CN1985168B - Portable sample analyzer with removable cartridge - Google Patents

Portable sample analyzer with removable cartridge Download PDF

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Publication number
CN1985168B
CN1985168B CN200580023587.7A CN200580023587A CN1985168B CN 1985168 B CN1985168 B CN 1985168B CN 200580023587 A CN200580023587 A CN 200580023587A CN 1985168 B CN1985168 B CN 1985168B
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blood
blood sample
sample
analyser
passage
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CN1985168A (en
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A·帕马纳布汉
J·A·科克斯
B·S·弗里茨
C·卡布兹
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Honeywell International Inc
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Honeywell International Inc
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Abstract

A sample analyzer with a removable and/or disposable cartridge for use at the point of care of a patient such as in a doctor's office, in the home, or elsewhere in the field. By providing a removable and/or disposable cartridge with all of the needed reagents and/or fluids, the sample analyzer can be reliably used outside of the laboratory environment, with little or no specialized training. One or a plurality of leucocyte parameters may be measured in first channel, and one or a plurality of erythrocyte parameters may be measured in second channel.

Description

Portable sample analyzer with detachable box
It is the right of priority of 60/571235 the U.S. Patent application of submitting on May 14th, 2004 that the application requires sequence number, by reference it is contained among this paper herein.
Background technology
The present invention relates generally to sample analyser, more specifically, relate to sample analyser and the box that to locate to use at patient's treatment site (in such as doctor's office, family or other scenes).
Particulate is distinguished method and can be chemically examined in various clinical in (as determining bacterium or virom crosome and assay cell volume and the concentration in cell quantity in the blood sample and type, the detection bodies fluid samples) and use.In some clinical trial, for example, the acellular particulate that detects protein and analyte and so in urine sample also is valuable.Crystal in the analysing fluid suspension and other particulates also have important industrial use.
A kind of method that can distinguish fast and efficiently particulate in the particle suspension sample is flow cytometry.In the method, by the particle suspension thing in the pumping blood sample of fluid passage (the normally cell in the blood sample), wherein, utilize one or more through each particulate in the beam lighting sample that focuses on.Detect the interaction of each particulate of light beam and the fluid passage of flowing through by one or more photodetectors.Usually, these detector design become to measure the absorption of particular beam or transmitted wave strong point or the light scattering of fluorescent emission and/or specific scattering angle.Therefore, each particulate of the fluid passage of flowing through can be characterized by the one or more characteristics relevant with its absorption, fluorescent, light scattering or other optics or electrology characteristic.The characteristic of these detectors measure allows each particulate is mapped to a certain feature space, and wherein, the axle in this space is light intensity or other characteristics by detectors measure.In the ideal case, the different particulates in the sample are mapped to the difference of feature space and non-overlapped zone, thereby can analyze each particulate based on the mapping of these particulates in feature space.This alanysis can comprise statistics, identification, quantification (relevant one or more physical characteristicss) and/or the classification to these particulates.
In flow cytometry, the daily light scattering measurement that carries out two types.The luminous intensity measurement that carries out with low-angle (with respect to incident beam into about the 1.5-13 degree) is commonly referred to forward direction or small angle scattering, and it provides the information of relevant cell size.To a great extent, forward scattering also with cell and extracellular medium between refraction difference relevant, thereby, just can distinguish the cell of damaged membrane.Be commonly referred to quadrature or large angle scattering with the luminous intensity measurement that carries out into about the angle of 65 degree-115 degree with respect to incident light, it can provide the information relevant with degree of structuration (degree of structure) with the size of particulate.
The method of carrying out simultaneously light scattering measurement or this light scattering measurement is combined with absorption or fluorescence measurement with different angles has been proposed in the flow cytometry.For example, the light absorption in conjunction with light scattering be can in flow cytometry, use, with differentiation red blood cell and blood platelet, and lymphocyte, monocyte, basophilic granulocyte, eosinophil and neutrophil leucocyte distinguished.But the method needs sometimes to cell dyeing, so its very complex, and possibly can't use these cells to carry out follow-up study after carrying out cell classification.
Also can be used in connection with the light scattering measurement of circular dichroism (CD) and rotatory dispersion (ORD) carrying out the particulate differentiation at the suspension of virom crosome or cell.About Mie (isotropy particulate) scattering studies show that the impact of the CD of DNA in the virom crosome and ORD spectrum, can revise ORD and CD measured value in the larger biological structure (such as virom crosome and cell) with the scatterometry value, distinguish to allow carrying out particulate according to ORD and CD characteristic.Also demonstrated and be used for distinguishing the right side of some different microorganisms and the scattering of left light.Circle intensity scattering (CIDS) method and CD (having utilized the differential of left and right-hand circularly polarized light to absorb) are similar, but the CIDS method utilizes helical structure (such as DNA) to come right and left light are carried out scattering.
Typically, implement at least in part this based fine particles with one or more equipment and distinguish method, these equipment are referred to as sample analyser in this article.Many sample analysers are the sizable equipment that is used in laboratory environment by trained personnel.For using many sample analysers, before the sample with preparation offers sample analyser, must at first process the sample (such as the level that sample is diluted to expectation, add the reagent that is fit to and sample is carried out the separator that centrifuging provides hope, etc.) of collection.For obtaining accurate result, usually must carry out this class sample process by trained personnel, and this may increase execution required cost and the time of sample analysis.
In the analysis phase, many sample analysers also need operating personnel's intervention (for example, need other input information or sample carried out other processing).This may further increase required cost and the time of sample analysis of wishing.And many sample analysers are only exported original analysis data, for making appropriate clinical decision, usually also need to further be calculated and/or are explained by trained personnel.
Summary of the invention
The present invention relates generally to sample analyser, more specifically, relate to and have sample analyser dismountable and/or disposable box, that locate to use in patient's treatment site (in such as doctor's office, family or other scenes).By provide have detachable box and/or the disposable cassette of the reagent that is necessary and/or fluid, can beyond laboratory environment, use reliably sample analyser, and need seldom or need not special training.This can help the sample analysis process line, reduce medical worker or other staff's cost and workload, and, for many patients (comprising the relatively frequently part people of blood supervision/analysis of needs), can increase the convenience of sample analysis.
In an illustrative embodiment of the present invention, a kind of sample analyser has been proposed, it has the detachable box of the sample (such as the whole blood sample of collecting) of receivability collection, and, in case this detachable box has been installed and has been started this analyser, these analysers and box just can be processed sample automatically, and analyser provides enough information for the user, to make clinical decision.In certain embodiments, analyser shows or prints quantitative result (as be within the predefined scope and/or outside), this so that the user need not further to calculate or explain.
For example, sample analyser can be used for determining cell quantity and/or the type of blood sample, bacterium or virom crosome in test fluid, food or other samples, and/or the cell volume in the assay samples and density.Also can be with sample analyser for detection of the acellular particulate, such as the uric acid crystal in the urine sample and the crystallization in the fluid suspended thing and other particulates, and/or be used for the analysis of any other adequate types of carrying out as required.
In an illustrative embodiment, analyser comprises housing and removable fluid box, and wherein, this housing is suitable for admitting the removable fluid box.In some cases, the removable fluid box is disposable cassette.In an illustrative embodiment, the removable fluid box can comprise one or more reagent (such as solvent, nodularization reagent, thinning agent etc.), one or more analysis channel, one or more flow sensor, one or more valve and/or be suitable for processing (such as dissolving, nodularization, dilution, mixing etc.) sample and will process after sample deliver to the fluid circuit of the suitable analysis channel on the box.Be support card, above-mentioned housing can comprise pressure source, one or more light source, one or more photodetector, processor and power supply.Pressure source can provide suitable pressure to removable fluid box port, flows in fluid circuit to make as required fluid.Can inquire after preparation sample in the selected at least analysis channel of (interrogate) detachable box with above-mentioned one or more light sources of analyser, and above-mentioned one or more photodetectors of analyser can detect process, be absorbed by the sample and/or the light of scattering.Processor can be coupled at least some light source and detecting device, and can determine one or more parameters of sample.In certain embodiments, the above-mentioned one or more analysis channels on the removable fluid box can comprise one or more fluidic cell passages and/or one or more absorbing path, but do not require all have in all embodiments this configuration.
In some illustrative embodiment, whole blood sample can be offered the removable fluid box, and detachable box is suitable for carrying out blood analysis, analyze such as complete blood counting (CBC).For the red blood cell in the whole blood sample being added up and being classified, can tell the part of whole blood sample, and provide it to the Erythrocyte measure passage of detachable box.If necessary, can this part-blood fluid samples that offer the Erythrocyte measure passage be diluted, immediately these red blood cells of nodularization can concentrate the sample of gained form nuclear in the fluid dynamics mode, and the nuclear of gained is offered the first streaming cell passage in the detachable box.
