Method and apparatus for analytical determination of glucose in a biological matrix

• US 5,551,422 A
• Filed: 07/06/1994
• Issued: 09/03/1996
• Est. Priority Date: 11/09/1992
• Status: Expired due to Term

• Current Assignee: Boehringer Mannheim GmbH (Roche Holding AG)
• Original Assignee: Boehringer Mannheim GmbH (Roche Holding AG)
• Inventors: Boecker, Dirk, Simonsen, Jan H.
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): WINAKUR, ERIC FRANK
• Application Number:
  US08/271,072
• Time in Patent Office: 790 Days
• Field of Search: 128/633, 128/664, 128/665, 356/39, 356/40, 356/41
• US Class Current: 600/322
• CPC Class Codes: A61B 2562/0233 Special features of optical sensors or probes classified in A61B5/00
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/6826 Finger
• CPC Class Codes: A61B 5/6833 Adhesive patches
• CPC Class Codes: A61B 5/6838 Clamps or clips

Abstract

A method for determining glucose concentration in a biological matrix includes the steps of performing at least two detection measurements. In each detection measurement light is irradiated at a defined irradiation site as primary light into the biological matrix, through a boundary surface thereof. The light is propagated along a light path within the biological matrix. An intensity of the light is measured as the light emerges as secondary light through a defined detection site of the boundary surface. At least one of the detection measurements is a spatially resolved measurement of multiply scattered light. The detection site is located relative to the irradiation site such that light which was multiply scattered at scattering centers in the biological matrix is detected. The light paths of the at least two detection measurements within the biological matrix are different. Glucose concentration is then derived from the dependence of the intensity of the secondary light from the relative position of the irradiation site and the detection site.

Claims

1. A method for determination of glucose concentration in a biological matrix, said method comprising the steps of:

performing at least two detection measurements, each detection measurement comprising the further steps of irradiating light at a first irradiation site as primary light into the biological matrix through a boundary surface thereof, said light being propagated along a light path within the biological matrix, and measuring an intensity of the light as the light emerges from the biological matrix as secondary light through a first detection site of the boundary surface thereof;

wherein at least one of said at least two detection measurements is a spatially resolved measurement of multiply scattered light, wherein the primary light is irradiated into the biological matrix at the first irradiation site, the intensity of the secondary light emerging from the biological matrix at the first detection site is measured, and wherein the first detection site is located relative to the first irradiation site such that light which was multiply scattered by scattering centers in the biological matrix is detected, and wherein the light paths of said at least two detection measurements are different, and

deriving the glucose concentrations from the dependence of the intensity of the secondary light from the relative position of the first irradiation site and the first detection site in said at least two detection measurements.

2. A method according to claim 1, wherein said at least two detection measurements are spatially resolved measurements of multiply scattered light, wherein the intensities of the secondary light emerging from the biological matrix at the first detection site are measured, and wherein the first detection site is located relative to the first irradiation site such that light which was multiply scattered by scattering centers in the biological matrix is detected for each measurement.

3. A method according to claim 2, wherein a plurality of spatially resolved measurements of multiply scattered light are performed with a same wavelength of primary light.

4. A method according to claim 2, wherein the first irradiation site and the first detection site are separated by a first distance in a first spatially resolved measurement of multiply scattered light, and the first irradiation site and the first detection site are separated by a second distance, different from the first distance, in a second spatially resolved measurement of multiply scattered light.

5. A method according to claim 4, wherein a difference between the first and second measurement distances is selected such that the intensity of the secondary light in the first spatially resolved measurement of multiply scattered light and the intensity of the secondary light in the second spatially resolved measurement of multiply scattered light are in a ratio of at least 13:

1.

6. A method according to claim 5, wherein said difference is selected such that said ratio is at least 5:

1.

7. A method according to claim 5, wherein said difference is selected such that said ratio is at least 10:

1.

8. A method according to claim 2, wherein said detection measurements are performed such that in a detection area, a plurality of sub-areas are provided as detection sites for measurement of the intensity of the secondary light emerging at the plurality of detection sites, said intensity being measured as a function of the distance of each of the detection sites from the first irradiation site, said plurality of detection sites being selected such that a plurality of spatially resolved measurements of multiply scattered light are performed.

9. A method according to claim 8, wherein a density of the plurality of detection sites in the detection area, in at least one dimension, is at least two detection sites per centimeter.

