PLASMA/SERUM SEPARATOR DEVICE AND METHODS USING THE SAME

Abstract

The present invention relates to a device for separation of plasma or serum from a blood sample from a small blood volume (e.g. capillary blood). The device comprises a separation member, an extraction member and a housing. The extraction member comprises a base and one or more microstructures protruding from and being integrally formed with said base, wherein said one or more microstructures are configured to extract plasma or serum from said separation member by capillary forces. The present invention further provides methods for separating plasma or serum using the device according to the present invention. Similarly, also methods for analyzing one or more proteins and/or metabolites contained in plasma or serum that is separated using a device according to the present invention are provided.

Claims

1. A device for separation of plasma or serum from a blood sample, wherein said device comprises: a housing; a separation member configured to separate plasma or serum from cellular blood components by retaining said cellular components of blood, wherein said separation member has a separation member upper surface and an opposing separation member lower surface, wherein said separation member upper surface or a portion thereof is configured to receive a blood sample; and an extraction member for extracting the separated plasma or serum from the separation member, wherein the extraction member comprises a base and one or more microstructures protruding from and being integrally formed with said base, wherein the upper surface of said one or more microstructures forms an extraction member upper surface, and wherein said one or more microstructures are configured to extract plasma or serum from said separation member by capillary forces.

2. The device of claim 1, wherein said extraction member is disposed below said separation member, and wherein said extraction member upper surface is in contact with said separation member lower surface.

3. The device of claim 1, wherein said one or more microstructures have a height of 0.1 mm to 1 mm.

4. The device of claim 1, wherein the device comprises a plurality of microstructures, and wherein the upper surfaces of the plurality of microstructures form said extraction member upper surface.

5. The device of claim 4, wherein said plurality of microstructures are micro-pillars that protrude perpendicularly from the base.

6. The device of claim 1, wherein the extraction member is provided with one or more channels, preferably a plurality of channels; and the one or more channels are formed by the base in conjunction with the one or more microstructures.

7. The device of claim 4, wherein the median distance between adjacent microstructures is between 0.1 mm and 2 mm.

8. The device of claim 1, wherein the extraction member has an extraction member lower surface; and the extraction member lower surface is at least one of: continuous, non-porous, non-perforated and/or impermeable to plasma or serum.

9. The device of claim 1, wherein said extraction member is made from a plastic, photoresist resin or any polymeric material.

10. The device of claim 1, wherein the device further comprises a sample introduction member, said sample introduction member being disposed above the separation member and having a configuration that allows the sample to be applied onto the separation member upper surface, and wherein the sample introduction member is bonded to the separation member upper surface.

11. The device of claim 1, wherein the housing comprises: a housing lid; and a housing base; wherein said housing lid and said housing base form a cavity that houses at least one of the extraction member, the separation member and/or the sample introduction member.

12. A method for separating plasma or serum from a blood sample, wherein said method comprises the steps of: a) providing a device according to one of the preceding claims; b) introducing the blood sample; and c) separating the plasma or serum by waiting for a predetermined period of time.

13. The method of claim 12, wherein said method further comprises a step of transferring the separated plasma or serum from the extraction member to a separate tube, wherein said transferring comprises: placing the extraction member in a centrifugation tube; and transferring the plasma or serum from the extraction member to the centrifugation tube by centrifugation.

14. A method for analyzing one or more proteins and/or metabolites contained in plasma or serum separated from a blood sample, the method comprising: a) separating plasma or serum from a blood sample using a device as defined in claim 1; b) analyzing said one or more proteins and/or metabolites in the separated plasma or serum.

15. The method of claim 14, wherein between step a) and step b) no step for extraction of proteins and/or metabolites from the extraction member of the device involving addition of a liquid is performed.

16. The device of claim 1, wherein said one or more microstructures have a height of 0.2 mm to 0.7 mm.

17. The device of claim 1, wherein said one or more microstructures have a height of 0.3 mm.

18. The device of claim 4, wherein the median distance between adjacent microstructures is between 0.3 mm and 1.2 mm.

19. The device of claim 4, wherein the median distance between adjacent microstructures is about 0.5 mm.

20. The device of claim 10, wherein the sample introduction member is bonded to the separation member upper surface by at least one of an adhesive, heat and/or ultrasonic welding.

Description

[0186] The invention will be described in more detail with reference to the figures below. These figures disclose embodiments of the invention for illustrational purposes only. In particular, the disclosure provided by the figures is not meant to limit the scope of protection conferred by the invention.

[0187] FIGS. 1A-1I Schematic drawings of a preferred embodiments of plasma/serum separator devices according to the present invention.

[0188] FIGS. 2A-2C Volume of plasma extracted and stored in extraction members (all experiments used discs formed from polyacrylamide (PA) with different microstructure patterns). In FIG. 2A, the first two bars on the left represent discs with either line-like microstructures (i.e. micro-pillars that extend over the whole length of the disc extraction member; indicated as white bar; indicated as line in the figure) or micro-pillars (grey bar; indicated as pillar in the figure). In both cases, the microstructures were 0.5 mm high, had a width of 0.5 mm, and a spacing between adjacent microstructures of 0.5 mm. The micro-pillars had a length of 1 mm. The four bars on the right represent volumes extracted when varying the height of the micro-pillars. In FIG. 2B, the bars represent the volumes extracted when using extraction member discs with varying widths between the micro-pillars. The height of the micro-pillars was 0.5 mm FIG. 2C shows amounts of plasma extracted into the PA extraction member discs when different volumes of human capillary blood were applied by a volunteer user.

