WO1990001700A1 - Methods and devices for carrying out multiple simultaneous conductometric analyses - Google Patents

Methods and devices for carrying out multiple simultaneous conductometric analyses Download PDF

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Publication number
WO1990001700A1
WO1990001700A1 PCT/US1989/003279 US8903279W WO9001700A1 WO 1990001700 A1 WO1990001700 A1 WO 1990001700A1 US 8903279 W US8903279 W US 8903279W WO 9001700 A1 WO9001700 A1 WO 9001700A1
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WO
WIPO (PCT)
Prior art keywords
analyte
sample
immobilized
housing
fluid
Prior art date
Application number
PCT/US1989/003279
Other languages
French (fr)
Inventor
Jack R. U'ren
Jeffrey B. Beers
Poonam Velagaleti
Original Assignee
Battelle Memorial Institute
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Battelle Memorial Institute filed Critical Battelle Memorial Institute
Publication of WO1990001700A1 publication Critical patent/WO1990001700A1/en

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Classifications

    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/543Immunoassay; Biospecific binding assay; Materials therefor with an insoluble carrier for immobilising immunochemicals
    • G01N33/54366Apparatus specially adapted for solid-phase testing
    • G01N33/54373Apparatus specially adapted for solid-phase testing involving physiochemical end-point determination, e.g. wave-guides, FETS, gratings
    • G01N33/5438Electrodes
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12MAPPARATUS FOR ENZYMOLOGY OR MICROBIOLOGY; APPARATUS FOR CULTURING MICROORGANISMS FOR PRODUCING BIOMASS, FOR GROWING CELLS OR FOR OBTAINING FERMENTATION OR METABOLIC PRODUCTS, i.e. BIOREACTORS OR FERMENTERS
    • C12M21/00Bioreactors or fermenters specially adapted for specific uses
    • C12M21/18Apparatus specially designed for the use of free, immobilized or carrier-bound enzymes
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12MAPPARATUS FOR ENZYMOLOGY OR MICROBIOLOGY; APPARATUS FOR CULTURING MICROORGANISMS FOR PRODUCING BIOMASS, FOR GROWING CELLS OR FOR OBTAINING FERMENTATION OR METABOLIC PRODUCTS, i.e. BIOREACTORS OR FERMENTERS
    • C12M41/00Means for regulation, monitoring, measurement or control, e.g. flow regulation
    • C12M41/30Means for regulation, monitoring, measurement or control, e.g. flow regulation of concentration
    • C12M41/32Means for regulation, monitoring, measurement or control, e.g. flow regulation of concentration of substances in solution

Definitions

  • the present invention relates to conductimetric assay techniques and, more particularly, to a method and apparatus for the simultaneous quantitative determination of a plurality .of preselected analytes in a single fluid sample.
  • Lowe discloses the use of an immobilized enzyme or other specific binding partner on a porous non-conducting membrane which contains a pair of solid electrodes spaced apart and in face to face contact with the same face of the membrane.
  • the membrane is removably secured to the end of a dipstick-type probe, and must be exchanged for a different membrane for each sequential analysis.
  • a pair of reference electrodes is also provided, for determining background conductivity in the sample solution. While possibly of great assistance in the analytical laboratory, the foregoing instrumentation is not well suited for alternate locations such as the doctor's office, ambulance, farm, veterinary facility, or other site remote from the laboratory.
  • the coplanar electrodes could exhibit nonuniform ion generation on the membrane, and removal of ions between process steps is diffusion limited.
  • the signal kinetics and analyte capturing ability of the device are affected not only by the analyte concentration, but also by diffusion phenomena.
  • the electrical path during the conductivity measurement is difficult to determine, and calculation of the cell constant for such an electrode arrangement is a complex undertaking.
  • the Lowe device generates ions most rapidly on the top side of the membrane — the side furthest from the electrodes. A conductivity gradient would be expected across the membrane, which could affect the reliability of the results obtained.
  • instrumentation cost is a major concern. While reference laboratories may use dedicated instruments for each of several- assays, the cost of dedicated instruments in the doctors' office setting is prohibitive. Thus, a versatile, low cost instrument that could be used to preform a variety of tests would be particularly desirable.
  • a device for analyzing a biological fluid comprising one or more unit cells for the conductimetric determination of an analyte in the fluid sample.
  • Each unit cell comprises a first porous support to which biological reagents for detection of an analyte are immobilized, and a first and a second electrode spaced a fixed distance apart, wherein the porous support is adjacent to the first and second electrodes.
  • the electrodes may advantageously be porous, with the unit cells disposed in a housing having at least one fluid flow path therein, in such a manner that fluid traversing a first fluid flow path in the housing must pass through the electrodes and the porous supports of the unit cells.
  • the device further comprises a second unit cell in the housing, which is capable of the conductimetric determination of a second analyte in the same sample.
  • the second unit cell may be disposed in the same fluid flow path as the first unit cell, or it may be disposed in a second fluid flow path through the housing such that fluid traversing the second fluid flow path must pass over or through the electrodes and the porous support of the second unit cell.
  • Multiple unit cells can be provided along a single flow path, or each having a separate flow path through said housing.
  • the device will further comprise at least one control unit cell in the housing functioning as a control for at least one other unit cell therein. Both positive and negative controls may be provided.
  • the biological reagents immobilized to the porous support of the negative control are preferably known to be nonreactive with components of the sample and liquid reagents used in the assay.
  • a mixing chamber may be provided in fluid communication with the unit cell, and reagents may be provided in the mixing chamber which are adapted to cooperate in the analysis of the fluid sample with the reagents immobilized in the unit cell.
  • the mixing chamber may be in a separate housing, or may be in the same housing as the unit cells.
  • the reagents immobilized in the unit cell comprise a member of a first ligand-antiligand pair, where either the ligand or the antiligand of the first pair is analyte, and the reagents in the mixing chamber comprise a member of a second ligand-antiligand pair, wherein one member of the second pair is a member of the first pair.
  • the immobilized reagents may advantageously be adapted to bind with analyte and the reagents in the mixing chamber may be adapted to bind either with analyte or immobilized reagent.
  • the mixing chamber may be adapted to receive sample that has passed through the unit cells, to mix the reagents in the mixing chamber with the sample, and to discharge the resulting mixture back through the unit cells.
  • the housing of the above described device may further comprise a first and second septum through which sample can be introduced and removed.
  • the first and second septums have a fluid flow path therebetween, and at least one unit cell in the flow path between the septums.
  • the device may further comprise means for introducing a sample through the housing along the fluid flow path, means for measuring the conductivity between the electrodes of the unit cells, and means responsive to the measured conductivity for indicating the concentration of analyte in the sample.
  • the electrode comprises plates of perforated metal, or metal mesh, such as stainless steel, and are mounted perpendicular to the first fluid flow path.
  • a unit cell for performing a conductimetric assay of a liquid for an analyte comprising a first and second planar porous metal electrode, and a support layer to which reagents for use in a conductimetric assay are immobilized.
  • the first and second electrodes are spaced apart, the electrode and the support layer are substantially parallel and are situated along a common axis line extending perpendicularly through the electrode and the support layer.
  • the support layer may advantageously be between the electrodes.
  • the support layer may be bonded to one or more of the electrodes.
  • an apparatus for performing an assay of a liquid sample comprising a reaction cell housing removably mounted in the apparatus; a plurality of electrode pairs in said housing; and a liquid permeable support associated with each electrode pair on which are immobilized reagents for use in a conductimetric assay for an analyte, wherein the reaction cell housing has a liquid flow path therethrough, and wherein said electrode pairs and said supports are in said flow path so that liquid traversing said path must flow thereover or therethrough.
  • Means are provided at each end of the path for introducing liquid into or removing liquid from said path, and the apparatus may further comprise a sample port into which sample liquid may be introduced; a waste receptacle into which liquid waste may be placed; a reagent reservoir for containing a liquid reagent; a mixing chamber; a pump for moving liquids through said device; means for directing fluid from said sample port through said housing along first fluid flow path and into said mixing chamber, then directing fluid from said mixing chamber back through said housing along said first fluid flow path and into said waste reservoir, then directing liquid from said reagent reservoir through said housing and into said waste reservoir; and means for measuring the conductivity between said electrode pairs. Means additionally may be provided for converting said measured conductivities into analyte concentration measurements, and for displaying or storing said analyte concentration measurements.
  • a method for carrying out multiple simultaneous conductimetric analyte determinations for a single sample comprising the steps of providing a primary test chamber containing a plurality of conductimetric cells, each such cell specific to a particular analyte and comprising a pair of porous electrodes enclosing a permeable membrane on which is immobilized a biological species capable of forming with the specific analyte or an analyte-binding molecule, or both specific analyte and analyte-binding molecule, a selectively bound biological complex; providing a plurality of non-immobilized enzyme-labeled biological species capable of forming a part of the bound biological complexes; directing a liquid sample containing analytes through the porous electrodes and the permeable membranes " and allowing the analytes in the sample to interact with the immobilized species and the labeled species, thereby forming on the membrane in each cell im
  • the directing step comprises passing the liquid sample through the cells, and then passing the non-immobilized enzyme- labeled biological species through the cells to form the immobilized complexes. Any step that requires ligand- antiligand interaction may be accomplished in a single pass very slowly through the cells, or may be accomplished with multiple passes of liquid through the cells to increase efficiency.
  • the directing step comprises passing the liquid sample through the cells in a first direction, mixing the liquid sample with the non- immobilized biological species to form a mixture, and then passing the mixture back through the cells in a second direction to form the immobilized complexes.
  • Another embodiment of the present invention further contemplates mixing the liquid sample with the non- immobilized enzyme-labeled species prior to the directing step.
  • a method for carrying out multiple simultaneous conductimetric analyte determinations on a single sample comprising the steps of providing a primary test chamber containing a plurality of conductimetric cells, each such cell specific to a particular analyte and comprising a pair of electrodes associated with a support on which is immobilized a biological species capable of forming with the specific analyte or an analyte-binding molecule, or both specific analyte and analyte-binding molecule, a selectively bound biological complex; providing a plurality of non- immobilized enzyme-labeled biological species capable of for ing a part of the bound biological complexes in a mixing chamber in the housing; directing a liquid sample containing analytes.
  • the directing step comprises first passing the liquid sample through the mixing chamber to form a mixture of sample and the non- immobilized enzyme-labeled species, and then passing the mixture through the primary chamber.
  • the immobilized species is analyte or analyte analog.
  • the directing step comprises first passing the liquid sample through the primary chamber to bind analyte to a first portion the immobilized species to form a bound analyte complex, then passing the liquid sample into the mixing chamber to form a mixture of the liquid sample and the non- immobilized enzyme-labeled species, and then passing the mixture back through the primary chamber to form the immobilized enzyme labeled complexes.
  • the immobilized enzyme-labeled complexes may comprise enzyme- labeled species bound to a second portion of the immobilized species.
  • the immobilized enzyme- labeled complexes may comprise enzyme-labeled species bound to analyte, which in turn is bound to the immobilized species.
  • analyte (or an analyte analog that will be recognized as analyte by binding species) is immobilized on the membrane, the non- immobilized enzyme-labeled species has the ability to specifically bind with the analyte, and sample analyte acts to prevent the binding of the enzyme-labeled species to the immobilized analyte.
  • the immobilized species has the ability to specifically bind with the analyte.
  • Specific binding materials include natural or synthetic protein or hormone receptors, other natural receptors, and other specific binding molecules, such as lectins, members of antibody-antigen pairs, and specific binding proteins and enzymes. These materials are also referred to herein as ligand/antiligand combinations, where one of the materials of a binding pair is the ligand, and the other is antiligand.
  • the enzyme-labeled species is also a receptor for the analyte, and sample analyte permits the binding of the labeled species in a complex with the immobilized species.
  • the non-immobilized labeled species is analyte, and sample analyte acts to prevent the binding of the enzyme labeled species to the immobilized receptor.
  • the enzyme label of the non-immobilized species is urease.
  • any other appropriate enzyme that participate in producing an ion by acting on a substrate may be used.
  • the ion generated by the enzyme changes the conductivity of the solution between the electrodes in a measurable way, thereby permitting determination of the quantity of enzyme immobilized in the course of the assay. and as an extension thereof, the quantity of analyte in the sample.
  • the electrodes used in the conductimetric determination of the present invention may be arranged in series, so that liquid sample contacts the electrodes sequentially, or they may be arranged in parallel, so that different portions of the same sample may be directed to different electrode pairs.
  • Figure 1 is an artist's conception of a diagnostic instrument system according to the present invention, presented in a perspective view.
  • Figure 2 corresponds to Figure " 1, except that the instrument housing covers are opened to present a view of the interior compartments.
  • Figure 3 is a perspective view of a longitudinal cross section of one type of detector for use in the present invention.
  • Figure 4 is a perspective view of another embodiment of the diagnostic instrument system of the present invention.
  • Figure 5 is a partially exploded perspective view of the detector unit of the present invention.
  • Figure 6 shows one embodiment of an electrode for use with the present invention.
  • Figure 7 shows a second embodiment of an electrode.
  • Figure 8 shows a third embodiment of an electrode.
  • Figure 9 shows a partial cross-sectional view of the electrode of Figure 8, taken along lines 9-9.
  • Figure 10 is an elevational, axial sectional view of the assembled detector unit of Figure 5.
  • Figure 10a is a schematic cross section of another embodiment of the detector unit.
  • Figure 11 is a schematic representation of one fluid flow scheme for the system of the present invention.
  • Figure 11a is a schematic representation of another fluid flow scheme for the system of the present invention.
  • Figure 12 is a block diagram of the electronic apparatus of the present invention.
  • Figure 13 is a detailed schematic diagram of the conductivity measuring circuit.
  • Figure 13a is an alternative embodiment of a circuit to sense the current flowing through the cells in Figure 13.
  • FIGS 14a-14c are detailed flow diagrams of the steps required to complete an assay on the apparatus of the present invention.
  • FIG 1 An analyzer apparatus 15 according to one aspect of the present invention, for the simultaneous quantitative determination of a plurality of analytes in a single sample solution.
  • An alternative embodiment of the apparatus 15 is shown in Figure 4, and the following description is equally applicable to Figures 1, 2, and 4.
  • the apparatus 15 is provided with a sample receiving connection 16 adapted for removably receiving a container 17 having a fluid sample 18 for analysis contained therein.
  • the analyzer 15 is additionally provided with a detector element holder illustrated generally at 19, adapted for removably providing both fluid and electrical communication between a detector 20 and the apparatus 15.
  • Multiple electrical connections with the detector 20 are enabled by way of a multiple contact connection element 21, and fluid communication between the detector 20 and apparatus 15 is provided at a first port 22 and a second port 23 in said detector by a first releasable connector 24 and second releasable connector 25, respectively.
  • detector ports 22 and 23 are preferably sealed by pierceable septums 26 and 27, respectively.
  • Septums 26 and 27 may advantageously comprise any of a variety of known elastomeric materials, such as natural rubber, synthetic rubber, thermoplastic elastomer, or silicone rubber, and are capable of preventing introduction of foreign matter into the detector during periods of storage.
  • the use of such septum seals in the present invention is designed to prevent all contact between the user of the apparatus 15 and the fluid being analyzed. This, in turn, can greatly reduce the risk that the user will be exposed to disease vectors that may be present in the fluid, such as hepatitis or AIDS.
  • Connectors 24 and 25 will in that event respectively comprise hollow needles 28 and 29 (best illustrated in Figure 4) , capable of piercing the septums 26 and 27.
  • Installation of the detector 20 into the apparatus 15 may be accomplished by engaging electrical contacts on the detector with connection element 21 and then causing hollow needles 28 and 29 to pierce septums 26 and 27.
  • the needles 28 and 29 of the embodiment illustrated in Figure 4 are adapted for axial reciprocating movement, thereby permitting engagement and disengagement with the detector 20.
  • the detector is substantially cylindrical in form with septums c
  • the needles 28 and 29 extend coaxially towards one another and are associated with plates 30 and 31 perpendicular to the axis of the detector 20.
  • plates 30 and 31 are movably connected with apparatus 15 and may be mechanically linked together (not illustrated) so that manual operation of a lever 32 will move plates 30 and 31 towards or away from one another, thereby causing each of needles 28 and 29 to pierce or disengage its corresponding septum.
  • the needles 28, 29 are preferably shielded, as illustrated, to prevent accidental injury thereby and the attendant danger of disease transmission.
  • the detector 20 is installed on the inside of the first openable cover 12, on which the detector holder 19 is positioned.
  • the connection element is located on one side, and the needles 28, 29 enter the detector septums 28, 29 from the opposite side when the first cover 12 is closed.
  • the detector is attached to the detector holder 19 on the inside of the first cover 12, and electrical connection between the apparatus 15 and the detector 20 is thereby established.
  • the first cover 12 is closed, automatically causing a needle cover 32a to swing away, revealing the hollow needles 28 and 29 (not shown in Figure 2) .
  • Continued closing movement of the first cover 12 pushes the detector 20 against the needles 28, 29, forcing them through the septums 26, 27 of the detector 20 illustrated in Figure 3.
  • the detector holder 19 is designed to require more effort to detach the detector 20 than is required to remove the needles 28, 29 from the septums 26, 27. This will permit the detector to become detached from the needles 28, 29 when the first cover 12 is opened, permitting the needle cover 32a to automatically close before the user can be exposed to the needles when the test is complete.
  • the sample container 17 is provided in the sample receiver 16 under the second openable cover 13. It should be noted that in other embodiments of the invention, such as the embodiment illustrated in Figures 10a and 11a, the sample receiver 16 having a single connector 24 with a hollow needle 28 are used to connect both the sample container 17 and the detector 20.
  • the apparatus 15 is further provided with electronic controls, such as a power switch 33 and an alphanumeric display 34.
  • a printer may be included (as in Figure 4) for directly providing hard copy ' 35 of operator understandable information.
  • a reagent compartment 36 which may be under the third openable cover (in Figures 1 and 2) provides access to removable reagent, wash, and/or waste receptacles (hereinafter described) .
  • a power cord 37 may be provided for connection to traditional power supplies; however, the system can alternatively be equipped to operate from an internal battery pack (not illustrated) for use during power- failures or at remote locations.
  • the detector 20 is inserted into the detector holder 19 and the results of an assay or assays performed in the sampling device are read by the instrument 15.
  • the instrument has the capability of reading two values from the detector 20, and more preferably has the capability of reading at least three values. This permits an instrument 15 to read values from the actual assay and a positive or negative control, or both a positive and negative control.
  • means may be provided for reading values from additional parallel assays incorporated into the detector 20.
  • six, ten, or more assays may be simultaneously performed on a single sample.
  • the apparatus 15 may be designed to hold multiple detectors 20, to facilitate conducting multiple assays on a single sample 18.
  • An interface 38 may be provided in some embodiments for transferring data from the instrument 15 to data storage or interpretation devices, including general and special purpose computers.
  • controls in the detector 20 permits not only the determination of relative and absolute values for the analysis, but also provides an indication of whether the analysis performed by the detector 20 was reliable. With some chemistries, it is possible for reagents to be damaged by exposure to temperature extremes, by storage beyond the expiration date of the material, or by other factors. Such problems would be indicated by the controls, so that the health care provider does not rely upon faulty data.
  • the patient's age, sex, identification data, and any other information may be input into the instrument 15 or other device to which the instrument 15 is connected by the interface 38, and the raw data read by the instrument 15 may be translated into conventional form (e.g., concentration of analyte in the sample) and may be correlated, by means of a look-up table, algorithm, or other suitable means, (specific embodiments of which are described hereinafter in detail) with reference ranges. These data may then be displayed by the visual readout 34 and/or the hard copy printout 35.
  • the detector 20 of the present invention may further include a data label such as a standard bar code label, a DK code, a magnetic strip, or other machine-readable data- carrying label.
  • the data label may be physically mounted on the detector 20, or may be separately packaged with the detector 20, as in the form of a card 38a with a machine- readable magnetic strip 38b.
  • the apparatus 15 is provided with a complimentary magnetic strip reader 38c or other appropriate data input mechanism. This facilitates proper identification of the assays capable of being conducted by a given detector, and can permit automatic transfer to the instrument 15 of proper assay identification and calibration values. Labeling and automatic information transfer as described will be particularly useful in connection with the present invention, due to the ability to produce detectors which are capable of numerous specific analyses, in nearly infinite combinations, all of which may be run on a single instrument. Thus, the clinician will likely have numerous detector cartridges 20 on hand, and will select the desired detector cartridge for each desired test.
  • the data label may carry information regarding the patient, standard "normal” multiple assay result profiles, or any other desired information.
  • a reader for the information label may be provided on the instrument 15 itself, or may be associated with the instrument by way of the interface 38.
  • a fluid sample 18 which may comprise whole blood, blood fractions or other biological fluids suspected to contain the analytes to be determined, is conveniently provided in a container 17 such as a Vacutainer ® (trademark for an evacuated septum sealed collection container sold by Beckton Dickinson Company) or other vessel having a pierceable septum 39 which is adapted to permit withdrawal of the sample without introduction of any contaminants into the system and without contact between the technician and the sample.
  • a Vacutainer ® trademark for an evacuated septum sealed collection container sold by Beckton Dickinson Company
  • the sample receiving connection 16 is 5 provided with a shielded hollow needle 40, which, in the illustrated embodiment, projects axially within an annular shield 41. As illustrated in Figures 2 and 4, the user needs simply to align the sample container 17 coaxially within the annular shield 41 and insert the container 17
  • Mechanical assistance with this process may be provided, for example, by the second cover of the apparatus 15 illustrated in Figures 1 and 2 , which has means thereon to retain the sample container 17 and force the container 17 onto the
  • the container 17 is in fluid communication with the detector 20 by way of a sample line 42.
  • the detector 20 is further in valved communication with pump .44 and valve 45 by way of line 46.
  • Lines 42 and 0 46, together with all other components of the system which physically contact the fluid sample 18 preferably comprise any of a variety of biologically inert materials such as polyethylenes, polytetrafluoroethylene, polystyrene, ' stainless steel, platinum or other suitable materials well 5 known in the art.
  • a variety of biologically inert materials such as polyethylenes, polytetrafluoroethylene, polystyrene, ' stainless steel, platinum or other suitable materials well 5 known in the art.
  • the ability for the apparatus 15 to automatically clean itself is a 0 particularly desirable feature that can be facilitated by proper materials selection.
  • the detector 20 may be easily inserted into and removed from the analyzer 15. To permit such easy 5 replacement, the detector 20 is removably disposed in fluid communication with lines 42 and 46 by way of releasable connections 24 and 25, respectively.
  • Releasable connections 24 and 25 may comprise any type of connection capable of fluid tight engagement and disengagement without the introduction of contaminants into the system, such as snap fits, lines or other known connections.
  • each connection 24 and 25 comprises a pierceable septum 26, 27 associated with the detector 20 and a hollow needle 28, 29 associated with each of lines 42 and 46.
  • the detector 20 has only a single septum 26, and is connected to the apparatus 15 through a single hollow needle 28.
  • the detector 20 may advantageously comprise an elongate tubular or rectangular housing 48 having openings 22 and 23 at or near the first and second ends thereof.
  • openings 22 and 23 are provided with pierceable septums 26 and 27, respectively, in a preferred embodiment of the invention, and are in fluid communication with each other by way of at least one fluid flow path along the axial interior extent of the detector housing 48. It is to be understood that the particular configuration of the housing 48 and location of openings 22 and 23 described herein are characteristics of the preferred embodiment, and that many alternative configurations can be envisioned which would accrue the advantages of the present invention.
  • an internal return line or folded fluid flow path could be provided within the housing 48 to enable location of both ports 22 and 23 on the same axial end of detector 20.
