sensor with increased biocompatibility
US9042953B2 (en) 1998-04-30 2015-05-26 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US9050413B2 (en) 2004-02-26 2015-06-09 Dexcom, Inc. Integrated delivery device for continuous glucose sensor
US9060742B2 (en) 2004-07-13 2015-06-23 Dexcom, Inc. Transcutaneous analyte sensor
US9066695B2 (en) 1998-04-30 2015-06-30 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US9066697B2 (en) 1998-04-30 2015-06-30 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US9078607B2 (en) 2005-11-01 2015-07-14 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US9078608B2 (en) 2005-03-10 2015-07-14 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US9610034B2 (en) 2001-01-02 2017-04-04 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US9741139B2 (en) 2007-06-08 2017-08-22 Dexcom, Inc. Integrated medicament delivery device for use with continuous analyte sensor
US9750441B2 (en) 2003-12-09 2017-09-05 Dexcom, Inc. Signal processing for continuous analyte sensor
US9763609B2 (en) 2003-07-25 2017-09-19 Dexcom, Inc. Analyte sensors having a signal-to-noise ratio substantially unaffected by non-constant noise
US9804114B2 (en) 2001-07-27 2017-10-31 Dexcom, Inc. Sensor head for use with implantable devices
US9895089B2 (en) 2003-08-01 2018-02-20 Dexcom, Inc. System and methods for processing analyte sensor data
US9931067B2 (en) 1997-03-04 2018-04-03 Dexcom, Inc. Device and method for determining analyte levels
US9962091B2 (en) 2002-12-31 2018-05-08 Abbott Diabetes Care Inc. Continuous glucose monitoring system and methods of use
US9986942B2 (en) 2004-07-13 2018-06-05 Dexcom, Inc. Analyte sensor
US10052051B2 (en) 2002-05-22 2018-08-21 Dexcom, Inc. Silicone based membranes for use in implantable glucose sensors
US10201301B2 (en) 2005-11-01 2019-02-12 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US10300507B2 (en) 2005-05-05 2019-05-28 Dexcom, Inc. Cellulosic-based resistance domain for an analyte sensor
US10376143B2 (en) 2003-07-25 2019-08-13 Dexcom, Inc. Analyte sensors having a signal-to-noise ratio substantially unaffected by non-constant noise
US10478108B2 (en) 1998-04-30 2019-11-19 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US10537678B2 (en) 2009-03-27 2020-01-21 Dexcom, Inc. Methods and systems for promoting glucose management
US10653835B2 (en) 2007-10-09 2020-05-19 Dexcom, Inc. Integrated insulin delivery system with continuous glucose sensor
US10667733B2 (en) 2009-09-30 2020-06-02 Dexcom, Inc. Transcutaneous analyte sensor
US10791928B2 (en) 2007-05-18 2020-10-06 Dexcom, Inc. Analyte sensors having a signal-to-noise ratio substantially unaffected by non-constant noise
US10813577B2 (en) 2005-06-21 2020-10-27 Dexcom, Inc. Analyte sensor
US10966609B2 (en) 2004-02-26 2021-04-06 Dexcom, Inc. Integrated medicament delivery device for use with continuous analyte sensor
US10980461B2 (en) 2008-11-07 2021-04-20 Dexcom, Inc. Advanced analyte sensor calibration and error detection
US11000215B1 (en) 2003-12-05 2021-05-11 Dexcom, Inc. Analyte sensor
US11331022B2 (en) 2017-10-24 2022-05-17 Dexcom, Inc. Pre-connected analyte sensors
US11350862B2 (en) 2017-10-24 2022-06-07 Dexcom, Inc. Pre-connected analyte sensors
US11382539B2 (en) 2006-10-04 2022-07-12 Dexcom, Inc. Analyte sensor
US11399745B2 (en) 2006-10-04 2022-08-02 Dexcom, Inc. Dual electrode system for a continuous analyte sensor
US11432772B2 (en) 2006-08-02 2022-09-06 Dexcom, Inc. Systems and methods for replacing signal artifacts in a glucose sensor data stream
US11559260B2 (en) 2003-08-22 2023-01-24 Dexcom, Inc. Systems and methods for processing analyte sensor data
US11564602B2 (en) 2003-11-19 2023-01-31 Dexcom, Inc. Integrated receiver for continuous analyte sensor
US11633133B2 (en) 2003-12-05 2023-04-25 Dexcom, Inc. Dual electrode system for a continuous analyte sensor

