Cartridge device for a measuring system for measuring viscoelastic characteristics of a sample liquid, a corresponding measuring system, and a corresponding method
11360106 · 2022-06-14
Inventors
Cpc classification
B01L2300/0636
PERFORMING OPERATIONS; TRANSPORTING
B01L2300/0627
PERFORMING OPERATIONS; TRANSPORTING
B01L2200/10
PERFORMING OPERATIONS; TRANSPORTING
G01N11/00
PHYSICS
B01L3/502
PERFORMING OPERATIONS; TRANSPORTING
G01N33/86
PHYSICS
B01L2400/0475
PERFORMING OPERATIONS; TRANSPORTING
B01L2300/0861
PERFORMING OPERATIONS; TRANSPORTING
B01L3/52
PERFORMING OPERATIONS; TRANSPORTING
B01L2300/087
PERFORMING OPERATIONS; TRANSPORTING
International classification
G01N33/86
PHYSICS
B01L3/00
PERFORMING OPERATIONS; TRANSPORTING
G01N11/00
PHYSICS
Abstract
The present invention is directed to a cartridge device for a measuring system for measuring viscoelastic characteristics of a sample liquid, in particular a blood sample, comprising a cartridge body having at least one measurement cavity formed therein and having at least one probe element arranged in said at least one measurement cavity for performing a test on said sample liquid; and a cover being attachable on said cartridge body; wherein said cover covers at least partially said at least one measurement cavity and forms a retaining element for retaining said probe element in a predetermined position within said at least one measurement cavity. The invention is directed to a measurement system and a method for measuring viscoelastic characteristics of a sample liquid.
Claims
1. A system comprising: a cartridge comprising: a first liquid transport path configured to receive a first portion of a blood sample via a first cavity, the first liquid transport path comprising a first reagent cavity containing a first reagent; a first testing cavity that is usable to measure a viscoelastic characteristic associated with a first liquid formed by mixing the first portion of the blood sample and the first reagent, and a first pathway from the first cavity to the first liquid transport path, the first pathway being configured to move the first portion of the blood sample from a bottom of the first cavity and into the first liquid transport path; and a second liquid transport path configured to receive a second portion of a blood sample; the second liquid transport path comprising a second reagent cavity containing a second reagent, and a second testing cavity that is usable to measure a viscoelastic characteristic associated with a second liquid formed by mixing the second portion of the blood sample and the second reagent; and a control apparatus configured to control flow of liquid through the first liquid transport path and through the second liquid transport path, and to obtain data based on the first and second liquids, wherein at least one of the first reagent or the second reagent comprises globules having diameters that inhibit movement of the globules through the first liquid transport path or the second liquid transport path absent at least some dissolution of the globules.
2. The system of claim 1, wherein: the first liquid transport path comprises a first duct for interconnecting at least the first reagent cavity and the first testing cavity, and a second duct for interconnecting at least the second reagent cavity and the second testing cavity; and each of the first and second reagent cavities comprises a reagent or combination of reagents comprising at least: a first reagent to activate coagulation; and a second reagent to activate coagulation.
3. The system of claim 2, wherein the first reagent and the second reagent activate different parts of a coagulation cascade.
4. The system of claim 3, wherein the cartridge comprises: a third liquid transport path configured to receive a third portion of a blood sample, the third liquid transport path comprising a third reagent cavity containing a third reagent, and a third testing cavity that is usable to measure a viscoelastic characteristic associated with a third liquid formed by mixing the third portion of the blood sample and the third reagent; and wherein the third reagent is different from the first reagent and the second reagent.
5. The system of claim 4, wherein: the first reagent or the second reagent is for extrinsic activation of a portion of the test sample; and the third reagent is for intrinsic activation of a portion of the test sample.
6. The system of claim 2, wherein the first liquid transport path comprises a first probe configured for measuring the viscoelastic characteristic associated with the first liquid; and wherein the second liquid transport path comprises a second probe configured for measuring the viscoelastic characteristic associated with the second liquid.
7. The system of claim 6, further comprising: a first detector to detect first information based on an output of the first probe, the first information being usable to determine the viscoelastic characteristic associated with the first liquid; and a second detector to detect second information based on an output of the second probe, the second information being usable to determine the viscoelastic characteristic associated with the second liquid.