  • the detector 20 could be designed with a single opening 22 and septum 26, as will be discussed in connection with Figure 10a.
  • the septums 26 and 27 are located coaxially at opposite ends of the detector 20 in the embodiment of the detector illustrated in Figures 5 and 10, the embodiment illustrated in Figure 2 has the septums 26 and 27 located on one side of the detector 20, to facilitate use of that detector 20 in the apparatus 15 of Figures 1 and 2 in the manner previously described.
  • the tubular housing 48 is bifurcated into a first portion 50 and a second portion 51 having complementary surface structures to facilitate joining together into a unitary tubular housing 48.
  • the first portion 50 is illustrated as comprising a region 52 of increased interior cross-sectional dimension near the end distal from opening 22, terminating at its proximal end in an annular shoulder 53 to provide a stop, as will be described.
  • the second portion 51 is provided at its proximal end 54 with an exterior cross-sectional dimension which is such that said end 54 may be inserted axially into the region 53 on said first portion 50. See Figure 10.
  • the housing exhibits a fluid-tight seal between the first and second portions 50 and 51.
  • the seal may be accomplished by any of a number of well known techniques, such as a friction fit, "0"-ring or gasket solvent bonding, spot welding or the use of adhesives, alone or in combination, and depending upon the composition of the housing 48, as will be fully appreciated by one skilled in the art.
  • the interior surface of the first portion 50 may be provided in the region 52 with an annular depression or ridge for mating with a corresponding annular ridge or depression on the exterior surface of the second portion 51 (not illustrated) .
  • Any known joining technique will suffice, provided that it produces a fluid-tight seal of the housing 48 between openings 22 and 23, and that it is capable of resisting an axially expanding bias exerted by elements compressed within the housing 48, as will be discussed.
  • the detectors of Figures 3 and 10a may be assembled in a similar manner.
  • the detector of Figure 20 also has means for protecting the tabs 58a on the electrodes 56, so that damage to the electrodes is avoided prior to and during use.
  • the electrodes used in the invention may be solid electrodes disposed so that fluid flow occurs past or over them. However, in a preferred embodiment, porous electrodes through which fluid flow can occur are utilized. Referring to Figures 6-9, there are provided within the housing 48 at least one pair of porous or perforated electrodes 56 disposed across the fluid flow path between the openings 22 and 23.
  • each pair of electrodes is arranged such that the distance between the electrodes of a given pair will typically be in the range of from about 0.005 inches to about 0.100 inches, preferably from 0.01 to about 0.02 inches and most preferably the distance will be about 0.015 inches.
  • the distance between adjacent pairs of electrodes will generally be much larger, for example, as much as 10 times or more the distance between members of a given pair.
  • the distance between pairs will typically fall within the range of from about 0.005 to about 0.5 inches, and preferably from about 0.1 to about 0.2 inches.
  • the distance between electrodes of a pair is about 0.015 inches and between adjacent pairs is about 0.125 inches.
  • the increased spacing between adjacent pairs is important so that ionic species generated by the " action of an immobilized enzyme, for example, will be unable to migrate from one electrode pair to the next in sufficient quantities to alter the conductivity of either cell within the time period in which measurements will be made. It has been determined that, in the time frame generally required to conduct a multiple analyte assay, inter-pair spacing as described above are sufficient to prevent any such ionic migration problems.
  • the electrodes 56 may be provided in a stack within the tubular interior of housing 48. Each electrode is preferably substantially planar, such that the electrodes 56 in a stack are essentially parallel to each other and perpendicular to the longitudinal axis of the housing 48.
  • an immobilization membrane 58 is disposed between each electrode pair, with the electrode pair and the membrane together constituting a unit cell.
  • the immobilization membrane 58 is itself a nonconducting biologically inert porous support membrane for immobilized reagents having sufficient porosity to permit the flow of substrate and sample solutions (including red blood cells) therethrough, as will be described.
  • the membrane 58 may comprise any of a variety of substantially biologically inert materials such as nylon, ceramic, glass, fiber, polyethylene, polytetrafluoro- ethylene, polystyrene and other polyolefins, polyesters, polycarbonates and polyamides to which reagents may be immobilized.
  • the membrane 58 may further comprise a coating of a material to enhance binding of the immobilized reagents thereto, such as nitrocellulose or other chemically activated or derivatized cellulose.
  • the unit cell according to one embodiment of the invention comprises a pair of electrodes 56 and a distinct immobilization membrane 58 separated on either side by a spacer 60.
  • an immobilization membrane 62 may be coated directly on to the electrode itself, as illustrated in Figure 9.
  • the immobilization membrane may be a disk with smaller diameter than the electrodes 56 and sized to fit within the interior of one of the annular spacers 60 between the electrodes.
  • Each electrode 56 comprises any of a variety of well known electrically conductive materials which are essentially biologically inert, such as platinum or stainless steel. stainless steel has been demonstrated to be particularly suited for use in the present invention. Other possible materials include plastic having a metal layer coated or deposited thereon, or conductive polymers.
  • the profile of each electrode 56 is configured such that the electrode will extend at least partially across the fluid flow path so that electrical characteristics of the fluid between adjacent electrodes may be determined. Optimally the electrodes will extend entirely across the fluid flow path.
  • the electrodes 56a, 56b and 56c illustrated in Figures 6-9 have a substantially circular profile, which is convenient for use with a housing 42 such as that illustrated, having a substantially cylindrical interior flow path.
  • a plurality of pores or perforations 57 are provided therethrough, enabling the fluid sample and non-bound reagent to flow through the conductor 56.
  • the perforations 57 may be formed by any of a variety of known techniques, such as by a punching process (see Figure 7) or by photochemical etching following masking of the unperforated electrode.
  • an electrode 56b is disclosed which has been prepared in a two step photochemical etching process. In the first step, a central, circular depression 64 is formed, leaving an annular flange 66 of increased thickness around the outer periphery thereof.
  • the annular flange 66 contributes structural integrity to the electrode 56b and permits secure attachment of depending tab or ear 58a which may be either integrally formed with the electrode or spot welded thereto to provide electrical communication between the electrode 56 and the electrical connector 21 of the apparatus 15.
  • the inner circular depression 64 of electrode 56b is thereafter coated with a photoresist, exposed, and etched in a conventional manner to produce a plurality of openings 57 therethrough arranged in a random or predetermined pattern. Utilization of a laser or chemical process can enable precise control over the size, configuration and number of openings 57.
  • An alternate embodiment is illustrated in Figure 6.
  • a peripheral annular flange 66 is provided, electrically connected to tab 58a as in Figure 5.
  • the central region 64 of the electrode 56c is punched or etched to leave at least one relatively larger central opening, which is covered by an electrically conductive mesh 59.
  • Assembly of the detector 20 may be facilitated by the two part housing 48 and also by provision of an axial slot 68 ( Figure 5) for receiving the tabs 58a on electrode 56.
  • a spacer 60 is preferably first inserted into the interior of the first portion 50 of tubular housing 48 to permit sufficient clearance that a needle 28 inserted through septum 26 will not damage the nearest unit cell. (This is not a concern in the detector of Figure 3, where the needle is inserted parallel to and spaced from the electrodes.) Thereafter, as many unit cells as desired are inserted into the housing, including either or both of the embodiments having a distinct immobilization membrane 58, or having the membrane 62 secured directly to an electrode 56.
  • the membranes 58 or 62 have previously been treated to immobilize reagents thereto.
  • Loading of the first portion 50 is complete when sufficient unit cells and/or surplus spacers 60 have been inserted to fill the interior of first portion 50 axially up to within the region 52.
  • the interior of the second portion 51 of tubular housing 48 may advantageously comprise a mixing chamber 70 for mixing the non-immobilized reagents with fluid sample 18.
  • reagents 72 which are selected to cooperate with the analyte and/or immobilized reagents on membranes 58 or 62 are placed in the mixing chamber 70.
  • the liquid volume of the mixing chamber 70 be at least as great as that of the first portion 50 of the housing 48.
  • a mechanical mixer is incorporated directly into the detector 20.
  • a stir bar 74 such as a magnetized piece of stainless steel wire, is also inserted into mixing chamber 70.
  • the stir bar may be manipulated by means of a revolving or oscillating magnetic field as is well known in the art, the drive means (not illustrated) being located in the apparatus 15 adjacent the detector holder 19.
  • the second portion 52 and first portion 51 are joined together as previously described, under application of an axially compressive force to ensure uniform spacing between electrodes of each unit cell, and between adjacent unit cells.
  • the detector 20 is ready for application of a data label or other labeling means and is otherwise ready for use.
  • An alternate embodiment of the detector 20 may be constructed by omitting the stir bar 74 and including instead a distinct mixing chamber 76 along the line 46 in fluid communication with the detector 20.
  • the mixing chamber 76 may be separate from the detector 20, and may be a chamber within the apparatus 15, as illustrated in Figure 11. This mixing chamber 76 may be a permanent part of the apparatus 15, or may be disposable, like the detector 20.
  • the mixing chamber 76 may be provided with its own magnetic stir bar or mechanically driven mixing blades 78, also driven by conventional means.
  • the sample should enter the mixing chamber 76 prior to contacting the unit cells.
  • a valve 80 is initially positioned to permit fluid communication between the sample container 17 and the detector 20.
  • the pump 44 is activated to draw the fluid sample 18 by way of the sample needle 40 through line 42 into the detector 20 where the fluid sample will contact the immobilized reagents on the membranes 58 or 62 in each unit cell therein. Fluid sample is further drawn into the mixing chamber 70 or 76, depending upon the embodiment, and the dried reagents are solubilized.
  • the pump 44 is designed to prevent the withdrawal of fluid sample beyond the mixing chamber. This is accomplished, in the case of a mechanical pump such as a syringe, by limiting the stroke of the plunger or barrel size in accordance with known volumetric syringe designs.
  • a mechanical pump such as a syringe
  • any of a variety of electrically driven pumps may be used, such as a peristaltic pump in combination with liquid sensors located at the upstream side of the mixing chamber to limit the draw.
  • line air which is now contained in pump 44, if of the syringe type, may be discharged by way of a first vent 82 or a second vent 84 on the substrate container 86 by adjusting valve 45.
  • the pump 44 next draws a volume of wash solution from the wash container 87 and by repositioning valve 45, slowly discharges wash solution to advance the mixed sample back through the cells of the detector 20, followed more quickly by an amount of wash solution sufficient to wash all or most of the unbound specific binding partner and excess enzyme (discussed in chemistry section, infra) out of the detector 20.
  • the wash solution in the detector having a known conductivity, cell constants can now be calculated.
  • valve 45 is repositioned to draw substrate solution from the substrate reservoir 86 into the syringe pump 44, and then to direct it through the detector 20. The substrate is then permitted to remain in the cell while the measurement is generated.
  • the bound enzyme on each membrane converts substrate into ionic species at a rate proportional to the amount bound, the resulting rates of conductivity change are measured, and these data are used to determine the level of analyte specific to each cell via its predetermined standard curve as described in the electronics aspect of the present invention, infra.
  • the contents of the detector 20 and line 42 may be driven into waste receptacle 88 by connecting a source of pressurized air to vent 82 and appropriate alignment of valves 45 and 80, by directing a wash solution through the lines, or by other suitable means.
  • the desired starting point and end point for the assay would have the fluid lines filled with air.
  • a filter 90 is provided on vent 82 to prevent contamination of the system.
  • a filter 92 is provided on vent 94 from waste receptacle 88 to prevent escape of possibly infectious samples.
  • Valve 80 is then adjusted to direct backflush air in a reverse direction through sample needle 40 and into container 17 which is vented through the waste receptacle 88 by way of line 99.
  • the detector 20 may be discarded and replaced with a detector 20 equipped for performing a different set of assays on the same fluid sample 18.
  • the sample container may not be empty, and it may be desirable to preserve it for future tests.
  • it may be desirable to wash the needle in which case the sample container can be removed and replaced with a similar container which may be empty or which may contain wash solution.
  • a final air wash readies the lines for the next test.
  • the waste receptacle 88 is preferably septum sealed and is disposable, to prevent any potentially dangerous contact between a user and infectious agents that could be contained therein.
  • the substrate container may be similarly septum sealed.
  • FIG 11a is a system designed to be used with the detector 20 of Figure 10a.
  • the detector 20 of Figure 10a has only one septum 26 through which fluid is introduced or removed.
  • a safety vent 96 may be positioned at the opposite end from the septum 26 in Figure 10a.
  • a septum-sealed sample container 17 is attached to a combined sample/detector shielded connection needle 40.
  • This needle is connected via a first line 95 to a four way valve 45 which is in turn connected to a syringe pump or other suitable pump 44.
  • the valve 45 is also connected to a substrate reservoir 86 and a wash reservoir 87, and selectively connects the pump 44 to one of these reservoirs 86, 87 or to the shielded needle 40.
  • This system eliminates the need for an air source, since there is only one-way fluid flow from the substrate and wash reservoirs to the pump 44, and since the line 95 from the valve to the shielded needle 40 is filled with wash solution at the completion of each assay.
  • the sample container 17 is docked with the shielded needle 40 and sample is withdrawn into the first line 95.
  • the first line 95 has sufficient volume capacity to contain the entire liquid sample volume used in the assay, so that sample drawn from the sample container remains in the first line 95, and does not contaminate the pump 44. (If required, an air volume can be interposed between the sample and the wash solution in line 95 to prevent mixing.)
  • the sample container 17 can be removed and discarded or saved for other tests.
  • the specially designed detector 20 of Figure 10a is then docked on the shielded needle 40 by inserting the needle through the single septum 26 and into the first port 22 in the detector 20.
  • a waste reservoir 88 At the opposite end of the detector 20 from the septum 26 is a waste reservoir 88. This waste reservoir 88 is of sufficient volume to contain all sample and other waste solutions from the assay. There is also a safety vent 96 at the opposite end of the detector 20 from the septum 26. The safety vent 96 permits the escape of air, but not fluid, from the waste reservoir 88 in the detector 20. Between the septum 26 and the waste reservoir 88 is a mixing chamber 70, and an assay chamber 97 in which the electrodes 56 are located.
  • the mixing chamber 70 in the detector 20 may include any suitable type of mixing apparatus. In the illustrated embodiment, the mixing apparatus comprises baffles 98. Alternatively, a magnetic stirrer or other comparable mixer may be used.
  • the sample may be introduced from the line 95 into the mixing chamber 70.
  • Lyophilized reagents 72 present in the mixing chamber 70 are solubilized in the sample.
  • mixing may be facilitated at this point by alternately injecting and withdrawing sample from the mixing chamber until the reagents 72 are fully solubilized.
  • the sample may be diluted in the mixing chamber with a predetermined volume of wash solution from the wash reservoir 87. In any event, wash solution is used to push the sample from the line 95 into the mixing chamber 70.
  • the sample/reagent solution is mixed, it is moved slowly through the cell electrodes 56, allowing complexes to form. It is then displaced into the waste reservoir 88 by additional wash solution which remains surrounding the cells.
  • This wash solution has a predetermined ionic strength and conductivity, and it can be used to measure relative conductivities of each cell and thus correct for small variations in cell constants.
  • the valve 45 is positioned to draw substrate solution into the pump 44, and is then repositioned so that the substrate can be pushed through the line 95 and the mixing chamber 70 into the assay chamber 97, displacing the wash solution into the waste reservoir 88. With the substrate solution now surrounding the electrodes, data collection is begun by measuring and storing conductivity changes between each cell's electrode pairs 56. Data collection is carried out for several minutes. Then the valve 45 is positioned to permit wash solution to be drawn into and expelled from the pump 44 through the line 95 into the detector 20 to displace the substrate solution therein.
  • the collected data can be analyzed, corrected, and converted into meaningful fluid analyte levels, which are displayed or printed for the user.
  • the user is prompted to remove the detector 20, and the device is ready for another test.
  • the amount of enzyme complex which is bound via ligand-antiligand interaction can be directly or inversely related to analyte concentration in the sample depending on the assay type.
  • the conductivity change when enzyme complex is exposed to substrate is always directly proportional to the amount of enzyme bound to the solid support.
  • bound enzyme and conductivity rates of change are directly related to analyte level in the sample. They are not directly proportional since the shape of the calibration curve is sigmoidal or curvilinear.
  • bound enzyme and conductivity rate of change are inversely related to analyte level, the relation being sigmoidal or curvilinear as given by the standard curve.
  • FIG 12 illustrates a simplified block diagram of the preferred embodiment of the instrument 15 of the present invention.
  • the instrument 15 uses conventional means for interpretation and processing of data, which are provided either in the instrument itself, or are accessible by the instrument 15 through a programmed computer and an interface.
  • the instrument comprises a computer or central processing unit (CPU) 120, such as a microprocessor as shown, which may be any conventional type.
  • the computer 120 executes programs which enable the computer 120 to monitor and control the operation of the instrument 15 and compute the concentrations of a plurality of substances in a liquid sample.
  • An exemplary computer 120 has associated with it various support circuits such as a read only memory (ROM) 122 and a random access read/write memory (RAM) 124 which provide storage for program instructions and data.
  • ROM read only memory
  • RAM random access read/write memory
  • an address/data bus 126 is illustrated that provides communication of address, data and control between the computer 120, the ROM 122, the RAM 124, and other support circuits.
  • a display driver 128 is also illustrated.
  • the display driver 128 advantageously controls the operation of a display device (not shown) , such as an LCD panel or a CRT, that provides a human-readable display of text and graphics in a conventional manner.
  • Other support elements (not shown) , such as a hard disk drive, a floppy disk drive, or the like, can also be included.
  • a set of input switches 130 are included to provide user input and control.
  • the input switches 130 are connected by a set of signal lines 132 to a set of peripheral interface adapters 134.
  • the set of peripheral interface adapters 134 preferably includes at least two conventional peripheral interface adapters which communicate with the computer 120 via the address/data bus 126.
  • the set of peripheral interface adapters 134 also interface the computer 120 with peripheral devices such as a magnetic card reader 136 and a printer 138 in a conventional manner via set of signal lines 140 and a set of signal lines 142, respectively.
  • the magnetic card reader 136 which may be any conventional machine reader, reads data from a data label such as a standard bar code label, a DX code, a magnetic strip or any other machine-readable, data-carrying label, and provides the data to the peripheral interface adapter 132 via the set of lines 140.
  • a data label such as a standard bar code label, a DX code, a magnetic strip or any other machine-readable, data-carrying label
  • the set of peripheral interface adapters 134 interface the printer 138 with the computer 120 in a conventional manner and send output signals to the printer 138 via the signal lines 142 to cause the printer 138 to print a hard copy of operator understandable results.
  • the present invention also includes fluidics control circuitry 146.
  • the set of peripheral interface adapters 134 provides the computer 120 with outputs to control the fluidics control circuit 146.
  • the fluidics control circuitry is interfaced to the computer 120 by a set of signal output lines 148 from the set of interface adapters 134.
  • the computer 120 selectively activates the signal output lines 148 in response to program instructions to actuate the valves and pumps of the instrument 15.
  • the instrument 15 measures conductivity values by utilizing a conductivity measuring circuit 150, which, in accordance with one aspect of the present invention, is a multiplexed impedance measuring circuit that provides conductivity measurements of each cell, as will be described in greater detail hereafter.
  • the instrument 15 also includes a temperature sensing block 152 which monitors the temperature during the assay to permit any appropriate temperature correction to be made.
  • the conductivity measuring circuit 150 carries out cell conductivity measurements by sequentially switching to different cell electrode pairs within a set of cell electrodes 154 at appropriate intervals of time.
  • an analog multiplexer within the conductivity circuit 150 is controlled by a set of output lines 156 from the set of peripheral interface adapters 134 and selects which pair of the cell electrodes 154 will be measured as directed by the computer program. Multiple measurements are carried out on each pair of the cell electrodes 154 to improve the accuracy of the measurements.
  • the cell electrodes 154 to be measured are paired and comprise test electrodes; positive or negative control electrodes used to correct or verify test results; or combinations of electrodes within the system used for sensing the presence of liquids via conductivity transitions. Stimulus and sensing of conductivities between the cell electrodes 154 and the conductivity circuit is provided by a set of signal lines 158.
  • An analog-to-digital (A/D) converter 168 receives the analog voltage outputs of the temperature sensing circuitry 152 via conductors 170 and the analog voltage output of the conductivity measuring circuit 150 via conductors 172.
  • the analog-to-digital converter 168 is a conventional analog-to- digital converter that is readily available. Data acquired from the temperature sensing circuitry 152 and the conductivity measuring circuitry 150 are converted into digital format by the analog-to-digital converter 168 and are transferred via the address/data bus 126 to the computer 120.
  • the computer 120 stores the data for subsequent intervals in the random access memory (RAM) 124 which provides temporary storage.
  • the computer 120 may manipulate the data thus collected and communicate with each system block via the bus 126 as required to perform the assay and compute the results.
  • RAM random access memory
  • the system just described may incorporate a general purpose computer, such as the IBM ® PC, or the like, with custom support circuitry, as required.
  • a general purpose computer such as the IBM ® PC, or the like
  • the computer 120 and its associated support circuits can be incorporated into a stand-alone instrument comprising those elements shown in the block diagram of Figure 12 using apparatus and methods well known to those skilled in the art.
  • Figure 13 shows a detailed schematic of the conductivity measuring circuit 150 utilized by the instrument 15.
  • the conductivity measuring circuit 150 of Figure 13 which is an impedance measuring circuit, illustrates one approach to approximating the conductivity.
  • Alternate ways of approximating the conductivity may be utilized.
  • one approach to approximating conductivity involves a bipolar pulse technique for fast conductance measurements as described by D.E. Johnson, et al.. Anal. Chem.. Vol. 42, p. 329 (1970).
  • Such a technique, using a calcium ion-selective electrode is disclosed by C.R. Powley, et al.. Anal. Chem.. Vol. 52, p. ' 705 (1980) .
  • Conductivities may also be determined in accordance with another technique disclosed in the reference by Bentz, et al., Anal. Chem.. Vol. 46, p. 543 (1974) .
  • the conductivity measuring circuit 150 includes a conventional waveform generator 180 which generates an oscillating stimulation voltage to each of the four cells 182a, 182b, 182c, 182d of the detector 20. Each of the cells 182 corresponds to a pair of cell electrodes 56 in the detector 20, as shown and disclosed above.
  • the waveform generator 180 is preferably an ICL 8038 GE/Intersil function generator or the like, which is commercially available. The numbers within the block representing the function generator are the pin designations of the ICL 8038 function generator and they are included on the drawing for reference.
  • the waveform generator 180 is conventionally connected in accordance with the published specifications provided by the manufacturer to provide an output signal which is preferably a sine wave with a frequency of 1000 Hz and an RMS voltage of about 0.4 volts.
  • the resistors 184, 186, 188, 190, 192, 194, 196 and 198 and the capacitors 206 and 212 are connected to the pins at the functional generator 180 as shown to provide the preferred frequency and amplitude.
  • Capacitors 202, 204, 208, 210, 202A, 204A, and 208A stabilize the power supply lines in standard fashion. Exemplary resistor and capacitor values are set forth below in Table A: Table A
  • Resistor 186 1,000 ohms (nominal)
  • Resistor 190 15,000 ohms
  • Resistor 192 100,000 ohms (nominal)
  • Capacitor 202 - 0.1 ⁇ f Capacitor 202A- 0.1 ⁇ f
  • Capacitor 208 - 0.1 ⁇ f Capacitor 208A- 0.1 ⁇ f
  • the waveform generator 180 is coupled to the non- inverting input of an operational amplifier 214 having an output 216.
  • the operational amplifier 214 is preferably an LF 353 operational amplifier manufactured by Motorola, or the like.
