Measuring device and methods for use therewith
This application claims priority from U.S. application No. 60/521,592 filed May 30, 2004, and from U.S. application No. 60/594,285 filed Mar. 25, 2005, each of which is incorporated herein by reference for all purposes. Electrochemical reactions may be used to measure quantities and concentrations in solutions. A voltage is applied to the cell at 36, based upon a voltage input provided at input 34. This voltage at 34 is defined relative to a ground potential 40. In some embodiments this is a known voltage. More generally, in a three-electrode system, the voltage at 36 assumes whatever value is needed to make sure that the potential difference between 37 and 38 is substantially equal to the potential difference between 34 and 40. Amplifier 35, preferably an operational amplifier, is used to provide gain as needed and to provide isolation between the input 34 and the electrodes 36 and 37. In the arrangement of As the electrochemical reaction goes forward, current flows. Working electrode 38 carries such current. A selector 31 selects a resistor from a resistor bank 30, to select a current range for measurement of this current. Amplifier 32, preferably an operational amplifier, forms part of a circuit by which an output voltage at 33 is indicative of the current through the electrode 38. The output voltage at 33 is proportional to the product of the current at 38 and the selected resistor. In one example, blood such as human blood is introduced into the cell. A reagent in the cell contributes to a chemical reaction involving blood glucose. A constant and known voltage at 34 is maintained. The output voltage at 33 is logged and the logged data are analyzed to arrive at a measurement of the total current that flowed during a defined measurement interval. (Typically this interval is such that the reaction is carried out to completion, although in some embodiments the desired measurements may be made without a need for the reaction to be carried out to completion.) In this way the glucose level in the blood may be measured. As will be discussed below, the input at 34 may preferably be other than constant. For example it may be preferable that the input at 34 be a waveform selected to optimize certain measurements. The analog output of a digital to analog converter may be desirably connected at input 34, for example. The measurement just described may be termed an “amperometric” measurement, a term chosen to connote that current through the reaction cell is what is being measured. In some measurement situations it is possible to combine the counter electrode and the reference electrode as shown in One example of a prior art circuit is that shown in German patent application DE 41 00 727 A1 published Jul. 16, 1992 and entitled “Analytisches Verfahren für Enzymelektrodensensoren.” That circuit, however, does not, apparently, perform an amperometric measurement upon the reaction cell. That circuit appears to perform voltage readings, and an integrated function of voltage, with respect to a reference electrode of a cell (relative to a working electrode of the cell) and not with respect to a counter electrode (relative to the working electrode of the cell). In this circuit the measured potential is a function of (among other things) the concentration of an analyte. Stating the same point in different terms, this circuit does not and cannot yield a signal that is independent of concentration of the analyte. The switch 44 may be a mechanical switch (e.g. a relay) or an FET (field-effect transistor) switch, or a solid-state switch. In a simple case the switch opens to an open circuit; more generally it could open to a very high resistance. The ability to switch at will between amperometric measurements and potentiometric measurements provides great flexibility in performing analyses of unknowns. The various potential benefits of this approach are discussed in some detail in co-pending U.S. application Ser. No. 10/924,510, filed Aug. 23, 2004 and incorporated herein by reference for all purposes. Measurement approaches are discussed in some detail in U.S. appl. No. ______ (docket 15), filed (when), and in U.S. appl. No. ______ (docket 16), filed (when), each of which is incorporated herein by reference for all purposes. The invention will be described with respect to a drawing in several figures. Variations upon the topology will now be described. In In In In In In a three-electrode cell system (see for example It is then possible to use a voltmeter to measure voltages. The voltage being measured is between the reference electrode 37 and the working electrode 38 ( It will be appreciated that in some analytical applications, it may be desirable to measure more than one potential difference between electrodes of the cell. In a three-electrode cell system it is possible to introduce voltage measurements by providing two switches, as shown in In In In In this way two of the three electrodes of the cell 39 are “floating” relative to other circuitry. It is then possible to use a voltmeter to measure voltages. The voltage being measured is between the reference electrode 37 and the working electrode 38 ( In a three-electrode cell system it is possible to introduce voltage measurements by providing one switch, as shown in It is then possible to use a voltmeter to measure voltages. The voltage being measured is between the reference electrode 37 and the