WO2016052282A1 - Détection non invasive in situ du taux de glucose faisant appel à un rayonnement électromagnétique - Google Patents

Détection non invasive in situ du taux de glucose faisant appel à un rayonnement électromagnétique Download PDF

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Publication number
WO2016052282A1
WO2016052282A1 PCT/JP2015/076825 JP2015076825W WO2016052282A1 WO 2016052282 A1 WO2016052282 A1 WO 2016052282A1 JP 2015076825 W JP2015076825 W JP 2015076825W WO 2016052282 A1 WO2016052282 A1 WO 2016052282A1
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Prior art keywords
glucose level
electromagnetic waves
eyeball
tear
determining
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PCT/JP2015/076825
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English (en)
Inventor
Yang Shang
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Advantest Corporation
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Priority claimed from US14/808,303 external-priority patent/US10092208B2/en
Application filed by Advantest Corporation filed Critical Advantest Corporation
Priority to CN201580053918.5A priority Critical patent/CN106793950B/zh
Priority to JP2017517817A priority patent/JP6677720B2/ja
Priority to DE112015004517.1T priority patent/DE112015004517B4/de
Publication of WO2016052282A1 publication Critical patent/WO2016052282A1/fr

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    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00—Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/17—Systems in which incident light is modified in accordance with the properties of the material investigated
    • G01N21/25—Colour; Spectral properties, i.e. comparison of effect of material on the light at two or more different wavelengths or wavelength bands
    • G01N21/31—Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry
    • G01N21/35—Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry using infrared light
    • G01N21/3581—Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry using infrared light using far infrared light; using Terahertz radiation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
    • A61B3/101—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for examining the tear film
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/0507—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves  using microwaves or terahertz waves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14532—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring glucose, e.g. by tissue impedance measurement
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00—Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/17—Systems in which incident light is modified in accordance with the properties of the material investigated
    • G01N21/21—Polarisation-affecting properties
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00—Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/17—Systems in which incident light is modified in accordance with the properties of the material investigated
    • G01N21/25—Colour; Spectral properties, i.e. comparison of effect of material on the light at two or more different wavelengths or wavelength bands
    • G01N21/27—Colour; Spectral properties, i.e. comparison of effect of material on the light at two or more different wavelengths or wavelength bands using photo-electric detection ; circuits for computing concentration
    • G01N21/274—Calibration, base line adjustment, drift correction
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2201/00—Features of devices classified in G01N21/00
    • G01N2201/02—Mechanical
    • G01N2201/022—Casings
    • G01N2201/0221—Portable; cableless; compact; hand-held

Definitions

  • the present disclosure relates generally to the field of blood glucose level sensing, and more, to non-invasive glucose level sensing mechanisms.
  • Diabetes is generally considered incurable and regular monitoring and controlling of blood sugar level is a major part of the treatment. Patients with diabetes control their blood sugar levels through medication, diet and exercise, and in some cases insulin injections.
  • a patient draws a blood sample by using a lancing device to prick a finger, applies the blood on a test strip inserted into the glucose meter.
  • the glucose meter automatically performs analysis on the blood on the test strip and shows the glucose level readout in a display panel on the meter.
  • the lancing devices and test strips for a glucose meter are typically designed as disposable, the expense of using such a glucose meter can be a substantial economic burden. For instance, some patients need to test up to 5 times a day and thus use at least 5 lancets and 5 test strips, which can cost $600 -1 00 per year for each individual depending on the prices of the test strips and lancets. Besides the economic waste, disposable lancing devices and test strips are also a significant source of medical waste hazards and contribute to environmental contamination. In addition, pricking fingers or alternative sites to draw blood samples inflict physical discomfort and pain. Patients often feel the testing processes unpleasant and burdensome.
  • Embodiments of the present disclosure employ controlled electromagnetic waves to irradiate a subject's eyeball and thereby determine a glucose level in the subject based on a known relationship between glucose level and reflection characteristics of the tear layer covering the eyeball with respect to the incident waves.