Families Citing this family (154)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7192450B2 (en) 2003-05-21 2007-03-20 Dexcom, Inc. Porous membranes for use with implantable devices
US6001067A (en) 1997-03-04 1999-12-14 Shults; Mark C. Device and method for determining analyte levels
US6949816B2 (en) 2003-04-21 2005-09-27 Motorola, Inc. Semiconductor component having first surface area for electrically coupling to a semiconductor chip and second surface area for electrically coupling to a substrate, and method of manufacturing same
US8346337B2 (en) 1998-04-30 2013-01-01 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
WO2001036321A1 (en) * 1999-11-17 2001-05-25 The Regents Of The University Of California Apparatus and method for forming a membrane with nanometer scale pores
RU2278612C2 (en) * 2000-07-14 2006-06-27 Лайфскен, Инк. Immune sensor
US7310543B2 (en) 2001-03-26 2007-12-18 Kumetrix, Inc. Silicon microprobe with integrated biosensor
EP1397068A2 (en) 2001-04-02 2004-03-17 Therasense, Inc. Blood glucose tracking apparatus and methods
US6663615B1 (en) * 2001-09-04 2003-12-16 The Ohio State University Dual stage microvalve and method of use
WO2003038851A1 (en) * 2001-11-01 2003-05-08 Massachusetts Institute Of Technology Organic field emission device
US9247901B2 (en) 2003-08-22 2016-02-02 Dexcom, Inc. Systems and methods for replacing signal artifacts in a glucose sensor data stream
US9282925B2 (en) 2002-02-12 2016-03-15 Dexcom, Inc. Systems and methods for replacing signal artifacts in a glucose sensor data stream
CA2501965C (en) * 2002-09-11 2012-04-10 The Regents Of The University Of Michigan Ultrafiltration membrane, device, bioartificial organ, and methods
US20040064050A1 (en) * 2002-09-20 2004-04-01 Jun Liu System and method for screening tissue
DE60336834D1 (en) 2002-10-09 2011-06-01 Abbott Diabetes Care Inc FUEL FEEDING DEVICE, SYSTEM AND METHOD
US7727181B2 (en) 2002-10-09 2010-06-01 Abbott Diabetes Care Inc. Fluid delivery device with autocalibration
US7993108B2 (en) 2002-10-09 2011-08-09 Abbott Diabetes Care Inc. Variable volume, shape memory actuated insulin dispensing pump
US7679407B2 (en) 2003-04-28 2010-03-16 Abbott Diabetes Care Inc. Method and apparatus for providing peak detection circuitry for data communication systems
US7875293B2 (en) 2003-05-21 2011-01-25 Dexcom, Inc. Biointerface membranes incorporating bioactive agents
US8066639B2 (en) 2003-06-10 2011-11-29 Abbott Diabetes Care Inc. Glucose measuring device for use in personal area network
US7097788B2 (en) * 2003-06-30 2006-08-29 The Board Of Trustees Of The University Of Illinois Conducting inks
US7722536B2 (en) * 2003-07-15 2010-05-25 Abbott Diabetes Care Inc. Glucose measuring device integrated into a holster for a personal area network device
EP1648298A4 (en) 2003-07-25 2010-01-13 Dexcom Inc Oxygen enhancing membrane systems for implantable devices
US8160669B2 (en) 2003-08-01 2012-04-17 Dexcom, Inc. Transcutaneous analyte sensor
US9135402B2 (en) 2007-12-17 2015-09-15 Dexcom, Inc. Systems and methods for processing sensor data
US8886273B2 (en) 2003-08-01 2014-11-11 Dexcom, Inc. Analyte sensor
US7494465B2 (en) 2004-07-13 2009-02-24 Dexcom, Inc. Transcutaneous analyte sensor
US8275437B2 (en) 2003-08-01 2012-09-25 Dexcom, Inc. Transcutaneous analyte sensor
US7933639B2 (en) 2003-08-01 2011-04-26 Dexcom, Inc. System and methods for processing analyte sensor data
US8369919B2 (en) 2003-08-01 2013-02-05 Dexcom, Inc. Systems and methods for processing sensor data
US20100168657A1 (en) 2003-08-01 2010-07-01 Dexcom, Inc. System and methods for processing analyte sensor data
US7388488B2 (en) * 2003-10-30 2008-06-17 Peter Lupoli Method and system for storing, retrieving, and managing data for tags
US7956742B2 (en) 2003-10-30 2011-06-07 Motedata Inc. Method and system for storing, retrieving, and managing data for tags
US8364231B2 (en) 2006-10-04 2013-01-29 Dexcom, Inc. Analyte sensor
US7553625B2 (en) 2003-12-22 2009-06-30 John Wayne Cancer Institute Method and apparatus for in vivo collection of circulating biological components
US20050153309A1 (en) * 2003-12-22 2005-07-14 David Hoon Method and apparatus for in vivo surveillance of circulating biological components
US8948836B2 (en) * 2003-12-26 2015-02-03 Medtronic Minimed, Inc. Implantable apparatus for sensing multiple parameters
EP1718198A4 (en) 2004-02-17 2008-06-04 Therasense Inc Method and system for providing data communication in continuous glucose monitoring and management system
CA2572455C (en) * 2004-06-04 2014-10-28 Therasense, Inc. Diabetes care host-client architecture and data management system
US8565848B2 (en) 2004-07-13 2013-10-22 Dexcom, Inc. Transcutaneous analyte sensor
AU2005295106B2 (en) 2004-10-12 2012-03-15 Bayer Healthcare Llc Concentration determination in a diffusion barrier layer
US7545272B2 (en) 2005-02-08 2009-06-09 Therasense, Inc. RF tag on test strips, test strip vials and boxes
CA2601441A1 (en) 2005-03-21 2006-09-28 Abbott Diabetes Care Inc. Method and system for providing integrated medication infusion and analyte monitoring system
US20070066138A1 (en) * 2005-04-05 2007-03-22 The Ohio State University Research Foundation Diffusion Delivery Systems and Methods of Fabrication
WO2006110193A2 (en) 2005-04-08 2006-10-19 Dexcom, Inc. Cellulosic-based interference domain for an analyte sensor
US20060249381A1 (en) * 2005-05-05 2006-11-09 Petisce James R Cellulosic-based resistance domain for an analyte sensor
US8112240B2 (en) 2005-04-29 2012-02-07 Abbott Diabetes Care Inc. Method and apparatus for providing leak detection in data monitoring and management systems
US7768408B2 (en) 2005-05-17 2010-08-03 Abbott Diabetes Care Inc. Method and system for providing data management in data monitoring system
US7620437B2 (en) 2005-06-03 2009-11-17 Abbott Diabetes Care Inc. Method and apparatus for providing rechargeable power in data monitoring and management systems
EP1896839A2 (en) * 2005-06-30 2008-03-12 MC3, Inc. Analyte sensors and compositions for use therein
CN102440785A (en) 2005-08-31 2012-05-09 弗吉尼亚大学专利基金委员会 Sensor signal processing method and sensor signal processing device
US7756561B2 (en) 2005-09-30 2010-07-13 Abbott Diabetes Care Inc. Method and apparatus for providing rechargeable power in data monitoring and management systems
US7583190B2 (en) 2005-10-31 2009-09-01 Abbott Diabetes Care Inc. Method and apparatus for providing data communication in data monitoring and management systems
US7766829B2 (en) 2005-11-04 2010-08-03 Abbott Diabetes Care Inc. Method and system for providing basal profile modification in analyte monitoring and management systems
EP2004796B1 (en) * 2006-01-18 2015-04-08 DexCom, Inc. Membranes for an analyte sensor