The first light source and the first photodetector in some cases, can or the first streaming cell passage be set thereunder along the first transparent fluid window in the detachable box, so that can be inquired after cell/blood platelet in this fluid with optical mode.Also can flow sensor be set at detachable box, to measure the flow velocity by the first streaming cell passage.
In some cases, the parameter of measurement can comprise, the mean constant of red blood cell (N of sample flow (FR), Measuring Time (T) length, sample dilution gfactor (DF), statistics RB), the statistics number of platelets (N Plt), the diameter (drbc) of each cell and the hemoglobin concentration (CHC) of each cell.Some red blood cell analytical parameters be can calculate according to these parameters, red blood cell count(RBC) (RBC), platelet count (Plt), mean cell hemoglobin concentration (MCHC), MCV (MCV), mean cell hemoglobin content (MCH), the relative dispersion of distribution (RDW), hematocrit parameter (Hct) and/or hemoglobin concentration (Hb) comprised.
In certain embodiments, also a part of blood sample can be caused absorptiometry passage on the detachable box.Corresponding light source and photodetector can this absorptiometry passage be set along transparency window, so that can be inquired after blood sample with optical mode.If necessary, can another flow sensor be set at detachable box, to entering or measure by the flow velocity of absorptiometry passage, but this is not to be necessary.Can measure incident Optical Absorption level with absorbing path.This absorption level can provide measuring the average or total cellular hemoglobin concentration in the blood sample.
For leucocyte being added up and being classified, can tell the part of whole blood sample, and the leucocyte that provides it in the detachable box is measured passage.If necessary, can dilute and offer this part-blood fluid samples that leucocyte is measured passage, can immediately dissolve red blood cell wherein, then concentrate the sample of (hydrodynamically focus) gained in the fluid dynamics mode, forming nuclear, and the nuclear of gained offers the second streaming cell passage in the detachable box the most at last.Corresponding light source and detecting device also can or second formula cell passage be set under it along the transparent fluid window in the detachable box, so that can be inquired after cell in the liquid stream with optical mode.In some cases, can flow sensor be set at detachable box, in order to measure the flow velocity by the second streaming cell passage.
In some cases, the illustrative measurement parameter that leucocyte is measured passage can comprise, three (3) or (5) part leukocyte differentiation, total leukocyte counting and/or axle on (on-axis) leucocyte volume.According to the application of hope, also can measure or calculate other parameters.In some cases, before sample being offered the second streaming cell passage, dyeing and/or fluorescent label can be added sample, in some cases, this helps the differentiation of cell.
Description of drawings
Fig. 1 is the skeleton view according to sample analyser of the present invention and box;
Fig. 2 is the sample analyser of Fig. 1 and the synoptic diagram of box;
The more detailed synoptic diagram of Fig. 3 has illustrated sample analyser among Fig. 2 and the flow control of box;
Fig. 4 is the synoptic diagram according to some feature of box of the present invention;
Fig. 5 is the synoptic diagram that can be included in according to the some storage pools in the box of the present invention;
The process flow diagram of Fig. 6 shows a kind of method of coming the analyzing blood sample according to the present invention;
The process flow diagram of Fig. 7 shows a kind of method of obtaining some erythrocyte parameters according to the present invention;
The process flow diagram of Fig. 8 shows the another kind of method of coming the analyzing blood sample according to the present invention;
The process flow diagram of Fig. 9 shows a kind of method that operates sample analyser according to the present invention;
The process flow diagram of Figure 10 shows the another kind of method that operates sample analyser according to the present invention;
The process flow diagram of Figure 11 shows the another kind of method that operates sample analyser according to the present invention; And
The process flow diagram of Figure 12 shows the another kind of method that operates sample analyser according to the present invention.
Embodiment
Fig. 1 is the skeleton view according to sample analyser of the present invention and box.In the drawings, this sample analyser represents with 10, and comprises housing 12 and dismountable or disposable box 14.Housing 12 comprises base portion 16, lid 18 and base portion 16 is connected to and covers 18 hinged joint 20, but this is not to be essential.In this embodiment, base portion 16 comprises the first light source 22a, secondary light source 22b and the 3rd light source 22c, and the relevant optical and the necessary electronic component that are used for the operation sample analyser.Depend on concrete application, each light source can be single source or be comprised of a plurality of light sources.In certain embodiments, as required, the overall dimensions of housing can less than 1 cubic feet, less than 1/2nd cubic feet, less than 1/4th cubic feet or less.Similarly, as required, the general assembly (TW) of housing can less than 10 pounds, less than 5 pounds, less than 1 pound or less.
Lid 12 comprises the pressure source pressure chamber of little control valve device (as have), the first photodetector 24a, the second photodetector 22b and the 3rd photodetector 22c, and these elements have relative optical element and electronic component.Depend on concrete application, each photodetector can be single detector or be comprised of a plurality of detecting devices.Depend on concrete application, as required, also polariscope and/or optical filter can be set.
Detachable box 14 is suitable for receiving sample fluid by sample collector port, and in this embodiment, this port comprises lancet 32.In certain embodiments, lancet 32 is telescopic and/or is equiped with spring.When not using detachable box 14, can protect sample collector port and/or lancet 32 with cover 38.
In this embodiment, 14 pairs of whole blood samples of detachable box carry out blood analysis.Can prick with lancet 32 users' finger, producing blood sample, this blood sample can suck in the kapillary that scribbles anticoagulant in the detachable box 14 by capillarity.The similar detachable box 14 of the fluid circuit that provides with Micronics technology company can be provided, and wherein, some above-mentioned fluid circuit is to make with the layer structure with etched passage.Yet we think, as required, can (comprise by injection mo(u)lding or any other suitable manufacturing process and method) in any suitable manner and make detachable box 14.
In use and with blood sample suck after the detachable box 14, can when lid 18 is shown in an open position, detachable box 14 be inserted housings.In some cases, detachable box 14 can comprise for the positioning pins 28a that admits base portion 16 and hole 26a and the 26b of 28b, and this help aligning between the different piece of instrument be connected with connectionDetachable box 14 also can comprise the first transparent fluid window 30a, the second transparent fluid window 30b and the 3rd transparent fluid window 30c, they respectively with first, second, and third light source 22a, 22b and 22c, and first, second, and third photodetector 24a, 24b and 24c aim at.
In detachable box 14, when Jiang Gai moved to off-position and system pressurizeed, lid 18 can provide port 36a, 36b, 36c and 36d that controlled pressure is offered pressure receiving port 34a, 34b, 34c and 34d through pressure.We think, depend on concrete application, can use more or less pressure to provide and the pressure receiving port.Perhaps or additionally, we think, can on the detachable box 14 or among one or more Micropumps (such as the medium-sized pump of electrostatically actuated) are set, operate fluid circuit on the detachable box 14 so that necessary pressure to be provided.In the patent No. is 5836750,6106245,6179586,6729856 and 6767190 United States Patent (USP) (all these patents have all transferred assignee of the present invention), described the medium-sized pump of some exemplary electrostatically actuated, by reference these patents have been contained among this paper herein.
In case pressurized, shown in instrument just the blood sample of collecting is carried out blood analysis.In some cases, blood analysis can comprise complete blood counting (CBC) analysis, still, depends on concrete application, also can carry out the analysis of other types.
For red blood cell being added up and being classified, can tell the part of whole blood sample, and provide it to the Erythrocyte measure passage in the detachable box 14.If necessary, can dilute this blood sample, then immediately nodularization red blood cell wherein concentrates the sample of gained to form nuclear in the fluid dynamics mode, last, and nuclear is offered the first streaming cell passage.Can the first streaming cell passage be set along the first transparent fluid window 30a of detachable box 14, this is so that the first light source 22a and the first photodetector 24a can inquire after cell in the liquid stream with optical mode.In some cases, can the first flow sensor be set at detachable box 14, to measure the flow velocity by the first streaming cell passage.
In some cases, the parameter of measurement can comprise, the mean constant of red blood cell (N of sample flow (FR), Measuring Time (T) length, sample dilution gfactor (DF), statistics RB), the statistics number of platelets (N Plt), the diameter (drbc) of each cell and the hemoglobin concentration (CHC) of each cell.According to these parameters, can calculate some red blood cell analytical parameters, comprise red blood cell count(RBC) (RBC=N RB/ (DF * FR * T)), platelet count (Plt=N Plt/ (DF * FR * T)), mean cell hemoglobin concentration (MCHC=＜CHC 〉), MCV (MCV=(π/6) *＜drbc 3), mean cell hemoglobin content (MCH=(π/6) *＜drbc 3* CHC 〉), the relative dispersion of distribution (RDW=[(π/6) * drbc 3The standard deviation of]/MCV), hematocrit parameter (Hct=RBC * MCV) and/or hemoglobin concentration (Hb=MCHC * Hct).
