Medical devices and methods
US-10136816-B2 · Nov 27, 2018 · US
US12076145B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-12076145-B2 |
| Application number | US-201916259157-A |
| Country | US |
| Kind code | B2 |
| Filing date | Jan 28, 2019 |
| Priority date | Apr 19, 2018 |
| Publication date | Sep 3, 2024 |
| Grant date | Sep 3, 2024 |
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A lactate-responsive enzyme may form the basis for lactate detection and quantification using an electrochemical analyte sensor. Various features may be incorporated within an analyte sensor containing a lactate-responsive enzyme, particularly lactate oxidase, to improve sensitivity and response stability of the analyte sensor. Such analyte sensors may comprise: a working electrode having an active area disposed thereon, and a mass transport limiting membrane overcoating at least the active area upon the working electrode. The active area comprises at least a polymer, an albumin, and a lactate-responsive enzyme that is covalently bonded to the polymer. The mass transport limiting membrane may comprise at least a crosslinked polyvinylpyridine homopolymer or copolymer. The analyte sensors may determine a lactate concentration in a biological fluid, particularly in vivo, which may be correlated to various physiological conditions.
Opening claim text (preview).
What is claimed is the following: 1. A lactate sensor comprising: a working electrode having an active area disposed thereon, the active area comprising a polymer, human serum albumin, and a lactate-responsive enzyme covalently bonded to the polymer; and a mass transport limiting membrane overcoating at least the active area upon the working electrode, wherein the mass transport limiting membrane comprises a PEGDGE (polyethylene glycol diglycidyl ether)-crosslinked polyvinylpyridine homopolymer, wherein the albumin stabilizes the lactate responsive enzyme to provide a sensor signal that changes by 10% or less for at least 190 continuous hours at a given lactate concentration, and wherein the lactate-responsive enzyme and the human serum albumin are present in a weight ratio ranging from 5:1 to 1:1. 2. The lactate sensor of claim 1 , wherein the lactate-responsive enzyme comprises lactate oxidase. 3. The lactate sensor of claim 1 , wherein the active area comprises a plurality of sensing spots disposed upon the working electrode. 4. The lactate sensor of claim 1 , wherein the mass transport limiting membrane comprises a multi-component membrane, the multi-component membrane comprising the PEGDGE-crosslinked polyvinylpyridine homopolymer and at least a second crosslinked polymer. 5. The lactate sensor of claim 4 , wherein the multi-component membrane comprises a first polymer comprising the PEGDGE-crosslinked polyvinylpyridine homopolymer and a second polymer comprising a PEGDGE-crosslinked polyvinylpyridine copolymer. 6. The lactate sensor of claim 4 , wherein the multi-component membrane comprises a bilayer membrane, the bilayer membrane comprising a first layer comprising the PEGDGE-polyvinylpyridine homopolymer and a second layer comprising the second crosslinked polymer. 7. The lactate sensor of claim 6 , wherein the first layer is disposed directly upon the active area and the second layer is disposed upon the first layer. 8. The lactate sensor of claim 4 , wherein the mass transport limiting membrane comprises a homogeneous admixture of the PEGDGE-crosslinked polyvinylpyridine homopolymer and the second crosslinked polymer. 9. The lactate sensor of claim 1 , wherein the active area further comprises an electron transfer agent that is covalently bonded to the polymer. 10. A method comprising: exposing the lactate sensor of claim 1 to a fluid; obtaining the signal at or above an oxidation-reduction potential of the active area; and correlating the signal to the lactate concentration in the fluid. 11. The method of claim 10 , wherein the fluid is a biological fluid and the lactate sensor is exposed to the biological fluid in vivo. 12. The method of claim 10 , wherein the lactate-responsive enzyme comprises lactate oxidase. 13. The method of claim 10 , wherein the mass transport limiting membrane comprises at least the PEGDGE-crosslinked polyvinylpyridine homopolymer. 14. The method of claim 13 , wherein the mass transport limiting membrane comprises a homogeneous admixture of the PEGDGE-crosslinked polyvinylpyridine homopolymer and the second crosslinked polymer. 15. The method of claim 10 , wherein the mass transport limiting membrane comprises a multi-component membrane, the multi-component membrane comprising the PEGDGE-crosslinked polyvinylpyridine homopolymer and at least a second crosslinked polymer. 