WO2004064636A1 - Vorrichtung und verfahren zur aufnahme einer körperflüssigkeit für analysezwecke - Google Patents

Vorrichtung und verfahren zur aufnahme einer körperflüssigkeit für analysezwecke Download PDF

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Publication number
WO2004064636A1
WO2004064636A1 PCT/EP2004/000117 EP2004000117W WO2004064636A1 WO 2004064636 A1 WO2004064636 A1 WO 2004064636A1 EP 2004000117 W EP2004000117 W EP 2004000117W WO 2004064636 A1 WO2004064636 A1 WO 2004064636A1
Authority
WO
WIPO (PCT)
Prior art keywords
receiving unit
sample receiving
unit
plunger
lancing
Prior art date
Legal status (The legal status 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 status listed.)
Ceased
Application number
PCT/EP2004/000117
Other languages
German (de)
English (en)
French (fr)
Inventor
Klaus-Dieter Sacherer
Ronald Mönch
Michael Schabbach
Jörg Scherer
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
F Hoffmann La Roche AG
Roche Diagnostics GmbH
Original Assignee
F Hoffmann La Roche AG
Roche Diagnostics GmbH
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
Priority to JP2006500540A priority Critical patent/JP2006516723A/ja
Priority to AU2004206722A priority patent/AU2004206722B2/en
Priority to CN2004800027795A priority patent/CN1741767B/zh
Priority to DE502004008526T priority patent/DE502004008526D1/de
Priority to EP04701300A priority patent/EP1585444B8/de
Priority to HK06107905.3A priority patent/HK1087604B/xx
Priority to DK04701300T priority patent/DK1585444T3/da
Priority to CA2513465A priority patent/CA2513465C/en
Application filed by F Hoffmann La Roche AG, Roche Diagnostics GmbH filed Critical F Hoffmann La Roche AG
Priority to MXPA05006651A priority patent/MXPA05006651A/es
Priority to BRPI0406532A priority patent/BRPI0406532B8/pt
Publication of WO2004064636A1 publication Critical patent/WO2004064636A1/de
Priority to US11/178,810 priority patent/US7740599B2/en
Anticipated expiration legal-status Critical
Priority to US12/751,178 priority patent/US9757063B2/en
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/14—Devices for taking samples of blood ; Measuring characteristics of blood in vivo, e.g. gas concentration within the blood, pH-value of blood
    • A61B5/1405—Devices for taking blood samples
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/151—Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
    • A61B5/15146—Devices loaded with multiple lancets simultaneously, e.g. for serial firing without reloading, for example by use of stocking means.
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150015—Source of blood
    • A61B5/150022—Source of blood for capillary blood or interstitial fluid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150358—Strips for collecting blood, e.g. absorbent
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150374—Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150381—Design of piercing elements
    • A61B5/150412—Pointed piercing elements, e.g. needles, lancets for piercing the skin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150374—Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150381—Design of piercing elements
    • A61B5/150503—Single-ended needles
    • A61B5/150519—Details of construction of hub, i.e. element used to attach the single-ended needle to a piercing device or sampling device
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150374—Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150534—Design of protective means for piercing elements for preventing accidental needle sticks, e.g. shields, caps, protectors, axially extensible sleeves, pivotable protective sleeves
    • A61B5/150572—Pierceable protectors, e.g. shields, caps, sleeves or films, e.g. for hygienic purposes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150374—Details of piercing elements or protective means for preventing accidental injuries by such piercing elements
    • A61B5/150534—Design of protective means for piercing elements for preventing accidental needle sticks, e.g. shields, caps, protectors, axially extensible sleeves, pivotable protective sleeves
    • A61B5/150633—Protective sleeves which are axially extensible, e.g. sleeves connected to, or integrated in, the piercing or driving device; pivotable protective sleeves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/151—Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
    • A61B5/15101—Details
    • A61B5/15126—Means for controlling the lancing movement, e.g. 2D- or 3D-shaped elements, tooth-shaped elements or sliding guides
    • A61B5/1513—Means for controlling the lancing movement, e.g. 2D- or 3D-shaped elements, tooth-shaped elements or sliding guides comprising linear sliding guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/151—Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
    • A61B5/15146—Devices loaded with multiple lancets simultaneously, e.g. for serial firing without reloading, for example by use of stocking means.
