CARTRIDGE DEVICE FOR A MEASURING SYSTEM FOR MEASURING VISCOELASTIC CHARACTERISTICS OF A SAMPLE LIQUID, A CORRESPONDING MEASURING SYSTEM, AND A CORRESPONDING METHOD
20220099688 · 2022-03-31
Assignee
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
B01L2300/0861
PERFORMING OPERATIONS; TRANSPORTING
B01L2400/0475
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: receiving cavities, a receiving cavity for receiving a portion of a test sample; reagent cavities, a reagent cavity for receiving the portion of the test sample; testing cavities; and ductwork for interconnecting at least the receiving cavity, the reagent cavity, and a testing cavity, the reagent cavity being configured to receive the portion of the test sample via the ductwork, the ductwork having a smaller cross-sectional area than at least part of each of the receiving cavities, the reagent cavities, and the testing cavities; and wherein each of the reagent cavities comprises a reagent or combination of reagents, the reagent cavities comprising at least; a first cavity comprising a first reagent to activate coagulation; and a second cavity comprising a second reagent to activate coagulation; wherein the testing cavity is configured for use in measuring a viscoelastic characteristic associated with a liquid in the testing cavity, the liquid comprising a mixture of the portion of the test sample and the reagent in the reagent cavity; and wherein negative pressure is applied through at least part of the ductwork to draw the portion of the sample out from a bottom of the receiving cavity and upwards into the reagent cavity.
2. The system of claim 1, wherein the first reagent and the second reagent activate different parts of a coagulation cascade.
3. The system of claim 2, wherein the reagent cavities comprises a third cavity, the third cavity comprising a third reagent that is different from the first reagent and the second reagent.
4. The system of claim 3, 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.
5. The system of claim 1, wherein the system is configured to measure viscoelastic characteristics of a mixture of a portion of the test sample and reagent in each of the testing cavities.
6. The system of claim 5, wherein there is one probe for each testing cavity that is configured for measuring a viscoelastic characteristic.
7. The system of claim 1, further comprising: a control apparatus configured for interacting with the cartridge to control movement of portions of the test sample through the cartridge.
8. The system of claim 1, further comprising: a probe configured to measure the viscoelastic characteristic of the liquid in the testing cavity.
9. The system of claim 8, further comprising: a detector to detect information based on an output of the probe, the information being usable to determine the viscoelastic characteristic.
10. The system of claim 1, wherein the reagent cavities are formed along sections of the ductwork.
11. The system of claim 1, further comprising: a pump that is configured to move the portion of the test sample through the ductwork.
12. The system of claim 1, wherein the reagent in the reagent cavity comprises objects having dimensions that prevent movement of the objects into the ductwork absent at least some dissolution of the objects.
13. The system of claim 1, wherein the reagent in the reagent cavity comprises globules having diameters that prevent movement of the globules into the ductwork absent at least some dissolution of the globules.
14. A cartridge comprising: multiple fluid channels, a fluid channel among the multiple fluid channels being configured to enable fluid flow among multiple cavities along the fluid channel, the fluid channel comprising: a mixing cavity for holding at least one reagent and for receiving a test sample comprised of blood; and a testing cavity for receiving a liquid that is based on a mixture of the test sample and the at least one reagent, the testing cavity being in fluid communication with the mixing cavity; wherein the testing cavity is configured to enable a test on the liquid received in the testing cavity, the test for measuring a viscoelastic characteristic associated with the liquid; and wherein the fluid channel is configured to receive the test sample from a bottom of an additional cavity holding the blood through application of negative pressure that moves the test sample upwards from the additional cavity and into the fluid channel, the additional cavity being different from the mixing cavity and the testing cavity.
15. The cartridge of claim 14, wherein the multiple fluid channels comprise N (N>1) mixing cavities including the mixing cavity and N testing cavities including the testing cavity; wherein each N.sup.th testing cavity is for receiving a liquid that is based on a mixture of an N.sup.th test sample comprising blood and a reagent from an N.sup.th mixing cavity; and wherein each N.sup.th testing cavity is configured to enable a test to be performed on the liquid received in the N.sup.th testing cavity.
16. The cartridge of claim 15, wherein at least two of the N mixing cavities contain reagents that are different.
17. The cartridge of claim 14, wherein flow of the test sample from the additional cavity is implemented by changing a pressure at a pressure port on the cartridge.