working electrode 38 ( In a three-electrode cell system there is another way to introduce voltage measurements by providing one switch, as shown in It is then possible to use a voltmeter to measure voltages. The voltage being measured is between the reference electrode 37 and the working electrode 38 ( It should also be appreciated that this approach can be generalized to cells with more than three electrodes. Resistor bank 30 may be seen, which together with selector 31 permits selecting feedback resistor values for amplifier 32. In this way the output at 33 is a voltage indicative of the current passing through working electrode 38. This corresponds to the amperometric circuitry of Two-electrode cell 39 may be seen in Integrated circuit 50 of The opening and closing of the switch 55 is controlled by control line 54. (It should also be appreciated that with appropriate switching, as discussed below, it is possible to use a smaller number of amplifiers in a way that fulfills the roles of both the amperometric circuitry and the potentiometic circuitry.) What is shown in In addition, it will be appreciated that the apparatus of It will also be appreciated that the switching between amperometric and potentiometric modes need not be at fixed and predetermined times, but can instead be performed dynamically depending upon predetermined criteria. For example a measurement could initially be an amperometric measurement, with the apparatus switching to potentiometric measurement after detection of some particular event in the course of the amperometric measurement. Among the powerful approaches made possible by such a circuit is to use an amperometric mode to generate a chemical potential, which can then itself be measured by potentiometry. Turning now to Optionally there may be a voltage output 52 indicative of voltage measured by a voltmeter 42, omitted for clarity in Importantly in In some cases it may turn out that the DAC can be a less expensive circuit. For example it may turn out that it can be a simple resistor ladder connected to discrete outputs from a controller. As another example it may turn out that a pulse-width-modulated output from a controller can be used to charge or discharge a capacitor, giving rise to a desired output at 63 and thus an input at 34. Such a circuit may be seen for example in co-pending application number (docket 19), which application is incorporated herein by reference for all purposes. In this way it is possible to apply time-varying waveforms to reaction cells 39, for example ramps and sinusoids. The benefits of the invention, for example the use of automatically controlled switching between amperometric and potentiometic modes, and the use of time-variant voltage inputs for the amperometric measurements, offer themselves not only for the glucose measurement mentioned above, but for myriad other measurements including blood chemistry and urine chemistry measurements, as well as immunoassays, cardiac monitoring, and coagulation analysis. Turning now to Importantly, a rectangular array of low-resolution circles or other areas can show, in a rough way, qualitative information. This may include hematocrit level, a multi-day history trend graph, a filling rate, a temperature, a battery life, or memory/voice-message space remaining. The array can also be used to show “progress bars” which help the human user to appreciate that progress is being made in a particular analysis. The array may be fifteen circles wide and six rows high. Thus one way to use the display is to show a very rough bar graph in which the horizontal axis represents the passage of time and in which the vertical axis represents a quantity of interest. For each time interval there may be none, one, two, or three, four, five, or six circles turned on, starting from the bottom of the array. Another way to use the display is to show a very rough bar graph with between none and fifteen circles turned on, starting at the left edge of the array. In this way, at minimal expense, a modest number of circles (in this case, ninety circles) may be used in a flexible way to show quantitative information in two different ways. The circles are preferably addressed individually by means of respective traces to a connector at an edge of the liquid-crystal display. Alternatively they may addressed by row and column electrodes. The number of circles in a row may be fifteen. Turning now to It will be appreciated that the user of the test instrument 70 may have difficulty inserting the test strip 90 into the instrument 70. This may happen because the user has limited hand-eye coordination or limited fine-motor control. Alternatively, this may happen because the user is in a place that is not well lit, for example while camping and at night. In either case, the user can benefit from a light-emitting diode (LED) 91 which is used to light up the area of the test strip 90. There is a connector 93 into which the strip 90 is inserted, and the LED 91 is preferably illuminated before the strip 90 is inserted. In one prior art instrument there is an LED at a connector like the connector 93, but it only can be turned on after the strip like strip 90 is inserted. As such it is of no help in guiding the user in insertion of the strip. Importantly, then, with the apparatus of It may also be helpful to illuminate the tip of the strip in a different way. The strip 90 as shown in The light-transmitting section of the strip 90 