  • an incident beam of electromagnetic waves with known characteristics preferably in the Terahertz band, is generated and projected onto the surface of the eyeball, which is naturally reflected by the tear layer.
  • the reflected electromagnetic waves are detected and characterized to determine the reflection characteristics of the tear layer, e.g., an axial ratio of reflection coefficients in two polarization orientations.
  • the current blood glucose level in the subject can be derived and presented to a user, e.g., the subject or an individual conducting the testing on the subject.
  • a glucose sensing device is designed as a handheld device for home use and can be placed against a user's forehead when in use.
  • the sensing device includes a Terahertz wave transmitter and receiver, an eye position alignment system, a calibration system and processing logic.
  • the eye alignment system facilitates a user to adjust the eyeball position relative to the device to achieve the
  • the calibration system utilizes a reference surface having known reflection characteristics with respect to the incident beam.
  • the transmitter can emit a beam of electromagnetic wave to the eyeball surface with electrical fields in two polarization orientations; the receiver can determine the electrical fields in two polarization orientations of reflected beam.
  • the processing logic performs analysis and calculations to determine the reflection characteristics of the tear layer based on the electric fields of the incident and reflected beams, and accordingly outputs a blood glucose level result.
  • a blood glucose level can be inferred from the reflection characteristics of the tear fluid present in the subject's eyeball with respect to non-invasive electromagnetic waves, patients can be advantageously relieved from the conventional and painful blood sampling processes.
  • the sensing device beneficially utilizes no disposable medical supplies and generates no medical waste.
  • a method of determining a glucose levels includes irradiating first electromagnetic waves onto an eyeball of a subject and detecting second electromagnetic waves produced by the first electromagnetic waves being reflected from the eyeball.
  • the glucose level in the subject is automatically determined based on characteristics of the first electromagnetic waves and the second electromagnetic waves.
  • the first electromagnetic waves and the second electromagnetic waves are Terahertz waves.
  • the second electromagnetic waves originate by first
  • an axial ratio is determined, which is a ratio between reflection coefficients of the tear film with respect to the first electromagnetic waves in two orthogonal polarization orientations.
  • the glucose level is determined according to: a predetermined correlation between the axial ratio and a tear glucose level; and a predetermined correlation between the tear glucose level and a blood glucose level.
  • a method of determining a glucose level in a subject includes: at a first predetermined position relative to an eyeball of the subject, irradiating first Terahertz waves onto the eyeball; and, at a second predetermined position relative to the eyeball, detecting second Terahertz waves produced by the first Terahertz waves being reflected from a tear layer covering the eyeball.
  • the method further includes automatically determining the glucose level in the subject based on characteristics of the second Terahertz waves relative to the first Terahertz waves.
  • a method of detecting a glucose level of a subject includes: (1) irradiating first electromagnetic waves onto an eyeball of the subject; (2) determining reflection characteristics of a tear layer covering the eyeball with respect to the first electromagnetic waves; and (3) determining the glucose level in the subject based on the reflection characteristics of the tear layer with respect to the first electromagnetic waves.
  • an apparatus includes: a positioning assembly configured to detect a position of an eyeball of a subject in proximity therewith; a transmitting assembly configured to generate an incident beam of
  • the processing logic is configured to determine a glucose level in the subject based on
  • the incident beam includes Terahertz waves
  • the receiving unit is configured to detect Terahertz waves.
  • the processing logic is further configured to: receive second signals from the transmitting assembly and representing generated electric fields of the incident beam in the two polarization orientations; and determine an axial ratio between reflection coefficients of the surface with respect to the incident beam in the two polarization orientations based on the first signals and the second signals.
  • the processing logic may further be configured to automatically determine the glucose level in the subject based on: a first correlation between the axial ratio and a tear glucose level; and a second correlation between the tear glucose level and a blood glucose level, and further comprising memory configured to store the first and the second predetermined correlations.
  • the positioning assembly may include a position aligner configured to detect a position of the eyeball and an indicator coupled to the aligner.