  • a variable resistor 218 is suitably connected as a potentiometer for adjusting the amplitude of the signal applied to the input of the operational amplifier 214 from the waveform generator 180.
  • An exemplary value for the resistor 218 is 100,000 ohms.
  • the operational amplifier 214 has a feedback resistor 220 connected from its output to its inverting input.
  • the feedback resistor 220 has an exemplary value of 1,000 ohms.
  • the output 216 of the operational amplifier 214 is connected to a first electrode 222 of each of the four cells 182a, 182b, 182c, 182d so as to apply a periodic stimulus voltage to the electrodes 222.
  • a second electrode 224 of each of the first, second, third and fourth cells 182a-d is connected in series with a respective first resistor 226, second resistor 228, third resistor 230, and fourth resistor 232.
  • the first electrode 222 and the second electrode 224 of each of the cells 182 correspond to the electrode pairs 56 discussed above.
  • the voltage applied to each first electrode 222 causes a current to flow in the corresponding cell.
  • the current has a magnitude that depends upon the conductivity of the cell.
  • the current in each cell causes a voltage across the respective resistor 226, 228, 230 or 232.
  • the conductivity of each cell 182 is determined by measuring the voltage that appears across the respective resistors 226, 228, 230 and 232. Since the series combination of a cell 182 and its respective resistor acts as a voltage divider, the resistor sets the range of measurement and also limits the current flowing into the cells 182.
  • the voltage developed across each of the resistors 226, 228, 230 and 232 is responsive to the conductivity of the respective cell 182 and depends upon the amount of ion migration. Exemplary values for the resistors 226, 228, 230 and 232 are set forth below in Table B:
  • each of the resistors 226, 228, 230 and 232 may be replaced with an equivalent current to voltage amplifier 234 shown in Figure 13a.
  • the current to voltage amplifier 234 has an input resistor 236 and a feedback resistor 238 connected in a conventional manner.
  • the input resistor 236 and the feedback resistor 238 have exemplary values of 330 ohms.
  • the voltage output (VQ) of the amplifier 234 corresponds to the voltage across a corresponding resistor in the embodiment of Figure 13.
  • the stimulus voltage is preferably applied to each of the four cells 182 in parallel to avoid the switching transients which occur when each of the cells 182 is turned on.
  • the stimulus voltage is preferably AC to avoid electrode polarization effects.
  • the optimum stimulation frequency is dependent on the conductivity range in which the assay is to be performed. High frequencies minimize capacitance errors in highly conductive solutions while lower frequencies reduce cell capacitive effects in low conductivity solutions.
  • the frequency of the signal should be suitably adjusted so that insignificant polarization occurs in the cells 182. In the working range of 0.01 to 5 millimhos, the frequency between 1000 to 3000 hz produces the more nearly linear curves of conductivity versus time.
  • the voltage across one of the measuring resistors 226, 228, 230 and 232 is selected using an analog multiplexer 240.
  • the analog multiplexer 240 is controlled by software via three control lines (AQ, AI and 2) 242, 244 and 246.
  • the control lines r 242, 244 and 246 are part of the- set of control lines 156 of
  • Figure 12 and are derived from the set of peripheral adapters 134.
  • the selection of the channels is defined in the following table, wherein "L” indicates one logic condition of the control line (i.e., zero volts) and “H” indicates the opposite logic condition (i.e., supply voltage level) :
  • the channel inputs 1, 2, 3 and 4 are connected to corresponding input lines 248, 250, 252 and 254, respectively, which are connected to the second electrode 224 of each of the cells 182a-d.
  • the channel input 5 is electrically connected to a voltage potential (e.g., ground) via a line 256 to provide a known reference voltage for calibration.
  • the analog multiplexer 234 is preferably an IHG108 multiplexer, commercially available from GE/Intersil, or the like.
  • Diode 257 and pull-up resistors 242A, 244A, and 248A, each having a value of 10,000 ohms, are provided to ensure proper switching of the select lines 242, 244, and 246.
  • analog switches can be substituted for the analog multiplexer 240.
  • the output voltage generated on an output line 258, which is an oscillating voltage output since the waveform generator 180 supplies an oscillating voltage to the cells 182, is subsequently buffered by a second operational amplifier 260 having an output 262 which is connected to the inverting input of a third operational amplifier 264 via a resistor 266.
  • the third operational amplifier 264 amplifies the AC signal.
  • the resistor 266 has an exemplary value of 4,700 ohms.
  • the third operational amplifier 264 typically has an input biasing resistor 268 connected between its non-inverting input and ground, and has a feedback resistor 270 connected from its output back to its inverting input in a conventional manner.
  • the input resistor 268 and the feedback resistor 270 have exemplary values of 3,300 ohms and 50,000 ohms, respectively, in the illustrated embodiment.
  • the second and third operational amplifiers, 260, 264 are preferably LF353 operational amplifiers manufactured by Motorola, or the like.
  • the amplified AC signal from the third operational amplifier 264 is provided as an input to an RMS converter 272, which converts the RMS magnitude of the AC signal to a DC output signal.
  • the RMS converter 272 is preferably a commercially available AD536AJ or AD536K manufactured by Analog Devices.
  • the RMS circuit 272 is connected with resistors 274, 276, 278, 280, and 282 and capacitors 284 and 286 in a conventional manner in accordance with the manufacturers specifications.
  • the numbers inside the block representing the RMS converter 272 are the pin numbers for the exemplary AD536AJ RMS converter. Exemplary values for the resistors 274, 276, 278, 280 and 282 and the capacitors 284 and 286 are set forth below in Table C:
  • Resistor 282 50,000 ohms Capacitor 284 - 1.0 ⁇ f Capacitor 286 - 4.7 ⁇ f
  • the DC output signal from the RMS converter 272 is connected via the variable resistor 282 to the non- inverting input of a fourth operational amplifier 287.
  • the fourth operational amplifier 287 has a feedback resistor 288 connected from its output to its inverting input.
  • the feedback resistor has an exemplary value of 10,000 ohms.
  • the output of the fourth operational amplifier 287 is provided as an input to a 12-bit analog-to-digital (A/D) converter (e.g., the analog-to-digital converter 168 of Figure 12) via an output line 289.
  • A/D analog-to-digital converter
  • the analog-to-digital converter 168 is a commercially available Analog Connection jr.
  • a cell constant K is proportional to the electrode surface area divided by the distance between them.
  • the cell constant for each cell can be determined by measuring the conductance of a known reference solution in the cell. The measured voltages are nonlinear with respect to conductivity, and the resolution of the system is greatest near the low end of the measurement range.
  • V AD /GAIN V AD /GAIN (1) wherein VJJ represents the voltage across a selected one of the resistors 226, 228, 230 and 232, V ⁇ p represents the voltage at input to the A/D converter 168, and GAIN represents the circuit gain from the input of the multiplexer 240 to the output of the fourth operational amplifier 287 (i.e., the input of the A/D converter 168) , which gain is preferably adjusted to be approximately 3.24;
  • Rx ( IN/ M - 1) (2) wherein R represents the impedance of a cell 182, Rr ⁇ is the resistance of the selected resistor 226, 228,
  • V _ represents the magnitude of the input stimulus voltage applied to the cell electrodes
  • C X * Kxl000/R ⁇ (3) wherein Cx represents the corrected conductivity and K is a cell constant as determined empirically by using a reference solution;
  • K C MEAS /C REF (4) wherein CJJE S represents the measured conductivity and C REF represents the reference conductivity.
  • the settling time for the circuit is about .02 seconds. This easily allows four channels to be updated every second in this configuration.
  • the maximum conductivity for each channel is determined by the size of its measuring resistor. This can be set to the optimal range separately for each channel if necessary. When calibrated, this circuit achieves accuracies of about ⁇ 0.5% over most of the range from .05 to 5 millimhos.
  • Figures 14a-c illustrate a basic flow chart of an exemplary computer program, showing the method of system operation in the present invention for the simultaneous quantitative determination of a plurality of analyses in a single sample solution.
  • the computer program comprises the algorithm by which conductivity changes are determined and tracked in real time, system elements such as fluidics are controlled, and interaction with the user is coordinated.
  • the program illustrated herein is particularly appropriate for use with the fluid flow scheme of Figure 11a; however, it may be easily adapted for use with the fluid flow scheme of Figure 11, or for use with other fluid flow schemes.
  • a terminal block 310 represents the initiation of the execution of the computer program. Thereafter, control of the program is passed to an activity block 314 wherein the instrument 15 is turned on and warmed up. After the instrument 15 is on and warmed up, the program enters an activity block 316 wherein the computer 120 prompts a user to insert a magnetic card (or other data input device) which is provided with each test cartridge. Thereafter, the program enters a decision block 320, wherein the program determines if the magnetic card has been inserted. As illustrated by the flow line that exits and reenters the decision block, the program loops at the decision block 320 until the magnetic card is inserted.
  • the program control exits the decision block 320 and enters an activity block 326 wherein the computer 120 accumulates assay information such as proper assay identification, type of assay, number of cells, positive control level, etc.
  • Assay type information indicates whether the assay is competitive or sandwich immunoassay.
  • the assay information for the number and type of cells may indicate, for example, a typical test having three cells (i.e., a test cell, a- negative control, and a positive control).
  • the program enters an activity block 332 wherein the computer 120 reads analyte specific standard curve information. After the information is stored in memory the program continues in an activity block 336 wherein the program instructs the computer 120 to display a prompt requesting the sample container (which may, for example, comprise whole blood, blood fractions, urine, or various other biological fluids suspected to contain the analytes to be determined) . After the prompt, the program enters a decision block 344, wherein the program loops until the computer 120 determines that the sample container has been loaded.
  • the sample container which may, for example, comprise whole blood, blood fractions, urine, or various other biological fluids suspected to contain the analytes to be determined
  • control exits the decision block 344 and enters an activity block 348, wherein the program instructs the computer 120 to withdraw a predetermined amount of the sample. Thereafter, control is transferred to an activity block 354 wherein the computer 120 displays a prompt requesting the removal of the sample container. Program control is then transferred to a decision block 362, wherein the program loops until the sample container has been removed.
  • the program When the sample container has been removed the program enters an activity block 366 wherein the computer 120 displays a prompt requesting an assay cartridge connection. (Some alternate fluid flow schemes, such as the scheme of Figure 11, may require the fluid cartridge and sample container be simultaneously connected at different sites prior to withdrawing the sample.) Thereafter, the program enters a decision block 376. In the decision block 376, the program loops until the assay cartridge has been connected.
  • the wash/calibrant solution serves several purposes. It can be formulated to provide more efficient washing; it can serve as a reference conductivity solution for determining cell constants; and it can be used as a diluent if sample dilution is required.
  • the program enters an activity block 386, wherein the program causes the execution of commands that cause the sample to be moved into the cartridge. Control is thereafter transferred to a decision block 390, wherein the program determines whether dilution is required. If dilution is required, the program enters an activity block 402, wherein the program causes a predetermined volume for dilution to be dispensed. Thereafter, control is transferred to a decision block 408. Returning to the decision block 390, if dilution is not required, control is transferred directly from the decision block 390 to the decision block 408.
  • the program loops until it determines that the sample is within the mixing chamber. Once the sample is within the mixing chamber, control is transferred to an activity block 414, wherein the program c * initiates the mixing between the sample and the dilution volume for the amount of time required for the solution to mix. During this time, stabilized reagents placed within the mixing chamber are combined with the sample. After initiating the mixing, the program enters a decision block 422, wherein the program loops until the mixing time is completed. Once the mixing time has been completed, the program begins execution of the portions of the algorithm illustrated by the continuation of the flow chart in Figure 14b. A connector node 426 is provided to indicate the interconnection of Figures 14a and 14b.
  • the program first enters an activity block 432, wherein the computer terminates the mixing operation. Thereafter, the program enters an activity block 436, wherein the mixing chamber contents are moved slowly through all the cells over several minutes to allow immobilized antibodies to capture analyte from the sample, or for the immobilized antibodies to otherwise detect the presence of analyte.
  • an activity block 436 wherein the mixing chamber contents are moved slowly through all the cells over several minutes to allow immobilized antibodies to capture analyte from the sample, or for the immobilized antibodies to otherwise detect the presence of analyte.
  • there are at least three cells in the cartridge including a negative control, a test cell and a positive control.
  • the program After the contents of the mixing chamber have been moved through all the cells, the program enters an activity block 440 wherein the program instructs the computer 120 to wash the cells by a wash solution which cleans the cells so that cell constant determination can be made. Thereafter, the program transfers control to an activity block 444, wherein the program calibrates the cell constants. The program then enters, an activity block 448 wherein the program selects the next substrate. Thereafter, control is transferred to an activity block 452 wherein the program causes the substrate to be dispensed.
  • the program After dispensing the substrate, the program enters an activity block 456 wherein the program begins a loop to begin data collection after the flow has stopped. The data collection continues for one to three minutes in most cases. During data collection, the conductivity of each cell is updated at frequent intervals of time. For example, the time intervals between updates is usually one to four seconds.
  • the data collection activity comprises the activity blocks and the decision blocks that follow the activity block 456 in Figure 14b.
  • the data collection portion of the program comprises an outer loop in which the data collection process is repeated at the time intervals and an inner loop for measuring the conductivity of all the cells each time through the outer loop.
  • the program After beginning the data collection in the activity block 456, the program enters an activity block 464 which is the beginning of the inner loop, wherein the program reads all the cells to accumulate the conductivity data. Within the inner loop, the program transfers control from the activity block 464 to the next activity block 472, wherein the program sets the multiplexer to the next channel. (The first time the program enters the activity block 472, the program selects the channel corresponding to the first cell.) As will be discussed below, each cell is selected in sequence.
  • the program After selecting the channel corresponding to the cell to be read, the program enters an activity block 480, wherein the program waits for the analog conductivity measurement circuit to settle. After the circuit settles, each cell is read multiple times before moving to the next cell. These data are analyzed and optionally displayed by the computer during each interval following cell reads. The reading of the currently selected cell occurs in an activity block 484, wherein the program instructs the computer 120 to input the voltage readings as digital data from the analog-to-digital converter. The digital data are stored in the temporary storage provided by the internal RAM of the computer 120.
  • the program After the digital data has been input and stored, the program enters a decision block 488, wherein the program determines whether all the channels have been read. If all the cells have not been read, the program loops back to the activity block 472, wherein the channel corresponding to the next cell to be read is selected. Thereafter, the program executes the instructions corresponding to the above-described inner loop. The program will loop from the activity block 472 to the decision block 488 until all the channels have been read.
  • the program enters an activity block 492, wherein the program instructs the computer 120 to calculate the conductivity of each cell in accordance with Equations (l)-(4) above.
  • the program enters an activity block 502, wherein the program stores the data and updates the display. Thereafter, control is transferred to a decision block 506 wherein the program determines if the data collection has been completed (i.e., the program determines whether the cells have been read over a sufficient number of time intervals to provide enough data to fit the data to a conductivity curve) .
  • control is transferred to a decision block 514, wherein the program determines whether a predetermined time interval has been completed since the last data were read for the data points. (The data points are the points on a curve of conductivity versus time to which curves are to be fit.) If the interval between the data points is not complete, the program loops at decision block 514 until the time interval is complete. When the interval between the points is complete, the program loops back to the activity block 464 and again instructs the computer 120 to read all the cells, thus completing the outer loop of the data collection activity.
  • a connector node 520 is provided to indicate the interconnection of Figures 14b and 14c.
  • the program enters .an activity block 524, wherein the conductivity data points are fit to a curve which best fits the data using a known curve-fitting algorithm.
  • the conductivity versus time curves for test cells have slopes that are either directly or indirectly related to analyte concentration in the sample depending on assay type. When sufficient data have been collected, best fit curves are calculated for each cell.
  • control is transferred to an activity block 528, wherein the program corrects the data for nonspecific binding of the negative control.
  • the program then enters an activity block 532 wherein conductivity data is corrected for temperature.
  • the program transfers control to a decision block 536, wherein the program determines if the positive control is within limits. The positive control result is used to validate the result. If the positive control is not within limits, the program transfers control to an activity block 544, wherein the program displays a warning "RESULT MAY BE INVALID.” Thereafter, the program transfers control to an activity block 548. If the positive control is within limits, the program control transfers from the decision block 536 directly to the activity block 548. In the activity block 548, the program instructs the computer 120 to compute assay results using standard curve data information from the magnetic card to calculate analyte levels. Thereafter, control is transferred to an activity block 552 wherein the program displays and prints the results.
  • the program then enters an activity block 556 wherein the program selects the wash/calibrant solution. Once the program has selected the wash/calibrant solution, control is transferred to an activity block 560, wherein the program washes the lines. Once this entire procedure has been completed, which takes less than fifteen minutes in most cases, the program enters an activity block 564 wherein the program instructs the computer 120 to display a prompt for cartridge removal. Thereafter, the program enters a terminal block 568 indicating the end of the program.
  • the present invention permits multiple simultaneous assays using a single biological specimen, such as blood or urine. With a single instrument, and interchangeable assay modules, an almost unlimited number of types of assays can be run.
  • the chemistry of the general assay system of the present invention is based on the selective binding properties of one immobilized biological species located in the vicinity of a pair of conductivity electrodes and a corresponding enzyme labeled biological species which is free and mixed with the sample volume immediately prior to the analysis.
  • the two biological species are related in that they have the ability to join together in a complex. They may bind to one another, or both may bind to a third species, which is usually the analyte.
  • the immobilized species and the enzyme-labeled species may be the same or they may be unlike.
  • Either species may be a molecule that binds selectively, for example enzymes, lectins, or synthetic DNA, or those that bind specifically, for example, receptors and antibodies.
  • the binding species may be natural or synthetic.
  • Antibodies used as binding species may be of any origin, polyclonal, monoclonal, or chimeric. Anti-idiotype antibodies can be used where appropriate.
  • binding molecules are referred to generally herein as ligands and antiligands.
  • This terminology is intended to include receptor-target molecule pairs, antibody-antigen and antibody-hapten combinations, specific binding proteins, lectins and their complimentary molecules, and the like. These combinations are well known in the art and need not be exhaustively explored here. Indeed, it should be recognized that the present invention is not limited to any particular chemistry, but rather is broad enough to encompass a wide variety of known antibodies, ligands, haptens, antigens, receptors, hormones, and the like.
  • an assay for that analyte can be constructed in accordance with the present invention.
  • the antiligands used in the assay systems may be of several classes and are chosen to satisfy the requirements of a particular procedure.
  • Antibodies useful in detecting analytes which are antigens, may be of the conventional type and may be isolated from the serum of an animal which has been immunized with purified antigen.
  • the antibodies may be monoclonal antibodies produced by the fusion of the spleen cells from immunized animals with myeloma cells and may be isolated from the supernatant fluid -of a culture of these hybrid cells.
  • Monoclonal antibodies further may be chimeras, that is monoclonal antibodies in which the nonfunctional portions have been synthesized in genetically engineered cells.
  • Fragments of antibodies for example, Fab, Fab', or F(ab 1 )2 portions produced from intact antibodies following papain or pepsin digestion, may be used as ligands.
  • Protein A isolated from Staphylococcus organisms, may be used as an antiligand for immunoglobulins of the IgG class.
  • Antiligands may also be cell receptors such as complement receptors present on Raji cells (Human Burkitt lymphoma, ATCC CLL 86) , which may be isolated from a culture of these cells by known techniques. Receptors may also be estrogen receptors isolated from breast tissue. Antiligands may further be enzymes which bind with their ligand substrates. Examples are hexokinase which binds to glucose, lipase which binds to triglycerides, or proteinases which bind to specific peptides. Where enzymes are used as antiligands, the enzyme preferably requires a cosubstrate or cofactor, in the absence of which the enzyme does not act on and release the substrate.
  • the ligand may be a material that is irreversibly bound by the active site of the enzyme, such as a poison for the enzyme.
  • Suitable antiligands may also be lectins (whether of plant or microbial origin) which bind to carbohydrates per se or which bind to carbohydrates present on the external surfaces of cells or bacteria.
  • Antiligands useful in the assay may also be transport proteins such as ferritin, an iron-binding protein.
  • Receptors may be isolated from biological material most conveniently by means of affinity chromatography. Enzymes, lectins, and transport proteins may be isolated from biological materials by methods for protein isolation well known to those skilled in the art, and common items among these classes may be purchased from biological supply houses such as Sigma Chemical Co., St. Louis, Missouri, and Polysciences, Inc. , Warringt ⁇ n, Pennsylvania.
  • Analytes which may be determined using the multilayered test system described are any of those which bind or can be adapted to bind specifically to an antiligand, including but not limited to those described in the following general classes:
  • Serum proteins albumin, the immunoglobulins IgG, IgE, IgD, IgM, and IgA, rheumatoid factor, complement proteins, coagulation proteins, and transferrin;
  • Conjugated proteins glycoproteins, phosphoproteins, lipoproteins, and nucleoproteins;
  • Onco-fetal proteins carcinoembryonic antigen (CEA) , alpha fetoprotein (AFP) , breast carcinoma antigens, and melanoma antigens;
  • CEA carcinoembryonic antigen
  • AFP alpha fetoprotein
  • breast carcinoma antigens breast carcinoma antigens
  • melanoma antigens melanoma antigens
  • Pregnancy proteins human beta chorionic gonadotropin (B-HCG) , pregnancy specific (placental) protein, SP;
  • Peptide hormones insulin, glucagon, somatotropin, gonadotropin, follicle stimulating hormone (FSH) , and thyroid stimulating hormone (TSH) ;
  • CK creatinine kinase
  • CKMB lactate dehydrogenase
  • LDH lactate dehydrogenase
  • AST aspartic aminotransferase
  • ALT alanine aminotransferase
  • thyroid hormones triodothyro ine, thyroxine (T3, T4) , bradykinin, and the angiotensins; Corticosteroids and the Sex Hormones
  • Estrogens testosterone, B-estradiol, progesterone, corticosterone, dihydrotestosterone, aldosterone, and synthetic analogues thereof;
  • Drugs Therapeutic drugs alkaloids such as digoxin, lactams such as barbiturates, aminoalkyl benzenes such as amphetamines, purines such as theophylline, aminoglycosides such as gentamicin, anti-epileptics such as dilantin and other drugs useful or in psychiatric application such as anti-depressants;
  • Drugs of abuse tetrahydrocannabinol, heroin, methamphetamine, anabolic steroids, PCP, and cocaine;
  • Antigenic factors associated with microorganisms including hepatitis viruses and herpes viruses, HIV, spirochetes and pathogenic bacteria as well as antibodies to these factors;
  • Glucose blood urea nitrogen (BUN) , creatinine, cholesterol, triglycerides, and bilirubin.
  • BUN blood urea nitrogen
  • Analytes may also comprise the precursors and metabolites of the substances listed as well as synthetic or genetically engineered analogues.
  • the general assay system operates in two stages. In the first stage of the reaction, an immobilized species is exposed to sample and enzyme-labeled species. In the resulting interaction, enzyme-labeled complexes of binding species and analyte are formed, some of which are immobilized on the membrane. According to the design of each analyte-specific assay, analyte may act to either increase or decrease the quantity of immobilized labeled species in proportion to analyte concentration.
  • the membrane and the immobilized labeled species bound to it are exposed to a solution containing a substrate for the enzyme label.
  • the enzyme used as a label must be one that acts on a substrate to generate ions. These ions that form on the surface of the electrode membrane then act to increase conductivity across the membrane. Since the rate of ion generation depends on the concentration of bound labeled complexes, which in turn depends on the concentration of analyte in the sample, the increase in conductivity across each cell is directly or inversely a measure of analyte for which that cell is specific.
  • the change in conductivity can be linear with changes in concentration of analyte (as is often the case in sandwich assays) , or the change in conductivity can be exponentially, asymptotically, or otherwise nonlinearly related to the analyte concentration (as is often the case in competitive assays) .