    • A61B5/15148—Constructional features of stocking means, e.g. strip, roll, disc, cartridge, belt or tube
    • A61B5/15149—Arrangement of piercing elements relative to each other
    • A61B5/15151—Each piercing element being stocked in a separate isolated compartment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/151—Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
    • A61B5/15146—Devices loaded with multiple lancets simultaneously, e.g. for serial firing without reloading, for example by use of stocking means.
    • A61B5/15148—Constructional features of stocking means, e.g. strip, roll, disc, cartridge, belt or tube
    • A61B5/15157—Geometry of stocking means or arrangement of piercing elements therein
    • A61B5/15159—Piercing elements stocked in or on a disc
    • A61B5/15161—Characterized by propelling the piercing element in a radial direction relative to the disc
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/151—Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
    • A61B5/15146—Devices loaded with multiple lancets simultaneously, e.g. for serial firing without reloading, for example by use of stocking means.
    • A61B5/15148—Constructional features of stocking means, e.g. strip, roll, disc, cartridge, belt or tube
    • A61B5/15157—Geometry of stocking means or arrangement of piercing elements therein
    • A61B5/15159—Piercing elements stocked in or on a disc
    • A61B5/15163—Characterized by propelling the piercing element in an axial direction relative to the disc
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/151—Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
    • A61B5/15146—Devices loaded with multiple lancets simultaneously, e.g. for serial firing without reloading, for example by use of stocking means.
    • A61B5/15148—Constructional features of stocking means, e.g. strip, roll, disc, cartridge, belt or tube
    • A61B5/15176—Stocking means comprising cap, cover, sheath or protection for aseptic stocking

Definitions

  • the invention relates to a device and a method for receiving a body fluid for analysis purposes according to the preamble of the independent claims.
  • the object of the invention is to avoid the disadvantages encountered in the prior art and to optimize a system or method of the type specified at the outset, so that simple and largely situation-independent operation is also possible for laypersons and ensures particularly hygienic handling becomes.
  • the invention is based on the idea of driving a sample receiving unit as such and equipping it with suitable elements for this. Accordingly, a coupling device for coupling the sample receiving unit to the drive unit for a back and forth movement between the guide chamber and the receiving point is proposed according to the invention.
  • the user therefore does not have to touch the sample collection unit, but can have the system carry it out automatically. This enables the measurement to be accelerated and carried out with a high degree of reliability and safety, and hygienic handling and disposal can be ensured by recassetting or returning it to the container. For the patient, this means considerable relief, not least because of the possibility of more discreet use, without being immediately recognized as a diabetic, for example.
  • the coupling device preferably has automatically operating connecting means for establishing and releasing a positive connection between the drive unit and the sample receiving unit, the drive unit and the sample receiving unit being separated from one another in a starting position.
  • the coupling device has at least one driver which is movable during the back and forth movement between a release position and an engagement position for coupling the drive unit and the sample receiving unit.
  • the coupling device has a control link that can be scanned by the driver during the back and forth movement, in particular formed by a run-up slope of the guide chamber.
  • the driver is advantageously arranged at a proximal end of the sample receiving unit and is formed by at least one holding claw which can preferably be inserted into an engagement position under internal tension.
  • a mechanically particularly simple embodiment provides that the drive unit has a plunger and that the driver automatically engages with a head part of the plunger when the plunger is fed axially.
  • a particular aspect of the invention consists in a hook plunger which can be hooked onto the sample receiving unit as a coupling device.
  • the hook plunger has a thrust flank striking against the sample receiving unit.
  • the hook plunger has a pull flank that can be brought into engagement with the sample receiving unit. In order to facilitate the engagement and disengagement, it is favorable if the pulling and / or the pushing flank is inclined towards its free edge in the direction of the outward movement.