In certain embodiments, also a part of blood sample can be introduced the absorptiometry passage.Can the absorptiometry passage be set along the 3rd transparency window 30c of detachable box 14, this is so that the 3rd light source 22c and the 3rd photodetector 24c can inquire after blood sample with optical mode.Can flow sensor be set at detachable box 14, to measure the flow velocity by the absorptiometry passage.The absorptiometry passage can be measured the incident Optical Absorption that is provided by the 3rd light source 22c.The absorption level that records can provide the indication about the total or mean cell hemoglobin concentration in the blood sample.
For leucocyte being added up and being classified, can tell the part of whole blood sample, and the leucocyte that provides it in the detachable box 14 is measured passage.If necessary, can dilute this blood sample, can immediately dissolve red blood cell wherein, then concentrate the sample of gained to form nuclear in the fluid dynamics mode, last, nuclear is offered the second streaming cell passage.Can the second streaming cell passage be set along the second transparent fluid window 30b of detachable box 14, this is so that secondary light source 22b and the second photodetector 24b can inquire after cell in the liquid stream with optical mode.At detachable box 14 flow sensor is set, to measuring by the flow velocity of the second streaming cell passage.In some cases, the leucocyte parameter of measurement can comprise, three (3) or (5) part leukocyte differentiation, total leukocyte counting and/or axle on the leucocyte volume.Depend on concrete application, also can measure or calculate other parameters.
Fig. 1 shows sample analyser and case assembly.Yet we think also can use other sample analyser configurations.For example, sample analyser 10 and detachable box can be similar with the device described in the people's such as Schwichtenberg the U.S. Patent application 2004/0211077, by reference it are contained among this paper herein.
In some cases, the treatment site (such as in doctor's office, the family or other scenes) that is suitable for the patient of sample analyser 10 is located to use.The cost and the workload that provide the sample analyser 10 that can outside laboratory environment, reliably use (need seldom or need not specialized training) to help to make the sample analysis process line, reduce the medical worker, and, for many patients (comprising the relatively frequently part people of blood supervision/analysis of needs), increased the convenience of sample analysis.
Be in operation, sample analyser 10 can be admitted the sample (such as the whole blood sample of collecting) of collection, and, in case the startup analysis instrument, just sample analyser 10 can be processed sample automatically, and provides information to the user, to make clinical decision.In certain embodiments, sample analyser 10 can show or print quantitative result (as it is interior and/or outer to be in the predefine scope), so that the user need not to carry out other calculating or explanation.
Fig. 2 is the sample analyser of Fig. 1 and the synoptic diagram of box.As mentioned above, in an illustrated embodiment, base portion 16 comprises the some light sources 22 for the Operations Analyst instrument, the optical element of being correlated with and necessary control and processing electronic component 40.Base portion 16 also can comprise battery 42, transformer or other power supplys.In the drawings, illustrate and cover 12 several photodetectors 24 that have pressure source/flow-control module 44 and have relevant optical.
Detachable box 14 can receive sample fluid by sample collector port or lancet 32.When by 44 pressurization of pressure source/flow-control module, detachable box 14 can carry out blood analysis to the blood sample that receives.In certain embodiments, as mentioned above, detachable box 14 can comprise plurality of reagents 49 and be used for reagent is mixed to prepare fluid circuit for the blood sample of analysis with blood sample.Detachable box 14 also can comprise several flow sensors, to help the true(-)running of control and/or check fluid circuit.
In some cases, preparation blood sample (for example dissolving, nodularization, dyeing, dilution and/or other processing), then in the fluid dynamics mode it is concentrated, to form nuclear in the fluidic cell passage on one or more plates (such as fluidic cell passage 50).In this embodiment, the transparent fluid window (such as first transparent fluid window 30a) of fluidic cell passage 50 in detachable box 14.The array that is comprised of light source 22 and relevant optical thereof in the base portion 16 can provide the light by nuclear stream through flow stream window 30a.Equally, the array of light source 24 and relevant optical thereof composition can be through the light of flow stream window 30a reception from scattering and the non-scattering of this nuclear.Controller or processor 40 can receive the output signal of the array of free detecting device 24 compositions, and can distinguish and/or add up the selected cell that exists in the nuclear stream.
We think that detachable box 14 also can comprise fluid control module 48, to be used for helping the speed of at least some fluid on the control detachable box 14.In the embodiment shown, fluid control module 48 can comprise flow sensor, and these sensors are used for the speed of the various fluids of sensing, and with these speed report to controller or processor 40.Then, controller or processor 40 can be regulated one or more control signals (being provided for pressure source/flow-control module 44), in order to realize desirable pressure (thereby realize wish fluid velocity) for the true(-)running of analyser.
Because blood and other biological waste liquid may spread disease, thus detachable box 14 can comprise be positioned at shown in the waste liquid pool 52 in fluidic cell passage 50 downstreams.Waste liquid pool 52 can receive and store the fluid in the detachable box 14.When finishing when test, can pull down detachable box 14 from analyser, and preferably it is discarded in the container with biological waste liquid compatibility.
The more detailed synoptic diagram of Fig. 3 has illustrated sample analyser among Fig. 2 and the flow control of box.In this embodiment, pressure source/flow controller 44 in the lid 18 provides five controlled pressure, comprises that sample pushes (P) pressure 36a, solvent (L) pressure 36b, nodularization reagent (SP) pressure 36c, sheath fluid (SH) pressure 36d and thinning agent (D) pressure 36e.These pressure only are illustrative, and we think, depend on concrete application, can provide more, still less or different pressure (such as the coloring agent pressure to the coloring agent pond) by pressure source/flow controller 44.Equally, we think that lid 18 can not comprise pressure source/flow controller 44 fully.On the contrary, as required, detachable box 14 can comprise plate upward pressure source (such as the pressurized air pond), one or more Micropump (such as the medium-sized pump of above-mentioned electrostatically actuated) or any other suitable pressure source.The not shown array that is formed by light source and detecting device among Fig. 3.
In an illustrated embodiment, pressure source 36a provides pressure by pusher fluid (pusher fluid) 65 to blood sample pond 62, pressure source 36b provides pressure to solvent cell 64, pressure source 36c provides pressure to nodularization reagent pond 66, pressure source 36d provides pressure to sheath liquid pool 68, and pressure source 36e provides pressure to thinning agent pond 70.
In one embodiment, each pressure source can comprise for the first pressure chamber that receives input pressure with for the second pressure chamber that controlled pressure is provided to detachable box.Can between the first pressure chamber and the second pressure chamber, provide the first valve, so as with controlled manner with the earth pressure release in the first pressure chamber to the second pressure chamber.Exist the second valve of fluid communication the pressure in the second pressure chamber to be discharged in the atmosphere with controlled manner with the second pressure chamber.Like this, just, authorized pressure source/flow controller 44 offers each pressure receiving port on the detachable box 14 with controlled pressure.As sequence number be 09/404560, title is (the ADDRESSABLE VALVEARRAYS FOR PROPORTIONAL PRESSURE OR FLOW CONTROL) of the addressable valve array of proportion expression Pressure control or flow control " be used for " simultaneously as described in the U.S. Patent application of pending trial, the array that each valve can be comprised of little valve of the electrostatically actuated of individually addressable and control is contained in it among this paper herein by reference.Perhaps, the array that each valve can be comprised of little valve of electrostatically actuated wherein, can come above-mentioned little valve is carried out width modulation with controlled duty cycle, to realize controlled " effectively " flow or slip (leak rate).If necessary, also can use other valves.
Shown detachable box 14 comprises five pressure receiving port 34a, 34b, 34c, 34d and 34e, and they respectively are used for receiving corresponding controlled pressure from pressure source/flow controller 44.In an illustrated embodiment, pressure receiving port 34a, 34b, 34c, 34d and 34e introduce controlled pressure respectively blood pool 62, solvent cell 64, nodularization reagent pond 66, sheath liquid pool 68 and thinning agent pond 70.Before detachable box 14 is delivered for use, can fill solvent cell 64, nodularization reagent pond 66, sheath liquid pool 68 and thinning agent pond 70, blood pool 62 then obtains filling by sample collector port or lancet 32 at the scene.