US8344966B2 (en) 2006-01-31 2013-01-01 Abbott Diabetes Care Inc. Method and system for providing a fault tolerant display unit in an electronic device
US7885698B2 (en) 2006-02-28 2011-02-08 Abbott Diabetes Care Inc. Method and system for providing continuous calibration of implantable analyte sensors
EP1991110B1 (en) 2006-03-09 2018-11-07 DexCom, Inc. Systems and methods for processing analyte sensor data
US8219173B2 (en) 2008-09-30 2012-07-10 Abbott Diabetes Care Inc. Optimizing analyte sensor calibration
US8226891B2 (en) 2006-03-31 2012-07-24 Abbott Diabetes Care Inc. Analyte monitoring devices and methods therefor
US7630748B2 (en) 2006-10-25 2009-12-08 Abbott Diabetes Care Inc. Method and system for providing analyte monitoring
US7620438B2 (en) 2006-03-31 2009-11-17 Abbott Diabetes Care Inc. Method and system for powering an electronic device
US8583205B2 (en) * 2008-03-28 2013-11-12 Abbott Diabetes Care Inc. Analyte sensor calibration management
US9675290B2 (en) 2012-10-30 2017-06-13 Abbott Diabetes Care Inc. Sensitivity calibration of in vivo sensors used to measure analyte concentration
US9392969B2 (en) 2008-08-31 2016-07-19 Abbott Diabetes Care Inc. Closed loop control and signal attenuation detection
US8224415B2 (en) 2009-01-29 2012-07-17 Abbott Diabetes Care Inc. Method and device for providing offset model based calibration for analyte sensor
US7920907B2 (en) 2006-06-07 2011-04-05 Abbott Diabetes Care Inc. Analyte monitoring system and method
US8135548B2 (en) 2006-10-26 2012-03-13 Abbott Diabetes Care Inc. Method, system and computer program product for real-time detection of sensitivity decline in analyte sensors
US8579853B2 (en) 2006-10-31 2013-11-12 Abbott Diabetes Care Inc. Infusion devices and methods
US20080121045A1 (en) * 2006-11-29 2008-05-29 Cole Matthew C Multiplexed sensor array
WO2008086477A1 (en) 2007-01-10 2008-07-17 The Regents Of The University Of Michigan Ultrafiltration membrane, device, bioartificial organ, and related methods
US8930203B2 (en) 2007-02-18 2015-01-06 Abbott Diabetes Care Inc. Multi-function analyte test device and methods therefor
US8732188B2 (en) 2007-02-18 2014-05-20 Abbott Diabetes Care Inc. Method and system for providing contextual based medication dosage determination
US8123686B2 (en) 2007-03-01 2012-02-28 Abbott Diabetes Care Inc. Method and apparatus for providing rolling data in communication systems
EP2146627B1 (en) 2007-04-14 2020-07-29 Abbott Diabetes Care Inc. Method and apparatus for providing data processing and control in medical communication system
EP2137637A4 (en) * 2007-04-14 2012-06-20 Abbott Diabetes Care Inc Method and apparatus for providing data processing and control in medical communication system
ES2784736T3 (en) 2007-04-14 2020-09-30 Abbott Diabetes Care Inc Procedure and apparatus for providing data processing and control in a medical communication system
EP2146625B1 (en) 2007-04-14 2019-08-14 Abbott Diabetes Care Inc. Method and apparatus for providing data processing and control in medical communication system
US9204827B2 (en) 2007-04-14 2015-12-08 Abbott Diabetes Care Inc. Method and apparatus for providing data processing and control in medical communication system
US7928850B2 (en) 2007-05-08 2011-04-19 Abbott Diabetes Care Inc. Analyte monitoring system and methods
US8461985B2 (en) 2007-05-08 2013-06-11 Abbott Diabetes Care Inc. Analyte monitoring system and methods
US8665091B2 (en) 2007-05-08 2014-03-04 Abbott Diabetes Care Inc. Method and device for determining elapsed sensor life
US8456301B2 (en) 2007-05-08 2013-06-04 Abbott Diabetes Care Inc. Analyte monitoring system and methods
US9125548B2 (en) 2007-05-14 2015-09-08 Abbott Diabetes Care Inc. Method and apparatus for providing data processing and control in a medical communication system
US8239166B2 (en) 2007-05-14 2012-08-07 Abbott Diabetes Care Inc. Method and apparatus for providing data processing and control in a medical communication system
US8103471B2 (en) 2007-05-14 2012-01-24 Abbott Diabetes Care Inc. Method and apparatus for providing data processing and control in a medical communication system
US8560038B2 (en) 2007-05-14 2013-10-15 Abbott Diabetes Care Inc. Method and apparatus for providing data processing and control in a medical communication system
US8260558B2 (en) 2007-05-14 2012-09-04 Abbott Diabetes Care Inc. Method and apparatus for providing data processing and control in a medical communication system
US8600681B2 (en) 2007-05-14 2013-12-03 Abbott Diabetes Care Inc. Method and apparatus for providing data processing and control in a medical communication system
US8444560B2 (en) 2007-05-14 2013-05-21 Abbott Diabetes Care Inc. Method and apparatus for providing data processing and control in a medical communication system
US10002233B2 (en) 2007-05-14 2018-06-19 Abbott Diabetes Care Inc. Method and apparatus for providing data processing and control in a medical communication system
CN103251414B (en) 2007-06-21 2017-05-24 雅培糖尿病护理公司 Device for detecting analyte level
JP5680960B2 (en) 2007-06-21 2015-03-04 アボット ダイアベティス ケア インコーポレイテッドAbbott Diabetes Care Inc. Health care device and method
US8160900B2 (en) 2007-06-29 2012-04-17 Abbott Diabetes Care Inc. Analyte monitoring and management device and method to analyze the frequency of user interaction with the device
EP2017350A1 (en) * 2007-07-19 2009-01-21 F. Hoffmann-La Roche AG Electrochemical sensor with covalent-bound enzyme
US8834366B2 (en) 2007-07-31 2014-09-16 Abbott Diabetes Care Inc. Method and apparatus for providing analyte sensor calibration
US8417312B2 (en) 2007-10-25 2013-04-09 Dexcom, Inc. Systems and methods for processing sensor data
US9839395B2 (en) 2007-12-17 2017-12-12 Dexcom, Inc. Systems and methods for processing sensor data
US20090164239A1 (en) 2007-12-19 2009-06-25 Abbott Diabetes Care, Inc. Dynamic Display Of Glucose Information
US20090247856A1 (en) * 2008-03-28 2009-10-01 Dexcom, Inc. Polymer membranes for continuous analyte sensors
US8583204B2 (en) 2008-03-28 2013-11-12 Dexcom, Inc. Polymer membranes for continuous analyte sensors
US8682408B2 (en) 2008-03-28 2014-03-25 Dexcom, Inc. Polymer membranes for continuous analyte sensors
US11730407B2 (en) 2008-03-28 2023-08-22 Dexcom, Inc. Polymer membranes for continuous analyte sensors
US7826382B2 (en) 2008-05-30 2010-11-02 Abbott Diabetes Care Inc. Close proximity communication device and methods
US8591410B2 (en) 2008-05-30 2013-11-26 Abbott Diabetes Care Inc. Method and apparatus for providing glycemic control
US8924159B2 (en) 2008-05-30 2014-12-30 Abbott Diabetes Care Inc. Method and apparatus for providing glycemic control
WO2010027771A1 (en) 2008-08-27 2010-03-11 Edwards Lifesciences Corporation Analyte sensor