10. A method according to claim 9, wherein the intensity of the light emerging from the biological matrix in the detection area is measured in a spatially resolved manner by a two-dimensional array of photosensitive elements.

11. A method according to claim 8, wherein a density of the plurality of detection sites in the detection area, in at least one dimension, is at least four detection sites per centimeter.

12. A method according to claim 2, wherein, in the evaluation step, absorption and scattering are separated as factors influencing the detected intensity by evaluating the intensity profile of the secondary light as a function of the measurement distance of the detection site from the irradiation site.

13. A method according to claim 2, wherein a first spatially resolved measurement is performed by irradiating light at the first irradiation site and detecting light at the first detection site with a first measurement distance therebetween, and wherein a second spatially resolved measurement is performed by irradiating light at a second irradiation site and detecting light at a second detection site with the first measuring distance therebetween, wherein at least one of the second irradiation site and the second detection site is different than the respective first irradiation site and first detection site.

14. A method according to claim 13, comprising selecting said second irradiation site and said second detection site to be different from the first irradiation site and the first detection site, respectively.

15. A method according to claim 13, wherein the primary light is irradiated in the first irradiation site, the second irradiation site, and a third irradiation site, wherein said first, second and third irradiation sites are different, and the secondary light is detected in the first detection site, the second detection site, and a third detection site, wherein said first, second, and third detection sites are different, wherein the irradiation sites and detection sites are combined in such a way such that at least three spatially resolved measurements of multiply scattered light having at least one of a different irradiation site and a different detection site, are made for each of at least two measurement distances between the irradiation sites and the detection sites.

16. A method according to claim 15, wherein the first, second and third irradiation sites are disposed on a straight line, and at least six detection sites are provided, said six detection sites being arranged in a mirror-symmetrical configuration in pairs on either side of the straight line created by the irradiation sites.

17. A method according to claim 16, wherein the irradiation sites arranged on the straight line are equidistant from each other, and the at least six detection sites are arranged in a circular pattern around the second irradiation site, which is arranged at a central location between the first and the third irradiation site.

18. A method according to claim 15, wherein the first, second and third detection sites are disposed in a straight line configuration, and at least six irradiation sites are arranged mirror symmetrically in pairs on either side of the straight line created by the three detection sites.

19. A method according to claim 18, wherein the detection sites are configured to be equidistant from each other on the straight line, and wherein the irradiation sites are arranged in a circular pattern around the second detection site, which is located in a central location between the first and the third detection sites.

20. A method according to claim 1, wherein in the at least one spatially resolved measurement of multiply scattered light, a measured change in intensity of the secondary light per 100 mg/dl change in the glucose concentration is more than 0.5%.

21. A method according to claim 1, wherein said detection measurements are performed such that a measurement distance between a center of the first irradiation site and a center of the first detection site in the at least one spatially resolved measurement of multiply scattered light is at least ten times a mean free path length of photons in the biological matrix.

22. A method according to claim 1, wherein said detection measurements are performed such that a distance between a center of the first irradiation site and a center of the first detection site in the at least one spatially resolved measurement of multiply scattered light is no greater than 30 mm.

23. A method according to claim 1, wherein said detection measurements are performed such that a distance between a center of the first irradiation site and a center of the first detection site in the at least one spatially resolved measurement of multiply scattered light is no greater than 15 mm.

24. A method according to claim 1, wherein said detection measurements are performed such that a distance between a center of the first irradiation site and a center of the first detection site in the at least one spatially resolved measurement of multiply scattered light is no greater than 10 mm.

25. A method according to claim 1, wherein said detection measurements are performed such that a wavelength of the primary light is between 400 nm and 2500 nm.

26. A method according to claim 25, wherein the wavelength of the primary light is between 400 and 600 nm.

27. A method according to claim 25, wherein the wavelength of the primary light is between 750 and 920 nm.

28. A method according to claim 27, wherein the wavelength of the primary light is between 780 and 825 nm.

29. A method according to claim 27, wherein the wavelength of the primary light is between 850 and 900 nm.

30. A method according to claim 25, wherein the wavelength of the primary light is between 1,050 and 1,350 nm.

31. A method according to claim 25, wherein the wavelength of the primary light is between 1,200 and 1,300 nm.

32. A method according to claim 25, wherein the wavelength of the primary light is between 1,600 and 1,800 nm.

33. A method according to claim 32, wherein the wavelength of the primary light is between 1,630 and 1,770 nm.

34. A method according to claim 33, wherein the wavelength of the primary light is between 1,630 and 1,670 nm.

35. A method according to claim 33, wherein the wavelength of the primary light is between 1,730 and 1,770 nm.

36. A method according to claim 1, wherein said detection measurements are performed such that a wavelength of the primary light is selected to be in a spectral region wherein glucose concentration has a minimal effect on absorption of the primary light.

