WO2022188189A1 - Magnetic bead based thrombelastogram detection device and method - Google Patents

Magnetic bead based thrombelastogram detection device and method Download PDF

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WO2022188189A1
WO2022188189A1 PCT/CN2021/080698 CN2021080698W WO2022188189A1 WO 2022188189 A1 WO2022188189 A1 WO 2022188189A1 CN 2021080698 W CN2021080698 W CN 2021080698W WO 2022188189 A1 WO2022188189 A1 WO 2022188189A1
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magnetic bead
detection
blood
magnetic
detection cup
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PCT/CN2021/080698
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French (fr)
Chinese (zh)
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蔡泳
周奇
刘勇
陈福攀
赵荻
谢健
程伟
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重庆南方数控设备股份有限公司
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    • 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
    • G01N33/483Physical analysis of biological material
    • G01N33/487Physical analysis of biological material of liquid biological material
    • G01N33/49Blood
    • G01N33/4905Determining clotting time of blood
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N11/00Investigating flow properties of materials, e.g. viscosity, plasticity; Analysing materials by determining flow properties
    • G01N11/10Investigating flow properties of materials, e.g. viscosity, plasticity; Analysing materials by determining flow properties by moving a body within the material
    • G01N11/14Investigating flow properties of materials, e.g. viscosity, plasticity; Analysing materials by determining flow properties by moving a body within the material by using rotary bodies, e.g. vane
    • 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
    • G01N33/483Physical analysis of biological material
    • G01N33/487Physical analysis of biological material of liquid biological material
    • G01N33/49Blood
    • 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
    • G01N33/86Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving blood coagulating time or factors, or their receptors

Definitions

  • the invention relates to the technical field of blood detection and analysis, in particular to a magnetic bead-based thromboelastography detection device and method.
  • the Whole Blood Coagulation Analyzer performs simple and rapid coagulation analysis using trace amounts of whole blood.
  • thromboelastometry is mainly used for coagulation analysis, which is a graph produced by measuring the viscoelastic changes of blood caused by fibrin polymerization. It was first invented by Hartert in 1948 and can detect various dynamic changes during whole blood coagulation, such as clot formation kinetics, clot contraction, viscosity, fibrin elasticity and fibrinolysis.
  • ROTEM rotary thromboelastometer
  • TAG thromboelastography
  • SONOCLOT coagulation and platelet function analyzer
  • the dual-magnetic-circuit magnetic bead method for coagulation detection and analysis has the advantages of requiring less sample volume and less influence by interference such as air bubbles.
  • the magnetic beads of the double magnetic circuit magnetic bead method (STAGO) are driven by electromagnets to move back and forth. This form of movement will cause fibrin in the blood to break. Therefore, a magnetic bead with a limited length of reciprocating motion is used to reflect The entire blood coagulation process, and with the change of time, the reciprocating magnetic beads track will change with the blood coagulation.
  • the dual magnetic circuit magnetic bead method is mainly for the detection of a part of the isolated plasma in the coagulation chain reaction; it is driven by an alternating magnetic field to make the magnetic beads do oscillating motion, and the detection coil measures the change of plasma coagulation viscosity. Motion trajectory of the magnetic beads.
  • the purpose of the present invention is to provide a magnetic bead-based thromboelastometry detection device and method.
  • the detection device and method of the present invention combine the conventional magnetic bead coagulation detection and thromboelastometry detection technology, and propose the detection of the whole blood coagulation process, reflecting the direct influence of the whole blood flowing in layers in the blood coagulation process on the movement track of the magnetic bead.
  • the invention provides a magnetic bead-based thromboelastometry detection device, comprising: a detection cup (1), a rotating part (2), an angular displacement sensor (3), a magnetic bead (4) and a magnet (5);
  • the detection cup (1) is used for holding blood samples
  • the rotating component (2) is used to drive the detection cup (1) to periodically reciprocate with a predetermined amplitude and frequency;
  • the magnetic beads (4) are placed in the detection cup (1), and the blood sample in the detection cup (1) can immerse the magnetic beads (4); the magnetic beads (4) reciprocate periodically Rotating and moving in the blood sample, the movement amplitude of the magnetic beads (4) is positively correlated with the coagulation strength of the blood;
  • the angular displacement sensor (3) is used for detecting the movement amplitude of the magnetic beads (4) in the blood, and the angular displacement sensor (3) is located below the detection cup (1);
  • the magnet (5) is installed on the side of the detection cup for providing magnetic force to the magnetic beads (4) to overcome the viscoelasticity of blood and the static friction force of the magnetic beads in the early stage of coagulation, and to maintain the movement range of the magnetic beads during the detection process.
  • the detection cup (1) there is a bulge in the middle of the detection cup (1), and a channel for the periodic movement of the magnetic beads is left around the bulge.
  • the rotating part (2) comprises a stepper motor (2a) or a cam, and a connector (2b), through which the stepper motor (2a) or the cam is connected to the detection cup. (1) Connection.
  • the magnet (5) is a permanent magnet, or an electromagnet with a controllable magnetic force.
  • the amplitude angle of the reciprocating rotation of the detection cup (1) ranges from ⁇ 2 degrees to ⁇ 20 degrees.
  • the period of the reciprocating rotation of the detection cup (1) is 3 seconds to 30 seconds.
  • the diameter of the magnetic beads (4) is 1 mm to 5 mm.
  • the inclination angle of the bottom surface of the detection cup relative to the horizontal plane ranges from 0 to 90 degrees.
  • the magnet (5) is close to the end of the detection cup and between the inner magnetic bead of the detection cup (1) which is closest to the end of the magnet.
  • the detection device further comprises a signal processing circuit, which is used for obtaining a reading representing the movement amplitude of the magnetic bead from the angular displacement sensor (3), and establishing a dynamic peak curve of the movement amplitude of the magnetic bead, The dynamic peak curve is analyzed.
  • a signal processing circuit which is used for obtaining a reading representing the movement amplitude of the magnetic bead from the angular displacement sensor (3), and establishing a dynamic peak curve of the movement amplitude of the magnetic bead, The dynamic peak curve is analyzed.
  • the reading of the angular displacement sensor (3) is used to reflect the moment M generated by the stratified flow of blood on the magnetic beads during the blood coagulation process, and the reading is related to the viscosity ⁇ of the blood, the rotational speed of the detection cup ⁇ , and the magnetic bead.
  • the radius R and the product of the distance a and b from the magnetic bead to the center O of the detection cup are positively correlated.
  • the angular velocity ⁇ of the rotation of the detection cup (1) has the following relationship:
  • is the rotation angle of the detection cup;
  • t is the time it takes for the detection cup to rotate the ⁇ angle;
  • is the angular velocity of the detection cup;
  • the velocity of the liquid layer is V b , and the blood liquid layer at a distance from the center O of the detection cup is in a static state, that is, the velocity V a of the liquid layer at a is equal to 0;
  • the shear rate is equal to the velocity gradient of the liquid layer: in the formula Represents the velocity gradient on the liquid layer on
  • the present invention provides a magnetic bead-based detection method for thromboelastometry, which is characterized by comprising the following steps:
  • the magnetic beads (4) immersed in the blood sample are moved in the blood sample along with the periodic reciprocating rotation of the detection cup, and the motion amplitude of the magnetic beads (4) is positively correlated with the coagulation strength of the blood;
  • the motion amplitude of the magnetic beads (4) moving in the blood sample is detected by the angular displacement sensor (3);
  • the dynamic peak curve of the motion amplitude of the magnetic beads in the blood sample is established by the signal processing circuit, and the dynamic peak curve is analyzed by the signal processing circuit.
  • the amplitude angle of the reciprocating rotation of the detection cup (1) ranges from ⁇ 2 degrees to ⁇ 20 degrees.
  • the period of the reciprocating rotation of the detection cup (1) is 3 seconds to 30 seconds.
  • the diameter of the magnetic beads (4) is 1 mm to 5 mm.
  • the inclination angle of the bottom surface of the detection cup relative to the horizontal plane ranges from 0 to 90 degrees.
  • a magnet (5) is installed on the side of the detection cup to provide magnetic force to the magnetic beads (4) so as to overcome the viscoelasticity of blood and the static friction of the magnetic beads in the early stage of coagulation, and to maintain the movement of the magnetic beads during the detection process. magnitude.
  • the reading of the angular displacement sensor (3) is used to reflect the moment M generated by the stratified flow of blood on the magnetic beads during the blood coagulation process, and the reading is related to the viscosity ⁇ of the blood, the rotational speed of the detection cup ⁇ , and the magnetic bead.
  • the radius R and the product of the distance a and b from the magnetic bead to the center O of the detection cup are positively correlated.
  • the angular velocity ⁇ of the rotation of the detection cup (1) has the following relationship:
  • is the rotation angle of the detection cup;
  • t is the time it takes for the detection cup to rotate the ⁇ angle;
  • is the angular velocity of the detection cup;
  • the velocity of the liquid layer is V b , and the blood liquid layer at a distance from the center O of the detection cup is in a static state, that is, the velocity V a of the liquid layer at a is equal to 0;
  • the shear rate is equal to the velocity gradient of the liquid layer: ; in the formula Represents the velocity gradient on the liquid
  • the detection device and detection method of the present invention represent the change range of the position of the magnetic beads by measuring the reading of the angular displacement sensor, and use the position change and the change of the torque M generated by the blood flowing in layers during the blood coagulation process to the magnetic beads.
  • the positive correlation reflects the changes of blood coagulation, so that the detection of TEG thrombelastogram in the process of blood coagulation can be realized through the dynamic peak curve of the motion amplitude of the magnetic beads.
  • the invention breaks through the traditional double magnetic circuit magnetic bead method for measurement, and realizes the combination of magnetic bead coagulation detection and thromboelastometry detection.
  • Fig. 1 is a schematic diagram of the structure of a magnetic bead-based thromboelastography detection device
  • Fig. 2 is the flow chart of the detection method of thrombelastography based on magnetic beads
  • Fig. 3 is the schematic diagram of the dynamic peak curve of magnetic bead motion amplitude
  • Fig. 4 is the force analysis diagram of magnetic beads in the detection cup
  • Fig. 5 is the movement track diagram of magnetic beads in blood in the detection cup
  • FIG. 6 is a schematic diagram of the surface element of the magnetic bead and the cross-section of the movement of the magnetic bead in the analysis of the magnetic bead moment.
  • the embodiments of the present invention provide a magnetic bead-based thromboelastometry detection device and method.
  • the detection device and method of the present invention combine the conventional magnetic bead coagulation detection and thromboelastometry detection technology, and propose the detection of the whole blood coagulation process, reflecting the direct influence of the stratified flow of whole blood in the blood coagulation process on the movement track of the magnetic beads.