may be substantially transparent, or may be fluorescent or phosphorescent, so that the strip lights up and is easy to see. Experience with users permits selecting an LED color that is well suited to the task. For example a blue LED will offer very good contrast when the user is trying to find a drop of red blood, working better than a red LED. Turning now to During the amperometric phase of analysis, switch 133 is open and switches 134 and 132 are closed. A reference voltage VREF at 136 develops a voltage V1 (135) which is measured, preferably by means of an analog-to-digital converter omitted for clarity in During the potentiometric phase of analysis, switch 133 is closed and switches 134 and 132 are opened. In this way the potential at the electrode 121 is made available to the amplifier 137 and from there to the sense line 128. The voltage developed at line 128 is indicative of the voltage at the electrode 121, and the voltage at electrode 120 is defined by the voltage at 127, and in this way it is possible to measure the potential difference between the electrodes 120, 121. Describing the apparatus differently, what is seen is an apparatus used with a reaction cell having a first electrode and a second electrode. A voltage source provides a controllable voltage to the first electrode and a voltage sensor senses voltage provided to the first electrode. An amplifier is coupled with the second electrode by way of a switch means. The switch means is switchable between first and second positions, the switch means in the first position disposing the amplifier to measure current through the second electrode, thereby measuring current through the reaction cell. The switch means in the second position disposes the amplifier to measure voltage present at the second electrode. The switch means in an exemplary embodiment comprises first, second, and third analog switches, the first analog switch connecting the second electrode and an inverting input of the amplifier, the second analog switch connecting the second electrode and a non-inverting input of the amplifier, the third analog switch connecting the non-inverting input of the amplifier and a reference voltage. The first position is defined by the first and third switches being closed and the second switch being open, while the second position is defined by the first and third switches being open and the second switch being closed. Returning to It will be appreciated that if amplifiers suitable for use in this analysis are expensive, and if analog switches suitable for use at 132, 133, 134 are inexpensive, then it is desirable to employ a circuit such as is shown here to permit minimizing the number of amplifiers needed. Those skilled in the art will have no difficulty devising myriad obvious improvements and variations upon the embodiments of the invention without departing from the invention, all of which are intended to be encompassed by the claims which follow. The ability to switch at will between amperometric measurements and potentiometric measurements provides great flexibility in performing analyses of unknowns. Apparatus and methods can provide such switching to collect data from an electrochemical cell. The cell may contain a reagent disposed to measure glucose in human blood. 1. A test instrument for use with a human user and for use with an elongated test strip having at a first end an electrical connection point and at a second end an electrochemical cell, the test instrument comprising:
a housing; an electrical connector at the housing, the connector disposed to form an electrical connection with the electrical connection point of an elongated test strip when inserted therein; a light source at the housing, the light source aimed to cast light upon the electrochemical cell of the elongated test strip, the light source illuminated in response to an input from a human user. 2. The test instrument of 3. The test instrument of 4. The test instrument of 5. The test instrument of 6. A test instrument for use with a human user and for use with an elongated test strip having at a first end an electrical connection point and at a second end an electrochemical cell, the test instrument comprising:
a housing; an electrical connector at the housing, the connector disposed to form an electrical connection with the electrical connection point of an elongated test strip when inserted therein; a light source at the housing, the light source aimed to cast light upon the electrical connector, the light source illuminated in response to an input from a human user prior to insertion of the electrical connection point of the elongated test strip into the electrical connector. 7. The test instrument of 8. The test instrument of 9. The test instrument of 10. The test instrument of 11. A method for use with a test instrument for use with a human user and for use with an elongated test strip having at a first end an electrical connection point and at a second end an electrochemical cell, the method comprising the steps of:
