TW468046B - Device and method for analyzing a biologic sample - Google Patents
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Abstract
Description
經濟部中央樣準局貝工消費合作社印製 A7 ------------B7 五、發明説明(1 ) 憂3L之蓺疇 本發明係關於一種用適當小粒子諸如微球體及被分析 物特異性標記,將流體成分(諸如血漿)從生物檢體(諸如 血液)分離之裝置。本發明亦關於一種定量測定生物流 ,中被分析物存在量之裝置及方法。本發明尚關於一種 疋量測定方法及裝置,其用照護場所的測定法及裝置測 量生物流體檢體中一種或以上之被分析物。該檢體可為 一種為測試一種或以上微生物而製備之懸浮液。測試結 果可用適當的分析器分析,以及需要時測定結果可藉數 位傳輸系統傳輸,以允許數據之進一步評估。 登j月之背景 測量流體中被分析物之單一步驟測定現有許多實例。 常用之測定為懷孕試驗裝置,其係將尿液檢體與測試塾 片接觸,尿液藉著毛細管性流動沿著吸水性層析長條片 移動’藉此由於HCG與吸水性層析長條片中之試劑反應 ’而檢測出人類絨毛膜性腺激素(HCG)之存在(通常以色 線指示)。此為層析測定之一例。 1998年6月16日頒發之美國專利5,766,961號及1998年6 月23日頒發之美國專利5,770,460號皆以”單一步驟側流 式非吸水性測定"為名稱^ "非吸水性側流”係指液體 流中液體之被溶解或分散成分(未被允久性截留或爐除) 以大體相等的速率被攜帶且相當無阻礙地橫向流經被安 .定化的膜。此與在吸收或攝取一種或以上成分之物質中 (如在層析構造中)偏好滯留一種或以上成分之情況不同 本纸張尺度適用中國國家標準(CNS ) A4規格(210X297公釐) (請先閲讀背面之注意事項再填窝本頁) .策· 4 6 8 0 4 6 A7 ____B7 _ -- 五、發明説明(2 ) 。在單一步驟測定中,檢體(可能含有目標被分析物)在 ”檢體收納區”被收集,檢體從該區流向"標記區"’ 在該處檢體會遇到與可見部份("測定標記”)偶合之被分 析物-特異性結合試劑,該檢體然後流向"截留區", 在該處與可見部份結合之被分析物被截留。 在1996年7月30日頒發且以”液體轉送測定裝置"為 名稱之美國專利5,540,888號中,所記載之發明為供生化 診斷測定用之裝置。其包含二多孔材料製成之液體流動 通道,其於同時將液體加至通道端部後,藉毛細管性流 動將液體轉送至一共同部位。該通道在某點交連,然後 二者以類似電橋迴路之方式排列。藉著選擇迴路臂之水 阻力,流體可被控制地穿過橋。 1994年4月5日頒發且以”毛細管性流動裝置"為名稱 之美國專利5,300,779號記載一種在與試劑混合之檢體中 測量被分析物之方法及裝置,該裝置界定流動途徑。藉 凝集之特異性結合可以改變流速、流動介質之光圖案、 或光之吸收或散射,因而允許目標被分析物之測量。 在1992年5月5日頒發且以”多·被分析物裝置"為名稱 之美國專利5,110,724號中,所記載之發明為在一滴大小 之血液檢體中測定多個被分析物之測定裝置。分配器藉 著血液檢體之毛細管性流動通過篩分及分佈小格,而將 小體積血液檢體分布至多個傳送部位,該篩及分布小格 在當檢體流體向傳送部位移行時會將血球與血漿分離。 裝置中之測試板攜帶多個吸收墊片,其各個含有供檢測 本紙張尺度逋用中國國家標準(CNS) Α4規格(2丨〇><297公釐) ---------.装— (請先閲請背面之注意事項再填寫本頁) 訂 經濟部中央標準局負工消費合作社印装 468 046 經濟部中央標準局員工消费合作社印製 Α7 Β7 五、發明説明(3 ) 選定被分析物用之試劑成分。測試板被安裝在分配器上 而朝向傳送位置,在該處勢片之暴露表面區與缔合之檢 體-傳送部位接觸,以將檢體流體從該部位同時傳送至 支持物中之墊片。 在發明名稱為「供測量"活化部份促凝血酶原激酶時 間"(APTT)之毛細管性流動裝置及方法」之美國專利 5,039,617號中,記載之發明藉著將檢體施加至含能發動 APTT分析之試劑之毛細管中而對全血檢體測量"活化 部份促凝血酶原激酶時間”(APTT),其中凝血時間係藉 在毛細管中血液停止流動而測量》此為血液凝固危險評 估之一例。 在發明名稱為"包含一濾器及一離開濾器之毛細管性 流動通道之血液分離裝置”之美國專利4,753,776號中, 記載一種將血漿與紅血球分離之方法。在該法中,血漿 從濾器移至裝置之反應區之驅動力為毛細管提供之毛細 管動力。該濾器選自具特定特徵之玻璃微纖維濾器。 1992年8月4日頒發且發明名稱為包含一濾器及一離 開滤器之毛細管性流動通道之血液分離裝置"之美國專 利5,135,719號記载一相似之發明,其中玻璃纖維滤器用 直徑為0.10至7.0微米之纖維製造。 在1984年5月8曰頒發且發明名稱為”應用毛細管中之 光學纖維之螢光免疫測定,,之美國專利4,447,546號中’ 記載一具有精確直徑之短毛細管,其内有軸向配置之光 學纖維,以及單層之抗體抗原複合物成分被固定於其上 本紙張尺度適用中國國家標準(CNS) Μ規格(21〇χ297公釐> (請先閱讀背面之注意事項再填寫本頁) " 1 6 8 046 A7 B7 五、發明説明(4 ) 。該管被浸潰在檢體中。 1997年3月^日頒發且發明名稱為"進行特異性結合 測定之方法及裝置"之美國專利5 61〇,〇77號記裁熟知之 抗體-抗原結合測定。含有被分析物(受試物質)之檢體 (a)與會和受試物質結合之抗體(b)混合,該抗體被固定 在一固體支持物上,以及受試物質之另一抗體(c)與可檢 測標記結合,藉此在(b)、受試物質與間形成複合物 以及使標記被固定及被檢測。 在1990年7月24日頒發且發明名稱為"侧流式非吸水 性膜測定法"之美國專利4,943,522號中,記載之發明為 供進行特異性結合配對測定(諸如免疫測定)之方法及裝 置,試驗基材為多孔膜,其上結合配對之一成員被固定 在"指示區"中《施加檢體並讓其側向流經指示區以及 檢體中之任何被分析物將與上述被固定的特異性結合用 成員複合及被檢測。一新穎檢測方法為利用複合物 (complex)中可見粒子之截留,例如血液之紅血球可被用 做檢測複合物用之可見粒子。 從全血檢體分離紅血球之方法之一例記載於1992年6 月2日頒發之美國專利5,118,428號專利中,其發明名稱 為"從全血檢體移除紅血球之方法"。在該被記載之發 明中,用含酸之溶液將紅血球從全血檢體移除。然後藉 過濾、離心或澤析之步驟將凝集之紅血球從生成之懸浮 液中移除,留下大體不含紅血球之血清或血漿檢體。 在發明名稱為"定量分析裝置及方法"之美國專利 本紙張尺度適用宁國國豕標华(〇阳)八4規格(210'(?<297公整) --------κ \策丨— (請先閲讀背面之注意事項再填寫本頁) h 訂 經濟部中央榡準局貝工消費合作衽印裝 d 6 8 046 A7 B7 經濟部中央標準局負工消費合作社印裝 五、發明説明(5 ) 5,〇73,484號中,被分析物沿著液體流徑被測量,該流徑 包括許多沿著該流徑分布之隔開反應區。利用檢測構件 檢測反應區中之被分析物、反應劑或預定產物,檢測到 區域之數目指示液體中被分析物之量。 在19 8 6年7月16日頒發且發明名稱為”供測定全血中 被分析物用之測試載體”之美國專利5,536,470號中,紅 血球無法從血液檢體施加侧進入檢測側,以及在檢測侧 由於分析反應,發生光學可檢測之變化β 目前被分析物之測量及/或檢測之單一步驟法有一嚴重 缺陷,即其只提供定性結果而無法提供定量結果。亦即 被分析物之存在與否可以測知,但檢體中被分析物之實 際量或濃度仍是未知。本發明之測定法,由於是以可測 定之體積進行試驗,所以能提供定量結果。在先前技藝 之方法中’既然流體必須流洗過試驗用長條片,所以在 反覆試驗中對於受試檢體之確切體積不可能有一致性之 結果0 使用層析長條片及玻璃纖維長條片之先前技藝方法需 要較大初始體積之生物檢體,以將蛋白質及標記固定在 長條片上。此當生物流體為血液時尤真以及血漿必須先 自血液檢體分離。本發明之裝置及方法之一優點為可用 非常小量的流體檢體測量一種或以上被分析物。本發明 之測定方法及裝置之另一優點為受試體積可為恆定,所 ..以反覆測試將能得到定量數據,而可在複數個檢體間或 一檢體内直接比較。 -8- .本紙張尺度適用中國國家標準(CNS ) A4規格(210X297公釐) I---------i.¥.-- ./ . {請先閲讀背面之注意事項再填寫本頁) 訂 經濟部中央標準局員工消費合作社印製 4 68 046 A7 ____________B7___ 五、發明説明(6 ) 本發月之#冑點為其測定裝置及方法允許在流體檢 to·之測定期間,將血漿從全血分離出。換言之,在測定 檢體4前無需先將血液之血球成分分離出。此為一重要 優點因為此像得該測定可被用於病人照護場所,例如 病人本身使用,或者在病人之床邊或醫師診察室使用。 在本發明之較佳實施例中,本發明之裝置及測定方法提 供種通用照護場所的平台,其適合用於對一種或以上 流體檢體進行一種或以上診斷或預後測定。 發明之概 按照本發明之一方面,提供一種從生物檢體分離出流 體成分之方法。在一實施例中,讓生物檢體與一群微球 體接觸,以及當流體部份藉著毛細管作用流經微球體時 將流體成分從檢體中分離出。在另一實施例中,使用具 不均勻尺寸及/或形狀之粒子替代微球體而將流體部份 從生物檢體中分離出。 按照本發明之一方面,提供一種定量測定方法及裝置 ’以用照護場所的測定方法及裝置測量流體檢體中之— 種或以上被分析物》測定方法及裝置被設計成供病人本 身使用或者在病人之床邊或醫師診察室使用。測試結果 用適當的分析器分析,以及需要時測試結果可藉數位傳 輸系統傳輸’以允許數據由不在場之專業人員進一步評 估。 微球體或其他粒子之作用為一種動態性濾器,以萃取 或隔開流體部份而使其與非流體部份分離《通道可能為 •9_ 本紙張尺度ί用中國國家標準|〇«7八4規格(210X297公釐) —- (請先Μ讀背面之注意事項再填寫本頁〕 訂 468046 經濟部中央標準局負工消費合作社印裝 A7 B7 五、發明説明(7 ) 暫時性的,既然珠粒在分離步驟期間顯示運動性。所以 迅速、瞬間之毛細管萃取藉著微球體或粒子間之間隙空 間形成之暫時性毛細管性通道所創立之動態性毛細管滤 器達成。 在本發明之一方面,提供一種以即時方式測試小體積 生物檢體(包括血液)之測定方法及手提式測定裝置。在 本發明之另一方面’提供一種測試生物流體檢體之方法 及裝置’其中測試一致體積之生物流體檢體中之一種或 以上被分析物,以及從該測試獲得之數據被用於收集及 編纂與例如一特定病症有關之資料庠^最終,收集到之 數據被用於邏輯演算神經網路,該演算可根據任何既定 受試個體之個別測試結果’以及提供診斷及/或預後資 訊。 按照本發明另一有關血液分析之方面,藉著讓全血暴 露於微球形珠粒’且該珠粒允許血漿藉著毛細管作用通 過微球體間形成之空間但不允許血球成分通過,而可將 血液之血球成分與血漿分離。本發明並不限於將血液中 之血球與血漿分離,而是包括更寬廣之應用,其中微球 形珠粒可被用於在生物流體中將流體成分與細胞成分分 離。微球形珠粒可有效地做為流體濾器。 按照本發明之另一方面,提供一種在檢體中將血漿從 血液中分離出之裝置。該裝置包含複數個以毗連關係配 置之微球體以及在其間形成複數個毛細管通道,藉此當 极球體被配置在具血液檢體之流體通路中時,生物檢體 本紙張尺度適用中國國家標準(CNS ) A4規格(210X297公釐) (請先閲讀背面之注意事項再填寫本頁) 訂 4 6 8 0 4 6 經濟部中央標率局負工消費合作社印裝 A7 B7 五、發明説明(8 ) 之血球成分及血漿成分藉著血漿成分之毛細管性流動, 通過毗連微球體間之間隙空間所形成之毛細管通道而被 分開。 按照本發明之再一方面,提供一種裝置,其在較大微 球體組成之分離區中包含複數群之較小微球體,該較小 微球體各以不同的標記浸潰以及分散在較大微球體間。 微球體可具有大體相同的直徑,或者不同的直徑。所選 擇微球體之尺寸係根據檢體之黏度或期望排除或分離之 成分之尺寸來決定。 按照本發明之另一方面,微球體以流體可通透物物質 捆紮成束,或者微球體藉通過其之流體(例如血漿)之表 面張力而維持毗連關係。按照本發明之再一方面,將微 球形珠粒(或簡稱為微球體)在裝置之表面乾燥。 按照本發明之另一方面,裝置包含相鄰至液體入口之 檢體架及微球體置於檢體架上。 按照本發明之另一方面,裝置包含複數個較小微球體 ,該較小微球體用至少一種標記浸潰以及分散在複數個 較大微球體間,以致較小微球體佔據較大微球體間之間 隙空間,當流體流經較大微球體間之間隙空間時該標記 被釋出至流體中。在較大微球體組成之分離區中可能有 複數群之較小微球體,該較小掇球體各以不同的標記浸 潰以及分散在較大微球體間。另一替代方式為當流體沿 著較大微球體形成之毛細管通道流動時,該較小微球體 可被流體移動及攜帶向前。 -11 - 本紙張尺度適用中國國家標準(CNS ) A4規格(210X297公釐)Printed by the Central Samples Bureau of the Ministry of Economic Affairs, Shellfish Consumer Cooperative, A7 ------------ B7 V. Description of the invention (1) Worry about 3L This invention relates to the use of appropriate small particles such as microspheres And analyte-specific labeling, a device that separates fluid components (such as plasma) from biological specimens (such as blood). The invention also relates to a device and method for quantitatively determining the amount of an analyte present in a biological stream. The present invention also relates to a method and a device for measuring radon, which measure one or more analytes in a biological fluid specimen using a measurement method and a device in a care place. The specimen may be a suspension prepared to test one or more microorganisms. The test results can be analyzed by a suitable analyzer, and the measurement results can be transmitted by a digital transmission system when necessary to allow further evaluation of the data. Background of the moon landing There are many examples of single-step determination of analytes in fluids. A commonly used measurement is a pregnancy test device, which involves contacting a urine specimen with a test patch, and the urine moves along the absorbent chromatography strip by capillary flow. The reagents in the film reacted to detect the presence of human chorionic gonadotropin (HCG) (usually indicated by colored lines). This is an example of a chromatographic assay. U.S. Patent No. 5,766,961 issued on June 16, 1998 and U.S. Patent No. 5,770,460 issued on June 23, 1998 both use "single step side flow non-absorbent measurement" as the name ^ " non-absorbent side flow " Refers to the dissolved or dispersed component of the liquid in the liquid stream (not permanently retained or removed by the furnace) being carried at approximately the same rate and flowing relatively unhindered across the stabilized membrane. This is different from the case where one or more ingredients are preferred to be absorbed or ingested in one or more ingredients (such as in a chromatographic structure) This paper size applies the Chinese National Standard (CNS) A4 specification (210X297 mm) (please Read the precautions on the back before filling in this page). Policy · 4 6 8 0 4 6 A7 ____B7 _-5. Description of the invention (2). In a single-step measurement, specimens (possibly containing the target analyte) are collected in the "sample storage area", and the specimens flow from this area to the " marked area " (&Quot; Determination marker ") An analyte-specific binding reagent coupled to the sample then flows to the " retention zone " where the analyte bound to the visible portion is retained. In July 1996 The invention described in US Patent No. 5,540,888 issued on the 30th and named "Liquid Transfer Measurement Device" is a device for biochemical diagnostic measurement. It includes two liquid flow channels made of porous material. After the liquid is simultaneously added to the end of the channel, the liquid is transferred to a common location by capillary flow. The channel is connected at a certain point, and then the two are arranged in a manner similar to a bridge circuit. By selecting the water resistance of the loop arm, fluid can be controlled to pass through the bridge. U.S. Patent No. 5,300,779, entitled "Capillary Flow Device", issued on April 5, 1994, describes a method and device for measuring an analyte in a specimen mixed with a reagent. The device defines a flow path. By agglutination The specific binding can change the flow rate, the light pattern of the flowing medium, or the absorption or scattering of light, thus allowing the measurement of the target analyte. Issued on May 5, 1992 and named "Multi-Analyte Device" as In the titled US Patent No. 5,110,724, the invention described is a measuring device for measuring a plurality of analytes in a drop-sized blood sample. The dispenser distributes a small volume of blood specimens to multiple delivery sites by capillary flow of blood specimens through the screening and distribution cells. Blood cells are separated from plasma. The test board in the device carries a plurality of absorbing pads, each of which contains a standard for detecting the size of this paper (Chinese National Standard (CNS) A4) (2 丨 〇 < 297 mm) -------- -. 装 — (Please read the notes on the back before filling out this page) Order printed by the Central Standards Bureau of the Ministry of Economic Affairs and Consumer Cooperatives 468 046 Printed by the Central Standards Bureau of the Ministry of Economic Affairs and Consumer Cooperatives Α7 Β7 V. Description of the invention (3 ) Select the reagent components for the analyte. The test board is mounted on the dispenser and faces the transfer position, where the exposed surface area of the potential strip is in contact with the associated specimen-transfer site to simultaneously transfer the specimen fluid from the site to the pad in the support. . In U.S. Patent No. 5,039,617 entitled "Capillary Flow Device and Method for Measuring " Activated Partial Prothrombin Kinase Time " (APTT)", the invention is described by applying a specimen to an energetic material. Measure the whole blood specimen in the capillary of the reagent that initiates the APTT analysis " Activated partial thromboplastin time " (APTT), where the clotting time is measured by the blood in the capillary stopping flow An example of evaluation. In US Pat. No. 4,753,776 entitled "A blood separation device comprising a filter and a capillary flow channel leaving the filter", a method for separating plasma from red blood cells is described. In this method, the driving force for moving plasma from the filter to the reaction zone of the device is the capillary power provided by the capillary. The filter is selected from glass microfiber filters with specific characteristics. A similar invention is described in U.S. Patent No. 5,135,719 issued on August 4, 1992 and named as a blood separation device including a filter and a capillary flow channel leaving the filter. The diameter of the glass fiber filter is Manufactured from 0.10 to 7.0 microns. In U.S. Patent No. 4,447,546, issued on May 8, 1984 and entitled "Fluorescent Immunoassay for Optical Fibers in Capillaries," a short capillary tube with a precise diameter is described, which contains optically arranged axially. Fibers and monolayer antibody-antigen complex components are fixed on it. The paper size applies Chinese National Standard (CNS) M specifications (21〇297 mm). (Please read the precautions on the back before filling this page) & quot 1 6 8 046 A7 B7 V. Description of the invention (4). The tube was immersed in the specimen. Issued on March ^ 1997 and the name of the invention is " Method and Device for Specific Binding Assay " US Pat. No. 5,61,07,77 discloses a well-known antibody-antigen binding assay. A specimen (a) containing an analyte (test substance) is mixed with an antibody (b) that binds to the test substance, and the antibody is Immobilized on a solid support, and another antibody (c) of the test substance is bound to a detectable label, thereby forming a complex between (b), the test substance and the substance, and the label is fixed and detected. Issued on July 24, 1990 and The invention is described in US Pat. No. 4,943,522, “Side Flow Non-Absorbent Membrane Assay”. The invention is described as a method and device for specific binding pairing assays (such as immunoassay). The test substrate is a porous membrane. , One of the members of the binding pair is fixed in the "instruction area", "applying a specimen and letting it flow sideways through the indication area and any analyte in the specimen will be used in combination with the specific immobilization mentioned above" Members are compounded and detected. A novel detection method is to use the retention of visible particles in the complex, for example, red blood cells of blood can be used to detect the visible particles of the complex. An example of a method for separating red blood cells from a whole blood specimen It is described in U.S. Patent No. 5,118,428 issued on June 2, 1992, and its invention name is "Method of Removing Red Blood Cells from a Whole Blood Sample". In the recorded invention, an acid-containing The solution removes red blood cells from the whole blood specimen. Then the agglutinated red blood cells are removed from the resulting suspension by filtration, centrifugation, or decantation, leaving blood that is substantially free of red blood cells Clear or plasma specimens. In the US patent entitled "Quantitative Analysis Device and Method", the paper size is suitable for Ning Guoguo Biaohua (〇 阳) 8 4 specifications (210 '(? ≪ 297)) -------- κ \ 策 丨 — (Please read the precautions on the back before filling out this page) h Order the printed materials for the consumer cooperation of the Central Bureau of Standards of the Ministry of Economic Affairs d 6 8 046 A7 B7 Central of the Ministry of Economic Affairs Printed by the Standards Bureau Consumer Cooperatives V. Invention Description (5) 5, 073,484, the analyte is measured along the liquid flow path, which includes a number of spaced reaction zones distributed along the flow path. The detection member is used to detect an analyte, a reactant, or a predetermined product in the reaction zone, and the number of detected zones indicates the amount of the analyte in the liquid. In US Patent No. 5,536,470, issued on July 16, 1986 and entitled "Test Carrier for Determining Analytes in Whole Blood", red blood cells cannot enter the detection side from the blood specimen application side, and Due to the analytical reaction, an optically detectable change has occurred. Β The current single step method of measuring and / or detecting an analyte has a serious drawback, that is, it only provides qualitative results and cannot provide quantitative results. That is, the presence or absence of the analyte can be measured, but the actual amount or concentration of the analyte in the specimen is still unknown. The measurement method of the present invention can provide quantitative results because the test is performed with a measurable volume. In the method of the prior art, 'Since the fluid must flow through the test strip, it is impossible to have consistent results for the exact volume of the test subject in repeated tests. 