8. The system of claim 2, wherein the blood sample is received into the cartridge via a needle.
9. The system of claim 1, wherein the control apparatus is configured to interact at least one of electrically or mechanically with the cartridge to control the flow of liquid.
10. The system of claim 1, further comprising one or more pumps to implement pressure changes to control flow of liquids along the first liquid transport path and the second liquid transport path.
11. The system of claim 1, wherein the first reagent cavity comprises a first structure along the first liquid transport path where the first reagent is deposited; and wherein the second reagent cavity comprises a second structure along the second liquid transport path where the second reagent is deposited.
12. The system of claim 1, wherein the first reagent cavity comprises a first cavity formed in the first liquid transport path where the first reagent is deposited; and wherein the second reagent cavity comprises a second cavity formed in the second liquid transport path where the second reagent is deposited.
13. The system of claim 1, wherein the second liquid transport path comprises a second pathway to receive the second portion of the blood sample; and wherein the first pathway is different from the second pathway.
14. A method of using the system of claim 1, the method comprising: placing the cartridge in a measuring system comprising the control apparatus; and after placing the cartridge in the measuring system, controlling pressure in the cartridge to draw the first portion of the blood sample into the first liquid transport path from the bottom of the first cavity.
15. The system of claim 1, wherein the globules have diameters that prevent movement of the globules into the first liquid transport path or the second liquid transport path absent at least some dissolution of the globules.
16. A system comprising: a cartridge comprising: a first liquid transport path configured to receive a first portion of a blood sample via a first cavity, the first liquid transport path comprising a first reagent cavity containing a first reagent, a first testing cavity that is usable to measure a viscoelastic characteristic associated with a first liquid formed by mixing the first portion of the blood sample and the first reagent, and a first pathway from the first cavity to the first liquid transport path, the first pathway being configured to move the first portion of the blood sample from a bottom of the first cavity and into the first liquid transport path; and a second liquid transport path configured to receive a second portion of a blood sample; the second liquid transport path comprising a second reagent cavity containing a second reagent, and a second testing cavity that is usable to measure a viscoelastic characteristic associated with a second liquid formed by mixing the second portion of the blood sample and the second reagent; and a control apparatus configured to control flow of liquid through the first liquid transport path and through the second liquid transport path, and to obtain data based on the first and second liquids; wherein at least one of the first reagent or the second reagent comprises objects having dimensions that inhibit movement of the objects through the first liquid transport path or the second liquid transport path absent at least some dissolution of the objects.
17. The system of claim 16, wherein the control apparatus is configured to interact at least one of electrically or mechanically with the cartridge to control the flow of liquid.
18. The system of claim 16, further comprising one or more pumps to implement pressure changes to control flow of liquids along the first liquid transport path and the second liquid transport path.
19. The system of claim 16, wherein the first reagent cavity comprises a first structure along the first liquid transport path where the first reagent is deposited; and wherein the second reagent cavity comprises a second structure along the second liquid transport path where the second reagent is deposited.
20. The system of claim 16, wherein the first reagent cavity comprises a first cavity formed in the first liquid transport path where the first reagent is deposited; and wherein the second reagent cavity comprises a second cavity formed in the second liquid transport path where the second reagent is deposited.
21. The system of claim 16, wherein the second liquid transport path comprises a second pathway to receive the second portion of the blood sample; and wherein the first pathway is different from the second path way.
22. The system of claim 16, wherein: the first liquid transport path comprises a first duct for interconnecting at least the first reagent cavity and the first testing cavity, and a second duct for interconnecting at least the second reagent cavity and the second testing cavity; and each of the first and second reagent cavities comprises a reagent or combination of reagents comprising at least: a first reagent to activate coagulation; and a second reagent to activate coagulation.
23. The system of claim 22, wherein the first reagent and the second reagent activate different parts of a coagulation cascade.
24. The system of claim 23, wherein the cartridge comprises: a third liquid transport path configured to receive a third portion of a blood sample, the third liquid transport path comprising a third reagent cavity containing a third reagent, a third testing cavity that is usable to measure a viscoelastic characteristic associated with a third liquid formed by mixing the third portion of the blood sample and the third reagent; and wherein the third reagent is different from the first reagent and the second reagent.