As shown in the figure, flow sensor can be arranged to each or selected fluid in line.Every flow quantity sensor 80a-80e can measure corresponding fluid velocity.Preferably, flow sensor 80a-80e is the flow sensor of hot wind gage type, more preferably, is the flow sensor of microbridge type.Be 4478076 in the patent No., the patent No. is 4478077, the patent No. is 4501144, the patent No. is 4651564, the patent No. be 4683159 and the patent No. be to have described microbridge flow sensor in 5050429 the United States Patent (USP), by reference they all are included among this paper herein.Output signal from every flow quantity sensor 80a-80e can be offered controller or processor 40.As shown in the figure, controller or processor 40 can offer control signal pressure source/controller 44.For example, in order to control the pressure that offers blood sample, when the speed of blood sample drops to the first predetermined value when following, controller or processor 40 can be opened the first pressure chamber in pressure source/controller 44 and the first valve between the second pressure chamber, so as with controlled manner with the earth pressure release in the first pressure chamber to the second pressure chamber.Similarly, when the speed of blood sample was increased to greater than the second predetermined value, controller or processor 40 can be opened the second valve, so that the pressure in the second pressure chamber is emitted.Controller or processor 40 can be controlled the speed of solvent, nodularization reagent, sheath fluid and thinning agent in a similar manner.
In some cases, controller or processor 40 can detect the one or more variations by the flow velocity aspect of fluid passage.The variation of flow velocity aspect may be corresponding to the obstruction of one or more bubbles, fluid passage or partial occlusion (being caused by the undesirable object in the solidifying of blood sample, the fluid or other undesirable characteristics of foreign matter and/or fluid passage).Can programme to controller or processor 40, detecting this class feature according to flow velocity, and in some cases, give the alarm and/or close sample analyser.
The flow sensor of hot wind gage type generally includes heating element, when by energy supply, this heater block produces one or more thermal pulses in fluid, and this flow sensor also comprise the upstream that is arranged on above-mentioned heating element and/or downstream, for detection of one or more thermal sensors of described one or more thermal pulses.The time of one of them cost of the thermal sensor that the speed of the fluid by the fluid passage and thermal pulse can be arranged from the heater block arrival interval carries out related.
In some cases, the flow sensor of hot wind gage type can be used for thermal conductivity and/or the specific heat of test fluid.The variation of the thermal conductivity of fluid and/or specific heat aspect may be corresponding to the variation of fluid behaviour aspect (such as undesirable object or foreign matter in the variation (solidifying of blood sample) of fluid state, the bubble, fluid in the fluid, etc.).Thereby in certain embodiments, we think that controller or processor 40 can be by supervision by the thermal conductivity of the fluid of the flow sensor of hot wind gage type and/or the characteristics that specific heat comes test fluid.
In some cases, impedance transducer can be arranged to and have fluid communication with the fluid passage.Controller or processor 40 can be coupled to this impedance transducer.The variation of fluid impedance aspect can indicate the variation (such as undesirable object or foreign matter in the variation (solidifying of blood sample) of fluid state, the bubble, fluid in the fluid, etc.) of fluid behaviour aspect.Thereby in certain embodiments, we think that controller or processor 40 can come by supervision the characteristic of test fluid by the impedance of the fluid of impedance transducer.
The valve downstream that general usefulness 110 represents also can be set.Controller or processor 40 be opening/closing valve downstream 110 as required.For example, valve downstream 110 can keep closed condition, until system is pressurizeed fully.This helps anti-Hemostatic Oral Liquid, solvent, nodularization reagent, sheath fluid and thinning agent incoming fluid loop 86 before system is pressurizeed fully.Also can control valve downstream 110 and assist to carry out some test, such as the zero flow test, etc.In another embodiment, can open valve downstream 110 (for example, when lid is closed) by mechanically actuated.
Fig. 4 is the synoptic diagram according to some feature of detachable box of the present invention.Generally represent detachable box with 100, and this box can be similar to above in conjunction with Fig. 1-3 detachable box 14 that describe and that illustrate.Should be appreciated that detachable box 100 only is illustrative, and the present invention can be applicable to many microfluidic cartridges, and need not consideration form, function or configuration.For example, the present invention can be used for being suitable for following purpose detachable box: flow cytometry, hematology, clinical chemistry, blood chemical analysis, urinalysis, blood gaseous analysis, virus analysis, bacterial analysis, electrolyte are measured, etc.We think that also detachable box of the present invention (such as detachable box 100) can be made by any suitable material or material system (comprising the combination of glass, silicon, one or more polymkeric substance or any other suitable material or material system or multiple material or material system).
Detachable box 100 comprises that first measures path 10 2 and the second measurement path 10 4, although can use as required more or less measurement passage.In an illustrated embodiment, the first measurement path 10 2 is Erythrocyte measure passages, and the second measurement path 10 4 is that leucocyte is measured passage.Detachable box 100 receives whole blood samples (by capillarity, the blood of dose known amounts is drawn into the blood sample that scribbles anticoagulant stores in the kapillary 108) through blood receiving port 106.Sample is pushed (P) pressure (sample such as Fig. 3 pushes (P) pressure 36a) offer sample propelling movement fluid pool (sample such as Fig. 3 pushes fluid pool 65).After exerting pressure, sample pushes fluid and is forced to enter blood sample push channel 110 from sample propelling movement fluid pool.
In certain embodiments, can valve 112 and flow sensor 114 be set with blood sample push channel 110 straight modes.Can by-pass valve control 112, when circulating it in fluid circuit, opens blood sample this valve so that push at needs.Flow sensor 114 can be measured the flow velocity that blood sample pushes fluid, and measures thus the flow velocity of the blood sample of the kapillary 108 that scribbles anticoagulant of flowing through.The flow velocity that is provided by flow sensor 114 can be used for helping to control sample propelling movement (P) pressure that offers detachable box 100.
Among the embodiment shown in this, the separating whole blood sample, and the part that will tell offers Erythrocyte measure path 10 2 and leucocyte measurement path 10 4 through branch road 116.Among the embodiment shown in this, to be provided with valve 118 with the straight mode of above-mentioned branch road, to enter the blood sample stream of Erythrocyte measure path 10 2 with control, and be provided with valve 120, enter the blood sample stream that leucocyte is measured path 10 4 with control.
Refer now to Erythrocyte measure path 10 2, red blood cell nodularization reagent pressure (SP) (such as modulizer pressure (SP) 36c of Fig. 3) is offered nodularization reagent pond (such as the nodularization reagent pond 66 of Fig. 3).After exerting pressure, the nodularization reagent in the nodularization reagent pond 66 is forced into nodularization reagent passage 124.
In certain embodiments, also can valve 126 and flow sensor 128 be set with nodularization reagent passage 124 straight modes.Can by-pass valve control 126, so that when hope pushes fluid circuit with nodularization reagent, open this valve.Flow sensor 128 can be measured the flow velocity of nodularization reagent, and measures the nodularization reagent flow velocity of the nodularization reagent passage 124 of flowing through.The flow velocity that is provided by flow sensor 128 can be used for helping to control the nodularization reagent pressure (SP) that is offered detachable box 100 by pressure source/controller 44.
In the normal function operating process of detachable box 100, nodularization reagent is pushed intersectional region 130 with nodularization reagent flow velocity, and blood sample is pushed intersectional region 130 with the blood sample flow velocity.Can control blood sample flow velocity and nodularization reagent flow velocity by pressure source/controller 44 of Fig. 3.
Intersectional region 130 can be configured to following form, when above-mentioned two kinds of flows during through intersectional region 130, nodularization reagent flows around blood sample.In some cases, nodularization reagent flow velocity can be higher than the blood sample flow velocity, and this can help improve the discharge characteristic in the instant nodularization passage 132 in downstream, and in some cases, helps to form by nodularization reagent fully and the thinner blood band that evenly surrounds.Hot stream of cells is when instant nodularization passage 132, and this band stream (ribbon flow) can help equably nodularization red blood cell of nodularization reagent.And, can be arranged to make blood sample in nodularization reagent, to expose reasonable time together with the flow velocity of nodularization reagent and blood sample the length of instant nodularization passage 132.
Sheath fluid (SH) pressure (such as sheath fluid (SH) the pressure 36d of Fig. 3) can be offered sheath liquid pool (such as the sheath liquid pool 68 of Fig. 3).After exerting pressure, sheath fluid is forced to from sheath liquid pool 68 and enters sheath fluid passage 134.In certain embodiments, can be with sheath fluid passage 134 straight modes valve 136 and flow sensor 138 to be set.Can by-pass valve control 136, so that when needs push fluid circuit with sheath fluid, open this valve.Flow sensor 138 can be measured the flow velocity of sheath fluid, and measures the sheath flow velocity of the sheath fluid passage 134 of flowing through.The flow velocity that is provided by flow sensor 138 can be used for helping to control the sheath hydraulic coupling (SH) that offers detachable box 100.
