CARTRIDGE DEVICE FOR A MEASURING SYSTEM FOR MEASURING VISCOELASTIC CHARACTERISTICS OF A SAMPLE LIQUID, A CORRESPONDING MEASURING SYSTEM, AND A CORRESPONDING METHOD
20210172966 · 2021-06-10
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 cartridge for a measuring system configured to measure a viscoelastic characteristic associated with a liquid, the cartridge comprising: one or more testing cavities, a testing cavity being associated with an element for performing a test to determine the viscoelastic characteristic associated with a liquid; one or more receiving cavities, a receiving cavity for receiving a component of the liquid; one or more reagent cavities, a reagent cavity for holding at least one reagent; and ductwork connecting the receiving cavity, the reagent cavity, and the testing cavity; wherein the reagent cavity is configured to receive the component of the liquid from the receiving cavity and to allow at least part of the liquid, which comprises a mixture of the component and the at least one reagent, to transfer into the ductwork; wherein the ductwork comprises a first duct connecting the receiving cavity to the reagent cavity and a second duct connecting the reagent cavity to the testing cavity so as to create a flow path from the receiving cavity to and through the reagent cavity and subsequently to the testing cavity; and wherein the ductwork is configured so that, in response to negative pressure at the first duct, the component and the at least one reagent mix to form the liquid during transport through the ductwork.
2. The cartridge of claim 1, wherein the component of the liquid comprises a blood sample.
3. The cartridge of claim 1, wherein the ductwork is configured for connection to at least one pump for controlling transporting at least part of the component from the receiving cavity to the reagent cavity via the ductwork.
4. The cartridge of claim 1, wherein the one or more receiving cavities comprise a second receiving cavity, wherein the one or more testing cavities comprise a second testing cavity, and wherein the one or more reagent cavities comprise a second reagent cavity, and wherein the ductwork comprises a third duct connecting the second receiving cavity to the second reagent cavity and a fourth duct connecting the second reagent cavity to the second testing cavity so as to create a second flow path from the second receiving cavity through the second reagent cavity to the second testing cavity.
5. The cartridge of claim 4, wherein different reagents are positioned in each of the reagent cavity and the second reagent cavity.
6. The cartridge of claim 1, wherein the reagent cavity comprises a place along the flow path where the at least one reagent is deposited.
7. The cartridge of claim 1, wherein the reagent cavity comprises a cavity along the flow path that is larger than the fluid flow path and where the at least one reagent is deposited.
8. The cartridge of claim 1, wherein the ductwork is configured for connection to one or more pumps to implement pressure changes to control flow of fluids between the receiving cavity and the testing cavity.
9. The cartridge of claim 1, wherein the element comprises a probe.
10. The cartridge of claim 1, wherein at least part of the probe is exterior to the testing cavity.
11. A system configured to measure viscoelastic characteristics associated with a blood sample, the system comprising: a cartridge comprising: a first receiving cavity for receiving a first part of the blood sample, a second receiving cavity for receiving a second part of the blood sample, the second receiving cavity being separate from the first receiving cavity, a first reagent cavity for holding at least one reagent, a second reagent cavity for holding at least one reagent, a first testing cavity, a second testing cavity, and ductwork comprising: a first duct connected to the first reagent cavity for fluid communication with the first receiving cavity, a second duct connected to the first reagent cavity for fluid communication with the first testing cavity, a third duct connected to the second reagent cavity for fluid communication with the second receiving cavity, and a fourth duct connected to the second reagent cavity for fluid communication with the second testing cavity; a first reagent that is in the first reagent cavity for mixing with the first part of the blood sample in the first reagent cavity to produce a first liquid to for transport in the second duct; a second reagent that is different than the first reagent and that is in the second reagent cavity for mixing with the second part of the blood sample in the second reagent cavity to produce a second liquid for transport in the fourth duct; a first element arranged relative to the first testing cavity for measuring a viscoelastic characteristic based on the first liquid; and a second element arranged relative to the second testing cavity for measuring a viscoelastic characteristic based on the second liquid.
12. The system of claim 11, wherein the first and second reagents comprise reagent globules configured to dissolve in respective parts of the blood sample.