  • FIG. 1 is a schematic structural diagram of the magnetic bead-based thromboelastography detection device.
  • the detection device of the present invention includes: a detection cup 1 , a rotating part 2 , an angular displacement sensor 3 , a magnetic bead 4 and a magnet 5 .
  • the detection cup 1 is used for holding blood samples, the magnetic beads 4 are placed in the detection cup 1, the blood sample in the detection cup 1 can be submerged in the magnetic beads 4, and the detection cup 1 has a convex in the middle From the beginning, a channel for the periodic movement of the magnetic beads is left around the protrusion.
  • the rotating part 2 includes a stepping motor 2a or a cam, and a connector 2b, through which the stepping motor 2a or the cam is connected to the detection cup 1; the detection cup 1 is driven by the stepping motor 2a , perform periodic reciprocating rotation with a predetermined amplitude and frequency; the magnetic beads 4 immersed in the blood sample move in the blood sample with the periodic reciprocating rotation.
  • the changing torque M generated by the blood will push the magnetic beads to move. Therefore, the movement range of the magnetic beads 4 is directly related to the coagulation strength of the blood. Therefore, changes in blood coagulation can be reflected by detecting the movement amplitude of the magnetic beads 4 immersed in the blood sample.
  • the angular displacement sensor 3 is used to detect the movement amplitude of the magnetic beads 4 , and the sensor can be a differential inductive angular displacement sensor, which is located below the detection cup 1 .
  • the test surface of the differential inductive angular displacement sensor 3 is parallel to the bottom surface of the detection cup 1, and the bottom surface of the detection cup 1 and the horizontal plane (that is, the test surface of the angular displacement sensor 3 and the horizontal plane) form a certain inclination angle ⁇ , as shown in the figure shown.
  • the magnet 5 is a permanent magnet, or an electromagnet with a controllable magnetic force, and is installed on the side of the detection cup to provide a magnetic force to the magnetic bead 4, which is used to overcome the static friction between the magnetic bead and the test cup in the early stage of coagulation. force and the initial adhesion force between the blood sample and the magnetic beads, when the detection cup starts to rotate, by eliminating the initial static friction force and the blood sample adhesion force, the magnetic beads are kept in a static state; and the magnetic force generated by the magnet 5 is a constant force , which can reduce the movement amplitude of the magnetic beads in the subsequent testing process and keep the movement amplitude of the magnetic beads within the detection range.
  • the stepper motor 2a drives the detection cup 1 to perform periodic reciprocating rotation, and the amplitude angle of the rotation ranges from ⁇ 2 degrees to ⁇ 20 degrees, preferably ⁇ 10 degrees; the reciprocating period is 3 seconds and 30 seconds, Among them, 15 seconds is preferable.
  • the diameter of the magnetic beads 4 is 1 mm ⁇ 5 mm, preferably 3 mm.
  • the range of the inclination angle ⁇ of the bottom surface of the detection cup relative to the horizontal plane is 0-90 degrees (that is, horizontal or vertical), preferably 15 degrees.
  • the distance between the end of the magnet 5 close to the detection cup and the closest surface of the magnetic beads inside the detection cup 1 to the end of the magnet is 1 mm-30 mm, preferably 18.4 mm.
  • the detection device also includes a signal processing circuit, which obtains a reading representing the movement amplitude of the magnetic bead from the angular displacement sensor 3, and the reading is related to the torque generated by the blood flowing in layers during the blood coagulation process to the magnetic bead. M is correlated, reflecting changes in blood viscosity during blood coagulation. Therefore, the signal processing circuit dynamically detects the change of the position of the magnetic bead with the periodic rotation, and establishes a dynamic peak curve of the movement amplitude of the magnetic bead, as shown in FIG. 3 . In addition, the signal processing circuit analyzes the dynamic peak curve. The analysis process includes extracting the envelope signal of the original signal to form an envelope curve, so as to obtain relevant results. The test results are correlated with the TEG thromboelastometry to achieve Harmonization of results from different methodologies.
  • FIG. 2 is a flow chart of the magnetic bead-based thromboelastometry detection method of the present invention.
  • the detection method includes the following steps: the detection cup 1 containing the blood sample is driven by the stepping motor 2a to periodically reciprocate at a predetermined amplitude and frequency.
  • the magnetic beads 4 immersed in the blood sample are moved in the blood sample with the periodic reciprocating rotation of the detection cup.
  • the motion amplitude of the magnetic beads 4 moving in the blood sample is detected by the angular displacement sensor 3 .
  • the dynamic peak curve of the motion amplitude of the magnetic bead in the blood sample is established by the signal processing circuit according to the change of the position of the magnetic bead, and the dynamic peak curve is analyzed by the signal processing circuit.
  • the analysis process includes the envelope signal extraction of the original signal, An envelope curve is formed, resulting in relevant results, the test results of which are correlated with TEG thromboelastometry.
  • the stepper motor 2a drives the detection cup 1 to perform periodic reciprocating rotation, and the amplitude angle of the rotation ranges from ⁇ 2 degrees to ⁇ 20 degrees, preferably ⁇ 10 degrees; the reciprocating period is 3 seconds and 30 seconds, Among them, 15 seconds is preferable.
  • the diameter of the magnetic beads 4 is 1 mm ⁇ 5 mm, preferably 3 mm.
  • the range of the inclination angle ⁇ of the bottom surface of the detection cup relative to the horizontal plane is 0-90 degrees (that is, horizontal or vertical), preferably 15 degrees.
  • the distance between the end of the magnet 5 close to the detection cup and the closest surface of the magnetic beads inside the detection cup 1 to the end of the magnet is 1 mm-30 mm, preferably 18.4 mm.
  • Figure 4 is the force analysis diagram of the magnetic beads in the detection cup.
  • the shaded part in the figure is the distribution of the blood sample in the test cup, and the blood in the test cup will just cover the magnetic beads.
  • the force of the magnetic beads specifically includes the gravity of the magnetic beads G, the magnetic force F of the magnet to the magnetic beads, the buoyancy of the blood to the magnetic beads F float , the support force N of the detection cup to the magnetic beads, and the rolling friction force of the detection cup to the magnetic beads.
  • the F tangential force is the pressure exerted on the magnetic beads by the blood in laminar flow, which is changed by the change of blood viscoelasticity.
  • F magnetism is used to overcome the viscoelasticity of blood in the non-coagulated state at the initial stage of coagulation.
  • Magnetic F is considered to be a constant force due to the small movement range of the magnetic beads, which is balanced with the component forces of gravity G and supporting force N in the same direction.
  • the F tangential force that is, the pressure exerted by the blood on the magnetic beads, will push the magnetic beads to roll, and as the blood coagulates, the F tangential force gradually increases, and the movement amplitude of the magnetic beads will also become larger and larger. .
  • the angular velocity ⁇ of the detection cup rotation has the following relationship:
  • V b ⁇ b Equation 3
  • a and b respectively represent the distance (cm) from both sides of the magnetic bead to the center O of the detection cup.
  • V a and V b represent the linear velocity of the liquid layer on both sides of the magnetic bead, respectively.
  • the shear rate of the liquid layer on both sides of the magnetic bead is equal to the velocity gradient of the liquid layer:
  • R represents the radius R (cm) of the magnetic bead.
  • be the shear stress on the unit surface element, and the internal friction force acting on any layer between two adjacent flow layers is proportional to the contact area of the two adjacent layers, namely S, then the tangential force acting on it is :
  • the torque M is the internal friction torque acting on the spherical surface of the magnetic bead. At equilibrium, this torque is related to the position where the force of the magnetic bead is balanced. The position of the magnetic bead is reflected by the reading of the differential inductance angular displacement sensor. Therefore, the differential inductance The reading of the angular displacement sensor also reflects the moment of the magnetic bead at equilibrium. It can be seen from Equation 14 that the reading of the differential inductive angular displacement sensor is the product of the blood viscosity ⁇ , the detection cup rotation speed ⁇ , the radius R of the magnetic bead and the distance a and b from the magnetic bead to the detection cup center O. The parameters are positively correlated. The rotation speed ⁇ of the detection cup is related to the rotation angle ⁇ of the detection cup and the time t used to detect the rotation angle ⁇ of the detection cup, that is, the torque M is also related to the rotation angle and rotation time of the detection cup.
  • the detection device and detection method of the present invention represent the change range of the position of the magnetic beads by measuring the reading of the angular displacement sensor, and use the position change and the change of the torque M generated by the blood flowing in layers during the blood coagulation process to the magnetic beads.
  • the positive correlation reflects the changes of blood coagulation, so that the detection of TEG thrombelastogram in the process of blood coagulation can be realized through the dynamic peak curve of the motion amplitude of the magnetic beads.
  • the invention breaks through the traditional double magnetic circuit magnetic bead method for measurement, and realizes the combination of magnetic bead coagulation detection and thromboelastometry detection.

Abstract

A magnetic bead (4) based thrombelastogram detection device and method. A detection cup (1) containing a blood sample is driven to periodically rotate back and forth at predetermined amplitude and frequency; a magnetic bead (4) immersed in the blood sample is enabled to move in the blood sample along with the periodically back-and-forth rotation of the detection cup (1), and the movement amplitude of the magnetic bead (4) is positively correlated to the coagulation intensity of blood; the movement amplitude of the magnetic bead (4) moving in the blood sample is measured by means of an angular displacement sensor (3); and a dynamic peak curve of the movement amplitude of the magnetic bead (4) in the blood sample is established by means of a signal processing circuit, and the dynamic peak curve is analyzed by means of the signal processing circuit. The magnetic bead (4) based thrombelastogram detection device and method are combined with conventional magnetic bead (4) blood coagulation detection and thrombelastography detection technologies, detection of a whole blood coagulation process is proposed, and the direct effect of whole blood flowing in a layered manner in the blood coagulation process on a movement path of the magnetic bead (4) is reflected.

Description

一种基于磁珠的血栓弹力图检测装置及方法A magnetic bead-based thromboelastography detection device and method 技术领域technical field
本发明涉及血液检测分析技术领域,具体是一种基于磁珠的血栓弹力图检测装置及方法。The invention relates to the technical field of blood detection and analysis, in particular to a magnetic bead-based thromboelastography detection device and method.
