Medical device and methods of monitoring a patient with renal dysfunction
US-9554725-B2 · Jan 31, 2017 · US
US10852268B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-10852268-B2 |
| Application number | US-201816116306-A |
| Country | US |
| Kind code | B2 |
| Filing date | Aug 29, 2018 |
| Priority date | Aug 29, 2018 |
| Publication date | Dec 1, 2020 |
| Grant date | Dec 1, 2020 |
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An electrochemical sensor may include a common reference electrode, at least one counter electrode, and a work electrode platform including a plurality of respective work electrodes. Each respective work electrode of the plurality of respective work electrodes may be electrically coupled to the common reference electrode and include a respective reagent substrate configured to react with a respective analyte to produce a signal indicative of a concentration of the respective analyte.
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What is claimed is: 1. An electrochemical sensor comprising: a dielectric substrate defining a first major surface; an interconnect layer on the first major surface and defining a second major surface opposing the first major surface, and a common reference electrode; at least one counter electrode; and a work electrode platform comprising a plurality of respective work electrodes, wherein the plurality of respective work electrodes are disposed on the second major surface, wherein the interconnect layer electrically couples the common reference electrode and the at least one counter electrode to each respective work electrode of the plurality of respective work electrodes, and wherein each respective work electrode of the plurality of respective work electrodes comprises a respective reagent substrate configured to react with a respective analyte to produce a signal indicative of a concentration of the respective analyte. 2. The electrochemical sensor of claim 1 , wherein at least one respective work electrode of the plurality of respective work electrodes comprises a membrane disposed on the respective reagent substrate, and wherein the membrane is permeable to the respective analyte. 3. The electrochemical sensor of claim 2 , wherein the membrane comprises a limiting membrane, a selective ion transfer membrane, or a limiting membrane and a selective ion transfer membrane. 4. The electrochemical sensor of claim 2 , wherein the membrane comprises an ionophore. 5. The electrochemical sensor of claim 2 , wherein the membrane includes at least one ionophore selected from the group consisting of: amino methylated polystyrene salicylaldehyde, dibenzo-18-crown-6, cezomycin, enniatin, gramicidin A, lasalocid, macrolides, monensin, narasin, nigericin, nigericin sodium salt, nonactin, polyimide/lycra blend, salinomycin, valinomycin, or mixtures thereof. 6. The electrochemical sensor of claim 1 , wherein the at least one respective work electrode comprises a limiting membrane on the respective reagent substrate and a selective ion transfer membrane on the limiting membrane. 7. The electrochemical sensor of claim 1 , wherein the at least one respective work electrode comprises a selective ion transfer membrane on the respective reagent substrate and a limiting membrane on the selective ion transfer membrane. 8. The electrochemical sensor of claim 1 , wherein each respective work electrode of the plurality of respective work electrodes comprises a respective membrane disposed on the respective reagent substrate, and wherein the respective membrane is selectively permeable to the respective analyte. 9. The electrochemical sensor of claim 1 , wherein at least one of the respective reagent substrates comprises an oxidase enzyme. 10. The electrochemical sensor of claim 1 , wherein the respective reagent substrate includes at least one enzyme selected from the group consisting of: glucose oxidase, creatinine amidohydrolase, creatine amidinohydrolase, sarcosine oxidase, carbonic anhydrase, choline oxidase, horseradish peroxidase, thiamine oxidase, urease, glycerol-3-phosphate oxidase, L-amino acid oxidase, lactate oxidase, catalase alkaline phosphatase, alcohol oxidase, D-amino acid oxidase, cholesterol oxidase, pyridoxal oxidase, and NAD(P)H oxidase, and pyruvate oxidase, or mixtures thereof. 11. The electrochemical sensor of claim 1 , wherein the respective reagent substrate includes a respective immobilization substrate configured to immobilize a respective reagent. 12. The electrochemical sensor of claim 1 , wherein a length of each respective work electrode of the plurality of respective work electrodes is between about 0.25 millimeters and about 0.75 millimeters, and wherein a width of each respective work electrode of the plurality of respective work electrodes is between about 0.25 millimeters and about 0.75 millimeters. 13. The electrochemical sensor of claim 1 , wherein a length of the at least one counter electrode is between about 7.5 millimeters and about 10 millimeters, and wherein a width of the at least one counter electrode is between about 7.5 millimeters and about 10 millimeters. 14. The electrochemical sensor of claim 1 , wherein the work electrode platform comprises a dielectric barrier disposed between a first work electrode of the plurality of respective work electrodes and a second work electrode of the plurality of respective work electrodes adjacent to the first work electrode. 15. The electrochemical sensor of claim 1 , wherein the interconnect layer comprises at least one electrical interconnect comprising chromium, a gold chromium alloy, titanium, a titanium gold alloy, or platinum. 16. The electrochemical sensor of claim 1 , wherein the plurality of respective work electrodes comprises: a first work electrode comprising a first reagent substrate configured to react with sodium ions; a second work electrode comprising a second reagent substrate configured to react with chloride ions; a third work electrode comprising a third reagent substrate configured to react with blood urea nitrogen; a fourth work electrode comprising a fourth reagent substrate configured to react with glucose; a fifth work electrode comprising a fifth reagent substrate configured to react with potassium; a sixth work electrode comprising a sixth reagent substrate configured to react with bicarbonate or carbon dioxide; and a seventh work electrode comprising a seventh reagent substrate configured to react with creatinine. 17. The electrochemical sensor of claim 1 , wherein the plurality of respective work electrodes is electrically coupled in common to the common reference electrode and the at least one counter electrode. 18. The electrochemical sensor of claim 1 , wherein the plurality of respective work electrodes is electrically connected to a single, common electrical interconnect in the interconnect layer. 19. The electrochemical sensor of claim 1 , comprising a single common reference electrode and a single counter electrode. 20. A method of forming an electrochemical sensor, the method comprising: providing a dielectric substrate defining a first major surface; forming an interconnect layer on the first major surface to define a second major surface opposite the first major surface; forming a common reference electrode; forming at least one counter electrode; and forming a work electrode platform comprising a plurality of respective work electrodes on at least a portion of the second major surface, wherein the interconnect layer electrically couples the common reference electrode and the at least one counter electrode to each respective work electrode of the plurality of respective work electrodes, and wherein each respective work electrode of the plurality of respective work electrodes comprises a respective reagent substrate configured to react with a respective analyte to produce a signal indicative of a concentration of the respective analyte. 21. The method of claim 20 , wherein at least one of the respective reagent substrates comprises an oxidase enzyme. 22. The method of claim 20 , wherein the respective reagent substrate includes at least one enzyme selected from the group consisting of: glucose oxidase, creatinine amidohydrolase, creatine amidinohydrolase, sarcosine oxidase, carbonic anhydrase, choline oxidase, horseradish peroxidase, thiamine oxidase, urease, glycerol-3-phosphate oxidase, L-amino acid oxidase, lactate oxidase, catalase alkaline phosphatase,
for measuring glucose, e.g. by tissue impedance measurement · CPC title
Test elements therefor, i.e. disposable laminated substrates with electrodes, reagent and channels (optical biosensors G01N33/52) · CPC title
being a hybridisation with immobilised receptors (using a FET type sensor G01N27/4145; concerning the hybridisation C12Q1/68) · CPC title
being a redox reaction, e.g. detection by cyclic voltammetry (voltammetry per se G01N27/42, G01N27/48) · CPC title
using multielectrode arrays · CPC title
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