  • the hook plunger has an angled hook head, the hook head projecting sideways when coupled to the sample receiving unit.
  • a further improvement results from the fact that the hook plunger can be pivoted with respect to the sample receiving unit by means of a plunger piece which runs obliquely against a guide contour during the back and forth movement. It is advantageous here if the hook plunger is guided in a guide cone upstream of the guide chamber and tapering in the direction of the forward movement, the guide cone being offset eccentrically with respect to the central axis of the guide chamber.
  • the hook plunger has a spine extension which is formed on the end and points towards the guide chamber.
  • the clamping force of the clamping structure should be less than the maximum driving force of the drive unit. It is advantageous for a space-saving design if the sample receiving unit has a proximal end section which is elastically deformed in order to release and / or release the hook plunger in the clamping structure, thereby releasing a passage cross section.
  • the clamping structure has two guide ribs running parallel to one another along the guide chamber and two clamping cams arranged in a clamping area of the guide chamber facing the drive unit, preferably projecting with lateral offset against the guide ribs.
  • the sample receiving unit advantageously has a recess as a coupling element for hooking in the hook plunger.
  • a lancing unit for executing a lancing movement against a body part containing the body fluid is integrated in the sample receiving unit.
  • the puncture and the sample take-up can thus be carried out particularly simply and hygienically in an automatic movement sequence, avoiding any manual intervention by the user.
  • the lancing unit in a guide of the sample receiving unit can be displaced in its direction of movement.
  • the recovery of the body fluid can be optimized in that the lancing unit can be inserted into the body part at a predetermined distance from a free forehead or receiving area of the sample receiving unit.
  • the lancing unit can be positively coupled to the drive unit via an associated driver of the coupling device for a reciprocating lancing movement.
  • the drive unit has a double tappet formed by an outer tappet and an inner tappet which is longitudinally displaceable therein.
  • the drive unit advantageously has a control device for sequence control of the movement of the sample receiving unit and / or lancing unit.
  • a control device for sequence control of the movement of the sample receiving unit and / or lancing unit it is also possible for the sample receiving unit to preferably have stops for the lancing unit formed by projecting body edges.
  • a further advantageous embodiment provides that the lancing unit can be displaced to a limited extent against the restoring force of a spring member in relation to the sample receiving unit.
  • the sample receiving unit can be displaced in a sliding guide of the guide chamber.
  • the sample receiving unit is held on a slide that can be moved back and forth in the guide chamber by means of the drive unit, preferably via a latching connection.
  • the sample receiving unit advantageously has a preferably capillary-active transport channel for a flow connection from the receiving point to an evaluation point that is as automatic as possible, which can be formed by a special analytical test element for examining the body fluid on the sample receiving unit.
  • the transport channel is formed by an annular gap between a lancet and a wall area of the sample holding unit surrounding the lancet.
  • the annular transport channel has an enlarged cross section in a transport area facing away from the gravity-bearing side of the lancet.
  • the transport channel opens into an analytical test field, preferably in the transport area, via a lateral outlet opening. It is also possible for the transport channel to open at an analytical test sleeve via an axial outlet opening pointing in the channel direction.
  • the guide chamber is closed by a sealing film at least in the region of an ejection opening.
  • the sample receiving unit should have a free end region pointing in the direction of advance for piercing the sealing film, so that damage to the lancing unit is avoided.
  • the sample-taking unit is advantageously designed as a test strip or preferably injection-molded test body, in particular for blood tests.
  • the sample receiving unit is formed by a cannula, which is preferably also designed as a guide for the lancing unit, for sucking in the sample liquid.
  • the container is designed as a magazine for storing a plurality of sample receiving units.
  • the container can serve as a plurality as a drum magazine of axially extending guide chambers distributed in the circumferential direction, each for a sample receiving unit.
  • a particularly compact embodiment provides that the container, as a disk magazine, has a plurality of radially extending guide chambers arranged in a star shape, each for a sample receiving unit.
