Non-invasive glucose monitor

• US 6,424,850 B1
• Filed: 10/16/2000
• Issued: 07/23/2002
• Est. Priority Date: 07/13/1998
• Status: Expired due to Term

• Current Assignee: California Institute of Technology, Childrens Hospital Los Angeles
• Original Assignee: California Institute of Technology, Childrens Hospital Los Angeles
• Inventors: Borchert, Mark S., Lambert, James L.
• Primary Examiner(s): WINAKUR, ERIC FRANK
• Application Number:
  US09/690,113
• Time in Patent Office: 645 Days
• Field of Search: 600/310, 600/316, 600/317, 600/318, 600/319
• US Class Current: 600/319
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• 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

Abstract

A non-invasive method for determining blood level of an analyte of interst, such as glucose, comprises: generating an excitation laser beam (e.g., at a wavelength of 700 to 900 nanometers); focusing the excitation laser beam into the anterior chamber of an eye of the subject so that aqueous humor in the anterior chamber is illuminated; detecting (preferably confocally detecting) a Raman spectrum from the illuminated aqueous humor; and then determining the blood glucose level (or the level of another analyte of interest) for the subject from the Raman spectrum. Preferably, the detecting step is followed by the step of subtracting a confounding fluorescence spectrum from the Raman spectrum to produce a difference spectrum; and determining the blood level of the analyte of interest for the subject from that difference spectrum, preferably using linear or nonlinear multivariate analysis such as partial least squares analysis. Apparatus for carrying out the foregoing method is also disclosed.

Claims

1. A non-invasive method for determining blood glucose levels in a subject, comprising:

generating an excitation

focusing said excitation laser beam into the anterior chamber of an eye of said subject so that aqueous humor in said anterior chamber is illuminated;

detecting a Raman spectrum from said illuminated aqueous humor;

subtracting a fluorescence spectrum for said aqueous humor from said Raman spectrum to produce a difference spectrum; and

then

determining the blood glucose level for said subject from said difference spectrum.

2. A method according to claim 1, wherein said laser beam has a duration not greater than thirty seconds.

3. A method according to claim 1, wherein said laser beam has an instantaneous power not greater than 30 milliwatts.

4. A method according to claim 1, wherein said focusing step is carried out so that energy on the retina of said eye from said excitation laser beam is not greater than 3000 milliwatts per square centimeter.

5. A method according to claim 1, further comprising the step of subtracting the spectrum of adjacent tissues from said Raman spectrum.

6. A method according to claim 1, wherein said subject is a human subject.

7. A method according to claim 1, wherein said determining step is carried out with an empirical model of actual testing experience.

8. A method according to claim 7, wherein said empirical model is generated by multivariate analysis.

9. A method according to claim 8, wherein said multivariate analysis is a partial least squares analysis.

10. A method according to claim 7, wherein:

said empirical model is produced with a training set comprising at least 20 aqueous humor samples, a Raman spectra corresponding to each of said samples, and a blood glucose level corresponding to each of said samples;

with the concentration of glucose in either the aqueous humor samples or corresponding blood samples varying by at least 200 mg/dL from the sample with the lowest concentration to the sample with the highest concentration.

11. A method according to claim 10, wherein the concentration of the principle Raman-active compounds in said samples vary substantially non-colinearly among said samples.