Device for sampling one or more analytes
10945645 · 2021-03-16
Inventors
Cpc classification
A61B5/1486
HUMAN NECESSITIES
A61B5/15134
HUMAN NECESSITIES
A61B5/14546
HUMAN NECESSITIES
A61B5/7475
HUMAN NECESSITIES
A61B5/150343
HUMAN NECESSITIES
A61B5/0002
HUMAN NECESSITIES
A61B5/157
HUMAN NECESSITIES
A61B5/14532
HUMAN NECESSITIES
A61B5/14514
HUMAN NECESSITIES
A61B2560/0475
HUMAN NECESSITIES
International classification
A61B5/145
HUMAN NECESSITIES
A61B5/157
HUMAN NECESSITIES
A61B5/151
HUMAN NECESSITIES
A61B5/1486
HUMAN NECESSITIES
Abstract
The application relates to a device (100) for non-invasively sampling interstitial fluid comprising one or more analytes from dermis (101 a) to skin surface (101 b) by using the magneto-hydrodynamic effect. The device comprises a first electrode (102a) and a second electrode (102b) adapted to be positioned adjacent to the skin surface, the first electrode separated from the second electrode by a distance (103), a power source (104) adapted to induce an electric current through the first electrode, the interstitial fluid and the second electrode, and also a magnet (105) adapted to produce a magnetic field to the interstitial fluid. Direction of the magnetic field and direction of the electric current produced by the magnet and the power source, respectively, is such that Lorentz force drives the fluid from the dermis towards the skin surface.
Claims
1. A device for sampling interstitial fluid comprising one or more analytes from dermis to skin surface, the device comprising: a first electrode and a second electrode adapted to be positioned adjacent to the skin surface, the first electrode separated from the second electrode by a distance, a power source adapted to induce an electric current through the first electrode, an interstitial fluid and the second electrode, one or more magnets adapted to induce magnetic field to the interstitial fluid, and in that a direction of a magnetic field produced by the one or more magnets, and a direction of an electric current produced by the power source are adapted so that a Lorentz force produced by the magnetic field and the electric current is adapted to drive the interstitial fluid from a dermis substantially towards the skin surface.
2. The device according to claim 1 further comprising a frame adapted to position the first electrode, the second electrode, the power source and the one or more magnets.
3. The device according to claim 1, wherein the first electrode and the second electrode are adapted to be substantially perpendicular to the skin surface when the device is at an operational position.
4. The device according to claim 1, wherein the distance between the first and second electrode is 1 mm-5 cm.
5. The device according to claim 1, wherein the device further comprises a means adapted to collect, store or collect and store one or more analytes sampled from the dermis.
6. The device according to claim 5 wherein the device further comprises a means adapted to analyze the one or more analytes.
7. The device according to claim 1, wherein a contact surface of the first electrode and/or a contact surface of the second electrode is elliptical.
8. The device according to claim 1, wherein a contact surface of the first electrode and/or a contact surface of the second electrode includes extrusions and/or protrusions.
9. The device according to claim 2, wherein the frame is in form of wristband or a ring.
10. The device according to claim 9, wherein the frame is in a from of a wristband, and the wristband includes one or more of the following: a user interface, a means adapted to store data, a means adapted to send and receive data, and a means adapted to provide energy to the power source.
11. The device according to claim 1, further comprising a means selected from one or more of the following: an ultrasound generating means, a laser light generating means, an electroporation generating means, and a hydraulic pressure generating means.
12. The device according to any of claim 2, wherein the frame includes an adhesive material adapted to be positioned in contact with the skin.
13. The device according to claim 1, wherein the first electrode and/or the second electrode is coated with one or more enzymes and/or one or more catalysts.
14. The device according to claim 1, wherein the device further comprises a membrane and/or an electrically conducting material adapted to be positioned between the first electrode and the skin, and between the second electrode and the skin.
15. A method for sampling interstitial fluid comprising one or more analytes from dermis to skin surface, the method comprising steps of: positioning a first electrode and a second electrode adjacent to the skin surface, inducing an electric current through the first electrode, the interstitial fluid and the second electrode, and inducing a magnetic field to the interstitial fluid comprising the one or more analytes, wherein a direction of the magnetic field and the electric current is such that a Lorentz force drives the interstitial fluid from the dermis substantially towards the skin surface.
16. The method according to claim 15 further comprising treating the skin surface by one or more of: an ultrasound, a laser light, a hydraulic pressure and an electric field.
17. The method according to claim 15 further comprising storing and/or collecting the interstitial fluid including one or more analytes sampled from skin.
18. The method according to claim 17 further comprising transporting the interstitial fluid comprising one or more analytes withdrawn from skin to a location where the one or more analytes are to be analyzed.