  • the relationship of rate of change of conductivity to concentration can be readily determined by empirical means to derive an equation relating concentration to rate of change of conductivity, or to at least derive a table of values relating rate of change of conductivity to concentration by testing carefully standardized solutions of analyte.
  • urease is used as the ion- generating enzyme, because of its high substrate turnover number, commercial availability, low cost, and its ability to generate self buffering products from a non-ionic substrate.
  • Other enzymes that may be used include deaminases, proteases, decarboxylases, kinases, amidases, oxidases, lipase, and other ion-generating enzymes.
  • Specific examples include glucose oxidase, penicillinase, creatinine amidohydrolase, creatine iminohydrolase, alkaline phosphatase, aryl acyl amylamidohydrolase, and restriction endonuclease.
  • Specific assay systems may be designed based on various competitive and sandwich schemes that will be apparent to those of skill in the art in light of the present disclosure.
  • One type of assay may be performed by immobilizing purified analyte or an analyte analog to a support, such as a membrane, associated with an electrode pair.
  • a support such as a membrane
  • the support and an associated electrode pair comprise a unit cell in the multiple-cell disposable module of the present invention.
  • Sample analyte in this type of assay acts to prevent the binding of an enzyme labeled antiligand species to the immobilized analyte.
  • This is a competitive assay that will generally require mixing the free enzyme labeled antiligand species with the sample prior to contacting the mixture with the immobilized analyte or analyte analog. Labeled species-sample analyte complexes that have already formed in the mixture cannot then bind to the immobilized analyte or analyte analog.
  • glucose is detected by attaching an ion-generating enzyme to either monovalent glucokinase, a glucose-specific enzyme, or monovalent glucose-binding lectin.
  • monovalent refers to a ligand or antiligand that can bind to only one binding partner.
  • a second type of assay may be performed by immobilizing a species that binds the analyte on the membrane.
  • sample analyte prevents the binding of labeled sample analog (or other labeled molecule that can bind to the immobilized species) to the immobilized species.
  • This type of competitive assay typically requires that the immobilized species be exposed to sample prior to contacting the labeled species with the immobilized species.
  • sample analyte enables free labeled analyte- binding species to bind in a complex with the immobilized species, such as in a sandwich assay.
  • sample is generally first contacted with the immobilized species, after which the labeled species is contacted with the support to form the desired "sandwich" having an enzyme label thereon.
  • assays of this type may be performed by first contacting the sample with the labeled species, and then contacting the resulting material - with the immobilized species, as will be apparent to those of skill in the art.
  • Controls for the system are made up of negative control cells wherein the immobilized species does not bind the enzyme labeled species directly or indirectly, and positive control cells wherein the immobilized species selectively or specifically binds the enzyme-labeled species.
  • bovine serum albumin may be used on the negative control membrane and antibody to the labeled species on the positive control membrane.
  • the negative control can allow for correction for nonspecific binding to the reagent-coated membrane, and the positive control can monitor the activity of the reagents used in the assay.
  • the conductivity cells of the assay instrument can also be set up to measure directly any analyte in the sample which is a substrate for an enzyme in an ion- generating reaction.
  • the appropriate enzyme is immobilized on the membrane and when analyte in the sample becomes bound as substrate, the ions that are generated increase conductivity across the cell.
  • This type of assay is complete in the first stage without the need for enzyme labeled reactants, washing, or a substrate solution.
  • urease is immobilized on the membrane and acts directly to measure urea present in the sample.
  • the sensitivity of membrane immobilized binding species to the presence of specific analytes can vary widely and the resulting conductivity changes among the various electrodes under comparable conditions will vary in magnitude in a corresponding way.
  • the conductivities to be measured can be brought within a common range of calibration in a number of ways. First, the amount of binding species on a specific membrane may be increased or reduced or the area of membrane exposed to reactants in the sample may be similarly increased or reduced. Sensitivity may also be controlled in a device in which electrodes are arranged in parallel by designing the system so that variable volumes of sample are distributed to the several electrode cells. Preparation of enzyme conjugates and immobilization of species to a support are well known techniques, and the conventional procedures can be utilized in the practice of the present invention.
  • proteins such as antibodies and enzymes may be immobilized to a cellulosic membrane or support by incubating the protein with the support in a buffered solution of glutaraldehyde.
  • Many proteins bind instantaneously to nitrocellulose membranes, as described by Kuno et al.. Nature 215:974-75 (1967).
  • Proteins may also be covalently bound to materials through cyanogen bromide (CNBr) activation. These methods and others are described by Cuatrecasas, P., Methods in Enzvmologv 31:345 (1969). Other methods of covalently binding proteins to supports are described in Science 223:474-476 (1984).
  • Enzyme-antibody conjugates and other conjugates can be prepared by conventional techniques, such as the glutaraldehyde method described by Avrameas, et al. , Immunoche istry 8:1175-79 (1971) ; the periodic acid method as described by Nakane, et al, Journal of Histochem. Cytochem. 22:1084-91 (1974); and the maleimide method, described by Monji, et al. , Biochem. Biophvs. Res. Comm. 85:671 (1978).
  • Analytes may be determined in any type of sample, but are here considered in the context of samples of biological origin that are typically examined in the process of medical diagnosis or therapy.
  • samples may be body fluids such as urine, whole blood, serum, plasma, cerebrospinal fluid, saliva, sweat, tears, semen, gastric juice, synovial fluid, pleural fluid, amniotic fluid, or ascites fluid, or samples containing these fluids as a component.
  • body fluids such as urine, whole blood, serum, plasma, cerebrospinal fluid, saliva, sweat, tears, semen, gastric juice, synovial fluid, pleural fluid, amniotic fluid, or ascites fluid, or samples containing these fluids as a component.
  • the following examples are intended to demonstrate model systems of analyte, ligand, antiligand, enzyme, substrate, and control, and other embodiments will be apparent to those of skill in the art in light of the entire disclosure of the patent. Accordingly, it is intended that the scope of the present inventions be determined by
  • the conductimetric device was assembled with two unit cells in it.
  • Each unit cell consisted of a pair of porous stainless steel electrodes with one nitrocellulose membrane (5 micron pore size, 13 mm dia.), placed equidistant between the two electrodes by using a .015 inch thick silicone rubber gasket on either side of the membrane.
  • To one of the membranes unlabel ' ed goat anti-rabbit immunoglobulin (sigma R-2004) was bound by spotting 20 ⁇ l of 5 mg/ml antibody followed by blocking with 10 ⁇ l of 100 mg/ml bovine serum albumin (BSA) .
  • BSA bovine serum albumin
  • BSA was bound (20 ⁇ l of 100 mg/ml BSA) .
  • the two cells in the device were separated by a .062 inch thick silicone rubber gasket between them.
  • An additional BSA coated nitrocellulose membrane was placed in front of the two cells (at the bottom of the device) to be used as a prefilter in the beginning of the liquid path.
  • a fixed volume of buffer 0.5 ml of NaHC0 3 0.1M, pH 7.1
  • a known concentration of rabbit immunoglobulin (rabbit-IgG) varying from 0 to 20 ⁇ g
  • rabbit immunoglobulin rabbit immunoglobulin
  • This first injection was immediately followed by a second injection of 0.5 ml of sheep anti rabbit IgG-urease conjugate (Accurate Chemical) solution.
  • the IgG-urease conjugate solution was a 50x dilution of commercial conjugate in 0.1M NaHC ⁇ 3, pH 7.1, ImM EDTA and 100 mg/ml BSA.
  • Nitrocellulose membranes in the two cells were regenerated by injecting 1 ml of 10% acetic acid followed by 15 ml of deionized distilled water before another concentration of rabbit IgG could be injected into the device.
  • Acetic acid stripped off any antigen-antibody complexes formed on the nitrocellulose membranes.
  • the residual urease activity was checked by making a fresh substrate injection into the device after acetic acid treatment.
  • results are expressed as rate of change in conductivity in a cell per minute (mMhos/min) .
  • Response across the BSA membrane used as a negative control remained minimal and essentially unchanged throughout the rabbit IgG concentration range tested, while that across the anti- rabbit IgG membrane increased substantially in a linear manner with increasing concentrations of rabbit IgG.
  • EXAMPLE 2 Competitive enzyme Immunoassav for theophylline in whole blood (analvte bound to solid support)
  • the conductimetric device was assembled with two unit cells in it.
  • Each unit cell consisted of a pair of porous stainless steel electrodes separated by one 0.015 inch thick silicone rubber gasket. Also between the two porous electrodes was placed a free floating 12 micron pore size nitrocellulose membrane disk (5.5 mm dia.), precoated with theophylline bound to BSA. The two cells in the device were separated by a .062 inch thick silicone rubber gasket. A nylon membrane (60 micron mesh size) was used as a prefilter at the bottom of the device.
  • 0.5 ml of a whole blood sample was spiked with a known concentration of theophylline analyte [stock solution prepared as 1 mg/ml theophylline (Sigma) in 50% ethanol] ranging from 0-10 ⁇ g/ml blood.
  • stock solution prepared as 1 mg/ml theophylline (Sigma) in 50% ethanol
  • anti-theophylline reagent is a premix of primary monoclonal antibody ( Ab) to theophylline (A-1517 Cambridge) and a secondary goat anti mouse antibody- urease conjugate (U-0879, Sigma).
  • Ab primary monoclonal antibody
  • U-0879 secondary goat anti mouse antibody- urease conjugate
  • the blood sample was dispensed into the conductimetric device in a very reproducible and precisely controlled manner.
  • a 1 ml syringe pump (Cavro) and a program run on personal computer (program described in the text)
  • 0.35 ml of blood sample was drawn into the syringe pump line preceded by an air peg of 0.1 ml volume to avoid mixing of blood with wash solution filled in the line.
  • Blood sample was allowed to pass through the cells in conductimetric device 3 times (up/down/up) over a total period of five minutes. Blood comes directly into contact with nitrocellulose disks floating freely in the two cells, for the capture of any available antibody in the blood sample, before it is dispensed out into the waste.
  • the cells in the device were then washed by repeatedly injecting 6x1 ml of 0.3 M urea (isotonic for blood) dissolved in a weak imidazole buffer (0.5 mM imidazole, 0.075 mM EDTA, pH 7.1).
  • Urea solution serves two functions: as a wash solution and as a substrate for urease enzyme.
  • Theophylline concentration Change in Conductivity (mMhos/mi in whole blood (ug/ml)
  • EXAMPLE 3 Competitive enzyme immunoassay for immuno- globulin (IgG) in whole blood (antibody bound to solid support)
  • the conductimetric device was assembled with two unit cells in it.
  • Each unit cell consisting of a pair of porous stainless steel electrodes with one nylon membrane (60 micron mesh size - spectra mesh) , placed equidistant between the two electrodes by using a .0075 inch thick silicone rubber gasket on either side of the nylon membrane.
  • the two cells in the device were separated by a .062 inch thick silicone rubber gasket between them.
  • a nylon membrane (60 micron mesh size) disk was used as a prefilter, placed at the bottom of the device.
  • a (6" x 6" nylon sheet was dip coated in 4-5% collodion solution [collodion (75%, J.T.
  • the conductimetric device was assembled exactly in the same manner as outlined in Example 1, except for the biological coating on one of the nitrocellulose membranes.
  • the BSA membrane was coated the same way as in Example 1.
  • the second membrane received 10 ⁇ l of urease enzyme (1000 U/ml in 0.01 M EDTA buffer pH 6.0; Sigma U-0251), instead of antibody.

Abstract

Disclosed is a device for analyzing a biological fluid comprising one or more unit cells for the conductimetric determination of an analyte in the fluid sample. Each unit cell comprises a first porous support to which biological reagents for detection of an analyte are immobilized, and a first and a second electrode spaced a fixed distance apart, wherein the porous support is adjacent to the first and second electrodes. The electrodes may be porous, with the unit cells disposed in a housing having at least one fluid flow path therein, in such a manner that fluid traversing a first fluid flow path in the housing must pass through the electrodes and the porous supports of the unit cells. Also disclosed is a method for carrying out multiple simultaneous conductimetric analyte determinations for a single sample.

Description

Methods and devices for carrying out multiple simultaneous conductometric analyses.
Background of the Invention The present invention relates to conductimetric assay techniques and, more particularly, to a method and apparatus for the simultaneous quantitative determination of a plurality .of preselected analytes in a single fluid sample.
The clinical diagnosis of disease and other abnormal conditions has become increasingly dependent upon accurate analysis of various components of blood and other body fluids. This, in turn, has generated a need for sophisticated diagnostic instrumentation capable of simultaneous or rapid sequential analysis of multiple analytes in a relatively small volume sample. Although bioassay instrumentation presently exists, it is generally restricted to the hospital or analytical laboratory setting due to cost, complexity, or other limiting considerations. Thus, for example, a method and apparatus for the conductimetric bioassay of a single analyte in a liquid sample is disclosed in European Patent Application No. 84,301,987.8 to Lowe. Lowe discloses the use of an immobilized enzyme or other specific binding partner on a porous non-conducting membrane which contains a pair of solid electrodes spaced apart and in face to face contact with the same face of the membrane. The membrane is removably secured to the end of a dipstick-type probe, and must be exchanged for a different membrane for each sequential analysis. A pair of reference electrodes is also provided, for determining background conductivity in the sample solution. While possibly of great assistance in the analytical laboratory, the foregoing instrumentation is not well suited for alternate locations such as the doctor's office, ambulance, farm, veterinary facility, or other site remote from the laboratory. The coplanar electrodes could exhibit nonuniform ion generation on the membrane, and removal of ions between process steps is diffusion limited. Also, the signal kinetics and analyte capturing ability of the device are affected not only by the analyte concentration, but also by diffusion phenomena. Finally, the electrical path during the conductivity measurement is difficult to determine, and calculation of the cell constant for such an electrode arrangement is a complex undertaking. It should be noted that the Lowe device generates ions most rapidly on the top side of the membrane — the side furthest from the electrodes. A conductivity gradient would be expected across the membrane, which could affect the reliability of the results obtained. In contrast to the Lowe device, it would be valuable to have an assay in which the signal was directly or inversely related to the analyte concentration, preferably in a linear manner.
In the markets presently contemplated for the device of the present invention, instrumentation cost is a major concern. While reference laboratories may use dedicated instruments for each of several- assays, the cost of dedicated instruments in the doctors' office setting is prohibitive. Thus, a versatile, low cost instrument that could be used to preform a variety of tests would be particularly desirable.
In addition, for use of the instrument in settings other than in a commercial reference laboratory, it is desirable to automate the instrument. Furthermore, safety is a major consideration, particularly with the current focus on blood-carried diseases, such as AIDS and hepatitis. It would be desirable to eliminate any possibility of contact between a user and the sample being analyzed. In the doctors' office setting, and other settings in which the use of the reagents and instruments might not be carefully controlled, there is a very real possibility- that out-of-date or improperly stored reagents or assays may be used. It would be advantageous, in this setting, to have a relatively foolproof system, which could determine the reliability of the assay components. Thus, there remains a need for a diagnostic system of low cost, yet high sensitivity, which is capable of multiple simultaneous analyte analyses from a single sample. The system will optimally provide rapid results, and be designed for safe handling of possibly infectious samples, even by inexperienced users and in remote settings.
Summary of the Invention In accordance with one aspect of the present invention, there has been provided a device for analyzing a biological fluid comprising one or more unit cells for the conductimetric determination of an analyte in the fluid sample. Each unit cell comprises a first porous support to which biological reagents for detection of an analyte are immobilized, and a first and a second electrode spaced a fixed distance apart, wherein the porous support is adjacent to the first and second electrodes. The electrodes may advantageously be porous, with the unit cells disposed in a housing having at least one fluid flow path therein, in such a manner that fluid traversing a first fluid flow path in the housing must pass through the electrodes and the porous supports of the unit cells.
Preferably, the device further comprises a second unit cell in the housing, which is capable of the conductimetric determination of a second analyte in the same sample. The second unit cell may be disposed in the same fluid flow path as the first unit cell, or it may be disposed in a second fluid flow path through the housing such that fluid traversing the second fluid flow path must pass over or through the electrodes and the porous support of the second unit cell. Multiple unit cells can be provided along a single flow path, or each having a separate flow path through said housing. Optimally, the device will further comprise at least one control unit cell in the housing functioning as a control for at least one other unit cell therein. Both positive and negative controls may be provided. The biological reagents immobilized to the porous support of the negative control are preferably known to be nonreactive with components of the sample and liquid reagents used in the assay. A mixing chamber may be provided in fluid communication with the unit cell, and reagents may be provided in the mixing chamber which are adapted to cooperate in the analysis of the fluid sample with the reagents immobilized in the unit cell. The mixing chamber may be in a separate housing, or may be in the same housing as the unit cells.
Preferably, the reagents immobilized in the unit cell comprise a member of a first ligand-antiligand pair, where either the ligand or the antiligand of the first pair is analyte, and the reagents in the mixing chamber comprise a member of a second ligand-antiligand pair, wherein one member of the second pair is a member of the first pair. The immobilized reagents may advantageously be adapted to bind with analyte and the reagents in the mixing chamber may be adapted to bind either with analyte or immobilized reagent. In addition, the mixing chamber may be adapted to receive sample that has passed through the unit cells, to mix the reagents in the mixing chamber with the sample, and to discharge the resulting mixture back through the unit cells.
The housing of the above described device may further comprise a first and second septum through which sample can be introduced and removed. The first and second septums have a fluid flow path therebetween, and at least one unit cell in the flow path between the septums. The device may further comprise means for introducing a sample through the housing along the fluid flow path, means for measuring the conductivity between the electrodes of the unit cells, and means responsive to the measured conductivity for indicating the concentration of analyte in the sample. Preferably, the electrode comprises plates of perforated metal, or metal mesh, such as stainless steel, and are mounted perpendicular to the first fluid flow path. In accordance with another aspect of the present invention there is provided a unit cell for performing a conductimetric assay of a liquid for an analyte, comprising a first and second planar porous metal electrode, and a support layer to which reagents for use in a conductimetric assay are immobilized. The first and second electrodes are spaced apart, the electrode and the support layer are substantially parallel and are situated along a common axis line extending perpendicularly through the electrode and the support layer. The support layer may advantageously be between the electrodes. Finally, the support layer may be bonded to one or more of the electrodes.
In accordance with still another aspect of the present invention, there is provided an apparatus for performing an assay of a liquid sample, comprising a reaction cell housing removably mounted in the apparatus; a plurality of electrode pairs in said housing; and a liquid permeable support associated with each electrode pair on which are immobilized reagents for use in a conductimetric assay for an analyte, wherein the reaction cell housing has a liquid flow path therethrough, and wherein said electrode pairs and said supports are in said flow path so that liquid traversing said path must flow thereover or therethrough. Means are provided at each end of the path for introducing liquid into or removing liquid from said path, and the apparatus may further comprise a sample port into which sample liquid may be introduced; a waste receptacle into which liquid waste may be placed; a reagent reservoir for containing a liquid reagent; a mixing chamber; a pump for moving liquids through said device; means for directing fluid from said sample port through said housing along first fluid flow path and into said mixing chamber, then directing fluid from said mixing chamber back through said housing along said first fluid flow path and into said waste reservoir, then directing liquid from said reagent reservoir through said housing and into said waste reservoir; and means for measuring the conductivity between said electrode pairs. Means additionally may be provided for converting said measured conductivities into analyte concentration measurements, and for displaying or storing said analyte concentration measurements.
In accordance with another aspect of the present invention, there is provided a method for carrying out multiple simultaneous conductimetric analyte determinations for a single sample, comprising the steps of providing a primary test chamber containing a plurality of conductimetric cells, each such cell specific to a particular analyte and comprising a pair of porous electrodes enclosing a permeable membrane on which is immobilized a biological species capable of forming with the specific analyte or an analyte-binding molecule, or both specific analyte and analyte-binding molecule, a selectively bound biological complex; providing a plurality of non-immobilized enzyme-labeled biological species capable of forming a part of the bound biological complexes; directing a liquid sample containing analytes through the porous electrodes and the permeable membranes" and allowing the analytes in the sample to interact with the immobilized species and the labeled species, thereby forming on the membrane in each cell immobilized enzyme- labeled biological complex in direct or inverse relation to the concentration of the analyte in the sample to which that cell is specific; contacting the enzyme-labeled complexes with a solution containing an ion-generating substrate for the enzymes of the complexes; permitting the enzymes to act on the substrate to generate ion in each such cell in relationship to the concentration of analyte to which the cell is specific, thereby increasing the conductivity across the electrodes; and determining the concentration of each analyte in the sample by measuring the increase of conductivity across each electrode. In a preferred . embodiment, the measured rate of increase of conductivity is compared with predetermined standard curve information for the particular analyte to which the cell is specific to determine the analyte concentration in the sample.
In one variation of the foregoing method, the directing step comprises passing the liquid sample through the cells, and then passing the non-immobilized enzyme- labeled biological species through the cells to form the immobilized complexes. Any step that requires ligand- antiligand interaction may be accomplished in a single pass very slowly through the cells, or may be accomplished with multiple passes of liquid through the cells to increase efficiency. In another variation of the method, the directing step comprises passing the liquid sample through the cells in a first direction, mixing the liquid sample with the non- immobilized biological species to form a mixture, and then passing the mixture back through the cells in a second direction to form the immobilized complexes.
Another embodiment of the present invention further contemplates mixing the liquid sample with the non- immobilized enzyme-labeled species prior to the directing step. In accordance with still another aspect of the present invention, there is provided a method for carrying out multiple simultaneous conductimetric analyte determinations on a single sample, comprising the steps of providing a primary test chamber containing a plurality of conductimetric cells, each such cell specific to a particular analyte and comprising a pair of electrodes associated with a support on which is immobilized a biological species capable of forming with the specific analyte or an analyte-binding molecule, or both specific analyte and analyte-binding molecule, a selectively bound biological complex; providing a plurality of non- immobilized enzyme-labeled biological species capable of for ing a part of the bound biological complexes in a mixing chamber in the housing; directing a liquid sample containing analytes. through primary chamber and the mixing chamber and allowing the analytes in the sample to interact with the immobilized species and the labeled species, thereby forming in each cell immobilized enzyme-labeled biological complex in amounts which are dependent on the concentration of analyte in the sample to which the cell is specific; contacting the enzyme-labeled complexes with a solution containing an ion-generating substrate for the enzymes of the complexes and permitting the enzymes to act on the substrate to generate ion in each cell in direct proportion to the concentration of enzyme labeled complex; and using the rate of conductivity increase measured across each cells electrodes to calculate the corresponding analyte concentration based on predetermined standard curves for each analyte.
In one modification of this embodiment, the directing step comprises first passing the liquid sample through the mixing chamber to form a mixture of sample and the non- immobilized enzyme-labeled species, and then passing the mixture through the primary chamber. In another modification of this embodiment, the immobilized species is analyte or analyte analog. In still another variation of the present method, the directing step comprises first passing the liquid sample through the primary chamber to bind analyte to a first portion the immobilized species to form a bound analyte complex, then passing the liquid sample into the mixing chamber to form a mixture of the liquid sample and the non- immobilized enzyme-labeled species, and then passing the mixture back through the primary chamber to form the immobilized enzyme labeled complexes.
In the various embodiments of the invention, the immobilized enzyme-labeled complexes may comprise enzyme- labeled species bound to a second portion of the immobilized species. Alternatively, the immobilized enzyme- labeled complexes may comprise enzyme-labeled species bound to analyte, which in turn is bound to the immobilized species.
In one embodiment of a competitive assay, analyte (or an analyte analog that will be recognized as analyte by binding species) is immobilized on the membrane, the non- immobilized enzyme-labeled species has the ability to specifically bind with the analyte, and sample analyte acts to prevent the binding of the enzyme-labeled species to the immobilized analyte.