inserting the electrical connection point of an elongated test strip into an electrical connector at the test instrument, the connector forming an electrical connection with the electrical connection point of the elongated test strip; providing a first input from a human user to the test instrument; and in response to the first input, casting light from a light source at the test instrument upon the electrochemical cell of the elongated test strip. 12. The method of providing a second input from a human user to the test instrument; and in response to the second input, casting light from the light source upon the electrical connector. 13. The method of 14. The method of 15. The method of 16. The method of 17. The method of 18. The method of 19. A method for use with a test instrument for use with a human user and for use with an elongated test strip having at a first end an electrical connection point and at a second end an electrochemical cell, the test instrument comprising an electrical connector disposed to form an electrical connection with the electrical connection point of the elongated test strip, the test instrument further comprising a light source, the method comprising the steps, both performed before any insertion of the electrical connection point of an elongated test strip into the electrical connector, of:
providing a first input from a human user to the test instrument; and in response to the first input, casting light from the light source upon the electrical connector. 20. The method of inserting the electrical connection point of an elongated test strip into an electrical connector at the test instrument, the connector forming an electrical connection with the electrical connection point of the elongated test strip; providing a second input from a human user to the test instrument; and in response to the second input, casting light from the light source at the test instrument upon the electrochemical cell of the elongated test strip. 21. The method of 22. The method of 23. The method of 24. The method of 25. The method of 26. The method of 27. An elongated test strip having at a first end an electrical connection point and at a second end an electrochemical cell, the test strip further comprising an optical waveguide extending from the first end to the second end, whereby light cast into the waveguide at the first end is emitted from the waveguide at the second end. 28. The elongated test strip of 29. The test strip of 30. The test strip of 31. The test strip of 32. The test strip of 33. The test strip of 34. The test strip of 35. The test strip of 36. The test strip of 37. A method for use with an elongated test strip having at a first end an electrical connection point and at a second end an electrochemical cell, the test strip further comprising an optical waveguide extending from the first end to the second end, whereby light cast into the waveguide at the first end is emitted from the waveguide at the second end, the method comprising the steps of:
casting light into the waveguide at the first end; and emitting light from the waveguide at the second end. 38. The method of illuminating a drop of blood by means of the emitted light; and guiding the electrochemical cell to the drop of blood. 39. The method of 40. The method of 41. The method of 42. The method of 43. The method of 44. A method for use with a test instrument for use with a human user, the test instrument having a display comprising a rectangular array of low-resolution areas, the array comprising first and second axes, the method comprising the steps of:
performing at least one electrochemical test with respect to a bodily fluid of a human user; illustrating first information of interest to the human user by means of the the rectangular array, the information illustrated by means of a first bar graph, the first bar graph having horizontal bars, each horizontal bar within a row of the rectangular array; and illustrating second information of interest to the human user by means of the the rectangular array, the information illustrated by means of a second bar graph, the second bar graph having vertical bars, each vertical bar within a column of the rectangular array. 45. The method of 46. A test instrument for use with a human user, the test instrument having a display comprising a rectangular array of low-resolution areas, the array comprising first and second axes, the test instrument comprising:
means performing at least one electrochemical test with respect to a bodily fluid of a human user; means illustrating first information of interest to the human user by means of the the rectangular array, the information illustrated by means of a first bar graph, the first bar graph having horizontal bars, each horizontal bar within a row of the rectangular array; and means illustrating second information of interest to the human user by means of the the rectangular array, the information illustrated by means of a second bar graph, the second bar graph having vertical bars, each vertical bar within a column of the rectangular array. 47. The test instrument of 48. The test instrument of 49. A method for use in a handheld test equipment apparatus having an electrochemical cell disposed to receive a bodily fluid of a human user, the apparatus comprising electronic circuitry, the method comprising the steps of:
under automatic control of the electronic circuitry, passing electrical current through the cell by means of a current source external to the cell and measuring said current; thereafter, under automatic control of the electronic circuitry, ceasing the passage of electrical current from the current source external to the cell; thereafter, under automatic control of the electronic circuitry, measuring an electrical potential at the cell; and evaluating a function of the measured current and the measured electrical potential, whereby a measure of characteristic of the bodily fluid is evaluated. 50. The method of 51. The method of 52. The method of 53. The method of 54. The method of 55. The method of 56. The method of 57. The method of 58. The method of 59. The method of inserting the test strip into a connector at the housing, and applying the bodily fluid to the electrochemical cell. 60. The method of removing the test strip from the housing. 61. The method of opening a first switch whereby at least the first electrode of the electrochemical cell is isolated from the current source external to the cell. 62. The method of opening a second switch whereby at least the second electrode of the electrochemical cell is isolated from the current source external to the cell. 63. The method of 64. The method of 65. The method of 66. The method of 67. The method of 68. The method of 69. The method of 70. The method of 71. The method of 72. The method of 73. The method of 74. The method of 75. The method of 76. The method of 77. The method of 78. A handheld test equipment comprising:
an electrochemical cell comprising a reagent reactive with a constituent of a human bodily fluid; a current source external to the electrochemical cell; a potentiometric circuitry external to the electrochemical cell; electronic control means; the electronic control means coupled with the current source to controllably apply the current source to the electrochemical cell, thereby passing current through the cell; amperometric means external to the electrochemical cell for measuring the current passed through the electrochemical cell; the electronic control means coupled with the potentiometric circuitry to automatically cease application of the current through the electrochemical cell, and then to measure a potential at the electrochemical cell in the absence of the applied current. 79. The handheld test equipment of 80. The handheld test equipment of 81. The handheld test equipment of 82. The handheld test equipment of 83. The handheld test equipment of 84. The handheld test equipment of 85. The handheld test equipment of 86. The handheld test equipment of 87. The handheld test equipment of 88. The handheld test equipment of 89. The handheld test equipment of 90. The handheld test equipment of 91. The handheld test equipment of 92. The handheld test equipment of 93. The handheld test equipment of 94. The handheld test equipment of 95. The handheld test equipment of 96. The handheld test equipment of 97. The handheld test equipment of 98. The handheld test equipment of 99. The handheld test equipment of 100. The handheld test equipment of 101. The handheld test equipment of 102. The handheld test equipment of 103. The handheld test equipment of 104. The handheld test equipment of 105. The handheld test equipment of 106. The handheld test equipment of 107. The handheld test equipment of 108. A handheld test equipment comprising:
a housing; a connector at the housing having at least first and second contacts; a current source; a potentiometric circuitry within the housing; electronic control means within the housing; the electronic control means coupled with the current source to controllably apply the current source to the at least first and second contacts; amperometric means within the housing for measuring the current passed through the at least first and second contacts; the electronic control means coupled with the potentiometric circuitry to automatically cease application of the current to the at least first and second contacts, and then to measure a potential at the at least first and second contacts in the absence of the applied current. 109. The handheld test equipment of 110. The handheld test equipment of 111. The handheld test equipment of 112. The handheld test equipment of 113. The handheld test equipment of 114. The handheld test equipment of 115. The handheld test equipment of 116. The handheld test equipment of 117. The handheld test equipment of 118. The handheld test equipment of 119. The handheld test equipment of 120. The handheld test equipment of 121. The handheld test equipment of 122. The handheld test equipment of 123. The handheld test equipment of 124. The handheld test equipment of 125. The handheld test equipment of 126. The handheld test equipment of 127. The handheld test equipment of 128. The handheld test equipment of 129. The handheld test equipment of 130. The handheld test equipment of 131. The handheld test equipment of 132. The handheld test equipment of 133. The handheld test equipment of 134. The handheld test equipment of 135. The handheld test equipment of 136. The handheld test equipment of 137. The handheld test equipment of 138. An apparatus for use with a reaction cell having a first electrode and a second electrode, the apparatus comprising:
a voltage source providing a controllable voltage to the first electrode; a voltage sensor sensing voltage provided to the first electrode; an amplifier; switch means switchable between first and second positions, said switch means in said first position disposing the amplifier to measure current through the second electrode, thereby measuring current through the reaction cell, said switch means in said second position disposing the amplifier to measure voltage present at the second electrode. 139. The apparatus of CROSS-REFERENCE TO RELATED APPLICATIONS
BACKGROUND
SUMMARY OF THE INVENTION
DESCRIPTION OF THE DRAWING
DETAILED DESCRIPTION