In this embodiment, with the sheath flow velocity sheath fluid is offered intersectional region 140, and offer intersectional region 140 with the blood sample of the blood sample flow velocity after the nodularization after with nodularization.Can control blood sample flow velocity and sheath flow velocity after the nodularization by pressure source/controller (such as pressure source/controller 44 of Fig. 3).
Intersectional region 140 can be configured to following form, when above two kinds of flows during through intersectional region 140, the blood sample of sheath fluid after the nodularization flows.In some cases, the blood sample flow velocity of sheath flow velocity after far above nodularization, this karyomorphism that helps lend some impetus in the fluidic cell passage 142 in downstream becomes.For example, in some flow cytometry is used, intersectional region 140 can be configured to concentrate and be arranged to the blood cell of fluid dynamics mode after with nodularization the nuclear of single file, so that when red blood cell during by the zone of the optical window in the detachable box 100 144, analyser can be inquired after each red blood cell with optical mode.In some cases, will cause by the fluid of fluidic cell passage 142 waste liquid pool on the plate.
Refer now to leucocyte and measure path 10 4, leucocyte solvent pressure (L) (such as solvent pressure (L) 36b of Fig. 3) is offered solvent cell (such as the solvent cell 64 of Fig. 3).After exerting pressure, the solvent in the solvent cell 64 is forced into solvent channel 154.
In certain embodiments, can be with solvent channel 154 straight modes valve 156 and flow sensor 158 to be set.Can by-pass valve control 156, so that when needs push fluid circuit with solvent, open this valve.Flow sensor 158 can be measured the flow velocity of solvent, and measures the flow velocity of the solvent of the solvent channel 154 of flowing through.The flow velocity that is provided by flow sensor 158 can be used for helping to control the solvent pressure (L) that is offered detachable box 100 by pressure source/controller 44.
In the normal function operating process of detachable box 100, solvent is offered intersectional region 160 with solvent flow rate, and blood sample is offered intersectional region 160 with the blood sample flow velocity.Can control blood sample flow velocity and solvent flow rate by pressure source/controller (such as pressure source/controller 44 of Fig. 3).
Intersectional region 160 can be configured to flow when above two kinds of flows make during through intersectional region 160 solvent center on blood sample.In some cases, solvent flow rate can be higher than the blood sample flow velocity, and this can help improve the discharge characteristic in the instant dissolving passage 162 in downstream, and in some cases, helps to form by solvent fully and the thinner blood band that evenly surrounds.Hot stream of cells is when instant dissolving passage 162, and this band stream can help equably lysed erythrocyte of solvent.And, can be arranged to make blood sample in solvent, to expose reasonable time together with the flow velocity of solvent and blood sample the length of immediately dissolving passage 162.
Sheath fluid (SH) pressure (such as sheath fluid (SH) the pressure 36d of Fig. 3) can be offered sheath liquid container (such as the sheath liquid container 68 of Fig. 3).After exerting pressure, sheath fluid is forced to enter sheath fluid passage 164 from sheath liquid pool 68.In certain embodiments, can be with sheath fluid passage 164 straight modes valve 166 and flow sensor 168 to be set.Can by-pass valve control 166, so that when needs push fluid circuit with sheath fluid, open this valve.Flow sensor 168 can be measured the flow velocity of sheath fluid, and measures the flow velocity of the sheath fluid of the sheath fluid passage 164 of flowing through.The flow velocity that is provided by flow sensor 168 can be used for helping to control the sheath hydraulic coupling (SH) that offers detachable box 100.In some cases, the flow through sheath flow velocity of sheath fluid passage 164 is identical with the sheath flow velocity of the sheath fluid passage 134 of flowing through.Yet in other cases, the sheath flow velocity of the sheath fluid passage 164 of flowing through may be different from the sheath flow velocity of the sheath fluid passage 134 of flowing through.
In this embodiment, sheath fluid is offered intersectional region 170 with the sheath flow velocity, and the blood sample after will dissolving offers intersectional region 170 with the blood sample flow velocity after dissolving.Can control by pressure source/controller (for example pressure source/controller 44 of Fig. 3) dissolving after blood sample flow velocity and sheath flow velocity.
Intersectional region 170 can be configured to following form, when above two kinds of flows during through intersectional region 170, the blood sample of sheath fluid after the dissolving flows.In some cases, the sheath flow velocity is far above the blood sample flow velocity after dissolving, and this can help to promote that the karyomorphism in the downstream fluidic cell passage 172 becomes.For example, in some fluidic cell is used, the nuclear of single file is concentrated and be arranged to leucocyte in the blood sample after intersectional region 170 can being configured to will dissolve in the fluid dynamics mode, so that when the optical window zone 174 of leucocyte by detachable box 100, analyser can be inquired after each leucocyte with optical mode.In some cases, will offer by the fluid of fluidic cell passage 172 waste liquid pool on the plate.
In some cases, also the absorptiometry passage can be set.In an illustrated embodiment, the blood sample after the part dissolving is offered absorbing path 180.Valve 182 can be set, with the part that allows selectively the blood sample after this dissolving by absorbing path or zone 184.Analyser can comprise for illumination absorbing path or zone 184 light source with for detection of the detecting device of the light that is not absorbed by the blood sample after the dissolving in absorbing path or zone 184.Then, analyser can be determined the absorption level, according to this absorption level, can draw the hemoglobinometry value based on total absorption.In some cases, as shown in Figure 8, if necessary, absorbing path 184 can be arranged on the downstream of fluidic cell passage 172.In other cases, whole blood sample direct (as from branch road 116) can be offered absorbing path.In this class situation, absorbing path can be included in carries out the before mechanism of lysed erythrocyte of absorptiometry.Although shown detachable box 100 is suitable for whole blood sample is carried out complete blood counting (CBC) analysis,, we think, can use as required other detachable box configuration and analysis types.
Fig. 5 is the synoptic diagram that can be included in according to a plurality of storage pools in the detachable box of the present invention.In illustrated embodiment, detachable box (such as the detachable box 100 of Fig. 4) can comprise solvent cell 64, push fluid pool 65, nodularization reagent pond 66, sheath liquid pool 68, thinning agent pond 70, coloring agent pond 190 and waste liquid pool 52.These examples only are illustrative, and, we think can on the detachable box or among arrange more, still less or different ponds.
Can adjust the size in each pond, and these ponds comprise fluid and/or the reagent of right quantity, with the operation of the expectation of supporting detachable box.Thinning agent pond 70 can comprise the thinning agent fluid for dilution input sample (such as whole blood sample).In the embodiment of Fig. 4, nodularization reagent and/or solvent can be carried out the function of dilution, therefore, can not need or even wish to arrange separately thinning agent pond 70.Similarly, in certain embodiments, may need coloring agent pond (such as coloring agent pond 190) with the dyeing of leucocyte passage, to support leukocyte differentiation.We think, depend on concrete application, and the reagent and/or the fluid that are stored in the pond can be in liquid or lyophilized form at first.
The process flow diagram of Fig. 6 shows a kind of according to the method for coming the analyzing blood sample with detachable box of the present invention.In the method, at first in step 200, obtain blood sample.Next, blood sample is offered the kapillary that scribbles anticoagulant in the detachable box.Then, separate this whole blood sample, and the part that will tell offers respectively red blood cell and blood platelet (RBC/P) is measured passage 204 and leucocyte (WBC) is measured passage 206.
Measure in the passage 204 at RBC/P, shown in 212, at first then the nodularization red blood cell is concentrated it in the fluid dynamics mode, and provides the above-mentioned red blood cell that is arranged in single file along the RBC/P fluidic cell passage 214 in the detachable box.When the analyzed area of these red blood cells by RBC/P fluidic cell passage 214, light source 216 (such as vertical cavity surface emitting laser (VCSEL)) with irradiation on each red blood cell.In some cases, be provided with the VCSEL array, and when each red blood cell passed through the analyzed area of RBC/P fluidic cell passage 214, only those VCSEL that aim at each red blood cell were activated.Scattering a part of incident light of providing of VCSEL, and detecting device 218 detects these scattered lights.In some cases, detecting device 218 had both detected forward angle scattered light (FALS) and had also detected small angle scattering light (SALS).
In some cases, laser (or other) light source is focused on (or as the line source that elongates or as two pointolites independently) in RBC/P fluidic cell passage 214.RBC in the RBC/P fluidic cell passage 214 and blood platelet are by above-mentioned light through focusing on.Can collect with high-quality light the picture rich in detail of the illumination light of optical element after opaque mask forms cell and focuses on, wherein, this opaque mask comprises one, two or more parallel slits, preferably the longitudinal axis of these slits is arranged to vertical with fluid flow direction in the RBC/P fluidic cell passage 214.Distance between these slits is about the average cell spacing of expection in the RBC/P fluidic cell passage 21.The opaque mask that this can be comprised slit is arranged on before one or more detecting devices 218.When the image of cell passed through slit, it stopped the light that is incident on the slit, and caused the signal on the detecting device 218 to reduce, thereby had produced width and the proportional pulse waveform of cell dia.When the slit that two intervals arrange was set, two waveforms of gained be so that can carry out the calculating of cell flow rate, and calculated thus cell size.Adopt this technology, can obtain high s/n ratio, like this, just allow easily event to be counted and identified a plurality of cell events.Pulsewidth and amplitude are also so that people can distinguish some cell type.