37. A method according to claim 1, wherein in the at least one spatially resolved measurement of multiply scattered light, a dimension of the first detection site in a spatial direction, which is defined by a shortest distance to the first irradiation site, is no more than 2 mm.

38. A method according to claim 1, wherein in the at least one spatially resolved measurement of multiply scattered light, a dimension of the first detection site in a spatial direction, which is defined by a shortest distance to the first irradiation site, is no more than 1 mm.

39. A method according to claim 1, wherein in the at least one spatially resolved measurement of multiply scattered light, a dimension of the first irradiation site in a spatial direction, which is defined by a shortest distance to the first detection site, is an average distance of no more than 2 mm.

40. A method according to claim 1, wherein in the at least one spatially resolved measurement of multiply scattered light, a dimension of the first irradiation site in a spatial direction, which is defined by a shortest distance to the first detection site, is an average distance of no more than 1 mm.

41. A method according to claim 1, wherein in the at least one spatially resolved measurement of multiply scattered light, the first irradiation site and the first detection site are disposed on a same boundary surface of the biological matrix, such that radiation which is diffusely reflected from the biological matrix can be measured at the detection site.

42. A method according to claim 1, wherein in the at least one spatially resolved measurement of multiply scattered light, the first detection site has a long, narrow configuration such that a length is significantly greater than a width thereof.

43. A method according to claim 42, wherein said long, narrow detection field has a curved configuration.

44. A method according to claim 43, wherein in the at least one spatially resolved measurement of multiply scattered light, the first irradiation site has a long, narrow configuration such that a length thereof is substantially greater than a width thereof.

45. A method according to claim 44, wherein said irradiation site has a curved configuration.

46. A method according to claim 1, wherein in the at least one spatially resolved measurement of multiply scattered light, the first irradiation site has a long, narrow configuration such that a length thereof is substantially greater than a width thereof.

47. A method according to claim 46, wherein said irradiation site has a curved configuration.

48. A method according to claim 1, further comprising a step of measuring a temperature at the detection site, with a result of said measurement being incorporated into the step of deriving the glucose concentration.

49. A method according to claim 1, wherein a temperature at the detection site is maintained to be a constant temperature.

50. A method according to claim 1, comprising selecting the biological matrix to be a biological fluid.

51. A method according to claim 50, comprising selecting said biological fluid to be blood.

52. A method according to claim 1, comprising selecting the biological matrix to be a biological tissue.

53. A method according to claim 52, comprising selecting the biological tissue to be cutaneous tissue of a human body, said cutaneous tissue being located in at least one area of a group of areas consisting of fingertips, trunk, nail bed, lip, tongue, scleral tissue, and an inside of an upper arm.

54. A method for spectral analytical determination of an analyte in a biological matrix, said method comprising the steps of:

performing at least two detection measurements, each of said at least two detection measurements being for measurement of spectral dependence of absorption of the analyte, said detection measurements being at at least two different wavelengths, each detection measurement comprising the further steps of irradiating light at a first irradiation site as a primary light into the biological matrix through a boundary surface thereof, said light being propagated along a light path within the biological matrix, and measuring an intensity of the light as the light emerges from the biological matrix as secondary light through a first detection site of the boundary surface thereof;

performing an evaluation step wherein the analyte concentration is derived from the measured intensities of the detection measurements by means of an evaluation algorithm and a calibration;

wherein at least one of said at least two detection measurements is a spatially resolved measurement of multiply scattered light wherein the primary light is irradiated into the biological matrix by the first irradiation site, the intensity of the secondary light emerging from the biological matrix at the first detection site is measured, and wherein the first detection site is located relative to the first irradiation site such that light which was multiply scattered by scattering centers in the biological matrix is detected, and wherein the light paths of said at least two detection measurements within the biological matrix are different, and

deriving a correction value for the evaluation algorithm for correction due to changes in an optical path length in said at least two detection measurements, said correction value being derived from the dependence of the intensity of the secondary light on the relative position of the first irradiation site and the first detection site.

