The disclosures herein relate generally to patient specimen testing, and more specifically to apparatus for more efficiently testing patient specimens. The testing of patient specimens requires a great deal of precision and accuracy, which necessarily consume a large amount of time in conventional patient specimen testing protocols. It is desirable to maintain this precision and accuracy while processing patient specimen more efficiently.
In one embodiment, a self-contained sample processing receptacle (i.e. cartridge), is disclosed. The sample processing receptacle includes a first receptacle portion including a receiver that receives a specimen slide. The sample processing receptacle further includes a second receptacle portion that closes on the first receptacle portion to form a chamber interior to the receptacle, wherein the specimen slide forms a surface of the chamber. In one embodiment, the specimen slide forms one wall of the chamber to effectively complete the chamber. In one embodiment, the receiver of the first receptacle portion includes an open region adjacent in which the specimen slide is received. In one embodiment, the second receptacle portion includes a plurality of fluid inputs and at least one fluid output. The plurality of fluid inputs couples to the chamber by a plurality of channels respectively therebetween. In one embodiment, at least one of the plurality of channels includes a reagent reservoir. In one embodiment, at least one of the plurality of channels includes a blocking reservoir. It is noted that in one embodiment, the specimen to be processed can be adhered to a glass slide that forms one wall of the chamber. Alternatively, the specimen may not be adhered at all to the glass slide but can be contained in, or brought into, the chamber for processing during application of the disclosed receptacle processing procedure.
In another embodiment, a patient specimen processing apparatus is disclosed. This apparatus is also referred to as a test instrument. The specimen processing apparatus includes a plurality of specimen processing bays each capable of receiving a respective receptacle that includes a specimen slide, each receptacle including protocol specific reagents that are specific to a protocol of each slide. The apparatus also includes a plurality of common reagent stores accessible by each of the specimen processing bays to supply reagents to the specimen processing bays. In one embodiment, the plurality of common reagent stores is configured to supply reagents to the plurality of specimen processing bays in parallel. In another embodiment, the apparatus includes a plurality of multiple input valves, each multiple input valve being dedicated to a respective processing bay, each input of a particular multiple input valve being capable of selecting a different common reagent store.
The appended drawings illustrate only exemplary embodiments of the invention and therefore do not limit its scope because the inventive concepts lend themselves to other equally effective embodiments.
In one embodiment, a self-contained sample processing receptacle (i.e. cartridge) for holding a specimen during testing is disclosed. The receptacle includes a lower member with a slide receiver that receives a slide with a sample thereon. The receptacle also includes an upper member configured such that when the upper member is closed upon the lower member, a chamber is formed between the upper member and the lower member. The slide being situated within the sample processing receptacle effectively completes the receptacle chamber and provides one of the major surfaces of the receptacle chamber. The sample processing receptacle includes multiple fluid inputs and at least one fluid output. In one embodiment, the upper member of the receptacle includes multiple fluid channels. One or more of the fluid channels include reservoirs, such as reagent reservoirs and fluid blocking reservoirs, as explained in more detail below. In one embodiment, the user is provided with a complete receptacle assembly except for the glass slide on which the specimen is placed. The reservoirs in the channels of the receptacle assembly are preloaded with reagents required for the particular testing protocol corresponding to the sample on the glass slide of the receptacle. Such reagents may include antibodies, DNA/RNA oligonucleotides and enzymes. When the user places the glass slide in the lower member and closes the upper member, the glass slide forms one of the interior walls of the sealed chamber.
Lower member 200 includes fluid inputs 211, 212, 213, 214 and 215 to which different fluids such as chemical reagents may be supplied when receptacle 100 is fully assembled with glass slide 300 therein. Lower member 200 also includes a fluid output 220 through which all fluids from the chamber within receptacle 100 exit when testing such as staining of the sample (not shown) on the slide 300 within the receptacle is complete.