  • the invention also extends to an analysis device, in particular a portable hand-held device for medical diagnostics, with a device according to the invention for taking up a body fluid and to sample receiving units with a positive drive coupling for use in such devices.
  • the above-mentioned object is achieved in that the sample receiving unit that can be coupled to the drive unit is withdrawn into the guide chamber after the sample has been taken.
  • the body fluid is advantageously obtained by a lancing movement of a lancing unit displaceable in the sample receiving unit in the region of the receiving point.
  • FIG. 1 shows a device for recording and analyzing capillary blood in an axially broken perspective view.
  • FIG. 2 shows a sample receiving unit of the device according to FIG. 1 in an initial position in relation to a drive unit in a partial axial section;
  • FIG. 2 shows a further exemplary embodiment with a strip-shaped sample receiving unit formed from film parts in a representation corresponding to FIG. 1;
  • FIG. 7 shows the sample receiving unit according to FIG. 6 in a longitudinal central section running perpendicular to the strip plane;
  • FIG. 11 shows a further exemplary embodiment with a strip-shaped sample receiving unit mounted on a carriage in a view corresponding to FIG. 6;
  • FIG. 12 shows a partial central section of the sample receiving unit according to FIG. 11 perpendicular to the strip plane
  • FIG. 13 shows a further exemplary embodiment with a strip-shaped sample receiving unit mounted on a spring member in a broken perspective view
  • FIG. 14 shows the sample receiving unit according to FIG. 13 in a representation corresponding to FIG. 12;
  • 15 shows an embodiment of a disk-shaped device for taking and examining blood samples in one
  • FIG. 18 shows a further exemplary embodiment with a hook plunger for a feed and return movement of a test strip in a longitudinal section
  • FIG. 21 shows a longitudinal section through the guide chamber according to FIG. 20.
  • the analysis device shown in the drawing is used for blood testing for patient self-monitoring especially for diabetics.
  • the system comprises a storage container 10 with a plurality of guide chambers 12, individually arranged sample receiving units 14 in the guide chambers with optionally integrated lancing unit 16, as well as associated coupling devices 18 for coupling the sample receiving units or lancing units with a drive unit 20 for a back and forth movement between the respective guide chamber 12 and a receiving point 22 in the region of a body part 24 for blood collection.
  • the container 10 is formed by a drum magazine 26 designed as a cylindrical injection molded part made of plastic.
  • the leadership tion chambers 12 are arranged distributed in the circumferential direction and extend axially continuously between an end-side engagement opening 28 for the drive unit 20 and an opposite ejection opening 30 for the sample receiving unit 14.
  • the drum magazine 26 has a central bore 32 with splines 34 for a stepping mechanism, not shown, for the flush positioning of one to be ejected sample receiving unit 14 in the feed axis 36 of the drive unit 20.
  • Radially offset axially blind holes 38 are arranged for receiving a desiccant 40.
  • the guide chambers 12 are closed on the end side by a sealing film 42 shown only in part in FIG. 1.
  • the sample receiving units 14 are intended as a so-called “disposable” for single use.
  • a hollow cylindrical injection molded part 44 made of plastic is provided for this purpose, on which drivers 46 of the coupling device 18 and stop pieces 48 are integrally formed in a laterally projecting manner.
  • An axial channel 50 serves for the longitudinally displaceable mounting of a lancet 52 of the lancing unit and at the same time, at least in some areas, as a transport channel for the automatic capillary transport of the blood fluid obtained from a receiving opening 54 pointing in the direction of advance to a test field 56.
  • This test field 56 is used in a manner known per se Detection of an ingredient in the blood sample obtained, specially designed for a glucose test.
  • the lancet tip 58 of the lancet 52 is arranged set back in relation to the end edge 60 of the sample receiving unit 14, as seen in the feed direction.
  • the proximal lancet end is provided with a second driver 62 mounted in the driver 42 of the sample receiving unit for a separate drive coupling.