16. The method of claim 15 , wherein the multi-component membrane comprises a first polymer comprising the PEGDGE-crosslinked polyvinylpyridine homopolymer and a second polymer comprising the PEGDGE-crosslinked polyvinylpyridine copolymer. 17. The method of claim 15 , wherein the multi-component membrane comprises a bilayer membrane, the bilayer membrane comprising a first layer comprising the PEGDGE-polyvinylpyridine homopolymer and a second layer comprising the second crosslinked polymer. 18. The method of claim 17 , wherein the first layer is disposed directly upon the active area and the second layer is disposed upon the first layer. 19. The method of claim 10 , further comprising: determining a presence of one or more conditions in a subject based upon the lactate concentration in the fluid, the one or more conditions being selected from the group consisting of sepsis, infection, organ function, and any combination thereof. 20. The method of claim 19 , wherein the fluid is a biological fluid and the lactate sensor is exposed to the biological fluid in vivo. 21. The lactate sensor of claim 1 , wherein the sensor generates a signal that is linearly proportional to a lactate concentration from 0 mM to 5 mM lactate. 22. The lactate sensor of claim 1 , wherein the signal has an in vivo sensitivity of at least 1 nA/mM. 23. The lactate sensor of claim 1 , wherein the sensor signal changes by 5% or less for at least 190 continuous hours at a given lactate concentration. 24. The lactate sensor of claim 1 , wherein the sensor signal changes by 1% or less for at least 190 continuous hours at a given lactate concentration. 25. A lactate sensor comprising: a working electrode having an active area disposed thereon, the active area comprising a polymer, human serum albumin, and a lactate-responsive enzyme covalently bonded to the polymer, and a mass transport limiting membrane overcoating at least the active area upon the working electrode, wherein the mass transport limiting membrane comprises a PEGDGE (polyethylene glycol diglycidyl ether)-crosslinked polyvinylpyridine homopolymer, wherein the lactate sensor is responsive to sepsis, infection, organ function, physiological stress, exercise, or any combination thereof and is configured to provide an alert or other indication that sepsis, infection, organ failure, or any combination thereof may be present for a measured lactate concentration, wherein the lactate-responsive enzyme and the human serum albumin are present in a weight ratio ranging from 5:1 to 1:1, and wherein the albumin stabilizes the lactate responsive enzyme to provide a sensor signal that changes by 10% or less for at least 190 continuous hours at a given lactate concentration. 26. The lactate sensor of claim 25 , wherein the sensor generates a signal that is linearly proportional to a lactate concentration from 0 mM to 5 mM lactate. 27. The lactate sensor of claim 25 , wherein the signal has an in vivo sensitivity of at least 1 nA/mM. 28. The lactate sensor of claim 25 , wherein the sensor signal changes by 5% or less for at least 190 continuous hours at a given lactate concentration. 29. The lactate sensor of claim 25 , wherein the sensor signal changes by 1% or less for at least 190 continuous hours at a given lactate concentration. 30. A lactate sensor comprising: a working electrode having an active area disposed thereon, the active area comprising a polymer, a-human serum albumin, a lactate oxidase covalently bonded to the polymer, and an electron transfer agent that is covalently bonded to the polymer, and a mass transport limiting membrane overcoating at least the active area upon the working electrode, wherein the albumin stabilizes the lactate responsive enzyme to provide a sensor signal that changes by 10% or less for at least 190 continuous hours at a given lactate concentration. 31. The lactate sensor of claim 30 , wherein the sensor generates a signal tha
Test elements therefor, i.e. disposable laminated substrates with electrodes, reagent and channels (optical biosensors G01N33/52) · CPC title
Amperometric enzyme electrodes for analytes in body fluids, e.g. glucose in blood (amperometry per se G01N27/49; aspects concerning the enzyme reagent C12Q1/001) · CPC title
invasive, e.g. introduced into the body by a catheter · CPC title
invasive, e.g. introduced into the body by a catheter or needle or using implanted sensors · CPC title
for measuring analytes not otherwise provided for, e.g. ions, cytochromes · CPC title
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