Sensor controlled analysis and therapeutic delivery system

• US 20030040682A1
• Filed: 09/25/2002
• Published: 02/27/2003
• Est. Priority Date: 02/24/1998
• Status: Abandoned Application

• Current Assignee: Robert Tapper
• Original Assignee: Robert Tapper
• Inventors: Tapper, Robert
• Application Number:
  US10/254,719
• Publication Number:
  US 20030040682A1
• Time in Patent Office: Days
• US Class Current: 600/573
• CPC Class Codes: A61N 1/0436 Material of the electrode
• CPC Class Codes: A61N 1/044 Shape of the electrode
• CPC Class Codes: A61N 1/0444 Membrane
• CPC Class Codes: A61N 1/0448 Drug reservoir
• CPC Class Codes: A61N 1/325 for iontophoresis, i.e. transfer of media in ionic state by an electromotoric force into the body electrodes for external use A61N1/0428

Abstract

A method and apparatus for non-invasively withdrawing and accurately evaluating analytes quickly, painlessly and reliably from a biological subject automatically and controlling subsequent administration of therapeutic agents in response to such analyte sample analysis. Improvements are provided in electro-osmotic sample withdrawal, dosimetry and iontophoretic delivery subsystems, biosensors electrode construction and arrangement, intervenors, mediators, bolus delivery, and related subsystems.

Claims

1. In an electronic control system for electro-osmotic withdrawal of fluid samples from a biological subject, the combination comprising:

means for conveying a sample withdrawing electrical current to the skin of a biological subject to obtain desired sample size from the biological subject;

means for terminating said electrical current applied to the biological subject when desired withdrawal sample size has been withdrawn;

means for analyzing said withdrawal sample; and

means for automatically delivering a therapeutic agent to said biological subject in response to analysis of said sample.

2. A combination as set forth in claim 1, wherein the magnitude of said electrical current is maintained constant during the time period said sample is being withdrawn from the biological subject.

3. A combination as set forth in claim 1 wherein said time period is substantially less than ten minutes.

4. A combination as set forth in either of claims 1 or 2, wherein said means for conveying electrical current includes a source of high voltage.

5. A combination as set forth in claim 2, wherein said high voltage exceeds 15 volts.

6. A combination as set forth in claim 2, wherein said high voltage is of the order of magnitude of 60 volts.

7. A combination as set forth in any of claims 1, 2 or 4, wherein said time period is approximately fifteen seconds.

8. A combination as set forth in any of claims 1, 2 or 4, wherein said time period is substantially less than fifteen seconds.

21. A combination as set forth in either of claims 1 or 20, wherein the system withdraws a sample which is from the biological subject and is an analyte for subsequent evaluation.

23. A combination as set forth in any of claims 1-22 wherein said automatic delivery of a therapeutic agent is accomplished by iontophoresis.

9. An electronic process for controlling electro-osmotic withdrawal of fluid samples by electrical current applied over time to a biological subject, comprising the steps of:

selecting a total sample size to be withdrawn, in the form of an electrical current-time product, from the biological subject;

automatically varying the time period over which said electrical current is applied by accumulating the electrical current-time product until termination at the selected withdrawal sample volume;

analyzing said withdrawal sample; and

automatically delivering a therapeutic agent to said biological subject in response to analysis of said sample.

10. A process as set forth in claim 9, wherein the magnitude of said electrical current is maintained constant during the time period said sample is being withdrawn from the biological subject.

11. A process as set forth in claim 9, wherein said time period is substantially less than ten minutes.

12. A process as set forth in either of claims 9 or 10 wherein said time period is substantially less than one minute.

13. A process as set forth in either of claims 9 or 10, wherein said time period is substantially less than one minute.

14. A process as set forth in either of claims 9 or 10, wherein said time period is approximately fifteen seconds.

15. A process as set forth in either of claims 9 or 10, wherein said time period is substantially less than fifteen seconds.

16. A process as set forth in either of claims 9 or 10, wherein the electrical current is provided by a source of high voltage.

17. A process as set forth in claim 16, wherein said a high voltage exceeds 15 volts.

18. A process as set forth in claim 16, wherein said high voltage of the order of magnitude of 60 volts.

19. In an electronic control system for electro-osmotic withdrawal of fluid samples from a biological subject, the combination comprising:

means for applying a predetermined electrical current to a biological subject over time;

sample volume determining means for establishing the magnitude of the desired total sample volume to be withdrawn from the biological subject, in terms of electrical current-time product;

means for sensing the magnitude of said electrical current and for converting said magnitude to an electrical signal;

means for measuring and accumulating the electrical output of said oscillator over time as an indication of the actual electrical current-time product;

means for comparing said actual electrical current-time product with said desired total sample volume to be withdrawn;

means for terminating said electrical current when said electrical current-time product equals said desired total sample volume to be withdrawn as established by said determining means; and

means for analyzing said withdrawal sample; and

means for automatically delivering a therapeutic agent to said biological subject in response to analysis of said sample.