25. The system of claim 24, wherein: the first reagent or the second reagent is for extrinsic activation of a portion of the test sample; and the third reagent is for intrinsic activation of a portion of the test sample.
26. The system of claim 16, wherein the first liquid transport path comprises a first probe configured for measuring the viscoelastic characteristic associated with the first liquid; and wherein the second liquid transport path comprises a second probe configured for measuring the viscoelastic characteristic associated with the second liquid.
27. The system of claim 26, further comprising: a first detector to detect first information based on an output of the first probe, the first information being usable to determine the viscoelastic characteristic associated with the first liquid; and a second detector to detect second information based on an output of the second probe, the second information being usable to determine the viscoelastic characteristic associated with the second liquid.
28. The system of claim 16, wherein the blood sample is received into the cartridge via a needle.
29. The system of claim 16, wherein the objects have dimensions that prevent movement of the objects into the first liquid transport path or the second liquid transport path absent at least some dissolution of the objects.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) The figures are showing the following:
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
(25)
DESCRIPTION OF EXEMPLARY EMBODIMENTS
(26) Parts and components having same functions are depicted with same references.
(27) Prior to a detailed description of the preferred embodiments the basic features and a basic practical implementation are summoned as follows. All embodiments refer to a cartridge device 50 (see
(28) A first embodiment of a cartridge device 50 of the invention will be described with reference to
(29) In this embodiment the receiving cavity 16 consists of a cavity within the cartridge device 50. The sample liquid 1 can be applied by means of a syringe, pipette etc, e.g. through a self sealing cap shown as a receiving cavity cover 330a in
(30) In an alternative embodiment the reagent cavity 19 is integral formed with the pump means 18 and/or with the measurement cavity 20 and/or with the ductwork. The transport of the sample liquid 1 can be controlled by said control apparatus.
(31)
(32) It is apparent to a person skilled in the art that in order to achieve a maximum benefit for a user different types of tests can be combined in one cartridge device 50.
(33) In a preferred embodiment the cartridge device 50 comprises four arrangements of
(34) Regarding e.g. blood coagulation there are different reagents available which activate or suppress different parts of the coagulation cascade. Pentapharm GmbH (Munich, Germany) for example amongst others provide tests for intrinsic and extrinsic activation of a blood sample (INTEM or EXTEM respectively), and also a test for extrinsic activation in which the thrombocyte function is suppressed by administration of cytochalasin D (FIBTEM). It is state of the art that it is possible by wise combination of such tests to be able to determine very precisely at which point within the coagulation cascade a problem occurs. This is of great importance in order to determine a proper medication. By comparison of the results on an EXTEM test of a pathologic sample to those of a FIBTEM test of the same sample it is possible to e.g. precisely determine if a coagulation disorder results from lack of fibrinogen or a malfunction of platelets. Generally, there are different typical medical scenarios in which coagulation disorders are very likely to occur. For example coagulation disorders occurring during liver transplantation are merely caused by lack of certain coagulation factors etc., while coagulation disorders during open heart surgery are most likely due to the influence of heparin. This means basically that different medical settings require different coagulation tests. Referring to
(35) It is important to note that the cartridge devices 50 of the described embodiments are suitable for different diagnostic tests like thromboelastometry, thromboelastography, platelet aggregometry and others. Depending on which type of test or tests the cartridge device 50 is designed for, there are different additional parts required which interact with the sample during measurement and/or an external control apparatus. Possible adaptations for thromboelastometry and platelet aggregometry are described below.