19. The method according to claim 17, wherein the one or more analytes includes amino acids, sugars, fatty acids, co-enzymes, hormones, neurotransmitters, lactic acid or drugs.
20. The method according to claim 15, wherein the method further comprises analyzing the one or more analytes.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DESCRIPTION
(7) According to one embodiment, the present invention concerns a device for sampling IF in a non-invasive manner. The IF comprises one or more analytes to be analyzed. According to the invention, the IF is extracted from the skin by exploiting the MHD phenomenon.
(8)
(9) An exemplary device according to the present invention is shown in
(10) When the device is in operation, the electric current flows substantially in three different directions as described by the dotted arrow in
(11) In order to produce a Lorentz force in the current-carrying IF in the skin towards the skin surface, the magnet should produce a magnetic field that is substantially in z-direction of the coordinate system 199. Accordingly, the MHD effect produced by the magnetic field and the electric current drives the IF comprising the one or more analytes from the dermis substantially towards the skin surface within the distance and below the ()-electrode 102b. Accordingly, the direction of the flow of the IF is substantially in y-direction of the coordinate system 199.
(12) According to an exemplary embodiment the first electrode, and the second electrode is a silver-silver chloride (AgAgCl) electrode to avoid electrolysis of water and pH drifts. However, other inert and non-ferromagnetic materials are also suitable. Exemplary further materials are carbon, gold, and platinum.
(13) The electrodes can be coated with different materials, for instance, enzymes and catalysts such as glucose oxidase, dehydrogenase and Prussian blue. Furthermore, different materials or combination of materials can be used as an interface between the electrodes and the skin for instance to reduce the electric impedance, to protect the electrode coating and to facilitate the analysis of the extracted IF samples. Suitable materials for this purpose include biocompatible membranes (i.e. permeable or semipermeable) made of regenerated cellulose, silicone and monofilament fabric of polyamide.
(14) The interface serves to maintain a low electric impedance between the electrodes and the skin, to facilitate the transport of analytes towards the device, to preserve electrochemical conditions (e.g. pH) and activity of the enzyme. In one embodiment, the electrode skin interface is preferable a gel or hydrogel. In another preferred embodiment, the electrode skin interface is a membrane which is permeable or semipermeable, electrically conductive, and hypoallergenic. Exemplary materials suitable for this purpose include biocompatible membranes (i.e. permeable or semipermeable) made of regenerated cellulose, silicone and monofilament fabric of polyamide. These membranes can be treated with agents that work as humectants (i.e. glycerol, agarose gel and phosphate buffered saline) to help maintain the desired pose structure and to increase its electric conductivity. The membranes can also be loaded with agents, such as corticosteroids and other drugs, to prevent or reduce potential skin reactions induced by the extraction procedure.
(15) According to the exemplary embodiment shown in
(16) The first electrode and the second electrode comprise a contact surface. The contact surfaces are shown in
(17) The area of the contact surface of each electrode is preferably between 0.01 cm.sup.2 and 9 cm.sup.2, and most preferably between 0.15 cm.sup.2 and 1 cm.sup.2. The distance between the first electrode and the second electrode is preferably between 1 mm and 5 cm, and most preferably between 5 mm and 3 cm. According to an exemplary embodiment the distance is 1 cm.
(18) According to one embodiment, the shape of the contact surface of the electrodes is elliptical, and the major axis of the ellipsis is substantially larger than the minor axis. This allows to set a larger current density through the dermis without increasing the current density at the electrode-skin interface. Exemplary electrode shapes are shown in
(19) The power source 104 can be a direct current (DC) power source and/or an alternating current (AC) power source that limits and regulates the energy i.e. the intensity of the electric current and/or voltage delivered through the electrodes. According to an exemplary embodiment, the power source is a floating current source that provides means to establish a direct electric current preferably in the range of 10 A to 10 mA, and more preferably in the range 0.1 mA to 1 mA. The current density at the electrode-target, such as skin interface is preferably between 1 A/cm.sup.2 and 10 mA/cm.sup.2, and most preferably between 0.1 mA/cm.sup.2 and 1 mA/cm.sup.2. The voltage provided by the current source is preferable between 1 and 100 V.
(20) In a particular embodiment, the electric current established by the floating current source exhibits a unipolar (unidirectional) or bipolar (e.g. bidirectional or alternating) waveform. The frequency of the electric signal is preferably between 0.1 Hz and 100 kHz, and more preferably between 10 Hz and 10 kHz. The electric signal can be modulated in amplitude and/or frequency, and can have different waveforms, for instance, sine, square, pulsed (e.g. rectangular), triangle, and saw tooth. Also, the signal can be burst- and/or duty-cycle-modulated.