0 Use of chromatographic strips and glass fiber length Prior art methods of strips required larger initial volumes of biological specimens to fix proteins and labels on long strips. This is especially true when the biological fluid is blood and the plasma must first be separated from the blood sample. One advantage of the device and method of the present invention is that one or more analytes can be measured with a very small amount of fluid specimen. Another advantage of the measurement method and device of the present invention is that the test volume can be constant, so quantitative data can be obtained by repeated testing, and can be directly compared among multiple specimens or within one specimen. -8-. This paper size applies to China National Standard (CNS) A4 (210X297mm) I --------- i. ¥ .-- ./. {Please read the notes on the back before filling (This page) Order printed by the Consumer Cooperatives of the Central Standards Bureau of the Ministry of Economic Affairs 4 68 046 A7 ____________B7___ V. Description of the invention (6) The # 胄 point of this month is its measuring device and method. During the measurement period of the fluid inspection, Plasma is separated from the whole blood. In other words, it is not necessary to separate the blood cell components before measuring the specimen 4. This is an important advantage because the image can be used in a patient care setting, such as the patient himself, or at the patient's bedside or in a physician's office. In a preferred embodiment of the present invention, the device and measurement method of the present invention provide a platform for a general care site, which is suitable for performing one or more diagnostic or prognostic measurements on one or more fluid specimens. Summary of the Invention According to one aspect of the present invention, a method for separating a fluid component from a biological specimen is provided. In one embodiment, the biological specimen is brought into contact with a group of microspheres, and the fluid components are separated from the specimen when the fluid portion flows through the microspheres by capillary action. In another embodiment, instead of microspheres, particles with non-uniform size and / or shape are used to separate the fluid portion from the biological specimen. According to one aspect of the present invention, there is provided a quantitative measurement method and device for measuring one or more analytes in a fluid specimen with a measurement method and device in a care place. The measurement method and device are designed for use by a patient or Use at the patient's bedside or physician's office. The test results are analyzed with a suitable analyzer, and the test results can be transmitted via a digital transmission system when needed 'to allow the data to be further evaluated by non-existing professionals. The role of microspheres or other particles is a dynamic filter to extract or separate the fluid part and separate it from the non-fluid part. "The channel may be • 9_ This paper size uses Chinese national standards | 〇« 7 八 4 Specifications (210X297mm) —- (Please read the notes on the back before filling in this page] Order 468046 Printed by the Central Standards Bureau of the Ministry of Economic Affairs and Consumer Cooperatives A7 B7 V. Description of the invention (7) Temporary, since the beads The particles show motility during the separation step. So rapid, instantaneous capillary extraction is achieved by a dynamic capillary filter created by temporary capillary channels formed by microspheres or interstitial spaces between particles. In one aspect of the present invention, A measurement method and a portable measurement device for testing a small volume biological specimen (including blood) in an instant manner. In another aspect of the present invention, a method and a device for testing a biological fluid specimen are provided, in which a biological volume of a uniform volume is tested. One or more analytes in a medical examination and the data obtained from the test are used to collect and compile information such as a specific disease Finally, the collected data is used in a logical algorithmic neural network, which can provide diagnostic and / or prognostic information based on the individual test results of any given test subject. According to another aspect of the invention, In terms of blood analysis, by exposing whole blood to microspherical beads, and the beads allow the blood plasma to pass through the space formed between the microspheres by capillary action but not the blood cell components, the blood cell components and blood plasma can be Separation. The present invention is not limited to separating blood cells from blood plasma, but includes a wider range of applications in which microspherical beads can be used to separate fluid components from cellular components in biological fluids. Microspherical beads can Effectively used as a fluid filter. According to another aspect of the present invention, a device for separating plasma from blood in a specimen is provided. The device includes a plurality of microspheres arranged in abutting relationship and a plurality of capillaries are formed therebetween. Channel, so that when the polar sphere is placed in a fluid path with a blood sample National Standard (CNS) A4 specification (210X297 mm) (Please read the notes on the back before filling out this page) Order 4 6 8 0 4 6 Printed by the Central Standards Bureau of the Ministry of Economic Affairs, Consumer Cooperatives, printed A7 B7 V. Description of the invention (8) The blood cell component and the plasma component are separated by capillary flow of the plasma component, and are separated by a capillary channel formed by adjoining a space between microspheres. According to another aspect of the present invention, a device is provided, which is relatively The separation zone composed of large microspheres contains plural groups of smaller microspheres, each of which is impregnated with different marks and dispersed among the larger microspheres. The microspheres may have substantially the same diameter, or different Diameter. The size of the selected microspheres is determined according to the viscosity of the specimen or the size of the components that are expected to be excluded or separated. According to another aspect of the present invention, the microspheres are bundled into bundles with fluid permeable material, or the microspheres Adhesion is maintained by the surface tension of the fluid (such as plasma) passing through it. According to yet another aspect of the present invention, microspherical beads (or simply microspheres) are dried on the surface of the device. According to another aspect of the invention, the device includes a specimen holder and a microsphere placed adjacent to the liquid inlet on the specimen holder. According to another aspect of the invention, the device includes a plurality of smaller microspheres, the smaller microspheres being impregnated with at least one marker and dispersed among the plurality of larger microspheres such that the smaller microspheres occupy the larger microspheres In the interstitial space, the mark is released into the fluid when the fluid flows through the interstitial space between the larger microspheres. In the separation region composed of larger microspheres, there may be plural groups of smaller microspheres, each of which is impregnated with different marks and dispersed among the larger microspheres. Another alternative is that as the fluid flows along the capillary channel formed by the larger microsphere, the smaller microsphere can be moved and carried forward by the fluid. -11-This paper size applies to Chinese National Standard (CNS) A4 (210X297 mm)
In n^i I.^¾ ^^^1 I- - - ^^^1 1· ^1« 、言 (請先閱讀背面之注意事項再填寫本頁) 經濟部中央標準局貝工消費合作社印製 468046 A7 -------B7____ 五、發明説明(9 ) 按照本發明之另一方面,提供—種包含指示器之装置 ’該指示器含有與測定結果相關之病人之身分資料’例 如可被條碼閱讀器閱讀之條碼。 按照本發明之另一方面,提供一種從生物檢體分離流 體之方法。該檢體具有流體成分及非流體成分,以及該 方法包含下列步驟: (a) 讓檢體流入具複數個微球體之流體通路,該等微 球體被配置成毗連關係並在其間形成複數個間隙空間, 該複數個間隙空間相連成毛細管通道,以及 (b) 當流體成分藉其毛細管性流動通過毛細管通道而 被分離時,收集該流體成分。按照本發明之另一方面, 提供一種利用下述裝置進行測定之方法,該裝置包含一 由相距毛細管距離之第一及第二相對面界定且具有流體 入口之毛細管小室,以及至少一種配置在毛細管小室内 之試劑’該方法包含下列步驟: 0)將流體檢體輪送至具流體入口之流體通路中,以 致流體檢體藉著毛細管作用被拉入毛細管小室並與試劑 反應,以及 ' (b)分析該試劑,以測定該試劑是否與流體檢體中之 被分析物結合。 ^ 按照本發明之另-方面,該法尚包含分析讀試劑以測 定與檢體結合之試劑之比例β 按照本發明之另—方面,該方法尚包含對—種戋以上 流體檢體進行複數種測定之複數個毛細管小室。按照本 12- ^紙&尺度適用中國國家標準(CNS> Α4規格( 210X297公釐) ---- (請先閲请背面之注$項#填寫本瓦) ,ιτ 經濟部中央標準局員工消費合作社印策 Α7 Β7 五、發明説明(1〇 ) 發明之另一方面,測試結果被記錄在電腦之資料庫中或 者可進一步應用於神經網路邏輯演算,以產生一種或以 上選定異常心常模。該測定尚包含將進行特徵分析之接 受器應用於此等數據之步驟,以決定此等數據在統計上 之意義。 按照本發明之另一方面,將芯子或毛細管送入含流體 檢體之流體通路,以從毛細管小室移除流體檢體。 按照本發明之另一方面,微球體被用於在生物流體中 將細胞成分與流體成分分離,例如將血漿從全血中分離 出,以及流體成分可在層析用試驗長條片中被測試。再 者本發明之微球形珠粒在標準硝基纖維素層析測定中, 除了可被用做過濾裝置外,還可被用作標記裝置。 在本文記載之本發明所有使用具界定形狀及尺寸之均 勻微球體之態樣中’該微球體可用下文將進一步說明之 具不同尺寸及/或形狀之不均勻粒子替代。舉例言之氧 化矽砂可被用於取代聚苯乙晞微球形珠粒β其他適當的 粒子對於將因本發明而獲益之技藝之當案人士而言為已 知0 此等較佳實施例之更詳細說明記載在下文之「較佳實 施例之詳細說明」及附圖中。 1式之簡要說明 為了說明本發明,用圖顯示較佳形式,不過非意欲將 本發明限於所示之精確排列及構造》本發明將參照附圖 詳細說明,其中相同數字表示在數個圖中之相同部分。 n^i mt tn ^^^1 I (請先閲讀背面之注意事項再填寫本頁〕 訂 -13-In n ^ i I. ^ ¾ ^^^ 1 I---^^^ 1 1 · ^ 1 «, words (please read the notes on the back before filling this page) System 468046 A7 ------- B7____ V. Description of the invention (9) According to another aspect of the present invention, a device including an indicator 'the indicator contains the identity information of the patient related to the measurement result' is provided, for example A barcode that can be read by a barcode reader. According to another aspect of the present invention, a method for separating a fluid from a biological specimen is provided. The specimen has a fluid component and a non-fluid component, and the method includes the following steps: (a) allowing the specimen to flow into a fluid pathway having a plurality of microspheres, the microspheres being configured in abutting relationship and forming a plurality of gaps therebetween. Space, the plurality of interstitial spaces are connected into a capillary channel, and (b) when the fluid component is separated by its capillary flow through the capillary channel, the fluid component is collected. According to another aspect of the present invention, there is provided a method for measuring using a device including a capillary chamber defined by first and second opposite surfaces spaced from a capillary and having a fluid inlet, and at least one kind of capillary chamber disposed on the capillary. Reagents in the chamber 'The method includes the following steps: 0) The fluid specimen is wheeled into a fluid path with a fluid inlet, so that the fluid specimen is drawn into the capillary chamber and reacts with the reagent by capillary action, and' (b ) Analyze the reagent to determine whether the reagent is bound to the analyte in the fluid sample. ^ According to another aspect of the present invention, the method further includes analyzing the reading reagent to determine the ratio of the reagent bound to the specimen β. According to another aspect of the present invention, the method further comprises performing a plurality of fluid samples of more than one species Multiple capillary chambers were measured. Applicable to Chinese National Standards (CNS > A4 specifications (210X297mm) in accordance with this 12- ^ paper & standard) ---- (Please read the note on the back, please fill in the entry #), staff of the Central Bureau of Standards, Ministry of Economic Affairs Consumption cooperatives India policy A7 B7 V. Description of the invention (10) In another aspect of the invention, the test results are recorded in a computer database or can be further applied to neural network logic calculations to produce one or more selected abnormal moods The determination also includes the step of applying a characteristic analysis receiver to the data to determine the statistical significance of the data. According to another aspect of the invention, the core or capillary is fed into a fluid-containing test. To remove the fluid sample from the capillary chamber. According to another aspect of the present invention, microspheres are used to separate cellular components from fluid components in biological fluids, such as separating plasma from whole blood, And the fluid composition can be tested in chromatography test strips. In addition, the microsphere beads of the present invention can be used as a filtration device in a standard nitrocellulose chromatography assay. It can also be used as a marking device. In all aspects of the invention described herein that use uniform microspheres with defined shapes and sizes, the microspheres can be used with non-uniformities of different sizes and / or shapes, which will be described further below. Particle replacement. For example, silica sand can be used to replace polyphenylene terephthalate microsphere beads. Β Other suitable particles are known to those skilled in the art who will benefit from the present invention. A more detailed description of the preferred embodiment is described in the following "Detailed Description of the Preferred Embodiment" and the accompanying drawings. Brief Description of Formula 1 In order to illustrate the present invention, the preferred form is shown in the drawings, but it is not intended to limit the present invention to The precise arrangement and structure shown "The present invention will be described in detail with reference to the drawings, in which the same numbers represent the same parts in several figures. N ^ i mt tn ^^^ 1 I (Please read the precautions on the back before filling in this Page] Order-13-