[0189] FIGS. 3A-3C Preservation/Sample Storage ability of the device of the present invention. In FIG. 3A, the number of peptides detected using data-independent-acquisition (DIA) mass spectrometry in the different plasma samples is shown. Plasma samples were obtained with the device of the present invention (having an extraction member with micropillars with a high of 0.5 mm, a width of 0.5 mm, a length of 1 mm and a spacing between adjacent micro-pillars of 0.5 mm) and preserved/stored at +4 C. (+4 in FIG. 3A) or room temperature (rt in FIG. 3A) inside the device of the present invention (referred to as Device in the FIG. 3A) or for comparison with a device using a 903 Protein Saver paper (referred to as 903 Whatman in the FIG. 3A) as extraction member. The samples obtained with the device using a 903 Protein Saver paper (903 Whatman) were stored in the 903 Protein Saver paper as described in the Examples. In FIG. 3B, the number of metabolites detected using an AbsoluteIDQ p180k Biocrates metabolomic mass spectrometry kit in the different samples is shown. Plasma was obtained by the device of the present invention (see FIG. 3A) and preserved at +4 C. (+4 in FIG. 3B) or room temperature (rt in FIG. 3B) inside the device of the present invention (referred to as Device in FIG. 3B) or for comparison with a similar device using a 903 Protein Saver paper (referred to as 903 Whatman in FIG. 3B) as extraction member. The samples obtained with the device using a 903 Protein Saver paper (903 Whatman) were stored in the 903 Protein Saver paper as described in the Examples. In FIG. 3C, the number of metabolites (classified in chemical types) were detected using an AbsoluteIDQ p180k Biocrates metabolomic mass spectrometry kit in the different samples. Plasma was obtained by the device of the present invention (as in FIG. 3A) and preserved at +4 C. (+4 in FIG. 3C) or room temperature (rt in FIG. 3C) inside the device of the present invention (referred to as Device in the FIG. 3C) or for comparison in a similar device using a 903 Protein Saver paper (referred to as 903 Whatman in FIG. 3C). The samples obtained with the device using a 903 Protein Saver paper (903 Whatman) were stored in the 903 Protein Saver paper as described in the Examples. In all cases (FIGS. 3A to 3C) the results are compared with the results from a sample where capillary plasma was obtained by centrifugation of capillary blood (10 minutes at 2500 rpm at +4 C.) and stored immediately at 80 C. (80 in the figures). The experiments using 903 Whatman as extraction member were performed by placing the paper below and in contact with the separation membrane (therefore, in substitution of the micro-pillar extraction member). After 10 minutes, the paper was removed from the device, dried at room temperature for 30 minutes and stored in light-protected bags including a desiccant.

[0190] FIG. 4A-4C DIA-type mass spectrometry-derived intensity values for 511 proteins (each protein is represented by a circle) in a control venous human plasma sample obtained by classical centrifugation of venous blood (10 minutes at 2500 rpm at +4 C.) and stored immediately at 80 C. (y axes), compared to the intensity in capillary human plasma samples (x axes) obtained with a device according to the present invention as shown in FIG. 1 and stored in dry ice (FIG. 4A), +4 C. (FIG. 4B), and at room temperature (FIG. 4C), in each case for 48 hours.

[0191] FIG. 5A-5C DIA-type mass spectrometry-derived intensity values for 9 FDA-approved protein biomarkers (each protein is represented by a circle) in a control venous human plasma sample obtained by classical centrifugation of venous blood (10 minutes at 2500 rpm at +4 C.) and stored immediately at 80 C. (y axes) compared to the intensity in capillary human plasma samples (x axes) obtained with a device according to the present invention as shown in FIG. 1 and stored in dry ice (FIG. 5A), +4 C. (FIG. 5B), and at room temperature (FIG. 5C), in each case for 48 hours.

[0192] FIG. 6A-6C DIA-type mass spectrometry-derived intensity values for 32 protein biomarkers for ovarian cancer (each protein is represented by a circle) in a control venous human plasma sample obtained by classical centrifugation of venous blood (10 minutes at 2500 rpm at +4 C.) and stored immediately at 80 C. (y axes), compared to the intensity in capillary human plasma samples (x axes) obtained with a device according to the present invention as shown in FIG. 1 and stored in dry ice (FIG. 5A), +4 C. (FIG. 5B) and at room temperature (FIG. 5C), in each case for 48 hours.

[0193] FIG. 7A-7C DIA-type mass spectrometry-derived intensity values for 14 proteins involved in metabolic processes (each protein is represented by a circle) in a control venous human plasma sample obtained by classical centrifugation of venous blood (10 minutes at 2500 rpm at +4 C.) and stored immediately at 80 C. (y axes), compared to the intensity in capillary human plasma samples (x axes) obtained with a device according to the present invention as shown in FIG. 1 and stored in dry ice (FIG. 7A), +4 C. (FIG. 7B) and at room temperature (FIG. 7C), for 48 hours.

[0194] FIG. 8 Dynamic range of protein concentrations for the 511 proteins (filled circles and empty squares) quantified using DIA-type mass spectrometry in a capillary sample stored in dry ice for 48 hours (see Example 4, below). The protein concentrations spanned 6 orders of magnitude with 26 proteins below 50 ng/ml (empty squares). This result indicates that also proteins occurring at a low concentration in blood can be recovered in plasma or serum being separated with the device according to the present invention. Moreover, this result underlines the highly efficient storage/preservation capacities of the device according to the present invention.

[0195] FIG. 1A shows a schematic, not to scale illustration of a preferred device 100 for separation of plasma or serum from a blood sample according to the present invention. The device 100 comprises a separation member 20 and an extraction member 30. The device optionally also comprises a sample introduction member 10. Said sample introduction member 10 is preferably configured and positioned relative to the separation member to allow a blood sample 60 to be applied to the separation member 20 via said sample introduction member 10. The device 100 may further comprise a housing. Said housing may comprise or be composed of a housing base 40 and a housing lid 50. The preferred order of assembly of the components of the device 100 is indicated by the arrows in FIG. 1A.

[0196] The separation member 20 has a separation member upper surface 23 and a separation member lower surface 24 (the lower surface is not visible in FIG. 1). Preferably, the separation member 20 may have a disk shape. As shown in the detail according to FIG. 1 B the separation member 20 may have a separation member upper portion 21 and a separation member lower portion 22. The separation member upper portion 21 may have pores that allow the liquid components of the blood to pass through and to accumulate at the separation member lower portion 22. The separation member lower portion 22 may have smaller pores that allow serum and plasma to pass through. In other words, the separation member 20 may have pores that gradually decrease in size from the separation member upper portion 21 to the separation member lower portion 22 so that cellular parts of the blood can be trapped in the pores of the separation member upper portion 21. The separation member 20 may be or may comprise a plasma separation membrane or filter known in the art. Said plasma separation membrane/filter preferably uses the filter principle shown in the detail according to FIG. 1B. For example, the separation member 20 may be a Vivid GR membrane, a Cobetter filtration membrane or a Primecare membrane. Most preferred is a Vivid GR membrane.