(36)
(37) The probe element 22 comprises the probe pin 3 (see
(38) The probe element 22 is arranged in the measurement cavity 20 of the cartridge body 30 of the cartridge device 50 as shown in
(39) During attaching the cartridge device 50 to the measuring system 40 (see also
(40) It is also possible to insert the insert section 6a of the shaft 6 into the connector section 26 of the probe element 22 and push the probe element 22 down until its bottom contacts the bottom of the measurement cavity 20, 20′ ensuring that the insert section 6a is completely inserted into the connector section 26. Then the shaft 6 will be moved up into the measuring resp. working position of the probe element 22 as shown in
(41)
(42) Now a third embodiment of the cartridge device 50 will be described with reference to
(43)
(44) The cartridge device 50 of this example is equipped with the ductwork 13 and 15. The ducts are formed with an diameter of approximately 1 mm in this embodiment. The ductwork requires that the cartridge device 50 comprises two parts: the cartridge body 30 and the cover 31, which are glued or welded together to obtain a leak-proof device. The cartridge body 30 is relative rigid and the cover 31 is formed as an elastic part. So it is possible to integrate the pump means 18 into the cover 31. Moreover, the cover 31 covers the receiving cavity 16 with the receiving cavity cover 33a and forms a type of liner wall 33 and a separation wall 34 forming an inlet for the inlet duct 13 within the receiving cavity 16. The receiving cavity cover 33a might act as a self seal for injection of a sample liquid 1 by a syringe for example. The cover 31 forms top parts of the ductwork 13 an 15 and a cover of the measurement cavity 20 (see also
(45) In this embodiment a reagent cavity 19, 19′ is formed, e.g. by sections of the ductwork or/and the pump means 18, 18′ in which the reagents can be stored resp. deposited, especially on the pump cavity bottom 36a, for example.
(46) The pump means 18 will now be described with reference to
(47)
(48) In this example the pump cavity 36 is connected to the inlet duct 13 via an inlet valve 37 and to the outlet valve via an outlet valve 38. Actuation of the pump membrane 35 (shown in
(49) An external force exerted on the pump membrane 35 increase the pressure within the pump cavity 36 and opens outlet valve 38 and closes inlet valve 37. Releasing the external force the elastic pump membrane 35 returns into the position shown in
(50) Now the measuring system 40 according to the invention is described in an embodiment with reference to
(51)
(52) The measuring system 40 comprises an interface element 41 to which the cartridge device 50 is attached and fixed. The interface element 41 is shown in
(53)
(54) Thus it is possible to e.g. arrange a reagent receptacle 19b in a blister receptacle e.g. as shown in
(55) It is also possible to insert reagent receptacles into provided cavities being connected to the ductwork. The reagents can be designed as globules with an appropriate diameter so that they cannot flow through openings into the ductwork before being dissolved by the sample liquid.
(56)
LIST OF REFERENCE NUMERALS
(57) 1 Sample liquid
(58) 2 Cup
(59) 3 Probe pin
(60) 4 Torsion wire
(61) 5 Rotation axis
(62) 6 Shaft
(63) 6a Insert section
(64) 7 Bearing
(65) 8 Mirror
(66) 9 Spring
(67) 10 Detecting means
(68) 11 Base plate
(69) 12 Cup holder
(70) 13, 13′ Inlet duct
(71) 14, 14 Intermediate duct
(72) 15, 15′ Outlet duct
(73) 16, 16′ Receiving cavity
(74) 17 Branch duct
(75) 18, 18′ Pump means
(76) 19, 19′ Reagent cavity
(77) 19a, 19′a Regent cavity bottom
(78) 19b Reagent receptacle
(79) 20, 20′ Measurement cavity
(80) 21, 21′ Reagent
(81) 22, 22′ Probe element
(82) 23 Intermediate section
(83) 24 Flange
(84) 25 Fixing section
(85) 26 Connector section
(86) 27 Insertion guide
(87) 28 Groove
(88) 29 Dimple
(89) 29a Nose
(90) 30 Cartridge body
(91) 31 Cover
(92) 32 Fixing means
(93) 32a Opening
(94) 33 Wall
(95) 33a Receiving cavity cover
(96) 34 Separation wall
(97) 35 Pump membrane
(98) 36 Pump cavity
(99) 36a Pump cavity bottom
(100) 37 Inlet valve
(101) 38 Outlet valve
(102) 39 Flow direction
(103) 40 Measuring system
(104) 41 Interface element
(105) 42 Pump access
(106) 43 inlet opening
(107) 44 Shaft passage
(108) 44a Passage hole
(109) 45 Reagent cover opening
(110) 46 Retaining ring
(111) 47 Frame
(112) 48 Bottom foil
(113) 49 Blister cover
(114) 50 Cartridge device