Sensor systems, devices, and methods for continuous glucose monitoring

Patent metadata

Field	Value
Publication number	US-11445952-B2
Application number	US-201916388794-A
Country	US
Kind code	B2
Filing date	Apr 18, 2019
Priority date	Dec 28, 2015
Publication date	Sep 20, 2022
Grant date	Sep 20, 2022

Abstract

Electrochemical impedance spectroscopy (EIS) may be used in conjunction with continuous glucose monitoring (CGM) to enable identification of valid and reliable sensor data, as well implementation of Smart Calibration algorithms.

First claim

What is claimed is:

1. A method for real-time calibration of a glucose sensor for measuring a level of glucose in a body of a user, the glucose sensor including physical sensor electronics, a microcontroller, and a working electrode, the method comprising:
(a) measuring, by the physical sensor electronics, an electrode current (Isig) for the working electrode;
(b) obtaining a blood glucose (BG) value for the user;
(c) performing, by the microcontroller, an electrochemical impedance spectroscopy (EIS) procedure for the working electrode to obtain a respective plurality of values of an impedance-based parameter for the working electrode, and expecting calibration errors based on the respective plurality of values of an impedance-based parameter;
(d) providing, by the microcontroller, variable calibration error thresholds based on expectation of calibration error;
(e) updating, by the microcontroller, a calibration factor CF with accepted BG values based on the variable calibration error thresholds;
(f) calculating, by the microcontroller, a calibrated sensor glucose (SG) value associated with the Isig based on the updated CF and accepted BG values;
(g) calculating, by the microcontroller, an amount of insulin to be delivered to the user based on the calibrated SG value; and
(h) delivering the calculated amount of insulin to the user.

2. The method of claim 1 , further including calculating, by the microcontroller, an expected CF value based on the glucose sensor's age, weighting the updated CF value by using the expected CF value, and calculating a calibrated sensor glucose (SG) value associated with the Isig based on the weighted CF and accepted BG values.

3. The method of claim 2 , wherein the expected CF value is increased over time so as to reduce the likelihood of under-reading.

4. The method of claim 2 , wherein the expected CF value is calculated according to the relation Expected CF=Sensor Age x (0.109 mg/dL/nA)/day+4.730 mg/dL/nA, wherein the Sensor Age is expressed in units of days.

5. The method of claim 1 , further including storing the Isig value in a buffer.

6. The method of claim 2 , further including repeating steps (a)-(f) periodically.

7. The method of claim 6 , further including repeating step (a) at a calculated interval to obtain a plurality of Isig values prior to step (b).

8. The method of claim 7 , wherein the calculation of the expected CF value is performed only when the obtained BG value is acceptable.

9. The method of claim 7 , wherein the calculation of the expected CF value is performed for each of the plurality of Isig values.

10. The method of claim 1 , further including transmitting the calculated SG value to an insulin delivery device.

11. The method of claim 1 , wherein the glucose sensor includes a plurality of working electrodes, and steps (a)-(f) are performed for each working electrode of the plurality of working electrodes.

12. The method of claim 1 , wherein the Isig value is filtered by the microcontroller to obtain a filtered Isig (fIsig) value.

13. The method of claim 1 , wherein the physical sensor electronics measure a plurality of Isig values at calculated intervals, and the microcontroller filters the plurality of Isig values to obtain respective filtered Isig (fIsig) values.

14. The method of claim 13 , further including storing at least a subset of the fIsig values in a calibration buffer.

15. The method of claim 14 , further including assigning respective weights to the subset of fIsig values stored in the calibration buffer.

16. The method of claim 15 , further including modifying the respective weights based on the values of the impedance-based parameter.

17. The method of claim 15 , further including clearing the calibration buffer if the values of the impedance-based parameter are outside of a calculated range.

18. The method of claim 1 , further including adjusting, by the microcontroller, the CF value based on the respective plurality of values of an impedance-based parameter for the working electrode.

19. The method of claim 18 , wherein the CF value is adjusted according to the relation CF(t)=CFreference —m(Rreference —Rm(t)), wherein CFreference is the reference value for the calibration factor, m is the gradient of the correlation, Rm is the membrane resistance, t is the time.

20. A method for operating a glucose sensor, the method comprising:
measuring an electrode current (Isig) for a working electrode of the glucose sensor;
performing an electrochemical impedance spectroscopy (EIS) procedure for the working electrode to obtain a respective plurality of values of an impedance-based parameter for the working electrode, and expecting calibration errors based on the respective plurality of values of an impedance-based parameter;
updating a calibration factor CF with accepted BG values based on variable calibration error thresholds;
calculating a calibrated sensor glucose (SG) value associated with the Isig based on the updated CF;
calculating an amount of insulin to be delivered to the user based on the calibrated SG value; and
delivering the calculated amount of insulin to the user.

Assignees

• Medtronic Minimed Inc

Inventors

• Nogueira Keith
• Engel Taly G
• Li Xiaolong
• Liang Bradley C
• Shah Rajiv
• Liu Mike C
• Tsai Andy Y

Classifications

• A61B5/6848

  Needles · CPC title

• A61B5/1495 Primary

  Calibrating or testing of in-vivo probes · CPC title

• A61B5/1473

  invasive, e.g. introduced into the body by a catheter · CPC title

• A61B5/7225

  Details of analogue processing, e.g. isolation amplifier, gain or sensitivity adjustment, filtering, baseline or drift compensation (input circuits for detecting, measuring, or recording bioelectric or biomagnetic signals A61B5/30; specific diagnostic methods using bioelectric or biomagnetic signals A61B5/316) · CPC title

• A61B5/4836

  Diagnosis combined with treatment in closed-loop systems or methods (A61B5/0036 takes precedence) · CPC title