In another embodiment, the immobilized species has the ability to specifically bind with the analyte. Specific binding materials include natural or synthetic protein or hormone receptors, other natural receptors, and other specific binding molecules, such as lectins, members of antibody-antigen pairs, and specific binding proteins and enzymes. These materials are also referred to herein as ligand/antiligand combinations, where one of the materials of a binding pair is the ligand, and the other is antiligand.
In another embodiment, the enzyme-labeled species is also a receptor for the analyte, and sample analyte permits the binding of the labeled species in a complex with the immobilized species. In still another variation of the present invention, the non-immobilized labeled species is analyte, and sample analyte acts to prevent the binding of the enzyme labeled species to the immobilized receptor.
In one particularly preferred embodiment of the invention, the enzyme label of the non-immobilized species is urease. Of course, any other appropriate enzyme that participate in producing an ion by acting on a substrate may be used. The ion generated by the enzyme changes the conductivity of the solution between the electrodes in a measurable way, thereby permitting determination of the quantity of enzyme immobilized in the course of the assay. and as an extension thereof, the quantity of analyte in the sample.
The electrodes used in the conductimetric determination of the present invention may be arranged in series, so that liquid sample contacts the electrodes sequentially, or they may be arranged in parallel, so that different portions of the same sample may be directed to different electrode pairs.
Further, objects, features and advantages of the present invention will become apparent from the detailed description of preferred embodiments which follows, when considered together with the appended figures and claims.
Brief Description of the Drawings Figure 1 is an artist's conception of a diagnostic instrument system according to the present invention, presented in a perspective view.
Figure 2 corresponds to Figure "1, except that the instrument housing covers are opened to present a view of the interior compartments.
Figure 3 is a perspective view of a longitudinal cross section of one type of detector for use in the present invention.
Figure 4 is a perspective view of another embodiment of the diagnostic instrument system of the present invention.
Figure 5 is a partially exploded perspective view of the detector unit of the present invention.
Figure 6 shows one embodiment of an electrode for use with the present invention.
Figure 7 shows a second embodiment of an electrode. Figure 8 shows a third embodiment of an electrode. Figure 9 shows a partial cross-sectional view of the electrode of Figure 8, taken along lines 9-9. Figure 10 is an elevational, axial sectional view of the assembled detector unit of Figure 5. Figure 10a is a schematic cross section of another embodiment of the detector unit.
Figure 11 is a schematic representation of one fluid flow scheme for the system of the present invention. Figure 11a is a schematic representation of another fluid flow scheme for the system of the present invention.
Figure 12 is a block diagram of the electronic apparatus of the present invention.
Figure 13 is a detailed schematic diagram of the conductivity measuring circuit.
Figure 13a is an alternative embodiment of a circuit to sense the current flowing through the cells in Figure 13.
Figures 14a-14c are detailed flow diagrams of the steps required to complete an assay on the apparatus of the present invention.
Detailed Description of Preferred Embodiments It should be noted that throughout this description, like components and parts are designated by like reference numerals.
A. Apparatus and Fluidics
There is disclosed at Figure 1 an analyzer apparatus 15 according to one aspect of the present invention, for the simultaneous quantitative determination of a plurality of analytes in a single sample solution. An alternative embodiment of the apparatus 15 is shown in Figure 4, and the following description is equally applicable to Figures 1, 2, and 4.
The inner workings of the analyzer 15 are more visible in Figure 2, in which the first, second, and third instrument operating area covers 12, 13, and 14 have been opened to render the inside of the instrument visible. In generalized fashion which will be detailed infra, the apparatus 15 is provided with a sample receiving connection 16 adapted for removably receiving a container 17 having a fluid sample 18 for analysis contained therein. As best illustrated in Figure 4, the analyzer 15 is additionally provided with a detector element holder illustrated generally at 19, adapted for removably providing both fluid and electrical communication between a detector 20 and the apparatus 15. Multiple electrical connections with the detector 20 are enabled by way of a multiple contact connection element 21, and fluid communication between the detector 20 and apparatus 15 is provided at a first port 22 and a second port 23 in said detector by a first releasable connector 24 and second releasable connector 25, respectively.
As will be discussed further, detector ports 22 and 23 are preferably sealed by pierceable septums 26 and 27, respectively. Septums 26 and 27 may advantageously comprise any of a variety of known elastomeric materials, such as natural rubber, synthetic rubber, thermoplastic elastomer, or silicone rubber, and are capable of preventing introduction of foreign matter into the detector during periods of storage. In addition, the use of such septum seals in the present invention is designed to prevent all contact between the user of the apparatus 15 and the fluid being analyzed. This, in turn, can greatly reduce the risk that the user will be exposed to disease vectors that may be present in the fluid, such as hepatitis or AIDS. Connectors 24 and 25 will in that event respectively comprise hollow needles 28 and 29 (best illustrated in Figure 4) , capable of piercing the septums 26 and 27.
Installation of the detector 20 into the apparatus 15 may be accomplished by engaging electrical contacts on the detector with connection element 21 and then causing hollow needles 28 and 29 to pierce septums 26 and 27. For this purpose, the needles 28 and 29 of the embodiment illustrated in Figure 4 are adapted for axial reciprocating movement, thereby permitting engagement and disengagement with the detector 20. In that embodiment, where the detector is substantially cylindrical in form with septums c
26 and 27 at opposite ends thereof, the needles 28 and 29 extend coaxially towards one another and are associated with plates 30 and 31 perpendicular to the axis of the detector 20. One or both of plates 30 and 31 are movably connected with apparatus 15 and may be mechanically linked together (not illustrated) so that manual operation of a lever 32 will move plates 30 and 31 towards or away from one another, thereby causing each of needles 28 and 29 to pierce or disengage its corresponding septum. The needles 28, 29 are preferably shielded, as illustrated, to prevent accidental injury thereby and the attendant danger of disease transmission.
In Figures 1 and two, the detector 20 is installed on the inside of the first openable cover 12, on which the detector holder 19 is positioned. In this embodiment of the apparatus 15, the connection element is located on one side, and the needles 28, 29 enter the detector septums 28, 29 from the opposite side when the first cover 12 is closed. Thus, in use, the detector is attached to the detector holder 19 on the inside of the first cover 12, and electrical connection between the apparatus 15 and the detector 20 is thereby established. Then, the first cover 12 is closed, automatically causing a needle cover 32a to swing away, revealing the hollow needles 28 and 29 (not shown in Figure 2) . Continued closing movement of the first cover 12 pushes the detector 20 against the needles 28, 29, forcing them through the septums 26, 27 of the detector 20 illustrated in Figure 3. In this manner, fluid connection between the detector 20 and the apparatus 15 is established without ever exposing the needles 28, 29 while the first cover 12 is open. This eliminates the possibility that an operator could inadvertently become exposed to pathogens in a sample by puncturing the skin through accidental contact with one of the needles 28, 29. The detector holder 19 is designed to require more effort to detach the detector 20 than is required to remove the needles 28, 29 from the septums 26, 27. This will permit the detector to become detached from the needles 28, 29 when the first cover 12 is opened, permitting the needle cover 32a to automatically close before the user can be exposed to the needles when the test is complete. Similarly, the sample container 17 is provided in the sample receiver 16 under the second openable cover 13. It should be noted that in other embodiments of the invention, such as the embodiment illustrated in Figures 10a and 11a, the sample receiver 16 having a single connector 24 with a hollow needle 28 are used to connect both the sample container 17 and the detector 20.
The apparatus 15 is further provided with electronic controls, such as a power switch 33 and an alphanumeric display 34. In addition, a printer may be included (as in Figure 4) for directly providing hard copy' 35 of operator understandable information. A reagent compartment 36, which may be under the third openable cover (in Figures 1 and 2) provides access to removable reagent, wash, and/or waste receptacles (hereinafter described) . A power cord 37 may be provided for connection to traditional power supplies; however, the system can alternatively be equipped to operate from an internal battery pack (not illustrated) for use during power- failures or at remote locations. In use, the detector 20 is inserted into the detector holder 19 and the results of an assay or assays performed in the sampling device are read by the instrument 15. In a preferred embodiment, the instrument has the capability of reading two values from the detector 20, and more preferably has the capability of reading at least three values. This permits an instrument 15 to read values from the actual assay and a positive or negative control, or both a positive and negative control. In addition, means may be provided for reading values from additional parallel assays incorporated into the detector 20. Conceptually, six, ten, or more assays may be simultaneously performed on a single sample. Indeed, it is contemplated that the apparatus 15 may be designed to hold multiple detectors 20, to facilitate conducting multiple assays on a single sample 18.
An interface 38 may be provided in some embodiments for transferring data from the instrument 15 to data storage or interpretation devices, including general and special purpose computers.
Conventional means for interpretation and processing of the data are provided either in the instrument 15 itself, or are accessible by the instrument 15 through the interface 38, e.g., from a programmed computer. Alternatively, particular novel data interpretation and processing means described hereinafter, may be provided.
The provision of controls in the detector 20 permits not only the determination of relative and absolute values for the analysis, but also provides an indication of whether the analysis performed by the detector 20 was reliable. With some chemistries, it is possible for reagents to be damaged by exposure to temperature extremes, by storage beyond the expiration date of the material, or by other factors. Such problems would be indicated by the controls, so that the health care provider does not rely upon faulty data.
In one embodiment of the invention, the patient's age, sex, identification data, and any other information may be input into the instrument 15 or other device to which the instrument 15 is connected by the interface 38, and the raw data read by the instrument 15 may be translated into conventional form (e.g., concentration of analyte in the sample) and may be correlated, by means of a look-up table, algorithm, or other suitable means, (specific embodiments of which are described hereinafter in detail) with reference ranges. These data may then be displayed by the visual readout 34 and/or the hard copy printout 35. The detector 20 of the present invention may further include a data label such as a standard bar code label, a DK code, a magnetic strip, or other machine-readable data- carrying label. The data label may be physically mounted on the detector 20, or may be separately packaged with the detector 20, as in the form of a card 38a with a machine- readable magnetic strip 38b. The apparatus 15 is provided with a complimentary magnetic strip reader 38c or other appropriate data input mechanism. This facilitates proper identification of the assays capable of being conducted by a given detector, and can permit automatic transfer to the instrument 15 of proper assay identification and calibration values. Labeling and automatic information transfer as described will be particularly useful in connection with the present invention, due to the ability to produce detectors which are capable of numerous specific analyses, in nearly infinite combinations, all of which may be run on a single instrument. Thus, the clinician will likely have numerous detector cartridges 20 on hand, and will select the desired detector cartridge for each desired test. Automatic programming and calibration of the apparatus will ensure proper programming, improve response times, and permit use by inexperienced personnel. In addition, the data label may carry information regarding the patient, standard "normal" multiple assay result profiles, or any other desired information. A reader for the information label may be provided on the instrument 15 itself, or may be associated with the instrument by way of the interface 38.
Referring to Figures 11, one embodiment of a fluid flow scheme for the apparatus 15 is disclosed. A fluid sample 18, which may comprise whole blood, blood fractions or other biological fluids suspected to contain the analytes to be determined, is conveniently provided in a container 17 such as a Vacutainer® (trademark for an evacuated septum sealed collection container sold by Beckton Dickinson Company) or other vessel having a pierceable septum 39 which is adapted to permit withdrawal of the sample without introduction of any contaminants into the system and without contact between the technician and the sample.
To facilitate withdrawal of the fluid sample 18 from container 17, the sample receiving connection 16 is 5 provided with a shielded hollow needle 40, which, in the illustrated embodiment, projects axially within an annular shield 41. As illustrated in Figures 2 and 4, the user needs simply to align the sample container 17 coaxially within the annular shield 41 and insert the container 17
1.0 until the needle 40 pierces the septum 39. Mechanical assistance with this process may be provided, for example, by the second cover of the apparatus 15 illustrated in Figures 1 and 2 , which has means thereon to retain the sample container 17 and force the container 17 onto the
15 shielded needle 40.
Installed as described, the container 17 is in fluid communication with the detector 20 by way of a sample line 42. The detector 20 is further in valved communication with pump .44 and valve 45 by way of line 46. Lines 42 and 0 46, together with all other components of the system which physically contact the fluid sample 18 preferably comprise any of a variety of biologically inert materials such as polyethylenes, polytetrafluoroethylene, polystyrene,' stainless steel, platinum or other suitable materials well 5 known in the art. In selecting these materials, attention should be given to the reactivity of the materials with the selected reagents and samples, together with the ease with which the materials can be cleaned for reuse. The ability for the apparatus 15 to automatically clean itself is a 0 particularly desirable feature that can be facilitated by proper materials selection.
One particularly useful feature of the present invention is that the detector 20 may be easily inserted into and removed from the analyzer 15. To permit such easy 5 replacement, the detector 20 is removably disposed in fluid communication with lines 42 and 46 by way of releasable connections 24 and 25, respectively. Releasable connections 24 and 25 may comprise any type of connection capable of fluid tight engagement and disengagement without the introduction of contaminants into the system, such as snap fits, lines or other known connections. Preferably, however, each connection 24 and 25 comprises a pierceable septum 26, 27 associated with the detector 20 and a hollow needle 28, 29 associated with each of lines 42 and 46.
In an alternative, simplified embodiment, as illustrated in Figures 10a and 11a, the detector 20 has only a single septum 26, and is connected to the apparatus 15 through a single hollow needle 28.
Referring to Figures 3, 5, and 10, the detector 20 may advantageously comprise an elongate tubular or rectangular housing 48 having openings 22 and 23 at or near the first and second ends thereof. As previously discussed, openings 22 and 23 are provided with pierceable septums 26 and 27, respectively, in a preferred embodiment of the invention, and are in fluid communication with each other by way of at least one fluid flow path along the axial interior extent of the detector housing 48. It is to be understood that the particular configuration of the housing 48 and location of openings 22 and 23 described herein are characteristics of the preferred embodiment, and that many alternative configurations can be envisioned which would accrue the advantages of the present invention. For example, an internal return line or folded fluid flow path could be provided within the housing 48 to enable location of both ports 22 and 23 on the same axial end of detector 20. Alternatively, the detector 20 could be designed with a single opening 22 and septum 26, as will be discussed in connection with Figure 10a. In addition, while the septums 26 and 27 are located coaxially at opposite ends of the detector 20 in the embodiment of the detector illustrated in Figures 5 and 10, the embodiment illustrated in Figure 2 has the septums 26 and 27 located on one side of the detector 20, to facilitate use of that detector 20 in the apparatus 15 of Figures 1 and 2 in the manner previously described.
The actual manner of construction of an exemplary embodiment of the detector 20 will be described in connection with Figures 5 and 10. As is best illustrated in Figure 5, the tubular housing 48 is bifurcated into a first portion 50 and a second portion 51 having complementary surface structures to facilitate joining together into a unitary tubular housing 48. Thus, for example, the first portion 50 is illustrated as comprising a region 52 of increased interior cross-sectional dimension near the end distal from opening 22, terminating at its proximal end in an annular shoulder 53 to provide a stop, as will be described. The second portion 51 is provided at its proximal end 54 with an exterior cross-sectional dimension which is such that said end 54 may be inserted axially into the region 53 on said first portion 50. See Figure 10.
Once assembled as described, the housing exhibits a fluid-tight seal between the first and second portions 50 and 51. The seal may be accomplished by any of a number of well known techniques, such as a friction fit, "0"-ring or gasket solvent bonding, spot welding or the use of adhesives, alone or in combination, and depending upon the composition of the housing 48, as will be fully appreciated by one skilled in the art. For example, the interior surface of the first portion 50 may be provided in the region 52 with an annular depression or ridge for mating with a corresponding annular ridge or depression on the exterior surface of the second portion 51 (not illustrated) . Any known joining technique will suffice, provided that it produces a fluid-tight seal of the housing 48 between openings 22 and 23, and that it is capable of resisting an axially expanding bias exerted by elements compressed within the housing 48, as will be discussed.
The detectors of Figures 3 and 10a may be assembled in a similar manner. In addition to having the septums 26, 27 on the side (instead of on the ends) of the detector 20, the detector of Figure 20 also has means for protecting the tabs 58a on the electrodes 56, so that damage to the electrodes is avoided prior to and during use. The electrodes used in the invention may be solid electrodes disposed so that fluid flow occurs past or over them. However, in a preferred embodiment, porous electrodes through which fluid flow can occur are utilized. Referring to Figures 6-9, there are provided within the housing 48 at least one pair of porous or perforated electrodes 56 disposed across the fluid flow path between the openings 22 and 23. Preferably, two pairs are provided, and most preferably three or more pairs of electrodes 56 are contained in the housing 48. Each pair of electrodes is arranged such that the distance between the electrodes of a given pair will typically be in the range of from about 0.005 inches to about 0.100 inches, preferably from 0.01 to about 0.02 inches and most preferably the distance will be about 0.015 inches. The distance between adjacent pairs of electrodes will generally be much larger, for example, as much as 10 times or more the distance between members of a given pair. Thus, the distance between pairs will typically fall within the range of from about 0.005 to about 0.5 inches, and preferably from about 0.1 to about 0.2 inches. In an exemplary embodiment, the distance between electrodes of a pair is about 0.015 inches and between adjacent pairs is about 0.125 inches. The increased spacing between adjacent pairs is important so that ionic species generated by the " action of an immobilized enzyme, for example, will be unable to migrate from one electrode pair to the next in sufficient quantities to alter the conductivity of either cell within the time period in which measurements will be made. It has been determined that, in the time frame generally required to conduct a multiple analyte assay, inter-pair spacing as described above are sufficient to prevent any such ionic migration problems. Referring to Figure 5, the electrodes 56 may be provided in a stack within the tubular interior of housing 48. Each electrode is preferably substantially planar, such that the electrodes 56 in a stack are essentially parallel to each other and perpendicular to the longitudinal axis of the housing 48.
According to one embodiment of the detector of the present invention, an immobilization membrane 58 is disposed between each electrode pair, with the electrode pair and the membrane together constituting a unit cell. The immobilization membrane 58 is itself a nonconducting biologically inert porous support membrane for immobilized reagents having sufficient porosity to permit the flow of substrate and sample solutions (including red blood cells) therethrough, as will be described. At the same time, it is desirable to minimize pore size as much as permissible in light of the foregoing, in order to maximize the surface area available for immobilized reagents. Since red cells have an average diameter between about 6 and 8 microns, pore sizes greater than that are preferred. Thus, for example, the membrane 58 may comprise any of a variety of substantially biologically inert materials such as nylon, ceramic, glass, fiber, polyethylene, polytetrafluoro- ethylene, polystyrene and other polyolefins, polyesters, polycarbonates and polyamides to which reagents may be immobilized. In addition, the membrane 58 may further comprise a coating of a material to enhance binding of the immobilized reagents thereto, such as nitrocellulose or other chemically activated or derivatized cellulose. As seen in Figure 5, "the unit cell according to one embodiment of the invention comprises a pair of electrodes 56 and a distinct immobilization membrane 58 separated on either side by a spacer 60. In accordance with another embodiment of the invention, an immobilization membrane 62 may be coated directly on to the electrode itself, as illustrated in Figure 9. Alternatively, the immobilization membrane may be a disk with smaller diameter than the electrodes 56 and sized to fit within the interior of one of the annular spacers 60 between the electrodes.
Each electrode 56 comprises any of a variety of well known electrically conductive materials which are essentially biologically inert, such as platinum or stainless steel. stainless steel has been demonstrated to be particularly suited for use in the present invention. Other possible materials include plastic having a metal layer coated or deposited thereon, or conductive polymers. The profile of each electrode 56 is configured such that the electrode will extend at least partially across the fluid flow path so that electrical characteristics of the fluid between adjacent electrodes may be determined. Optimally the electrodes will extend entirely across the fluid flow path. Thus, the electrodes 56a, 56b and 56c illustrated in Figures 6-9 have a substantially circular profile, which is convenient for use with a housing 42 such as that illustrated, having a substantially cylindrical interior flow path. In an embodiment in which the electrode 56 traverses an entire fluid flow path within the housing, a plurality of pores or perforations 57 are provided therethrough, enabling the fluid sample and non-bound reagent to flow through the conductor 56. The perforations 57 may be formed by any of a variety of known techniques, such as by a punching process (see Figure 7) or by photochemical etching following masking of the unperforated electrode. Referring to Figure 9, an electrode 56b is disclosed which has been prepared in a two step photochemical etching process. In the first step, a central, circular depression 64 is formed, leaving an annular flange 66 of increased thickness around the outer periphery thereof. The annular flange 66 contributes structural integrity to the electrode 56b and permits secure attachment of depending tab or ear 58a which may be either integrally formed with the electrode or spot welded thereto to provide electrical communication between the electrode 56 and the electrical connector 21 of the apparatus 15.
The inner circular depression 64 of electrode 56b is thereafter coated with a photoresist, exposed, and etched in a conventional manner to produce a plurality of openings 57 therethrough arranged in a random or predetermined pattern. Utilization of a laser or chemical process can enable precise control over the size, configuration and number of openings 57. An alternate embodiment is illustrated in Figure 6. In this embodiment, a peripheral annular flange 66 is provided, electrically connected to tab 58a as in Figure 5. However, the central region 64 of the electrode 56c is punched or etched to leave at least one relatively larger central opening, which is covered by an electrically conductive mesh 59.
Assembly of the detector 20 may be facilitated by the two part housing 48 and also by provision of an axial slot 68 (Figure 5) for receiving the tabs 58a on electrode 56. A spacer 60 is preferably first inserted into the interior of the first portion 50 of tubular housing 48 to permit sufficient clearance that a needle 28 inserted through septum 26 will not damage the nearest unit cell. (This is not a concern in the detector of Figure 3, where the needle is inserted parallel to and spaced from the electrodes.) Thereafter, as many unit cells as desired are inserted into the housing, including either or both of the embodiments having a distinct immobilization membrane 58, or having the membrane 62 secured directly to an electrode 56. As described in the detailed description of the i munochemistry aspect of the invention, infra, the membranes 58 or 62 have previously been treated to immobilize reagents thereto. Loading of the first portion 50 is complete when sufficient unit cells and/or surplus spacers 60 have been inserted to fill the interior of first portion 50 axially up to within the region 52. The interior of the second portion 51 of tubular housing 48 may advantageously comprise a mixing chamber 70 for mixing the non-immobilized reagents with fluid sample 18. Thus, prior to final assembly of the housing 48, reagents 72 which are selected to cooperate with the analyte and/or immobilized reagents on membranes 58 or 62 are placed in the mixing chamber 70. It is preferred that the liquid volume of the mixing chamber 70 be at least as great as that of the first portion 50 of the housing 48. In addition, in a preferred embodiment of the present invention, a mechanical mixer is incorporated directly into the detector 20. To accomplish this purpose, a stir bar 74, such as a magnetized piece of stainless steel wire, is also inserted into mixing chamber 70. In use, the stir bar may be manipulated by means of a revolving or oscillating magnetic field as is well known in the art, the drive means (not illustrated) being located in the apparatus 15 adjacent the detector holder 19.
After assembly, the second portion 52 and first portion 51 are joined together as previously described, under application of an axially compressive force to ensure uniform spacing between electrodes of each unit cell, and between adjacent unit cells. Once secured into a unitary tubular housing, the detector 20 is ready for application of a data label or other labeling means and is otherwise ready for use.