背景技术Background technique
全血凝固分析仪使用微量全血就可进行简单、快速的凝血分析。目前,进行凝血分析主要采用血栓弹力法,通过测量纤维蛋白聚合引起的血液粘弹性变化而产生的图形。其最早由Hartert于1948年发明,能检测全血凝固过程中的各种动态变化,如血凝块的形成动力学、血凝块的收缩、粘度、纤维蛋白弹性和纤维蛋白溶解。根据其检测原理主要分为四大类,依次是光电检测、机电检测、压力分析和阻抗分析;旋转式血栓弹力计(ROTEM)、血栓弹力图仪(TEG)和凝血与血小板功能分析仪(SONOCLOT)分别属于前三类。The Whole Blood Coagulation Analyzer performs simple and rapid coagulation analysis using trace amounts of whole blood. At present, thromboelastometry is mainly used for coagulation analysis, which is a graph produced by measuring the viscoelastic changes of blood caused by fibrin polymerization. It was first invented by Hartert in 1948 and can detect various dynamic changes during whole blood coagulation, such as clot formation kinetics, clot contraction, viscosity, fibrin elasticity and fibrinolysis. According to its detection principle, it is mainly divided into four categories, namely photoelectric detection, electromechanical detection, pressure analysis and impedance analysis; rotary thromboelastometer (ROTEM), thromboelastography (TEG) and coagulation and platelet function analyzer (SONOCLOT) ) belong to the first three categories, respectively.
双磁路磁珠法进行凝血检测分析,具有所需样本量少、受气泡等干扰影响小的优点。传统意义上,双磁路磁珠法(STAGO)的磁珠靠电磁铁的驱动进行来回动作,这样的运动形式会造成血液中的纤维蛋白断裂,因此采用一个有限长度往复运动的磁珠来反映整个血液的凝固过程,并随着时间的变化,往复运动的磁珠轨迹会随着血液的凝固发生变化。在常规凝血检测中,双磁路磁珠法主要是针对离体血浆在凝血连锁反应中一部分的检测;它是由交变磁场驱动磁珠做振荡运动,检测线圈测量出血浆凝固粘稠度变化的磁珠运动轨迹。The dual-magnetic-circuit magnetic bead method for coagulation detection and analysis has the advantages of requiring less sample volume and less influence by interference such as air bubbles. In the traditional sense, the magnetic beads of the double magnetic circuit magnetic bead method (STAGO) are driven by electromagnets to move back and forth. This form of movement will cause fibrin in the blood to break. Therefore, a magnetic bead with a limited length of reciprocating motion is used to reflect The entire blood coagulation process, and with the change of time, the reciprocating magnetic beads track will change with the blood coagulation. In conventional coagulation detection, the dual magnetic circuit magnetic bead method is mainly for the detection of a part of the isolated plasma in the coagulation chain reaction; it is driven by an alternating magnetic field to make the magnetic beads do oscillating motion, and the detection coil measures the change of plasma coagulation viscosity. Motion trajectory of the magnetic beads.
发明内容SUMMARY OF THE INVENTION
鉴于上述问题,本发明的目的是为了提供一种基于磁珠的血栓弹力图检测装置和方法。本发明的检测装置和方法是结合常规的磁珠凝血检测及血栓弹力 法检测技术,提出对全血凝固过程检测,反映血液凝固过程分层流动的全血血液对磁珠运动轨迹的直接影响。In view of the above problems, the purpose of the present invention is to provide a magnetic bead-based thromboelastometry detection device and method. The detection device and method of the present invention combine the conventional magnetic bead coagulation detection and thromboelastometry detection technology, and propose the detection of the whole blood coagulation process, reflecting the direct influence of the whole blood flowing in layers in the blood coagulation process on the movement track of the magnetic bead.
本发明提供了一种基于磁珠的血栓弹力图检测装置,包括:检测杯(1)、转动部件(2)、角位移传感器(3)、磁珠(4)以及磁体(5);The invention provides a magnetic bead-based thromboelastometry detection device, comprising: a detection cup (1), a rotating part (2), an angular displacement sensor (3), a magnetic bead (4) and a magnet (5);
所述检测杯(1)用于盛放血液样本;The detection cup (1) is used for holding blood samples;
所述转动部件(2)用于带动所述检测杯(1)以预定的幅度和频率进行周期性的往复转动;The rotating component (2) is used to drive the detection cup (1) to periodically reciprocate with a predetermined amplitude and frequency;
所述磁珠(4)放置于该检测杯(1)中,所述检测杯(1)中的血液样本能够浸没该磁珠(4);所述磁珠(4)随着周期性的往复转动而在血液样本中运动,磁珠(4)的运动幅度与血液的凝固强度正相关;The magnetic beads (4) are placed in the detection cup (1), and the blood sample in the detection cup (1) can immerse the magnetic beads (4); the magnetic beads (4) reciprocate periodically Rotating and moving in the blood sample, the movement amplitude of the magnetic beads (4) is positively correlated with the coagulation strength of the blood;
所述角位移传感器(3)用于检测磁珠(4)在血液中的运动幅度,所述角位移传感器(3)位于检测杯(1)的下方;The angular displacement sensor (3) is used for detecting the movement amplitude of the magnetic beads (4) in the blood, and the angular displacement sensor (3) is located below the detection cup (1);
磁体(5)安装于所述检测杯侧面,用于向磁珠(4)提供磁力从而克服在凝血初期血液的粘弹性和磁珠的静摩擦力,以及保持检测过程中磁珠的运动幅度。The magnet (5) is installed on the side of the detection cup for providing magnetic force to the magnetic beads (4) to overcome the viscoelasticity of blood and the static friction force of the magnetic beads in the early stage of coagulation, and to maintain the movement range of the magnetic beads during the detection process.
优选的是,所述检测杯(1)中间有凸起,凸起周围留有供磁珠周期性运动的通道。Preferably, there is a bulge in the middle of the detection cup (1), and a channel for the periodic movement of the magnetic beads is left around the bulge.
优选的是,所述转动部件(2)包括步进电机(2a)或凸轮,以及连接器(2b),通过连接器(2b)使所述步进电机(2a)或凸轮与所述检测杯(1)连接。Preferably, the rotating part (2) comprises a stepper motor (2a) or a cam, and a connector (2b), through which the stepper motor (2a) or the cam is connected to the detection cup. (1) Connection.
优选的是,所述磁体(5)是永磁体,或者是可控磁力的电磁铁。Preferably, the magnet (5) is a permanent magnet, or an electromagnet with a controllable magnetic force.
优选的是,检测杯(1)往复转动的振幅角度大小范围为±2度至±20度。Preferably, the amplitude angle of the reciprocating rotation of the detection cup (1) ranges from ±2 degrees to ±20 degrees.
优选的是,检测杯(1)往复转动的周期为3秒至30秒。Preferably, the period of the reciprocating rotation of the detection cup (1) is 3 seconds to 30 seconds.
优选的是,所述磁珠(4)的直径尺寸为1mm至5mm。Preferably, the diameter of the magnetic beads (4) is 1 mm to 5 mm.
优选的是,检测杯的底面相对于水平面的倾斜夹角的范围为0-90度。Preferably, the inclination angle of the bottom surface of the detection cup relative to the horizontal plane ranges from 0 to 90 degrees.
优选的是,所述磁体(5)靠近检测杯的末端与检测杯(1)内部磁珠距离 该磁体末端最近面之间的。Preferably, the magnet (5) is close to the end of the detection cup and between the inner magnetic bead of the detection cup (1) which is closest to the end of the magnet.
优选的是,所述检测装置还包括信号处理电路,所述信号处理电路用于从所述角位移传感器(3)获得表示磁珠运动幅度的读数,并且建立磁珠运动幅度的动态峰值曲线,对该动态峰值曲线进行分析。Preferably, the detection device further comprises a signal processing circuit, which is used for obtaining a reading representing the movement amplitude of the magnetic bead from the angular displacement sensor (3), and establishing a dynamic peak curve of the movement amplitude of the magnetic bead, The dynamic peak curve is analyzed.
优选的是,所述角位移传感器(3)的读数用于反映血液凝固过程中分层流动的血液对磁珠产生的力矩M,该读数与血液的粘度η、检测杯转速ω、磁珠的半径R及磁珠到检测杯圆心O的距离a与b的乘积呈正相关关系。Preferably, the reading of the angular displacement sensor (3) is used to reflect the moment M generated by the stratified flow of blood on the magnetic beads during the blood coagulation process, and the reading is related to the viscosity η of the blood, the rotational speed of the detection cup ω, and the magnetic bead. The radius R and the product of the distance a and b from the magnetic bead to the center O of the detection cup are positively correlated.
优选的是,所述检测杯(1)旋转的角速度ω具有如下关系:
Figure PCTCN2021080698-appb-000001
式中,Φ为检测杯转动的角度;t为检测杯转动Φ角所用的时间;ω为检测杯的角速度转速;在测试杯刚开始转动时,距检测杯圆心O的b距离处血液液层的速度为V b,距检测杯圆心O的a处血液液层处于静止状态,即a处液层的速度V a等于0;磁珠两侧液层的线速度满足以下关系:V a=0,V b=ωb;式中,a、b分别表示磁珠两侧到检测杯圆心O的距离;V a、V b分别表示磁珠两侧液层的线速度;磁珠两侧液层的剪变率等于该液层的速度梯度:
Figure PCTCN2021080698-appb-000002
式中
Figure PCTCN2021080698-appb-000003
表示磁珠两侧液层上的速度梯度;在磁珠上距离磁珠球心x距离处,取一微小的圆环状面元,该圆环状的面元的面积S近似为S=2πRd x,式中R表示磁珠的半径R;两相邻的血液流层间作用在磁珠该面元上的切向力为:F 切向力=2πτRd x,切向力对检测杯圆心O的力矩为:M′=2πτRd xa;则血液流层作用在磁珠整个受力球面的力矩M为
Figure PCTCN2021080698-appb-000004
其中
Figure PCTCN2021080698-appb-000005
Figure PCTCN2021080698-appb-000006
式中η表示待测血液的粘度,则M=πηωabR,血液凝固过程中分层流动的血液对磁珠产生的力矩M与血液的粘度η、检测杯转速ω、磁珠的半径R及磁珠到检测杯圆心O的距离a与b的乘积呈正相关关系。
Preferably, the angular velocity ω of the rotation of the detection cup (1) has the following relationship:
Figure PCTCN2021080698-appb-000001
In the formula, Φ is the rotation angle of the detection cup; t is the time it takes for the detection cup to rotate the Φ angle; ω is the angular velocity of the detection cup; The velocity of the liquid layer is V b , and the blood liquid layer at a distance from the center O of the detection cup is in a static state, that is, the velocity V a of the liquid layer at a is equal to 0; the linear velocity of the liquid layer on both sides of the magnetic bead satisfies the following relationship: V a =0 , V b =ωb; in the formula, a and b respectively represent the distance from both sides of the magnetic bead to the center O of the detection cup; Va and V b respectively represent the linear velocity of the liquid layer on both sides of the magnetic bead; The shear rate is equal to the velocity gradient of the liquid layer:
Figure PCTCN2021080698-appb-000002
in the formula
Figure PCTCN2021080698-appb-000003
Represents the velocity gradient on the liquid layer on both sides of the magnetic bead; at the distance x from the magnetic bead center on the magnetic bead, take a tiny annular surface element, the area S of the annular surface element is approximately S=2πRd x , where R represents the radius R of the magnetic bead; the tangential force acting on the surface of the magnetic bead between two adjacent blood flow layers is: F tangential force = 2πτRd x , the tangential force on the detection cup center O The moment is: M′=2πτRd x a; then the moment M of the blood flow layer acting on the entire force spherical surface of the magnetic bead is
Figure PCTCN2021080698-appb-000004
in
Figure PCTCN2021080698-appb-000005
Figure PCTCN2021080698-appb-000006
In the formula, η represents the viscosity of the blood to be tested, then M=πηωabR, the moment M generated by the stratified flow of blood to the magnetic beads during the blood coagulation process and the viscosity η of the blood, the rotation speed of the detection cup ω, the radius of the magnetic beads R and the magnetic beads The product of the distance a and b from the center O of the detection cup is positively correlated.
