2015
DOI: 10.1177/1932296815590628
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Preclinical Performance Evaluation of Percutaneous Glucose Biosensors

Abstract: The utility of continuous glucose monitoring devices remains limited by an obstinate foreign body response (FBR) that degrades the analytical performance of the in vivo sensor. A number of novel materials that resist or delay the FBR have been proposed as outer, tissue-contacting glucose sensor membranes as a strategy to improve sensor accuracy. Traditionally, researchers have examined the ability of a material to minimize the host response by assessing adsorbed cell morphology and tissue histology. However, t… Show more

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Cited by 6 publications
(11 citation statements)
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References 44 publications
(60 reference statements)
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“…The 30 d NO-releasing sensors proved fully compliant with the <15% MARD benchmark for at least 21 d and just exceed the ISO standard after 28 d of implantation (18.1%). Reporting MARD over time has been uncommon practice for prior NO-releasing glucose sensor studies, but it is vital to understand the impact of NO on sensor performance . The in vivo sensitivity for NO-releasing biosensors was retained at a slightly higher level than controls at extended implant periods (Figure s-4).…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…The 30 d NO-releasing sensors proved fully compliant with the <15% MARD benchmark for at least 21 d and just exceed the ISO standard after 28 d of implantation (18.1%). Reporting MARD over time has been uncommon practice for prior NO-releasing glucose sensor studies, but it is vital to understand the impact of NO on sensor performance . The in vivo sensitivity for NO-releasing biosensors was retained at a slightly higher level than controls at extended implant periods (Figure s-4).…”
Section: Resultsmentioning
confidence: 99%
“…Representative raw and calibrated glucose traces are provided in the Supporting Information (Figure S-2). Of note, the emerging prevalence of predictive calibration (i.e., flash glucose monitoring) may indicate that future studies will neither require such frequent recalibration, nor employ calibration points from inside the data set being calibrated. …”
Section: Methodsmentioning
confidence: 99%
“…The chief problem to their use is the foreign body response that impairs sensor performance. 154 It may be that the finding that very small electrodes remain functional will be very useful to other health related fields involving biosensors.…”
Section: Discussionmentioning
confidence: 99%
“…The FBR causes inflammation and leads to walling off the device by an avascular fibrous capsule. Examples of devices that suffer from the FBR include continuous glucose monitoring systems, whose signals degrade as a result of the fibrous capsule, causing the sensor to fail . Tissue engineering is also adversely affected by the FBR where inflammation impedes tissue growth and fibrous encapsulation delays or even prevents integration. The hallmarks of the FBR have been well documented to a wide range of implanted materials, , but approaches to combat the FBR remain elusive.…”
Section: Introductionmentioning
confidence: 99%