An alternate embodiment of the detector 20 may be constructed by omitting the stir bar 74 and including instead a distinct mixing chamber 76 along the line 46 in fluid communication with the detector 20. Thus, the mixing chamber 76 may be separate from the detector 20, and may be a chamber within the apparatus 15, as illustrated in Figure 11. This mixing chamber 76 may be a permanent part of the apparatus 15, or may be disposable, like the detector 20. The mixing chamber 76 may be provided with its own magnetic stir bar or mechanically driven mixing blades 78, also driven by conventional means. Each embodiment accrues certain advantages; however, providing the mixing chamber directly inside of the disposable detector 20 is preferable from the standpoint of simplifying the flushing of the system between use of different samples and detectors, and providing unique reagents inside the mixing chamber tailored to the particular assays to be performed in the detector 20.
Various fluidics designs can be envisioned which will accomplish the method of the present invention, involving different fluid flow paths .and valving arrangements than the designs illustrated at Figures 11 and 11a. For example, in some assays, the sample should enter the mixing chamber 76 prior to contacting the unit cells. In the Figure 11 system, illustrated with a sample container 17 and detector 20 installed, a valve 80 is initially positioned to permit fluid communication between the sample container 17 and the detector 20. The pump 44 is activated to draw the fluid sample 18 by way of the sample needle 40 through line 42 into the detector 20 where the fluid sample will contact the immobilized reagents on the membranes 58 or 62 in each unit cell therein. Fluid sample is further drawn into the mixing chamber 70 or 76, depending upon the embodiment, and the dried reagents are solubilized.
The pump 44 is designed to prevent the withdrawal of fluid sample beyond the mixing chamber. This is accomplished, in the case of a mechanical pump such as a syringe, by limiting the stroke of the plunger or barrel size in accordance with known volumetric syringe designs. Alternatively, any of a variety of electrically driven pumps may be used, such as a peristaltic pump in combination with liquid sensors located at the upstream side of the mixing chamber to limit the draw.
Thereafter, line air which is now contained in pump 44, if of the syringe type, may be discharged by way of a first vent 82 or a second vent 84 on the substrate container 86 by adjusting valve 45. The pump 44 next draws a volume of wash solution from the wash container 87 and by repositioning valve 45, slowly discharges wash solution to advance the mixed sample back through the cells of the detector 20, followed more quickly by an amount of wash solution sufficient to wash all or most of the unbound specific binding partner and excess enzyme (discussed in chemistry section, infra) out of the detector 20. With the wash solution in the detector, having a known conductivity, cell constants can now be calculated.
Next, the valve 45 is repositioned to draw substrate solution from the substrate reservoir 86 into the syringe pump 44, and then to direct it through the detector 20. The substrate is then permitted to remain in the cell while the measurement is generated.
At that stage, the bound enzyme on each membrane converts substrate into ionic species at a rate proportional to the amount bound, the resulting rates of conductivity change are measured, and these data are used to determine the level of analyte specific to each cell via its predetermined standard curve as described in the electronics aspect of the present invention, infra.
Thereafter, the contents of the detector 20 and line 42 may be driven into waste receptacle 88 by connecting a source of pressurized air to vent 82 and appropriate alignment of valves 45 and 80, by directing a wash solution through the lines, or by other suitable means. The desired starting point and end point for the assay would have the fluid lines filled with air. Thus, if fluid is used to clean the lines, a final air wash of all of the lines is desirable. A filter 90 is provided on vent 82 to prevent contamination of the system. Similarly, a filter 92 is provided on vent 94 from waste receptacle 88 to prevent escape of possibly infectious samples. Valve 80 is then adjusted to direct backflush air in a reverse direction through sample needle 40 and into container 17 which is vented through the waste receptacle 88 by way of line 99. At that point, there are a number of options. The detector 20 may be discarded and replaced with a detector 20 equipped for performing a different set of assays on the same fluid sample 18. The sample container may not be empty, and it may be desirable to preserve it for future tests. Moreover, it may be desirable to wash the needle, in which case the sample container can be removed and replaced with a similar container which may be empty or which may contain wash solution. A final air wash readies the lines for the next test. Like the detector 20 and the sample container 17, the waste receptacle 88 is preferably septum sealed and is disposable, to prevent any potentially dangerous contact between a user and infectious agents that could be contained therein. The substrate container may be similarly septum sealed.
An alternative fluid flow schematic is illustrated in Figure 11a, which is a system designed to be used with the detector 20 of Figure 10a. The detector 20 of Figure 10a, as previously mentioned, has only one septum 26 through which fluid is introduced or removed. (A safety vent 96 may be positioned at the opposite end from the septum 26 in Figure 10a.) In this simplified system, a septum-sealed sample container 17 is attached to a combined sample/detector shielded connection needle 40. This needle is connected via a first line 95 to a four way valve 45 which is in turn connected to a syringe pump or other suitable pump 44. The valve 45 is also connected to a substrate reservoir 86 and a wash reservoir 87, and selectively connects the pump 44 to one of these reservoirs 86, 87 or to the shielded needle 40. This system eliminates the need for an air source, since there is only one-way fluid flow from the substrate and wash reservoirs to the pump 44, and since the line 95 from the valve to the shielded needle 40 is filled with wash solution at the completion of each assay.
At the start of the assay, the sample container 17 is docked with the shielded needle 40 and sample is withdrawn into the first line 95. The first line 95 has sufficient volume capacity to contain the entire liquid sample volume used in the assay, so that sample drawn from the sample container remains in the first line 95, and does not contaminate the pump 44. (If required, an air volume can be interposed between the sample and the wash solution in line 95 to prevent mixing.) At this point, the sample container 17 can be removed and discarded or saved for other tests. The specially designed detector 20 of Figure 10a is then docked on the shielded needle 40 by inserting the needle through the single septum 26 and into the first port 22 in the detector 20.
At the opposite end of the detector 20 from the septum 26 is a waste reservoir 88. This waste reservoir 88 is of sufficient volume to contain all sample and other waste solutions from the assay. There is also a safety vent 96 at the opposite end of the detector 20 from the septum 26. The safety vent 96 permits the escape of air, but not fluid, from the waste reservoir 88 in the detector 20. Between the septum 26 and the waste reservoir 88 is a mixing chamber 70, and an assay chamber 97 in which the electrodes 56 are located. The mixing chamber 70 in the detector 20 may include any suitable type of mixing apparatus. In the illustrated embodiment, the mixing apparatus comprises baffles 98. Alternatively, a magnetic stirrer or other comparable mixer may be used.
With the detector 20 in place on the shielded needle 40, the sample may be introduced from the line 95 into the mixing chamber 70. Lyophilized reagents 72 present in the mixing chamber 70 are solubilized in the sample. With the illustrated baffle-type mixer, mixing may be facilitated at this point by alternately injecting and withdrawing sample from the mixing chamber until the reagents 72 are fully solubilized. Where appropriate, the sample may be diluted in the mixing chamber with a predetermined volume of wash solution from the wash reservoir 87. In any event, wash solution is used to push the sample from the line 95 into the mixing chamber 70.
Once the sample/reagent solution is mixed, it is moved slowly through the cell electrodes 56, allowing complexes to form. It is then displaced into the waste reservoir 88 by additional wash solution which remains surrounding the cells. This wash solution has a predetermined ionic strength and conductivity, and it can be used to measure relative conductivities of each cell and thus correct for small variations in cell constants. Next the valve 45 is positioned to draw substrate solution into the pump 44, and is then repositioned so that the substrate can be pushed through the line 95 and the mixing chamber 70 into the assay chamber 97, displacing the wash solution into the waste reservoir 88. With the substrate solution now surrounding the electrodes, data collection is begun by measuring and storing conductivity changes between each cell's electrode pairs 56. Data collection is carried out for several minutes. Then the valve 45 is positioned to permit wash solution to be drawn into and expelled from the pump 44 through the line 95 into the detector 20 to displace the substrate solution therein.
Now the collected data can be analyzed, corrected, and converted into meaningful fluid analyte levels, which are displayed or printed for the user. The user is prompted to remove the detector 20, and the device is ready for another test.
The amount of enzyme complex which is bound via ligand-antiligand interaction can be directly or inversely related to analyte concentration in the sample depending on the assay type. The conductivity change when enzyme complex is exposed to substrate is always directly proportional to the amount of enzyme bound to the solid support. For sandwich assays, bound enzyme and conductivity rates of change are directly related to analyte level in the sample. They are not directly proportional since the shape of the calibration curve is sigmoidal or curvilinear. For competition assays, bound enzyme and conductivity rate of change are inversely related to analyte level, the relation being sigmoidal or curvilinear as given by the standard curve. B. Electronics and Instrumentation
Figure 12 illustrates a simplified block diagram of the preferred embodiment of the instrument 15 of the present invention. The instrument 15 uses conventional means for interpretation and processing of data, which are provided either in the instrument itself, or are accessible by the instrument 15 through a programmed computer and an interface. In the preferred embodiment, the instrument comprises a computer or central processing unit (CPU) 120, such as a microprocessor as shown, which may be any conventional type. The computer 120 executes programs which enable the computer 120 to monitor and control the operation of the instrument 15 and compute the concentrations of a plurality of substances in a liquid sample. An exemplary computer 120 has associated with it various support circuits such as a read only memory (ROM) 122 and a random access read/write memory (RAM) 124 which provide storage for program instructions and data. In the exemplary block diagram of Figure 12, an address/data bus 126 is illustrated that provides communication of address, data and control between the computer 120, the ROM 122, the RAM 124, and other support circuits. For example, a display driver 128 is also illustrated. The display driver 128 advantageously controls the operation of a display device (not shown) , such as an LCD panel or a CRT, that provides a human-readable display of text and graphics in a conventional manner. Other support elements (not shown) , such as a hard disk drive, a floppy disk drive, or the like, can also be included. In preferred embodiments of the present invention, a set of input switches 130 are included to provide user input and control. The input switches 130 are connected by a set of signal lines 132 to a set of peripheral interface adapters 134. The set of peripheral interface adapters 134 preferably includes at least two conventional peripheral interface adapters which communicate with the computer 120 via the address/data bus 126.
As illustrated in Figure 12, the set of peripheral interface adapters 134 also interface the computer 120 with peripheral devices such as a magnetic card reader 136 and a printer 138 in a conventional manner via set of signal lines 140 and a set of signal lines 142, respectively. The magnetic card reader 136, which may be any conventional machine reader, reads data from a data label such as a standard bar code label, a DX code, a magnetic strip or any other machine-readable, data-carrying label, and provides the data to the peripheral interface adapter 132 via the set of lines 140. As described above, this approach facilitates proper identification of the assays capable of being conducted by a given detector 20 in the instrument 15 and permits automatic transfer of proper assay identification and calibration values to the instrument 15.
The set of peripheral interface adapters 134 interface the printer 138 with the computer 120 in a conventional manner and send output signals to the printer 138 via the signal lines 142 to cause the printer 138 to print a hard copy of operator understandable results.
The present invention also includes fluidics control circuitry 146. The set of peripheral interface adapters 134 provides the computer 120 with outputs to control the fluidics control circuit 146. The fluidics control circuitry is interfaced to the computer 120 by a set of signal output lines 148 from the set of interface adapters 134. The computer 120 selectively activates the signal output lines 148 in response to program instructions to actuate the valves and pumps of the instrument 15. The instrument 15 measures conductivity values by utilizing a conductivity measuring circuit 150, which, in accordance with one aspect of the present invention, is a multiplexed impedance measuring circuit that provides conductivity measurements of each cell, as will be described in greater detail hereafter. The instrument 15 also includes a temperature sensing block 152 which monitors the temperature during the assay to permit any appropriate temperature correction to be made.
The conductivity measuring circuit 150 carries out cell conductivity measurements by sequentially switching to different cell electrode pairs within a set of cell electrodes 154 at appropriate intervals of time. As will be described in more detail below, an analog multiplexer within the conductivity circuit 150 is controlled by a set of output lines 156 from the set of peripheral interface adapters 134 and selects which pair of the cell electrodes 154 will be measured as directed by the computer program. Multiple measurements are carried out on each pair of the cell electrodes 154 to improve the accuracy of the measurements. The cell electrodes 154 to be measured are paired and comprise test electrodes; positive or negative control electrodes used to correct or verify test results; or combinations of electrodes within the system used for sensing the presence of liquids via conductivity transitions. Stimulus and sensing of conductivities between the cell electrodes 154 and the conductivity circuit is provided by a set of signal lines 158.
An analog-to-digital (A/D) converter 168 receives the analog voltage outputs of the temperature sensing circuitry 152 via conductors 170 and the analog voltage output of the conductivity measuring circuit 150 via conductors 172. The analog-to-digital converter 168 is a conventional analog-to- digital converter that is readily available. Data acquired from the temperature sensing circuitry 152 and the conductivity measuring circuitry 150 are converted into digital format by the analog-to-digital converter 168 and are transferred via the address/data bus 126 to the computer 120. The computer 120 stores the data for subsequent intervals in the random access memory (RAM) 124 which provides temporary storage. The computer 120 may manipulate the data thus collected and communicate with each system block via the bus 126 as required to perform the assay and compute the results. The system just described may incorporate a general purpose computer, such as the IBM®PC, or the like, with custom support circuitry, as required. Alternatively, the computer 120 and its associated support circuits can be incorporated into a stand-alone instrument comprising those elements shown in the block diagram of Figure 12 using apparatus and methods well known to those skilled in the art.
Figure 13 shows a detailed schematic of the conductivity measuring circuit 150 utilized by the instrument 15. The conductivity measuring circuit 150 of Figure 13 , which is an impedance measuring circuit, illustrates one approach to approximating the conductivity. Alternate ways of approximating the conductivity may be utilized. For example, one approach to approximating conductivity involves a bipolar pulse technique for fast conductance measurements as described by D.E. Johnson, et al.. Anal. Chem.. Vol. 42, p. 329 (1970). Such a technique, using a calcium ion-selective electrode, is disclosed by C.R. Powley, et al.. Anal. Chem.. Vol. 52, p.' 705 (1980) . Conductivities may also be determined in accordance with another technique disclosed in the reference by Bentz, et al., Anal. Chem.. Vol. 46, p. 543 (1974) .
The conductivity measuring circuit 150 includes a conventional waveform generator 180 which generates an oscillating stimulation voltage to each of the four cells 182a, 182b, 182c, 182d of the detector 20. Each of the cells 182 corresponds to a pair of cell electrodes 56 in the detector 20, as shown and disclosed above. The waveform generator 180 is preferably an ICL 8038 GE/Intersil function generator or the like, which is commercially available. The numbers within the block representing the function generator are the pin designations of the ICL 8038 function generator and they are included on the drawing for reference. The waveform generator 180 is conventionally connected in accordance with the published specifications provided by the manufacturer to provide an output signal which is preferably a sine wave with a frequency of 1000 Hz and an RMS voltage of about 0.4 volts. The resistors 184, 186, 188, 190, 192, 194, 196 and 198 and the capacitors 206 and 212 are connected to the pins at the functional generator 180 as shown to provide the preferred frequency and amplitude. Capacitors 202, 204, 208, 210, 202A, 204A, and 208A stabilize the power supply lines in standard fashion. Exemplary resistor and capacitor values are set forth below in Table A: Table A
Resistor 184 - 4,700 ohms
Resistor 186 - 1,000 ohms (nominal)
Resistor 188 - 4,700 ohms
Resistor 190 - 15,000 ohms Resistor 192 - 100,000 ohms (nominal)
Resistor 194 - 10,000 ohms
Resistor 196 - 10,000 ohms
Resistor 198 - 100,000 ohms (nominal)
Capacitor 202 - 0.1 μf Capacitor 202A- 0.1 μf
Capacitor 204 - 1.0 μf
Capacitor 204A- 4.7 μf
Capacitor 206 - 0.005 μf
Capacitor 208 - 0.1 μf Capacitor 208A- 0.1 μf
Capacitor 210 - 1.0 μf
Capacitor 212 - 47 μf
The waveform generator 180 is coupled to the non- inverting input of an operational amplifier 214 having an output 216. The operational amplifier 214 is preferably an LF 353 operational amplifier manufactured by Motorola, or the like. A variable resistor 218 is suitably connected as a potentiometer for adjusting the amplitude of the signal applied to the input of the operational amplifier 214 from the waveform generator 180. An exemplary value for the resistor 218 is 100,000 ohms. The operational amplifier 214 has a feedback resistor 220 connected from its output to its inverting input. The feedback resistor 220 has an exemplary value of 1,000 ohms.
The output 216 of the operational amplifier 214 is connected to a first electrode 222 of each of the four cells 182a, 182b, 182c, 182d so as to apply a periodic stimulus voltage to the electrodes 222. A second electrode 224 of each of the first, second, third and fourth cells 182a-d is connected in series with a respective first resistor 226, second resistor 228, third resistor 230, and fourth resistor 232.
The first electrode 222 and the second electrode 224 of each of the cells 182 correspond to the electrode pairs 56 discussed above. The voltage applied to each first electrode 222 causes a current to flow in the corresponding cell. The current has a magnitude that depends upon the conductivity of the cell. The current in each cell causes a voltage across the respective resistor 226, 228, 230 or 232. The conductivity of each cell 182 is determined by measuring the voltage that appears across the respective resistors 226, 228, 230 and 232. Since the series combination of a cell 182 and its respective resistor acts as a voltage divider, the resistor sets the range of measurement and also limits the current flowing into the cells 182. The voltage developed across each of the resistors 226, 228, 230 and 232 is responsive to the conductivity of the respective cell 182 and depends upon the amount of ion migration. Exemplary values for the resistors 226, 228, 230 and 232 are set forth below in Table B:
Table B 226 - 330.6 ohms 223 - 329.6 ohms
230 - 329 ohms 232 - 328.9 ohms
Alternatively each of the resistors 226, 228, 230 and 232 may be replaced with an equivalent current to voltage amplifier 234 shown in Figure 13a. The current to voltage amplifier 234 has an input resistor 236 and a feedback resistor 238 connected in a conventional manner. The input resistor 236 and the feedback resistor 238 have exemplary values of 330 ohms. The voltage output (VQ) of the amplifier 234 corresponds to the voltage across a corresponding resistor in the embodiment of Figure 13.
The stimulus voltage is preferably applied to each of the four cells 182 in parallel to avoid the switching transients which occur when each of the cells 182 is turned on. In the preferred embodiment described herein, the stimulus voltage is preferably AC to avoid electrode polarization effects. The optimum stimulation frequency is dependent on the conductivity range in which the assay is to be performed. High frequencies minimize capacitance errors in highly conductive solutions while lower frequencies reduce cell capacitive effects in low conductivity solutions. The frequency of the signal should be suitably adjusted so that insignificant polarization occurs in the cells 182. In the working range of 0.01 to 5 millimhos, the frequency between 1000 to 3000 hz produces the more nearly linear curves of conductivity versus time.
In the embodiment of Figure 13, the voltage across one of the measuring resistors 226, 228, 230 and 232 is selected using an analog multiplexer 240. The analog multiplexer 240 is controlled by software via three control lines (AQ, AI and 2) 242, 244 and 246. The control lines r 242, 244 and 246 are part of the- set of control lines 156 of
Figure 12 and are derived from the set of peripheral adapters 134. The selection of the channels is defined in the following table, wherein "L" indicates one logic condition of the control line (i.e., zero volts) and "H" indicates the opposite logic condition (i.e., supply voltage level) :
Channel 1 2
3 4
Figure imgf000039_0001
5
The channel inputs 1, 2, 3 and 4 are connected to corresponding input lines 248, 250, 252 and 254, respectively, which are connected to the second electrode 224 of each of the cells 182a-d. The channel input 5 is electrically connected to a voltage potential (e.g., ground) via a line 256 to provide a known reference voltage for calibration. The analog multiplexer 234 is preferably an IHG108 multiplexer, commercially available from GE/Intersil, or the like. Diode 257 and pull-up resistors 242A, 244A, and 248A, each having a value of 10,000 ohms, are provided to ensure proper switching of the select lines 242, 244, and 246.
It should be understood that other apparatus can be used to select a voltage proportional to the conductivity of one of the cells. For example, analog switches, and the like, can be substituted for the analog multiplexer 240. The output voltage generated on an output line 258, which is an oscillating voltage output since the waveform generator 180 supplies an oscillating voltage to the cells 182, is subsequently buffered by a second operational amplifier 260 having an output 262 which is connected to the inverting input of a third operational amplifier 264 via a resistor 266. The third operational amplifier 264 amplifies the AC signal. In the embodiment shown, the resistor 266 has an exemplary value of 4,700 ohms. The third operational amplifier 264 typically has an input biasing resistor 268 connected between its non-inverting input and ground, and has a feedback resistor 270 connected from its output back to its inverting input in a conventional manner. The input resistor 268 and the feedback resistor 270 have exemplary values of 3,300 ohms and 50,000 ohms, respectively, in the illustrated embodiment. The second and third operational amplifiers, 260, 264 are preferably LF353 operational amplifiers manufactured by Motorola, or the like.
The amplified AC signal from the third operational amplifier 264 is provided as an input to an RMS converter 272, which converts the RMS magnitude of the AC signal to a DC output signal. The RMS converter 272 is preferably a commercially available AD536AJ or AD536K manufactured by Analog Devices. The RMS circuit 272 is connected with resistors 274, 276, 278, 280, and 282 and capacitors 284 and 286 in a conventional manner in accordance with the manufacturers specifications. The numbers inside the block representing the RMS converter 272 are the pin numbers for the exemplary AD536AJ RMS converter. Exemplary values for the resistors 274, 276, 278, 280 and 282 and the capacitors 284 and 286 are set forth below in Table C:
Table D Resistor 274 - 500 ohms Resistor 276 - 50,000 ohms Resistor 278 - 470,000 ohms Resistor 280 - 250 ohms
Resistor 282 - 50,000 ohms Capacitor 284 - 1.0 μf Capacitor 286 - 4.7 μf
The DC output signal from the RMS converter 272 is connected via the variable resistor 282 to the non- inverting input of a fourth operational amplifier 287. The fourth operational amplifier 287 has a feedback resistor 288 connected from its output to its inverting input. The feedback resistor has an exemplary value of 10,000 ohms. The output of the fourth operational amplifier 287 is provided as an input to a 12-bit analog-to-digital (A/D) converter (e.g., the analog-to-digital converter 168 of Figure 12) via an output line 289. (In the exemplary system described herein, the analog-to-digital converter 168 is a commercially available Analog Connection jr. multiple I/O card from Strawberry Tree Computers, 1010 West Fremont Avenue, Sunnyvale, California 94087.) Once the output voltage stabilizes, the 12-bit A/D converter rapidly samples the analog voltage to provide a sequence of digital output values. The average of these values is used to calculate a conductivity value. A cell constant K is proportional to the electrode surface area divided by the distance between them. The cell constant for each cell can be determined by measuring the conductance of a known reference solution in the cell. The measured voltages are nonlinear with respect to conductivity, and the resolution of the system is greatest near the low end of the measurement range. The equations used are: = VAD/GAIN (1) wherein VJJ represents the voltage across a selected one of the resistors 226, 228, 230 and 232, V^p represents the voltage at input to the A/D converter 168, and GAIN represents the circuit gain from the input of the multiplexer 240 to the output of the fourth operational amplifier 287 (i.e., the input of the A/D converter 168) , which gain is preferably adjusted to be approximately 3.24;
Rx = ( IN/ M - 1) (2) wherein R represents the impedance of a cell 182, Rrø is the resistance of the selected resistor 226, 228,
230 or 232, and V _ represents the magnitude of the input stimulus voltage applied to the cell electrodes;
CX *= Kxl000/Rχ (3) wherein Cx represents the corrected conductivity and K is a cell constant as determined empirically by using a reference solution; and
K = CMEAS/CREF (4) wherein CJJE S represents the measured conductivity and CREF represents the reference conductivity.
The settling time for the circuit is about .02 seconds. This easily allows four channels to be updated every second in this configuration. The maximum conductivity for each channel is determined by the size of its measuring resistor. This can be set to the optimal range separately for each channel if necessary. When calibrated, this circuit achieves accuracies of about ±0.5% over most of the range from .05 to 5 millimhos.
