Ocular analyte sensor

• US 6,980,842 B2
• Filed: 10/11/2002
• Issued: 12/27/2005
• Est. Priority Date: 08/26/1999
• Status: Expired due to Term

• Current Assignee: EyeSense AG
• Original Assignee: Novartis Farma SPA (Novartis Ag)
• Inventors: Mowery-McKee, Mary Flowers, March, Wayne Front
• Primary Examiner(s): Kremer, Matthew J
• Application Number:
  US10/269,394
• Publication Number:
  US 20030045783A1
• Time in Patent Office: 1,173 Days
• Field of Search: 600/310, 600/318, 600/319, 600/316, 600/317, 600/321
• 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
• CPC Class Codes: A61B 5/411 Detecting or monitoring allergy or intolerance reactions to an allergenic agent or substance

Abstract

An ophthalmic lens comprising a receptor moiety can be used to determine the amount of an analyte in an ocular fluid. The receptor moiety can bind either a specific analyte or a detectably labeled competitor moiety. The amount of detectably labeled competitor moiety which is displaced from the receptor moiety by the analyte is measured and provides a means of determining analyte concentration in an ocular fluid, such as tears, aqueous humor, or interstitial fluid. The concentration of the analyte in the ocular fluid, in turn, indicates the concentration of the analyte in a fluid or tissue sample of the body, such as blood or intracellular fluid.

Claims

1. An ophthalmic lens for detecting glucose in an ocular fluid, comprising:

competitor moieties;

glucose oxidase molecules comprising glucose/competitor moiety binding sites to which glucose and competitor moieties can reversibly bind; and

detectable labels which are associated with the glucose oxidase molecules and/or the competitor moieties and which are capable of generating an optical signal that changes in a concentration-dependent manner when glucose reversibly binds to the glucose/competitor moiety binding sites.

2. An ophthalmic lens of claim 1, wherein the competitor moieties are selected from the group consisting of 2-deoxy-D-glucose, D-mannose and D-galactose.

3. An ophthalmic lens of claim 2, wherein the competitor moieties are tethered to a polymer meshwork, wherein pores of the polymer meshwork (a) permit glucose to bind reversibly to the glucose/competitor moiety binding sites and (b) prevent the glucose oxidase molecules from diffusing out of the ophthalmic lens.

4. An ophthalmic lens of claim 1, wherein at least one of the detectable labels is a fluorescent label.

5. A glucose sensor system, comprising:

an ophthalmic lens for detecting glucose in an ocular fluid, wherein the ophthalmic lens includes competitor moieties, glucose oxidase molecules having glucose/competitor moiety binding sites to which glucose and the competitor moieties can reversibly bind, and detectable labels which are associated with the glucose oxidase molecules and/or the competitor moieties and which are capable of generating an optical signal that changes in a concentration-dependent manner when glucose reversibly binds to the glucose/competitor moiety binding sites; and

a detector configured to detect the optical signal.

6. A glucose sensor system of claim 5, wherein the competitor moieties are selected from the group consisting of 2-deoxy-D-glucose, D-mannose and D-galactose.

7. A glucose sensor system of claim 6, wherein the competitor moieties are tethered to a polymer meshwork, wherein pores of the polymer meshwork (a) permit glucose to bind reversibly to the glucose/competitor moiety binding sites and (b) prevent the glucose oxidase molecules from diffusing out of the ophthalmic lens.

8. A glucose sensor system of claim 5, wherein the detector is a fluorophotometer.

9. A glucose sensor system of claim 5, further comprising an insulin pump and a transmitter coupled to the detector and configured to transmit to the insulin pump a signal indicating a glucose concentration in the ocular fluid, wherein the pump is configured to vary the level of glucose in a body fluid or tissue according to the glucose concentration in the ocular fluid.

10. A glucose sensor system of claim 9, wherein the transmitter is contained in a personal accessory.

11. A glucose sensor system of claim 10, wherein the transmitter is further configured to transmit the signal to the insulin pump wirelessly.

12. A glucose sensor system of claim 5, wherein the ophthalmic lens is selected from the group consisting of a contact lens, an intraocular lens, a subconjunctival lens, and an intracorneal lens.

13. A method for measuring glucose concentration in an ocular fluid, comprising the steps of:

contacting the ocular fluid with an ophthalmic lens, wherein the ophthalmic lens comprises competitor moieties, glucose oxidase molecules each of which comprises a glucose/competitor moiety binding site to which glucose and competitor moieties can reversibly bind, and one or more detectable labels which are associated with the glucose oxidase molecules and/or the competitor moieties and which are capable of generating an optical signal that changes in a concentration-dependent manner when glucose reversibly binds to the glucose/competitor moiety binding sites; and

detecting the optical signal to determine the concentration of glucose in the ocular fluid.

14. The method of claim 13, wherein the competitor moieties are selected from the group consisting of 2-deoxy-D-glucose, D-mannose and D-galactose.

15. The method of claim 14, wherein the competitor moieties are tethered to a polymer meshwork, wherein pores of the polymer meshwork (a) permit glucose to bind reversibly to the glucose/competitor moiety binding sites and (b) prevent the glucose oxidase molecules from diffusing out of the ophthalmic lens.

16. The method of claim 13, wherein at least one of the one or more detectable labels is a fluorescent label.

17. The method of claim 13, wherein the ophthalmic lens is selected from the group consisting of a contact lens, an intraocular lens, a subconjunctival lens, and an intracorneal lens.

20. The method of claim 17, wherein the competitor moieties are tethered to a polymer meshwork, wherein pores of the polymer meshwork (a) permit glucose to bind reversibly to the glucose/competitor moiety binding sites and (b) prevent the glucose oxidase from diffusing out of the ophthalmic lens.

18. A method for varying glucose concentration in a body fluid or tissue, comprising the steps of:

contacting an ocular fluid with an ophthalmic lens, wherein the ophthalmic lens comprises

competitor moieties;

glucose oxidase molecules each of which comprises a glucose/competitor moiety binding site to which glucose and competitor moieties can reversibly bind; and

one or more detectable labels which are associated with the glucose oxidase molecules and/or the competitor moieties and which are capable of generating an optical signal that changes in a concentration-dependent manner when glucose reversibly binds to the glucose/competitor moiety binding sites

detecting the optical signal to determine the concentration of glucose in the ocular fluid;

transmitting a signal indicating the glucose concentration in the ocular fluid to a pump configured to vary the glucose concentration in the body tissue or fluid; and

providing a regulator moiety via the pump to the body tissue or fluid, whereby the glucose concentration in the body tissue or fluid is varied.

19. The method of claim 18, wherein the competitor moieties are selected from the group consisting of 2-deoxy-D-glucose, D-mannose and D-galactose.

21. The method of claim 18, wherein at least one of the one or more detectable labels is a fluorescent label.

22. The method of claim 18, wherein the regulator moiety is insulin.

23. The method of claim 21, wherein the optical signal is detected by a fluorophotometer.

24. The method of claim 21, wherein the fluorophotometer is contained in a personal accessory.

25. The method of claim 18, wherein the ophthalmic lens is selected from the group consisting of a contact lens, an intraocular lens, a subconjunctival lens, and an intracorneal lens.