  • the indicator is configured to send user indications for adjusting the position of the eyeball to achieve: a predetermined distance between the transmitting assembly and the surface; and a predetermined angle of incidence of the incident beam at the surface, and wherein the first correlation corresponds to the predetermined angle of incidence and the predetermine distance.
  • a portable device for sensing glucose levels includes: a transmitting assembly configured to generate first electromagnetic waves; a receiving assembly configured to detected second electromagnetic waves produced by the first electromagnetic waves reflected from a tear layer covering an eyeball of a subject proximate to the portable device; processing logic coupled to the transmitting assembly and the receiving assembly.
  • the processing logic can determine reflection characteristics of the tear layer with respect to the first electromagnetic waves, and automatically determine a glucose level in the subject based on the reflection characteristics.
  • a system includes: a generator configured to generate incident Terahertz waves at a first location; a detector configured to detect reflected Terahertz Waves at a second location, wherein the reflected Terahertz waves are produced by the incident Terahertz waves being reflected from a tear layer covering an eyeball of a subject; processor coupled to the generator and the detector; and memory coupled to the processor.
  • the memory stores instructions that, when executed by the processor, perform a method of: automatically determining reflection characteristics of the tear layer with respect to the incident Terahertz waves; and determining a glucose level in the subject based on the reflection characteristics according to a predetermine correlation between the reflection characteristics and a tear glucose level.
  • Fig. 1 illustrates the front view of the configuration of an exemplary glucose sensing device using electromagnetic radiation to test tear glucose levels according to an embodiment of the present disclosure.
  • Fig. 2 illustrates the top view of the configuration of the exemplary glucose sensing device as shown in Fig. 1.
  • Fig. 3 illustrates the perspective view of the exemplary glucose sensing device as shown in Fig. 1 and Fig. 2.
  • Fig. 4 shows simulated data plots of AR r as a function of angle of incidence in various refractive indexes which may be caused by different glucose concentrations in tear fluid.
  • Fig. 5 shows simulated data plots of AR r as a function of angle of incidence in various refractive indexes which may be caused by different glucose concentrations in tear fluid.
  • Fig. 5 are data plots showing the derivatives of AR r (6) of n and k with n T equal to
  • Fig. 6 illustrates the configuration of using a reference mirror to calibrate the exemplary glucose sensing device as shown in Figs. 1-3 according to an embodiment of the present disclosure.
  • Figs. 7A-7B show the configuration of using an exemplary positioning alignment system built in a glucose sensing device to achieve the predetermined angle of incidence ⁇ 0 and reflection position PI for testing in accordance with an embodiment of the present disclosure.
  • Fig. 8 is a flow chart depicting an exemplary process of using Terahertz waves to test a blood glucose level according to an embodiment of the present disclosure.
  • Fig. 9 shows the exterior view of an exemplary glucose sensing device according to an embodiment of the present disclosure.
  • Fig. 10 illustrates the functional modules of an exemplary glucose sensing device according to an embodiment of the present disclosure.
  • Fig. 11 is a flow chart depicting an exemplary process of using a glucose sensing device as shown in Fig. 10 according to embodiment of the present disclosure.
  • An exemplary glucose sensing device includes an electromagnetic wave transmitter, a wave detector and processing logic.
  • a correlation between tear glucose level and blood glucose level of the subject as well as the interaction pattern between a tear layer and the testing electromagnetic waves is acquired beforehand and used to configure the sensing device. During testing, controlled
  • electromagnetic waves are generated by the transmitter and projected onto the eyeball.
  • the waves reflected from the eyeball surface are detected by the wave detector.
  • the reflection characteristics of the tear liquid are determined based on the analysis on the reflected waves and then related to the blood glucose level in the subject.
  • a blood glucose level can be inferred from the reflection characteristics of the tear present in the subject's eyeball with respect to non-invasive electromagnetic waves, patients can be advantageously relieved from the conventional and painful blood sampling process.
  • the detection process and device beneficially utilizes no disposable medical supplies and generates no medical waste.
  • embodiments of the present disclosure advantageously do not rely on tactile contact between any external object and a sensitive part of a human body (as does in the contact lens approach discussed above), which further enhances user convenience and experience.