13. The system of claim 11, where the first reagent comprises one of: a first combination of reagents that interact with the first part of the blood sample and that are configured to activate coagulation via an intrinsic pathway; a second combination of reagents that interact with the first part of the blood sample and comprise (i) a reagent or a combination of reagents configured to activate coagulation and (ii) a reagent or a combination of reagents configured to suppress thrombocyte contraction; or a third combination of reagents that interact with the first part of the blood sample and that are configured to activate coagulation via an extrinsic pathway.
14. The system of claim 11, wherein the second reagent is different from the first reagent.
15. The system of claim 11, further comprising: a first pressure-controlled stop to inhibit entry of the first part of the blood sample into the first reagent cavity; and a second pressure-controlled stop to inhibit entry of the second part of the blood sample into the second reagent cavity.
16. The system of claim 11, wherein the first pressure-controlled stop comprises a first valve and the second-pressure controlled stop comprise a second valve.
17. The system of claim 11, wherein at least part of the first element is external to the first testing cavity; and wherein at least part of the second element is external to the second testing cavity.
18. The system of claim 11, wherein then first receiving cavity, the first reagent cavity, the first testing cavity, the first duct, and the second duct define a first fluid flow path, the first reagent cavity comprising a first place along the first flow path where the first reagent is deposited; and wherein then second receiving cavity, the second reagent cavity, the second testing cavity, the third duct, and the fourth duct define a second fluid flow path, the second reagent cavity comprising a second place along the second flow path where the second reagent is deposited.
19. The system of claim 11, wherein then first receiving cavity, the first reagent cavity, the first testing cavity, the first duct, and the second duct define a first fluid flow path, the first reagent cavity comprising a first deep cavity along the first flow path where the first reagent is deposited, the first deep cavity comprising a cavity that is larger than the first flow path; and wherein then second receiving cavity, the second reagent cavity, the second testing cavity, the third duct, and the fourth duct define a second fluid flow path, the second reagent cavity comprising a second deep cavity along the second flow path where the second reagent is deposited, the second deep cavity comprising a cavity that is larger than the second flow path.
20. A system comprising: means for transporting blood or a liquid based on the blood between a receiving cavity and a testing cavity, the means for transporting comprising a fluid flow path; means for producing the liquid based on the blood by combining the blood with one or more reagents along the fluid flow path and prior to the liquid reaching the testing cavity; a pressure-controlled stop configured to react to pressure to inhibit flow of the blood from the receiving cavity toward the means for producing; and a probe for determining a viscoelastic characteristic based on the liquid in the testing cavity.
21. The system of claim 20 wherein the pressure-controlled stop comprises a valve.
22. The system of claim 20, wherein at least part of the probe is external to the testing cavity.
23. The system of claim 20, further comprising: a pump to provide at least one of negative or positive pressure to the means for transporting to control fluid flow of the blood or the liquid based on the blood.
24. A cartridge for a measuring system, the cartridge comprising: testing cavities comprising at least (i) a first testing cavity for holding a first liquid that is based on a mixture of first blood and at least one first reagent and (ii) a second testing cavity for holding a second liquid that is based on a mixture of second blood and at least one second reagent; flow paths comprising at least (i) a first flow path for transporting the first liquid to the first testing cavity, the first flow path comprising first ductwork that at least partly enables mixing of the first blood and the at least one first reagent to produce the first liquid, and (ii) a second flow path for transporting the second liquid to the second testing cavity, the second flow path comprising second ductwork that at least partly enables mixing of the second blood and the at least one second reagent to produce the second liquid; and one or more valves that are controllable to cause mixing of the first blood and the at least one first reagent and mixing of the second blood and the at least one second reagent.
25. The cartridge of claim 24, wherein the at least one of the first reagent comprises one of the following, and the at least one second reagent comprises a different one of the following than the at least one first reagent: a first combination of reagents that interact with the first blood or the second blood and that are configured to activate coagulation via an intrinsic pathway; a second combination of reagents that interact with the first blood or the second blood and comprise (i) a reagent or a combination of reagents configured to activate coagulation and (ii) a reagent or a combination of reagents configured to suppress thrombocyte contraction; or a third combination of reagents that interact with the first blood or the second blood and that are configured to activate coagulation via an extrinsic pathway.