Receptacle 100 includes gasket 400 that may be fabricated from rubber or similar elastomeric material that provides sealing properties. Gasket 400 includes gasket holes 411, 412, 413, 414 and 415 that mate with fluid inputs 211, 212, 213, 214 and 215, respectively, of lower member 200. Gasket 400 further includes an open region 420 that defines the dimensions of chamber 422. Gasket 400 includes five walls 422-1, 422-2, 422-3, 422-4 and 422-5 that provide the vertical dimension of chamber 422 as depicted in
The output end 424 of chamber 422 is V-shaped to promote better flow of reagents through chamber 422 toward the output of the receptacle. Gasket 400 includes a plurality of check valves such as valve 430 that seat in the corresponding holes such as hole 1-4 that extend to the lower or interior major surface 500C of upper member 500. The plurality of check valves such as valve 430 prevent or limit the undesired backflow of reagents from chamber 422 back toward the fluid inputs 211-215 of receptacle 100.
Receptacle 100 includes 5 fluid channels designated 1, 2, 3, 4 and 5. It is noted that channel 4 snakes around fluid channel 5 in
Receptacle 100 also includes upper member 500 that exhibits four fluid channels that are formed extending into the major surface 502 thereof. These four fluid channels are input channels that are designated 1, 2, 3 and 4 adjacent input end 500A. Upper member 500 also includes an output fluid channel 6 adjacent output end 500B. The lower or interior major surface 500C of upper member 500 provides the top surface, i.e. roof, of chamber 422 when receptacle 100 is completely assembled and closed. In one embodiment, a sealing layer 530 is situated at major surface 502 to seal the fluid channels, input holes, output holes, and reservoirs thereof within receptacle 100. In
A representative fluid flow through a fully assembled closed receptacle 100 containing a sample specimen is now discussed. The fully assembled closed receptacle 100 is placed in one of multiple bays in a test instrument that is discussed in more detail below. While receptacle 100 stores multiple low-volume reagents on board the receptacle itself for a particular test protocol, the test instrument provides higher volume reagents as needed for the particular test. The test instrument acts as a source of higher volume reagents that is external to the receptacle itself. These higher volume reagents may include general reagents and buffers, water, alcohol, and application(s) specific wash reagents and specimen processing reagents. The higher volume reagents are supplied via dedicated reagent port/channel on the receptacle. In actual practice, higher volume reagents pass through reagent fluid channel 4, namely the channel that snakes around channel 5. It is noted that any channel of the receptacle can be configured to flow higher volume reagents.
For example, if a particular test protocol requires a higher volume of reagent, the test instrument provides the required reagent to a representative fluid input 212 of lower member 200. While
Port 1-1 is a port for incoming lyophilized reagent rehydration water/buffer. Protocol specific Lyophilized reagent (antibodies, DNA/RNA oligonucleotides or enzymes) can be located in position 1-2, and/or 1-3, and/or 1-4. In one embodiment, lyophilized reagent can be located in 1-2 and lyophilized “blank” buffer (without reagents antibodies or DNA/RNA or enzyme) “blocking pellet” can be “packed” in 1-3, and/or 1-4. In another embodiment, lyophilized reagent can be located within the channel structure (not in reservoir) between the reservoirs and lyophilized “blank” buffer can be “packed” in 1-2 and/or 1-3 and/or 1-4. The lyophilized “blank” buffer acts as chemically dissolvable valves protecting the lyophilized reagents from chamber back-flow or vapors from within the bay manifold or chamber. Packing of the lyophilized blank buffer makes the channel air tight and traps any vapor or moisture entering the channel thus protecting the lyophilized reagent from premature rehydration or vapor contamination prior to its use. When a channel is opened for flow, the rehydration water or buffer flows through that channel rehydrating the lyophilized “blank” buffer and lyophilized reagent and dispensing into the chamber. Each channel 1-4 can contain a unique lyophilized reagent or same. The normally closed check valves within the chamber sealing 1-4 channels also isolate the channels from the chamber. When rehydration water or buffer flows through the channel, it rehydrates all lyophilized reagents in its path and pushes the check valve open into the chamber. The purpose of check valves and dissolvable channel block is the same as preventing back flow from the chamber into the channel and acting as a vapor barrier to protect the lyophilized reagent located within that channel path/reservoirs. It is possible to have an embodiment where check valves are not designed in and only blocking lyophilized pellet is utilized as check valves to prevent back flow from chamber into a channel.