In some cases, the double aperture slit aperture before being arranged on detecting device 218 has formed the image of cell and light source.The double aperture slit aperture provides geometry aperture and the high s/n ratio of clear definition to add up cell.As mentioned above, so that people can measure accurately to cell flow rate, and this is so that people can calculate the diameter of cell from the signal of slit.
In some cases, shown in 220, can during this analysis, measure a plurality of parameters, comprise sample flow (FR), Measuring Time (T) length and sample dilution gfactor (DF).By output and/or the corresponding scattering signatures (signature) that monitors detecting device, can measure mean constant of red blood cell (N RB), number of platelets (N Plt), the diameter (drbc) of each cell and the hemoglobin concentration of each cell.
According to these parameters, shown in 282, can calculate some red blood cell analytical parameters, comprise red blood cell count(RBC) (RBC=N RB/ (DF * FR * T)), platelet count (Plt=N Plt/ (DF * FR * T)), mean cell hemoglobin concentration (MCHC=＜CHC 〉), MCV (MCV=(π/6) *＜drbc 3), mean cell hemoglobin content (MCH=(π/6) *＜drbc 3* CHC 〉), the relative dispersion of distribution (RDW=[(π/6) * drbc 3The standard deviation of]/MCV), small cell specific volume parameter (Hct=RBC * MCV) and/or hemoglobin concentration (Hb=MCHC * Hct).
Shown in WBC measure in the passage 206, shown in 232, at first then lysed erythrocyte is concentrated them in the fluid dynamics mode, and provides these red blood cells that are arranged in single file along the WBC fluidic cell passage 234 in the detachable box.When the analyzed area of each cell by WBC fluidic cell passage 236, light source 234 (such as vertical cavity surface emitting laser (VCSEL)) with irradiation on each cell.In some cases, be provided with the VCSEL array, and when each cell passed through the analyzed area of WBC fluidic cell passage 234, only those VCSEL that aim at each cell were activated.Scattering a part of incident light of providing of VCSEL, and detecting device 238 detects these scattered lights.In some cases, detecting device 238 detects forward angle scattered light (FALS), small angle scattering light (SALS) and large-angle scattered light (LASL).In some cases, shown in 240, can during this analyzes, measure some parameters, comprise that cell volume on the axle, total WBC counting and WBC five (5) partly distinguish.
The process flow diagram of Fig. 7 shows a kind of according to the method be used to obtaining a plurality of erythrocyte parameters of the present invention.In the method, obtained blood sample at step 260 place.Next, shown in 264, blood sample diluted with the dilution gfactor (DF) of wishing and carry out nodularization.Then, concentrate above haemocyte through dilution and nodularization in the fluid dynamics mode, and provide these cells that are arranged in single file along the RBC/P fluidic cell passage in the detachable box.When the analyzed area of each cell by RBC/P fluidic cell passage, light source 216 (such as vertical cavity surface emitting laser (VCSEL)) with irradiation on each cell.Scattering a part of incident light of providing of VCSEL, and can detect this scattered light with detecting device 218.In some cases, detecting device 218 detects forward angle scattered light (FALS) and the small angle scattering light (SALS) of each cell.Then, processor or and so on device in the following manner with two of each cell independently scattering parameter (being SALS and FALS) be mapped as cell dia parameter and cellular hemoglobin concentration parameter:
{S SALSi，S FALSi}->{drbc i，CHC i}
Shown in 270, if scattering S SALSiAdd S FALSiIntensity be not more than predetermined detection threshold, then step 268 is returned in control.Yet, if scattering S SALSiAdd S FALSiIntensity greater than predetermined detection threshold, then control goes to step 272.In step 272, judge S SALSiAnd S FALSiWhether sum is greater than predetermined blood platelet threshold value.If S SALSiAdd S FALSiBe not more than predetermined blood platelet threshold value, determine that then particulate " i " is blood platelet, and control go to step 274.In step 274, with the number of platelets (N of statistics Plt) add 1, and control is gone back to step 268.
If S SALSiAdd S FALSiSum is greater than predetermined blood platelet threshold value, and then this cell is red blood cell, and control goes to step 276.Step 276 is with the mean constant of red blood cell (N of statistics RBC) add 1, and control is gone to step 278.In step 278, judge whether to reach the scheduled measurement time.If no, then control goes back to step 268.
At step 278 place, in case reached Measuring Time, then control goes to step 280.In step 280, show a plurality of parameters that record, comprise the mean constant of red blood cell (N of sample flow (FR), Measuring Time (T) length, sample dilution gfactor (DF), statistics RB), the statistics number of platelets (N Plt), the diameter (drbc of each cell i) and the hemoglobin concentration (CHC of each cell i).According to these parameters, shown in 282, can calculate some blood cell analysis parameters, comprise red blood cell count(RBC) (RBC=N RBC/ (DF * FR * T)), platelet count (Plt=N Plt/ (DF * FR * T)), mean cell hemoglobin concentration (MCHC=＜CHC i), MCV (MCV=(π/6) *＜drbc i 3), mean cell hemoglobin content (MCH=(π/6) *＜drbc i 3* CHC i), the relative dispersion of distribution (RDW=[(π/6) * drbc i 3The standard deviation of]/MCV), hematocrit parameter (Hct=RBC * MCV) and/or hemoglobin concentration (Hb=MCHC * Hct), wherein symbol＜X iExpression all cells X iThe average cell parameter of obtaining.
The process flow diagram of Fig. 8 shows another kind of method according to analyzing blood sample of the present invention.In the method, obtain blood sample, and provide it to the blood sample pond, shown in step 300.Next, blood sample is offered the kapillary that scribbles anticoagulant in the detachable box and diluting.Then separating whole blood sample, and the part that will tell offers respectively red blood cell and blood platelet (RBC/P) is measured passage 304 and leucocyte (WBC) is measured passage 340.
Measure in the passage 304 at RBC/P, shown in 306, at first then the nodularization red blood cell is concentrated them in the fluid dynamics mode, and provides these cells that are arranged in single file along the RBC/P fluidic cell passage 308 in the detachable box.When each cell passed through the analyzed area of RBC/P fluidic cell passage 308, the light beam after light source 310 (such as vertical cavity surface emitting laser (VCSEL)) and relevant optical element thereof will focus on offered each cell.In some cases, be provided with the VCSEL array, when each cell passed through the analyzed area of RBC/P fluidic cell passage 308, only those VCSEL that aim at each cell were activated.
During incident beam after each cell/particulate is by above-mentioned focusing, stop, scattering or otherwise hindered a part of light wherein, and this can detect by the detecting device (not shown).When two or more light-resource fousings on the difference that arranges along the interval of RBC/P fluidic cell passage 308 time, can be detected front end and/or the rear end of each cell.Move to the used time of next focus point by measuring cell from a focus point, can determine flow velocity, and determine cell speed thus.The cell speed of utilize determining can stop cell, scattering or the time span that otherwise hinders light beam carry out related with cell size and/or cell volume.
In certain embodiments, can provide another light source 314 and relevant optical element by analyser.The relevant optical of light source 314 can alignment light and the outer scattering (such as SALS and FALS scattering) of measurement axle.As mentioned above, can measure with SALS and FALS scattering the mean constant of red blood cell (N of statistics RBC) 316, the statistics number of platelets (N Plt) 322, the hemoglobin concentration (CHC) 320 of diameter (drbc), cell volume 318 and each cell of each cell.According to these parameters, as mentioned above, can calculate some blood cell analysis parameters, comprise red blood cell count(RBC) (RBC=N RBC/ (DF * FR * T)), platelet count (Plt=N Plt/ (DF * FR * T)), mean cell hemoglobin concentration (MCHC=＜CHC i), MCV (MCV=(π/6) *＜drbc i 3), mean cell hemoglobin content (MCH=(π/6) *＜drbc i 3* CHC i), the relative dispersion of distribution (RDW=[(π/6) * drbc i 3The standard deviation of]/MCV), the hematocrit parameter (Hct=RBC * MCV) and/or hemoglobin concentration (Hb=MCHC * Hct), wherein, symbol＜X iExpression all cells X iThe average cell parameter of obtaining.