本发明提供了一种基于磁珠的血栓弹力图检测方法,其特征在于,包括以下步骤:The present invention provides a magnetic bead-based detection method for thromboelastometry, which is characterized by comprising the following steps:
带动盛有血液样本的检测杯(1)以预定的幅度和频率进行周期性的往复 转动;Drive the detection cup (1) containing the blood sample to periodically reciprocate with a predetermined amplitude and frequency;
使浸没在血液样本中的磁珠(4)随着检测杯周期性的往复转动而在血液样本中运动,所述磁珠(4)的运动幅度与血液的凝固强度正相关;The magnetic beads (4) immersed in the blood sample are moved in the blood sample along with the periodic reciprocating rotation of the detection cup, and the motion amplitude of the magnetic beads (4) is positively correlated with the coagulation strength of the blood;
通过角位移传感器(3)检测在血液样本中运动的磁珠(4)的运动幅度;The motion amplitude of the magnetic beads (4) moving in the blood sample is detected by the angular displacement sensor (3);
通过信号处理电路建立磁珠在血液样本中运动幅度的动态峰值曲线,并且通过信号处理电路对该动态峰值曲线进行分析。The dynamic peak curve of the motion amplitude of the magnetic beads in the blood sample is established by the signal processing circuit, and the dynamic peak curve is analyzed by the signal processing circuit.
优选的是,检测杯(1)往复转动的振幅角度大小范围为±2度至±20度。Preferably, the amplitude angle of the reciprocating rotation of the detection cup (1) ranges from ±2 degrees to ±20 degrees.
优选的是,检测杯(1)往复转动的周期为3秒至30秒。Preferably, the period of the reciprocating rotation of the detection cup (1) is 3 seconds to 30 seconds.
优选的是,所述磁珠(4)的直径尺寸为1mm至5mm。Preferably, the diameter of the magnetic beads (4) is 1 mm to 5 mm.
优选的是,检测杯的底面相对于水平面的倾斜夹角的范围为0-90度。Preferably, the inclination angle of the bottom surface of the detection cup relative to the horizontal plane ranges from 0 to 90 degrees.
优选的是,在所述检测杯侧面安装一磁体(5),向磁珠(4)提供磁力从而克服在凝血初期血液的粘弹性和磁珠的静摩擦力,以及保持检测过程中磁珠的运动幅度。Preferably, a magnet (5) is installed on the side of the detection cup to provide magnetic force to the magnetic beads (4) so as to overcome the viscoelasticity of blood and the static friction of the magnetic beads in the early stage of coagulation, and to maintain the movement of the magnetic beads during the detection process. magnitude.
优选的是,所述角位移传感器(3)的读数用于反映血液凝固过程中分层流动的血液对磁珠产生的力矩M,该读数与血液的粘度η、检测杯转速ω、磁珠的半径R及磁珠到检测杯圆心O的距离a与b的乘积呈正相关关系。Preferably, the reading of the angular displacement sensor (3) is used to reflect the moment M generated by the stratified flow of blood on the magnetic beads during the blood coagulation process, and the reading is related to the viscosity η of the blood, the rotational speed of the detection cup ω, and the magnetic bead. The radius R and the product of the distance a and b from the magnetic bead to the center O of the detection cup are positively correlated.
优选的是,所述检测杯(1)旋转的角速度ω具有如下关系:
Figure PCTCN2021080698-appb-000007
式中,Φ为检测杯转动的角度;t为检测杯转动Φ角所用的时间;ω为检测杯的角速度转速;在测试杯刚开始转动时,距检测杯圆心O的b距离处血液液层的速度为V b,距检测杯圆心O的a处血液液层处于静止状态,即a处液层的速度V a等于0;磁珠两侧液层的线速度满足以下关系:V a=0,V b=ωb;式中,a、b分别表示磁珠两侧到检测杯圆心O的距离;V a、V b分别表示磁珠两侧液层的线速度;磁珠两侧液层的剪变率等于该液层的速度梯度:
Figure PCTCN2021080698-appb-000008
;式中
Figure PCTCN2021080698-appb-000009
表示磁珠两侧液层上的速度梯度;在磁珠上距离磁珠球心x距离处,取一微小的圆环状面元,该圆环状的面元的面积S近似为S=2πRd x,式中R 表示磁珠的半径R;两相邻的血液流层间作用在磁珠该面元上的切向力为:F 切向力=2πτRd x,切向力对检测杯圆心O的力矩为:M′=2πτRd xa;则血液流层作用在磁珠整个受力球面的力矩M为
Figure PCTCN2021080698-appb-000010
其中
Figure PCTCN2021080698-appb-000011
式中η表示待测血液的粘度,则M=πηωabR,血液凝固过程中分层流动的血液对磁珠产生的力矩M与血液的粘度η、检测杯转速ω、磁珠的半径R及磁珠到检测杯圆心O的距离a与b的乘积呈正相关关系。
Preferably, the angular velocity ω of the rotation of the detection cup (1) has the following relationship:
Figure PCTCN2021080698-appb-000007
In the formula, Φ is the rotation angle of the detection cup; t is the time it takes for the detection cup to rotate the Φ angle; ω is the angular velocity of the detection cup; The velocity of the liquid layer is V b , and the blood liquid layer at a distance from the center O of the detection cup is in a static state, that is, the velocity V a of the liquid layer at a is equal to 0; the linear velocity of the liquid layer on both sides of the magnetic bead satisfies the following relationship: V a =0 , V b =ωb; in the formula, a and b respectively represent the distance from both sides of the magnetic bead to the center O of the detection cup; Va and V b respectively represent the linear velocity of the liquid layer on both sides of the magnetic bead; The shear rate is equal to the velocity gradient of the liquid layer:
Figure PCTCN2021080698-appb-000008
; in the formula
Figure PCTCN2021080698-appb-000009
Represents the velocity gradient on the liquid layer on both sides of the magnetic bead; at the distance x from the magnetic bead center on the magnetic bead, take a tiny annular surface element, the area S of the annular surface element is approximately S=2πRd x , where R represents the radius R of the magnetic bead; the tangential force acting on the surface element of the magnetic bead between two adjacent blood flow layers is: F tangential force = 2πτRd x , the tangential force on the detection cup center O The moment is: M′=2πτRd x a; then the moment M of the blood flow layer acting on the entire force spherical surface of the magnetic bead is
Figure PCTCN2021080698-appb-000010
in
Figure PCTCN2021080698-appb-000011
In the formula, η represents the viscosity of the blood to be tested, then M=πηωabR, the moment M generated by the stratified flow of blood to the magnetic beads during the blood coagulation process and the viscosity η of the blood, the rotation speed of the detection cup ω, the radius of the magnetic beads R and the magnetic beads The product of the distance a and b from the center O of the detection cup is positively correlated.
从而可见,本发明的检测装置及检测方法通过测量该角位移传感器读数,表示磁珠位置的变化幅度,利用该位置变化与血液凝固过程中分层流动的血液对磁珠产生的力矩M变化的正相关性,反映血液凝固变化,从而通过磁珠运动幅度的动态峰值曲线来实现血液凝固过程中TEG血栓弹力图的检测。本发明突破了传统的双磁路磁珠法的测量方式,实现了磁珠凝血检测及血栓弹力法检测的结合。Thus, it can be seen that the detection device and detection method of the present invention represent the change range of the position of the magnetic beads by measuring the reading of the angular displacement sensor, and use the position change and the change of the torque M generated by the blood flowing in layers during the blood coagulation process to the magnetic beads. The positive correlation reflects the changes of blood coagulation, so that the detection of TEG thrombelastogram in the process of blood coagulation can be realized through the dynamic peak curve of the motion amplitude of the magnetic beads. The invention breaks through the traditional double magnetic circuit magnetic bead method for measurement, and realizes the combination of magnetic bead coagulation detection and thromboelastometry detection.
本发明的其它特征和优点将在随后的说明书中阐述,并且,部分地从说明书中变得显而易见,或者通过实施本发明而了解。本发明的目的和其他优点可通过在所写的说明书、权利要求书、以及附图中所特别指出的结构来实现和获得。Other features and advantages of the present invention will be set forth in the description which follows, and in part will be apparent from the description, or may be learned by practice of the invention. The objectives and other advantages of the invention may be realized and attained by the structure particularly pointed out in the written description, claims, and drawings.
下面通过附图和实施例,对本发明的技术方案做进一步地详细描述。The technical solutions of the present invention will be described in further detail below through the accompanying drawings and embodiments.
附图说明Description of drawings
附图用来提供对本发明的进一步理解,并且构成说明书的一部分,与本发明的实施例一起用于解释本发明,并不构成对本发明的限制。在附图中:The accompanying drawings are used to provide a further understanding of the present invention, and constitute a part of the specification, and are used to explain the present invention together with the embodiments of the present invention, and do not constitute a limitation to the present invention. In the attached image:
图1为基于磁珠的血栓弹力图检测装置结构原理图;Fig. 1 is a schematic diagram of the structure of a magnetic bead-based thromboelastography detection device;
图2为基于磁珠的血栓弹力图检测方法流程图;Fig. 2 is the flow chart of the detection method of thrombelastography based on magnetic beads;
图3为磁珠运动幅度的动态峰值曲线的示意图;Fig. 3 is the schematic diagram of the dynamic peak curve of magnetic bead motion amplitude;
图4为磁珠在检测杯中受力分析图;Fig. 4 is the force analysis diagram of magnetic beads in the detection cup;
图5为检测杯中磁珠在血液中的运动轨迹图;Fig. 5 is the movement track diagram of magnetic beads in blood in the detection cup;
图6为磁珠力矩分析中磁珠面元及磁珠运动切面示意图。FIG. 6 is a schematic diagram of the surface element of the magnetic bead and the cross-section of the movement of the magnetic bead in the analysis of the magnetic bead moment.