[0197] The extraction member 30 of the device 100 according to the present invention has an extraction member upper surface 35 and an extraction member lower surface 36. In an assembled configuration, the extraction member upper surface 35 is in contact, preferably in direct contact, with the separation member lower surface 24. The extraction member 30 is configured to generate capillary forces in order to extract serum or plasma from the separation member 20 (preferably from the separation member lower portion 22). This may be achieved by an extraction member 30 that comprises an extraction member base 31 (preferably being a base plate) and one or more microstructures 32 protruding (preferably substantially perpendicular) from said base 31. The microstructure(s) 32 protruding from said base 31 are preferably micro-pillars. The one or more microstructures 32, preferably the micro-pillars, are preferably integrally formed with the extraction member base 31, i.e. they are made in a single piece.

[0198] The extraction member base 31 may be solid, rigid, self-supporting and/or unitary. Preferably it may be a base plate with said properties. The extraction member base 31 or base plate may in particular not be formed from a paper, paper-like or any other water absorbing fibrous material. Similarly, also the one or more microstructures 32 (e.g. micro-pillars) may be solid, rigid and/or self-supporting. Preferably, the one or more microstructures 32 (e.g. micro-pillars) may be rigid, self-supporting and/or unitary. The one or more microstructures may in particular not be formed from a paper, paper-like or any other water absorbing fibrous material. It is preferred that the one or more microstructures 32 are formed from the same material as the extraction member base 31. Accordingly, it is preferred that the extraction member 30 is solid, rigid and self-supporting. These properties of the extraction member 30, its base 31 and/or its microstructures 32 may contribute to the advantage of storing plasma or serum in a liquid form within the extraction member.

[0199] The extraction member 30 of the device 100 may be made or formed from plastic, photoresist resin or any polymeric material. For instance, the extraction member 30 may be made (or formed) from polyamide. The extraction member 30 may, for example, be made (or formed) from nylon, polyether ether keton, acrylic or acrylic-derivatives such as poly(methyl methacrylate), Cyclic Olefin Copolymer, or epoxy SU-8. A particularly preferred material is polyamide since this material is already used in several clinical settings. However, the extraction member 30 does not necessarily need to be made or formed from the above-mentioned materials. It may alternatively also only be covered/coated with said material and may have a core formed from a different material. Preferably, only the surfaces getting into contact with the separated plasma or serum are covered/coated with one of the above-mentioned materials. In principle, also only the extraction member base 31 or the one or more microstructures 32 (e.g. micro-pillars) may be made from or coated with one of the above-mentioned materials.

[0200] The dimensions of an extraction member 30 may preferably be selected so that the extraction member fits into a centrifugation tube or can be used as a lid thereof. In this regard a disc like shape may be advantageous. Respective dimensions and suitable centrifugation tubes are mentioned elsewhere herein.

[0201] The extraction member upper surface 35 is preferably formed by the upper surface of the microstructures 32 (e.g. micro-pillars). The one or more microstructures 32 can have different shapes and/or cross sections (in a top view). For instance, a microstructure 32 (preferably a micro-pillar) may have a substantially rectangular cross section having a length l and width w.sub.P. The length l may be of (about) 0.2 mm to (about) 3 mm, preferably (about) 0.5 mm to (about) 2 mm, more preferably (about) 0.8 mm to (about) 1.2 mm and most preferably (about) 1 mm. The width w.sub.P may be of (about) 0.1 mm to (about) 1.5 mm, preferably (about) 0.2 mm to (about) 1 mm, more preferably (about) 0.3 mm to (about) 0.8 mm and most preferably (about) 0.5 mm. Similarly, the microstructures 32 may have a microstructure height h. The height h of the microstructure 32 may be of 0.1 mm to 1 mm, preferably of 0.2 mm to 0.7 mm, even more preferably of 0.3 mm to 0.5 mm and most preferably of 0.3 mm. The preferred heights have been found to be beneficial for increasing the capillary forces generated and/or for increasing the volume of extracted serum or plasma. If more than one microstructure 32 is employed (e.g. a pattern or array of microstructures), all microstructures 32 may have the same shape and/or cross section (e.g. the same dimensions). The height of the microstructures 32 is preferably substantially equal. Further, the upper surface of the microstructures 32 is preferably substantially flat. These two preferred properties are beneficial to bring the extraction member upper surface 35 in direct contact with the separation member lower surface 24.

[0202] As shown in the detail according to FIG. 1C, the extraction member 30 may comprise one or more channels 33 having a channel opening width or spacing w.sub.c, a channel length and a height h. The separated plasma or serum may be collected and/or stored in the channels 33. The one or more channels 33 are preferably formed by the one or more microstructures 32 in conjunction with the extraction member base 31. Accordingly, the channel height is preferably defined by the height h of the microstructures 32. The length of the channels may be defined depending on the shapes of the microstructures 32 defining the same and the pattern in which the one or more microstructures 32 are disposed on the extraction member base 31. In a top view of the extraction member 30, the one or more channels 33 may define a total channel length and the opening width of the channel w.sub.c of said one or more channels 33 at the extraction member upper surface 35 may be at least (about) 1 mm, preferably at least (about) 0.7 mm, and more preferably at least (about) 0.5 mm along at least 50%, at least 60%, at least 70%, at least 80%, or at least 90% of the total channel length.

[0203] The extraction member 30 may comprise an organized array of micro-pillars to extract the plasma or serum from the separation member 20 merely by means of capillary forces (and optionally gravity) without the use of external energy sources. The micro-pillar arrays may have different patterns. A respective example is shown in the detail according to FIG. 1C.

[0204] The device 100 may further comprise a sample introduction member 10. The sample introduction member may comprise a sample introduction member base 11 that may, for instance, have a disc shape. The sample introduction member 10 may also have sample introduction member rim 12 protruding from the lower surface of the sample introduction member 10, preferably the lower surface of the sample introduction member base 11. Said rim 12 may provide a cavity between the sample introduction member 10 (preferably the lower surface of the sample introduction member base 11) and the separation member 20 (preferably the separation member upper surface 23). Such cavity may be a storage space for blood samples that are applied to device 100 and may prevent spillover when applying a blood sample. The sample introduction member 10 may further comprise one or more through holes 13. The one or more through holes 13 may have different shapes in a top view, but preferably are substantially circular. The opening width or diameter of said through holes 13 may be selected in a manner that blood drops 60, preferably capillary blood drops, can easily pass through the through hole(s) 13. The position of the one or more through holes 13 in the sample introduction member 10 is preferably selected so that the one or more through holes are positioned over the separation member upper surface 23. For instance, the one or more through holes 13 may be provided in a portion of the sample introduction member base 11 that is enclosed by the sample introduction member rim 12.