55. A method according to claim 54, wherein said at least two detection measurements are spatially resolved measurements of multiply scattered light, wherein the intensities of the secondary light emerging from the biological matrix at the first detection site are measured, and wherein the first detection site is located relative to the first irradiation site such that light which was multiply scattered at scattering centers in the biological matrix is detected for each measurement.

56. A method according to claim 55, wherein a plurality of spatially resolved measurements of multiply scattered light are performed with a same wavelength of primary light.

57. A method according to claim 55, wherein the first irradiation site and the first detection site are separated by a first distance in a first spatially resolved measurement of multiply scattered light, and the first irradiation site and the first detection site are separated by a second distance, different from the first distance, in a second spatially resolved measurement of multiply scattered light.

58. A method according to claim 57, wherein a difference between the first and second measurement distances is selected such that the intensity of the secondary light in the first spatially resolved measurement of multiply scattered light and the intensity of the secondary light in the second spatially resolved measurement of multiply scattered light are in a ratio of at least 13:

1.

59. A method according to claim 58, wherein said difference is selected such that said ratio is at least 5:

1.

60. A method according to claim 58, wherein said difference is selected such that said ratio is at least 10:

1.

61. A method according to claim 55, wherein said detection measurements are performed such that in a detection area, a plurality of sub-areas are provided as detection sites for measurement of the intensity of the secondary light emerging at the plurality of detection sites, said intensity being measured as a function of the distance of each of the detection sites from the first irradiation site, said plurality of detection sites being selected such that a plurality of spatially resolved measurements of multiply scattered light are performed.

62. A method according to claim 61, wherein a density of the plurality of detection sites in the detection area, in at least one dimension, is at least two detection sites per centimeter.

63. A method according to claim 61, wherein a density of the plurality of detection sites in the detection area, in at least one dimension, is at least four detection sites per centimeter.

64. A method according to claim 61, wherein the intensity of the light emerging from the biological matrix in the detection area is measured in a spatially resolved manner by a two-dimensional array of photosensitive elements.

65. A method according to claim 55, wherein a first spatially resolved measurement is performed by irradiating light at the first irradiation site and detecting light at the first detection site with a first measurement distance therebetween, and wherein a second spatially resolved measurement is performed by irradiating light at a second irradiation site and by detecting light at a second detection site with the first measuring distance therebetween, wherein at least one of the second irradiation site and the second detection site is different than the respective first irradiation site and first detection site.

66. A method according to claim 65, comprising selecting said second irradiation site and said second detection site to be different from the first irradiation site and the first detection site, respectively.

67. A method according to claim 65, wherein the primary light is irradiated in the first irradiation site, the second irradiation site, and a third irradiation site, wherein said first, second and third irradiation sites are different, and the secondary light is detected in the first detection site, the second detection site, and a third detection site, wherein said first, second, and third detection sites are different, wherein the irradiation sites and detection sites are combined in such a way such that at least three spatially resolved measurements of multiply scattered light having at least one of a different irradiation site and a different detection site, are made for each of at least two measurement distances between the irradiation sites and the detection sites.

68. A method according to claim 67, wherein the first, second and third irradiation sites are disposed on a straight line, and at least six detection sites are provided, said six detection sites being arranged in a mirror-symmetrical configuration in pairs on either side of the straight line created by the irradiation sites.

69. A method according to claim 68, wherein the irradiation sites arranged on the straight line are equidistant from each other, and the at least six detection sites are arranged in a circular pattern around the second irradiation site, which is arranged at a central location between the first and the third irradiation site.

70. A method according to claim 67, wherein the first, second and third detection sites are disposed in a straight line configuration, and at least six irradiation sites are arranged mirror symmetrically in pairs on either side of the straight line created by the three detection sites.

71. A method according to claim 70, wherein the detection sites are configured to be equidistant from each other on the straight line, and wherein the irradiation sites are arranged in a circular pattern around the second detection site, which is located in a central location between the first and the third detection sites.

72. A method according to claim 54, wherein in the at least one spatially resolved measurement of multiply scattered light, a measured change in intensity of the secondary light per 100 mg/dl change in glucose concentration is more than 0.5%.