US9326707B2 (en) 2008-11-10 2016-05-03 Abbott Diabetes Care Inc. Alarm characterization for analyte monitoring devices and systems
US8103456B2 (en) 2009-01-29 2012-01-24 Abbott Diabetes Care Inc. Method and device for early signal attenuation detection using blood glucose measurements
US8560082B2 (en) 2009-01-30 2013-10-15 Abbott Diabetes Care Inc. Computerized determination of insulin pump therapy parameters using real time and retrospective data processing
US20100198034A1 (en) 2009-02-03 2010-08-05 Abbott Diabetes Care Inc. Compact On-Body Physiological Monitoring Devices and Methods Thereof
US9226701B2 (en) 2009-04-28 2016-01-05 Abbott Diabetes Care Inc. Error detection in critical repeating data in a wireless sensor system
WO2010129375A1 (en) 2009-04-28 2010-11-11 Abbott Diabetes Care Inc. Closed loop blood glucose control algorithm analysis
WO2010127187A1 (en) 2009-04-29 2010-11-04 Abbott Diabetes Care Inc. Method and system for providing data communication in continuous glucose monitoring and management system
WO2010138856A1 (en) 2009-05-29 2010-12-02 Abbott Diabetes Care Inc. Medical device antenna systems having external antenna configurations
EP2456351B1 (en) 2009-07-23 2016-10-12 Abbott Diabetes Care, Inc. Real time management of data relating to physiological control of glucose levels
WO2011014851A1 (en) 2009-07-31 2011-02-03 Abbott Diabetes Care Inc. Method and apparatus for providing analyte monitoring system calibration accuracy
CA2765712A1 (en) 2009-08-31 2011-03-03 Abbott Diabetes Care Inc. Medical devices and methods
WO2011026148A1 (en) 2009-08-31 2011-03-03 Abbott Diabetes Care Inc. Analyte monitoring system and methods for managing power and noise
WO2011026147A1 (en) 2009-08-31 2011-03-03 Abbott Diabetes Care Inc. Analyte signal processing device and methods
US9320461B2 (en) 2009-09-29 2016-04-26 Abbott Diabetes Care Inc. Method and apparatus for providing notification function in analyte monitoring systems
US8185181B2 (en) 2009-10-30 2012-05-22 Abbott Diabetes Care Inc. Method and apparatus for detecting false hypoglycemic conditions
WO2011091336A1 (en) * 2010-01-22 2011-07-28 Abbott Diabetes Care Inc. Method and apparatus for providing notification in analyte monitoring systems
WO2011112753A1 (en) 2010-03-10 2011-09-15 Abbott Diabetes Care Inc. Systems, devices and methods for managing glucose levels
US8361196B2 (en) * 2010-04-09 2013-01-29 Inficon Gmbh Gas-selective membrane and method of its production
US8635046B2 (en) 2010-06-23 2014-01-21 Abbott Diabetes Care Inc. Method and system for evaluating analyte sensor response characteristics
US10092229B2 (en) 2010-06-29 2018-10-09 Abbott Diabetes Care Inc. Calibration of analyte measurement system
WO2012048168A2 (en) 2010-10-07 2012-04-12 Abbott Diabetes Care Inc. Analyte monitoring devices and methods
CA3177983A1 (en) 2011-02-28 2012-11-15 Abbott Diabetes Care Inc. Devices, systems, and methods associated with analyte monitoring devices and devices incorporating the same
US10136845B2 (en) 2011-02-28 2018-11-27 Abbott Diabetes Care Inc. Devices, systems, and methods associated with analyte monitoring devices and devices incorporating the same
WO2013066873A1 (en) 2011-10-31 2013-05-10 Abbott Diabetes Care Inc. Electronic devices having integrated reset systems and methods thereof
US9622691B2 (en) 2011-10-31 2017-04-18 Abbott Diabetes Care Inc. Model based variable risk false glucose threshold alarm prevention mechanism
JP6443802B2 (en) 2011-11-07 2018-12-26 アボット ダイアベティス ケア インコーポレイテッドAbbott Diabetes Care Inc. Analyte monitoring apparatus and method
US9317656B2 (en) 2011-11-23 2016-04-19 Abbott Diabetes Care Inc. Compatibility mechanisms for devices in a continuous analyte monitoring system and methods thereof
US8710993B2 (en) 2011-11-23 2014-04-29 Abbott Diabetes Care Inc. Mitigating single point failure of devices in an analyte monitoring system and methods thereof
EP2890297B1 (en) 2012-08-30 2018-04-11 Abbott Diabetes Care, Inc. Dropout detection in continuous analyte monitoring data during data excursions
US9968306B2 (en) 2012-09-17 2018-05-15 Abbott Diabetes Care Inc. Methods and apparatuses for providing adverse condition notification with enhanced wireless communication range in analyte monitoring systems
WO2014052136A1 (en) 2012-09-26 2014-04-03 Abbott Diabetes Care Inc. Method and apparatus for improving lag correction during in vivo measurement of analyte concentration with analyte concentration variability and range data
US9788765B2 (en) 2012-09-28 2017-10-17 Dexcom, Inc. Zwitterion surface modifications for continuous sensors
US20140107450A1 (en) * 2012-10-12 2014-04-17 Dexcom, Inc. Sensors for continuous analyte monitoring, and related methods
US20140213866A1 (en) 2012-10-12 2014-07-31 Dexcom, Inc. Sensors for continuous analyte monitoring, and related methods
US11109779B2 (en) 2012-12-28 2021-09-07 Senseonics, Incorporated Chemical modification of analyte permeable membrane for enhanced oxidative stability
AU2013370204B2 (en) 2012-12-28 2019-02-14 Senseonics, Incorporated Analyte permeable membrane systems for oxidative and optical stability
US10433773B1 (en) 2013-03-15 2019-10-08 Abbott Diabetes Care Inc. Noise rejection methods and apparatus for sparsely sampled analyte sensor data
US9474475B1 (en) 2013-03-15 2016-10-25 Abbott Diabetes Care Inc. Multi-rate analyte sensor data collection with sample rate configurable signal processing
US9694190B2 (en) 2013-03-15 2017-07-04 Lawrence Livermore National Security, Llc Method to pattern <10 micrometer conducting and passivating features on 3D substrates for implantable devices
US10076285B2 (en) 2013-03-15 2018-09-18 Abbott Diabetes Care Inc. Sensor fault detection using analyte sensor data pattern comparison
US11229382B2 (en) 2013-12-31 2022-01-25 Abbott Diabetes Care Inc. Self-powered analyte sensor and devices using the same
US20170185748A1 (en) 2014-03-30 2017-06-29 Abbott Diabetes Care Inc. Method and Apparatus for Determining Meal Start and Peak Events in Analyte Monitoring Systems
US20150289788A1 (en) 2014-04-10 2015-10-15 Dexcom, Inc. Sensors for continuous analyte monitoring, and related methods
EP3319518A4 (en) 2015-07-10 2019-03-13 Abbott Diabetes Care Inc. System, device and method of dynamic glucose profile response to physiological parameters
US20170188905A1 (en) 2015-12-30 2017-07-06 Dexcom, Inc. Biointerface layer for analyte sensors
WO2017214550A1 (en) 2016-06-09 2017-12-14 Haimachek, Inc. Collector for detection and reversible capturing of cells from body fluids in vivo
US11596330B2 (en) 2017-03-21 2023-03-07 Abbott Diabetes Care Inc. Methods, devices and system for providing diabetic condition diagnosis and therapy