Shown in WBC measure in the passage 340, dissolved red blood cell, and injected dyestuff as required, shown in 342.Then, in the fluid dynamics mode these cells are concentrated, and provided these cells that are arranged in single file along the WBC fluidic cell passage 344 in the detachable box.When the analyzed area of each cell by WBC fluidic cell passage 344, light source 344 (such as vertical cavity surface emitting laser (VCSEL)) with irradiation on each cell.In some cases, be provided with the VCSEL array, when each cell passed through the analyzed area of WBC fluidic cell passage 344, only those VCSEL that aim at each cell were activated.
When each cell/particulate during by the incident beam after focusing on, stop, scattering or otherwise hindered a part of light wherein, and this can detect by the detecting device (not shown).When two or more light-resource fousings on the difference that arranges along the interval of WBC fluidic cell passage 344 time, can be detected front end and/or the rear end of each cell.Move to the used time of next focus point by measuring cell from a focus point, can determine flow velocity, and determine cell speed thus.The cell speed of utilize determining can stop cell, scattering or the time span that otherwise hinders light beam carry out related with cell size and/or cell volume.
In certain embodiments, light source 350 and relevant optical element and/or polariscope can be set.The relevant optical of light source 350 can alignment light and is measured the outer scattering (such as SALS, FALS and LALS scattering) of axle, shown in 354.With above identical, shown in 352, can measure leucocyte number (N with SALS, FALS and LALS scattering WBC), and assist to distinguish leucocyte, shown in 356.In some cases, one or more polariscopes are set, so that the light generation polarization that light source is provided, and the polarization extinction that can detect with the detecting device place/rotation level assists to carry out leukocytic differentiation, but, do not require and take in all embodiments this way.
In an illustrated embodiment, the cell that leaves WBC fluidic cell passage 344 can be offered total absorbing path 360.The cell of light source 362 in can irradiation absorption passage 360, and detecting device 364 can detect the light that is not absorbed by those resident cells.Thereby, can measure with absorbing path 360 total absorption level of resident cells.And the absorption level can provide measuring total in the blood sample or mean cell hemoglobin concentration.
The process flow diagram of Fig. 9 shows a kind of operation according to the method for sample analyser of the present invention.In an illustrated embodiment, can use with analyzing blood and analyze box (shown in 350), can be with assisting the performance (shown in 370) of check analysis instrument with the analysis and Control box, and/or can be with assisting calibration analyte instrument (shown in 380) with the analytic set box.Can be at every less important blood analysis box of packing into when carrying out blood analysis.Periodically (as whenever once) with the control enclosure analyser of packing into, so that whether the result tests producing accurately to analyser everyday.Can will calibrate the box-packed analyser that enters with lower frequency (for example every three months once), to recalibrate analyser.
Each box can comprise carries out essential all fluids and/or the parts of corresponding function.Like this, only need considerably less training can operate and/or safeguard this analyser, still can obtain accurate result simultaneously.Provide can be beyond the laboratory environment reliable sample analyser that use, that have detachable box and/or disposable cassette (need seldom or need not any special training), to help the sample analysis process line, reduce medical worker's cost and workload, and, for many patients (comprising the relatively frequently part people of blood supervision/analysis of needs), increased the convenience of sample analysis.
Shown in 350, when using the blood analysis box, collect blood sample, and with in its blood analysis box of packing into, shown in 352 and 354.As required, can blood sample be sucked the blood analysis box by capillarity or artificial pumping.Then, can enter analytical instrument with blood analysis is box-packed.In an illustrated embodiment, after carrying out above-mentioned steps, analyser can be aimed at the corresponding assembly of blood analysis box and analyser (such as light source/photodetector, etc.) voluntarily, shown in 356.Next, can press one or more buttons and begin the blood analysis process.Be different from press the button or and so on operation, in some cases, only can cause analyser to start above-mentioned aligning and blood analysis process the box-packed step that enters analyser.
In case started analyser, analyser just can carry out some tests.For example, analyser can cut out all valves on the blood analysis card, and pressure is applied to various fluid ports on the card.Then, analyser can be measured the flow velocity that flows through the one or more flow sensors on the card.Flow should be zero, because all valves are all closed.But if flow sensor has been indicated non-zero velocity of flow, then analyser can be recalibrated flow sensor and be zero flow.This can help to improve the precision of flow sensor measured value.Perhaps or additionally, analyser can be by measuring blood sample flow velocity (such as the use traffic sensor) and applied pressure check blood clotting in the detachable box, with respect to applied pressure, too low if flow velocity seems, determine that then blood sample solidifies.If detected blood clotting, then analyser can show to indicate and measures failure.
Then, analyser can be implemented regularly agreement of blood analysis box.The blood analysis box regularly agreement can be similar to sequence number be shown in 10/932662 the U.S. Patent application and the agreement of describing, this application has transferred assignee of the present invention, by reference it is contained among this paper herein.Concrete blood analysis box timing agreement depends on the specific design of blood analysis box.Analyser also can check whether there is stable nuclear stream in any fluidic cell passage on the blood analysis box, and, if there is such nuclear stream, then identify its position.
Then, the blood analysis box can dissolve the red blood cell of the part-blood fluid samples that will measure for leucocyte, and nodularization will be for the red blood cell of the part-blood fluid samples of Erythrocyte measure, form nuclear stream in any fluidic cell passage on the blood analysis box, and/or carry out the function that any other needs.Analyser can provide light to the selection area (such as any fluidic cell passage) of blood analysis box, and detects the light by selection area.
Accordingly, analyser can be added up and classifies the particulate in the sample (such as leucocyte, red blood cell, blood platelet etc.), then shows, prints, sounds or otherwise indicate the result of blood analysis to the user.In certain embodiments, analyser shows or prints quantitative result (as be within the predefined scope and/or in addition), this so that the user need not further to calculate or explain.At last, can unload the blood analysis box and it is abandoned from analyser.
Shown in 370, in the time that controlling run will be carried out, can use control enclosure.In some cases, can periodically carry out controlling run, as once a day or weekly.Control enclosure can comprise the control sample with known features.Therefore, when analyser is analyzed the control sample, should obtain known results.Shown in method in, with the control enclosure analyser of packing into, shown in 372.Next, shown in 374, the startup analysis instrument, and analyser analyzes and shows the result, shown in 376.In certain embodiments, analyser shows or prints quantitative result (as be within the predefined scope and/or in addition), thereby the user need not further to calculate or explain.At last, unload control enclosure from analyser, and it is abandoned.If the result of controlling run is in outside the predefined scope, then may need to carry out correcting travel, such as correcting travel 380.
Shown in 380, in the time that correcting travel will be carried out, can use the calibration box.In some cases, can periodically carry out correcting travel, as once or as required otherwise carrying out this operation January.The calibration box can comprise the calibration sample with known features.Thereby, when analyser is analyzed calibration sample, should obtain known results.Shown in method in, will calibrate the box-packed analyser that enters, shown in 382.Next, shown in 384, the startup analysis instrument, and obtain several results.Compare by result and the expected result that will calibrate the run duration acquisition, analyser can be adjusted the one or more calibration factors in the storer automatically, recalibrating analyser, this so that in the follow-up operation process analyser will produce result expection or hope, shown in 386.
The process flow diagram of Figure 10 shows the method for another kind of operations according to the instant invention sample analyser.The method generally represents that with 400 it starts from step 402.Control goes to step 404, therein, blood sample is offered disposable fluid box.Then, control goes to step 406, therein, disposable fluid box is inserted the blood sample analyser.Then, control goes to step 408.In step 408, start the blood sample analyser, then in step 410, obtain the blood analysis result from the blood sample analyser, and need not the user's of blood sample analyser any further intervention.Then, control goes to step 412, in this step, has withdrawed from said method.
The process flow diagram of Figure 11 shows the method for another kind of operations according to the instant invention sample analyser.The method generally represents that with 500 it starts from step 502.Control goes to step 504, therein, blood sample is offered disposable fluid box.Control goes to step 506, therein, disposable fluid box is inserted the blood sample analyser.Then, control goes to step 508.In step 508, start the blood sample analyser, then in step 510, obtain the blood analysis result from the blood sample analyser, and need not the user's of blood sample analyser any further intervention.Then, control goes to step 512.In step 512, judge whether the blood analysis result is in the predefined scope.As mentioned above, in certain embodiments, analyser can show or print quantitative result (as be within the predefined scope and/or in addition), this so that the user need not further to calculate or explain.Then, control is gone to step 514, in this step, withdrawed from said method.