Description of an Exemplary Program Algorithm Illustrated by the Flow Chart in Figures 14a. 14b and 14c
Figures 14a-c illustrate a basic flow chart of an exemplary computer program, showing the method of system operation in the present invention for the simultaneous quantitative determination of a plurality of analyses in a single sample solution. The computer program comprises the algorithm by which conductivity changes are determined and tracked in real time, system elements such as fluidics are controlled, and interaction with the user is coordinated. The program illustrated herein is particularly appropriate for use with the fluid flow scheme of Figure 11a; however, it may be easily adapted for use with the fluid flow scheme of Figure 11, or for use with other fluid flow schemes.
A terminal block 310 represents the initiation of the execution of the computer program. Thereafter, control of the program is passed to an activity block 314 wherein the instrument 15 is turned on and warmed up. After the instrument 15 is on and warmed up, the program enters an activity block 316 wherein the computer 120 prompts a user to insert a magnetic card (or other data input device) which is provided with each test cartridge. Thereafter, the program enters a decision block 320, wherein the program determines if the magnetic card has been inserted. As illustrated by the flow line that exits and reenters the decision block, the program loops at the decision block 320 until the magnetic card is inserted.
Once the magnetic card has been inserted, the program control exits the decision block 320 and enters an activity block 326 wherein the computer 120 accumulates assay information such as proper assay identification, type of assay, number of cells, positive control level, etc. Assay type information, for example, indicates whether the assay is competitive or sandwich immunoassay. The assay information for the number and type of cells may indicate, for example, a typical test having three cells (i.e., a test cell, a- negative control, and a positive control).
From the activity block 326, the program enters an activity block 332 wherein the computer 120 reads analyte specific standard curve information. After the information is stored in memory the program continues in an activity block 336 wherein the program instructs the computer 120 to display a prompt requesting the sample container (which may, for example, comprise whole blood, blood fractions, urine, or various other biological fluids suspected to contain the analytes to be determined) . After the prompt, the program enters a decision block 344, wherein the program loops until the computer 120 determines that the sample container has been loaded.
Once the sample container has been loaded, control exits the decision block 344 and enters an activity block 348, wherein the program instructs the computer 120 to withdraw a predetermined amount of the sample. Thereafter, control is transferred to an activity block 354 wherein the computer 120 displays a prompt requesting the removal of the sample container. Program control is then transferred to a decision block 362, wherein the program loops until the sample container has been removed.
When the sample container has been removed the program enters an activity block 366 wherein the computer 120 displays a prompt requesting an assay cartridge connection. (Some alternate fluid flow schemes, such as the scheme of Figure 11, may require the fluid cartridge and sample container be simultaneously connected at different sites prior to withdrawing the sample.) Thereafter, the program enters a decision block 376. In the decision block 376, the program loops until the assay cartridge has been connected.
Once the assay cartridge has been connected, the program transfers control to an activity block 380 wherein the computer selects the wash/calibrant solution. The wash/calibrant solution serves several purposes. It can be formulated to provide more efficient washing; it can serve as a reference conductivity solution for determining cell constants; and it can be used as a diluent if sample dilution is required.
Once the wash/calibrant solution has been selected the program enters an activity block 386, wherein the program causes the execution of commands that cause the sample to be moved into the cartridge. Control is thereafter transferred to a decision block 390, wherein the program determines whether dilution is required. If dilution is required, the program enters an activity block 402, wherein the program causes a predetermined volume for dilution to be dispensed. Thereafter, control is transferred to a decision block 408. Returning to the decision block 390, if dilution is not required, control is transferred directly from the decision block 390 to the decision block 408.
In the decision block 408, the program loops until it determines that the sample is within the mixing chamber. Once the sample is within the mixing chamber, control is transferred to an activity block 414, wherein the program c* initiates the mixing between the sample and the dilution volume for the amount of time required for the solution to mix. During this time, stabilized reagents placed within the mixing chamber are combined with the sample. After initiating the mixing, the program enters a decision block 422, wherein the program loops until the mixing time is completed. Once the mixing time has been completed, the program begins execution of the portions of the algorithm illustrated by the continuation of the flow chart in Figure 14b. A connector node 426 is provided to indicate the interconnection of Figures 14a and 14b.
Referring now to Figure 14b, the program first enters an activity block 432, wherein the computer terminates the mixing operation. Thereafter, the program enters an activity block 436, wherein the mixing chamber contents are moved slowly through all the cells over several minutes to allow immobilized antibodies to capture analyte from the sample, or for the immobilized antibodies to otherwise detect the presence of analyte. (Usually, as set forth above, there are at least three cells in the cartridge including a negative control, a test cell and a positive control.)
After the contents of the mixing chamber have been moved through all the cells, the program enters an activity block 440 wherein the program instructs the computer 120 to wash the cells by a wash solution which cleans the cells so that cell constant determination can be made. Thereafter, the program transfers control to an activity block 444, wherein the program calibrates the cell constants. The program then enters, an activity block 448 wherein the program selects the next substrate. Thereafter, control is transferred to an activity block 452 wherein the program causes the substrate to be dispensed.
After dispensing the substrate, the program enters an activity block 456 wherein the program begins a loop to begin data collection after the flow has stopped. The data collection continues for one to three minutes in most cases. During data collection, the conductivity of each cell is updated at frequent intervals of time. For example, the time intervals between updates is usually one to four seconds. The data collection activity comprises the activity blocks and the decision blocks that follow the activity block 456 in Figure 14b. As will be seen hereinafter, the data collection portion of the program comprises an outer loop in which the data collection process is repeated at the time intervals and an inner loop for measuring the conductivity of all the cells each time through the outer loop.
After beginning the data collection in the activity block 456, the program enters an activity block 464 which is the beginning of the inner loop, wherein the program reads all the cells to accumulate the conductivity data. Within the inner loop, the program transfers control from the activity block 464 to the next activity block 472, wherein the program sets the multiplexer to the next channel. (The first time the program enters the activity block 472, the program selects the channel corresponding to the first cell.) As will be discussed below, each cell is selected in sequence.
After selecting the channel corresponding to the cell to be read, the program enters an activity block 480, wherein the program waits for the analog conductivity measurement circuit to settle. After the circuit settles, each cell is read multiple times before moving to the next cell. These data are analyzed and optionally displayed by the computer during each interval following cell reads. The reading of the currently selected cell occurs in an activity block 484, wherein the program instructs the computer 120 to input the voltage readings as digital data from the analog-to-digital converter. The digital data are stored in the temporary storage provided by the internal RAM of the computer 120.
After the digital data has been input and stored, the program enters a decision block 488, wherein the program determines whether all the channels have been read. If all the cells have not been read, the program loops back to the activity block 472, wherein the channel corresponding to the next cell to be read is selected. Thereafter, the program executes the instructions corresponding to the above-described inner loop. The program will loop from the activity block 472 to the decision block 488 until all the channels have been read.
Once all the channels have been read, the program enters an activity block 492, wherein the program instructs the computer 120 to calculate the conductivity of each cell in accordance with Equations (l)-(4) above. Once the conductivity of each cell has been calculated, the program enters an activity block 502, wherein the program stores the data and updates the display. Thereafter, control is transferred to a decision block 506 wherein the program determines if the data collection has been completed (i.e., the program determines whether the cells have been read over a sufficient number of time intervals to provide enough data to fit the data to a conductivity curve) . If the data collection has not been completed, control is transferred to a decision block 514, wherein the program determines whether a predetermined time interval has been completed since the last data were read for the data points. (The data points are the points on a curve of conductivity versus time to which curves are to be fit.) If the interval between the data points is not complete, the program loops at decision block 514 until the time interval is complete. When the interval between the points is complete, the program loops back to the activity block 464 and again instructs the computer 120 to read all the cells, thus completing the outer loop of the data collection activity.
Returning to the decision block 506, if the data collection has been completed, the program continues with the activities illustrated in Figure 14c. A connector node 520 is provided to indicate the interconnection of Figures 14b and 14c. Now referring to Figure 14c, the program enters .an activity block 524, wherein the conductivity data points are fit to a curve which best fits the data using a known curve-fitting algorithm. The conductivity versus time curves for test cells have slopes that are either directly or indirectly related to analyte concentration in the sample depending on assay type. When sufficient data have been collected, best fit curves are calculated for each cell. Thereafter, control is transferred to an activity block 528, wherein the program corrects the data for nonspecific binding of the negative control. The program then enters an activity block 532 wherein conductivity data is corrected for temperature.
Once the conductivity data has been adjusted, the program transfers control to a decision block 536, wherein the program determines if the positive control is within limits. The positive control result is used to validate the result. If the positive control is not within limits, the program transfers control to an activity block 544, wherein the program displays a warning "RESULT MAY BE INVALID." Thereafter, the program transfers control to an activity block 548. If the positive control is within limits, the program control transfers from the decision block 536 directly to the activity block 548. In the activity block 548, the program instructs the computer 120 to compute assay results using standard curve data information from the magnetic card to calculate analyte levels. Thereafter, control is transferred to an activity block 552 wherein the program displays and prints the results. The program then enters an activity block 556 wherein the program selects the wash/calibrant solution. Once the program has selected the wash/calibrant solution, control is transferred to an activity block 560, wherein the program washes the lines. Once this entire procedure has been completed, which takes less than fifteen minutes in most cases, the program enters an activity block 564 wherein the program instructs the computer 120 to display a prompt for cartridge removal. Thereafter, the program enters a terminal block 568 indicating the end of the program. C. Ligand Binding Chemistry
The present invention permits multiple simultaneous assays using a single biological specimen, such as blood or urine. With a single instrument, and interchangeable assay modules, an almost unlimited number of types of assays can be run. The chemistry of the general assay system of the present invention is based on the selective binding properties of one immobilized biological species located in the vicinity of a pair of conductivity electrodes and a corresponding enzyme labeled biological species which is free and mixed with the sample volume immediately prior to the analysis. The two biological species are related in that they have the ability to join together in a complex. They may bind to one another, or both may bind to a third species, which is usually the analyte. The immobilized species and the enzyme-labeled species may be the same or they may be unlike. Either species may be a molecule that binds selectively, for example enzymes, lectins, or synthetic DNA, or those that bind specifically, for example, receptors and antibodies. The binding species may be natural or synthetic. Antibodies used as binding species may be of any origin, polyclonal, monoclonal, or chimeric. Anti-idiotype antibodies can be used where appropriate.
The binding molecules are referred to generally herein as ligands and antiligands. This terminology is intended to include receptor-target molecule pairs, antibody-antigen and antibody-hapten combinations, specific binding proteins, lectins and their complimentary molecules, and the like. These combinations are well known in the art and need not be exhaustively explored here. Indeed, it should be recognized that the present invention is not limited to any particular chemistry, but rather is broad enough to encompass a wide variety of known antibodies, ligands, haptens, antigens, receptors, hormones, and the like. In general, if the analyte molecule can form one member of a ligand-antiligand pair, and if one member of the pair can be conjugated to an enzyme or immobilized to a support, while still retaining the ability to participate in the ligand-antiligand interaction, an assay for that analyte can be constructed in accordance with the present invention.
The antiligands used in the assay systems may be of several classes and are chosen to satisfy the requirements of a particular procedure.
Antibodies, useful in detecting analytes which are antigens, may be of the conventional type and may be isolated from the serum of an animal which has been immunized with purified antigen. Alternatively, the antibodies may be monoclonal antibodies produced by the fusion of the spleen cells from immunized animals with myeloma cells and may be isolated from the supernatant fluid -of a culture of these hybrid cells. Monoclonal antibodies further may be chimeras, that is monoclonal antibodies in which the nonfunctional portions have been synthesized in genetically engineered cells. Fragments of antibodies, for example, Fab, Fab', or F(ab1)2 portions produced from intact antibodies following papain or pepsin digestion, may be used as ligands. Protein A, isolated from Staphylococcus organisms, may be used as an antiligand for immunoglobulins of the IgG class.
Antiligands may also be cell receptors such as complement receptors present on Raji cells (Human Burkitt lymphoma, ATCC CLL 86) , which may be isolated from a culture of these cells by known techniques. Receptors may also be estrogen receptors isolated from breast tissue. Antiligands may further be enzymes which bind with their ligand substrates. Examples are hexokinase which binds to glucose, lipase which binds to triglycerides, or proteinases which bind to specific peptides. Where enzymes are used as antiligands, the enzyme preferably requires a cosubstrate or cofactor, in the absence of which the enzyme does not act on and release the substrate. Alternatively, the ligand may be a material that is irreversibly bound by the active site of the enzyme, such as a poison for the enzyme. Suitable antiligands may also be lectins (whether of plant or microbial origin) which bind to carbohydrates per se or which bind to carbohydrates present on the external surfaces of cells or bacteria. Antiligands useful in the assay may also be transport proteins such as ferritin, an iron-binding protein. Receptors may be isolated from biological material most conveniently by means of affinity chromatography. Enzymes, lectins, and transport proteins may be isolated from biological materials by methods for protein isolation well known to those skilled in the art, and common items among these classes may be purchased from biological supply houses such as Sigma Chemical Co., St. Louis, Missouri, and Polysciences, Inc. , Warringtόn, Pennsylvania.
Analytes which may be determined using the multilayered test system described are any of those which bind or can be adapted to bind specifically to an antiligand, including but not limited to those described in the following general classes:
Proteins
Serum proteins: albumin, the immunoglobulins IgG, IgE, IgD, IgM, and IgA, rheumatoid factor, complement proteins, coagulation proteins, and transferrin;
Conjugated proteins: glycoproteins, phosphoproteins, lipoproteins, and nucleoproteins;
Onco-fetal proteins: carcinoembryonic antigen (CEA) , alpha fetoprotein (AFP) , breast carcinoma antigens, and melanoma antigens;
Pregnancy proteins: human beta chorionic gonadotropin (B-HCG) , pregnancy specific (placental) protein, SP;
Peptide hormones: insulin, glucagon, somatotropin, gonadotropin, follicle stimulating hormone (FSH) , and thyroid stimulating hormone (TSH) ;
Enzymes Cardiac and liver enzymes: creatinine kinase (CK) and those CKs specific to muscle and brain (CKMB) , lactate dehydrogenase (LDH) and its isoenzymes, aspartic aminotransferase (AST) and alanine aminotransferase (ALT) , as well as prostatic acid phosphatase, amylase, alkaline phosphatase, lipase, and glutamate dehydrogenase;
Low Molecular Weight Hormones
The thyroid hormones triodothyro ine, thyroxine (T3, T4) , bradykinin, and the angiotensins; Corticosteroids and the Sex Hormones
Estrogens, testosterone, B-estradiol, progesterone, corticosterone, dihydrotestosterone, aldosterone, and synthetic analogues thereof;
Drugs Therapeutic drugs; alkaloids such as digoxin, lactams such as barbiturates, aminoalkyl benzenes such as amphetamines, purines such as theophylline, aminoglycosides such as gentamicin, anti-epileptics such as dilantin and other drugs useful or in psychiatric application such as anti-depressants;
Drugs of abuse: tetrahydrocannabinol, heroin, methamphetamine, anabolic steroids, PCP, and cocaine;
Infectious Agents
Antigenic factors associated with microorganisms, including hepatitis viruses and herpes viruses, HIV, spirochetes and pathogenic bacteria as well as antibodies to these factors;
Metabolites of Clinical Significance
Glucose, blood urea nitrogen (BUN) , creatinine, cholesterol, triglycerides, and bilirubin.
Analytes may also comprise the precursors and metabolites of the substances listed as well as synthetic or genetically engineered analogues.
The general assay system operates in two stages. In the first stage of the reaction, an immobilized species is exposed to sample and enzyme-labeled species. In the resulting interaction, enzyme-labeled complexes of binding species and analyte are formed, some of which are immobilized on the membrane. According to the design of each analyte-specific assay, analyte may act to either increase or decrease the quantity of immobilized labeled species in proportion to analyte concentration.
In a second step, the membrane and the immobilized labeled species bound to it are exposed to a solution containing a substrate for the enzyme label. The enzyme used as a label must be one that acts on a substrate to generate ions. These ions that form on the surface of the electrode membrane then act to increase conductivity across the membrane. Since the rate of ion generation depends on the concentration of bound labeled complexes, which in turn depends on the concentration of analyte in the sample, the increase in conductivity across each cell is directly or inversely a measure of analyte for which that cell is specific. Of course, the change in conductivity can be linear with changes in concentration of analyte (as is often the case in sandwich assays) , or the change in conductivity can be exponentially, asymptotically, or otherwise nonlinearly related to the analyte concentration (as is often the case in competitive assays) . For each assay falling within the scope of the present invention the relationship of rate of change of conductivity to concentration can be readily determined by empirical means to derive an equation relating concentration to rate of change of conductivity, or to at least derive a table of values relating rate of change of conductivity to concentration by testing carefully standardized solutions of analyte.
In a preferred embodiment, urease is used as the ion- generating enzyme, because of its high substrate turnover number, commercial availability, low cost, and its ability to generate self buffering products from a non-ionic substrate. Other enzymes that may be used include deaminases, proteases, decarboxylases, kinases, amidases, oxidases, lipase, and other ion-generating enzymes. Specific examples include glucose oxidase, penicillinase, creatinine amidohydrolase, creatine iminohydrolase, alkaline phosphatase, aryl acyl amylamidohydrolase, and restriction endonuclease. Specific assay systems may be designed based on various competitive and sandwich schemes that will be apparent to those of skill in the art in light of the present disclosure.
One type of assay may be performed by immobilizing purified analyte or an analyte analog to a support, such as a membrane, associated with an electrode pair. (The support and an associated electrode pair comprise a unit cell in the multiple-cell disposable module of the present invention.) Sample analyte in this type of assay acts to prevent the binding of an enzyme labeled antiligand species to the immobilized analyte. This is a competitive assay that will generally require mixing the free enzyme labeled antiligand species with the sample prior to contacting the mixture with the immobilized analyte or analyte analog. Labeled species-sample analyte complexes that have already formed in the mixture cannot then bind to the immobilized analyte or analyte analog.
In one particular exemplary embodiment of this type of assay, glucose is detected by attaching an ion-generating enzyme to either monovalent glucokinase, a glucose-specific enzyme, or monovalent glucose-binding lectin. (As used herein, "monovalent" refers to a ligand or antiligand that can bind to only one binding partner.) When mixed with sample prior to contacting the sample with the support, glucose present in the sample will prevent the glucose binding species from binding to glucose or a glucose analog immobilized on the support, and the rate of increase in conductivity in the second stage of the reaction will be inversely related to the concentration of glucose in the sample.
A second type of assay may be performed by immobilizing a species that binds the analyte on the membrane. In one application of this type of assay, sample analyte prevents the binding of labeled sample analog (or other labeled molecule that can bind to the immobilized species) to the immobilized species. This type of competitive assay typically requires that the immobilized species be exposed to sample prior to contacting the labeled species with the immobilized species. In another application, sample analyte enables free labeled analyte- binding species to bind in a complex with the immobilized species, such as in a sandwich assay. In this type of noncompetitive assay, sample is generally first contacted with the immobilized species, after which the labeled species is contacted with the support to form the desired "sandwich" having an enzyme label thereon. However, some assays of this type may be performed by first contacting the sample with the labeled species, and then contacting the resulting material - with the immobilized species, as will be apparent to those of skill in the art.
Controls for the system are made up of negative control cells wherein the immobilized species does not bind the enzyme labeled species directly or indirectly, and positive control cells wherein the immobilized species selectively or specifically binds the enzyme-labeled species. For example, bovine serum albumin may be used on the negative control membrane and antibody to the labeled species on the positive control membrane. The negative control can allow for correction for nonspecific binding to the reagent-coated membrane, and the positive control can monitor the activity of the reagents used in the assay. The conductivity cells of the assay instrument can also be set up to measure directly any analyte in the sample which is a substrate for an enzyme in an ion- generating reaction. The appropriate enzyme is immobilized on the membrane and when analyte in the sample becomes bound as substrate, the ions that are generated increase conductivity across the cell. This type of assay is complete in the first stage without the need for enzyme labeled reactants, washing, or a substrate solution.
In an exemplary embodiment, urease is immobilized on the membrane and acts directly to measure urea present in the sample.
The sensitivity of membrane immobilized binding species to the presence of specific analytes can vary widely and the resulting conductivity changes among the various electrodes under comparable conditions will vary in magnitude in a corresponding way. The conductivities to be measured can be brought within a common range of calibration in a number of ways. First, the amount of binding species on a specific membrane may be increased or reduced or the area of membrane exposed to reactants in the sample may be similarly increased or reduced. Sensitivity may also be controlled in a device in which electrodes are arranged in parallel by designing the system so that variable volumes of sample are distributed to the several electrode cells. Preparation of enzyme conjugates and immobilization of species to a support are well known techniques, and the conventional procedures can be utilized in the practice of the present invention. By way of example, proteins such as antibodies and enzymes may be immobilized to a cellulosic membrane or support by incubating the protein with the support in a buffered solution of glutaraldehyde. Many proteins bind instantaneously to nitrocellulose membranes, as described by Kuno et al.. Nature 215:974-75 (1967). Proteins may also be covalently bound to materials through cyanogen bromide (CNBr) activation. These methods and others are described by Cuatrecasas, P., Methods in Enzvmologv 31:345 (1969). Other methods of covalently binding proteins to supports are described in Science 223:474-476 (1984). Enzyme-antibody conjugates and other conjugates can be prepared by conventional techniques, such as the glutaraldehyde method described by Avrameas, et al. , Immunoche istry 8:1175-79 (1971) ; the periodic acid method as described by Nakane, et al, Journal of Histochem. Cytochem. 22:1084-91 (1974); and the maleimide method, described by Monji, et al. , Biochem. Biophvs. Res. Comm. 85:671 (1978).
Analytes may be determined in any type of sample, but are here considered in the context of samples of biological origin that are typically examined in the process of medical diagnosis or therapy. Such samples may be body fluids such as urine, whole blood, serum, plasma, cerebrospinal fluid, saliva, sweat, tears, semen, gastric juice, synovial fluid, pleural fluid, amniotic fluid, or ascites fluid, or samples containing these fluids as a component. The following examples are intended to demonstrate model systems of analyte, ligand, antiligand, enzyme, substrate, and control, and other embodiments will be apparent to those of skill in the art in light of the entire disclosure of the patent. Accordingly, it is intended that the scope of the present inventions be determined by reference to the claims that follow, and not limited only to the particular embodiments disclosed herein.
EXAMPLE 1: Sandwich enzyme immunoassay for immunoglobulin (IgG) in buffer (antibody bound to solid support)
The conductimetric device was assembled with two unit cells in it. Each unit cell consisted of a pair of porous stainless steel electrodes with one nitrocellulose membrane (5 micron pore size, 13 mm dia.), placed equidistant between the two electrodes by using a .015 inch thick silicone rubber gasket on either side of the membrane. To one of the membranes unlabel'ed goat anti-rabbit immunoglobulin (sigma R-2004) was bound by spotting 20 μl of 5 mg/ml antibody followed by blocking with 10 μl of 100 mg/ml bovine serum albumin (BSA) . To the other membrane which served as a negative control to correct for any non¬ specific binding, BSA was bound (20 μl of 100 mg/ml BSA) . The two cells in the device were separated by a .062 inch thick silicone rubber gasket between them. An additional BSA coated nitrocellulose membrane was placed in front of the two cells (at the bottom of the device) to be used as a prefilter in the beginning of the liquid path. A fixed volume of buffer (0.5 ml of NaHC03 0.1M, pH 7.1) , containing a known concentration of rabbit immunoglobulin (rabbit-IgG) , varying from 0 to 20 μg, was injected manually, upwards, into the conductimetric device wherein it passed through the nitrocellulose membranes present in both the cells. This first injection was immediately followed by a second injection of 0.5 ml of sheep anti rabbit IgG-urease conjugate (Accurate Chemical) solution. The IgG-urease conjugate solution was a 50x dilution of commercial conjugate in 0.1M NaHCθ3, pH 7.1, ImM EDTA and 100 mg/ml BSA. The cells were then washed by injecting 3x 2ml of 0.1M urea. Urea solution served both as a wash solution and as a substrate. With urea flow stopped, the change in conductivity across both the membranes was continuously recorded over a period of five minutes.