  • the drive unit 20 shown in FIG. 2 has a double plunger 64 for coupling the sample receiving unit 14 and the lancing device. Unit 16. This is formed by an outer plunger 66 and an inner plunger 68 which can be telescoped therein. The back and forth movement transmission takes place via a respective positive connection of the drivers 46, 62 of the coupling device 18, as will be explained in more detail below.
  • the drivers 46, 62 each comprise two holding claws 70, 72, which can be moved like forceps against one another under internal tension, in order to positively engage behind an associated head piece 74, 76 of the outer plunger 66 or inner plunger 68.
  • the engagement into the engagement position occurs automatically when the tappet is advanced by moving off an associated control link 78, 80, the link 78 for the outer holding claws 70 being formed by the narrow sides of the guide chambers 12 provided with chamfers 77, while the outer driver 46 has one on its inner flanks form corresponding backdrop 80 for the holding claws 72 of the inner driver 62 of the lancing unit 16.
  • the drum magazine 26 can be rotated in a turret-like manner in order to position the desired sample receiving unit 14 for coupling the drive.
  • the double tappet 64 is inserted into the guide chamber 12 by penetrating the sealing film 42 above the engagement opening 28 and in the process brought into abutment against the drivers 46, 62.
  • the outer driver 46 After passing the run-on slope 77, the outer driver 46 first comes into its engagement position with the outer plunger 66 in accordance with FIG. 4.
  • the lateral guidance is supported by the broad sides 82 of the guide chamber 12, which are adapted as sliding surfaces to the outer contour of the sample receiving unit 14 , As the feed continues, the projecting free end edge 60 pierces the sample receiving unit 14 through the sealing film 42 over the ejection opening 30, the recessed lancet tip 58 remaining protected against unintentional bending. As shown in Fig. 4, the feed movement of the sample holder is Unit 14 stopped at the intended receiving point 22 at a predetermined distance from the fingertip 84 in order not to hinder the blood leakage in the subsequent lancing process.
  • the lancing process takes place with the outer driver 46 held in a displaceably fixed manner in its engaged position by further advancing the inner plunger 68, the inner driver 62 of the lancing unit 16 also coming into its engaged position after passing through the run-up slope 85.
  • the lancing depth is limited by the available displacement path up to the shown stop position of the inner driver 62, the lancing speed being as high as possible for a painless puncture.
  • the lancet 52 and the sample-taking unit 14 are retrieved in the reverse sequence corresponding to FIGS. 4 to 2.
  • a microscopic amount (microliter) of escaping blood is required, which flows through the capillary gap on the jacket side of the lancet 52 flows automatically to the test field 56 by capillary action.
  • the sample receiving unit 14 can be completely retracted into the guide chamber 12 until the stop pieces 48 finally strike against the wall step 86 of the guide chamber 12 and the double plunger 64 is released again.
  • the exemplary embodiment shown in FIGS. 6 to 10 differs above all in that the sample receiving unit 14 is designed as a multilayer test strip 88.
  • the sample receiving unit 14 is designed as a multilayer test strip 88.
  • the driver 62 of the lancing unit 16 is provided with a cutout 90.
  • the strip legs 92 thus formed have central and end stop shoulders 94, 96.
  • the lancet 52 is guided in an intermediate layer of the test strip 88 in a longitudinal gap 50, which at the same time leads to the test field 56 as a capillary flow path and can be formed by punching or stamping.
  • test strip is not provided with a separate driver, but, as explained below, its movement is controlled by the stop shoulders 94, 96, which act as a function of the path, while the lancing unit 16 scans the control link 78 of the guide chamber 12 via its associated driver 62.
  • the driver 62 which is pulled back in a form-fitting coupling with the inner plunger, abuts on the back against the inner stop shoulders 94, so that the test strip 88 is also brought back into the guide chamber 12.
  • the inner plunger 68 is again released by spreading the strip legs 92 in the stop position of the stop step 98 of the test strip 88 with the wall projection 86.
  • test strips 88 are held in a carriage 100 for better guidance, which is longitudinally displaceable in the respective guide chamber 12 in the manner of a drawer.