20. A combination as set forth in claim 19, wherein the magnitude of said electrical current is maintained constant during the time period said sample is being withdrawn from the biological subject.

22. A combination as set forth in claim 19 wherein said time period is substantially less than ten minutes.

24. In an electronic control system for electro-osmotic withdrawal of fluid samples from a biological subject, the combination comprising:

means for conveying a sample withdrawing electrical current to the skin of a biological subject;

means for determining the magnitude of said electrical current;

means for controlling the time period over which said electrical current is supplied to the biological subject;

control means for automatically determining the sample size to be extracted from the biological subject;

means for electrically measuring the actual sample quantity withdrawn from the biological subject as a function of said electrical current and time;

means for terminating said electrical current applied to the biological subject when said electrical current-time product equals the desired total withdrawal sample size as established by said control means;

means for analyzing said withdrawal sample; and

means for automatically delivering a therapeutic agent to said biological subject in response to analysis of said sample.

25. A combination as set forth in claim 24, wherein the magnitude of said electrical current is maintained constant during the time period said sample is being withdrawn from the biological subject.

31. A process/combination as set forth in any of claims 24-30, wherein the system withdraws a sample which is from the biological subject and which is an analyte for subsequent evaluation.

32. A process/combination as set forth in any of claims 24-30, wherein said automatic delivery of a therapeutic agent is accomplished by iontophoresis.

26. An electronic process for controlling electro-osmotic withdrawal of fluid samples by electrical current applied over time to a biological subject, comprising the steps of:

selecting a total sample size to be withdrawn, in the form of an electrical current-time product, from the biological subject;

determining the magnitude of said electrical current;

measuring said electrical current applied to the biological subject and automatically varying the time period over which said electrical current is applied by accumulating the electrical current-time product until termination at the selected withdrawal sample volume;

analyzing said withdrawal sample; and

automatically delivering a therapeutic agent to said biological subject in response to analysis of said sample.

27. A process as set forth in claim 26, wherein the magnitude of said electrical current is maintained constant during the time period said sample is being withdrawn from the biological subject.

28. In an electronic control system for electro-osmotic withdrawal of fluid samples from a biological subject, the combination comprising:

means for applying a predetermined electrical current to a biological subject over time;

sample volume determining means for establishing the magnitude of the desired total sample volume to be withdrawn from the biological subject, in terms of electrical current-time product;

means for sensing the magnitude of said electrical current and for converting said magnitude to an electrical signal;

oscillator means responsive to said electrical signal for varying the frequency of oscillation as a function of said magnitude of said electrical current;

means for measuring and accumulating the electrical output of said oscillator over time as an indication of the actual electrical current-time product;

means for comparing said actual electrical current-time product with said desired total sample volume to be withdrawn;

means for terminating said electrical current when said electrical current-time product equals said desired total sample volume to be withdrawn as established by said determining means; and

means for analyzing said withdrawal sample; and

means for automatically delivering a therapeutic agent to said biological subject in response to analysis of said sample.

29. A combination as set forth in claim 28, wherein the magnitude of said electrical current is maintained constant during the time period said sample is being withdrawn from the biological subject.

30. A combination as set forth in claim 28 wherein said time period is substantially less than ten minutes.

33. A method of sample withdrawal, assay and consequent therapeutic treatment, comprising the steps of:

electro-osmotically withdrawing a fluid sample from a subject;

measuring the contents of said fluid sample; and

automatically delivering therapeutic treatment to the subject in response to the results of said measuring step.

34. A method as recited in claim 33, wherein said therapeutic treatment includes iontophoretic delivery of therapeutic agents to the subject.

35. A system for sample withdrawal, assay and consequent therapeutic treatment, comprising:

an electro-osmotic fluid sample withdrawal unit;

a biosensor for measuring the contents of said fluid sample; and

an administration unit for delivering therapeutic treatment automatically in response the measurement of said fluid sample by said biosensor.

36. In an electronic control system for electro-osmotic withdrawal of fluid samples from a biological subject, the combination comprising:

means for conveying a sample withdrawing electrical current to the skin of a biological subject to obtain a desired sample size from the biological subject;

means for terminating said electrical current applied to the biological subject when the desired withdrawal sample size has been withdrawn;

means for analyzing said withdrawal sample; and

means for subsequently reversing said electrical current and repeating the sample withdrawal and analysis cycle.

37. A method for electro-osmotic withdrawal of fluid samples from a biological subject, comprising the steps of:

conveying a sample withdrawing electrical current to the skin of a biological subject to obtain a desired sample size from the biological subject;

terminating said electrical current applied to the biological subject when the desired withdrawal sample size has been withdrawn;

analyzing said withdrawal sample; and

subsequently reversing said electrical current and repeating the sample withdrawal and analysis cycle.