Method for the non-invasive determination of analytes in a selected volume of tissue

• US 6,526,298 B1
• Filed: 10/20/2000
• Issued: 02/25/2003
• Est. Priority Date: 05/18/1998
• Status: Expired due to Term

• Current Assignee: Abbott Laboratories Incorporated
• Original Assignee: Abbott Laboratories Incorporated
• Inventors: Khalil, Omar S., Hanna, Charles F., Kantor, Stanislaw, Yeh, Shu-jen
• Primary Examiner(s): WINAKUR, ERIC FRANK
• Application Number:
  US09/693,122
• Time in Patent Office: 858 Days
• Field of Search: 600/310, 600/316, 600/322, 600/331, 600/336, 600/473, 600/476, 250/252.1
• US Class Current: 600/310
• CPC Class Codes: A61B 2562/0233 Special features of optical sensors or probes classified in A61B5/00
• CPC Class Codes: A61B 2562/0242 for varying or adjusting the optical path length in the tissue
• CPC Class Codes: A61B 2562/043 in a linear array
• CPC Class Codes: A61B 5/0059 using light, e.g. diagnosis by transillumination, diascopy, fluorescence A61B5/0093, A61B5/1455, A61B5/02416 and A61B5/0261 take precedence
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/14546 for measuring analytes not otherwise provided for, e.g. ions, cytochromes
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/1491 Heated applicators
• CPC Class Codes: A61B 5/1495 Calibrating or testing of in-vivo probes
• CPC Class Codes: A61B 5/6824 Arm or wrist
• CPC Class Codes: G01N 21/4795 spatially resolved investigating of object in scattering medium in vivo A61B

Abstract

A method for the determination of concentrations of analytes, e.g., glucose, and other metabolites in human tissue, wherein the temperature of a defined cutaneous volume of tissue, e.g., human skin, is controlled. The method involves calculating the concentration of an analyte in the tissue by taking into consideration the values of optical parameters of a sample of tissue measured in the defined cutaneous volume of the tissue at various temperatures. The selection of the defined volume is a function of the sampling distance along the surface of the tissue, the wavelength of light used to illuminate the tissue, and the temperature in the defined volume of tissue, which is a function of the temperature at the surface of the tissue. In one embodiment of the method of this invention, an optical signal re-emitted from a defined cutaneous volume of the tissue is measured, as the temperature of this volume is maintained at a constant value. In another embodiment of the method of this invention, the temperature of the defined cutaneous volume of the tissue is varied within a defined physiological range to change the depth of penetration of light into the tissue, thereby achieving a depth profile for the optical signal. The method of this invention is useful for monitoring the concentrations of analytes in tissues, testing at the point of care, and screening for diseases, such as, for example, diabetes. The method of this invention utilizes changes in temperature and selection of wavelengths to define cutaneous volumes below the surface of the tissue, in which volumes the concentration of an analyte can be determined.

Claims

1. A method for establishing a calibration relationship to determine the concentration of an analyte or a disease state in a biological tissue, said method comprising the steps of:

(a) selecting a sampling area on the surface of said biological tissue;

(b) setting the temperature of said sampling area of said biological tissue to a first temperature;

(c) introducing light at a light introduction site, said light introduction site being within said sampling area and collecting light re-emitted at a light collection site, said light collection site being within said sampling area, said light introduction site and said light collection site being separated by a sampling distance, said introduced light being within a first wavelength range;

(d) performing at least one optical measurement at said sampling distance;

(e) setting the temperature of said sampling area of said biological tissue to a second temperature, said second temperature being different from said first temperature;

(f) repeating steps (c) and (d) at said second temperature, said introduced light at said second temperature being within a second wavelength range;

(g) determining the value of at least one optical parameter at said first temperature and at at least one wavelength within said first wavelength range and the value of said at least one parameter at said second temperature and at at least one wavelength within said second wavelength range; and

(h) establishing a mathematical relationship that relates the value of said at least one optical parameter at said first temperature and at said at least one wavelength within said first wavelength range and the value of said at least one optical parameter at said second temperature and at said at least one wavelength within said second wavelength range with an independently measured concentration of said analyte or an independent measurement of said disease state.

2. The method of claim 1, wherein said temperatures at which said sampling area of said tissue is set are from about 10°

C. to about 45°

C.

3. The method of claim 1, wherein said temperatures at which said sampling area of said tissue is set are from about 15°

C. to about 42°

C.