The process flow diagram of Figure 12 shows the method for another kind of operations according to the instant invention sample analyser.The method generally represents that with 600 it starts from step 602.In this embodiment, can use with analyzing blood and analyze box (shown in 604), can use and the analysis and Control box, to assist the performance (shown in 620) of check analysis instrument, and/or can use and the analytic set box, to assist calibration analyte instrument (shown in 640).Can be at every less important blood analysis box of packing into when carrying out blood analysis.Periodically (as once a day) the control enclosure analyser of packing into is being produced accurately result with the check analysis instrument.Can or will calibrate as required the box-packed analyser that enters with lower frequency (such as every three months once), to recalibrate analyser.
Every type box can comprise the fluid that is necessary and/or the parts of carrying out corresponding function.Therefore, only need considerably less training can operate and/or safeguard this analyser, and still can obtain accurate result.The sample analyser that can reliably use outside laboratory environment, have detachable box and/or disposable cassette (need to seldom or need not special training) is provided, can help the sample analysis process line, reduce medical worker's cost and workload, and for many patients (comprising the relatively frequently part people of blood supervision/analysis of needs), increased the convenience of sample analysis.
In method shown in Figure 12, in the time will using the analysis box, control goes to step 604.In step 606, blood sample is offered disposable fluid box.Then, control goes to step 608, wherein, disposable fluid box is inserted the blood sample analyser.Then, control goes to step 610.In step 610, started the blood sample analyser, and in step 612, obtained the blood analysis result from the blood sample analyser.
In the time that control enclosure will be used, control is gone to step 620.Step 620 goes to step 622 with control, therein, control enclosure is inserted the blood sample analyser.Then, control goes to step 624.In step 624, start the blood sample analyser, then, in step 626, use the control fluid box to obtain the blood analysis result.Then, control goes to step 628.In step 628, judge whether the control analysis result is in the range of control of expection.If the control analysis result is not in the desired extent, then should not trust the result that the blood analysis box obtains.In some cases, can move the calibration box and recalibrate sample analyser, then, come the operation of test samples analyser/calibration by another control enclosure.
In the time will using the calibration box, control goes to step 640.Then, go to step 642.In step 642, will calibrate box and insert the blood sample analyser.Then, control goes to step 644.In step 644, start the blood sample analyser, then, in step 646, obtain the calibration analyte result with the calibrating fluid box.Then, control goes to step 648.In step 648, according to the calibration analyte result, where necessary, analyser is adjusted.

Claims (27)

1. blood sample analytic system comprises:
Be configured for admitting and process at least in part the disposable fluid box of the blood sample with blood sample particulate;
Be configured for admitting the analyser of described disposable fluid box; And
In case described blood sample is admitted by described disposable fluid box, and described analyser is activated, then described analyser and disposable fluid box are automatically processed described blood sample and are determined 2 or a plurality of blood analysis parameter, comprise statistics and the classification of the one or more particulates in the blood sample, and need not user's further intervention, described analyser is exported the blood analysis result to the user, and this blood analysis result is based on statistics and the classification of the one or more particulates in the blood sample.
2. blood sample analytic system as claimed in claim 1 is characterized in that, described 2 or a plurality of blood analysis parameter comprise the total leukocyte counting.
3. blood sample analytic system as claimed in claim 1 is characterized in that, described 2 or a plurality of blood analysis parameter comprise each the leukocytic classification leucocyte counting in five types the leucocyte.
4. blood sample analytic system as claimed in claim 1 is characterized in that, described 2 or a plurality of blood analysis parameter comprise the measured value of average leucocyte volume.
5. blood sample analytic system as claimed in claim 1 is characterized in that, described 2 or a plurality of blood analysis parameter comprise red blood cell count(RBC).
6. blood sample analytic system as claimed in claim 1 is characterized in that, described 2 or a plurality of blood analysis parameter comprise platelet count.
7. blood sample analytic system as claimed in claim 1 is characterized in that, described two or more blood analysis parameters comprise the measured value relevant with mean corpuscular volume.
8. blood sample analytic system as claimed in claim 1 is characterized in that, described 2 or a plurality of blood analysis parameter comprise each leukocytic classification leucocyte counting, red blood cell count(RBC) and platelet count in five types the leucocyte.
9. blood sample analytic system as claimed in claim 1, it is characterized in that, the processing of described blood sample comprises that the leucocyte that the first with described blood sample offers in the described disposable cassette measures passage, and the second portion of described blood sample is offered Erythrocyte measure passage in the described disposable cassette.
10. blood sample analytic system as claimed in claim 9 is characterized in that, the described red blood cell in described leucocyte measurement passage in the described first of the described blood sample of dissolving.
11. blood sample analytic system as claimed in claim 10 is characterized in that, the described red blood cell in described Erythrocyte measure passage in the described second portion of the described blood sample of nodularization.
12. blood sample analytic system as claimed in claim 11 is characterized in that, within a period of time, the red blood cell of described nodularization is counted in described Erythrocyte measure passage with optical detection.
13. blood sample analytic system as claimed in claim 10 is characterized in that, within a period of time, described leucocyte is counted in described leucocyte measurement passage with optical detection.
14. blood sample analytic system as claimed in claim 1 is characterized in that described analyser comprises the housing of admitting described disposable fluid box.
15. blood sample analytic system as claimed in claim 14 is characterized in that, described disposable fluid box comprises leucocyte measurement passage and Erythrocyte measure passage.
16. blood sample analytic system as claimed in claim 15 is characterized in that:
Described leucocyte in the described disposable cassette is measured passage and is comprised leucocyte flow cytometry passage, this channels configuration becomes to be used in the fluid dynamics mode along the leucocyte fluid passage sample set, and is configured for supporting the light scattering measurement on the described leucocyte fluid passage;
Described Erythrocyte measure passage in the described disposable cassette comprises red blood cell flow cytometry passage, this channels configuration becomes to be used in the fluid dynamics mode along the red blood cell fluid passage sample set, and is configured for supporting the light scattering measurement on the described red blood cell fluid passage; And
Described disposable fluid box also comprises fluid guiding device, is used for guiding first's fluid of described blood sample into described leucocyte flow cytometry passage, and guides the second portion of described blood sample into described red blood cell flow cytometry passage.
17. blood sample analytic system as claimed in claim 1 is characterized in that described analyser comprises display, and shows one or more output messages in described display.
18. blood sample analytic system as claimed in claim 17, it is characterized in that whether the combination that each of described one or more output messages indicates one or more described blood analysis parameters or one or more described blood analysis parameters is in the predefined scope.
19. blood sample analytic system as claimed in claim 17, it is characterized in that whether the combination that each of described one or more output messages indicates one or more described blood analysis parameters or one or more described blood analysis parameters is in outside the predefined scope.
20. a blood sample analytic system comprises:
Be configured for admitting the detachable box of blood sample;
Be configured for admitting the analyser of described detachable box; And
In case blood sample is admitted by described detachable box, and described analyser is admitted described detachable box, and described analyser is activated, then described analyser and detachable box are automatically processed described blood sample and are determined 2 or a plurality of blood analysis parameter and need not user's further intervention, and the one or more output messages of demonstration on the display, wherein, whether the combination that indicates one or more described blood analysis parameters or one or more described blood analysis parameters of described one or more output message is in the predefined scope and/or is outer.
21. a method that is used for carrying out sample analysis, described method comprises the steps:
Sample is offered disposable fluid box;
With the described disposable fluid box analyser of packing into;
Start described analyser;
Measure one or more sample parameters;
Statistics and classification based on the particulate in the blood sample obtain the sample analysis result, wherein need not the user's of analyzer any further intervention from analyzer acquisition sample analysis result; And
Determine whether the sample analysis result is in the predefine scope.
22. method as claimed in claim 21 is characterized in that, described analyser is the blood sample analyser, and described sample is blood sample.
23. method as claimed in claim 22, it is characterized in that, described disposable fluid box is the disposable fluid box of control, and described method comprises and use the disposable fluid box of described control to obtain the sample analysis result, and judges whether described sample analysis result is in the desired extent.
24. method as claimed in claim 23 is characterized in that, inserts and the disposable fluid box of analysis and Control every the time interval of relative rule.
25. method as claimed in claim 3, also comprise disposable fluid box is inserted into described blood sample analyser, and one or many ground provides blood sample to described disposable fluid box before the disposable fluid box of described control is inserted into described analyser.
26. method as claimed in claim 21, also comprise the disposable fluid box of calibration is inserted into described analyser, and use the disposable fluid box of described calibration to obtain analysis result, and described analyser is regulated one or more calibration parameters of described analyser according to described result.
27. method as claimed in claim 26 is characterized in that, every the time interval of relative rule the disposable fluid box of described calibration is inserted into described analyser.
CN200580023587.7A 2004-05-14 2005-05-13 Portable sample analyzer with removable cartridge Expired - Fee Related CN1985168B (en)

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