  • Carriage 100 engages around an end portion of the test strip 88 and is with connected to this via a locking lug 102.
  • a single holding claw 70 of the slide 100 is provided as a driver for the positive coupling with the individual plunger 104 (FIG. 12).
  • a separate lancing aid is used instead of a lancing unit integrated in the test strip 88.
  • a lancing unit 16 integrated in a test strip 88 can be positively connected to a single drive plunger 104 in accordance with the previously described slide 100 for a back and forth movement via an individual holding claw 70 as a driver.
  • a spring clip 104 is provided for transmitting motion to the test strip 88.
  • the effective cross section of the transport channel 50 is limited to an annular gap by the outer diameter of the lancet 52. Since the lancet is not exactly centered under the influence of gravity, the gap is larger in the area facing away from the support side. This area can be additionally expanded by appropriate shaping in order to direct the blood flow and to direct it onto the test field 56 via a lateral outlet opening.
  • the embodiment according to FIGS. 15 to 17 comprises a flat disk-shaped magazine 106 as a container 10, in which the guide chambers 12 run radially in a star shape.
  • Cannulas 108 are mounted therein as sample receiving units 14 so as to be radially displaceable.
  • the cannulas or sample tubes 108 in turn form a guide for a separately displaceable lancet 52.
  • the drive coupling takes place via drivers 46, 62, which engage in angular plungers 110, 112 which engage in the guide chambers 12 which are open at the end edge parallel to the disk axis 109
  • On- Drive unit 20 are successively displaceable in the front feed position shown in Fig. 12.
  • the collected blood flows axially via the cannula 108 to the sleeve-shaped test field 56, the response to an analyte of which can be optically recorded via the dome-shaped window 114.
  • the coupling device 18 has a hook plunger 116 which can be coupled to the test strips 88 in a drum magazine 26 and which is driven at its proximal end 118 for a back and forth movement.
  • the hook plunger 116 is provided with a hook head 120 bent over a knee 119.
  • the latter has a thrust flank 122 which abuts against the rear end of a test strip 88 and a flank 126 which can be latched into a recess 124 of the test strip 88 for the strip retraction.
  • the flanks 122, 126 are inclined towards their free edge in the feed direction.
  • a spinous process 127 formed on the end face of the hook head 120 and with its tip pointing in the direction of advance enables easy penetration of a film sealing the guide chamber 12.
  • the hook plunger 116 is mounted in a guide bushing 128 which can be aligned with the desired guide chamber via a drum or index wheel 132 provided with conical centering openings 130 on the end face of the drum magazine 26.
  • the test strips 88 are detachably held at their proximal end section by a clamping structure 134 in their respective guide chamber 12.
  • the clamping structure 134 has two clamping cams 136 which are located at a lateral distance from one another and project into the guide chamber 12 and which cooperate with guide ribs 138 which run along the guide chamber 12 and are displaced on the opposite side.
  • the end clamped test strips 88 arched out transversely under elastic bending deformation, so that an enlarged engagement cross section 140 for the hook plunger 116 is available below the test strip.
  • the guide cone 130 is offset in relation to the central axis of the guide chamber in the circumferential direction of the drum wheel 132, the hook head 120 projecting laterally toward the test strip 88.
  • a lower wall 142 of the guide chamber 12 forms a guide surface until the elbow 119 runs against the bevel 144 of the guide cone 130.
  • the hook head 120 is raised under a pivoting movement of the hook plunger 116, and the pulling flank 126 engages behind the edge of the recess 124, while the pushing flank 122 abuts against the end of the strip (FIG. 23).
  • the clamping force of the clamping structure 134 is overcome by the higher driving force of the drive unit (not shown), the test strip 88 being released from the clamping projections 136 and finally reaching the receiving position.
  • the cranked tappet is guided and secured between the opposite walls 142 and 146 of the guide chamber 12.
  • the hook plunger 116 moves with the upper part 148 of the elbow 119 against the upper cone edge 150 of the guide cone 130 and is thereby pressed down until it is uncoupled in the clamping position of the test strip 88.