8 046 A7 B7 經濟部中央標準局員工消費合作社印裝 五、發明説明(11 ) 圖1為本發明裝置之一實施例之分解透视圖。 圖2為圖1例示說明之較佳實施例沿著線1A_1A之縱向 剖面圖。 圖2Α為圖2例示說明之裝置從透視線2Α-2Α取得之端 面圖。 圖3為實例1所述實施例之侧面圖,其例示說明當開始 形成捲曲時蓋物片與珠粒之關係。 圖4亦為實例1所述實施例之侧面圖,其例示說明形成 後之捲曲。 圖5為實例1所述實施例之另一侧面圖,其例示說明蓋 物片與顯微鏡載物片上之珠粒之相對位置。 圖6為實例1所述實施例之頂面圖。 圖7為實例2所述實施例之侧面圖,其例示說明標記整 變型。 圖7 Α為實例2所述另一實施例之側面圖,其例示說明 用微球形珠粒置換標記墊片。 圖8例示說明神經網路危險性分析試驗之預測試驗結 果之R 0 C曲線之-一例。 圖9為使用低倍顯微鏡得到之放大4〇〇倍之顯微照片, 其顯示被施加至生檢用薄片之架子上之未經分離之酸乳 酿之外觀》 圖1 〇為使用低倍顯微鏡得到之放大400倍之顯微鏡照 片’其顯示圖9所見之酸乳酪在用具15微米直握之微球 形珠粒分離後之流體部分。 -14- 本紙張尺度適用中國國家標準(CNS > A4*L格(210X297公釐) (請先閱讀背面之注意事項再填寫本頁) 訂 A7 468046 B7 ---- : -- 五、發明説明(12 ) 圖11為使用低倍顯微鏡得到之放大400倍之顯微照片 ,其顯示圖9所見之酸乳酪在用具1〇微米直徑之微球形 珠粒分離後之流體部分。 圖12圖為使用低倍顯微鏡得到之放大400倍之顯微照 片,其顯示被施加至生檢用薄片之架子上之未經分離之 大腸桿菌及麵包懸浮液之外觀。 圖13為使用低倍顯微鏡得到之放大400倍之顯微照片 ,其顯示圖12所見之大腸桿菌/麵包懸浮液在用具15微 米直徑之微球形珠粒分離後之流體部分。 圖14為使用低倍顯微鏡得到之放大400倍之顯微照片 ’其顯示被施加至生檢用薄片之架子上之未經分離之牛 糞之外觀" 圖15為使用低倍顯微鏡得到之放大4〇〇倍之顯微照片 ,其顯示圖14所見之牛糞在用具15微米直徑之微球形珠 粒分離後之流體部分。 圖16為使用低倍顯微鏡得到之放大4〇〇倍之顯微照片 ,其顯示圖14所見之牛糞在用具10微米直徑之微球形珠 粒分離後之流體部分。 圖17為使用低倍顯微鏡得到之顯微照片,其顯示被施 加至生檢用薄片之架子上之氧化矽砂以及顯示丨毫米標 尺’以說明氧化矽砂顆粒之尺寸。 圖18為使用低倍顯微鏡得到之放大〇倍之顯微照片 ’其顯示圖12所見之大腸桿菌/麵包懸浮液在用氧化矽 砂顆粒分離後之流體部分。 -15- 本紙張適用宁國國家標準(CNS ) Α4規格(21^ 297公釐)_ f請先閲請背面之注意事項再填寫本頁) 策_ 訂 經濟部中央標準局員工消費合作社印裝 468046 經濟部中央標準局貝工消費合作社印袈 A7 B7 五、發明説明(13) 圖19為使用低倍顯微鏡得到之放大4〇〇倍之顯微照片 ,其顯示圖14所見之牛糞在用氧化矽砂顆粒分離後之流 體部分。 較佳實施例之詳細說明 本發明係關於一種用微球形珠粒或粒子將流體成分從 生物檢體中分離出之方法》本發明尚關於一種分析生物 流*體檢體中是否存在被分析物之裝置及方法。本發明亦 關於一種精確定量生物流體檢體中一種或以上被分析物 之存在量。另一方面’本發明也可以提供定性而非定量 之結果。本發明尚關於一種可判讀試驗結果及可被用於 進一步鑑定病人或動物罹患或未來可能罹患某些病症之 測定。本發明亦關於一種預後測定技術,其中本發明界 定之試驗結果可被用於預測病人或動物未來出現某一病 症或病態之可能性。 雖然本文所述之較佳實施例係說明有關人類生物性檢 體之測試,但應了解該測定及方法可被同樣用於評估其 他動物之生物性檢體《更特定而言,本發明顯然在獸醫 服務方面具應用性》再者,在本說明書中所用之術語「 流體檢體」意欲被廣泛解讀為包括懸浮液以及流體部分 可藉流體流動及/或毛細管作用而被分離之其他檢體。 在具有流體成分及非流體成分乏生物流體檢體中,含 有本發明感興趣之被分析物之流體成分可被用於測量下 列任一者(單獨或其組合): a)檢體中被分析物之存在, -16- 本紙張尺度適用中國圉家標準(CNS ) A4規格(210X297公釐 ---------/、笨— <請先聞讀背面之注Ϊ項再填寫本頁) 訂. A7 4 6 8 0 4 6 B7 五、發明説明(14 ) b) 檢體中被分析物之不存在, c) 檢體中被分析物之濃度, ^^1- ^^^1 —ϋ IΓ·*·^^ υ— n [Hr 1 JJ. (請先閲讀背面之注意事項再填寫本頁) d) 檢體中被分析物之量。 可藉本發明之測定及裝置測量之適當被分析物包括可 溶性被分析物(包括但非限於):酶、蛋白質、細菌、病 毒、抗原、抗體、免疫球蛋白、藥物及激素。其他適當 的被分析物為熟習本技藝者已知者。本發明之測定及裝 置可被用於檢測及測量人類生物檢體中之濫用藥物例如 增加表現之藥物或其他街市藥物。 一些生物檢體可在未先將細胞成分離出下被測定;不 過,例如.在血液之情況_,細胞成分會干擾測定。在生物 檢體之情況,若需要或為得較佳效果而須在測定之前移 除細胞成分時,必須先將流體成分與任何細胞成分分離 。例如在血液之情況,需要將血聚從全血中分離出,以 致血液之細胞成分不會干擾血漿中存在之被分析物之測 試。 經濟部中央標準局員工消費合作社印裝 在本發明中驚人地發現,藉著將檢體施加至微球形珠 粒群可以將生物檢體之流體成分與非流體成分分離。當 施加檢體時,流體成分將在微球形珠粒間流動,藉此以 簡單有效之方式將其與細胞成分分離。當流體成分藉著 毛細管作用移動通過群集珠粒間所形成之空間時,珠粒 係做為將流體成分與非流體成分分離之構件。所以在血 液之情況,血衆與血液檢體中之血球分離。在本發明中 驚異地認知到微球體具有將血漿從全血中快速有效分離 -17- 本紙張尺度適用中國國家標準(CNS > A4規格(2I0X297公釐) 經濟部中丧標準局負工消費合作社印製 ^ 6 Β Ο 4 6 Α7 -------5!_ 五、發明説明(15 ) 出之能力。 就本專利申請案之目的而言,珠粒間之空間被稱為" 間隙空間’’ 4 "孔"。咸信流體藉毛細作用從一間隙空 間流至下一個。 在本申請案中’流體通過珠粒間隙空間之流動如同沿 ,珠粒間空間所形成之通道流動。該通道被稱為”毛細 f通道,因為流體顯然藉"毛細管"作用在珠粒間流 動。 當微球體被群集在—起時,在微球形珠粒間形成間隙 芏間。微球體間所形成之空間之尺寸為微球體之曲面半 徑之函數。就本發明之目的言之,該曲面之半徑與微球 體之直徑相同。為了解微球形珠粒之尺寸與珠粒間所形 成孔之尺寸間之關係,已知微球體直徑與孔直徑之比率 為約1 : 0.4。在從全血分離出血漿之例中,4微米之孔 尺寸被認為最適當。所以,對該特定實施例而言,珠粒 尺寸應為10微米。此允許流體溶液流動,但仍能阻止細 胞通過孔。當流體存在時,珠粒間形成之小空間提供某 種毛細現象11 亦已驚異地發現具不均勻尺寸及形狀之粒子亦能按照 本文所教示之本發明原理運作。不均勻粒子之特殊例被 記载在下文實例7中。應了解關於微球珠粒之以下說明 所教示之原理亦可應用於其他相似分離粒子諸如氧化發 $其他對等物之使用。 在.本,:發明中’微球體之使用為將血裝從全血中分離出 -18- 本紙張尺度適用中國國家標準(CNS ) A4规格(210X297公釐) ί請先閲请背面之注意事項再填寫本頁) 笨. 丁 . 經濟部中央標準局貝工消費合作社印裝 468 046 A7 --------— B7 五、發明説明(16 ) 之便苴、有效構件,因為血液中之紅血球及白血球將滯 留在珠粒之一側,而血液檢體之血漿部分將藉著毛細管 樣作用’沿著珠粒間形成之間隙空間或孔通過珠粒。在 本發明中觀察到之毛細管作用被認為與微球體對流體施 加之表面張力有關,以致將流體向前拉。當流體在微球 體之間被拉向前時’其提供使微球體區存在之任何試劑 移動之額外優點。舉例言之,微球體可用第二抗體或另 —檢測分子浸潰。 微球形珠粒為有效之流體濾器,因此可被用在任何場 所只需簡單流體過濾、分離或分隔之測定中。既然咸信 微球體可藉毛細管作用過濾,而將流體成分與非流體成 分分離或分隔,微球體濾器可被稱為毛細管濾器以及該 名詞在本文中係被用於該目的。該毛細管濾器為一種動 態滤器’因為在顯微鏡下可見到珠粒在分隔流體成分期 間會移動》—些珠粒移動,其他則保持不動,不過在顯 微鏡下觀察到珠粒整體移動。預期隨著珠粒之移動,一 些毛細管通道將關閉以及其他將開放。就此意義而言, 毛細管通道可能為暫時性的。亦預期珠粒或粒子間之間 隙空.間在分隔流體期間,隨著珠粒或粒子之移動顯示相 同的暫時性。 微球體上例如藉著吸附或偶合可結合有被分析物-特異 性抗體。當含血漿之流體通過微球體形成之毛細管通道 時’被分析物將使微球體上所含之第二抗體移動,然後 與生檢用薄片(biochip)中所含之第一抗體反應。不過, -19- 本紙張尺度適用^國國家標準(〇奶)八4規格(210父297公疫) " {請先閲讀背面之注意Ϋ項再填寫本頁) 袈·8 046 A7 B7 Printed by the Consumer Cooperatives of the Central Standards Bureau of the Ministry of Economic Affairs 5. Description of the invention (11) Figure 1 is an exploded perspective view of an embodiment of the device of the present invention. Fig. 2 is a longitudinal sectional view of the preferred embodiment illustrated in Fig. 1 along line 1A_1A. Fig. 2A is an end view of the device illustrated in Fig. 2 taken from perspective lines 2A-2A. Fig. 3 is a side view of the embodiment described in Example 1, which illustrates the relationship between the cover sheet and the beads when curling starts. Fig. 4 is also a side view of the embodiment described in Example 1, which illustrates curling after formation. Fig. 5 is another side view of the embodiment described in Example 1, which illustrates the relative positions of the coverslips and the beads on the microscope slide. FIG. 6 is a top view of the embodiment described in Example 1. FIG. Fig. 7 is a side view of the embodiment described in Example 2, illustrating a mark modification. Fig. 7A is a side view of another embodiment described in Example 2, which illustrates the replacement of a marker gasket with microsphere beads. Fig. 8 illustrates an example of the R 0 C curve illustrating the prediction test result of the neural network risk analysis test. Fig. 9 is a magnified 400 times photomicrograph obtained using a low magnification microscope, showing the appearance of unseparated yogurt made on a shelf of a biopsy sheet. Fig. 10 is a low magnification microscope used. The obtained microscope picture at a magnification of 400 times' shows the fluid portion of the yogurt as shown in FIG. 9 after the microsphere beads with a 15-micron straight grip were separated. -14- This paper size applies to Chinese national standards (CNS > A4 * L (210X297 mm) (Please read the precautions on the back before filling out this page). Order A7 468046 B7 ----:-V. Invention Explanation (12) FIG. 11 is a microphotograph of 400 times magnification obtained by using a low magnification microscope, which shows the fluid portion of the yogurt as shown in FIG. 9 after the microsphere beads with a diameter of 10 micrometers are separated. A 400x magnification photomicrograph obtained using a low magnification microscope, showing the appearance of unisolated E. coli and bread suspension applied to a shelf of a biopsy sheet. Figure 13 is a magnification obtained using a low magnification microscope. A 400x photomicrograph showing the fluid portion of the E. coli / bread suspension seen in Figure 12 after separation of microsphere beads with a diameter of 15 microns. Figure 14 is a 400x magnified microscope obtained using a low magnification microscope Photo 'It shows the appearance of unseparated cow dung applied to the shelf of the biopsy sheet.' FIG. 15 is a 400 × magnified photomicrograph obtained using a low magnification microscope, which shows the cow dung seen in FIG. 14. Using 15 micron diameter microsphere beads after separation. Figure 16 is a 400x magnification photomicrograph obtained using a low magnification microscope, which shows the microspherical beads with 10 micron diameter of cattle feces seen in Fig. 14 The separated fluid part. Fig. 17 is a photomicrograph obtained using a low magnification microscope, showing silica sand applied to the shelf of the biopsy sheet and showing a millimeter scale to illustrate the size of the silica sand particles. Fig. 18 is a magnified photo taken at a magnification of 0 using a low magnification microscope, which shows the fluid portion of the E. coli / bread suspension seen in Fig. 12 after being separated with silica sand particles. -15- This paper is suitable for Ningguo country Standard (CNS) Α4 Specification (21 ^ 297 mm) _ f Please read the notes on the back before filling out this page) Policy _ Ordered by the Consumer Standards Cooperative of the Central Bureau of Standards of the Ministry of Economic Affairs, printed 468046 Cooperative Neem A7 B7 V. Description of the invention (13) Figure 19 is a magnified 4,000 times photomicrograph obtained using a low magnification microscope, which shows the oxidized silica sand particles of cow dung seen in Figure 14 Ilk portion after separation. Detailed Description of the Preferred Embodiments The present invention relates to a method for separating fluid components from biological specimens using microspherical beads or particles. The present invention also relates to a method for analyzing the presence of an analyte in a biological fluid * Device and method. The invention also relates to an accurate quantification of the amount of one or more analytes present in a biological fluid sample. On the other hand, the present invention can also provide qualitative rather than quantitative results. The present invention also relates to an interpretable test result and an assay that can be used to further identify a patient or animal suffering from or possibly suffering from certain conditions in the future. The present invention also relates to a prognostic measurement technique, in which the test results defined by the present invention can be used to predict the possibility of a certain disease or state of the patient or animal in the future. Although the preferred embodiments described herein describe testing of human biological specimens, it should be understood that the assay and method can be used to evaluate biological specimens of other animals as well. "More specifically, the present invention clearly Veterinary Services are Applicable "Furthermore, the term" fluid specimen "as used in this specification is intended to be broadly interpreted to include suspensions and other specimens whose fluid portion can be separated by fluid flow and / or capillary action. In a biological fluid sample with a fluid component and a non-fluid component, the fluid component containing the analyte of interest of the present invention can be used to measure any of the following (alone or a combination thereof): a) Analyzed in the sample Existence of things, -16- This paper size is applicable to Chinese Standard (CNS) A4 specification (210X297mm --------- /, stupid— < please read the note on the back before filling This page) Order. A7 4 6 8 0 4 6 B7 V. Description of the invention (14) b) The absence of the analyte in the specimen, c) The concentration of the analyte in the specimen, ^^ 1- ^^^ 1 —ϋ IΓ · * · ^^ υ— n [Hr 1 JJ. (Please read the precautions on the back before filling out this page) d) The amount of analyte in the specimen. Suitable analytes that can be measured by the assays and devices of the present invention include soluble analytes (including but not limited to): enzymes, proteins, bacteria, viruses, antigens, antibodies, immunoglobulins, drugs and hormones. Other suitable analytes are known to those skilled in the art. The assay and device of the present invention can be used to detect and measure drugs of abuse in human biological specimens such as performance-enhancing drugs or other market drugs. Some biological specimens can be tested without first separating the cells into cells; however, for example, in the case of blood, cell components can interfere with the assay. In the case of biological specimens, if cellular components need to be removed prior to the measurement for better results, the fluid component must be separated from any cellular components. In the case of blood, for example, blood aggregates need to be separated from whole blood so that the cellular components of the blood do not interfere with the test for the analytes present in the plasma. Printed by the Consumer Cooperative of the Central Bureau of Standards of the Ministry of Economic Affairs It is surprisingly found in the present invention that the fluid component and the non-fluid component of a biological specimen can be separated by applying the specimen to the microspherical bead group. When a specimen is applied, the fluid component will flow between the microsphere beads, thereby separating it from the cellular component in a simple and effective manner. When the fluid component moves through the space formed between the clustered beads by capillary action, the beads are used as a component to separate the fluid component from the non-fluid component. Therefore, in the case of blood, the blood group is separated from the blood cells in the blood sample. In the present invention, it is surprisingly recognized that microspheres have the ability to quickly and efficiently separate plasma from whole blood. -17- This paper size applies to Chinese national standards (CNS > A4 specifications (2I0X297 mm).) Printed by the cooperative ^ 6 Β Ο 4 6 Α7 ------- 5! _ V. Ability of invention description (15). For the purpose of this patent application, the space between beads is called & quot "Interstitial space" 4 " hole ". Xianxin fluid flows from one interstitial space to the next by capillary action. In this application, 'the fluid flows through the interstitial space of the beads as along the inter-bead space. The channel flows. This channel is called "capillary f channel, because the fluid apparently flows between the beads by the" capillary "action. When the microspheres are clustered together, a gap is formed between the microsphere beads. The size of the space formed between the microspheres is a function of the radius of the surface of the microspheres. For the purpose of the present invention, the radius of the surface is the same as the diameter of the microspheres. To understand the size of the microspheres and the space between the microspheres Ruler of the hole formed It is known that the ratio of the diameter of the microspheres to the diameter of the pores is about 1: 0.4. In the case of separating plasma from whole blood, a pore size of 4 microns is considered to be the most appropriate. Therefore, for this particular embodiment, The bead size should be 10 microns. This allows the fluid solution to flow, but still prevents the cells from passing through the pores. When the fluid is present, the small spaces formed between the beads provide some sort of capillary phenomenon. 