具体实施方式Detailed ways
下面将参照附图更详细地描述本公开的示例性实施例。虽然附图中显示了本公开的示例性实施例,然而应当理解,可以以各种形式实现本公开而不应被这里阐述的实施例所限制。相反,提供这些实施例是为了能够更透彻地理解本公开,并且能够将本公开的范围完整的传达给本领域的技术人员。Exemplary embodiments of the present disclosure will be described in more detail below with reference to the accompanying drawings. While exemplary embodiments of the present disclosure are shown in the drawings, it should be understood that the present disclosure may be embodied in various forms and should not be limited by the embodiments set forth herein. Rather, these embodiments are provided so that the present disclosure will be more thoroughly understood, and will fully convey the scope of the present disclosure to those skilled in the art.
本发明实施例提供的一种基于磁珠的血栓弹力图检测装置和方法。本发明的检测装置和方法是结合常规的磁珠凝血检测及血栓弹力法检测技术,提出对全血凝固过程检测,反映血液凝固过程分层流动的全血血液对磁珠运动轨迹的直接影响。The embodiments of the present invention provide a magnetic bead-based thromboelastometry detection device and method. The detection device and method of the present invention combine the conventional magnetic bead coagulation detection and thromboelastometry detection technology, and propose the detection of the whole blood coagulation process, reflecting the direct influence of the stratified flow of whole blood in the blood coagulation process on the movement track of the magnetic beads.
图1是所述基于磁珠的血栓弹力图检测装置结构原理图。本发明的检测装置包括:检测杯1、转动部件2、角位移传感器3、磁珠4以及磁体5。所述检测杯1用于盛放血液样本,所述磁珠4放置于该检测杯1中,所述检测杯1中的血液样本能够浸没该磁珠4,且所述检测杯1中间有凸起,凸起周围留有供磁珠周期性运动的通道。所述转动部件2包括步进电机2a或凸轮,以及连接器2b,通过连接器2b使所述步进电机2a或凸轮与所述检测杯1连接;检测杯1在步进电机2a的带动下,以预定的幅度和频率进行周期性的往复转动;浸没在血液样本中的磁珠4随着周期性的往复转动而在血液样本中运动。在血液凝固的过程中,血液所产生的变化力矩M将推动磁珠运动,因此,磁珠4的运动幅度与血液的凝固强度有着直接的关系。故而,可以通过检测浸泡在血样中磁珠4的运动幅度,来反映血液凝固变化。所述角位移传感器3用于检测磁珠4的运动幅度,该传感器可以采用差动电感式角位移传感器,位于检测杯1的下方。该差动电感式角位移传感器3的测试面与检测杯1的底面平行,且检测杯1底面与水平面(也即角位移传感器3的测试面与水平面)呈一定的倾斜夹角α,如图所示。磁体5为永磁体,或者为可控磁力的电磁铁,安装于所述检 测杯侧面,用于向磁珠4提供一个磁力,该磁力用于克服在凝血初期磁珠与测试杯之间的静摩擦力以及血液样本与磁珠的初始粘附力,在检测杯开始转动时通过消除最初始的静摩擦力及血样粘附力,保持磁珠的静止状态;并且,该磁体5产生的磁力为恒力,可以减小后续测试过程中的磁珠运动幅度,保持磁珠的运动幅度始终在检测范围内。FIG. 1 is a schematic structural diagram of the magnetic bead-based thromboelastography detection device. The detection device of the present invention includes: a detection cup 1 , a rotating part 2 , an angular displacement sensor 3 , a magnetic bead 4 and a magnet 5 . The detection cup 1 is used for holding blood samples, the magnetic beads 4 are placed in the detection cup 1, the blood sample in the detection cup 1 can be submerged in the magnetic beads 4, and the detection cup 1 has a convex in the middle From the beginning, a channel for the periodic movement of the magnetic beads is left around the protrusion. The rotating part 2 includes a stepping motor 2a or a cam, and a connector 2b, through which the stepping motor 2a or the cam is connected to the detection cup 1; the detection cup 1 is driven by the stepping motor 2a , perform periodic reciprocating rotation with a predetermined amplitude and frequency; the magnetic beads 4 immersed in the blood sample move in the blood sample with the periodic reciprocating rotation. In the process of blood coagulation, the changing torque M generated by the blood will push the magnetic beads to move. Therefore, the movement range of the magnetic beads 4 is directly related to the coagulation strength of the blood. Therefore, changes in blood coagulation can be reflected by detecting the movement amplitude of the magnetic beads 4 immersed in the blood sample. The angular displacement sensor 3 is used to detect the movement amplitude of the magnetic beads 4 , and the sensor can be a differential inductive angular displacement sensor, which is located below the detection cup 1 . The test surface of the differential inductive angular displacement sensor 3 is parallel to the bottom surface of the detection cup 1, and the bottom surface of the detection cup 1 and the horizontal plane (that is, the test surface of the angular displacement sensor 3 and the horizontal plane) form a certain inclination angle α, as shown in the figure shown. The magnet 5 is a permanent magnet, or an electromagnet with a controllable magnetic force, and is installed on the side of the detection cup to provide a magnetic force to the magnetic bead 4, which is used to overcome the static friction between the magnetic bead and the test cup in the early stage of coagulation. force and the initial adhesion force between the blood sample and the magnetic beads, when the detection cup starts to rotate, by eliminating the initial static friction force and the blood sample adhesion force, the magnetic beads are kept in a static state; and the magnetic force generated by the magnet 5 is a constant force , which can reduce the movement amplitude of the magnetic beads in the subsequent testing process and keep the movement amplitude of the magnetic beads within the detection range.
其中,所述步进电机2a带动检测杯1进行周期性往复的转动,其转动的振幅角度大小范围为±2度~±20度,其中优选为±10度;往复周期为3秒30秒,其中优选为15秒。所述磁珠4的直径尺寸为1mm~5mm,优选为3mm。检测杯的底面相对于水平面的倾斜夹角α的范围为0-90度(即可水平,可垂直),优选为15度。磁体5靠近检测杯的末端与检测杯1内部磁珠距离该磁体末端最近面之间的距离为1mm-30mm,其中优选为18.4mm。Wherein, the stepper motor 2a drives the detection cup 1 to perform periodic reciprocating rotation, and the amplitude angle of the rotation ranges from ±2 degrees to ±20 degrees, preferably ±10 degrees; the reciprocating period is 3 seconds and 30 seconds, Among them, 15 seconds is preferable. The diameter of the magnetic beads 4 is 1 mm˜5 mm, preferably 3 mm. The range of the inclination angle α of the bottom surface of the detection cup relative to the horizontal plane is 0-90 degrees (that is, horizontal or vertical), preferably 15 degrees. The distance between the end of the magnet 5 close to the detection cup and the closest surface of the magnetic beads inside the detection cup 1 to the end of the magnet is 1 mm-30 mm, preferably 18.4 mm.
所述检测装置还包括信号处理电路,所述信号处理电路从所述角位移传感器3获得表示磁珠运动幅度的读数,所述读数与血液凝固过程中分层流动的血液对磁珠产生的力矩M相关,反映了血液凝固过程中血液粘度的变化。从而信号处理电路动态检测随着周期性旋转磁珠位置的变化,建立磁珠运动幅度的动态峰值曲线,如图3所示。并且,信号处理电路对该动态峰值曲线进行分析,分析过程包括对原始信号的包络信号提取,形成包络曲线,从而得出相关的结果,其测试结果与TEG血栓弹力图建立相关性,实现不同方法学的结果的统一。The detection device also includes a signal processing circuit, which obtains a reading representing the movement amplitude of the magnetic bead from the angular displacement sensor 3, and the reading is related to the torque generated by the blood flowing in layers during the blood coagulation process to the magnetic bead. M is correlated, reflecting changes in blood viscosity during blood coagulation. Therefore, the signal processing circuit dynamically detects the change of the position of the magnetic bead with the periodic rotation, and establishes a dynamic peak curve of the movement amplitude of the magnetic bead, as shown in FIG. 3 . In addition, the signal processing circuit analyzes the dynamic peak curve. The analysis process includes extracting the envelope signal of the original signal to form an envelope curve, so as to obtain relevant results. The test results are correlated with the TEG thromboelastometry to achieve Harmonization of results from different methodologies.
图2是本发明所述基于磁珠的血栓弹力图检测方法的流程图。该检测方法包括如下步骤:通过步进电机2a带动盛有血液样本的检测杯1以预定的幅度和频率进行周期性的往复转动。使浸没在血液样本中的磁珠4随着检测杯周期性的往复转动而在血液样本中运动。通过角位移传感器3检测在血液样本中运动的磁珠4的运动幅度。通过信号处理电路根据磁珠位置的变化,建立磁珠在血液样本中运动幅度的动态峰值曲线,并且通过信号处理电路对该动态峰值曲线进行分析,分析过程包括对原始信号的包络信号提取,形成包络曲线,从而得出相关的结果,其测试结果与TEG血栓弹力图建立相关性。其中,所述步进 电机2a带动检测杯1进行周期性往复的转动,其转动的振幅角度大小范围为±2度~±20度,其中优选为±10度;往复周期为3秒30秒,其中优选为15秒。所述磁珠4的直径尺寸为1mm~5mm,优选为3mm。检测杯的底面相对于水平面的倾斜夹角α的范围为0-90度(即可水平,可垂直),优选为15度。磁体5靠近检测杯的末端与检测杯1内部磁珠距离该磁体末端最近面之间的距离为1mm-30mm,其中优选为18.4mm。FIG. 2 is a flow chart of the magnetic bead-based thromboelastometry detection method of the present invention. The detection method includes the following steps: the detection cup 1 containing the blood sample is driven by the stepping motor 2a to periodically reciprocate at a predetermined amplitude and frequency. The magnetic beads 4 immersed in the blood sample are moved in the blood sample with the periodic reciprocating rotation of the detection cup. The motion amplitude of the magnetic beads 4 moving in the blood sample is detected by the angular displacement sensor 3 . The dynamic peak curve of the motion amplitude of the magnetic bead in the blood sample is established by the signal processing circuit according to the change of the position of the magnetic bead, and the dynamic peak curve is analyzed by the signal processing circuit. The analysis process includes the envelope signal extraction of the original signal, An envelope curve is formed, resulting in relevant results, the test results of which are correlated with TEG thromboelastometry. Wherein, the stepper motor 2a drives the detection cup 1 to perform periodic reciprocating rotation, and the amplitude angle of the rotation ranges from ±2 degrees to ±20 degrees, preferably ±10 degrees; the reciprocating period is 3 seconds and 30 seconds, Among them, 15 seconds is preferable. The diameter of the magnetic beads 4 is 1 mm˜5 mm, preferably 3 mm. The range of the inclination angle α of the bottom surface of the detection cup relative to the horizontal plane is 0-90 degrees (that is, horizontal or vertical), preferably 15 degrees. The distance between the end of the magnet 5 close to the detection cup and the closest surface of the magnetic beads inside the detection cup 1 to the end of the magnet is 1 mm-30 mm, preferably 18.4 mm.