Nitrocellulose membranes in the two cells were regenerated by injecting 1 ml of 10% acetic acid followed by 15 ml of deionized distilled water before another concentration of rabbit IgG could be injected into the device. Acetic acid stripped off any antigen-antibody complexes formed on the nitrocellulose membranes. The residual urease activity was checked by making a fresh substrate injection into the device after acetic acid treatment.
The results are expressed as rate of change in conductivity in a cell per minute (mMhos/min) . Response across the BSA membrane used as a negative control remained minimal and essentially unchanged throughout the rabbit IgG concentration range tested, while that across the anti- rabbit IgG membrane increased substantially in a linear manner with increasing concentrations of rabbit IgG.
Rabbit IgG Change in Conductivity (mMhos/min) (micro grams) anti-rabbit IgG BSA membrane membrane 0 0.062 0.015
2 0.087 0.018
5 0.115 0.020
10 0.192 0.048
EXAMPLE 2: Competitive enzyme Immunoassav for theophylline in whole blood (analvte bound to solid support)
The conductimetric device was assembled with two unit cells in it. Each unit cell consisted of a pair of porous stainless steel electrodes separated by one 0.015 inch thick silicone rubber gasket. Also between the two porous electrodes was placed a free floating 12 micron pore size nitrocellulose membrane disk (5.5 mm dia.), precoated with theophylline bound to BSA. The two cells in the device were separated by a .062 inch thick silicone rubber gasket. A nylon membrane (60 micron mesh size) was used as a prefilter at the bottom of the device.
For coating of biologicals on the nitrocellulose membrane disks, 5 μl of 2 mg/ml theophylline-BSA conjugate (Immunosearch) was spotted on each disk; incubated at 37°C for 20 minutes; followed by blocking and washing twice with wash solution containing 0.1% Tween (NaHCOβ 0.2M, NaCl 0.3M, NaN3 0.05%, Tween 0.1%). Disks were further washed with the wash solution without Tween. Disks were given a final rinse in distilled deionized water (D. W.) and blotted dry before assembling into the cell. BSA coated nitrocellulose disks to be used as negative controls in the second cell in each device were prepared the same way as above by substituting BSA for Theophylline-BSA conjugate.
0.5 ml of a whole blood sample was spiked with a known concentration of theophylline analyte [stock solution prepared as 1 mg/ml theophylline (Sigma) in 50% ethanol] ranging from 0-10 μg/ml blood. To each blood sample was then added a fixed quantity of anti-theophylline reagent. The anti-theophylline reagent is a premix of primary monoclonal antibody ( Ab) to theophylline (A-1517 Cambridge) and a secondary goat anti mouse antibody- urease conjugate (U-0879, Sigma). In this example the final fixed concentration of antitheophylline antibody in blood was 0.25 μg/ml and that of anti mouse antibody- urease conjugate was 5 μg/ml.
The blood sample was dispensed into the conductimetric device in a very reproducible and precisely controlled manner. With the help of a 1 ml syringe pump (Cavro) and a program run on personal computer (program described in the text), 0.35 ml of blood sample was drawn into the syringe pump line preceded by an air peg of 0.1 ml volume to avoid mixing of blood with wash solution filled in the line. Blood sample was allowed to pass through the cells in conductimetric device 3 times (up/down/up) over a total period of five minutes. Blood comes directly into contact with nitrocellulose disks floating freely in the two cells, for the capture of any available antibody in the blood sample, before it is dispensed out into the waste. The cells in the device were then washed by repeatedly injecting 6x1 ml of 0.3 M urea (isotonic for blood) dissolved in a weak imidazole buffer (0.5 mM imidazole, 0.075 mM EDTA, pH 7.1). Urea solution serves two functions: as a wash solution and as a substrate for urease enzyme.
With the flow of urea stopped, change in the conductivity across both the nitrocellulose membranes was continuously recorded over a period of 2 minutes, and the results are expressed as rate of change in conductivity in relation to variable concentration of theophylline analyte in the whole blood. The conductimetric device was assembled afresh each time another blood sample was to be injected. Response across the BSA membrane used as a negative control remained minimal and essentially unchanged throughout the concentration range of theophylline tested while that across the theophylline-BSA membrane the rate of change in conductivity decreased significantly in a sigmoidal manner with increasing concentration of theophylline in the whole blood.
Theophylline concentration Change in Conductivity (mMhos/mi in whole blood (ug/ml) Theophy11ine-BSA BSA membrane membrane
0 0.2
0.5 0.1 1.0 0.1 2.0 0.1 5.0 0.1 10.0
Figure imgf000061_0001
0.1
EXAMPLE 3: Competitive enzyme immunoassay for immuno- globulin (IgG) in whole blood (antibody bound to solid support)
The conductimetric device was assembled with two unit cells in it. Each unit cell consisting of a pair of porous stainless steel electrodes with one nylon membrane (60 micron mesh size - spectra mesh) , placed equidistant between the two electrodes by using a .0075 inch thick silicone rubber gasket on either side of the nylon membrane. The two cells in the device were separated by a .062 inch thick silicone rubber gasket between them. Also a nylon membrane (60 micron mesh size) disk was used as a prefilter, placed at the bottom of the device. Prior to putting biologicals on nylon membrane, a (6" x 6") nylon sheet was dip coated in 4-5% collodion solution [collodion (75%, J.T. Baker) was dissolved in 3:1 ether; ethanol solvent] and 10 mm dia. size disks were punched out. Antibodies to sheep Immunoglobulin (donkey anti-sheep IgG - sig a) were bound to the nylon disks by soaking collodion coated disks in 1.5 mg/ml of anti-sheep IgG followed by BSA 10 mg/ml. Similarly, nylon disks were prepared for control cells by soaking with 10 mg/ml BSA. Coated nylon disks were rinsed with buffer (NaHCOβ 0.1M, pH 7.1) and blotted dry prior to their assembly in the conductimetric device.
0.1 ml of whole blood sample was spiked with a known concentration of unlabeled sheep-IgG (sigma) ranging from 0 - 200 μg. To each blood sample was then added a fixed amount (20 μl) of sheep IgG urease conjugate (Accurate Chemicals) . The ' entire blood sample was then manually injected, upwards through the conductimetric cells wherein the entire sample passes through the biologically coated nylon membranes in both the cells. Blood injection was followed by washing the cells with three consecutive injections of 3 ml each of 0.3 M urea in D.W. Urea solution served the dual purpose of wash solution and that of substrate for urease. With the urea flow stopped, changes in conductivity were continuously recorded for the next two minutes across both the membranes in the two cells. The conductivity device was assembled afresh each time for another blood sample to be analyzed.
Response across the BSA membrane used as a negative control remained minimal and essentially unchanged throughout the concentration range of unlabeled sheep-IgG tested, while that across the membrane with sheep-antibody bound to it, the rate of change in conductivity decreased significantly with increasing concentration of unlabeled sheep-IgG in the whole blood. <
Change in Conductivity (mMhos/min) anti-sheep IgG BSA membrane membrane
0.250 0.045 0.188 0.058 0.136 0.040 0.102 0.043
Figure imgf000063_0001
0.097 0.037
EXAMPLE 4: Urea sensitivity in water (urease enzyme bound to solid support)
The conductimetric device was assembled exactly in the same manner as outlined in Example 1, except for the biological coating on one of the nitrocellulose membranes. The BSA membrane was coated the same way as in Example 1. The second membrane received 10 μl of urease enzyme (1000 U/ml in 0.01 M EDTA buffer pH 6.0; Sigma U-0251), instead of antibody.
1.0 ml of a known concentration of urea in D.W. ranging from 0 to 100 millimolar, was manually injected upwards into the conductimetric device. Urea passed through both the membranes in the two cells in the device. With urea flow stopped, the change in conductivity across the two membranes was continuously recorded over a period of five minutes. Response across the BSA membrane used as a negative control remained negligibly low throughout the range of urea concentration tested, while across the urease membrane, the rate of change in the conductivity increased in a linear manner with increasing concentration of urea in the solution.
Urea Concentration Change in Conductivity (mMhos/min) millimolar urease BSA membrane membrane
0, <0, <0.1
5, 50 <0.1
10, 80 <0.1
20, 170 <0.1
50, 300 <0.1
100, 690 <0.1

Claims

WHAT IS CLAIMED IS:
1. A method for carrying out multiple simultaneous conductimetric analyte determinations on a single sample, comprising the steps of: providing a primary test chamber containing a plurality of conductimetric cells, each said cell either being a control or being specific to a particular analyte and comprising a pair of parallel, overlying porous electrodes enclosing a permeable membrane on which is immobilized a biological species capable of forming with said specific analyte or an analyte-binding molecule, or both specific analyte and analyte-binding molecule, a selectively bound biological complex; providing a plurality of non-immobilized enzyme-labeled biological species capable of forming a part of said bound biological complexes; directing a liquid sample containing analytes through said porous electrodes and said permeable membranes and allowing said analytes in said sample to interact with said immobilized species and said labeled species, thereby forming on the membrane in each cell immobilized enzyme- labeled biological complex in an amount dependent on the concentration of the analyte in said sample to which that cell is specific; contacting said enzyme-labeled complexes with an excess amount of a solution containing an ion-generating substrate for said enzymes of said complexes and permitting said enzymes to act on said substrate to generate ion in each said cell at a rate dependent on the concentration of enzyme in said immobilized complex, thereby increasing the conductivity across said electrodes; and determining the concentration of each analyte in said sample by measuring the increase in conductivity across each electrode pair.
2. The method of Claim 1, wherein said directing 5 step comprises: passing said liquid sample through said cells; and then passing said non-immobilized enzyme-labeled biological species through said cells to form said 10 immobilized complexes.
3. The method of Claim 1, wherein said directing step comprises: passing said liquid sample through said cells in a first direction; 15 mixing said liquid sample with said non- immobilized biological species to form a mixture; and then passing said mixture back through said cells in a second direction to form said immobilized complexes. 20
4. The method of Claim 1, further comprising the step of: mixing said liquid sample with said non- immobilized enzyme-labeled species prior to said directing step. 25 5. A method for carrying out multiple simultaneous conductimetric analyte determinations on a single sample, comprising the steps of: providing a primary test chamber containing a plurality of conductimetric cells, each said
30 cell either being a control or being specific to a particular analyte and comprising a pair of
—_____^ overly cιs_Λ__ spaced-apart electrode__ >jairs issociated with a support on which immobilized a biological species capable
Figure imgf000065_0001
35 forming with analyte-binding
Figure imgf000065_0002
analyte and analyte-binding molecule, a selectively bound biological complex; providing a plurality of non-immobilized enzyme-labeled biological species capable of 5 forming a part of said bound biological complexes in a mixing chamber in said housing; directing a liquid sample containing analytes through primary chamber and said mixing chamber and allowing said analytes in said 0 sample to interact with said immobilized species and said labeled species, thereby forming in each cell immobilized enzyme-labeled biological complex in an amount dependent on the concentration of the analyte in said sample to
15 which that cell is specific; contacting said enzyme-labeled complexes with a solution containing an ion-generating substrate for said enzymes of said complexes and permitting said enzymes to act on said substrate
20 to generate ion in each said cell at a rate dependent on the concentration of enzyme in said immobilized complex, thereby increasing the conductivity across said electrode pairs; and determining the concentration of each
25. analyte in said sample by measuring the increase of conductivity across each electrode pair.
6. The method of Claim 5, wherein said directing step comprises first passing said liquid sample through said mixing chamber to form a mixture of sample and said
30 non-immobilized enzyme-labeled species, and then passing said mixture through said primary chamber.
7. The method of Claim 6, wherein, said immobilized
Figure imgf000066_0001
then passing said liquid sample into said mixing chamber to form a mixture of said liquid sample and said non- immobilized enzyme-labeled species, and then passing said mixture back through said primary chamber to form said immobilized enzyme labeled complexes.
9. The method of Claim 8, wherein said immobilized enzyme-labeled complexes comprise enzyme-labeled species bound to a second portion of said immobilized species.
10. The method of Claim 8, wherein said immobilized enzyme-labeled complexes comprise enzyme-labeled species bound to analyte, which in turn is bound to said immobilized species.
11. The method of Claim 1 or 5, wherein analyte is immobilized on said membrane, said non-immobilized enzyme- labeled species is a receptor for said analyte, and sample analyte acts to prevent the binding of said enzyme-labeled to said "immobilized analyte.
12. The method of Claim 11, wherein the immobilized analyte is an analog of the natural analyte.
13. The method of Claim 1 or 5, wherein said immobilized species is receptor for said analyte.
14. The method of Claim 13, wherein said enzyme- labeled species is also a receptor for the analyte, and sample analyte permits the binding of said labeled species in a complex with said immobilized species.
15. The method of Claim 13, wherein said non- -immobilized labeled species is analyte and sample analyte acts " o prevent the binding of said enzyme labeled species to said immobilized receptor.
Figure imgf000067_0001
17. The method of Claim 1 or 5, wherein said
Figure imgf000067_0002
19. The method of Claim 1 or 5, wherein said electrode pairs are arranged in series and said liquid sample contacts said electrode pair sequentially.
20. The method of Claim 1 or 5, wherein said electrode pairs are arranged in parallel, and separate portions of said liquid sample traversing different flow paths contact said electrode pairs simultaneously.
21. A method for conductimetric analysis of a fluid, comprising the steps of: removing fluid to be analyzed from a septum-sealed container by means of a probe inserted through said septum; automatically directing said fluid through a disposable detector comprising a sealed housing and one or more conductimetric cells by means of a probe inserted through a septum in said housing; generating changes in conductivity in said cells in response to the presence of analyte in said fluid; and determining the concentration of analyte in said sample by measuring the changes in conductivity.
22. The method of Claim 21, further comprising the step of removing said fluid from said housing through a probe inserted into a septum in said housing and automatically directing said fluid into a sealed waste- container by means of a probe inserted through a septum in said container.
23. The method of Claim 21 or 22, wherein said probes are shielded to prevent accidental contact between an operator and said probes.
24. The method of any of Claims 1, 5, or 21, wherein said conductivity measuring step comprises determining the rate of change of condu^^v-ity^^^v^r a predetermined interval, ~aι -:_^Jtere"ϊrf the concentration of analyte is determined from said rate of change.
Figure imgf000068_0001
a housing having at least one fluid flow path therein; and one or more unit cells for the conductimetric determination of an analyte in a fluid sample, each said unit cell comprising: a first porous support to which biological reagents for detection of an analyte or for use as a control are immobilized; a first porous electrode; and a second porous electrode spaced a fixed distance from said first electrode, wherein said porous support is adjacent to said first and second electrodes; wherein a first such unit cell for determination of a first analyte in said sample is disposed in said housing so that fluid traversing a first fluid flow path in said housing must pass through the electrodes and the porous support of said first unit cell.
26. The device of Claim 25, further comprising: a second unit cell in said housing for the conductimetric determination of a second analyte in said sample.
27. The device of Claim 26, wherein said second unit cell is disposed in said first fluid flow path.
28. The device of Claim 26, wherein said housing has a second fluid flow path therein, and said second unit cell is disposed in said housing so that fluid traversing said second fluid flow path must pass through the electrodes and the porous support of said second unit cell.
29. The device of Claim 25, further comprising a plurality of said unit cells for detection of a plurality of analytes in said sample, wherein said unit cells are disposed in said first fluid flow path for fluid flow therethrough.
30. A device for analyzing a biological fluid, comprising: a sealed housing having at least one fluid flow path therein; and one or more unit cells for the conductimetric determination of an analyte in a fluid sample, each said unit cell comprising: a first support to which biological reagents for detection of an analyte are immobilized; a first electrode; and a porous electrode spaced a fixed distance from said first electrode, wherein said support is adjacent to said first and second electrodes; wherein a first such unit cell for determination of a first analyte in said sample is disposed in said housing so that fluid traversing a first fluid flow path in said housing must contact the support of said first unit cell; and a seal in said housing through which fluid can be introduced into said first fluid flow path.
31. The device of Claim 25 or 30, further comprising a plurality of unit cells for detecting a plurality of analytes in said sample, wherein said housing includes a plurality of fluid flow paths therein, with said unit cells disposed along said fluid flow paths.
32. The device of Claim 25 or 30, wherein said cells include a control unit cell in said housing functioning as a control for at least one other unit cell in said housing.
33. The device of Claim 32, wherein the biological reagents immobilized to the porous support of said control unit cell are nonreactive with said sample.
34. The device of Claim 32, wherein said control unit cell comprises a positive control.
35. The device of Claim 25 or 30, further comprising: a mixing chamber in said housing in fluid communication with said unit cells; and " reagents in said mixing chamber adapted to cooperate in the analysis of said fluid with the reagents immobilized in said unit cells.
36. The device of Claim 35, wherein said immobilized reagents comprise a member of a first ligand-antiligand pair, where either the ligand or the antiligand of the first pair is analyte, and wherein said reagents in said mixing chamber comprise a member of a second ligand- antiligand pair, wherein one member of the second pair is a member of the first pair.
37. The device of Claim 35, wherein the immobilized reagents are adapted to bind with analyte, and wherein the reagents in the mixing chamber are adapted to bind with either analyte or immobilized reagent, and wherein the mixing chamber is adapted to receive sample that has passed through the unit cells, to mix the reagents in the mixing chamber with the sample, and to discharge the resulting mixture back through the unit cells.
38. The device of Claim 35, further comprising: a waste receptacle in said housing in which said first fluid flow path terminates.
39. The device of -Claim 36, wherein said mixing chamber is upstream of said unit cells.
40. The device of Claim 39, further comprising: a septum seal through said housing at the start of said first fluid flow path, wherein the volume of said waste receptacle is greater than the volume of said first fluid flow path between said septum seal and said waste receptacle.
41. The device of Claim 25 or 30, wherein said device further comprises: a first septum in said housing; and a second septum in said housing, wherein sample can be introduced and removed through said first and second septums and wherein there is a fluid flow path between said first and second septums with at least one said unit cell in that path between the septums.
42. The device of Claim 25 or 30, further comprising: means for introducing a sample through said housing along said fluid flow path; means for measuring the conductivity between the electrodes of the unit cells; and means responsive to said measured conductivity for indicating the concentration of analyte in said sample.
43. The device of Claim 25, wherein said electrodes comprise metallic plates mounted perpendicular to the first fluid flow path.
44. The device of Claim 43, wherein said electrodes comprise perforated metallic plates, and wherein said perforations are formed by etching.
45. The device of Claim 25 or 30, wherein said electrodes comprise metal mesh.
46. The device of Claim 25 or 30, wherein said porous support is bonded to one or more of said electrodes.
47. The device of Claim 25 or 30, further comprising a waste receptacle in fluid communication with said first fluid flow path.
48. A unit cell for performing a conductimetric assay of a liquid for an analyte, comprising: a first porous conductive electrode; a second porous conductive electrode; and a support layer to which reagents for use in a conductimetric assay are immobilized, said first and second electrodes being spaced apart and said electrodes and said support layer being substantially parallel and situated along a common axis line extending perpendicularly through said electrodes and said support layer.
49. The cell of Claim 48, wherein said electrodes comprise metal having holes etched therein.
50. The cell of Claim 48, wherein said electrodes are stainless steel.
51. The cell of any of Claims 48-50, wherein said support layer is bonded to one or more of said electrodes.
52. An apparatus for performing an assay of a liquid sample, comprising: a reaction cell housing removably mounted in said apparatus; a plurality of electrode pairs in said housing; a support associated with each of said electrode pairs on which are immobilized reagents for use in a conductimetric assay for an analyte, wherein the reaction cell housing has a liquid flow path therein, and wherein said electrode pairs and said supports are along said flow path so that liquid traversing said path must come in contact with said electrode pairs and said supports; means at each end of said path for introducing liquid into or removing liquid from said path: a sample port into which sample liquid may be introduced; a waste receptacle into which liquid waste may be placed; a reagent reservoir for containing a liquid reagent; a mixing chamber; a pump for moving liquids along said liquid flow path; means for directing fluid from said sample port through said housing and said mixing chamber; and means for measuring the conductivity between said electrode pairs.
53. The apparatus of Claim 52, further comprising: means for converting said measured conductivities into analyte concentration measurements.
54. The apparatus of Claim 52, wherein said means for directing fluid through said housing further comprises means for directing said fluid along first fluid flow path and into said mixing chamber, then directing fluid from said mixing chamber back through said housing along said first fluid flow path and into said waste reservoir, then directing liquid from said reagent reservoir through said housing and into said waste reservoir.
55. The apparatus of Claim 54, further comprising: means for displaying said analyte concentration measurements.
56. The apparatus of Claim 54, further comprising: means associated with said housing for storing data relating to said assays; and means in said device for reading said data.
57. The apparatus of Claim 56, wherein said data indicate the types of assays performed in said housing.
58. A method for simultaneously analyzing a biological fluid for a plurality of analytes, comprising the steps of: providing a reaction housing containing a plurality of porous electrode pairs, with a porous support associated with each electrode pair, and with reagents immobilized to at least one of said porous supports for performing a conductimetric assays for one or more analytes; passing a fluid sample through said electrode pairs and said porous supports to react analytes in said sample with reagent in said support; binding a quantity of enzyme to said support which is representative of the quantity of analyte that has reacted with said reagents; generating ions between said electrode pairs in an amount representative of the quantity of bound enzyme by supplying an ion-generating substrate for said enzyme to said support; measuring the conductivity between said electrode pairs a predetermined time after supplying said substrate to said support; and determining the quantity of each of said analytes in said sample from said measured conductivities.
59. The method of Claim 58, wherein said determining step includes measuring a negative control conductivity with at least one electrode pair and correcting the conductivities measured for said analytes for the negative control conductivity.
60. The method of Claim 58, further comprising the step of determining the reliability of the assay by measuring a positive control conductivity.
61. The method of Claim 58, further comprising the step of automatically washing the fluid flow paths in said device after said determining step, introducing a new housing into said device, and performing another analysis.
62. The method of Claim 58, further comprising the step of: mixing said fluid sample with a secondary reagent in said housing, said secondary reagent comprising said enzyme conjugated to an antibody to analyte, to analyte, or to analyte analog.
63. The method of Claim 58, wherein said step of measuring the conductivity comprises the steps of: applying a known voltage across said electrode pairs to generate electrical currents between said electrode pairs that vary in accordance with the conductivity between said electrode pairs; generating an electrical signal responsive to the magnitude of the current between each electrode pair; converting said electrical signal to a digital value representing said electrical signal; and providing said digital value to a computer that calculates said conductivity.
64. The apparatus of Claim 52, wherein said means for measuring the conductivity between said electrode pairs comprises: a source of a known voltage, said source coupled to said first and second electrodes of said cell so as to apply said voltage across said cell; means coupled to said cell for receiving an electrical signal responsive to the conductivity of said cell; means for converting said electrical signal to a digital value representing said electrical signal; and a computer that receives said digital value and calculates said conductivity.
PCT/US1989/003279 1988-08-03 1989-07-28 Methods and devices for carrying out multiple simultaneous conductometric analyses WO1990001700A1 (en)

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