26. The cartridge of claim 25, wherein the first flow path comprises a first reagent cavity, the first reagent cavity comprising a first place along the first flow path where the at least one first reagent is deposited; and wherein the second flow path comprises a second reagent cavity, the second reagent cavity comprising a second place along the second flow path where the at least one second reagent is deposited.
27. The cartridge of claim 25, wherein the first flow path comprises a first reagent cavity, the first reagent cavity comprising a first deep cavity along the first flow path where the at least one first reagent is deposited, the first deep cavity comprising a cavity that is larger than the first flow path; and wherein the second flow path comprises a second reagent cavity, the second reagent cavity comprising a second deep cavity along the second flow path where the at least one second reagent is deposited, the second deep cavity comprising a cavity that is larger than the second flow path.
28. The cartridge of claim 25, wherein the flow paths are configured for connection to one or more pumps to implement pressure changes to control flow of fluids along the first flow path and the second flow path using positive and negative pressure.
29. The cartridge of claim 25, wherein the testing cavities are associated with probes to measure viscoelastic characteristics based on the first liquid and the second liquid, the probes being associated with detectors for detecting the viscoelastic characteristics.
30. The cartridge of claim 25, wherein the first flow path is configured to receive the first blood from a bottom of an additional cavity holding the first blood.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0061] The figures are showing the following:
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DESCRIPTION OF EXEMPLARY EMBODIMENTS
[0086] Parts and components having same functions are depicted with same references.
[0087] 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
[0088] A first embodiment of a cartridge device 50 of the invention will be described with reference to
[0089] 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
[0090] 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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[0092] 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.
[0093] In a preferred embodiment the cartridge device 50 comprises four arrangements of
[0094] 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
[0095] 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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[0097] The probe element 22 comprises the probe pin 3 (see
[0098] The probe element 22 is arranged in the measurement cavity 20 of the cartridge body 30 of the cartridge device 50 as shown in
[0099] During attaching the cartridge device 50 to the measuring system 40 (see also
[0100] 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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[0102] Now a third embodiment of the cartridge device 50 will be described with reference to
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[0104] 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
[0105] 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.
[0106] The pump means 18 will now be described with reference to
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[0108] 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
[0109] 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
[0110] Now the measuring system 40 according to the invention is described in an embodiment with reference to
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[0112] 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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[0114] Thus it is possible to e.g. arrange a reagent receptacle 19b in a blister receptacle e.g. as shown in
[0115] 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
[0117] 1 Sample liquid [0118] 2 Cup [0119] 3 Probe pin [0120] 4 Torsion wire [0121] 5 Rotation axis [0122] 6 Shaft [0123] 6a Insert section [0124] 7 Bearing [0125] 8 Mirror [0126] 9 Spring [0127] 10 Detecting means [0128] 11 Base plate [0129] 12 Cup holder [0130] 13, 13′ Inlet duct [0131] 14, 14 Intermediate duct [0132] 15, 15′ Outlet duct [0133] 16, 16′ Receiving cavity [0134] 17 Branch duct [0135] 18, 18′ Pump means [0136] 19,19′ Reagent cavity [0137] 19a, 19′a Regent cavity bottom [0138] 19b Reagent receptacle [0139] 20, 20′ Measurement cavity [0140] 21, 21′ Reagent [0141] 22, 22′ Probe element [0142] 23 Intermediate section [0143] 24 Flange [0144] 25 Fixing section [0145] 26 Connector section [0146] 27 Insertion guide [0147] 28 Groove [0148] 29 Dimple [0149] 29a Nose [0150] 30 Cartridge body [0151] 31 Cover [0152] 32 Fixing means [0153] 32a Opening [0154] 33 Wall [0155] 33a Receiving cavity cover [0156] 34 Separation wall [0157] 35 Pump membrane [0158] 36 Pump cavity [0159] 36a Pump cavity bottom [0160] 37 Inlet valve [0161] 38 Outlet valve [0162] 39 Flow direction [0163] 40 Measuring system [0164] 41 Interface element [0165] 42 Pump access [0166] 43 inlet opening [0167] 44 Shaft passage [0168] 44a Passage hole [0169] 45 Reagent cover opening [0170] 46 Retaining ring [0171] 47 Frame [0172] 48 Bottom foil [0173] 49 Blister cover [0174] 50 Cartridge device