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1991015993A1 (en) 1990-04-19 1991-10-31 The University Of Kansas Implantable glucose sensor
WO1994020602A1 (en) 1993-03-03 1994-09-15 The Governors Of The University Of Alberta Implantable glucose sensor
US5387327A (en) 1992-10-19 1995-02-07 Duquesne University Of The Holy Ghost Implantable non-enzymatic electrochemical glucose sensor
US5411647A (en) 1992-11-23 1995-05-02 Eli Lilly And Company Techniques to improve the performance of electrochemical sensors
US5476776A (en) 1989-07-19 1995-12-19 University Of New Mexico Immobilized enzymes for use in an electrochemical sensor
WO1996006947A1 (en) 1994-09-01 1996-03-07 Adam Heller Subcutaneous glucose electrode
WO1997019344A1 (en) 1995-11-22 1997-05-29 Legacy Good Samaritan Hospital And Medical Center Device for monitoring changes in analyte concentration
WO1998017995A1 (en) 1996-10-24 1998-04-30 Minimed, Inc. Hydrophilic, swellable coatings for biosensors

Family Cites Families (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4592824A (en) * 1985-09-13 1986-06-03 Centre Suisse D'electronique Et De Microtechnique S.A. Miniature liquid junction reference electrode and an integrated solid state electrochemical sensor including the same
GB8529300D0 (en) * 1985-11-28 1986-01-02 Ici Plc Membrane
US4894339A (en) * 1985-12-18 1990-01-16 Seitaikinouriyou Kagakuhin Sinseizogijutsu Kenkyu Kumiai Immobilized enzyme membrane for a semiconductor sensor
JPS63182559A (en) * 1987-01-24 1988-07-27 Kanzaki Paper Mfg Co Ltd Production of enzyme electrode
DE3875149T2 (en) 1987-03-27 1993-02-11 Isao Karube MINIATURIZED BIO-SENSOR WITH MINIATURIZED OXYGEN ELECTRODE AND ITS PRODUCTION PROCESS.
US5200051A (en) 1988-11-14 1993-04-06 I-Stat Corporation Wholly microfabricated biosensors and process for the manufacture and use thereof
FR2652736A1 (en) 1989-10-06 1991-04-12 Neftel Frederic IMPLANTABLE DEVICE FOR EVALUATING THE RATE OF GLUCOSE.
US5773270A (en) 1991-03-12 1998-06-30 Chiron Diagnostics Corporation Three-layered membrane for use in an electrochemical sensor system
US5322063A (en) 1991-10-04 1994-06-21 Eli Lilly And Company Hydrophilic polyurethane membranes for electrochemical glucose sensors
NL9401260A (en) 1993-11-12 1995-06-01 Cornelis Johannes Maria Van Ri Membrane for microfiltration, ultrafiltration, gas separation and catalysis, method for manufacturing such a membrane, mold for manufacturing such a membrane, as well as various separation systems comprising such a membrane.
US5497772A (en) 1993-11-19 1996-03-12 Alfred E. Mann Foundation For Scientific Research Glucose monitoring system
US5985328A (en) 1994-03-07 1999-11-16 Regents Of The University Of California Micromachined porous membranes with bulk support
US5494562A (en) * 1994-06-27 1996-02-27 Ciba Corning Diagnostics Corp. Electrochemical sensors
DE4427921C2 (en) 1994-08-06 2002-09-26 Forschungszentrum Juelich Gmbh Chemical sensors, especially biosensors, based on silicon
US6001067A (en) 1997-03-04 1999-12-14 Shults; Mark C. Device and method for determining analyte levels
US6119028A (en) 1997-10-20 2000-09-12 Alfred E. Mann Foundation Implantable enzyme-based monitoring systems having improved longevity due to improved exterior surfaces
US6201980B1 (en) * 1998-10-05 2001-03-13 The Regents Of The University Of California Implantable medical sensor system