  • Terahertz waves are preferred due to the attributes of being non-ionizing and so safe to human tissue, highly sensitive to water hydration and sugar concentrations, and highly directional at low energy.
  • the Terahertz waves used for glucose testing may have a frequency within the range of 100 GHz to 10 THz in one embodiment.
  • other suitable classes of electromagnetic radiation may also be used for sensing tear glucose levels without departing from the scope of the present disclosure.
  • Fig. 1 illustrates the front view of the configuration of an exemplary glucose sensing device 100 using electromagnetic radiation to test tear glucose level according to an embodiment of the present disclosure.
  • Fig. 2 illustrates the top view of the configuration of the exemplary glucose sensing device 100 as shown in Fig. 1.
  • Fig. 3 illustrates the 3D view of the exemplary glucose sensing device 100 as shown in Figs. 1 and 2.
  • the configuration is illustrated in a basic form and includes a transmitter (TX) 1 10 and a receiver (RX) 120 of Terahertz waves disposed at locations P0 and P2, respectively.
  • the transmitter generates and directs a beam of Terahertz radiation to the eyeball surface 130 of a subject at location PI .
  • the incident beam travels a distance LI until it is reflected by the eyeball surface 130 at PI which is covered by a tear layer.
  • the reflected beam is detected by the receiver 120 at a distance L2 from the reflection point PI .
  • the glucose sensing device 100 includes a position alignment system serving to facilitate a user to adjust the eyeball position until the angle of incidence ⁇ and the distances LI and L2 equal to predetermined values.
  • the glucose levels in tear fluid are reported to be in the range of 0.1-0.6 millimoles per liter (mM), which is about ten times lower than the levels in the blood.
  • a device according to an embodiment of the present disclosure is configured to offer accurate measurement in this range.
  • the reflection properties of the eyeball vary with the biochemical composition, and particularly the glucose concentration, in the tear.
  • cross polarized reflectance measurements are used for Terahertz radiology analysis in the testing and calibration processes, which eliminate the dependency on knowledge of emitted power, path loss and other parameters and the characteristics of the emitted beam.
  • the reflection coefficients in two orientations (in-plane ⁇
  • ⁇ represents an angle of incidence.
  • the electric fields (E-fields) of the incident beam as generated at P0 ( E E ' ( 0 - ) ) and the E-fields of the reflected beam as detected at P2 ( E ⁇ P2) and E f (P2) ) are determined.
  • the E-fields detected by the receiver is a function of the E-fields generated by the transmitter, the distance between the transmitter (PO) and the reflection point (PI) on the eye 130, the reflection coefficients of the tear surface at P0, and the distance between PI and the receiver (P2). This relation can be expressed as following:
  • Equation (1) rEi p 0 ⁇ : Indicent E— field normal to the plane of incidence at P0;
  • E i(pi) ⁇ Indicent E— field normal to the plane of incidence at PI;
  • (0) is defined as:
  • n A and n T are the refractive indexes of air and tear, respectively.
  • Equation (7) can be simplified as
  • AR r (6) is a function of n T and ⁇ .
  • n T 2.5 +j.
  • Fig. 4 shows simulated data plots of AR r as a function of angle of incidence in various refractive indexes which may be caused by different glucose concentrations in tear. Fig. 4 demonstrates that AR r varies with the refractive index of the tear.
  • Fig. 5 are data plots showing the derivatives of i /?r(0) of n and k with n T equal to 2.5+j. Fig. 5 demonstrates that an incidence angle between 55 and 85 degrees yields the high sensitivity in the detection of n T by the
  • the incidence angle may be selected from this high sensitivity region as a predetermined value for configuring a glucose sensing device, as described in greater detail below.
  • AR r By substituting Equation (1) and (2) into (5), AR r can be expressed as:
  • both £ r ( / > 2 )i and £ (P2)n can be directly measured on the receiver side; can be obtained based on the operation settings of the transmitter (e.g., the power and frequency of the incident waves etc.).
  • £ ' i po)ii/£ ' i po)x are obtained through a calibration process using reference mirror measurement.