A representative fluid channel 1 extends between hole 1-1 and hole 1-5, as shown. The reagent fluid flows from hole 1-1 along channel 1, by reservoir 1-2, by reservoir 1-3, by reservoir 1-4, to exit hole 1-5.
After flowing through fluid channel 1, the reagent exits hole 1-5. The reagent flows downward in the direction of gravity and pressure as indicated by arrow C. Prior to fluid flowing through channel 1, check valve 430 is closed, i.e. check valve 430 rests in a corresponding hole such as 1-4 or 1-5 to prevent backflow of fluids in chamber 422 toward the fluid inputs of receptacle 100. It is noted that instead of a check valve being used as valve 430, an umbrella valve may be employed instead. Advantageously, umbrella valves also allow one-way flow of liquid but in comparison to check valves, umbrella valves will close after liquid passes therethrough. Once fluid from fluid input 212 passes through channel 1 and reaches valve 430, valve 430 flexibly opens downward in the direction of gravity under the pressure of fluid flow from the input which is under pressure supplied by a pump in the test instrument described below. The reagent provided to input 212 thus reaches chamber 422 and the sample (not shown) on glass slide 400. After passing through chamber 422, the reagent and other fluids in chamber 422 will pass from V-shaped chamber end 422 up to hole 1-6 as indicated by arrow D. The fluids then travel along liquid channel 6 to hole 1-7. From hole 1-7, the fluids travel through gasket output hole 416 as indicated by arrow E. The fluids then travel from gasket whole 416 to fluid output hole 220 in lower member 220, as indicated by arrow F, at which point the fluids are exhausted from receptacle 100 for collection and proper disposal. Once the fluids are drained from the receptacle, the receptacle may be opened and the user removes the slide removed from the receptacle. The specimen on the slide may then be studied under a microscope. Such viewing under a microscope is post-processing, i.e. post-staining or post treatment by the liquid chemicals that were in chamber 422.
In one embodiment, receptacle 100 may include multiple interior alignment pins and corresponding holes that assist in aligning, mating and closing upper member 502 to lower member 200.
It is noted that an onboard lyophilized reagent is a reagent that is onboard a receptacle prior to being placed in a receptacle.
An apparatus that processes specimen receptacles in parallel is also disclosed.
In this particular embodiment, the left side of instrument 200 includes ports 215-1, 215-2, . . . 215-4 that may receive respective tubes 220 therein. More particularly, in this particular example, while port 215-1 is open, ports 215-2, 215-3 and 215-4 are populated with respective tubes 220-2, 220-3 and 220-4. These tubes are vessels that store bulk reagents or small reagents therein. Small reagents are reagents in smaller quantities than typically associated with bulk reagents. A small reagent is a small volume reagent exhibiting a smaller volume than a bulk reagent. The front side of instrument 200 includes 7 ports that are populated with respective tubes 220-5, 220-6, . . . 220-11, as shown.
Instrument 300 includes a system controller information handling system (IHS), namely system controller IHS 310. In one embodiment, system controller IHS 310 is implemented as a microcontroller that is programmable to control reagent distribution to the receptacle bays described below. System controller IHS 310 may communicate with control IHS 305 via a USB communication link 315 or other communication link. Communication link 315 may be wired or wireless. Instrument 300 may also include a plurality of receptacle bays 401-1, 401-2, . . . 401-N, wherein N is the total number of receptacle bays in instrument 300. The receptacle bays may also be referred as cartridge bays because these receptacle bays receive respective cartridges (i.e. receptacles) containing specimens for testing.