11 It has also been surprisingly found to have an uneven size And shaped particles can also operate in accordance with the principles of the invention taught herein. Specific examples of non-uniform particles are described in Example 7 below. It should be understood that the principles taught in the following description of microsphere beads can also be applied to other The use of similar separation particles such as oxidized hair and other equivalents. In the present invention, the use of 'microspheres is to separate blood packs from whole blood -18- This paper applies Chinese National Standard (CNS) A4 Specifications (210X297mm) ί Please read the notes on the back before filling this page) Stupid. Ding. Printed by the Shellfish Consumer Cooperative of the Central Standards Bureau of the Ministry of Economic Affairs 468 046 A7 --------— B7 V. Invention Description (16 ) Stool, an effective component, because the red blood cells and white blood cells in the blood will stay on one side of the beads, and the plasma portion of the blood sample will pass through the gap space or hole formed between the beads by capillary-like action Beads. The capillary action observed in the present invention is considered to be related to the surface tension exerted by the microspheres on the fluid, so that the fluid is pulled forward. When the fluid is pulled forward between the microspheres, it provides the microspheres Additional advantages of any reagent movement in the zone. For example, microspheres can be impregnated with a secondary antibody or another detection molecule. Microsphere beads are effective fluid filters, so they can be used in any location with simple fluid filtration , Separation or separation. Since Xianxin microspheres can be filtered by capillary action to separate or separate fluid components from non-fluid components, microsphere filters can be referred to as capillary filters and the term is used herein for this purpose. The capillary filter is a kind of dynamic filter, because it can be seen under the microscope that the beads move during the separation of the fluid components—some of the beads move, others remain stationary, but overall movement of the beads is observed under a microscope. It is expected that as the beads move, some capillary channels will close and others will open. In this sense, capillary channels may be temporary. It is also expected that the interstitial spaces between the beads or particles show the same temporaryness as the beads or particles move during the separation of the fluid. An analyte-specific antibody can be bound to the microsphere, for example, by adsorption or coupling. When the plasma-containing fluid passes through the capillary channel formed by the microsphere, the analyte will move the second antibody contained in the microsphere, and then react with the first antibody contained in the biochip. However, -19- this paper size applies to the national standard (0 milk) 8 4 specifications (210 father 297 public epidemic) " {Please read the note on the back before filling this page) 袈 ·
'1T 經濟部中央標準局貝工消費合作社印裝 468046 A7 B7 五、發明説明(17) 微球體可以僅是用來分離細胞成分與流體成分,以及微 球體非必須用抗體標記。 先前技藝之技術曾經使用層析紙或其他纖維材料將生 物檢體之流體成分吸離細胞成分,以在不受檢體中存在 之細胞或其他物質干擾下對流體部分進行測試。本發明 之微球體優於先前技藝之技術,因為其增進流體流動而 不受層析紙中存在之纖維限制。微球體提供之另一優點 為其提供讓蛋白質諸如抗體或其他適當標記結合之優異 表面。 被用於分離流體成分之微球形珠粒之尺寸可根據檢體 之黏度而改變。較大之珠粒應被用於較黏之檢體,以使 流體在珠粒間較快速流動。再者,當珠粒被用做標記及 與被分析物結合時,不同顏色之珠粒可被用於幫助珠粒 被看見。被結合之珠粒亦增加任何被結合分析物之密度 ,以供接下來用分光光度計檢測。珠粒之規則性亦暗示 折射差異可被用於檢測及測量結合之被分析物。 生物檢體可被施加至珠粒之頂端或珠粒之側邊。 在較佳實施例中,使用乳膠微球形珠粒,諸如以 Bang’sTM之商品名出售者。珠粒以液體懸浮液之形式 被供應。珠粒於使用時可保持潮濕或加以乾燥,本發明 亦可使用其他類型之珠粒,包括玻璃珠粒,只要該珠粒 能將流體成分分離出即可。 -能迅速將流體成分從生物檢體中分離出之微球體可被 納入測定中,以檢測及定量在檢體中存在之被分析物。 τ -20- 本紙張尺度適用中國國家標準(CNS ) Α4規格(210X297公釐) (請先閲請背面之注意事項再填寫本頁) 訂 經濟部中央榡準局員工消費合作社印裝 4 6 B Q 4 6 五、發明説明(18 ) 按照本發明之—方面,用微球形珠粒將流體檢體從生 物檢體分離出之方法被納人單-步驟測定中,以分析所 提供流體檢體中可能存在之—種或以上被分析物。該測 足在:具界定體積之小室中進行。在一較佳實施例中, 該小室包含供分離出流體檢體之微球形珠粒以及供檢測 及/或測量檢體中之被分析物之檢測構件。檢測構件可 從數種供檢測檢體中之被分析物之已知方法中之任一種 選出》舉例T之’被分析物可用檢測用蛋白質諸如對被 分析物有特異性之抗體或抗原來辨識1被分析物與檢 測用蛋白質結合時’密度改變且可被測量。另—法為將 檢測用蛋白質與另—可被檢測出之標記結合。舉例言之 將檢測用蛋白質附接在小珠粒上,以致當檢測用分子 ,合至被分析物時,密度將增加而使討㈣測出或測 置。其他適當的標記包括金等金屬、榮光標記、化學標 記或顏色標記。 按…、本發明之一方面,本發明係關於—種在照護場所 使用之薄片式或匣式診斷或預後測試裝置,以供測定生 物檢體諸如血液。本發明教示一種被稱為"生檢用薄片 "(biochip)之小型、輕便測定裝置,以進行本發明教示 之簡便測定。 在本發明之裝置中有成對之二承载表面以界定一特定 體積’在其中可以定㈣量—滴血液、尿液、唾液或其 他生物流财存在之齡析物。在—較佳實施例中,所 論及足表面為一蓋物片及—顯微鏡之载物片,但本發明 21 _ 本紙張尺度適用中國國家標準(CNS > A4*L格(21^297公楚) ---— (請先閲讀背面之注意事項再填寫本頁) 笨. 訂 經濟部中央標準局負工消費合作社印裂 468046 、發明説明(a 、非意欲只限於此等特殊實施例。本發明之—重要方 Z檢體藉毛細管作用進人具界定體積之空間。所以該 片=間在本文中被稱為毛細管小室。在顯概鏡蓋: " 片之例中,毛細管小室為蓋物片底部與載物片 頂邵間之空間之體積。 片 按照本發明之較佳實施例,存在於蓋物片與載物片間 流體之量藉該等玻片間空間之體積決定。所以可以設計 小型測試系統’其允許精確職極小體積,在—些 ’該體積可小至數微升。 z 為了疋量測量檢體中被分析物之濃度以及將測試結果 彼此比較,每次進行測試時流體檢體宜具有一致之測試 體積。以此方式將可直接評估被分析物之測量值而4 對不同體積做調整。被分析物之濃度或量可以無困難地 被直接評估且各試驗間具—致性。本發明之生檢用 之小室提供該界定之體積。 按照本發明之-方面,進行被分析物測量所用之流體 體積被標準化。按照本發明之另一方面,既然本發明為 只用一滴血液(例如來自針刺手指)而不需使用較大體積 血液(只有用針抽取一試管之血液才能獲得)即能進行此 等測試之最實用方法,所以本發明提供—種在極小血液 體積中將血漿與血球分離之方法。 在一較佳實施例中,生檢用薄片型測試裝置包含一可 測定體積之小室。該室藉第一及第二相對承載表:界定 »該表面被放置之位置為能使彼等被一距離分隔者,且 -22- 本紙張尺度通用中固囷家標準(CNS ) A4規格(210X297公楚) (請先閲讀背面之注$項再填寫本頁) ...笨------訂 0. 468 046 A7 B7 經濟部中央標準局貝工消費合作杜印裝 五、發明説明(20) 該距離足以窄至允許流體藉毛細管作用從二表面間流過 三該小室當形成一定的空間時,具有―定的體積。 室具有一個或以上允許流體檢體進入之流體入口點。'在 f中請案中,該小室亦被稱為毛細管小室,因為流體係 精毛細管作用進入。 就本發明之目的τ之,接合在一起之二承載表面之配 置被稱為"生檢用薄片”(biochip),但亦可被稱為匣子或 筒。 本發明提供一種可被標準化之輕便、手提式測試系統 在特佳貫施例中,底部表面例如為顯微鏡載物片以 及頂部表面為顯微鏡蓋物片。顯微鏡載物片及蓋物片容 易獲得,所以為有用的承載表面。在另一實施例中,二 顯微鏡載物片可被安裝成一個在另一個頂部,或者任何 二個板,只要板間有一定空間及可測定之體積而可讓流 體檢體藉毛細管作用流入者皆可。 一旦在毛細管小室中,流體檢體藉表面張力保持在二 表面之端部或邊緣。該裝置具有小型尺寸,此使其可以 手提及被插入分析器中,以致可用分析器測量被分析物 與檢測用分子間之反應產物。為說明某些較佳實施例, 承載表面將被稱為•’板"(plate),不過本發明非只限於 平板。同樣地’能與蛋白質、抗原及其他檢測用分子結 合之所有類型表面皆被認為在本發明之範圍内。更特定 而s ’承载表面之组成非限定性地包括玻璃、塑膠及金 思 - 屬0 23 本紙張尺度適用中國國家標準(CNS)八4胁(210x297公羡) (請先閲讀背面之注意事項再填寫本頁〕 策. 訂 經濟部中夬榡準局員工消費合作杜印褽 1. 6 8 〇4β Α7 I____ B7 五、發明説明(21 ) 在本發明之較佳實施例中,將一滴生物檢體放置在顯 微鏡載物片之表面上,以及在進入毛細管小室之前,檢 體之細胞成分藉流1體成分移動通過一群微球形珠粒而移 除。舉例&之,在血液之情況,血漿藉移動通過珠粒間 之間隙2間所形成之毛細管通道而與血液之細胞成分分 離,然後流體進入測試小室,在其中被分析物與小室中 之試劑反應以及該反應產物被用來量度檢體中存在之被 分析物。 一旦流體進入界定之空間,其暴露於在承載表面之内 表面上之一種或以上試劑。所以試劑暴露在毛細管小室 中及可用於與最終將充滿毛細管小室之流體檢體中可能 存在之一種或以上被分析物反應。該試劑被標記以及流 體檢體中存在之被分析物之量根據檢體中被分析物與小 A中試劑之反應產物測量。然後將測試結果與標準校正 曲線比較’以決定檢體中存在之被分析物之量。在本發 明之較佳實施例中’試劑為一種或以上被分析物特異性 抗體’該抗體較佳藉蛋白質印刷黏附於承載表面。 在另一實施例中,抗原存在於承載表面之内面以及檢 體中抗原特異性抗體之量被測量。當蛋白質或其他檢測 用分子被結合至承載表面之時’其將伸入界定空間,在 該處其將與檢體中之被分析物反應。存在於承載表面之 内面上之檢測用分子可藉熟習本技藝者已知之數種方式 之任一種結合至表面。 檢測用分子藉著本技藝熟知之數種技術之一而被塗覆 -24- 本紙張尺度適用中國國家標準(CNS ) Α4規格(210Χ2们公釐) (请先閲讀背面之注意事項再填寫本S·) 笨'1T Printed by the Central Laboratories of the Ministry of Economic Affairs, Shellfish Consumer Cooperative 468046 A7 B7 V. Description of the invention (17) Microspheres can only be used to separate cell components from fluid components, and microspheres do not have to be labeled with antibodies. Prior art techniques used chromatographic paper or other fibrous materials to draw fluid components of a biological specimen away from cellular components to test the fluid portion without interference from cells or other substances present in the specimen. The microspheres of the present invention are superior to those of the prior art because they enhance fluid flow without being limited by the fibers present in the chromatography paper. Another advantage provided by microspheres is that they provide an excellent surface for proteins such as antibodies or other appropriate labels to bind. The size of the microspherical beads used to separate the fluid components can be changed according to the viscosity of the specimen. Larger beads should be used for more viscous specimens to allow faster fluid flow between the beads. Furthermore, when beads are used as labels and bound to analytes, beads of different colors can be used to help the beads be seen. The bound beads also increase the density of any bound analyte for subsequent detection with a spectrophotometer. The regularity of the beads also implies that refractive differences can be used to detect and measure bound analytes. The biological specimen can be applied to the top of the beads or to the sides of the beads. In a preferred embodiment, latex microspherical beads are used, such as those sold under the trade name Bang'sTM. The beads are supplied in the form of a liquid suspension. The beads can be kept wet or dried during use. The present invention can also use other types of beads, including glass beads, as long as the beads can separate the fluid components. -Microspheres that can quickly separate fluid components from biological specimens can be included in the assay to detect and quantify the analytes present in the specimen. τ -20- This paper size applies Chinese National Standard (CNS) Α4 size (210X297 mm) (please read the precautions on the back before filling this page) Order printed by the Central Consumers Bureau of the Ministry of Economy 4 6 BQ 4 6 V. Description of the invention (18) According to one aspect of the present invention, a method for separating a fluid specimen from a biological specimen by using micro-spherical beads is included in a single-step assay to analyze the fluid specimen provided. Possible species—one or more analytes. The test is performed in a chamber with a defined volume. In a preferred embodiment, the cell contains microspherical beads for separating a fluid sample and a detection member for detecting and / or measuring an analyte in the sample. The detection means can be selected from any of several known methods for detecting an analyte in a sample. "Example T" Analyte can be identified by a detection protein such as an antibody or antigen specific to the analyte 1 When the analyte binds to the detection protein, the density changes and can be measured. Another method is to combine the detection protein with another detectable label. For example, the detection protein is attached to the beads, so that when the detection molecule is combined with the analyte, the density will increase and it will be measured or set. Other suitable markings include metals such as gold, glory markings, chemical markings or color markings. According to one aspect of the invention, the invention relates to a thin-plate or cassette-type diagnostic or prognostic test device for use in a care setting for measuring a biological specimen such as blood. The present invention teaches a small and portable measuring device called " biochip sheet " (biochip) to perform the simple measurement taught by the present invention. In the device of the present invention there are two pairs of bearing surfaces to define a specific volume 'in which the amount can be determined-drops of blood, urine, saliva or other biological fluids. In the-preferred embodiment, the surface of the foot in question is a cover sheet and-a microscope slide, but this invention 21 _ This paper size applies to Chinese national standards (CNS > A4 * L lattice (21 ^ 297) ) ----- (Please read the precautions on the back before filling out this page) Stupid. Ordered by the Central Standards Bureau of the Ministry of Economic Affairs, Consumer Cooperatives, Printed 468046, Invention Description (a, not intended to be limited to these special embodiments. This Invention—Important party Z specimens enter the space of a defined volume by capillary action. Therefore, this piece is called a capillary chamber in this article. In the case of a microscope cover: " In the example of the film, the capillary chamber is the cover. The volume of the space between the bottom of the slide and the top of the slide. According to a preferred embodiment of the present invention, the amount of fluid that exists between the cover slide and the slide is determined by the volume of the space between the slides. So it can be designed The “small test system” allows precise and extremely small volumes, some of which can be as small as a few microliters. In order to measure the concentration of the analyte in the sample and compare the test results with each other, the fluid test is performed each time the test is performed. Physical fitness Has a consistent test volume. In this way, the measured value of the analyte can be directly evaluated and 4 different volumes can be adjusted. The concentration or amount of the analyte can be directly evaluated without difficulty and consistent between experiments. The defined volume is provided in the biopsy cell of the present invention. According to one aspect of the present invention, the volume of fluid used for measuring the analyte is standardized. According to another aspect of the present invention, since the present invention uses only one drop of blood ( For example, from acupuncture of fingers) without using a larger volume of blood (only blood from a test tube can be obtained with a needle) is the most practical way to perform these tests, so the present invention provides a method for plasma in a very small blood volume Method for separating from blood cells. In a preferred embodiment, the thin-sheet test device for biopsy includes a small volume-determinable chamber. The chamber is defined by the first and second relative bearing tables: the position where the surface is placed is Can make them separated by a distance, and -22- This paper size is common in China Solid Standard (CNS) A4 size (210X297), (please read the note on the back first) (Fill in this page again) ... Stupid ------ Order 0. 468 046 A7 B7 DuPont Packing Cooperate with Shellers and Consumers of the Central Standards Bureau of the Ministry of Economic Affairs 5. Description of the Invention (20) This distance is narrow enough to allow fluids to flow through the capillary tube The action flows from two surfaces to three. The chamber has a certain volume when a certain space is formed. The chamber has one or more fluid inlet points that allow fluid specimens to enter. 'In the case of f, the chamber was also It is called a capillary chamber because the capillary system of the flow system enters. For the purpose of the present invention, the configuration of the two bearing surfaces joined together is called " biochip ", but it can also be called The present invention provides a portable, portable test system that can be standardized. In a particularly preferred embodiment, the bottom surface is, for example, a microscope slide and the top surface is a microscope cover. Microscope slides and coverslips are easily available and are therefore useful loading surfaces. In another embodiment, two microscope slides can be installed one on top of the other, or any two plates, as long as there is a certain space between the plates and a measurable volume to allow the fluid sample to flow into the person by capillary action. Both are OK. Once in the capillary chamber, the fluid specimen is held at the ends or edges of the two surfaces by surface tension. The device has a small size, which allows it to be manually inserted into the analyzer so that the analyzer can be used to measure the reaction products between the analyte and the molecules for detection. To illustrate certain preferred embodiments, the bearing surface will be referred to as a "plate", but the invention is not limited to flat plates. Likewise, all types of surfaces capable of binding to proteins, antigens and other detection molecules are considered to be within the scope of the present invention. More specific and the composition of the bearing surface includes glass, plastic and Jinsi without limitation-belongs to 0 23 This paper size is applicable to China National Standard (CNS) VIII 4 (210x297 public envy) (Please read the precautions on the back first (Fill in this page again) Policy. Order the employee cooperation of the China Prospective Bureau of the Ministry of Economic Affairs Du Yin 褽 1. 