  • Fig. 6 illustrates the configuration of using a reference mirror to calibrate the exemplary glucose sensing device 100 as shown in Figs. 1 -3 according to an embodiment of the present disclosure.
  • a reference mirror refers to a surface with high conductivity and its axial ratio of reflection is a known constant value AR r Mirror (0 o ).
  • An example of such a reference mirror is a metal surface with k « 1.
  • £ ⁇ ( ⁇ ⁇ ) ⁇ /£;( ⁇ ⁇ can be obtained from Equation (9):
  • E r ⁇ P2 ⁇ Mirror and E r (P2)u, irror are the measured E-fields normal and parallel to the plane of incidence at P2 reflected from the reference mirror.
  • the tear axial ratio AR r TeaT (9 0 ) can be expressed by: ⁇ ⁇ (R ⁇ - ⁇ ⁇ rn ⁇ E HP2) ⁇ ,Tear ' ⁇ r(P2)
  • the tear axial ratio j4R r Xear (0 o ) can be calculated using Equation (11), where £ (P2)ii/rear ⁇ Q the measured E-fields normal and parallel to the plane of incidence at P2 reflected from the tear film.
  • a glucose sensing device is configured such that the calibration process is performed periodically to ensure accurate test results.
  • the glucose sensing device includes a position alignment system to facilitate positioning of the eyeball during glucose testing through an alignment process.
  • Figs. 7A-7B show the configuration of using an exemplary positioning alignment system built in the glucose sensing device 100 to achieve the predetermined angle of incidence ⁇ 0 and reflection position PI for testing in accordance with an embodiment of the present disclosure.
  • the position alignment system includes an adjustable eye position holder 170, light sources A 141 and B 142, and a viewfinder that can projects crosshairs A 151 and B152 onto a transparent screen 153.
  • a user looks through the viewfinder on the device 100 and adjusts the eye position holder 170 until he or she is able to visually align the light source B 142 with crosshair B 152 (as shown in Fig. 7A) and align the light source A 141 with crosshair A 151 (as shown in Fig. 7B).
  • the pupil of the eyeball is an aperture which allows light into the eye and is almost centrally aligned with the eyeball. By aligning the pupil with the light sources and crosshairs, the correct positioning of the eyeball can be obtained, which ensures consistent measurements on the tear layer.
  • the sensing device can send a confirmation indication that the eyeball is positioned correctly and ready for glucose test. Receiving the indication, the user can command to lock the eye holder 170 and activate the transmitter 110 along with other operational components for testing.
  • the present disclosure is not limited to any specific mechanism of determining the reflection characteristics of a tear layer with respect to incident radiation.
  • the current location of an eyeball may be automatically detected without relying on an alignment process.
  • the E-fields of the incident and reflected beams may be directly determined based on the current eyeball location and without relying on a reference surface or the associated calibration process.
  • Fig. 8 is a flow chart depicting an exemplary process 800 of using Terahertz waves to test a blood glucose level according to an embodiment of the present disclosure.
  • a beam of Terahertz waves are generated at the transmitter in an intended energy level and directed onto a target location wherein a subject's eyeball is positioned.
  • the present disclosure can be used to test glucose levels in human beings or other suitable subjects, e.g., a pet.
  • the incident Terahertz beam is reflected at least partially from the eyeball surface which is covered by a tear layer, and then captured by the receiver.
  • the detected reflected beam is measured and analyzed, e.g., to determined its E-fields in two polarization orientations. Based on the detection, calculations are performed to determine the reflection characteristics of the eyeball surface with respect to the incident Terahertz beam.
  • the reflection characteristics may be represented by the reflection coefficients in the two polarization orientations or an axial ratio thereof.
  • a predetermined correlation between the reflection characteristics of the eyeball and blood glucose level is accessed, which implies a predetermined relationship between tear glucose level and blood glucose level.
  • the correlation may be memory resident and may be determined in any suitable means that is known in the art, e.g., based on clinical and experimental data through a training or other heuristic process in combination with theoretical computation.