(21) The magnet 105 can be a permanent magnet or an electromagnet. The intensity of the magnetic field at the surface of the magnet is preferably between 0.01 mT and 2 T, and most preferably between 0.1 mT and 500 mT. The distance between the magnet and the electrodes is preferably less than 5 cm, more preferably less than 3 cm, and most preferably less than 1 cm. According to an exemplary embodiment, the magnetic field is provided by a neodymium magnet located 0.5 cm apart from the skin surface when the device is at its operational position. Also, when the device is at its operational position, the direction of the magnetic field is substantially perpendicular to the skin surface within the distance and substantially perpendicular to desired direction of fluid displacement from the dermis to the skin surface. Consequently, the dermal IF is driven towards the surface of the skin.
(22) According to another embodiment the device comprises plurality of magnets. According to an exemplary embodiment, the magnetic field is provided by an array of magnets or electromagnets. An exemplary array is a Halbach array 211 shown in
(23) The use of arrays of magnets allows to modulate (i.e. to augment, decrease or cancel) the magnetic field directionally or locally. For instance, a circular Halbach array consisting on a cylinder composed of neodymium magnets can be used to produce an intense magnetic field confined within the cylinder. Moreover, the array of magnets can be positioned wrapping the electrode and the extraction site, for instance in a ring or wristband, where the electrodes are arranged inside the cylinder. This allows having a strong magnetic field at the extraction site while keeping a week magnetic field elsewhere.
(24) According to one embodiment the device comprises means 107 adapted to store (e.g. to collect) and/or means 108 adapted to analyze the IF comprising one or more analytes extracted from the skin. According to an exemplary embodiment, the storing means comprises one or more capillaries located within the distance 103. The one or more capillaries are preferably coaxial with the electrodes, and one end of the capillaries is located so that the IF extracted from the skin moves into the one or more capillaries. According to a particular embodiment, the means adapted to store the fluid, such as the one or more capillaries or a reservoir, act also as means adapted to transfer the fluid to means 108 adapted to analyze the one or more analytes. Alternatively, the means 108 is adapted to record one or more signals derived from the one or more analytes and to send the one or more signals to means adapted to analyze them. According to an exemplary embodiment, the means 107 and/or 108 comprises medium such as gel or liquid comprising glucose oxidase adapted to form hydrogen peroxide, the concentration of which is determined electrochemically and/or optically. The means 107 and 108 are preferably located within the distance and/or under one or more electrodes. According to another embodiment, the device comprises means for storing and analyzing interstitial fluid. According to still another embodiment, the analyzing means is separated from the device.
(25) According to an exemplary embodiment, the device comprises a frame 109 adapted to position the electrodes, the power source, and the magnet, and any further means of the device such as the energy storing means (such as a battery), the IF storing means and the IF analyzing means. The contact surface of the first electrode, the contact surface of the second electrode, and preferably also the means adapted to store and/or analyze the one or more analytes are on the surface of the frame adapted to be in direct or indirect contact with the skin surface.
(26) According to another embodiment the frame of the device is of pocket size.
(27) According to an exemplary embodiment, the MHD device of the present invention is combined with other approaches, such as sonoporation, laserporation, electroporation and hydraulic pressure, to increase the permeability of the skin. The different permeability-enhancing approaches can be used to disrupt the mechanical properties of the upper layer of the skin (e.g. the stratum corneum) temporarily or permanently. This can facilitate the IF extraction. For instance, sonoporation can be applied before or during IF extraction with the device of the present invention (e.g. constantly or recurrently). Accordingly, the device of the present invention may comprise one or more means 110 selected from ultrasound generating means, laser light generating means, electroporation generating means, hydraulic pressure generating means.
(28) Another exemplary non-limiting device 300 according to the present invention is shown in
(29) In order to produce Lorentz force in the current-carrying IF in the skin within the distance and below the negative electrode towards the skin surface, the magnet 305 should produce a magnetic field that is substantially in z-direction of the coordinate system 399. Accordingly, the MHD effect generated by the magnetic field produced by the magnet 305 or plurality of magnets and the electric current established by the power source 304 drives the IF comprising the one or more analytes from dermis substantially towards the skin surface. Accordingly, the direction of the flow of the IF is substantially in y-direction of the coordinate system 399. The location of the power source and the magnet in
(30) The advantages of this embodiment are that the wristband can offer means to position the first electrode and the second electrode in contact with the skin, for instance, by using adhesive materials, pneumatic force and/or mechanical pressure. According to the embodiment shown in the figure, a permanent magnet is arranged in the wristband close to target site of interstitial fluid extraction, so that the magnetic field is substantially perpendicular to the skin surface within the distance and substantially perpendicular to the direction of fluid from the dermis to the skin surface. To accomplish this, the wristband may have movable parts such as a retractable magnet holder. Furthermore, the wristband can offer means to collect, transport, store and/or analyze the interstitial fluid sample (not shown in
(31) The device of the present invention is suitable for sampling one or more analytes that can be withdrawn from skin by using the MHD phenomenon. Exemplary non-limiting analytes comprise amino acids, sugars, fatty acids, co-enzymes, hormones, neurotransmitters, lactic acid, and drugs. A particular analyte is glucose. Another particular analyte is lactic acid.