下面结合图4-6,具体进行上述检测过程中磁珠力矩的分析。图4为磁珠在检测杯中受力分析图。图中阴影部分为血液样本在检测杯中的分布,测试杯中的血液将恰好覆盖磁珠。磁珠的受力具体有磁珠自身重力G、磁体对磁珠的磁力F 、血液对磁珠的浮力F 、检测杯对磁珠的支持力N、检测杯对磁珠的滚动摩擦力F 摩擦力及血液液层对磁珠的切向力F切向力等多个力的作用。其中F切向力是层流运动的血液施加给磁珠的压力,受血液粘弹性的变化而变化。F 用于克服在凝血初期血液没有凝固状态下的粘弹性。检测杯不转动时(如图4左图),磁珠将静止于测试杯底部,磁珠所受的上述多个力处于平衡的状态;随着检测杯的往复转动(如图4右图),检测杯对磁珠的滚动摩擦力F 摩擦力和血液对磁珠的浮力F 忽略不计。F 则由于磁珠的运动幅度小,认为它是一个恒力,与重力G、支持力N沿同一个方向的分力相互平衡。在磁珠的运动方向,F切向力即血液施加给磁珠的压力将推动磁珠滚动,并且随着血液的凝固F切向力逐渐增大,磁珠的运动幅度也将越来越大。 In the following, with reference to Figs. 4-6, the analysis of the magnetic bead torque in the above detection process is specifically carried out. Figure 4 is the force analysis diagram of the magnetic beads in the detection cup. The shaded part in the figure is the distribution of the blood sample in the test cup, and the blood in the test cup will just cover the magnetic beads. The force of the magnetic beads specifically includes the gravity of the magnetic beads G, the magnetic force F of the magnet to the magnetic beads, the buoyancy of the blood to the magnetic beads F float , the support force N of the detection cup to the magnetic beads, and the rolling friction force of the detection cup to the magnetic beads. The effect of F friction force and the tangential force F of the blood liquid layer on the magnetic beads F tangential force and other forces. The F tangential force is the pressure exerted on the magnetic beads by the blood in laminar flow, which is changed by the change of blood viscoelasticity. F magnetism is used to overcome the viscoelasticity of blood in the non-coagulated state at the initial stage of coagulation. When the detection cup does not rotate (as shown in the left picture of Figure 4), the magnetic beads will be stationary at the bottom of the test cup, and the above-mentioned forces on the magnetic beads are in a balanced state; with the reciprocating rotation of the detection cup (as shown in the right picture of Figure 4) , the rolling friction force F of the detection cup to the magnetic beads and the buoyant force F of the blood to the magnetic beads are ignored. Magnetic F is considered to be a constant force due to the small movement range of the magnetic beads, which is balanced with the component forces of gravity G and supporting force N in the same direction. In the movement direction of the magnetic beads, the F tangential force, that is, the pressure exerted by the blood on the magnetic beads, will push the magnetic beads to roll, and as the blood coagulates, the F tangential force gradually increases, and the movement amplitude of the magnetic beads will also become larger and larger. .
依据牛顿粘滞定律,血液在测试杯中做层流运动时,血液每一液层将对磁珠产生压力使得磁珠转动。如图5的检测杯俯视图所示,其中阴影部分为俯视下的检测杯中磁珠在血液中的运动轨迹图,在步进电机的带动下,检测杯以角速度ω旋转,带动液体分层流动,使磁珠受到血液液层压力作用,产生力矩M使磁珠转动。图5中a、b为磁珠两侧到检测杯圆心O的距离,并满足b=a+2R(R为磁珠的半径)。According to Newton's law of viscosity, when the blood moves in laminar flow in the test cup, each liquid layer of the blood will exert pressure on the magnetic beads to make the magnetic beads rotate. As shown in the top view of the detection cup in Figure 5, the shaded part is the trajectory of the magnetic beads in the blood in the detection cup from the top view. Driven by the stepping motor, the detection cup rotates at an angular velocity ω, which drives the liquid to flow in layers. , so that the magnetic beads are subjected to the pressure of the blood layer, and a torque M is generated to make the magnetic beads rotate. In Figure 5, a and b are the distances from both sides of the magnetic bead to the center O of the detection cup, and satisfy b=a+2R (R is the radius of the magnetic bead).
检测杯旋转的角速度ω具有如下关系:The angular velocity ω of the detection cup rotation has the following relationship:
Figure PCTCN2021080698-appb-000012
Figure PCTCN2021080698-appb-000012
式中,Φ为检测杯转动的角度(°);t为检测杯转动Φ角所用的时间(s);ω为检测杯的角速度转速(rad/s)。In the formula, Φ is the rotation angle of the detection cup (°); t is the time it takes for the detection cup to rotate the Φ angle (s); ω is the angular velocity of the detection cup (rad/s).
在测试杯刚开始转动时,距检测杯圆心O的b距离处(即与检测杯直接接触的液层)液层的速度为V b,距检测杯圆心O的a处液层处于静止状态,即a处液层的速度V a等于0。磁珠两侧液层的线速度满足以下关系: When the test cup just starts to rotate, the speed of the liquid layer at the distance b from the center O of the test cup (that is, the liquid layer in direct contact with the test cup) is V b , and the liquid layer at a distance from the center O of the test cup is in a static state, That is, the velocity Va of the liquid layer at a is equal to 0. The linear velocity of the liquid layer on both sides of the magnetic bead satisfies the following relationship:
V a=0          式2 Va = 0 Equation 2
V b=ωb         式3 V b =ωb Equation 3
式中,a、b分别表示磁珠两侧到检测杯圆心O的距离(cm)。V a、V b分别表示磁珠两侧液层的线速度。 In the formula, a and b respectively represent the distance (cm) from both sides of the magnetic bead to the center O of the detection cup. V a and V b represent the linear velocity of the liquid layer on both sides of the magnetic bead, respectively.
磁珠两侧液层的剪变率等于该液层的速度梯度:The shear rate of the liquid layer on both sides of the magnetic bead is equal to the velocity gradient of the liquid layer:
Figure PCTCN2021080698-appb-000013
Figure PCTCN2021080698-appb-000013
式中
Figure PCTCN2021080698-appb-000014
表示磁珠两侧液层上的速度梯度。
in the formula
Figure PCTCN2021080698-appb-000014
represents the velocity gradient across the liquid layer on both sides of the magnetic bead.
在磁珠球心x距离处,取一微小的圆环状面元,如图6所示。斜线所示圆环状的面元的面积S为:At the distance x from the center of the magnetic bead, take a tiny annular surface element, as shown in Figure 6. The area S of the annular surface element shown by the oblique line is:
Figure PCTCN2021080698-appb-000015
Figure PCTCN2021080698-appb-000015
得到get
Figure PCTCN2021080698-appb-000016
Figure PCTCN2021080698-appb-000016
式中y′为dy/dx;where y' is dy/dx;
上式存在高阶无穷小量,可近似为0;得The above formula has high-order infinitesimals, which can be approximated to 0;
S=2πRd x      式7 S=2πRd x Formula 7
式中R表示磁珠的半径R(cm)。In the formula, R represents the radius R (cm) of the magnetic bead.
设τ为单位面元上的剪应力,而两相邻流层间作用在任一层上的内摩擦力大小与两相邻层接触面积即S成正比,则作用在其上的切向力为:Let τ be the shear stress on the unit surface element, and the internal friction force acting on any layer between two adjacent flow layers is proportional to the contact area of the two adjacent layers, namely S, then the tangential force acting on it is :
F 切向力=2πτRd x      式8 F tangential force = 2πτRd x formula 8
此力对检测杯圆心O的力矩为:The moment of this force on the center O of the detection cup is:
M′=2πτRd xa      式9 M'=2πτRd x a Equation 9
则液体作用于磁珠的整个受力球面(半球面受粘滞力影响)的力矩M为:Then the moment M of the liquid acting on the entire force spherical surface of the magnetic bead (the hemisphere is affected by the viscous force) is:
Figure PCTCN2021080698-appb-000017
Figure PCTCN2021080698-appb-000017
根据牛顿粘滞定律得:According to Newton's Viscosity Law:
Figure PCTCN2021080698-appb-000018
Figure PCTCN2021080698-appb-000018
式中η表示待测血液的粘度。代入式10得:where η represents the viscosity of the blood to be tested. Substitute into Equation 10 to get:
Figure PCTCN2021080698-appb-000019
Figure PCTCN2021080698-appb-000019
M=πηωabR      式13M=πηωabR Equation 13
即:which is:
M∝ηωabR      式14M∝ηωabR Equation 14
式中∝表示正相关。where ∝ represents a positive correlation.
力矩M是作用在磁珠球面上的内摩擦力矩,平衡时此力矩与磁珠受力平衡所在位置相关,磁珠的位置通过差动电感式角位移传感器的读数来反映,因此该差动电感式角位移传感器的读数也就反映了平衡时磁珠的力矩。由式14可以看出,差动电感式角位移传感器的读数与血液的粘度η、检测杯转速ω、磁珠的半径R及磁珠到检测杯圆心O的距离a与b的乘积这四个参数呈正相关关系。其中检测杯的转速ω,又与检测杯转动的角度Φ和检测杯转动Φ角所用的时间t有关,即力矩M也与检测杯转动角度、转动时间有关。The torque M is the internal friction torque acting on the spherical surface of the magnetic bead. At equilibrium, this torque is related to the position where the force of the magnetic bead is balanced. The position of the magnetic bead is reflected by the reading of the differential inductance angular displacement sensor. Therefore, the differential inductance The reading of the angular displacement sensor also reflects the moment of the magnetic bead at equilibrium. It can be seen from Equation 14 that the reading of the differential inductive angular displacement sensor is the product of the blood viscosity η, the detection cup rotation speed ω, the radius R of the magnetic bead and the distance a and b from the magnetic bead to the detection cup center O. The parameters are positively correlated. The rotation speed ω of the detection cup is related to the rotation angle Φ of the detection cup and the time t used to detect the rotation angle Φ of the detection cup, that is, the torque M is also related to the rotation angle and rotation time of the detection cup.
