Analyte measuring device

• US 7,860,545 B2
• Filed: 02/26/2008
• Issued: 12/28/2010
• Est. Priority Date: 03/04/1997
• Status: Expired due to Fees

• Current Assignee: DexCom Incorporated
• Original Assignee: DexCom Incorporated
• Inventors: Shults, Mark C., Brauker, James H., Carr-Brendel, Victoria, Updike, Stuart J., Markovic, Dubravka, Tapsak, Mark A., Rhodes, Rathbun K.
• Primary Examiner(s): Nasser; Robert L
• Application Number:
  US12/037,812
• Publication Number:
  US 20080228051A1
• Time in Patent Office: 1,036 Days
• Field of Search: None
• US Class Current: 600/347
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/14865 invasive, e.g. introduced into the body by a catheter or needle or using implanted sensors
• CPC Class Codes: A61B 5/1495 Calibrating or testing of in-vivo probes
• CPC Class Codes: A61L 2300/00 Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
• CPC Class Codes: A61L 31/10 Macromolecular materials
• CPC Class Codes: A61L 31/14 Materials characterised by their function or physical properties , e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
• CPC Class Codes: A61L 31/146 Porous materials, e.g. foams or sponges
• CPC Class Codes: A61L 31/16 Biologically active materials, e.g. therapeutic substances A61L31/047 takes precedence
• CPC Class Codes: B33Y 80/00 Products made by additive manufacturing
• CPC Class Codes: C12Q 1/006 for glucose

Abstract

An implantable analyte-measuring device including a membrane adapted to promote vascularization and/or interfere with barrier cell layer formation. The membrane includes any combination of materials, architecture, and bioactive agents that facilitate analyte transport to provide long-term in vivo performance of the implantable analyte-measuring device.

Claims

1. A device for subcutaneous monitoring of glucose levels, comprising:

a housing;

a sensor; and

a porous biointerface layer for promoting long term microcirculatory delivery of glucose and oxygen to the sensor for a time period of at least about one month, wherein the porous biointerface layer comprises an architecture that supports tissue ingrowth and is configured to maintain sufficient fluid flow to the sensor for long term glucose measurement, wherein the porous biointerface layer further comprises a first bioactive agent configured to be released over a first time period of from about one day to about one month, wherein release of the first bioactive agent is configured to increase a rate at which the device becomes functional by at least partially overcoming sleep period effects associated with a temporary decrease in sensor sensitivity associated with tissue ingrowth into the porous biointerface layer;

wherein the porous biointerface layer further comprises a second bioactive agent configured to be released over a second time period, wherein release of the second bioactive a ent is configured to modulate a foreign body response to reduce a continual decline in sensor sensitivity over a life of a sensor.

2. The device of claim 1, wherein the biointerface layer comprises a material selected from the group consisting of hydrophilic polyvinylidene fluoride, mixed cellulose esters, polyvinyl chloride, polyvinyl alcohol, polyethylene, polytetrafluoroethylene, cellulose acetate, cellulose nitrate, polycarbonate, nylon, polyester, mixed esters of cellulose polyvinylidene difluoride, silicone, polyacrylonitrile, polypropylene, polysulfone, polymethacrylate, and mixtures thereof.

3. The device of claim 1, wherein the biointerface layer comprises expanded polytetrafluoroethylene.

4. The device of claim 1, wherein the biointerface layer comprises silicone.

5. The device of claim 1, wherein at least one of the first bioactive or the second bioactive agent is selected from the group consisting of anti-inflammatory agents, anti-infective agents, anesthetics, inflammatory agents, growth factors, immunosuppressive agents, antiplatelet agents, anticoagulants, ACE inhibitors, cytotoxic agents, anti-barrier cell compounds, vascularization-inducing compounds, anti-sense molecules, and mixtures thereof.

6. The device of claim 1, wherein at least one of the first bioactive agent or the second bioactive agent is an anti-inflammatory agent selected from the group consisting of nonsteroidal anti-inflammatory drugs (NTHEs), aspirin, celecoxib, choline magnesium trisalicylate, diclofenac potassium, diclofenac sodium, diflunisal, etodolac, fenoprofen, flurbiprofen, ibuprofen, indomethacin, ketoprofen, ketorolac, melenamic acid, nabumetone, naproxen, naproxen sodium, oxaprozin, piroxicam, rofecoxib, salsalate, sulindac, tolmetin, corticosteroids, cortisone, hydrocortisone, methylprednisolone, prednisone, prednisolone, betamethesone, beclomethasone dipropionate, budesonide, dexamethasone sodium phosphate, flunisolide, fluticasone propionate, triamcinolone acetonide, betamethasone, fluocinolone, fluocinonide, betamethasone dipropionate, betamethasone valerate, desonide, desoximetasone, fluocinolone, triamcinolone, triamcinolone acetonide, clobetasol propionate, dexamethasone, and mixtures thereof.

7. The device of claim 1, wherein at least one of the first bioactive agent or the second bioactive agent is an anti-infective agent selected from the group consisting of anthelmintics, mebendazole, antibiotics, aminoclycosides, gentamicin, neomycin, tobramycin, antifungal antibiotics, amphotericin b, fluconazole, griseofulvin, itraconazole, ketoconazole, nystatin, micatin, tolnaftate, cephalosporins, cefaclor, cefazolin, cefotaxime, ceftazidime, ceftriaxone, cefuroxime, cephalexin, beta-lactam antibiotics, cefotetan, meropenem, chloramphenicol, macrolides, azithromycin, clarithromycin, erythromycin, penicillins penicillin G sodium salt, amoxicillin, ampicillin, dicloxacillin, nafcillin, piperacillin, ticarcillin, tetracyclines, doxycycline, minocycline, tetracycline, bacitracin, clindamycin, colistimethate sodium, polymyxin b sulfate, vancomycin;

antivirals including acyclovir, amantadine, didanosine, efavirenz, foscarnet, ganciclovir, indinavir, lamivudine, nelfinavir, ritonavir, saquinavir, stavudine, valacyclovir, valganciclovir, zidovudine, quinolones, ciprofloxacin, levofloxacin, sulfonamides, sulfadiazine, sulfisoxazole, sulfones, dapsone, furazolidone, metronidazole, pentamidine, sulfanilamidum crystallinum, gatifloxacin, sulfamethoxazole/trimethoprim, and mixtures thereof.