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5476776A (en) 1989-07-19 1995-12-19 University Of New Mexico Immobilized enzymes for use in an electrochemical sensor
WO1991015993A1 (en) 1990-04-19 1991-10-31 The University Of Kansas Implantable glucose sensor
US5387327A (en) 1992-10-19 1995-02-07 Duquesne University Of The Holy Ghost Implantable non-enzymatic electrochemical glucose sensor
US5411647A (en) 1992-11-23 1995-05-02 Eli Lilly And Company Techniques to improve the performance of electrochemical sensors
WO1994020602A1 (en) 1993-03-03 1994-09-15 The Governors Of The University Of Alberta Implantable glucose sensor
WO1996006947A1 (en) 1994-09-01 1996-03-07 Adam Heller Subcutaneous glucose electrode
WO1997019344A1 (en) 1995-11-22 1997-05-29 Legacy Good Samaritan Hospital And Medical Center Device for monitoring changes in analyte concentration
WO1998017995A1 (en) 1996-10-24 1998-04-30 Minimed, Inc. Hydrophilic, swellable coatings for biosensors

Cited By (121)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7136689B2 (en) 1997-03-04 2006-11-14 Dexcom, Inc. Device and method for determining analyte levels
US6862465B2 (en) 1997-03-04 2005-03-01 Dexcom, Inc. Device and method for determining analyte levels
US9931067B2 (en) 1997-03-04 2018-04-03 Dexcom, Inc. Device and method for determining analyte levels
US10478108B2 (en) 1998-04-30 2019-11-19 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US9066697B2 (en) 1998-04-30 2015-06-30 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US9066694B2 (en) 1998-04-30 2015-06-30 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US9066695B2 (en) 1998-04-30 2015-06-30 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US9042953B2 (en) 1998-04-30 2015-05-26 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US9610034B2 (en) 2001-01-02 2017-04-04 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US9804114B2 (en) 2001-07-27 2017-10-31 Dexcom, Inc. Sensor head for use with implantable devices
US6702857B2 (en) 2001-07-27 2004-03-09 Dexcom, Inc. Membrane for use with implantable devices
US11020026B2 (en) 2002-05-22 2021-06-01 Dexcom, Inc. Silicone based membranes for use in implantable glucose sensors
US10052051B2 (en) 2002-05-22 2018-08-21 Dexcom, Inc. Silicone based membranes for use in implantable glucose sensors
US9962091B2 (en) 2002-12-31 2018-05-08 Abbott Diabetes Care Inc. Continuous glucose monitoring system and methods of use
USRE43399E1 (en) 2003-07-25 2012-05-22 Dexcom, Inc. Electrode systems for electrochemical sensors
US9763609B2 (en) 2003-07-25 2017-09-19 Dexcom, Inc. Analyte sensors having a signal-to-noise ratio substantially unaffected by non-constant noise
US7074307B2 (en) 2003-07-25 2006-07-11 Dexcom, Inc. Electrode systems for electrochemical sensors
US7108778B2 (en) 2003-07-25 2006-09-19 Dexcom, Inc. Electrochemical sensors including electrode systems with increased oxygen generation
US10376143B2 (en) 2003-07-25 2019-08-13 Dexcom, Inc. Analyte sensors having a signal-to-noise ratio substantially unaffected by non-constant noise
US7797028B2 (en) 2003-08-01 2010-09-14 Dexcom, Inc. System and methods for processing analyte sensor data
US9895089B2 (en) 2003-08-01 2018-02-20 Dexcom, Inc. System and methods for processing analyte sensor data
US7778680B2 (en) 2003-08-01 2010-08-17 Dexcom, Inc. System and methods for processing analyte sensor data
US7774145B2 (en) 2003-08-01 2010-08-10 Dexcom, Inc. Transcutaneous analyte sensor
US10786185B2 (en) 2003-08-01 2020-09-29 Dexcom, Inc. System and methods for processing analyte sensor data
US7826981B2 (en) 2003-08-01 2010-11-02 Dexcom, Inc. System and methods for processing analyte sensor data
US8052601B2 (en) 2003-08-01 2011-11-08 Dexcom, Inc. System and methods for processing analyte sensor data
US8060173B2 (en) 2003-08-01 2011-11-15 Dexcom, Inc. System and methods for processing analyte sensor data
US8442610B2 (en) 2003-08-01 2013-05-14 Dexcom, Inc. System and methods for processing analyte sensor data
US8010174B2 (en) 2003-08-22 2011-08-30 Dexcom, Inc. Systems and methods for replacing signal artifacts in a glucose sensor data stream
US9750460B2 (en) 2003-08-22 2017-09-05 Dexcom, Inc. Systems and methods for replacing signal artifacts in a glucose sensor data stream
US9724045B1 (en) 2003-08-22 2017-08-08 Dexcom, Inc. Systems and methods for replacing signal artifacts in a glucose sensor data stream
US9649069B2 (en) 2003-08-22 2017-05-16 Dexcom, Inc. Systems and methods for replacing signal artifacts in a glucose sensor data stream
US9149219B2 (en) 2003-08-22 2015-10-06 Dexcom, Inc. Systems and methods for replacing signal artifacts in a glucose sensor data stream
US11559260B2 (en) 2003-08-22 2023-01-24 Dexcom, Inc. Systems and methods for processing analyte sensor data
US11589823B2 (en) 2003-08-22 2023-02-28 Dexcom, Inc. Systems and methods for replacing signal artifacts in a glucose sensor data stream
EP1681992B2 (en) 2003-09-30 2015-03-04 Roche Diagnostics GmbH Sensor with increased biocompatibility
US11564602B2 (en) 2003-11-19 2023-01-31 Dexcom, Inc. Integrated receiver for continuous analyte sensor
US11000215B1 (en) 2003-12-05 2021-05-11 Dexcom, Inc. Analyte sensor
US11020031B1 (en) 2003-12-05 2021-06-01 Dexcom, Inc. Analyte sensor
US11633133B2 (en) 2003-12-05 2023-04-25 Dexcom, Inc. Dual electrode system for a continuous analyte sensor
US9750441B2 (en) 2003-12-09 2017-09-05 Dexcom, Inc. Signal processing for continuous analyte sensor
US10898113B2 (en) 2003-12-09 2021-01-26 Dexcom, Inc. Signal processing for continuous analyte sensor
US11638541B2 (en) 2003-12-09 2023-05-02 Dexconi, Inc. Signal processing for continuous analyte sensor
US11246990B2 (en) 2004-02-26 2022-02-15 Dexcom, Inc. Integrated delivery device for continuous glucose sensor
US10966609B2 (en) 2004-02-26 2021-04-06 Dexcom, Inc. Integrated medicament delivery device for use with continuous analyte sensor
US9050413B2 (en) 2004-02-26 2015-06-09 Dexcom, Inc. Integrated delivery device for continuous glucose sensor
US10835672B2 (en) 2004-02-26 2020-11-17 Dexcom, Inc. Integrated insulin delivery system with continuous glucose sensor
US8277713B2 (en) 2004-05-03 2012-10-02 Dexcom, Inc. Implantable analyte sensor
US10980452B2 (en) 2004-07-13 2021-04-20 Dexcom, Inc. Analyte sensor
US10709362B2 (en) 2004-07-13 2020-07-14 Dexcom, Inc. Analyte sensor
US11064917B2 (en) 2004-07-13 2021-07-20 Dexcom, Inc. Analyte sensor