从而可见,本发明的检测装置及检测方法通过测量该角位移传感器读数,表示磁珠位置的变化幅度,利用该位置变化与血液凝固过程中分层流动的血液对磁珠产生的力矩M变化的正相关性,反映血液凝固变化,从而通过磁珠运动幅度的动态峰值曲线来实现血液凝固过程中TEG血栓弹力图的检测。本发明突破了传统的双磁路磁珠法的测量方式,实现了磁珠凝血检测及血栓弹力法检 测的结合。Thus, it can be seen that the detection device and detection method of the present invention represent the change range of the position of the magnetic beads by measuring the reading of the angular displacement sensor, and use the position change and the change of the torque M generated by the blood flowing in layers during the blood coagulation process to the magnetic beads. The positive correlation reflects the changes of blood coagulation, so that the detection of TEG thrombelastogram in the process of blood coagulation can be realized through the dynamic peak curve of the motion amplitude of the magnetic beads. The invention breaks through the traditional double magnetic circuit magnetic bead method for measurement, and realizes the combination of magnetic bead coagulation detection and thromboelastometry detection.
需要说明的是,在本文中,诸如第一和第二等之类的关系术语仅仅用来将一个实体或者操作与另一个实体或者操作区分开来,而不一定要求或者暗示这些实体或者操作之间存在任何这种实际的关系或者顺序。而且,属于“包括”、“包含”或者任何其他变体意在涵盖非他性的包含,从而使得包括一系列要素的过程、方法、物品或者设备不仅包括哪些要素,而且还包括没有明确列出的其他要素,或者是还包括为这种过程、方法、物品或者设备所固有的要素。在没有更多限制的情况下,由术语句“包括一个......限定的要素,并不排除在包括所述要素的过程、方法、物品或者设备中还存在另外的相同要素”。It should be noted that, in this document, relational terms such as first and second are only used to distinguish one entity or operation from another entity or operation, and do not necessarily require or imply that these entities or operations are the same. any such actual relationship or sequence exists. Also, reference to "comprising", "comprising" or any other variation is intended to cover non-exclusive inclusion, whereby a process, method, article or device that includes a list of elements includes not only which elements but also not explicitly listed or other elements inherent to such a process, method, article or apparatus. Without further limitation, the term "comprising an element defined does not preclude the presence of additional identical elements in a process, method, article or apparatus comprising said element".
显然,本领域的技术人员可以对本发明进行各种改动和变型而不脱离本发明的精神和范围。这样,倘若本发明的这些修改和变型属于本发明权利要求及其等同技术的范围之内,则本发明也意图包含这些改动和变型在内。It will be apparent to those skilled in the art that various modifications and variations can be made in the present invention without departing from the spirit and scope of the invention. Thus, provided that these modifications and variations of the present invention fall within the scope of the claims of the present invention and their equivalents, the present invention is also intended to include these modifications and variations.

Claims (20)

  1. 一种基于磁珠的血栓弹力图检测装置,其特征在于,包括:检测杯(1)、转动部件(2)、角位移传感器(3)、磁珠(4)以及磁体(5);A magnetic bead-based thromboelastometry detection device, characterized by comprising: a detection cup (1), a rotating part (2), an angular displacement sensor (3), a magnetic bead (4) and a magnet (5);
    所述检测杯(1)用于盛放血液样本;The detection cup (1) is used for holding blood samples;
    所述转动部件(2)用于带动所述检测杯(1)以预定的幅度和频率进行周期性的往复转动;The rotating component (2) is used to drive the detection cup (1) to periodically reciprocate with a predetermined amplitude and frequency;
    所述磁珠(4)放置于该检测杯(1)中,所述检测杯(1)中的血液样本能够浸没该磁珠(4);所述磁珠(4)随着周期性的往复转动而在血液样本中运动,磁珠(4)的运动幅度与血液的凝固强度正相关;The magnetic beads (4) are placed in the detection cup (1), and the blood sample in the detection cup (1) can immerse the magnetic beads (4); the magnetic beads (4) reciprocate periodically Rotating and moving in the blood sample, the movement amplitude of the magnetic beads (4) is positively correlated with the coagulation strength of the blood;
    所述角位移传感器(3)用于检测磁珠(4)在血液中的运动幅度,所述角位移传感器(3)位于检测杯(1)的下方;The angular displacement sensor (3) is used for detecting the movement amplitude of the magnetic beads (4) in the blood, and the angular displacement sensor (3) is located below the detection cup (1);
    磁体(5)安装于所述检测杯侧面,用于向磁珠(4)提供磁力从而克服在凝血初期血液的粘弹性和磁珠的静摩擦力,以及保持检测过程中磁珠的运动幅度。The magnet (5) is installed on the side of the detection cup for providing magnetic force to the magnetic beads (4) to overcome the viscoelasticity of blood and the static friction force of the magnetic beads in the early stage of coagulation, and to maintain the movement range of the magnetic beads during the detection process.
  2. 根据权利要求1所述的基于磁珠的血栓弹力图检测装置,其特征在于,所述检测杯(1)中间有凸起,凸起周围留有供磁珠周期性运动的通道The magnetic bead-based thromboelastometry detection device according to claim 1, wherein the detection cup (1) has a protrusion in the middle, and a channel for the periodic movement of the magnetic beads is left around the protrusion.
  3. 根据权利要求1所述的基于磁珠的血栓弹力图检测装置,其特征在于,所述转动部件(2)包括步进电机(2a)或凸轮,以及连接器(2b),通过连接器(2b)使所述步进电机(2a)或凸轮与所述检测杯(1)连接。The magnetic bead-based thromboelastometry detection device according to claim 1, characterized in that, the rotating part (2) comprises a stepper motor (2a) or a cam, and a connector (2b), through which the connector (2b) ) to connect the stepper motor (2a) or the cam with the detection cup (1).
  4. 根据权利要求1所述的基于磁珠的血栓弹力图检测装置,其特征在于,所述磁体(5)是永磁体,或者是可控磁力的电磁铁。The magnetic bead-based thromboelastometry detection device according to claim 1, wherein the magnet (5) is a permanent magnet or an electromagnet with a controllable magnetic force.
  5. 根据权利要求1所述的基于磁珠的血栓弹力图检测装置,其特征在于,检测杯(1)往复转动的振幅角度大小范围为±2度至±20度。The magnetic bead-based thromboelastometry detection device according to claim 1, characterized in that, the amplitude angle of the reciprocating rotation of the detection cup (1) ranges from ±2 degrees to ±20 degrees.
  6. 根据权利要求1所述的基于磁珠的血栓弹力图检测装置,其特征在于,检测杯(1)往复转动的周期为3秒至30秒。The magnetic bead-based thromboelastometry detection device according to claim 1, characterized in that the period of the reciprocating rotation of the detection cup (1) is 3 seconds to 30 seconds.
  7. 根据权利要求1所述的基于磁珠的血栓弹力图检测装置,其特征在于, 所述磁珠(4)的直径尺寸为1mm至5mm。The magnetic bead-based thromboelastography detection device according to claim 1, characterized in that, the diameter of the magnetic bead (4) is 1 mm to 5 mm.
  8. 根据权利要求1所述的基于磁珠的血栓弹力图检测装置,其特征在于,检测杯的底面相对于水平面的倾斜夹角的范围为0-90度。The magnetic bead-based thromboelastometry detection device according to claim 1, wherein the inclination angle of the bottom surface of the detection cup relative to the horizontal plane ranges from 0 to 90 degrees.
  9. 根据权利要求1所述的基于磁珠的血栓弹力图检测装置,其特征在于,所述磁体(5)靠近检测杯的末端与检测杯(1)内部磁珠距离该磁体末端最近面之间的距离为1mm至30mm。The magnetic bead-based thromboelastometry detection device according to claim 1, characterized in that, the distance between the end of the magnet (5) close to the detection cup and the surface of the inner magnetic bead in the detection cup (1) closest to the end of the magnet The distance is 1mm to 30mm.
  10. 根据权利要求1所述的基于磁珠的血栓弹力图检测装置,其特征在于,所述检测装置还包括信号处理电路,所述信号处理电路用于从所述角位移传感器(3)获得表示磁珠运动幅度的读数,并且建立磁珠运动幅度的动态峰值曲线,对该动态峰值曲线进行分析。The magnetic bead-based thromboelastography detection device according to claim 1, characterized in that, the detection device further comprises a signal processing circuit, and the signal processing circuit is used to obtain a magnetic representation from the angular displacement sensor (3) The readings of the bead movement amplitude are established, and the dynamic peak curve of the magnetic bead movement amplitude is established, and the dynamic peak curve is analyzed.
  11. 根据权利要求1所述的基于磁珠的血栓弹力图检测装置,其特征在于,所述角位移传感器(3)的读数用于反映血液凝固过程中分层流动的血液对磁珠产生的力矩M,该读数与血液的粘度η、检测杯转速ω、磁珠的半径R及磁珠到检测杯圆心O的距离a与b的乘积呈正相关关系。The magnetic bead-based thromboelastometry detection device according to claim 1, wherein the reading of the angular displacement sensor (3) is used to reflect the torque M generated by the stratified blood flowing in the blood coagulation process to the magnetic beads , the reading is positively correlated with the blood viscosity η, the detection cup rotation speed ω, the magnetic bead radius R and the product of the distance a and b from the magnetic bead to the detection cup center O.