6 8 〇4β Α7 I____ B7 V. Description of the invention (21) In a preferred embodiment of the present invention, a drop of biological The specimen is placed on the surface of the microscope slide, and before entering the capillary chamber, the cellular component of the specimen is removed by moving the body component through a group of microsphere beads. For example, in the case of blood, Plasma is separated from the cellular components of the blood by moving through the capillary channel formed between the beads, and then the fluid enters the test cell, where the analyte reacts with the reagent in the cell and the reaction product is used to measure the test. Analytes present in the body. Once the fluid enters the defined space, it is exposed to one or more reagents on the inner surface of the bearing surface. So the reagents are exposed to the capillary chamber Neutralization can be used to react with one or more analytes that may be present in a fluid sample that will eventually fill the capillary chamber. The reagent is labeled and the amount of analyte present in the fluid sample is based on the analyte and Measurement of reaction products of reagents in small A. Then compare the test results with the standard calibration curve to determine the amount of analyte present in the specimen. In a preferred embodiment of the present invention, the reagent is one or more analytes Specific antibodies' The antibodies are preferably adhered to the bearing surface by protein printing. In another embodiment, the antigen is present on the inside of the bearing surface and the amount of antigen-specific antibodies in the specimen is measured. When proteins or other detection molecules When bound to a load-bearing surface, it will extend into a defined space where it will react with the analyte in the specimen. The molecules for detection that exist on the inner surface of the load-bearing surface may be known to those skilled in the art Either of these methods is bonded to the surface. The molecules for detection are coated by one of several techniques known in the art-24-This paper is for China Home Standard (CNS) Α4 Specification (210Χ2 who mm) (Please read the back of the Notes then fill out this S ·) stupid
<1T A7 B7 468046 五、發明説明(22) 、印刷或結合至一板或另一板。許多免疫測定技術為熟 習本技藝人士已知,例如被記載於"免疫學之原理及實 施"(1997),C.P. Price and D.J, Newman eds. (Stockton< 1T A7 B7 468046 5. Description of the invention (22), printed or bonded to one board or another board. Many immunoassay techniques are known to those skilled in the art, such as documented in " Principle and Implementation of Immunology " (1997), C.P. Price and D.J, Newman eds. (Stockton
Press) ’以及該文件被納入做為本專利申請案之參考文 獻及成為其之一部份。 二板間之距離僅受二板有效拉引流體(諸如二板間血漿 藉毛細管作用拉引)及保持界定體積之流體之能力所限 。板之尺寸亦受實用性諸如期望測試之體積所左右。具 較大表面積之板應得到較大體積。 按照本發明,流體檢體諸如一滴血液被放置在二板之 一邊緣以及被拉入二板間之空間。流體檢體可藉熟習本 技藝者已知之任何方式被抵靠著二板拉入。在最簡單之 形式中,檢體被帶至與邊緣直接接觸,例如藉著病人之 手指接觸板,以致一部份流體檢體被拉入空間而完全充 滿該空間界定之體積。在本測定中重要之點為檢體總是 完全充滿界定之體積,以致可以進行適當的定量分析。 在標準化模型中,對於各個生檢用薄片而言體積均是一 致。 在另一較佳實施例中,將板接合在一起,以致流體檢 體易從例如與流體流入口相對之端部移除。 在另一例中,二板間之空間可被分成數條流道(lane) 以及各流道之體積同樣為已知。該方式允許對單一檢體 進行多項測試。 當期望測量血液檢體中之血漿蛋白質時,需要將血漿 25· 木紙張尺度適用中國國家標準(CNS ) A4規格(2I0X297公嫠 {請先閲讀背面之注意事項再填客本頁)Press) 'and this document is incorporated as a reference and part of this patent application. The distance between the two plates is limited only by the ability of the two plates to effectively draw fluid (such as the plasma between the two plates by capillary action) and the ability to maintain a defined volume of fluid. The size of the board is also governed by practicality such as the volume expected to be tested. A plate with a larger surface area should get a larger volume. According to the present invention, a fluid specimen such as a drop of blood is placed on one edge of the two plates and is drawn into the space between the two plates. The fluid specimen can be pulled in against the second plate by any means known to those skilled in the art. In the simplest form, the specimen is brought into direct contact with the edge, for example by touching the plate with a patient's finger, so that a portion of the fluid specimen is pulled into the space and completely fills the volume defined by the space. The important point in this measurement is that the specimen is always completely filled with a defined volume so that appropriate quantitative analysis can be performed. In the standardized model, the volume is the same for each biopsy sheet. In another preferred embodiment, the plates are joined together so that the fluid sample is easily removed from, for example, the end opposite the fluid inlet. In another example, the space between the two plates can be divided into several lanes and the volume of each lane is also known. This method allows multiple tests on a single specimen. When it is desired to measure the plasma protein in blood specimens, the plasma 25 · wood paper size shall be in accordance with the Chinese National Standard (CNS) A4 specification (2I0X297). {Please read the precautions on the back before filling in this page)
經濟部中央橾準局貝工消费合作杜印装 4 68 04 6 A7 B7 五、發明説明(23 ) : -〜一 與血球分開。在本發明中,期望測試結果在短期間_ 得’較佳從開始至結束為!至叫鐘之程度。本發明^ ^ ^-- (請先閲讀背面之注意事項再填寫本頁) -優點為既然使用微球體珠粒將血漿與血液檢體分離, 因此可免於使用ί皮璃纖維或層析長條片時發生之延遲, 所以流體檢體與先前技藝測定相較,可以較短時間進入 測試小室。再者,不需使用笨重之設備諸如離心器進行 細胞分離。所有此等優點使得該測試可在照護場所進行 〇 本發明優於先前技藝之點尚有本發明之生檢用薄片裝 置允許對一檢體進行數種測定。此使得獲得測試結果之 速度加快以及使測試所需之檢體之量減至最小。 被分析物-特異性抗體本身可用熟習此等測定技藝之人 士已知之數種標記之任一種標記。較佳之標記之例子包 括螢光標記、顏色標記、另一微球體、金粒子或任何高 顯像分子》其他標記只要可以檢測該標記之存在,則皆 適用。同樣地,可以使用直徑小於測試珠粒直徑之微球 形珠粒,以致於隨著流體檢體(例如血漿)之移動,該較 小珠粒移動通過較大珠粒。所以該較小珠粒可被標記。 經濟部中央標準爲員工消费合作社印裝 當含有被分析物之流體檢體進入二板間之界定空間時 ’可能發生進一步之抗體-抗原反應。在本發明中,較 上之板’例如蓋物片,具有被分析物-特異性試劑結合 於其表面上,該表面與流體接觸。在本發明之較佳實施 例中’用蛋白質印刷器將被分析物-特異性試劑印在承 載表面之内面。適當的蛋白質印刷裝置為市場所熟知。 -26- 本姑康尺度適用中國國家標準(CNS ) Α4規格(210X297公釐) ' 4 68 046 經濟部中央橾準局員工消費合作社印犁 A7 B7五、發明説明(24 ) —~ 此等裝置包括噴印式、喷霧式、壓電式及噴沫式蛋白質 印刷器。以壓電式印刷器為較佳。被分析物_特異性試 劑做為檢測用分子,其通常為蛋白質。此等分手黏附於 玻璃、金屬及塑膠表面。較佳之表面包括聚苯乙烯或聚 丙烯。該印刷裝置之使用在本發明中有利,因其允許數 種不同的被分析物-特異性檢測分子被印製在板或蓋物 片上,以致界定出不同的「流道」以及可以使用單一的 流體檢體同時評估不同的被分析物。在相同的測試小室 中可以提供額外的背景及校正流道。 被分析物與被分析物_特異性檢測分子反應後,產生可 檢測之反應產物。生檢用薄片承載表面較隹為無色或透 明,以致有色、螢光或其他反應產物可用與讀數器偶合 之適當分光光度計或其他適當檢測器讀數。當被分析物 與被分析物-特異性檢測分予反應時,反應流道之密度 改變。在本發明之較佳實施例中,測量密度之改變以決 定檢體中存在之被分析物之量。為了減少背景干擾,所 以在本發明之較佳實施例中提供罩子以增加測定之靈敏 度》參照圖1,罩子32,除了對應於板上流道26,28及 30之開口 36 , 38及40之外,餘皆由不透明材料製成。罩 子被設計成剛好在上板之上,以致只有流道本身可被判 讀。在判讀出流道之密度改變時,罩子之使用具有減少 背景干擾量及設定基礎值之優點。 在本發明之一較佳實施例中,生檢用薄片被設計成可 藉手提式分光光度計判讀,該分光光度計例如能讀出被 -27- 本紙張尺度適用中國國家榇準(CNS > M規格(21〇><297公瘦) (請先閲讀背面之注意事項再填寫本頁) -----Χ.Λ------1T-------.. }-- · 經濟部中央橾準局貝工消費合作社印製 468 046 Α7 Β7 五、發明説明(25) 分析物與被標記之抗體反應後顏色之改變。分光光度計 ’視所用之測試試劑,亦能讀出在密度、薄膜厚度、質 譜吸收或繞射方面之改變。一旦分析器(例如分光光度 計)已進行需要的數據計算,結果可經由電話線、行動 電話或其他電腦網路系統藉數位傳輸輪送。另外,若無 線電頻率感應器被收納在生檢用薄片檢測系統中,則抗 體/被分析物反應期間產生之改變可藉無線電頻率改變 而被檢測或測量。 現討論圖式,在圖1中以分解透視圖例示說明本申請 案之生檢用薄片之較佳實施例。其設有二承載板1〇及12 。該二板在其間界定一固定體積,以參考數字14表示。 下板12比上板1〇長以提供一做為施加區16之架子,在該 施加區16上生物檢體18可被施加。對本發明而言架子並 非必需,但提供一讓檢體藉微球形珠粒分離之地方。珠 粒可以被放置在板範圍内毛細管小室14之入口以及檢體 可被施加在生檢用薄片之邊緣,在該處檢體藉毛細管作 用進入小室。 被固定於施加區16者尚有微球形珠粒之收集處20或亦 可包括一標記區22。微球形珠粒可用流體可通透材料集 合成群或捆紮成束。為了圖示說明,在圖1及2中微球形 珠粒20及標記區22以分開的界定區域表示,不過微球形 珠粒本身亦可攜帶標記,以及在該實施例中,二區可被 匯合成一區,其中微球形珠粒扮演二角色:分離流體及 提供標記而使流體暴露於該標記》 • 28 本紙張尺度適用中國國家標準(CNS ) Α4規格(210Χ297公釐) {請先閲請背面之注意事項再填寫本頁) 訂_ 468 046 A7 B7_____ 五、發明説明(26 ) (請先閱請背面之注_項再填本頁〕 可以存在一種以上尺寸之微球形珠粒。在一實施例中 ’較小之微球體被安置在較大珠粒所形成之間隙空間中 。較小珠粒可以攜帶第二標記,當被分析物通過珠粒時 其可與被分析物結合。標記不是與流體中之被分析物結 合’就是附接在小珠粒上之標記附接於流體中之被分析 物上’然後小珠粒隨著流體進入毛細管小室。同時流體 檢體中之任何細胞成分無法通過微球形珠粒濾器。 病人身分資料可被固定在板10或板12上,只要其不干 擾生檢用薄片上之試驗檢測區域,或於被分析物與結合 在承載板表面上之物質反應後不會干擾生檢用薄片之判 讀即可。板10及12較佳為無色及/或透明。 三檢測區域26,28及30被印在承載板10之内面:即校 正區26,檢測區28及基礎值區30。繪出三檢測區域僅是 為了例示說明生檢用薄片如何構成;不過可以存在數條 流道以及做為校正及/或背景之流道之數目視何者被測 試而變。 經濟部中央標準局貝工消費合作社印製 測試無需只限於三條流道。可以界定數個流道。在本 發明之較佳貫施例中三流道被印在一板上,以允許評估 背景讀數以及校正生檢用薄片。應了解背景及校正檢測 區不需皆位在相同的生檢用薄片上。不過背景及校正判 讀以在與受試分析物相同之測定之檢體承載板上進行為 宜’以減少測試結果之偏差。 需要時可設置背景罩子32。該罩子被設計成罩在承载 板10之外表面’而不阻斷被塗佈或印製之檢測區或流道 -29- 張尺度適用中關家標準(CNS } A4規格(2丨GX297公釐)' : --- 經濟部中央榡準局貝工消費合作社印32. 4 6 8 0 4 6 A7 B7 五、發明説明(27 ) 。所以開口 36, 38及40例如存在於罩子上,以減少判嘈 試驗結果時之背景干擾。背景罩子由不透明材料製^ ’具有對應於上板内面之檢測區26,28及3〇之開口 36 ,38及40。罩子中之開口 40非必需具有如例示說明之對 應測試區30,開口40只要暴露於板10之試劑不存在部分 即可。 雖然圖1例示說明抗體/標記區22及微球體區2〇二者, 但此二區視測試之類型可存在或不存在。當流體檢體18 被施加至施加區16時,其在達到二板1 〇及12初次相遇之. 邊緣34之前,流經抗體/標記區22 (若存在)以及微球形 珠粒區20 (若存在)。雖然本發明之此種排列可以運做, 但以微球形珠粒區20及/或標記區毗連抵靠承載板1〇之 邊緣34為最佳。該構型之一例被示於圖5及6中。該構形 使流體檢體旅行最短距離以及此進而使測試所需之流體 檢體之量為最小’其在實例1中將被更進一步說明。 流體檢體在邊緣34之下被拉入界定已知體積之小室14 中。該流體檢體應具有足以通過施加區16,通過微球體 及標記區以及完全充滿小室14之體積。本發明之生檢用 薄片可被做成小尺寸,以致一滴血液之量就足以供測試 檢體。根據本文所教示之原則可以製造許多種尺寸。雖 然I公分X 3公分之尺寸為具習用尺寸之裝置,但薄片最 佳尺寸主要由將進行之測試之性質決定。如圖1所例示 說明者,架子部分16延伸於底板上。在該架子部分上生 物檢體被施加。在其他一些實施例中,進行測試之部分 (請先S請背面之ii意事項再填窝本頁) 訂Du Pianzhuang, Shellfish Consumer Co-operation, Central Bureau of Standards, Ministry of Economic Affairs 4 68 04 6 A7 B7 V. Description of Invention (23):-~ 1 Separate from blood cells. In the present invention, it is desirable that the test result be obtained from the beginning to the end in a short period of time! To the extent of calling the bell. The present invention ^ ^ ^-(Please read the precautions on the back before filling out this page)-The advantage is that since the microsphere beads are used to separate the plasma from the blood specimen, it can be avoided by using glass fiber or chromatographic length The delay that occurs when slicing, so that the fluid specimen can enter the test chamber in a shorter time compared to previous techniques. Furthermore, it is not necessary to use cumbersome equipment such as a centrifuge for cell separation. All these advantages allow the test to be performed in a care setting. O The invention is superior to previous techniques. The biopsy sheet device of the invention allows several measurements on a specimen. This speeds up the process of obtaining test results and minimizes the number of specimens required for testing. The analyte-specific antibody itself can be labeled with any of several labels known to those skilled in these assays. Examples of preferred markers include fluorescent markers, color markers, another microsphere, gold particles, or any high imaging molecule. Other markers are applicable as long as the presence of the marker can be detected. Similarly, microsphere beads having a diameter smaller than the diameter of the test beads can be used so that the smaller beads move through the larger beads as the fluid specimen (e.g., plasma) moves. So the smaller beads can be labeled. The central standard of the Ministry of Economic Affairs is printed by the employee consumer cooperative. When a fluid sample containing the analyte enters the defined space between the two plates, further antibody-antigen reactions may occur. In the present invention, the upper plate ', such as a cover sheet, has an analyte-specific reagent bound to its surface, which surface is in contact with a fluid. In a preferred embodiment of the present invention, the analyte-specific reagent is printed on the inner surface of the support surface with a protein printer. Suitable protein printing devices are well known on the market. -26- Ben Kukang scale applies Chinese National Standard (CNS) A4 specification (210X297 mm) '4 68 046 Employees' Cooperatives of the Central Economic and Technical Bureau of the Ministry of Economic Affairs, Cooperative A7 B7 V. Description of Invention (24) — ~ These devices Including inkjet, spray, piezoelectric and spray protein printers. A piezoelectric printer is preferred. Analyte_specific reagent is used as a detection molecule, which is usually a protein. These dividers adhere to glass, metal, and plastic surfaces. Preferred surfaces include polystyrene or polypropylene. The use of this printing device is advantageous in the present invention because it allows several different analyte-specific detection molecules to be printed on a plate or cover sheet, so that different "flow channels" are defined and a single flow can be used The physical examination evaluates different analytes simultaneously. Additional background and correction channels can be provided in the same test cell. After the analyte reacts with the analyte-specific detection molecule, a detectable reaction product is produced. The bearing surface of the biopsy sheet is relatively colorless or transparent, so that colored, fluorescent or other reaction products can be read with a suitable spectrophotometer or other suitable detector coupled to the reader. When the analyte reacts separately with the analyte-specific detection, the density of the reaction channel changes. In a preferred embodiment of the invention, the change in density is measured to determine the amount of analyte present in the specimen. In order to reduce background interference, a cover is provided in the preferred embodiment of the present invention to increase the sensitivity of the measurement. Referring to FIG. 1, the cover 32, except for the openings 36, 38, and 40 corresponding to the flow channels 26, 28, and 30 on the plate , Yu are made of opaque material. The cover is designed just above the upper plate so that only the flow channel itself can be read. When judging the change in the density of the readout channel, the use of a cover has the advantages of reducing the amount of background interference and setting a basic value. In a preferred embodiment of the present invention, the biopsy sheet is designed to be read by a portable spectrophotometer. The spectrophotometer can read, for example, -27- This paper standard is applicable to China National Standards (CNS > M specifications (21〇 > < 297 male thin) (Please read the precautions on the back before filling in this page) ----- × .