In the course of testing, instrument 300 may supply one or more reagents to each receptacle in its respective testing bay. Different tests may be simultaneously conducted in different receptacle bays of instrument 300. For example, a first test may be conducted in a receptacle with specimen placed in receptacle bay 401-1. The first test may require bulk reagent A, bulk reagent B and small reagent C. A second test that is different from the first test and requiring different reagents may be conducted in another receptacle with specimen placed in receptacle bay 401-2. The second test may require bulk reagent B, small reagent C and bulk reagent D. Instrument 300 is configured such that at the same time it supplies bulk reagent A, bulk reagent B and small reagent C to the receptacle within receptacle bay 401, instrument 300 also supplies bulk reagent B, small reagent C and bulk reagent D to the receptacle in receptacle bay 401-2. In this manner, tests 1 and 2 are conducted in parallel. Alternatively, tests 1 and 2 may be conducted sequentially if desired by the user. Instrument 300 may also supply receptacles in the remaining receptacle bays with other reagents simultaneously in parallel with the supply of the above described reagents to receptacle bays 401-1 and 401-2.
In the above-described testing, a tube holding bulk reagent B (e.g. tube 220-3 of
It is noted that in the current generation of conventional instruments where reagents are dispensed using one or more robotic liquid dispensing arms, this conventional arrangement would hinder an attempt to parallel process or supply same reagents to multiple specimen slides simultaneously. In contrast, the disclosed parallel processing features allow each bay and receptacle to be independently processed including the removal and addition of a new slide specimen in a receptacle safely without affecting, pausing or stopping the procedure for other receptacles. This feature lends itself to significantly higher throughput with a smaller footprint of the instrument relative to a robotic or rotating carousel-based liquid dispensing instruments that share resources for liquid dispensed when processing more than one specimen.
System controller IHS 310 may communicate with receptacle bays 401-1, 401-2, . . . 401-N via communication link 355. Communication link 355 may be a wired or wireless communication link. In one embodiment, communication link 355 may utilize serial peripheral interface (SPI) communications to couple system controller IHS 310 with receptacle bays 401-1, 401-2, . . . 401-N. The block diagram of
Each receptacle bay 401-1, 401-2, . . . 401-N may include a respective receptacle bay controller 340, thermal electric cooler (TEC) controller 345, selector valve 350 (also shown in
Prior to running the test, a user or other entity may input control parameters, such as the temperature desired for a particular test, into control IHS 305. Control IHS 305 transmits these control parameters to system controller IHS 310. In the case of a temperature control parameter, system controller 310 instructs receptacle bay controller 340-1 with respect to the particular temperature needed for a test in receptacle bay 401-1. In response to receiving this temperature control parameter, receptacle bay controller 340 instructs TEC controller 345-1 with respect to the particular temperature to heat or cool receptacle bay 401-1 for the particular test in that receptacle bay.