US11045120B2 (en) 2004-07-13 2021-06-29 Dexcom, Inc. Analyte sensor
US11026605B1 (en) 2004-07-13 2021-06-08 Dexcom, Inc. Analyte sensor
US10993641B2 (en) 2004-07-13 2021-05-04 Dexcom, Inc. Analyte sensor
US10993642B2 (en) 2004-07-13 2021-05-04 Dexcom, Inc. Analyte sensor
US10524703B2 (en) 2004-07-13 2020-01-07 Dexcom, Inc. Transcutaneous analyte sensor
US9986942B2 (en) 2004-07-13 2018-06-05 Dexcom, Inc. Analyte sensor
US10932700B2 (en) 2004-07-13 2021-03-02 Dexcom, Inc. Analyte sensor
US10709363B2 (en) 2004-07-13 2020-07-14 Dexcom, Inc. Analyte sensor
US9060742B2 (en) 2004-07-13 2015-06-23 Dexcom, Inc. Transcutaneous analyte sensor
US10918313B2 (en) 2004-07-13 2021-02-16 Dexcom, Inc. Analyte sensor
US10722152B2 (en) 2004-07-13 2020-07-28 Dexcom, Inc. Analyte sensor
US10918314B2 (en) 2004-07-13 2021-02-16 Dexcom, Inc. Analyte sensor
US9801572B2 (en) 2004-07-13 2017-10-31 Dexcom, Inc. Transcutaneous analyte sensor
US10918315B2 (en) 2004-07-13 2021-02-16 Dexcom, Inc. Analyte sensor
US10799158B2 (en) 2004-07-13 2020-10-13 Dexcom, Inc. Analyte sensor
US10799159B2 (en) 2004-07-13 2020-10-13 Dexcom, Inc. Analyte sensor
US11883164B2 (en) 2004-07-13 2024-01-30 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US10813576B2 (en) 2004-07-13 2020-10-27 Dexcom, Inc. Analyte sensor
US10827956B2 (en) 2004-07-13 2020-11-10 Dexcom, Inc. Analyte sensor
US10918317B2 (en) 2005-03-10 2021-02-16 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US10716498B2 (en) 2005-03-10 2020-07-21 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US10856787B2 (en) 2005-03-10 2020-12-08 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US10617336B2 (en) 2005-03-10 2020-04-14 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US10898114B2 (en) 2005-03-10 2021-01-26 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US10918318B2 (en) 2005-03-10 2021-02-16 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US9078608B2 (en) 2005-03-10 2015-07-14 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US10918316B2 (en) 2005-03-10 2021-02-16 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US10743801B2 (en) 2005-03-10 2020-08-18 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US11000213B2 (en) 2005-03-10 2021-05-11 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US9918668B2 (en) 2005-03-10 2018-03-20 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US10925524B2 (en) 2005-03-10 2021-02-23 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US10709364B2 (en) 2005-03-10 2020-07-14 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US10610136B2 (en) 2005-03-10 2020-04-07 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US11051726B2 (en) 2005-03-10 2021-07-06 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US10610137B2 (en) 2005-03-10 2020-04-07 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US10610135B2 (en) 2005-03-10 2020-04-07 Dexcom, Inc. System and methods for processing analyte sensor data for sensor calibration
US10300507B2 (en) 2005-05-05 2019-05-28 Dexcom, Inc. Cellulosic-based resistance domain for an analyte sensor
US10813577B2 (en) 2005-06-21 2020-10-27 Dexcom, Inc. Analyte sensor
US10952652B2 (en) 2005-11-01 2021-03-23 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US10201301B2 (en) 2005-11-01 2019-02-12 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US11911151B1 (en) 2005-11-01 2024-02-27 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US9078607B2 (en) 2005-11-01 2015-07-14 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US10231654B2 (en) 2005-11-01 2019-03-19 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US11399748B2 (en) 2005-11-01 2022-08-02 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US11363975B2 (en) 2005-11-01 2022-06-21 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US11272867B2 (en) 2005-11-01 2022-03-15 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US11103165B2 (en) 2005-11-01 2021-08-31 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US11432772B2 (en) 2006-08-02 2022-09-06 Dexcom, Inc. Systems and methods for replacing signal artifacts in a glucose sensor data stream
US11382539B2 (en) 2006-10-04 2022-07-12 Dexcom, Inc. Analyte sensor
US11399745B2 (en) 2006-10-04 2022-08-02 Dexcom, Inc. Dual electrode system for a continuous analyte sensor
US10791928B2 (en) 2007-05-18 2020-10-06 Dexcom, Inc. Analyte sensors having a signal-to-noise ratio substantially unaffected by non-constant noise
US10403012B2 (en) 2007-06-08 2019-09-03 Dexcom, Inc. Integrated medicament delivery device for use with continuous analyte sensor
US9741139B2 (en) 2007-06-08 2017-08-22 Dexcom, Inc. Integrated medicament delivery device for use with continuous analyte sensor
US11373347B2 (en) 2007-06-08 2022-06-28 Dexcom, Inc. Integrated medicament delivery device for use with continuous analyte sensor
EP2027812A1 (en) * 2007-08-24 2009-02-25 F. Hoffman-la Roche AG Method for manufacturing a micro-dialysis catheter and micro-dialysis catheter manufactured accordingly
US11744943B2 (en) 2007-10-09 2023-09-05 Dexcom, Inc. Integrated insulin delivery system with continuous glucose sensor
US10653835B2 (en) 2007-10-09 2020-05-19 Dexcom, Inc. Integrated insulin delivery system with continuous glucose sensor
US11160926B1 (en) 2007-10-09 2021-11-02 Dexcom, Inc. Pre-connected analyte sensors
US10980461B2 (en) 2008-11-07 2021-04-20 Dexcom, Inc. Advanced analyte sensor calibration and error detection
US10675405B2 (en) 2009-03-27 2020-06-09 Dexcom, Inc. Methods and systems for simulating glucose response to simulated actions
US10537678B2 (en) 2009-03-27 2020-01-21 Dexcom, Inc. Methods and systems for promoting glucose management
US10610642B2 (en) 2009-03-27 2020-04-07 Dexcom, Inc. Methods and systems for promoting glucose management
US11937927B2 (en) 2009-09-30 2024-03-26 Dexcom, Inc. Transcutaneous analyte sensor
US10835161B2 (en) 2009-09-30 2020-11-17 Dexcom, Inc. Transcutaneous analyte sensor
US10667733B2 (en) 2009-09-30 2020-06-02 Dexcom, Inc. Transcutaneous analyte sensor
US11350862B2 (en) 2017-10-24 2022-06-07 Dexcom, Inc. Pre-connected analyte sensors
US11706876B2 (en) 2017-10-24 2023-07-18 Dexcom, Inc. Pre-connected analyte sensors
US11331022B2 (en) 2017-10-24 2022-05-17 Dexcom, Inc. Pre-connected analyte sensors
US11943876B2 (en) 2017-10-24 2024-03-26 Dexcom, Inc. Pre-connected analyte sensors
US11382540B2 (en) 2017-10-24 2022-07-12 Dexcom, Inc. Pre-connected analyte sensors