  • the correlation may be tuned to a specific subject or a specific category of subjects based on prior testing results.
  • the blood glucose level in the subject is derived according to the predetermined correlation.
  • the test result may then be presented to a user through a display panel and stored in the device for future reference.
  • Fig. 9 shows the exterior view of an exemplary glucose sensing device 900 according to an embodiment of the present disclosure.
  • the device 900 is designed as a handheld device and includes a case 910, a handle 920, a viewfinder 930, facial support cushions 940, a display panel 950 and a trigger 960.
  • a user holds the handle 930 and presses the device 900 against his or her face.
  • the user stares through the viewfinder 930 using one eye and adjusts the eyeball position relative to the device 900 based on perceived locations of the light sources and crosshairs until they are visually aligned, as described with reference to Figs. 7 A and 7B.
  • a position adjustor may be embedded under the cushions 940 to change the distances between the eyeball and the emitter/receiver.
  • the user can then pull the trigger 960 to effectuate the testing process.
  • measurement results e.g., the tear and blood glucose levels, and other related information are displayed on the display device 950.
  • the display device 950 e.g., the tear and blood glucose levels, and other related information.
  • various other product designs and configurations can be implemented as a glucose sensing device without departing from the scope of the present disclosure.
  • a sensing device may include features to enable a user to conduct a test on another subject who is incapable of conducting a self-set, such as a pet, a child or the like.
  • the positioning information may be made visible to the user conducting the test, and the position adjusting mechanism can be controlled by that user.
  • Fig. 10 illustrates the functional modules of an exemplary glucose sensing device 1000 according to an embodiment of the present disclosure.
  • the various modules may be contained in the housing as shown in Fig. 9.
  • the device 1000 includes a transmitting unit (TX) 1010 and a receiving unit (RX) 1020 spaced apart from each other and from the target position where the eyeball 1030 should be located.
  • the device 1000 also includes an eye alignment unit 1070, an analog-digital converter (ADC) 1081, a microcontroller and digital signal processor (DSP) (or collectively “processing logic”) 1082, memory 1083, a mechanical trigger 1086 and a display panel 1084 and a power supply 1085.
  • ADC analog-digital converter
  • DSP digital signal processor
  • the eye alignment unit 1070 includes light spots 1051 and 1052 and crosshairs 1041 and 1042 and serves to facilitate a user to adjust the eyeball position to achieve the
  • the user can interact with the trigger 1086 to activate the transmitting unit 1010 and the receiving unit 1020.
  • the operation parameters of units 1010 and 1020 may be programmed and controlled by the processing logic 1082, such as frequency, output power, testing duration, emission direction, reflection point location, and etc.
  • the transmitting unit 1010 emits the Terahertz wave incident on the eyeball surface 1030.
  • the receiving unit 1020 detects at least a portion of the waves reflected from the eyeball surface 1030 and sends signals representing the detected waves to the ADC 1081 for digital conversion.
  • the converted signal is forward to the processing logic 1082 for analysis and computation processing. Accordingly, the processing logic can automatically determine the reflection coefficients or axial ratio of the tear layer covering the eyeball 130 and the resultant blood glucose level according to the predetermine correlation(s).
  • the memory 1083 can store user information, operational parameters of various units in the device, test results, the predetermined correlations, and programs for signal analysis and computations and compiling test results, and etc.
  • the reference mirror 1060 has known reflection characteristics and is used for calibration as described in greater detail with reference to Fig. 6.
  • the reference surface has a shape resembling an eyeball.
  • the analysis and computation are similarly performed by the processing logic 1082 based on instructions and data stored in the memory 1083.
  • the test result(s) can be displayed on the display panel 1084 in various formats, e.g., a number, a chart or a table.
  • Each component in the device 1000 can be implemented in any suitable technique that is well known in the art. It will be appreciated that the glucose sensing device may include a range of other components and accessories and performs various other functions. For example, network circuits may be included in the device 1000 such that the test results can be
  • Fig. 11 is a flow chart depicting an exemplary process 1100 of using a glucose sensing device as shown in Fig. 10 according to embodiment of the present disclosure.
