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    • 5. 发明申请
    • OXYGEN ENHANCING MEMBRANE SYSTEMS FOR IMPLANTABLE DEVICES
    • 用于可植入设备的氧气增强膜系统
    • WO2005011520A3
    • 2005-12-15
    • PCT/US2004023454
    • 2004-07-21
    • DEXCOM INCPETISCE JAMES RTAPSAK MARK ASIMPSON PETER CCARR-BRENDEL VICTORIA
    • PETISCE JAMES RTAPSAK MARK ASIMPSON PETER CCARR-BRENDEL VICTORIA
    • A61B5/00A61B5/05A61F20060101G01N27/327
    • A61B5/1473A61B5/145A61B5/14503A61B5/14532A61B5/14546A61B5/1468A61B5/14735A61B5/14865
    • The present invention relates generally to systems and methods for increasing oxygen availability to implantable devices. The preferred embodiments provide a membrane system (18) configured to provide protection of the device from the biological environment and/or a catalyst for enabling an enzymatic reaction, wherein the membrane system includes a polymer formed from a high oxygen soluble material. The high oxygen soluble polymer material is disposed adjacent to an oxygen-utilizing source on the implantable device so as to dynamically retain high oxygen availability to the oxygen-utilizing source during oxygen deficits. The membrane system (18) can include a cell disruptive domain (40), a cell impermeable domain (42), a resistance domain (44), an enzyme domain (46), an interference domain (48), and an electrolyte domain (50) adjacent to the electrochemically reactive surfaces. Membrane systems of the preferred embodiments are useful for implantable devices with oxygen-utilizing sources and/or that function in low oxygen environments, such as enzyme-based electrochemical sensors and cell transplantation devices.
    • 本发明一般涉及用于增加可植入装置的氧气可用性的系统和方法。 优选的实施方案提供了一种膜系统(18),其被配置为提供该装置与生物环境的保护和/或用于实现酶反应的催化剂,其中所述膜系统包括由高氧可溶性材料形成的聚合物。 高氧可溶性聚合物材料与可植入装置上的氧气源相邻设置,以便在缺氧期间动态地保持氧利用源的高氧可利用性。 膜系统(18)可以包括细胞破碎结构域(40),细胞不可渗透结构域(42),电阻结构域(44),酶结构域(46),干扰结构域(48)和电解质结构域 邻近电化学反应的表面。 优选实施方案的膜系统对于具有氧利用源的可植入装置和/或在低氧环境中起作用,例如基于酶的电化学传感器和细胞移植装置是有用的。
    • 6. 发明申请
    • MEMBRANE FOR USE WITH IMPLANTABLE DEVICES
    • 膜与可植入器件的使用
    • WO03011354A3
    • 2003-08-14
    • PCT/US0223902
    • 2002-07-26
    • DEXCOM INCBRAUKER JAMES HSHULTS MARK CTAPSAK MARK A
    • BRAUKER JAMES HSHULTS MARK CTAPSAK MARK A
    • G01N27/327A61B5/145A61B5/1473A61L31/10A61L31/14C12M1/34C12M1/40C12Q1/26C12Q1/54G01N27/416A61L27/44
    • A61B5/14735A61B5/076A61B5/14532A61B5/14546A61B5/14865A61B2562/02A61L31/10A61L31/14Y10T428/249921
    • The present invention provides a biointerface membrane for use with an implantable device that interferes with the formation of a barrier cell layer and instead forms a foreign body response (FBR) layer including: an innermost FBR layer (40) composed generally of macrophages and foreign body giant cells (41) that forms over the entire surface (48a) of the membrane (48); an intermediate FBR layer (42) composed primarily of fibroblasts (43) and fibrous matrix (44); and an outermost FBR layer (46) is loose connective granular tissue containing new blood vessels (45); wherein the innermost layer (40) is resistant to cellular attachment and is impermeable to cells and wherein the outermost layer (46) supports tissue attachment and interferes with barrier cell layer formation. In addition, the present invention provides sensors including the biointerface membrane, implantable devices including these sensors or biointerface membranes, and methods of monitoring glucose levels in a host utilizing the analyte detection implantable device of the invention. Other implantable devices which include the biointerface membrane of the present invention, such as devices for cell transplantation, drug delivery devices, and electrical signal delivery or measuring devices are also provided.
    • 本发明提供了一种用于与可植入装置一起使用的生物界面膜,该生物界面膜干扰阻挡细胞层的形成,并形成异物反应(FBR)层,其包括:最内层的FBR层(40),其通常由巨噬细胞和异物 在膜(48)的整个表面(48a)上形成的巨细胞(41); 主要由成纤维细胞(43)和纤维基质(44)组成的中间FBR层(42); 最外面的FBR层(46)是含有新血管的松散结缔组织颗粒组织(45); 其中最内层(40)抵抗细胞附着并且对细胞是不可渗透的,并且其中最外层(46)支持组织附着并干扰阻挡细胞层形成。 此外,本发明提供了包括生物界面膜,包括这些传感器或生物界面膜的可植入装置的传感器,以及利用本发明的分析物检测可植入装置监测宿主中的葡萄糖水平的方法。 还提供了包括本发明的生物界面膜的其它可植入装置,例如用于细胞移植的装置,药物递送装置和电信号传递或测量装置。
    • 8. 发明申请
    • SENSOR HEAD FOR MONITORING GLUCOSE FOR USE WITH IMPLANTABLE DEVICES
    • 用于监视葡萄糖的传感器头用于可移植设备
    • WO03011131A3
    • 2003-08-21
    • PCT/US0223903
    • 2002-07-26
    • DEXCOM INCBRAUKER JAMES HSHULTS MARK CTAPSAK MARK ARHODES RATHBUN
    • BRAUKER JAMES HSHULTS MARK CTAPSAK MARK ARHODES RATHBUN
    • G01N27/416A61B5/00A61B5/145A61B5/1473A61B5/1486C12Q1/00G01N27/327
    • G01N27/3272A61B5/14532A61B5/14865C12Q1/002C12Q1/006G01N33/48707G01N33/48785
    • The present invention provides a sensor head (10) for use in an implantable device that measures the concentration of an analyte in a biological fluid which includes: a non-conductive body; a working electrode (21), a reference electrode (20) and a counter electrode (22), wherein the electrodes pass through the non-conductive body forming an electrochemically reactive surface at one location on the body and forming an electronic connection at another location on the body, further wherein the electrochemically reactive surface of the counter electrode (22) is greater than the surface area of the working electrode (21); and a multi-region membrane having a first region (33), a second region (31), and a third region (32), wherein the membrane is affixed to the nonconductive body and covering the working electrode (21), reference electrode (20) and counter electrode (22). In addition, the present application provides an implantable device including at least one of the sensor heads (10). A method of monitoring glucose levels in a host utilizing the implantable device is also disclosed.
    • 本发明提供一种在可植入装置中使用的传感器头(10),其用于测量生物流体中的分析物的浓度,其包括:非导电体; 工作电极(21),参比电极(20)和对电极(22),其中电极通过非导电体,在身体的一个位置形成电化学反应性表面,并在另一位置形成电子连接 其中所述对电极(22)的电化学反应性表面大于所述工作电极(21)的表面积; 以及具有第一区域(33),第二区域(31)和第三区域(32)的多区域膜,其中所述膜固定到所述非导电体并覆盖所述工作电极(21),参考电极 20)和对电极(22)。 此外,本申请提供了包括至少一个传感器头(10)的可植入装置。 还公开了利用可植入装置监测主机中的葡萄糖水平的方法。