Continuing with the discussion of a representative specimen test in a receptacle in receptacle bay 401-1, system controller IHS 310 instructs multiple input selector valve 350-1 with the respect to the particular input to select to receive a particular reagent from a particular reagent store. As discussed in more detail below with reference to
Receptacle bays 401-1, 402-2, . . . . 402-N each include a respective multi-input selector valve 350-1, 350-2, . . . 350-N. The operation of receptacle bay 401-1 is now discussed as being representative of the operation of the other receptacle bays, keeping in mind that each receptacle bay may conduct independent testing with different combinations of reagents being supplied thereto. Receptacle bay 401-1 includes a 9-input selector valve 350-1 in this particular embodiment. Those skilled in the art will appreciate that receptacle bay 401-1 may employ a number of inputs less than or greater than 9. In one embodiment, multi-input selector valve 350-1 includes one input for each reagent store that instrument 400 employs. If instrument 400 includes 7 large reagent stores 405 (i.e. M=7) and further includes 2 small reagent stores 410 (i.e. L=2), then instrument 400 includes a total of 9 reagent stores. In this case, selector valve 350-1 includes 9 inputs, one input being dedicated to each reagent store, as shown in
Receptacle bay 401-1 further includes a manifold 420-1 on which receptacle 425-1 is situated. In actual practice, referring momentarily back to
In one embodiment, bulk reagent store 405-1 couples to one input of each of selector valves 350-1, 350-2, . . . 350-N. Likewise, bulk reagent store 405-2 couples to one input of each of selector valves 350-1, 350-2, . . . 350-N. Similarly, bulk reagent store 405-M couples to one input of each of selector valves 350-1, 350-2, . . . 350-N (connection not shown due to space limitations). In this manner, bulk reagent store 405-1 is common to all receptacle bays, bulk reagent store 405-2 is common to all receptacle bays, and bulk reagent store 405—is common to all receptacle bays. Small reagent stores 410-1 . . . 401-L couple to respective inputs of each of selector valves 350-1, 350-2, . . . 350-N such that these small reagent stores are common to all receptacle bays. In summary, receptacles 425-1, 425-2, . . . 425-N may acquire access to the same common bulk reagent stores in parallel under the control of system controller IHS 310. Likewise, receptacles 425-1, 425-2, . . . 425-N may acquire access to the same common small reagent stores in parallel under the control of system controller IHS 310. The diagram of
Valves V0, V1, V2, . . . V10 are all situated on manifold 420-1 and are configured as shown in
Input port 3 of receptacle 425-1 is dedicated to receiving one or more reagents selected by selector valve 350-1 one at a time from the reagent stores connected to selector valve 350-1. The output of selector valve 350-1 is labelled “R” to indicate “reagent”. Valve V1 supplies the selected reagent from reagent output R to the dedicated reagent input port 3 of receptacle 425-1. Under the direction of receptacle bay controller 340-1, valves V0-V10 are configured to provide deionized H2O, or alternatively a reagent, in store 415 to receptacle input ports 1, 2, 4 and 5. Valve V9 couples to an air input, A, of receptacle bay 401-1 to provide air to the system as needed. Pump 421 pulls reagents and water through the ports of receptacle 425-1 via valves V1, V10 and V3. Pump 431 pulls water through the instrument 400 so that receptacle bays 401-1, 401-2, . . . 401-N are supplied with water. A waste discard outlet 435 couples to pump 431 to exhaust waste liquid from instrument 400.
Pump 431 is optional, but may be used to assist in directly bypassing manifold 420-1 to prime reagents and water if applicable. Each receptacle manifold, such as manifold 420-1, may also be individually primed by all reagents using the bypass line 423 and pump 421 employed by manifold 420-1, in the absence or presence of a receptacle 425-1 on the manifold 420-1. The bypass line 423 is denoted in
In one embodiment, for liquid to flow through receptacle 425-1, a specimen slide must be present within receptacle 425-1. For liquid to flow through receptacle 425-1, a specimen slide must be present in receptacle 425-1. The presence of the specimen slide in receptacle 425-1 effectively forms a wall that completes the sealed specimen chamber within receptacle 425-1. This arrangement acts as a type of failsafe mechanism because if the user forgets to place a specimen slide in receptacle 425-1, then receptacle bay controller 340-1 senses the absence of the specimen slide and prompts the user to check the slide in that receptacle.
To provide receptacle 425-1 in receptacle bay 401-1 with a particular bulk reagent that bulk reagent store 405 houses, system controller IHS 310 sends a command to selector valve 350-1 that instructs selector valve 350-1 to select bulk reagent store 405-1 as an input. At the same time, system controller IHS 310 may send a command to selector valve 350-2 of receptacle bay 401-2 to select the same reagent store 405-1 as its input. In this manner, both receptacles 425-1 and 425-2 will receive the same bulk reagent from bulk reagent store 405-1 in parallel, i.e. at the same time. Bulk reagent stores 405-1, 405-2 as well as the other bulk reagent stores are common to receptacle bays 401-1, 401-2, . . . 401-N, in one embodiment. In a similar manner small reagent stores 410-1, . . . 410-L are common to to receptacle bays 401-1, 401-2, . . . 401-N, in one embodiment.