Λ ------ 1T -------. }-· Printed by the Central Laboratories Bureau of the Ministry of Economic Affairs, Shellfish Consumer Cooperative, 468 046 Α7 Β7 V. Description of the Invention (25) The color change after the analyte reacts with the labeled antibody. The spectrophotometer 'depends on the test reagent used It can also read out changes in density, film thickness, mass absorption or diffraction. Once the required data has been calculated by the analyzer (such as a spectrophotometer), the results can be transmitted via telephone lines, mobile phones or other computer network systems Borrow by digital transmission. In addition, if the radio frequency sensor is housed in a bioassay sheet detection system, changes caused during the antibody / analyte reaction can be detected or measured by radio frequency changes. Schematics are now discussed , Illustrated in exploded perspective in Figure 1 A preferred embodiment of the biopsy sheet for this application is described. It is provided with two bearing plates 10 and 12. The two plates define a fixed volume therebetween, indicated by the reference number 14. The lower plate 12 is higher than the upper plate 10. A long shelf is provided as an application area 16 on which the biological specimens 18 can be applied. The shelf is not necessary for the present invention, but provides a place where the specimens can be separated by microsphere beads. Beads The pellet can be placed at the entrance of the capillary chamber 14 within the range of the plate, and the specimen can be applied to the edge of the biopsy sheet, where the specimen enters the chamber by capillary action. Those who are fixed to the application area 16 also have microsphere beads. The collection point 20 of the granules may also include a marking area 22. The microspherical beads may be grouped or bundled in a fluid-permeable material. For the purpose of illustration, the microspherical beads 20 and the markings are shown in Figs. The zone 22 is represented by separate defined areas, but the microsphere beads themselves can also carry marks, and in this embodiment, the two zones can be merged into one zone, where the microsphere beads play two roles: separating fluids and providing marks To expose the fluid In this mark "• 28 This paper size applies Chinese National Standard (CNS) A4 specification (210 × 297 mm) {Please read the notes on the back before filling this page) Order _ 468 046 A7 B7_____ V. Description of the invention (26) (Please read the note_item on the back before filling this page] There can be more than one size of microsphere beads. In one embodiment, 'smaller microspheres are placed in the interstitial space formed by larger beads. Smaller beads can carry a second label that can bind to the analyte as it passes through the bead. The label is either bound to the analyte in the fluid 'or a label attached to the small bead On the analyte in the fluid, the beads then follow the fluid into the capillary chamber. At the same time, any cellular components in the fluid sample cannot pass through the microsphere bead filter. The patient's identity data can be fixed on the plate 10 or 12 as long as it does not interfere with the test detection area on the bioassay sheet, or it will not interfere with the bioassay after the analyte reacts with the substance bound to the surface of the carrier plate. The interpretation of the sheet is sufficient. The plates 10 and 12 are preferably colorless and / or transparent. Three detection areas 26, 28, and 30 are printed on the inner surface of the carrier plate 10: the calibration area 26, the detection area 28, and the basic value area 30. The three detection areas are drawn only to illustrate how the biopsy sheet is structured; however, there may be several runners and the number of runners for calibration and / or background varies depending on which is tested. Printed by the Shell Standard Consumer Cooperative of the Central Bureau of Standards of the Ministry of Economics The test need not be limited to three channels. Several runners can be defined. In a preferred embodiment of the present invention, the three runners are printed on a plate to allow evaluation of background readings and correction of biopsy sheets. It should be understood that the background and correction detection area need not all be on the same biopsy sheet. However, it is advisable to perform the background and calibration interpretation on the specimen carrier plate for the same measurement as the test analyte 'to reduce the deviation of the test results. A background cover 32 may be provided if necessary. The cover is designed to cover the outer surface of the carrier plate 10 without blocking the coated or printed detection area or flow path. -29- Zhang scale applies to the Zhongguanjia standard (CNS} A4 specification (2 丨 GX297) (Centi) ': --- Printed by the Shellfish Consumer Cooperative of the Central Bureau of Standards, Ministry of Economic Affairs 32. 4 6 8 0 4 6 A7 B7 V. Invention Description (27). So the openings 36, 38, and 40 exist on the cover, for example Reduce the background interference when the test result is judged. The background cover is made of opaque material. It has openings 36, 38, and 40 corresponding to the detection areas 26, 28, and 30 on the inner surface of the upper plate. The opening 40 in the cover does not have to have The corresponding test area 30 is illustrated, and the opening 40 is only required to be exposed to the non-existent part of the reagent on the plate 10. Although FIG. 1 illustrates both the antibody / labeling area 22 and the microsphere area 20, these two areas depend on the type of test May or may not be present. When the fluid sample 18 is applied to the application zone 16, it passes through the antibody / labeling zone 22 (if present) and microspheres before reaching the first meeting of the two plates 10 and 12. Edge 34 Bead zone 20 (if present). Although this arrangement of the invention can be done, However, it is best that the microsphere bead region 20 and / or the marking region abut against the edge 34 of the carrier plate 10. An example of this configuration is shown in Figs. 5 and 6. This configuration allows the fluid specimen to travel the shortest distance And this in turn minimizes the amount of fluid specimen required for the test, which will be further explained in Example 1. The fluid specimen is drawn below the edge 34 into a cell 14 defining a known volume. The body should have a volume sufficient to pass through the application area 16, through the microspheres and the marking area, and completely fill the chamber 14. The biopsy sheet of the present invention can be made small in size so that a drop of blood is sufficient for testing the test body. According to The principles taught here can be made in many sizes. Although the size of I cm x 3 cm is a device with conventional sizes, the optimal size of the sheet is mainly determined by the nature of the test to be performed. As illustrated in Figure 1, the shelf The portion 16 extends on the bottom plate. The biological specimen is applied on the shelf portion. In some other embodiments, the part to be tested (please note the ii notice on the back before filling in this page).
It 本紙張尺度適用中國國家標準(CNS 規格(210X297公釐) 468 046 A7 B7 經濟部中央標準局貝工消費合作社印装 五、發明説明(28 ) ,例如顯微鏡載物片,可以相當大,但位在載物片上進 行之測定本身則極小。該測定可被迷你化成適合小至約 1微升之檢體流體之體積。 圖2為沿著線2-2所取之剖面圖,其說明圖丨中相同之元 件。圖2A為沿著線2A-2A之圖2之端面圖,其說明該裝 置之端部可被打開,以允許流體從小室移除。想要從小 室移除流體之情況,例如當你想要測試全部檢體時β可 將適當的蕊心物質施加到打開之端部藉此將流體拉出而 允許額外之流體進入小室。此可為連續或不連續之過程 〇 如圖1 , 2及2Α所例示說明者,黏著點58以單向將板1〇 及12保持在一起。黏著點58在圖6 (本發明之另一實施例 中)亦被設置。 圖7及圖7Α係例示說明在單一步騾測定中另一用微球 體分離之方法。在該實施例中,微球體與層析紙合用。 將生物檢體18放置在表面諸如顯微鏡載物片52,上。其 可被直將放在微球形珠粒50 (如例示說明者)上或其旁邊 。檢體之流體成分然後流經珠粒5〇,而與檢體18中存在 之非流體成分分離。該珠粒毗連或靠近玻璃纖維濾器塾 片60 ’該玻璃纖維遽器塾片6〇β比連標記塾片62 »該標記 墊片62通常為以標記浸潰之玻璃纖維墊片,該標記可用 來標記流體檢體中之被分析物。流體流經濾器60及標記 墊片62。當流體流經標記塾片時,任何在流體中存在之 被分析物將被標記。流體然後流入硝基纖維素層析長條 -31 - 本紙張尺度適用中國國家標準(CNS >八4^格(2丨οχ2”公釐) ---------衣— (請先閲讀背面之注意事項再填寫本頁) 訂 經濟部中央標準局貞工消費合作社印製 468046 A7 B7 五、發明説明(29) 片64,在該處測試結果被判讀,通常係根據硝基纖維素 長條片上之顏色改變或出現之帶來判讀。另外,既然微 球體50被用做濾器,玻璃纖維濾器62可完全去除(未示 出)。 最後,如圖7A例示說明者,玻璃纖維標記墊片62可用 微球形珠粒66置換。在該例中’珠粒66係做為標記之來 源而非做為濾器’以及玻璃纖維濾器60,係做為二組珠 粒50及66間之分隔物。對於流體成分之過遽為不需要之 應用而言’微球體66可被用於直接標記流體中存在之被 分析物’而無需微球體濾器50或破璃纖維間隔物6〇,。 圖7及7A係例示說明如何利用本文教示之本發明之微 球形珠粒技術修改目前之測定方法。 本發明之測定裝置及技術對於小體積之多種流體檢體 十分有用。雖然本文特別針對蛋白質加以說明,但是任 何其他指標(marker),只要能設計出可檢測及測量系統 中該指標之標記系統,就可以適用。舉例言之,本發明 可被用於測量及/或檢測微生物諸如細菌、病毒、真菌 或其他感染性生物之存在。本發明之生檢用薄片裝置可 依測定之類型及被分析物之類型而被校正,以致可建立 標準值表。本發明之測定系統可以檢測特定激素之量, 甚至可以檢測病人系統内之藥物量,以及該被標準化之 資料可被用於對特定個人進行診斷及/或預後測定。 一旦標準值之表被建立,定期收集數據以及資料庫根 據病人之醫療史、目前之健康狀況及測試結果而建立。 -32- -本纸張尺度適用中國國家樣準(CNS ) A4規格(210X297公楚) <請先閲讀背面之注意事項再填窝本頁) . 4 6 8 0 4 6 經濟部中央標準局貝工消費合作社印犁 A7 B7 五、發明説明(30 ) 需要時,該數據可經由透過數據機之電腦網路、.國際網 路、電纜線、電話線、衛星或其他相似技術,藉數位傳 輸系統傳送》此等資料庫可被用於開發神經網路演算, 以評估目前病人之測試結果以及診斷’以及對特定個人 預測某些健康後果。神經網路演算之一例子被記载於下 文實例3中以及檢體接收機運算器曲線(R〇c)被例示說明 於圖8。 應用神經網路演算之開發將為可評估醫療狀況。為了 具有可資仏賴之預測後果,首先必須累積較大量之病人 數據。神經網路可經由邏輯演算而能藉本發明之標準化 測定判別供診斷或預後用之被分析物之濃度。該^據及 演算法被編碼在電子晶片中,該晶片被安置在讀數器( 例如分光光度計)中,以致從讀數器印出之報告在提供 測試結果之同時,亦提供特定的診斷或預後。在神經網 路演算中,診斷或預後測試結果將隨著數據筆數之增加 而達到最佳。病人之數據越多,所得預測及/或診斷結 果之準確性越大。根據測得數據之分析並與提供之分析 器中設置之電子記憶晶片所含之資料庫比較,可以計算 準確百分率以及提供給醫師或技術員。目前之技術允許 在印出測試結果之時,於讀數器本身上顯示標準曲線。 按照本發明之另一方面,除了使用分光光度計之外, 生檢用薄片在承載板10内收納有無線電頻率感應器β當 在一個或以上檢測區發生反應時,發生無線電頻率之可 測量改變,以及藉著用檢測無線電頻率改變之適當裝置 -33- 本紙張尺度適用中國國家標準(CNS ) Α4規格(210X 297公餐) (請先閲讀背面之注$項再填寫本頁) 訂 自 經濟部中,央標準局員工消費合作社印製 4 6 B Q 4 6 A7 ---------- B7 五、發明説明(31 ) 檢測無線電頻率之改變,而測量反應之存在與否,甚至 反應之程度。 在本發明中,可以在相同的生檢用薄片上同時進行一 種以上之測試,所以診斷或預後之確定性可被改善。當 和標之數目增加時,測量之確定性亦隨之增加。 本發明之生檢用薄片/匣子之許多使用例之一為用—滴 病人血液測量血液蛋白質,以指示周邊血管疾病。 在分離/過濾步驟期間當檢體之流體部分與非流體部分 分開時’在光學顯微鏡下觀察微球體。觀察到一些微球 體在運動’一些則保持靜止。分離係動態的以及珠粒或 粒子在分離上之作用為一種動態毛細管作用。流體部分 之分離或萃取為瞬間的。 本發明亦可應用於本文所述之微球形珠粒以外之粒子 。更特定而言,本發明之分離技術用不均勻之粒子(包 括氧化矽系粒子’例如砂粒)亦能運作,如下文圖7所示 ’即使此等粒子非必然為球形,尺寸也不均勻亦可運作 〇 如本文實例所例示說明者,使用不均勻及/或非球形粒 子或珠粒可以達成適當的分離/過濾。不均勻性使得分 離效率較低’因為其較為緩慢,但至少對於定性測定而 言其仍能達成有效的分離。 舉例言之,在使用砂粒之實例7中,既然在與用微球 形珠粒分離(如實例4,5及6所述)之相同期間,較少的生 物從檢體中分離出’該分離似乎不是很有效率。不過, -34- 本紙張尺度適用中國國家標準(CNS ) A4規格(210X297公嫠) --------- ^ f I (請先閲讀背面之注意事項再填寫本頁) 訂- A7 B7 經濟部中央樣準局員工消費合作社印裂 4 68 046 五、發明説明(32 ) 生物終將被成功地分離以及可被進一步測試或測定。氧 化矽或其他類似粒子之使用優於微球形珠粒之處為其較 便宜以及在較低開發國家及開發中國家較容易镬得。 本發明之測定及裝置在鑑定某些生物檢體中有害及致 病細菌(諸如大腸桿菌菌株0157 : H7、沙門氏菌、利斯 特斯菌、衣形病毒及其他細菌)及微生物諸如病毒之存 在上特別有用。舉例言之,本發明之測定可被用於測試 食物檢體中之某些致病菌》其亦可被用於人類或動物醫 療以診斷感染性疾病。 藉本發明教示之方法進行之動態分離在圖9_ 18及實例 4-7中被例示說明。 從該實例已證明本發明之微球形珠粒可被普及為一般 粒予之現象以及本發明不限於球形珠粒,而是包括不均 勻尺寸及形狀之粒子’如在實例7中所說明者,用砂粒 做為生檢用薄片上之濾器。預期氧化矽砂粒比市售微球 形珠粒便宜許多,而使該技術有較廣之用途。雖然用氧 化矽砂不是很有效率,亦即在相同時間範園内被分離出 之細菌較少’但對許多目的而言已經足夠。 使用氧化梦型粒子之另一優點為氧化矽在本技藝中已 知旎選擇性結合蛋白質及核酸氧化矽系分離用粒子可 被用於設計某些蛋白質及/或核酸定位機制。 在所有實例4至7中’分離幾乎為瞬間的以及有關粒子 尺寸之限制由期望單離之細菌、微生物或其他被分析物 之類型決疋β預期熟習本技藝者將知道如何根據檢體中 -35- Μ氏張尺度適用中國國家標準(CNS ) Μ規格(2丨0><297公袭) {請先聞讀背面之注ί項再填寫本頁}It This paper size applies to the Chinese national standard (CNS specification (210X297 mm) 468 046 A7 B7. Printed by the Bayer Consumer Cooperative of the Central Standards Bureau of the Ministry of Economic Affairs. 5. Description of the invention (28), such as microscope slides, can be quite large, but The measurement performed on the slide itself is extremely small. The measurement can be miniaturized to a volume suitable for sample fluids as small as about 1 microliter. Figure 2 is a cross-sectional view taken along line 2-2, and its explanatory diagram The same components in Figure 丨 Figure 2A is an end view of Figure 2 along the line 2A-2A, which illustrates that the end of the device can be opened to allow fluid to be removed from the cell. Cases where fluid is desired to be removed from the cell For example, when you want to test all specimens, β can apply the appropriate core material to the open end to pull the fluid out and allow additional fluid to enter the chamber. This can be a continuous or discontinuous process. Figures 1, 2 and 2A illustrate that the sticking points 58 hold the plates 10 and 12 together in one direction. The sticking points 58 are also provided in Figure 6 (another embodiment of the invention). Figures 7 and FIG. 7A illustrates another example in a single step radon assay. Separation by microspheres. In this example, the microspheres are used in conjunction with chromatography paper. The biological specimen 18 is placed on a surface such as a microscope slide 52, which can be placed directly on the microsphere beads 50 (As exemplified by the illustration) on or next to it. The fluid component of the specimen then flows through the beads 50 and is separated from the non-fluid components present in the specimen 18. The beads adjoin or are close to the glass fiber filter septum 60 ' The glass fiber cymbal cymbal 60 ° β-linked marker cymbal 62 »The marker gasket 62 is usually a glass fiber gasket impregnated with a marker, and the marker can be used to mark the analyte in a fluid sample. Fluid flow Through the filter 60 and the marking pad 62. When the fluid flows through the marking septum, any analytes present in the fluid will be marked. The fluid then flows into the nitrocellulose chromatography strip -31-This paper applies to China National Standards (CNS > 8 4 ^ grids (2 丨 οχ2 ”mm) --------- Clothing — (Please read the notes on the back before filling this page) Order the Central Standards Bureau of the Ministry of Economic Affairs Printed by the Consumer Cooperative 468046 A7 B7 V. Description of the Invention (29) Tablet 64 The test results are interpreted, usually based on the color change or appearance of the nitrocellulose strips. In addition, since the microspheres 50 are used as filters, the glass fiber filter 62 can be completely removed (not shown). Finally, as illustrated in FIG. 7A, the glass fiber marker gasket 62 may be replaced with microspherical beads 66. In this example, 'beads 66 are used as a source of markings instead of filters' and glass fiber filters 60, 60 As a separator between two sets of beads 50 and 66. For applications where fluid composition is not needed, 'microsphere 66 can be used to directly label the analytes present in the fluid' without the need for a microsphere filter 50 or broken glass fiber spacer 60 ,. Figures 7 and 7A illustrate how to modify the current measurement method using the microsphere bead technology of the present invention as taught herein. The measurement device and technique of the present invention are very useful for a small number of fluid samples. Although this article specifically describes proteins, any other indicator (marker) can be applied as long as it can design a marker system that can detect and measure the indicator. For example, the invention can be used to measure and / or detect the presence of microorganisms such as bacteria, viruses, fungi or other infectious organisms. The biopsy sheet device of the present invention can be calibrated according to the type of measurement and the type of analyte, so that a standard value table can be established. The measurement system of the present invention can detect the amount of a specific hormone, even the amount of a drug in a patient's system, and the standardized data can be used to diagnose and / or prognosticate a specific individual. Once the standard value table is established, regular data collection and data bases are established based on the patient's medical history, current health status, and test results. -32--This paper size is applicable to China National Standard (CNS) A4 (210X297). ≪ Please read the precautions on the back before filling in this page). 