EXAMPLES
Example 1
(32) The efficacy of the device according to the present invention to extract dermal IF was compared to electrophoresis. Postmortem abdominal porcine skin samples (3 cm3 cm) dissected from adjacent tissue were treated with 1) the device according to the present invention and 2) the device according to the present invention but omitting the magnetic field. Accordingly, in experiment 1) and experiment 2) the sampling was performed by MHD and electrophoresis, respectively.
(33) The two experiments were run simultaneously and applying the same parametrization and electrode configuration. In each case, the first electrode and the second electrode were made of graphite. The contact surface of all the electrodes was flat and round (diameter=7 mm). A single current source was used to establish a 0.4 mA direct electric current serially in the two treatments. The estimated current density at the electrode-skin interface was 1 mA/cm.sup.2. The separation between the first electrode and the second electrode in both experiments was 1 cm. For the device according to the present invention exclusively, a permanent neodymium magnet with a 0.8 T magnetic field at its surface was arranged at distance of 1 cm from the extraction site. The magnet was arranged in such a way that the magnetic field was established in a direction substantially perpendicular to the skin surface within the distance and substantially perpendicular to desired direction of fluid displacement from the dermis to the skin surface. Consequently, a Lorentz force was generated towards the skin surface in the current-carrying fluid in the skin. An exposure-to-treatment time of 1 hour revealed a clear difference in the volume of dermal IF extracted by the two methods. As seen in
Example 2
(34) The concentration of glucose in intestinal fluid and blood was measured by using a device according to the present invention and by using a conventional fingertip pricking instrument in a group of healthy adult humans (n=11).
(35) For each measurement, paired samples of interstitial fluid and blood were concurrently obtained using either the device according to the present invention or conventional fingertip pricking instrument (CareSensTMN; model GM505PAD, i-SENSm inc, Seoul, Korea), respectively. The concentration of glucose in the samples of interstitial fluid was measured using a commercial assay kit (AB65333, Abcam Cambridge, UK). The results showed a direct relationship between the concentration of glucose in the samples of interstitial fluid and blood. The results confirm that the concentration of glucose in the samples extracted with a device according to the present invention can be used to estimate blood glucose. Furthermore, no pain, skin reactions, or evident sample disruption was induced by the extraction procedure.
(36) The concentration of glucose in interstitial fluid correlates with the concentration of glucose in blood. In one preferred embodiment, once the concentration of glucose in the sample of interstitial fluid is measured, a mathematical algorithm or mathematical model can be used to estimate the corresponding level of blood glucose. This mathematical algorithm can consist of arithmetic operations, statistical functions and even artificial intelligence algorithms.
(37) Further embodiments are disclosed in the following numbered clauses.
(38) 1. A method for sampling interstitial fluid comprising one or more analytes from dermis to skin surface, the method comprising steps of: positioning a first electrode and a second electrode adjacent to the skin surface, inducing an electric current through the first electrode, the interstitial fluid and the second electrode, and inducing a magnetic field to the interstitial fluid comprising the one or more analytes, wherein direction of the magnetic field and the electric current is such that Lorentz force drives the interstitial fluid from the dermis substantially towards the skin surface.
(39) 2. The method according to clause 1 comprising treating the skin surface by one or more of: ultrasound, laser light, hydraulic pressure, electric field.
(40) 3. The method according to clause 1 or 2 comprising storing and/or collecting the interstitial fluid comprising the one or more analytes sampled from skin.
(41) 4. The method according to clause 1 or 2 comprising transporting the interstitial fluid comprising one or more analytes withdrawn from skin to a location where the one or more analytes are analyzed.
(42) 5. The method according to any or clauses 1-4, wherein the one or more analytes comprises amino acids, sugars, fatty acids, co-enzymes, hormones, neurotransmitters, lactic acid, drugs.
(43) 6. The method according to any of clauses 1-5 wherein the analyte is glucose, proteins, and/or lactic acid.
(44) 7. The method according to any of clauses 1-6, wherein the method further comprises analyzing the one or more analytes.
(45) The specific examples provided in the description given above should not be construed as limiting the scope and/or the applicability of the appended claims.