  • a calibration process is performed by using reference mirror reflection measurement with predetermined optimum incidence angle and the axial ratio of the reference mirror to obtain Er(P2)L,Mirror and E r ( P2 ) Mirror-
  • a position alignment process is performed. The person under test looks into the viewfinder and adjusts the eye position to ensure he or she can concurrently align both sets of light spots and target cursor points (e.g., a green set and a red set). [0060]
  • a glucose measurement is performed. For instance, the person under test stares at the light spot A when triggering the measurement of tear film reflection to obtain the E-fields of the reflected waves at the receiver location P2.
  • the tear film axial ratio is calculated by substituting the E-fields of the reflected waves from the eyeball under test, the reference mirror axial ratio, the E-fields of the reflected waves from the reference mirror into Equation (11).
  • the tear glucose level - axial ratio correlation is accessed from memory to obtain the tear glucose level in the person under test.
  • a blood glucose level in the person is further automatically generated based on the tear glucose level -blood glucose level correlation. This determined glucose level is then displayed to the user.

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Abstract

La présente invention concerne un système et une méthode d'utilisation de signaux de rayonnement électromagnétique pour évaluer de manière non invasive un taux de glucose chez un sujet. Pendant le fonctionnement, un faisceau incident d'ondes Térahertz est généré et projeté sur la surface du globe oculaire, qui est naturellement réfléchi par une couche de fluide lacrymal. Les ondes Térahertz réfléchies sont détectées et caractérisées pour déterminer les caractéristiques de réflexion de la couche de fluide lacrymal, par exemple, un rapport axial de coefficients de réflexion selon deux orientations de polarisation. En faisant appel au rapport axial déterminé et en fonction d'une corrélation prédéfinie entre le rapport axial, le taux de glucose dans le fluide lacrymal et le taux de glucose dans le sang, le taux actuel de glucose dans le sang chez le sujet peut être dérivé et présenté à un utilisateur.
PCT/JP2015/076825 2014-10-03 2015-09-14 Détection non invasive in situ du taux de glucose faisant appel à un rayonnement électromagnétique WO2016052282A1 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
CN201580053918.5A CN106793950B (zh) 2014-10-03 2015-09-14 使用电磁辐射的非侵入式原位葡萄糖水平检测
JP2017517817A JP6677720B2 (ja) 2014-10-03 2015-09-14 電磁放射を用いた非侵襲性の原位置における血のグルコース値の検出
DE112015004517.1T DE112015004517B4 (de) 2014-10-03 2015-09-14 Nicht-invasive In-Situ-Glukosespiegelerfassung unter Verwendung von elektromagnetischer Strahlung

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US201462059702P 2014-10-03 2014-10-03
US62/059702 2014-10-03
US14/808,303 US10092208B2 (en) 2014-10-03 2015-07-24 Non-invasive in situ glucose level sensing using electromagnetic radiation
US14/808,409 US10092209B2 (en) 2014-10-03 2015-07-24 Non-invasive in situ glucose level sensing using electromagnetic radiation
US14/808303 2015-07-24
US14/808409 2015-07-24

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WO2016052282A1 true WO2016052282A1 (fr) 2016-04-07

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WO2018132674A1 (fr) * 2017-01-15 2018-07-19 Verily Life Sciences Llc Dispositif de sous-couvercle pouvant être monté sur l'oeil pour mesurer un analyte
CN108444918A (zh) * 2018-06-08 2018-08-24 福州大学 一种可重构组合式太赫兹实验样品夹具及其使用方法
CN109922709A (zh) * 2017-05-18 2019-06-21 伊卡尔芬兰有限公司 用于测量眼睛的生理参数的仪器和方法

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CN109922709A (zh) * 2017-05-18 2019-06-21 伊卡尔芬兰有限公司 用于测量眼睛的生理参数的仪器和方法
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CN108444918B (zh) * 2018-06-08 2024-01-09 福州大学 一种可重构组合式太赫兹实验样品夹具及其使用方法

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