18. The cartridge of claim 14, wherein flow of the liquid from the mixing cavity into the testing cavity is implemented by applying a pressure to a pressure port on the cartridge.
19. The system of claim 13, wherein the at least one reagent in the reagent cavity comprises objects having dimensions that prevent movement of the objects out of the reagent cavity absent at least some dissolution of the objects.
20. A method of using a cartridge with a system for measuring a viscoelastic characteristic associated with blood, the method comprising: placing a cartridge in a measuring system, the cartridge comprising: a liquid transport path configured to receive a portion of a blood sample from a first cavity, the liquid transport path comprising a reagent cavity containing a reagent, a testing cavity for use in measuring a viscoelastic characteristic of a liquid formed by mixing the portion of the blood sample and the reagent, and a pathway from the first cavity to the first liquid transport path, the pathway being configured to move the portion of the blood sample from a bottom of the first cavity and into the liquid transport path; and after placing the cartridge to the measuring system, applying pressure in part of the cartridge to draw the portion of the blood sample upwards into the liquid transport path from the bottom of the first cavity.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0060] The figures are showing the following:
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DESCRIPTION OF EXEMPLARY EMBODIMENTS
[0085] Parts and components having same functions are depicted with same references.
[0086] 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
[0087] A first embodiment of a cartridge device 50 of the invention will be described with reference to
[0088] 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 33a in
[0089] 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.
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[0091] 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.
[0092] In a preferred embodiment the cartridge device 50 comprises four arrangements of
[0093] 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
[0094] 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.
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[0096] The probe element 22 comprises the probe pin 3 (see
[0097] The probe element 22 is arranged in the measurement cavity 20 of the cartridge body 30 of the cartridge device 50 as shown in
[0098] During attaching the cartridge device 50 to the measuring system 40 (see also
[0099] 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
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[0101] Now a third embodiment of the cartridge device 50 will be described with reference to
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[0103] 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
[0104] 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.
[0105] The pump means 18 will now be described with reference to
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[0107] 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
[0108] 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
[0109] Now the measuring system 40 according to the invention is described in an embodiment with reference to
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[0111] 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
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[0113] Thus it is possible to e.g. arrange a reagent receptacle 19b in a blister receptacle e.g. as shown in
[0114] 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.
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LIST OF REFERENCE NUMERALS
[0116] 1 Sample liquid [0117] 2 Cup [0118] 3 Probe pin [0119] 4 Torsion wire [0120] 5 Rotation axis [0121] 6 Shaft [0122] 6a Insert section [0123] 7 Bearing [0124] 8 Mirror [0125] 9 Spring [0126] 10 Detecting means [0127] 11 Base plate [0128] 12 Cup holder [0129] 13, 13′ Inlet duct [0130] 14, 14 Intermediate duct [0131] 15, 15′ Outlet duct [0132] 16, 16′ Receiving cavity [0133] 17 Branch duct [0134] 18, 18′ Pump means [0135] 19,19′ Reagent cavity [0136] 19a, 19′a Regent cavity bottom [0137] 19b Reagent receptacle [0138] 20, 20′ Measurement cavity [0139] 21, 21′ Reagent [0140] 22, 22′ Probe element [0141] 23 Intermediate section [0142] 24 Flange [0143] 25 Fixing section [0144] 26 Connector section [0145] 27 Insertion guide [0146] 28 Groove [0147] 29 Dimple [0148] 29a Nose [0149] 30 Cartridge body [0150] 31 Cover [0151] 32 Fixing means [0152] 32a Opening [0153] 33 Wall [0154] 33a Receiving cavity cover [0155] 34 Separation wall [0156] 35 Pump membrane [0157] 36 Pump cavity [0158] 36a Pump cavity bottom [0159] 37 Inlet valve [0160] 38 Outlet valve [0161] 39 Flow direction [0162] 40 Measuring system [0163] 41 Interface element [0164] 42 Pump access [0165] 43 inlet opening [0166] 44 Shaft passage [0167] 44a Passage hole [0168] 45 Reagent cover opening [0169] 46 Retaining ring [0170] 47 Frame [0171] 48 Bottom foil [0172] 49 Blister cover [0173] 50 Cartridge device