[0205] The separation member 20 preferably is attached, glued, or connected to the sample introduction member 10 only at the outer diameter of the separation member upper surface 23. In particular, the outer diameter of the separation member upper surface 23 may be attached, glued, or connected with the sample introduction member rim 12. With this respect, the width and/or diameter of the separation member may be larger than the width and/or diameter of the rim 12.

[0206] The housing base 40 may comprise a housing base plate 41 and/or a housing base plate rim 42 protruding from the upper surface of said housing base plate 41 so as to create a housing base plate cavity 43. The height and/or diameter of the housing base plate cavity 43 defined by the rim may be selected so that it can fit at least the extraction member 30. More preferably, said dimensions may be selected so that the housing base 40 can also fit the separation member 20 and/or the sample introduction member 10. The housing may further comprise a housing lid 50. The housing lid 50 may be configured so as to fit the housing base 40 and to create a cavity in which at least the extraction member 30, but preferably also the separation member 20 and/or the sample introduction member 10, can be stored. Preferably, the housing lid 50 and the housing base 40 can be temporarily attached to each other, e.g. by a screwing mechanism. In other words, the housing lid 50 and the housing base 40 fit each other. Preferably, the cavity formed between the housing lid 50 and the housing base 40 in a closed configuration of the housing may be liquid and/or air-tight. This may protect serum or plasma after separation, e.g. from contaminations. The housing lid 50 may comprise a housing lid base plate 51 and a housing lid rim 52 protruding from the lower surface of the housing lid base plate 51. The dimensions of the housing lid rim 52 may be selected to fit the housing base rim 42. Optionally, the housing lid 50 may comprise a desiccant pellet such as a TBM33 (Wisepac) desiccant pellet. Said desiccant pellet may be permanently or detachably attached to the lower surface of the housing lid 50, preferably the lower surface of the part of the housing lid base plate 51 that is surrounded by the housing lid rim 52. In other words, the desiccant pellet may be placed in the housing lid cavity 53.

[0207] Optionally, the housing lid 50 may be configured to act as a manual pump and/or piston. Such manual pump and/or piston may be configured to be manually actuated by the user in order to increase the pressure above the separation member upper surface 23 and/or the differential pressure across the separation member 20. Without wanting to be bound by theory, it is believed that increasing the pressure in this manner may accelerate the separation of blood components in the separation member 20 and/or increase the plasma yield. For this purpose, the housing lid 52 may be slidable with respect to the housing base 40. In particular, the housing lid 52 may be slidable onto and/or into the housing base 40. In the assembled state of the device 100, the housing lid 52 may be configured to be pushed towards the housing base 40 to compress the air above the separation member 20. The space below the separation member 20 may be vented, e.g. by providing a vent in the housing base 40. For example, the housing lid rim 52 may be configured to be a close fit with the housing base plate rim 42. The fit may be substantially or entirely airtight. Alternatively or additionally, the housing lid 50 may be provided with one or more projections (not shown) that protrude into the through holes 13 in the sample introduction member 10. The projections may seal with the through holes 13 so that the air in the sample introduction member 10 is compressed when the housing lid 50 is pushed with the projections towards the sample introduction member 10 and/or towards the housing base 40.

[0208] FIGS. 1D to 1F show a device 100 according to the present invention or parts thereof in more detail. Corresponding elements are denominated with the same reference numerals. The description provided above equally applies to this further device and its elements and the explanations below thus focus on additional (optional) features shown in FIGS. 1D, 1E and 1F.

[0209] As shown, also the device 100 comprises a separation member 20 and an extraction member 30. Also in this case, a sample introduction member 10 to allow a blood sample 60 to be applied to the separation member 20 and a housing base 40, in which the separation member 20 and/or the extraction member 30 may be received, may be provided. The device 100 of FIGS. 1D to 1F may also comprise a housing lid (not shown in these drawings), as explained above.

[0210] As shown in FIGS. 1D and 1E, the sample introduction member 10 may be provided with one or more through holes 13, for example 2 or more, or 3 or more through holes 13 (e.g., five). The through holes are preferably positioned above the cavity provided by the sample introduction member rim 12, which cavity preferably is arranged between the lower surface of sample introduction member base 11 and the upper surface of the separation member 20. This positioning of the through hole(s) allows the blood to enter said cavity. Optionally, the through holes 13 may be arranged in a recess in which the blood sample 60 may be gathered before it flows into the separation member 20.

[0211] As described above, a device 100 according to the present invention may also comprise a housing lid 50 (not shown in FIGS. 1D and 1E, but see FIGS. 1G and 1I). The housing lid 50 may be configured to seal the sample introduction member 10 (in particular, the holes 13), preferably in an air-tight manner. For example, the lower surface of the housing lid 50 may match the upper surface of the sample introduction member 10. The lower surface of the housing lid 50 may have a protrusion 55 that fits (preferably exactly fits) into a recess 19 on the upper surface of the sample introduction member 10 in which the blood sample may be gathered before it flows through the holes 13 on the separation member 20.

[0212] The through holes 13 may have similar shapes and/or dimensions (e.g. diameters). Alternatively the through holes may have different dimensions (see FIGS. 1G and 1H). For instance, one or more first through holes 13 and one or more second through holes 13 may be provided, wherein the second through holes have smaller dimensions (e.g. a smaller diameter) than the first through holes. The larger first through hole(s) 13 may be configured for introduction of the blood sample 60. The second through hole(s) 13 may be configured to act as ventilation openings, i.e. may be used for air exchange. Such ventilation openings may release air that is displaced by introduced blood and may thereby prevent that pressure builds up in the cavity between the sample introduction member 10 (preferably the lower surface of the sample introduction member base 11) and the separation member 20 (preferably the separation member upper surface). In other words, the second openings may help to release air when blood is introduced via the first opening(s) 13, i.e. may prevent that pressure is built up, e.g. in the cavity in which the blood sample 60 may be gathered before it flows into the separation member 20.