4 6 8 0 4 6 Central Bureau of Standards, Ministry of Economic Affairs Beigong Consumer Cooperative Co., Ltd. Yinli A7 B7 V. Description of the invention (30) When needed, the data can be transmitted digitally via computer networks through modems, international networks, cables, telephone lines, satellites or other similar technologies. These databases can be used to develop neural network calculations to evaluate current patient test results and diagnoses, and to predict certain health consequences for specific individuals. An example of the neural network calculation is described in Example 3 below and the sample receiver operator curve (Roc) is illustrated and illustrated in FIG. 8. The development of applied neural network algorithms will be able to assess medical conditions. In order to have predictable consequences that can be relied upon, a large amount of patient data must first be accumulated. The neural network can determine the concentration of the analyte for diagnosis or prognosis by the standardized measurement of the present invention through logical calculations. The data and algorithms are encoded in an electronic chip that is placed in a reader (such as a spectrophotometer) so that the report printed from the reader provides the test results while providing a specific diagnosis or prognosis . In neural network calculations, the results of diagnostic or prognostic tests will reach the optimum as the number of data increases. The more data the patient has, the more accurate the predictions and / or diagnoses obtained. Based on the analysis of the measured data and comparison with the database contained in the electronic memory chip set in the provided analyzer, the accurate percentage can be calculated and provided to the physician or technician. Current technology allows a standard curve to be displayed on the reader itself when the test results are printed. According to another aspect of the present invention, in addition to the use of a spectrophotometer, a thin sheet for biopsy contains a radio frequency sensor β in the carrier plate 10. When a reaction occurs in one or more detection areas, a measurable change in radio frequency occurs , And by appropriate means for detecting changes in radio frequency -33- This paper size applies to Chinese National Standard (CNS) Α4 specification (210X 297 meals) (Please read the note on the back before filling this page) Order from the economy In the ministry, printed by the Consumer Standards Cooperative of the Central Bureau of Standards 4 6 BQ 4 6 A7 ---------- B7 V. Description of the invention (31) Detecting the change of radio frequency, and measuring the presence or absence of the response, even Degree of reaction. In the present invention, more than one test can be performed simultaneously on the same biopsy sheet, so the certainty of diagnosis or prognosis can be improved. As the number of bids increases, the certainty of the measurement increases. One of the many uses of the biopsy sheet / cassette of the present invention is to use a drop of patient's blood to measure blood proteins to indicate peripheral vascular disease. When the fluid portion and the non-fluid portion of the specimen are separated during the separation / filtration step ', the microspheres are observed under an optical microscope. It was observed that some microspheres were in motion 'while others remained stationary. Separation is dynamic and the role of beads or particles in separation is a dynamic capillary action. The separation or extraction of the fluid part is instantaneous. The invention can also be applied to particles other than the microspherical beads described herein. More specifically, the separation technology of the present invention also works with non-uniform particles (including silica particles, such as sand particles), as shown in Figure 7 below. "Even if these particles are not necessarily spherical, the size is not uniform. Operational. As illustrated by the examples herein, the use of non-uniform and / or non-spherical particles or beads can achieve proper separation / filtration. Heterogeneity makes the separation efficiency lower because it is slower, but at least it can still achieve effective separation for qualitative determination. For example, in Example 7 where grit was used, since fewer organisms were separated from the specimen during the same period as the separation with microspherical beads (as described in Examples 4, 5 and 6), the separation appears to Not very efficient. However, -34- This paper size applies to China National Standard (CNS) A4 (210X297 cm) --------- ^ f I (Please read the precautions on the back before filling this page) Order-A7 B7 The Consumer Cooperative Cooperative of the Central Procurement Bureau of the Ministry of Economy 4 68 046 V. Description of Invention (32) The organism will eventually be successfully separated and can be further tested or determined. The advantages of using silica or other similar particles over microspherical beads are that they are cheaper and easier to obtain in lower and developing countries. The assay and device of the present invention are used to identify the presence of harmful and pathogenic bacteria (such as E. coli strain 0157: H7, Salmonella, Listeria, Chlamydia virus and other bacteria) and microorganisms such as viruses in certain biological specimens. Especially useful. For example, the assay of the present invention can be used to test certain pathogenic bacteria in food specimens. It can also be used in human or animal medicine to diagnose infectious diseases. Dynamic separation by the method taught by the present invention is illustrated and illustrated in Figures 9-18 and Examples 4-7. From this example, it has been proved that the microspherical beads of the present invention can be popularized as ordinary particles and the present invention is not limited to spherical beads, but includes particles of uneven size and shape, as described in Example 7, Use grit as a filter on the biopsy sheet. Silica sand particles are expected to be much cheaper than commercially available microsphere beads, making the technology more versatile. Although the use of oxidized silica sand is not very efficient, that is, there are fewer bacteria isolated in the same time zone, but it is sufficient for many purposes. Another advantage of using oxidized dream-type particles is that silica is known in the art. Selective binding of proteins and nucleic acids. Silica-based separation particles can be used to design certain protein and / or nucleic acid localization mechanisms. In all Examples 4 to 7, the 'separation is almost instantaneous and the size limitation is determined by the type of bacteria, microorganisms, or other analytes that are expected to separate. Β It is expected that those skilled in the art will know how 35- The M's scale is applicable to the Chinese National Standard (CNS) M specifications (2 丨 0 > < 297 public attack) {Please read the note on the back before filling this page}
6 6 經濟部中央標準局貝工消费合作社印製 Α7 Β7 五、發明説明(33) 存在之細菌類型選擇粒子之尺寸。若細菌為未知者,熟 習本技藝人士將根據預測之尺寸檢選粒子尺寸以及一般 按照上述0.4:1之比率選擇珠粒尺寸 本發明之較佳實施例在下列實例中被更詳細說明,當 了解此等實例非用來限制隨附之申請專利範圍。 實例1 :血漿流之確認及從人類令血中之分離 如圖3至6所說明者,將約15微升之10微米乳膠微球形 珠粒(Bang’sTM)50滴在載玻片52上及讓其乾燥。將蓋玻 片54放置在載玻片上以及其邊緣向著並沿著乾燥珠粒推 進。蓋玻片使得乾燥珠粒與載玻片分開以及使得乾燥珠 粒滾動’藉此形成捲曲56。然後將蓋玻片放置在載玻片 上並以H捲曲Μ接觸蓋玻片之邊緣(如圖5及6所示)。蓋玻 片成方形地安置在載玻片上且其—邊緣與乾燥珠粒之捲 曲之一邊緣對準平行,以及該邊緣被打開以允許流體流 經珠粒及進入蓋玻片與載玻片間形成之毛細管小室。蓋 玻片在其四角58上用指甲油黏接,以將其固定在顯微鏡 載玻片上。蓋玻片被固定之點為不意圖發生毛細管作用 而讓流體在蓋玻片下自由流動之點》 將一滴20微升之人類全血18放置在其餘5至10微升微 球形珠粒上。換言之,人類全血之檢體被放置在未形成 捲曲部份之其餘部分珠粒上’而讓血漿成分藉毛細管作 用自由移動通過微球形珠粒之捲曲部分以及進入蓋玻片 與載玻片間界定之空間(即毛細管小室)^在雙眼光學顯 微鏡下觀察該作用。在將血液檢體加到珠粒上時,血漿 -36- 本紙張尺度適用中國國家標準(CNS ) Α4規格(210X297公釐) (請先閲讀背面之注意事項再填寫本頁) 訂 468 04 6 經濟部中央標準局貝工消费合作社印製 A7 B7 五、發明説明(34 ) 立即開始與全血分離。當捲曲被血漿浸濕時,蓋玻片與 載玻片間之毛細管作用將蓋玻片下之純淨無細胞血漿拉 引入蓋玻片與載破片間界定之小室中。該小室界定已知 之空間’其之體積可被計算及預定。 此證明微球形珠粒能輕易及有效地將血漿與全血分離 ,以及經由微球形珠粒間形成之毛細管通道進入毛細管 小室。 實例2 :微球體一分離與屉析長條片之组合 在供人類血液檢體中之被分析物用之測定中,本實例( 被圖示於圖7中)證明使用微球體可以將血漿從人類全血 之血液檢體中分離出。血漿用乳膠微球形珠粒 (Bang’sTM) 50分離,然後被拉入標準硝基纖維素層析長 條片中。 玻璃纖維墊片(在先前技藝中通常被用於保留紅血球) 用約20微升之1〇微米乳膠珠粒置換。將一滴人類血液( 約60微升)放置在表面52,上,與乳膠微球體接觸。玻璃 纖維塾片60做為珠粒50與標記墊片64間之有效間隔物, 惟其亦被用做第二濾器》玻璃纖維濾器60可以完全免除 而使微球形珠粒50與標記墊片64直接毗連(未被示出)。 觀察到血液浸濕珠粒堆以及在約2分鐘内澄清之血漿 流至硝基纖維素層析長條片上。此可用肉眼觀察,也可 於顯微鏡下觀察。該實例證明從血液分離血漿之微球體 法亦能與標準硝基纖維素層析長條片合用,就使用該層 析長條片之測試而言,此對從血液分離血漿顯然為—有 -37- 本紙張尺度適用中國國家標牟(CNS ) M規格(210X297公釐) (請先閲讀背面之注意事項再填寫本頁) -*1T. 468 046 A7 經濟部中夬標準局員工消費合作杜印製 B7 五、發明説明(35 ) 利的方法。 圖7A描述另一較佳具體實施例,其中取代纖維玻璃墊 62 ’微球珠66用於測試之標定區域。用纖維玻璃墊60,當 作兩組珠50與66間之阻體。 皇.例3 :神經絪踗指標分折 神經網路為一數學函數N(W,a),其輸入被分析物向量 a=(al ’ a2......,an)以及輸出數字在〇與1之間。在數字 邏輯演算(training)期間用數字邏輯演算模型{p =(bl , b2 ’….bn ’ T)}(其中bl ’…’ bn為供數字邏輯演算之蛋白 質向量’以及T為標靶輸出值)調整加權值參數w。在凝 血試驗之例子中,凝血則T為1以及未凝血則T為0。 調整參數W以使誤差為最小E = Σ (N(W,a)-T)2,6 6 Printed by the Shellfish Consumer Cooperative of the Central Standards Bureau of the Ministry of Economic Affairs Α7 Β7 V. Description of the invention (33) The type of bacteria that is present selects the size of the particles. If the bacteria is unknown, those skilled in the art will select the particle size based on the predicted size and generally choose the bead size according to the above ratio of 0.4: 1. The preferred embodiment of the present invention is explained in more detail in the following examples. These examples are not intended to limit the scope of the accompanying patent applications. Example 1: Confirmation of plasma flow and separation from human blood As illustrated in FIGS. 3 to 6, about 15 microliters of 10 micron latex microsphere beads (Bang'sTM) 50 were dropped on a glass slide 52 And let it dry. A cover glass 54 is placed on the glass slide and its edges are pushed toward and along the dried beads. The cover slip separates the dried beads from the slide and causes the dried beads to roll ' thereby forming a curl 56. The coverslip was then placed on a glass slide and the edges of the coverslip were touched with H curl M (as shown in Figures 5 and 6). The coverslip is placed squarely on the glass slide with its edge aligned parallel to one of the curled edges of the dried beads, and the edge is opened to allow fluid to flow through the beads and into the cover glass and slide Capillary chamber formed. The cover slip was glued with nail polish on its four corners 58 to fix it on the microscope slide. The point at which the cover slip was fixed was the point at which fluid was allowed to flow freely under the coverslip without intentional capillary action. A drop of 20 microliters of human whole blood 18 was placed on the remaining 5 to 10 microliters of microsphere beads. In other words, the specimen of human whole blood is placed on the remaining beads that do not form a curled portion, and the plasma components are allowed to move freely through the curled portion of the microsphere beads by capillary action and into the cover glass and the slide. The defined space (ie the capillary chamber) ^ observe the effect under a binocular optical microscope. When adding blood samples to the beads, plasma-36- This paper size applies Chinese National Standard (CNS) A4 specification (210X297 mm) (Please read the precautions on the back before filling this page) Order 468 04 6 Printed by the Central Standards Bureau of the Ministry of Economic Affairs, Shellfish Consumer Cooperative, A7 B7 V. Description of Invention (34) Immediately began to separate from whole blood. When the curl is soaked with plasma, the capillary action between the cover glass and the slide pulls the pure cell-free plasma under the cover glass into the compartment defined between the cover glass and the slide. The cell defines a known space 'whose volume can be calculated and predetermined. This proves that microsphere beads can easily and effectively separate plasma from whole blood, and enter the capillary compartment through the capillary channel formed between the microsphere beads. Example 2: The combination of microsphere separation and strip analysis in the measurement of analytes in human blood samples. This example (shown in Figure 7) demonstrates that the use of microspheres can remove plasma from Isolated from blood samples of human whole blood. Plasma was separated with latex microsphere beads (Bang'sTM) 50 and then pulled into standard nitrocellulose chromatography strips. Fiberglass gaskets (usually used to retain red blood cells in prior art) were replaced with approximately 20 microliters of 10 micron latex beads. A drop of human blood (about 60 microliters) was placed on surface 52, in contact with the latex microspheres. The glass fiber septum 60 is used as an effective spacer between the bead 50 and the marking gasket 64, but it is also used as a second filter. The glass fiber filter 60 can be completely eliminated and the microsphere beads 50 and the marking gasket 64 can be directly used. Adjacent (not shown). It was observed that the blood soaked the bead pile and the clear plasma flowed to the nitrocellulose chromatography strips in about 2 minutes. This can be observed with the naked eye or under a microscope. This example demonstrates that the microsphere method for separating plasma from blood can also be used with standard nitrocellulose chromatography strips. As far as the test using this chromatography strip is concerned, this clearly shows that there is-yes- 37- This paper size applies to China National Standards (CNS) M specifications (210X297 mm) (Please read the precautions on the back before filling out this page)-* 1T. 468 046 A7 Employees ’cooperation with China Standards Bureau, Ministry of Economic Affairs Printing of B7 V. Invention Description (35). Figure 7A depicts another preferred embodiment in which the fiberglass mat 62 ' microsphere beads 66 are used in the calibration area of the test. A fiberglass mat 60 was used as a barrier between the two sets of beads 50 and 66. Wong. Example 3: Neural crest index break neural network is a mathematical function N (W, a), the input of the analyte vector a = (al 'a2 ......, an) and the output number in Between 0 and 1. Use digital logic calculation model {p = (bl, b2 '.... bn' T)} during digital logic training (where bl '...' bn is the protein vector for digital logic calculation 'and T is the target output Value) adjusts the weighting parameter w. In the example of the coagulation test, T is 1 for coagulation and 0 for uncoagulated. Adjust parameter W to minimize the error E = Σ (N (W, a) -T) 2,