Also Published As

Publication number Publication date
US6405066B1 (en) 2002-06-11
WO2001068901A3 (en) 2001-12-27
AU2001239304A1 (en) 2001-09-24
CA2406878A1 (en) 2001-09-20
EP1267705A2 (en) 2003-01-02
JP2003526491A (en) 2003-09-09

Similar Documents

Publication Publication Date Title
US6405066B1 (en) Implantable analyte sensor
WO2001069222A2 (en) Implantable analyte sensor
JP5568298B2 (en) Method for performing an electrochemical reaction in an analyte sensor
US9804114B2 (en) Sensor head for use with implantable devices
US9163273B2 (en) Biosensors and methods for making and using them
US6551496B1 (en) Microstructured bilateral sensor
JP3950174B2 (en) Glucose sensor
AU2465399A (en) Microfabricated aperture-based sensor
KR20090004674A (en) Enzyme electrode and enzyme sensor
JPS6239900B2 (en)
JP2007187531A (en) Microfluid enzyme sensor
WO2001013102A1 (en) Sensor devices and analytical methods for their use
Spener et al. Only for private use

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A2

Designated state(s): AE AL AM AT AU AZ BA BB BG BR BY CA CH CN CR CU CZ DE DK DM EE ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX NO NZ PL PT RO RU SD SE SG SI SK SL TJ TM TR TT TZ UA UG US UZ VN YU ZA ZW

AL Designated countries for regional patents

Kind code of ref document: A2

Designated state(s): GH GM KE LS MW MZ SD SL SZ TZ UG ZW AM AZ BY KG KZ MD RU TJ TM AT BE CH CY DE DK ES FI FR GB GR IE IT LU MC NL PT SE TR BF BJ CF CG CI CM GA GN GW ML MR NE SN TD TG

DFPE Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101)
121 Ep: the epo has been informed by wipo that ep was designated in this application
AK Designated states

Kind code of ref document: A3

Designated state(s): AE AL AM AT AU AZ BA BB BG BR BY CA CH CN CR CU CZ DE DK DM EE ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX NO NZ PL PT RO RU SD SE SG SI SK SL TJ TM TR TT TZ UA UG US UZ VN YU ZA ZW

AL Designated countries for regional patents

Kind code of ref document: A3

Designated state(s): GH GM KE LS MW MZ SD SL SZ TZ UG ZW AM AZ BY KG KZ MD RU TJ TM AT BE CH CY DE DK ES FI FR GB GR IE IT LU MC NL PT SE TR BF BJ CF CG CI CM GA GN GW ML MR NE SN TD TG

WWE Wipo information: entry into national phase

Ref document number: 2001913889

Country of ref document: EP

ENP Entry into the national phase

Ref country code: JP

Ref document number: 2001 567382

Kind code of ref document: A

Format of ref document f/p: F

WWE Wipo information: entry into national phase

Ref document number: 2406878

Country of ref document: CA

WWP Wipo information: published in national office

Ref document number: 2001913889

Country of ref document: EP

WWW Wipo information: withdrawn in national office

Ref document number: 2001913889

Country of ref document: EP