[0213] As shown in FIG. 1E, the sample introduction member 10 may further comprise a recess 15 in which a desiccant (e.g. a desiccant pellet such as a TBM33 (Wisepac) desiccant pellet) may be received. The recess 15 may be provided in a surface of the sample introduction member 10 that faces the separation member 20 and/or the extraction member 30 when the device 100 is assembled. The recess 15 may be formed by a rim protruding from the lower surface of the sample introduction member 10 (see FIG. 1H). Said rim may be a step-like rim. For instance, the rim may be formed by an outer rim 17 protruding from the lower surface of the sample introduction member 10 that faces towards the separation member 20 in an assembled configuration of the device (see FIG. 1E) and an inner rim 18 which protrudes less from the lower surface of the sample introduction member 10 that faces towards the separation member 20 in an assembled configuration than the outer rim 17 and has a smaller diameter than the outer rim 17. Preferably, the outer rim 17 and the inner rim 18 are integral to form a step-like rim structure without any gap being formed between the outer rim 17 and the inner rim 18. A desiccant (e.g. a desiccant pellet such as a TBM33 (Wisepac) desiccant pellet; not shown in the figures) may be placed in the part of the volume of the recess 15 defined by the inner rim 18. A protection membrane (not shown in the Figures) may be placed on top of the desiccant (e.g. may be glued on the face of the inner rim 18 facing the housing base 40) and/or such that the protection membrane may be interposed between the desiccant and the extraction member 30. Preferably, the protection membrane allows air exchange. For instance, the protection membrane may be a filter or a filter paper. Accordingly, the recess 15 may be a desiccant chamber. Said desiccant chamber may be formed by two rims of different diameter and height, the inner rim 18 having a lower height than the outer rim 17. Preferably the recess defined by the inner rim 18 is filled with desiccant and is covered with a protection membrane that allows air-exchange, such as a filter paper.

[0214] In order to hold the components of the device 100 together in the assembled state, the sample introduction member 10 and/or the housing lid (not shown in FIGS. 1D and 1E, but see FIGS. 1G and 1I) may comprise a locking arrangement for engaging with the housing base 40. The locking arrangement may be provided by, for example, a snap-fit, a bayonet connection, and/or a corresponding tongue and groove arrangement. For example, as shown in FIGS. 1D and 1E, the sample introduction member 10 may be provided with a pin 14 that engages with an internal groove 44 in the housing base 40. As will be evident to the skilled person, the groove 44 could also be an external groove. Moreover, several grooves and/or pins could be provided. As shown in FIG. 1G, the groove could also be a threading, e.g. on the sample introduction member 10 and the housing base 40. A threading may, for instance be provided on the outer surface of the housing base plate rim 42. A corresponding threading may be provided on an inner side of a rim 120 extending from the sample introduction member base 11 (see FIG. 1H). This arrangement could also be inversed.

[0215] As further shown in FIG. 1D, the housing base 40 may be provided with a rotation stop feature 45. The rotation stop feature 45 may be configured to cooperate and/or engage with a corresponding rotation stop feature (not shown) provided on the extraction member 30 to inhibit rotation of the extraction member 30 in the housing base 40. The rotation stop feature 45 may be provided by one or more protrusions and/or one or more recesses in the cavity 43 of the housing base 40, e.g. one or more protrusions and/or one or more recesses on the base and/or on the sidewalls of the cavity 43.

[0216] The rotation stop feature 45 may be formed by a rim-like protrusion on the base of the cavity 43. The rim-like protrusion may be continuous or discontinous. For instance, the rim-like protrusion may comprise one or more (e.g. at least two or at least three) notches or slits 46. Such notches or slits may be configured to allow introducing a thin pointy object, e.g., in order to facilitate removal of the extraction member 30 after serum or plasma has been collected in the extraction member 30.

[0217] FIG. 1G shows a device 100 according to the present invention. FIGS. 1H and 1I show certain parts thereof in more detail. Corresponding elements are denominated with the same reference numerals as used above. The description provided above equally applies to this further device and its elements and the explanations below thus focus on additional (optional) features shown in FIGS. 1G, 1H and 1I, as far as not already discussed, above.

[0218] As illustrated in FIG. 1G the device 100 may comprise a lid 50. Said lid 50 may be connectable to the sample introduction member 10 via a hinge 54, 16, which may be connected by a tighter metal cylinder (not shown). The lid 50 may be configured to close the device 100 in an air-tight manner. For instance, its lower surface may match the upper surface of the sample introduction member 10.

[0219] The different parts of the device 100, e.g. as shown in FIG. 1G may be connected to provide a fully closed configuration (e.g., an air-tight configuration) to reduce the risk of contamination of the extraction member 30.

[0220] The device 100 according to the present invention may comprise a sample introduction member 10 that is connected to the housing base 40. For instance, the connection may be achieved via a threading or a bayonette connection. Preferably, as shown in FIG. 1G the connection allows the sample introduction member 10 and the housing base 40 to be rotatable against each other along the longitudinal axes of the device and/or both parts. The sample introduction member 10 and the housing base 40 may be rotatable against each other over a certain predefined maximum angle. The sample introduction member rim 12 protruding from the lower surface of the sample introduction member base 11 may be arranged at a first position, said first position being preferably directly above the extraction member 30. The diameter of the rim 12 may correspond to the diameter of the extraction member 30 to achieve a complete overlap. The rim(s) forming the recess 15 (e.g. the outer rim 17) may be arranged at a second position. Said second position is preferably arranged relative to the first position such that rotation of the sample introduction member 10 against the housing base 40 (or vice versa) over the predefined angle results in the recess 15 being positioned over the extraction member 30, preferably overlapping the extraction member 30 completely (i.e. at the position the sample introduction member rim 12 was before rotation). Preferably also the rim forming the recess 15 (e.g. the inner diameter of the outer rim 17) may have the same diameter as the extraction member 30. The predefined angle of rotation may be 180 C.

[0221] Accordingly, the device 100 may have two configurations, between which a user can change by rotating the sample introduction member 10 and the housing base 40 against each other for a predefined angle. In the first configuration (referred to as open drop position), which is preferably the predefined configuration of the assembled device, the sample introduction member rim 12 is positioned above the extraction member 30. Preferably, the lower surface of the separation member 20, which may be fixed to the sample introduction member rim 12 as described elsewhere herein, is in contact with the upper surface of the extraction member 30, preferably in intimate contact. The extraction member 30 is preferrably held in a defined position in the housing base 40. In the open drop position a blood sample 60 may be introduced and separated plasma or serum may be gained and collected in the extraction member 30. In the second configuration (referred to as close drop position), which differs in that the sample introduction member 10 is rotated against the housing base 40 (or vice versa) for a predefined angle, the recess 15 is positioned above extraction member 30. The close drop position allows that a desiccant placed in recess 15 or a part volume thereof (e.g. formed by an inner rim 18) is positioned directly above the extraction member. Thereby drying of separated plasma or serum can be facilitated. Preferably the rotation stop feature 45 may and the rim forming recess 15 may engage in a air tight manner to additionally facilitate drying of the serum by creating a closed volume comprising the extraction member 30. Due to the closed volume being relatively small, humidity can be reduced more efficiently by the desiccant. Preferably, a filter (e.g. a filter paper) may protect the desiccant from getting into direct contact with the extraction member 30 or the serum/plasma stored in the extraction member 30.