  12. 根据权利要求9所述的基于磁珠的血栓弹力图检测装置,其特征在于,所述检测杯(1)旋转的角速度ω具有如下关系:
    Figure PCTCN2021080698-appb-100001
    式中,Φ为检测杯转动的角度;t为检测杯转动Φ角所用的时间;ω为检测杯的角速度转速;在测试杯刚开始转动时,距检测杯圆心O的b距离处血液液层的速度为V b,距检测杯圆心O的a处血液液层处于静止状态,即a处液层的速度V a等于0;磁珠两侧液层的线速度满足以下关系:V a=0,V b=ωb;式中,a、b分别表示磁珠两侧到检测杯圆心O的距离;V a、V b分别表示磁珠两侧液层的线速度;磁珠两侧液层的剪变率等于该液层的速度梯度:
    Figure PCTCN2021080698-appb-100002
    式中
    Figure PCTCN2021080698-appb-100003
    表示磁珠两侧液层上的速度梯度;在磁珠上距离磁珠球心x距离处,取一微小的圆环状面元,该圆环状的面元的面积S近似为S=2πRd x,式中R表示磁珠的半径R;两相邻的血液流层间作用在磁珠该面元上的切向力为: F 切向力=2πτRd x,切向力对检测杯圆心O的力矩为:M′=2πτRd xa;则血液流层作用在磁珠整个受力球面的力矩M为
    Figure PCTCN2021080698-appb-100004
    其中
    Figure PCTCN2021080698-appb-100005
    Figure PCTCN2021080698-appb-100006
    式中η表示待测血液的粘度,则M=πηωabR,血液凝固过程中分层流动的血液对磁珠产生的力矩M与血液的粘度η、检测杯转速ω、磁珠的半径R及磁珠到检测杯圆心O的距离a与b的乘积呈正相关关系。
    The magnetic bead-based thromboelastometry detection device according to claim 9, wherein the angular velocity ω of the rotation of the detection cup (1) has the following relationship:
    Figure PCTCN2021080698-appb-100001
    In the formula, Φ is the rotation angle of the detection cup; t is the time it takes for the detection cup to rotate the Φ angle; ω is the angular velocity of the detection cup; The velocity of the liquid layer is V b , and the blood liquid layer at a distance from the center O of the detection cup is in a static state, that is, the velocity V a of the liquid layer at a is equal to 0; the linear velocity of the liquid layer on both sides of the magnetic bead satisfies the following relationship: V a =0 , V b =ωb; in the formula, a and b respectively represent the distance from both sides of the magnetic bead to the center O of the detection cup; Va and V b respectively represent the linear velocity of the liquid layer on both sides of the magnetic bead; The shear rate is equal to the velocity gradient of the liquid layer:
    Figure PCTCN2021080698-appb-100002
    in the formula
    Figure PCTCN2021080698-appb-100003
    Represents the velocity gradient on the liquid layer on both sides of the magnetic bead; at the distance x from the magnetic bead center on the magnetic bead, take a tiny annular surface element, the area S of the annular surface element is approximately S=2πRd x , where R represents the radius R of the magnetic bead; the tangential force acting on the surface element of the magnetic bead between two adjacent blood flow layers is: F tangential force =2πτRd x , the tangential force on the detection cup center O The moment is: M′=2πτRd x a; then the moment M of the blood flow layer acting on the entire force spherical surface of the magnetic bead is
    Figure PCTCN2021080698-appb-100004
    in
    Figure PCTCN2021080698-appb-100005
    Figure PCTCN2021080698-appb-100006
    In the formula, η represents the viscosity of the blood to be tested, then M=πηωabR, the moment M generated by the stratified flow of blood to the magnetic beads during the blood coagulation process and the viscosity η of the blood, the rotation speed of the detection cup ω, the radius of the magnetic beads R and the magnetic beads The product of the distance a and b from the center O of the detection cup is positively correlated.
  13. 一种基于磁珠的血栓弹力图检测方法,其特征在于,包括以下步骤:A magnetic bead-based method for detecting thromboelastography, comprising the following steps:
    带动盛有血液样本的检测杯(1)以预定的幅度和频率进行周期性的往复转动;Drive the detection cup (1) containing the blood sample to periodically reciprocate with a predetermined amplitude and frequency;
    使浸没在血液样本中的磁珠(4)随着检测杯周期性的往复转动而在血液样本中运动,所述磁珠(4)的运动幅度与血液的凝固强度正相关;The magnetic beads (4) immersed in the blood sample are moved in the blood sample along with the periodic reciprocating rotation of the detection cup, and the motion amplitude of the magnetic beads (4) is positively correlated with the coagulation strength of the blood;
    通过角位移传感器(3)检测在血液样本中运动的磁珠(4)的运动幅度;The motion amplitude of the magnetic beads (4) moving in the blood sample is detected by the angular displacement sensor (3);
    通过信号处理电路建立磁珠在血液样本中运动幅度的动态峰值曲线,并且通过信号处理电路对该动态峰值曲线进行分析。The dynamic peak curve of the motion amplitude of the magnetic beads in the blood sample is established by the signal processing circuit, and the dynamic peak curve is analyzed by the signal processing circuit.
  14. 根据权利要求13所述的基于磁珠的血栓弹力图检测方法,其特征在于,检测杯(1)往复转动的振幅角度大小范围为±2度至±20度。The magnetic bead-based thromboelastometry detection method according to claim 13, characterized in that the amplitude and angle of the reciprocating rotation of the detection cup (1) ranges from ±2 degrees to ±20 degrees.
  15. 根据权利要求13所述的基于磁珠的血栓弹力图检测方法,其特征在于,检测杯(1)往复转动的周期为3秒至30秒。The magnetic bead-based thromboelastometry detection method according to claim 13, characterized in that, the period of the reciprocating rotation of the detection cup (1) is 3 seconds to 30 seconds.
  16. 根据权利要求13所述的基于磁珠的血栓弹力图检测方法,其特征在于,所述磁珠(4)的直径尺寸为1mm至5mm。The magnetic bead-based thromboelastometry detection method according to claim 13, wherein the magnetic bead (4) has a diameter of 1 mm to 5 mm.
  17. 根据权利要求13所述的基于磁珠的血栓弹力图检测方法,其特征在于,检测杯的底面相对于水平面的倾斜夹角的范围为0-90度。The magnetic bead-based thromboelastometry detection method according to claim 13, wherein the range of the inclination angle of the bottom surface of the detection cup relative to the horizontal plane is 0-90 degrees.
  18. 根据权利要求13所述的基于磁珠的血栓弹力图检测方法,其特征在于,在所述检测杯侧面安装一磁体(5),向磁珠(4)提供磁力从而克服在凝血初期血液的粘弹性和磁珠的静摩擦力,以及保持检测过程中磁珠的运动幅度。The method for detecting thromboelastography based on magnetic beads according to claim 13, characterized in that a magnet (5) is installed on the side of the detection cup to provide magnetic force to the magnetic beads (4) to overcome the viscosity of blood in the initial stage of coagulation. Elasticity and static friction of magnetic beads, as well as maintaining the range of motion of magnetic beads during detection.
  19. 根据权利要求13所述的基于磁珠的血栓弹力图检测方法,其特征在 于,所述角位移传感器(3)的读数用于反映血液凝固过程中分层流动的血液对磁珠产生的力矩M,该读数与血液的粘度η、检测杯转速ω、磁珠的半径R及磁珠到检测杯圆心O的距离a与b的乘积呈正相关关系。The magnetic bead-based thromboelastometry detection method according to claim 13, characterized in that, the reading of the angular displacement sensor (3) is used to reflect the torque M generated by the stratified blood flowing in the blood coagulation process to the magnetic beads , the reading is positively correlated with the blood viscosity η, the detection cup rotation speed ω, the magnetic bead radius R and the product of the distance a and b from the magnetic bead to the detection cup center O.
  20. 根据权利要求19所述的基于磁珠的血栓弹力图检测方法,其特征在于,所述检测杯(1)旋转的角速度ω具有如下关系:
    Figure PCTCN2021080698-appb-100007
    式中,Φ为检测杯转动的角度;t为检测杯转动Φ角所用的时间;ω为检测杯的角速度转速;在测试杯刚开始转动时,距检测杯圆心O的b距离处血液液层的速度为V b,距检测杯圆心O的a处血液液层处于静止状态,即a处液层的速度V a等于0;磁珠两侧液层的线速度满足以下关系:V a=0,V b=ωb;式中,a、b分别表示磁珠两侧到检测杯圆心O的距离;V a、V b分别表示磁珠两侧液层的线速度;磁珠两侧液层的剪变率等于该液层的速度梯度:
    Figure PCTCN2021080698-appb-100008
    ;式中
    Figure PCTCN2021080698-appb-100009
    表示磁珠两侧液层上的速度梯度;在磁珠上距离磁珠球心x距离处,取一微小的圆环状面元,该圆环状的面元的面积S近似为S=2πRd x,式中R表示磁珠的半径R;两相邻的血液流层间作用在磁珠该面元上的切向力为:F 切向力=2πτRd x,切向力对检测杯圆心O的力矩为:M′=2πτRd xa;则血液流层作用在磁珠整个受力球面的力矩M为
    Figure PCTCN2021080698-appb-100010
    其中
    Figure PCTCN2021080698-appb-100011
    式中η表示待测血液的粘度,则M=πηωabR,血液凝固过程中分层流动的血液对磁珠产生的力矩M与血液的粘度η、检测杯转速ω、磁珠的半径R及磁珠到检测杯圆心O的距离a与b的乘积呈正相关关系。
    The magnetic bead-based thromboelastometry detection method according to claim 19, wherein the angular velocity ω of the rotation of the detection cup (1) has the following relationship:
    Figure PCTCN2021080698-appb-100007
    In the formula, Φ is the rotation angle of the detection cup; t is the time it takes for the detection cup to rotate the Φ angle; ω is the angular velocity of the detection cup; The velocity of the liquid layer is V b , and the blood liquid layer at a distance from the center O of the detection cup is in a static state, that is, the velocity V a of the liquid layer at a is equal to 0; the linear velocity of the liquid layer on both sides of the magnetic bead satisfies the following relationship: V a =0 , V b =ωb; in the formula, a and b respectively represent the distance from both sides of the magnetic bead to the center O of the detection cup; Va and V b respectively represent the linear velocity of the liquid layer on both sides of the magnetic bead; The shear rate is equal to the velocity gradient of the liquid layer:
    Figure PCTCN2021080698-appb-100008
    ; in the formula
    Figure PCTCN2021080698-appb-100009
    Represents the velocity gradient on the liquid layer on both sides of the magnetic bead; at the distance x from the magnetic bead center on the magnetic bead, take a tiny annular surface element, the area S of the annular surface element is approximately S=2πRd x , where R represents the radius R of the magnetic bead; the tangential force acting on the surface of the magnetic bead between two adjacent blood flow layers is: F tangential force = 2πτRd x , the tangential force on the detection cup center O The moment is: M′=2πτRd x a; then the moment M of the blood flow layer acting on the entire force spherical surface of the magnetic bead is
    Figure PCTCN2021080698-appb-100010
    in
    Figure PCTCN2021080698-appb-100011
    In the formula, η represents the viscosity of the blood to be tested, then M=πηωabR, the moment M generated by the stratified flow of blood to the magnetic beads during the blood coagulation process and the viscosity η of the blood, the rotation speed of the detection cup ω, the radius of the magnetic beads R and the magnetic beads The product of the distance a and b from the center O of the detection cup is positively correlated.
PCT/CN2021/080698 2021-03-12 2021-03-15 Magnetic bead based thrombelastogram detection device and method WO2022188189A1 (en)

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