4. The method of claim 1, wherein said temperatures at which said sampling area of said tissue is set are from about 20°

C. to about 40°

C.

5. The method of claim 1, wherein said light introduced to said tissue has at least one wavelength of from about 400 nm to about 2000 nm.

6. The method of claim 1, wherein said light introduced to said tissue has at least one wavelength of from about 500 nm to about 1800 nm.

7. The method of claim 1, wherein said light introduced to said tissue has at least four wavelengths, at least two of said wavelengths being from about 500 nm to about 800 nm, and at least two of said wavelengths being from about 800 nm to about 1100 nm.

8. The method of claim 1, wherein said sampling distance is from about 0.2 mm to about 5 mm.

9. The method of claim 1, wherein said sampling distance is from about 0.2 mm to about 2 mm.

10. The method of claim 1, wherein said temperature is repetitively modulated between two levels of temperature during measurement of an optical signal.

11. The method of claim 1, wherein said temperature is decreased at a controlled rate during measurement of an optical signal.

12. The method of claim 1, wherein said temperature is increased at a controlled rate during measurement of an optical signal.

13. The method of claim 1, wherein said analyte is selected from the group consisting of glucose, urea, triglycerides, hemoglobin, and hematocrit.

14. The method of claim 1, wherein said mathematical relationship between said optical parameter and said concentration of said analyte is derived by using a method selected from the group of statistical methods consisting of linear least squares, partial least squares, and principal component analysis.

15. A method for determining the concentration of an analyte or a disease state in a biological tissue, said method comprising the steps of:

(a) defining a sampling area on the surface of said biological tissue;

(b) setting the temperature of said sampling area of said biological tissue to a first temperature;

(c) introducing light at a light introduction site, said light introduction site being within said sampling area and collecting light re-emitted at a light collection site, said light collection site being within said sampling area, said light introduction site and said light collection site being separated by a sampling distance, said introduced light being within a first wavelength range;

(d) performing at least one optical measurement at said sampling distance;

(e) setting the temperature of said sampling area of said biological tissue to a second temperature, said second temperature being different from said first temperature;

(f) repeating steps (c) and (d) at said second temperature, said introduced light at said second temperature being within a second wavelength range;

(g) determining the value of at least one optical parameter at said first temperature and at at least one wavelength in said first wavelength range and the value of said at least one optical parameter at said second temperature and at at least one wavelength in said second wavelength range;

(h) establishing a mathematical relationship that relates the value of said at least one optical parameter at said first temperature and at said at least one wavelength within said first wavelength range and the value of said optical parameter at said second temperature and at said at least one wavelength within said second wavelength range with an independently measured concentration of analyte or an independent measurement of said disease state; and

(i) determining the concentration of said analyte or said disease state by subsequent optical measurements of the value of said optical parameter at said first temperature and at at least one wavelength within said first wavelength range and the value of said optical parameter at said second temperature and at at least one wavelength within said second wavelength range.

16. The method of claim 15, wherein said temperatures at which said sampling area of said tissue is set are from about 10 °

C. to about 45°

C.

17. The method of claim 15, wherein said temperatures at which said sampling area of said tissue is set are from about 15 °

⁰ to about 42°

C.

18. The method of claim 15, wherein said temperatures at which said sampling area of said tissue is set are from about 20°

C. to about 40°

C.

19. The method of claim 15, wherein said light introduced to said tissue has at least one wavelength of from about 400 nm to about 2000 nm.

20. The method of claim 15, wherein said light introduced to said tissue has a wavelength of from about 500 nm to about 1800 nm.

21. The method of claim 15, wherein said light introduced to said tissue has at least four wavelengths, at least two of said wavelengths being from about 500 nm to about 800 nm, and at least two of said wavelengths being from about 800 nm to about 1100 nm.

22. The method of claim 15, wherein said sampling distance is from about 0.2 mm to about 5 mm.

23. The method of claim 15, wherein said sampling distance is from about 0.2 mm to about 2 mm.

24. The method of claim 15, wherein said temperature is repetitively modulated between two levels of temperature during measurement of an optical signal.

25. The method of claim 15, wherein said temperature is decreased at a controlled rate during measurement of an optical signal.

26. The method of claim 15, wherein said temperature is increased at a controlled rate during measurement of an optical signal.

27. The method of claim 15, wherein said analyte is selected from the group consisting of glucose, urea, triglycerides, hemoglobin, and hematocrit.