The development stages and evaluation of an implantable, rechargeable,
glucose sensor for continuous in vivo monitoring of glucose concentra
tion are overviewed. The present approach makes it possible to extend
the sensor's lifetime by in situ sensor refilling replacing spent immo
bilized enzyme with fresh enzyme. In the rechargeable biosensor the en
zyme, glucose oxidase, is immobilized on dispersed carbon powder which
is then held in a liquid suspension. The construction of the biosenso
r is such that the spent immobilized enzyme can be removed from the se
nsor body and fresh enzyme suspension is simultaneously injected via s
epta, without sensor disassembly or surgical access. The rechargeable
sensor body is resistant to all of the standard procedures for sterili
zation including autoclaving. The sensor can be refilled with fresh en
zyme material after sterilization. Rechargeable sensors based on both
hydrogen peroxide and oxygen measuring principles have been under deve
lopment. This biosensor, with a miniature potentiostat and signal tran
smitter is integrated into a small independently functioning device su
itable for canine or other large animal implantation. Evaluation of th
e sensors and their recharging protocols in vitro and in vivo are disc
ussed.