73. A method according to claim 54, wherein said detection measurements are performed such that a measurement distance between a center of the first irradiation site and a center of the first detection site in the at least one spatially resolved measurement of multiply scattered light is at least ten times a mean free path length of photons in the biological matrix.

74. A method according to claim 54, wherein said detection measurements are performed such that a distance between a center of the first irradiation site and a center of the first detection site in the at least one spatially resolved measurement of multiply scattered light is no greater than 30 mm.

75. A method according to claim 54, wherein said detection measurements are performed such that a distance between a center of the first irradiation site and a center of the first detection site in the at least one spatially resolved measurement of multiply scattered light is no greater than 15 mm.

76. A method according to claim 54, wherein said detection measurements are performed such that a distance between a center of the first irradiation site and a center of the first detection site in the at least one spatially resolved measurement of multiply scattered light is no greater than 10 mm.

77. A method according to claim 54, wherein said detection measurements are performed such that wavelengths of the primary light are between 400 nm and 2500 nm.

78. A method according to claim 77, wherein the wavelength of the primary light is between 400 and 600 nm.

79. A method according to claim 77, wherein the wavelength of the primary light is between 750 and 920 nm.

80. A method according to claim 79, wherein the wavelength of the primary light is between 780 and 825 nm.

81. A method according to claim 79, wherein the wavelength of the primary light is between 850 and 900 nm.

82. A method according to claim 77, wherein the wavelength of the primary light is between 1,050 and 1,350 nm.

83. A method according to claim 77, wherein the wavelength of the primary light is between 1,200 and 1,300 nm.

84. A method according to claim 77, wherein the wavelength of the primary light is between 1,600 and 1,800 nm.

85. A method according to claim 84, wherein the wavelength of the primary light is between 1,630 and 1,770 nm.

86. A method according to claim 85, wherein the wavelength of the primary light is between 1,630 and 1,670 nm.

87. A method according to claim 85, wherein the wavelength of the primary light is between 1,730 and 1,770 nm.

88. A method according to claim 54, wherein said detection measurements are performed such that a wavelength of the primary light is selected to be in a spectral region wherein glucose concentration has a minimal effect on absorption of the primary light.

89. A method according to claim 54, wherein in the at least one spatially resolved measurement of multiply scattered light, a dimension of the first detection site in a spatial direction, which is defined by a shortest distance to the first irradiation site, is no more than 2 mm.

90. A method according to claim 54, wherein in the at least one spatially resolved measurement of multiply scattered light, a dimension of the first detection site in a spatial direction, which is defined by a shortest distance to the first irradiation site, is no more than 1 mm.

91. A method according to claim 54, wherein in the at least one spatially resolved measurement of multiply scattered light, a dimension of the first irradiation site in a spatial direction, which is defined by a shortest distance to the first detection site, is an average distance of no more than 2 mm.

92. A method according to claim 54, wherein in the at least one spatially resolved measurement of multiply scattered light, a dimension of the first irradiation site in a spatial direction, which is defined by a shortest distance to the first detection site, is an average distance of no more than 1 mm.

93. A method according to claim 54, wherein in the at least one spatially resolved measurement of multiply scattered light, the first irradiation site and the first detection site are disposed on a same boundary surface of the biological matrix, such that radiation which is diffusely reflected from the biological matrix can be measured at the detection site.

94. A method according to claim 54, wherein in the at least one spatially resolved measurement of multiply scattered light, the first detection site has a long, narrow configuration such that a length is significantly greater than a width thereof.

95. A method according to claim 94, wherein said long, narrow detection field has a curved configuration.

96. A method according to claim 54, further comprising a step of measuring a temperature at the detection site, with a result of said measurement being incorporated into the evaluation algorithm.

97. A method according to claim 54, wherein a temperature at the detection site is maintained to be a constant temperature.

98. A method according to claim 54, comprising selecting the biological matrix to be a biological fluid.

99. A method according to claim 98, comprising selecting said biological fluid to be blood.

100. A method according to claim 55, comprising selecting the biological matrix to be a biological tissue.

101. A method according to claim 100, comprising selecting the biological tissue to be cutaneous tissue of a human body, said cutaneous tissue being located in at least one area of a group of areas consisting of fingertips, trunk, nail bed, lip, tongue, scleral tissue, and an inside of an upper arm.