[0222] To ensure that changing between the open drop position and the close drop position can be achieved accurately, the device 100 may comprise one or more position indicators that mark the rotation position of the sample introduction member 10 and the housing base 40 against each other in which the device is in the open drop position and/or the close drop position. A person skilled in the art will appreciate that different types of position indicators may be provided. Non-limiting examples are markers/labels on respective positions of the sample introduction member 10 and/or the housing base 40. For instance a first protrusion 150 may be provided on the sample introduction member 10 and a second protrusion 47 may be provided on the housing base 40 (see FIG. 1G). When both protrusions are aligned this may indicate that the device 100 is in the open drop position or the close drop position. This will depend on the positioning of recess 15 and the sample introduction member rim 12 on the lower surface of the sample introduction member 10, which faces the housing base 40. In the exemplary configuration shown in FIGS. 1G and 1H, alignment of the protrusions indicates the close drop position which facilitates drying of the separated serum or plasma. The first and/or second protrusion may extend radially, e.g. radially from the sample introduction member 120 and/or the housing base 40, respectively.

[0223] The mechanism allowing rotation between the sample introduction member 10 and the housing base 40 against each other along their longitudinal axis (e.g. threading) may be configured to be secured, i.e. that rotation is only possible if a security mechanism is overcome. For instance, a threading may be configured in a manner that the two parts need to be pressed against each other before rotation is possible. Such a mechanism may prevent that the position of the device, which may be delivered in a ready-to-use setting, i.e. in a open drop position may be accidentally manipulated by the user before usage. In particular, this may prevent that the extraction member 30 is not perfectly positioned below the separation member 20 and the sample introduction member rim 12.

[0224] As shown in FIGS. 1G and 1I, the device 100 may comprise a housing lid 50. The housing lid 50 may be connected (detachably or not) to the sample introduction member 10, e.g. to its upper surface or its side wall. The connection may be provided by a hinge 16, 54 that allows the lid to be opened and closed without removing it from the device 100 (see FIGS. 1G to 1I). In principle, the lid 50 may also be connected with the housing base 40 and the sample introduction member 10 may be placed as a separate part between the housing base 40 and the housing lid 50. Also in this context a hinge may be used as connection.

[0225] The housing lid 50 may be configured to close the device air-tightly. Preferably, the housing lid 50 may be configured to close all through hole(s) 13 or only some of them, such as the first through hole(s) 13, air tightly. The housing lid 50 may, for instance, comprise a housing lid protrusion 55 on its lower surface which matches the recess 19 on the upper surface of the sample introduction member 10. Optionally, the device 100 may be configured so that the housing lid 50 can be closed during the process of separation into plasma or serum. Such a configuration has the advantage that the risk of sample contamination is further reduced.

[0226] The device 100 as exemplified in any one of the FIGS. 1A to 1I above may be employed with any extraction member 30 as described herein elsewhere.

[0227] The present invention is additionally illustrated by way of the following examples that provide a better understanding of the present invention and of its advantages.

Example 1: Optimization of Extraction Performance

[0228] In the present Example two different configurations of the extraction member of a device according to the present invention (specifically having the components as shown in FIG. 1A) were compared as regards their extraction performance. The devices were identical except for the extraction member used.

[0229] The two devices employed the plasma separator membrane Vivid GR as a separation member. The Vivid GR membrane traps the blood cells and allows the passage of the liquid phase (plasma/serum) to the bottom of the membrane (see FIG. 1B). However, the plasma does not substantially flow out of the membrane passively. To extract the plasma from the separation membrane lower surface, an extraction member was employed in both devices tested. The extraction member contacted the lower surface of the separation membrane and extracted the plasma into the extraction member. Both devices tested comprised a polyamide (PA) plastic disc (1 cm of diameter) as an extraction member. With the aim of extracting and also storing the plasma/serum inside the extraction member, the upper surface of both PA discs was machined in order to create an extraction member having a base and microstructures protruding upward therefrom and empty spaces between said microstructures. The two different devices employed in the context of the present invention differ in the patterns on the extraction member upper surface. The extraction member of the first device had micro-pillars extending over the whole disk diameter (also referred to as lines); the second device had shorter micro-pillars each having a length of 1 mm and with a space of 0.5 mm being provided between adjacent micro-pillars in the lengthwise direction. In both cases the micro-pillars had a width w.sub.P of 0.5 mm and a height 0.5 mm. The open width w.sub.c of the channels was 0.5 mm.

[0230] For the experiments characterizing the extraction performance, the respective parts of the two devices were first assembled in accordance with the scheme shown in FIG. 1A (following the arrows in FIG. 1A). Next, the following steps were performed for plasma separation from mouse blood samples:

[0231] First, 110 l of mouse blood were directly applied (drop-wise) to the sample introduction member of said devices. After 10 minutes in vertical position (in the orientation as shown in FIG. 1) at room temperature, both the sample introduction member and the attached plasma separation membrane were removed from the extraction. The lid was used to close the device, storing the plasma extraction element inside. Finally, the volume of the extracted plasma was measured by centrifugation of the extraction disc into an eppendorf tube followed by weighting the tube filled with plasma in a precision scale (a calibration curve was previously constructed with plasma volumes ranging from 5 to 50 microliters).

[0232] As shown in FIG. 2A (first two bars on the left), the amount of plasma collected is similar when using both patterns. This illustrates that different microstructures and micro-pillar dimensions may be employed in the context of the extraction member of a device according to the present invention. However, due to larger overall storage capacity of the micro-pillar pattern, the micro-pillar pattern is believed to be advantageous over the linear pattern. Moreover, the large overall storage capacity of the micro-pillar pattern also may be advantageous when preloading the extraction member with different solutions. Due to the advantages of an extraction member comprising discontinued micro-pillars, the devices used in the following experiments described herein included this configuration of the extraction member.