  • the inclination of the pull flank 126 ensures that the locking effect is less than the maximum pulling force and the hook plunger 116 releases again from the recess 124.
  • the guide bushing 128 ensures that the hook head 120 does not hook onto the drum wheel 132 both during feed and when retrieving.
  • the used test strip 88 is retained in the correct clamping position, and it can be switched to the next guide chamber in the magazine 26.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Hematology (AREA)
  • Surgery (AREA)
  • Biophysics (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Geometry (AREA)
  • Dermatology (AREA)
  • Investigating Or Analysing Biological Materials (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Sampling And Sample Adjustment (AREA)
  • Automatic Analysis And Handling Materials Therefor (AREA)
PCT/EP2004/000117 2003-01-23 2004-01-10 Vorrichtung und verfahren zur aufnahme einer körperflüssigkeit für analysezwecke Ceased WO2004064636A1 (de)

Priority Applications (12)

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DK04701300T DK1585444T3 (da) 2003-01-23 2004-01-10 Apparat til optagelse af en kropsvæske til analyseformål
CN2004800027795A CN1741767B (zh) 2003-01-23 2004-01-10 分析用的体液的采集装置和方法
DE502004008526T DE502004008526D1 (de) 2003-01-23 2004-01-10 Vorrichtung zur aufnahme einer körperflüssigkeit für analysezwecke
EP04701300A EP1585444B8 (de) 2003-01-23 2004-01-10 Vorrichtung zur aufnahme einer körperflüssigkeit für analysezwecke
HK06107905.3A HK1087604B (en) 2003-01-23 2004-01-10 Device and method for receiving a body fluid for analysis
CA2513465A CA2513465C (en) 2003-01-23 2004-01-10 Device and method for receiving a body fluid for analysis
MXPA05006651A MXPA05006651A (es) 2003-01-23 2004-01-10 Dispostivo y metodo para recepcion de un fluido corporal para analisis.
JP2006500540A JP2006516723A (ja) 2003-01-23 2004-01-10 分析用体液を採取するための装置および方法
AU2004206722A AU2004206722B2 (en) 2003-01-23 2004-01-10 Device for receiving a body of fluid for analysis
BRPI0406532A BRPI0406532B8 (pt) 2003-01-23 2004-01-10 dispositivo para coleta de um fluido corporal para fins de análise, aparelho de análise e unidade de coleta de amostra
US11/178,810 US7740599B2 (en) 2003-01-23 2005-07-11 Magazine for annulary capillary lancets
US12/751,178 US9757063B2 (en) 2003-01-23 2010-03-31 Magazine for annulary capillary lancets

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DE10302501A DE10302501A1 (de) 2003-01-23 2003-01-23 Vorrichtung und Verfahren zur Aufnahme einer Körperflüssigkeit für Analysezwecke

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EP (2) EP2111793B1 (enExample)
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KR (1) KR100711534B1 (enExample)
CN (1) CN1741767B (enExample)
AT (1) ATE415126T1 (enExample)
AU (1) AU2004206722B2 (enExample)
BR (1) BRPI0406532B8 (enExample)
CA (1) CA2513465C (enExample)
DE (2) DE10302501A1 (enExample)
DK (1) DK1585444T3 (enExample)
ES (1) ES2316953T3 (enExample)
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EP1585444B1 (de) 2008-11-26
ES2316953T3 (es) 2009-04-16
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EP2111793B1 (de) 2015-02-25
ATE415126T1 (de) 2008-12-15
CA2513465A1 (en) 2004-08-05
BRPI0406532A (pt) 2005-12-13
KR20050093817A (ko) 2005-09-23
EP1585444A1 (de) 2005-10-19
US9757063B2 (en) 2017-09-12
CA2513465C (en) 2012-09-11
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AU2004206722B2 (en) 2009-03-19
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BRPI0406532B8 (pt) 2021-06-22
EP2111793A1 (de) 2009-10-28
JP2006516723A (ja) 2006-07-06
DE502004008526D1 (de) 2009-01-08
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