As discussed above, to provide receptacle 425-1 in receptacle bay 401-1 with a particular bulk reagent that bulk reagent store 405 houses, system controller IHS 310 sends a command to selector valve 350-1 that instructs selector valve 350-1 to select bulk reagent store 405-1 as an input. System controller IHS 310 also instructs receptacle bay controller 340-1 to instruct valve V1 to open to allow the flow of the selected bulk reagent from bulk reagent store 405-1 to flow from reagent output R of selector valve 350-1 to the dedicated reagent port 3 of receptacle 425-1. In this manner, receptacle 425-1 receives the selected bulk reagent. System controller IHS 310 also instructs receptacle bay controller 340-1 to open and close valves V6, V2, V3, V4 and V5 as needed to supply water/reagent from water store 415 to receptacle 425. While
Recirculation of liquids through receptacle 425 is provided by the following circulation paths for each:
Recirculation loop V9-V10-reverse Pump 421-V0-V1-V9
Alternate loops V5-V7-V10-reverse Pump 421-V0-V5
Alternate loops V4-V7-V10-reverse Pump 421-V0-V4
Alternate loops V3-V7-V10-reverse Pump 421-V0-V3
Alternate loops V2-V7-V10-reverse Pump 421-V0-V2
A user or other entity inputs test parameters for a particular test into the control IHS of the instrument, as per block 520. Different test parameters and protocols may be specified for each receptacle bay and the receptacle that such bay will receive. The receptacle bays receive respective receptacles therein, as per block 525. Each receptacle bay is now populated with a different receptacle on which a different test is to be conducted. The instrument tests to determine if any receptacle does not include a respective glass slide, as per block 530. The test instrument halts the test for a particular receptacle bay if the receptacle therein does not include a glass slide. Otherwise, the instrument continues testing. Each receptacle bay is provided with access to a common bulk reagent in parallel, as per block 535. Each receptacle bay is provided with access to a common small reagent in parallel, as per block 540.
A respective TEC dedicated to each respective receptacle bay heats or cools the glass slide of the receptacle in each bay to a temperature prescribed for the receptacle in accordance with the input test parameters, as per block 545. The prescribed tests are conducted in parallel on the receptacles in the receptacle bays, as per block 550. Test measurements are taken and test results are recorded for each receptacle bay, as per block 555. Process flow stops at end block 560, or alternatively flows back to start block 505 where the test process starts anew.
The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used herein, the singular forms “a”, “an” and “the” are intended to include the plural forms as well, unless the context clearly indicates otherwise. It will be further understood that the terms “comprises” and/or “comprising,” when used in this specification, specify the presence of stated features, integers, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, and/or groups thereof.
The corresponding structures, materials, acts, and equivalents of all means or step plus function elements in the claims below are intended to include any structure, material, or act for performing the function in combination with other claimed elements as specifically claimed. The description of the present invention has been presented for purposes of illustration and description, but is not intended to be exhaustive or limited to the invention in the form disclosed. Many modifications and variations will be apparent to those of ordinary skill in the art without departing from the scope and spirit of the invention. The embodiment was chosen and described in order to best explain the principles of the invention and the practical application, and to enable others of ordinary skill in the art to understand the invention for various embodiments with various modifications as are suited to the particular use contemplated.
This patent application claims priority to Provisional U.S. Patent Application Ser. No. 62/137,221, filed Mar. 23, 2015, inventors Shazi Iqbal et al., entitled “Parallel Processing Patient Specimen Apparatus”, which is incorporated herein by reference in its entirety.
Number | Date | Country | |
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62137221 | Mar 2015 | US |