[0233] Next, further experiments to assess preferable micro-pillar heights h and the spacing between micropillars w.sub.c, respectively were performed. In other words, it was assessed with which micro-pillar height h and spacing w.sub.c between adjacent micropillars most plasma could be extracted from the separation member. To this end, the volume of plasma extracted by a disc-shaped plasma extraction elements of 1 cm of diameter with discontinued micro-pillars of different heights and different spacings w.sub.c between micropillars was measured, respectively (otherwise the device was the same as used above and as shown in FIG. 1). As shown in FIG. 2 FIGS. 2A and 2B, respectively, 0.3 mm was determined to be the preferable height and 0.5 mm the preferable spacing since the maximum volume of plasma could be extracted.

[0234] Without intending to be bound by theory, the micro-pillar dimensions selected for the subsequent experiments/examples and believed to be optimal for recovering as much serum or plasma as possible were 0.3, 0.5 and 1 mm (height h, width w.sub.P and length l, respectively). The spacing we between the micro-pillars was selected as 0.5 mm in the following Examples.

Example 2: Separation of Plasma from Human Capillary Blood

[0235] In this example, the performance of a device with the above-mentioned preferred dimensions in a real direct-to-costumer scenario was assessed. A volunteer followed the recommended WHO guidelines for capillary blood sampling by using a fingerprick (see WHO Guidelines on Drawing Blood: Best Practices in Phlebotomy (Geneva; 2010)). Next, the volunteer applied 8 or 10 capillary blood drops into the through holes of the sample introduction member. After 10 minutes at room temperature and with the device in vertical position, the plasma collected in the extraction member was measured. As shown in FIG. 2C, >10 l of human plasma were reproducibly obtained with both volumes of blood (n>5 individual samplings). Therefore, these data clearly demonstrate the feasibility of obtaining meaningful plasma volumes by using a less invasive blood sampling method than donation of venous blood and that does not require specially trained personnel or specialized equipment.

[0236] Notably, similar results were also achieved when similar devices having an extraction member made from another clinically-approved polymer, polyether ether ketone (PEEK) (Panayotov, I. V., Orti, V., Cuisiner, F. & Yachouh, J. Polyetheretherketone (PEEK) for medical applications. J Mater Sci Mater Med 27, 118 (2016)) were used.

Example 3: Analytical Suitability of the Human Plasma (Preservation of Analytes) Obtained by the Device According to the Present Invention

[0237] In the follow-up experiments the suitability of the capillary human plasma (preservation of analytes) obtained to reproducibly measure changes in the concentration of meaningful proteins was tested.

[0238] To this end, a volunteer applied its capillary blood to four devices (as explained above). In the following, different preservation conditions were applied to each of the devices:

1. First device: first, the micro-pillar extraction member disc was preloaded with 5 l of a urea-based denaturing solution (7M Urea prepare in sterile water) that was let at room temperature until all water evaporated. After assembling the whole device (following the arrows in FIG. 1A), the sampling and plasma separation procedure as described in Example 2 was followed and the device was closed with the lid and immediately stored for 48 hours at +4 C. hours.
2. Second device: first, the micro-pillar disc extraction member was preloaded with 5 l of a urea-based denaturing solution that was let at room temperature until all water evaporated. After assembling the whole device (following the arrows in FIG. 1A), the above-explained sampling procedure (the same as for FIG. 3) was followed and the device was closed with the lid incorporating a desiccant pellet (TBM33, Wisepac). Finally, the device was stored at room temperature for 48 hours.
3. Third device: first, the micro-pillar extraction member disc was substituted by a 903 Protein Saver paper disc (of 1 cm of diameter). After assembling the whole device (following the arrows in FIG. 1A), the sampling and plasma separation procedure as described in Example 2 was followed and the filter was removed and dried at room temperature for 30 minutes. Next, the paper was introduced in a light-protected bag provided with a desiccant. The bag was closed and immediately stored at +4 C. for 48 hours.
4. Fourth device: first, the micro-pillar extraction member disc was substituted by a 903 Protein Saver paper disc (of 1 cm of diameter). After assembling the whole device (following the arrows in FIG. 1A), the sampling and plasma separation procedure as described in Example 2 was followed and the filter was removed and let dry at room temperature for 30 minutes. Next, the paper was introduced in a light-protected bag provided with a desiccant. The bag was closed and immediately stored at room temperature for 48 hours.

[0239] As an additional control of the experiment, all these four capillary plasma samples were compared to a control sample consisting of 10 l of human plasma obtained by a fingerprick and centrifugation (2500 g for 10 minutes at +4 C.), collected from the same individual before the capillary samples were applied to the four devices. The control sample was stored at 80 C., which is very effective in preserving samples but not user-friendly and applicable to a home service use. After 48 hours, these five plasma samples were analyzed using: [0240] i) a state-of-the-art targeted proteomic method named Data Independent Acquisition Mass Spectrometry (DIA-MS; see e.g. Rouwette, T., Sondermann, J., Avenali, L., Gomez-Varela, D. & Schmidt, M. Standardized Profiling of The Membrane-Enriched Proteome of Mouse Dorsal Root Ganglia (DRG) Provides Novel Insights Into Chronic Pain. Molecular & cellular proteomics: MCP 15, 2152-2168 (2016)), which measures changes in concentration of hundreds of specific proteins with very high reproducibility. [0241] ii) Targeted metabolomics using the AbsoluteIDQ p180k Biocrates metabolomic kit and service (Biocrates Life Sciences AG, Innsbruck) that measures the absolute concentration of 180 metabolites with high accuracy and sensitivity.

[0242] FIG. 3A shows the number of peptides detected in all five samples using DIA-MS. Importantly, the overall number of peptides detected (as a direct measurement of protein preservation) are comparable between the control sample and the two capillary samples obtained using the sampling devices of the present invention at any of the two storage temperatures. In contrast, more than 50% of these peptides were not detected when using the 903 paper based device.

[0243] FIG. 3B shows the number of metabolites detected in all five samples using the AbsoluteIDQ p180k Biocrates metabolomic mass spectrometry kit. The number of metabolites detected (as a direct measurement of metabolite preservation) was increased in the plasma samples that were received with a device according to the present invention and stored in the PA extraction member disc of the device according to the present invention compared to the samples received with a 903 paper-based device and stored on the 903 paper. These differences in preservation depend on the type of metabolite studied, being very considerable for Acylcarnitines and significant for Phosphatidylcholines.