P 同時對新測試數據維持良好性能。 一旦網路被邏輯演算’選擇網路截止點C以分類測試 數據。TST(C,b,T)為測試向量a,既定截止點c及標靶輸 出T之測試結果。 {若N(a)>C,為1 TST(C,b,T) = { {否則為0 現在分析該測試之靈敏度及特異.性。 若T = 1及TST(C,b,T) = 1,則為真陽性 若T == 0及TST(C,b,T) = 1 ’則為偽陽性 若T =〇及TST(C,b,T) = 0,則為真陰性 若T=1及TST(C,b,T) = 0,則為偽陰性 -38 - (請先閲讀背面之注意事項再填寫本頁) 訂 本紙張尺度通用中國國家揉準(CNS > ( 210X297公嫠) 4 β 8 Ο 4 S Α7 Β7 五、發明説明(36 ) 靈敏度=TP/(TP+FN) 特異性=TN/(TN+FP) 對各種截止點繪製靈敏度對特異性之圖,得到ROC(接 收機運算器特性)曲線》 神經網路 吾人以一組邏辑演算模型{p = (II,12 ·.··.II,TAR}開 始,其中Ij為輸入值,以及TAR為標靶值(TAR = 0或 TAR = 1)。吾人想要邏輯演算神經網路,以得到與標乾 值接近之輸出值。 神經網路具有3層:第一輸入層,第二隱藏層及第三 輸出層: _ _ C _ / (請先閱讀背面之注意事項再填寫本頁) •^τ 經濟部中央標準局員工消费合作社印製 輸入 隱藏 輸出 神經元藉一組加權值{w(i,j,k)}連接。舉例言之,w (1,2,4)連接第一層之第二神經元與第二層之第四神經元 〇 對於各模型,吾人給予一數字稱呼對各神經元之活化 ,其量度正發動之機率。活化被如下界定: -39- 本紙張尺度適用中國國家標準(CNS ) Α4規格(210 X 297公釐) 6 8 0 4 6 A7 B7 五、發明説明(37) 誤差如下計算 ERMS =SQRT {總和{(t-a(2,l))A2}} 其中總和為所有模型者。 調整權值以使ERMS儘量減少,而對新數據維持良好 性能。 定量分析流程圖 ---------π-- (請先閱讀背面之注意事項再填寫本頁) 經濟部中央標準局貝工消費合作社印裝P also maintains good performance on new test data. Once the network is logically calculated 'select the network cut-off point C to classify the test data. TST (C, b, T) is the test result of test vector a, the predetermined cut-off point c and the target output T. {If N (a)> C, 1 TST (C, b, T) = {{Otherwise 0 Now analyze the sensitivity and specificity of the test. If T = 1 and TST (C, b, T) = 1, then it is a true positive. If T == 0 and TST (C, b, T) = 1 ', then it is a false positive. If T = 0 and TST (C, b, T) = 0, it is true negative. If T = 1 and TST (C, b, T) = 0, it is false negative. -38-(Please read the precautions on the back before filling this page). Standards General Chinese National Standards (CNS > (210X297)) 4 β 8 〇 4 S Α7 Β7 V. Description of the invention (36) Sensitivity = TP / (TP + FN) Specificity = TN / (TN + FP) Pair Draw sensitivity vs. specificity at various cut-off points to get the ROC (receiver operator characteristic) curve. The neural network starts with a set of logical calculation models {p = (II, 12 ···· .II, TAR). , Where Ij is the input value and TAR is the target value (TAR = 0 or TAR = 1). I want to logically calculate the neural network to get an output value close to the standard stem value. The neural network has 3 layers: The first input layer, the second hidden layer, and the third output layer: _ _ C _ / (Please read the precautions on the back before filling out this page) • ^ τ Printed input hidden output nerve by the Consumer Cooperatives of the Central Standards Bureau of the Ministry of Economic Affairs Yuan borrowing a set of weights {w (i, j, k)} connection. For example, w (1,2,4) connects the second neuron in the first layer and the fourth neuron in the second layer. For each model, we give a The number refers to the activation of each neuron, which measures the probability of activation. The activation is defined as follows: -39- This paper size applies the Chinese National Standard (CNS) A4 specification (210 X 297 mm) 6 8 0 4 6 A7 B7 V. Description of the invention (37) The error is calculated as follows: ERMS = SQRT {Sum {(ta (2, l)) A2}} where the sum is for all models. Adjust the weights so that ERMS is minimized while maintaining good performance on new data Quantitative analysis flow chart --------- π-- (Please read the notes on the back before filling this page) Printed by Shellfish Consumer Cooperative, Central Bureau of Standards, Ministry of Economic Affairs
-40- 訂 本紙張尺度適用中國國家標準(CNS ) A4规格(210X297公釐)-40- The size of the paper is applicable to China National Standard (CNS) A4 (210X297 mm)
4 68 046 a? _______B7五、發明説明(38 ) _ I I 比較神經網路之輸出值(OUT)與截止點 (CUT) {*OUT> CUT,則為陽性 測試結果={ __{其他則為陰性 (請先聞讀背面之注項再填寫本莧) 經濟部中央標準局負工消費合作社印装 實例4 :乳酸禪菌從醴乳醢中之分雖 將約10微升含乳酸桿菌之酸乳酪放置在本發明之測定 裝置(在本文中被稱為”生檢用薄片"上。當在生檢用 薄片上無分離用珠粒時,如圖9所示,在视場中觀察到 固體粒子。在分離之前,視場中只見到少許細菌(圖9)。 相對照地,如圖10所示,經由直徑為15微米之微球形 珠粒之分離顯示細菌與檢體分離良好。圖9中所見到之 固體粒子未出現。分離後,在被分離之流體部份中只有 見到細菌。分離幾乎於瞬間發生。微球形珠粒提供—種 迅速且方便之分離方法,能將細菌與酸乳酪中之其餘固 體粒子分離,藉此允許對被分離之細菌進一步測試。此 允許決定檢體中存在之細菌之類型。舉例言之,細菌或 其他微生物之類型可藉特殊抗原試驗測定,以決定存^ 之細菌或微生物之類型。 當分離用10微米微球形珠粒進行時,在圖丨1中見到相 本紙張尺度適用中國國家標準(CNS > M規格(2丨0><297公楚) :策------1T-----L}}-- 468 046 經濟部中央樣準局舅工消費合作社印装 A7 B7 五、發明説明(39 ) 似之結果。圖Π顯示在每個視場中之細菌數目較少,但 仍顯示細菌與酸乳酪有效分離。 f例5 ·大暘桿菌從麵包縣浮滋中之分離 在本實例中,大腸桿菌用本發明之方法及裝置從麵包 懸浮液中成功地分離出。 首先’製備麵包及NaCI混合物。稱量200亳克之麵包 °麵包懸浮液藉將500微升之150 mM NaC】與麵包反覆混 合而製備。將大腸桿菌(DH5a菌株)以100微升之份量加 到麵包懸浮液中。將該懸浮液再次混合以製造大腸桿菌 /麵包懸浮液。將1〇〇微升之大腸桿菌/麵包懸浮液放置在 ”生檢用薄片"上以及微球形珠粒幾乎瞬間將含有細菌 之流體成分從檢體分離,但無一固體粒子從檢體分離出 。圖12顯示未經分離之大腸桿菌/麵包懸浮液之典型视 場圖。圖13顯示用具15微米直徑之微球形珠粒單離之流 體部份中細菌被分離。觀察到良好的分離。 f例6 :細茴從牛螯中之分離 在本實例中,來自牛糞之細菌用本發明之技術分離。 將500毫克牛糞與500微升之15〇 NaCI合併及混合以 形成懸浮液。懸浮液之5微升檢體被用於分離以及被放 置在生檢用薄片上。分離前(圖14)及分離後(圖15及16) 之顯微照片被示出。在該實例中分離用丨5微米微球形珠 粒達成。將檢體放置在生檢用薄片上以及微球形珠粒幾 乎瞬間將含有細菌之流體成分從檢體分離。被分離之細 菌現被染色以進一步鑑定》用15微米直徑之珠粒(圖15) -42- 本紙張尺度適用中國國家樣準(CNS > A4規格(210X297公釐) ---------衣— {請先閲讀背面之注意事項再填寫本頁) 訂 468046 經濟部中央標準局貝工消費合作,社印裝 五、發明説明(40) 及用10微米直徑之珠粒(圖16)皆達成良好的分離。 實例7 :用氣化妙砂赶公_ 在本實例中,除了市售之標準聚苯乙缔珠粒外尚測試 其他類型之粒子。為了測試氧化矽系粒子之適用性,用 砂粒(氧化矽砂)置換微球形珠粒。進行三種測試:牛 糞、大腸样菌/麵包懸浮液及血液。將氧化矽砂與水混 合以形成流漿以及被施加在生檢用薄片上。生檢用薄片 上砂粒之尺寸可從1毫米標尺見到(圖丨7)。 雖然如圖牛糞)及圖19 (大腸桿菌/麵包懸浮液)所示 ,觀察到良好之分離,不過分離不如上文實例5及6記載 之相同實驗佳,其中聚苯乙烯珠粒被用於過濾步驟。同 樣地,用該顆粒分離之效率較差,因為其具有不均勻的 粒子尺寸及形狀〇不過,砂顆粒/氧化矽砂顯然仍為聚 苯乙婦微《珠粒之適當代替品,因為其㈣達成清楚 之分離。 將全血施加在生檢用薄片上以及讓其經由氧化矽砂粒 過濾。在該例中,由於具有較大之粒子尺寸(與1〇微米 微球形珠粒相較),紅血球流動通過過濾用粒予。得到 均勻之血液抹片。 熟習本技藝者使用例行實驗當知或能確認許多與上文 特別說明之本發明實施例對等者。此等對等物被包含在 下列申請專利範園之範圍中。 -43-4 68 046 a? _______B7 V. Description of the invention (38) _ II Compare the output value (OUT) and cut-off point (CUT) of the neural network {* OUT > CUT, then the test result is positive = {__ {Others are negative (Please read the note on the back before filling in this card) Printing Example 4: The Central Laboratories of the Ministry of Economic Affairs, Consumer Cooperatives, Printing Example 4: Although the lactic acid bacterium is from the milk, it is about 10 microliters of yogurt containing lactic acid bacteria Placed on the measurement device of the present invention (referred to herein as a "bioassay sheet". When there are no beads for separation on the biopsy sheet, as shown in FIG. 9, a solid is observed in the field of view Particles. Before the separation, only a few bacteria were seen in the field of view (Figure 9). In contrast, as shown in Figure 10, the separation of microsphere beads with a diameter of 15 microns showed that bacteria and samples were well separated. Figure 9 The solid particles seen in the method did not appear. After separation, only bacteria were found in the separated fluid part. The separation occurred almost instantaneously. Microsphere beads provide a fast and convenient method of separating bacteria and acids. The remaining solid particles in the cheese are separated, thereby allowing the The isolated bacteria are further tested. This allows to determine the type of bacteria present in the specimen. For example, the type of bacteria or other microorganisms can be determined by special antigen tests to determine the type of bacteria or microorganisms present. When used for isolation When the 10 micron micro-spherical beads are carried out, the paper size shown in Figure 丨 1 is applicable to the Chinese national standard (CNS > M specification (2 丨 0 > < 297 Gongchu)): Policy ----- 1T- ---- L}}-468 046 Printing of A7 B7 by the Masonry Consumer Cooperative of the Central Bureau of Procurement, Ministry of Economic Affairs V. Invention Description (39) Similar results. Figure Π shows that the number of bacteria in each field of view is smaller However, it still shows that bacteria and yogurt are effectively separated. FExample 5 · Isolation of Euglena bacillus from Fuzi of Bakery County In this example, E. coli was successfully separated from the bread suspension by the method and device of the present invention. First, prepare a mixture of bread and NaCI. Weigh 200 亳 g of bread ° Bread suspension prepared by repeatedly mixing 500 microliters of 150 mM NaC] with bread. Add E. coli (DH5a strain) in 100 microliter portions to Bread suspension. The suspension Mix again to make an E. coli / bread suspension. Place 100 μl of the E. coli / bread suspension on the "bioassay sheet" and microsphere beads to remove bacteria-containing fluid components from the specimen almost instantaneously. Isolated, but no solid particles were separated from the specimen. Figure 12 shows a typical field of view of an unisolated E. coli / bread suspension. Figure 13 shows the fluid portion of a 15 micron diameter microsphere bead isolated Bacteria were isolated. Good separation was observed. FExample 6: Isolation of fine anise from bovine stalks In this example, bacteria from cow dung were isolated using the technique of the present invention. 500 mg of cow dung and 500 microliters of 150 NaCI were combined and mixed to form a suspension. Five microliters of the suspension was used for separation and placed on the biopsy sheet. Micrographs before (Figure 14) and after (Figures 15 and 16) are shown. In this example the separation was achieved with 5 micron microsphere beads. The specimen is placed on the biopsy sheet and the microsphere beads separate the fluid component containing bacteria from the specimen almost instantaneously. The isolated bacteria are now stained for further identification. "15 micron diameter beads (Figure 15) -42- This paper size applies to China's national standard (CNS > A4 size (210X297 mm) ------ --- 衣 — {Please read the precautions on the back before filling in this page) Order 468046 Shellfish Consumer Cooperation of the Central Standards Bureau of the Ministry of Economic Affairs, printed on the fifth, description of the invention (40) and use 10 micron diameter beads (picture 16) All achieved good separation. Example 7: Catching the air with gasified Miaosha_ In this example, other types of particles are tested in addition to the commercially available standard polystyrene beads. In order to test the applicability of silica-based particles, microsphere beads were replaced with grit (silica sand). Three tests were performed: cow dung, coliform / bread suspension, and blood. Silica sand is mixed with water to form a slurry and applied to a biopsy sheet. The size of the grit on the biopsy sheet can be seen from the 1 mm ruler (Figure 丨 7). Although good separation was observed as shown in cow dung) and Figure 19 (E. coli / bread suspension), the separation was not as good as the same experiment described in Examples 5 and 6 above, where polystyrene beads were used for filtration step. Similarly, the efficiency of separation with this particle is poor because it has non-uniform particle size and shape. However, sand particles / silica sand are clearly still a suitable substitute for polystyrene microbeads because it Clear separation. Whole blood was applied to the biopsy sheet and allowed to pass through silica grit. In this example, because of the larger particle size (compared to 10 micron microsphere beads), red blood cells flow through the particles for filtration. Obtain a uniform blood smear. Those skilled in the art will recognize or be able to confirm many equivalents to the embodiments of the present invention specifically described above using routine experiments. Such equivalents are included in the scope of the following patent application parks. -43-
(請先閲讀背面之注意事項再填寫本I·)(Please read the notes on the back before completing this I ·)
0 I !1 —^n II .0 I! 1-^ n II.
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CA002254223A CA2254223A1 (en) | 1998-11-16 | 1998-11-16 | Device and method for analyzing a biologic sample |
US09/335,732 US6403384B1 (en) | 1998-11-16 | 1999-06-18 | Device and method for analyzing a biologic sample |
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JP (1) | JP4544498B2 (en) |
AU (1) | AU1144000A (en) |
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WO2001023893A2 (en) * | 1999-09-27 | 2001-04-05 | Librach Clifford L | Detection of hla-g |
US6989891B2 (en) | 2001-11-08 | 2006-01-24 | Optiscan Biomedical Corporation | Device and method for in vitro determination of analyte concentrations within body fluids |
DE10354806A1 (en) * | 2003-11-21 | 2005-06-02 | Boehringer Ingelheim Microparts Gmbh | sample carrier |
US20050266398A1 (en) * | 2004-06-01 | 2005-12-01 | Peter Lea | Method and device for rapid detection and quantitation of macro and micro matrices |
US8936755B2 (en) | 2005-03-02 | 2015-01-20 | Optiscan Biomedical Corporation | Bodily fluid composition analyzer with disposable cassette |
US20060194325A1 (en) | 2005-02-14 | 2006-08-31 | Gable Jennifer H | Fluid handling cassette with a fluid control interface |
US9561001B2 (en) | 2005-10-06 | 2017-02-07 | Optiscan Biomedical Corporation | Fluid handling cassette system for body fluid analyzer |
WO2011011462A1 (en) | 2009-07-20 | 2011-01-27 | Optiscan Biomedical Corporation | Adjustable connector and dead space reduction |
US9554742B2 (en) | 2009-07-20 | 2017-01-31 | Optiscan Biomedical Corporation | Fluid analysis system |
WO2011156522A1 (en) | 2010-06-09 | 2011-12-15 | Optiscan Biomedical Corporation | Measuring analytes in a fluid sample drawn from a patient |
WO2013006716A1 (en) | 2011-07-06 | 2013-01-10 | Optiscan Biomedical Corporation | Sample cell for fluid analysis system |
CN103917870B (en) | 2011-11-16 | 2016-04-13 | 贝克顿·迪金森公司 | For detecting the method and system of the analysis thing in sample |
BR112015010695B1 (en) | 2013-01-11 | 2023-03-07 | Becton, Dickinson And Company | MICROFLUID DEVICE AND METHOD FOR PERFORMING A LIQUID SAMPLE TEST, METHOD FOR FORMING A MICROFLUID DEVICE, SYSTEM AND KIT |
ES2856191T3 (en) | 2013-11-06 | 2021-09-27 | Becton Dickinson Co | Microfluidic devices and methods of using them |
JP6518245B2 (en) | 2013-11-13 | 2019-05-22 | ベクトン・ディキンソン・アンド・カンパニーBecton, Dickinson And Company | Optical imaging system and method using the same |
US11298061B2 (en) | 2014-10-14 | 2022-04-12 | Becton, Dickinson And Company | Blood sample management using open cell foam |
WO2016060793A1 (en) | 2014-10-14 | 2016-04-21 | Becton, Dickinson And Company | Blood sample management using open cell foam |
JP6426832B2 (en) | 2015-03-10 | 2018-11-21 | ベクトン・ディキンソン・アンド・カンパニーBecton, Dickinson And Company | Microsample management system for biological fluid |
EP3344390B1 (en) | 2015-09-01 | 2021-01-20 | Becton, Dickinson and Company | Depth filtration device for separating specimen phases |
CN111433350B (en) * | 2017-11-30 | 2023-11-14 | 烟台澳斯邦生物工程有限公司 | Method, system and filtration unit for separating particles from biological samples |
KR102074150B1 (en) * | 2018-04-11 | 2020-02-06 | 바디텍메드(주) | System and method for changing reaction characteristic information of plurality of diagnosis cartridge set |
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US3492396A (en) * | 1967-03-13 | 1970-01-27 | Becton Dickinson Co | Agglutinate separation method and apparatus |
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US4381921A (en) * | 1978-12-27 | 1983-05-03 | Eastman Kodak Company | Element, structure and method for the analysis or transport of liquids |
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US4790640A (en) * | 1985-10-11 | 1988-12-13 | Nason Frederic L | Laboratory slide |
US5744366A (en) * | 1992-05-01 | 1998-04-28 | Trustees Of The University Of Pennsylvania | Mesoscale devices and methods for analysis of motile cells |
JPH0768785A (en) * | 1993-09-07 | 1995-03-14 | Fuji Xerox Co Ltd | Ink supply device |
GB9425893D0 (en) * | 1994-12-22 | 1995-02-22 | Karobio Ab | Assay apparatus |
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