[0244] Therefore, separating and preserving/storing plasma or serum with the device according to the present invention seems to be particularly advantageous for analytes that are proteins and metabolites (such as in particular Acylcarnitines or Phosphatidylcholines).

[0245] The results demonstrate the superior preservation performance of the device of the present invention (based on a micro-pillar extraction member) compared to current state-of-the-art paper-based solutions (e.g. 903 Protein Saver used in drop blood paper) for the detection of clinically meaningful metabolites and proteins in human plasma.

Example 4: Analytical Suitability of the Human Plasma (Number of Proteins Detected) Obtained by the Device According to the Present Invention

[0246] In the follow-up experiments the suitability of the capillary human plasma obtained to reproducibly measure changes in the concentration of meaningful proteins was tested. To this end, a volunteer applied its capillary blood to three devices (as explained above). In the following, a different preservation condition was applied to each of the devices:

1. First device: first, the micro-pillar extraction member disc was preloaded with 5 l of a urea-based denaturing solution that was let at room temperature until all water evaporated. After assembling the whole device (following the arrows in FIG. 1A), the sampling and plasma separation procedure as described in Example 2 was followed and the device was closed with the lid and immediately stored in dry ice for 48 hours.
2. Second device: first, the micro-pillar extraction member disc was preloaded with 5 l of a urea-based denaturing solution that was let at room temperature until all water evaporated. After assembling the whole device (following the arrows in FIG. 1A), the sampling and plasma separation procedure as described in Example 2 was followed and the device was closed with the lid and immediately stored at +4 C. for 48 hours.
3. Third device: first, the micro-pillar disc extraction member was preloaded with 5 l of a urea-based denaturing solution that was let at room temperature until all water evaporated. After assembling the whole device (following the arrows in FIG. 1), the above-explained sampling procedure (the same as for FIG. 3) was followed and the device was closed with the lid incorporating a desiccant pellet (TBM33, Wisepac). Finally, the device was stored at room temperature for 48 hours.

[0247] As a control of the experiment, all these three capillary plasma samples were compared to a control sample consisting of 10 l of human plasma obtained by classical venipuncture and centrifugation (2500 g for 15 minutes at room temperature), collected from the same individual by a trained technician immediately before the capillary samples were applied to the three devices and stored at 80 C. After 48 hours, these four plasma samples were analyzed using a state-of-the-art targeted proteomic method named Data Independent Acquisition Mass Spectrometry (DIA-MS; see e.g. Rouwette, T., Sondermann, J., Avenali, L., Gomez-Varela, D. & Schmidt, M. Standardized Profiling of The Membrane-Enriched Proteome of Mouse Dorsal Root Ganglia (DRG) Provides Novel Insights Into Chronic Pain. Molecular & cellular proteomics: MCP 15, 2152-2168 (2016)), which measures changes in concentration of hundreds of specific proteins with very high reproducibility.

[0248] FIG. 4 shows the measurement of 511 proteins in all four samples using DIA-MS. Importantly, the overall protein intensity values (as a direct measurement of protein amount) are comparable between the control sample and all three capillary samples obtained using the sampling devices (regression coefficients >0.88 for all three comparisons). Importantly, the storage conditions did not show any deleterious influence in the overall protein landscape (even when the sample was stored at room temperature for 2 days).

[0249] Further analysis of the results demonstrates the ability to detect and quantify clinically meaningful protein biomarkers. The results show the profiling of 9 FDA approved cancer biomarkers (FIG. 5) as well as 32 proteins proposed as biomarkers for Ovarian cancer (Huttenhain, R. et al. Reproducible quantification of cancer-associated proteins in body fluids using targeted proteomics. Science translational medicine 4, 142ra194 (2012)) (FIG. 6), among them four of the five proteins (B2MG, APOA1, TTHY and TRFE) belonging to the commercially available and FDA-approved OVA@ biomarker panel (blood test used to help evaluating the risk of ovarian cancer using antibody-based assays; property of Aspira Labs), at comparable concentrations among the four plasma samples.

[0250] Further, the results demonstrate the ability to monitor other clinically meaningful physiological processes such as metabolic processes (FIG. 7), as well as proteins belonging to commercial panels currently offered to costumers but measured using antibodies (such as CRP, ApoA1, Albumin or IGF-1; analyzed by WellnessFX).

[0251] Finally, the results also demonstrate the suitability of the samples obtained by the device of the present invention to be used for the discovery of new protein biomarkers, which are thought to belong to the proteins secreted by the different organs into the blood stream and therefore present at low concentration (ng/ml range) in blood. Twenty six proteins in the low ng/ml concentration range could be detected (e.g. IGF1, ADIPOQ, GP1BA or CBPB2; empty squares in FIG. 8 represent proteins with concentrations below 50 ng/ml in human plasma according to Farrah et al., Molecular Cellular Proteomics, 2011), despite that the plasma samples were not depleted from the most abundant proteins (a usual procedure in order to detect low abundant proteins in plasma).

[0252] In summary, the results clearly show the successful performance of the presented device to target the detection and discovery of meaningful protein and metabolite biomarkers in blood samples. The easy use of the device, the possibility to store at +4 C. or even at room temperature for at least 2 days, as well as the possibility to manufacture the device using mass production techniques (e.g. injection molding or hot embossing) make this device suitable for point of care (POC) or direct-to-costumer services.

[0253] While aspects of the invention are illustrated and described in detail in the figures and in the foregoing description, such illustration and description is to be considered illustrative or exemplary and not restrictive. Also reference signs in the claims should not be construed as limiting the scope.

[0254] It will also be understood that changes and modifications may be made by those of ordinary skill within the scope and spirit of the following claims. In particular, the present invention covers further embodiments with any combination of features from different embodiments described above. It is also to be noted in this context that the invention covers all further features shown in the figures individually, although they may not have been described in the previous or following description. Also, single alternatives of the embodiments described in the figures and the description and single alternatives of features thereof can be disclaimed from the subject matter according to aspects of the invention.

[0255] Whenever the word comprising is used in the claims, it should not be construed to exclude other elements or steps. Similarly, the indefinite article a or an does not exclude a plurality. A single unit may fulfill the functions of several features recited in the claims. It should also be understood that the terms essentially, substantially, about, approximately and the like used in connection with an attribute or a value may define the attribute or the value in an exact manner in the context of the present disclosure. The terms essentially, substantially, about, approximately and the like could thus also be omitted when referring to the respective attribute or value.