The disclosed technology relates generally to preparing and/or shipping biological samples collected in any environment, and in particular, to the devices, methods, and design principles allowing the efficient preparation and shipping of bodily fluid samples.
The disclosure relates to apparatus, systems and methods for preparing and shipping bodily fluid samples collected in any environment, including non-clinical environments. While analysis laboratories are well suited to perform diagnostic tests, the collection of bodily fluid samples remains challenging, in particular for patients that do not have easy access to a suitable laboratory.
Devices, systems and methods to collect bodily fluids are necessary devices for the growing field of personalized medicine. As point-of-care devices continue to improve, an often overlooked area lies within the collection of samples from untrained users. Currently, biological samples are most commonly obtained via either simple-to-use methods or devices, as with generic lancing devices, or trained personnel, as with phlebotomy venipunctures. In order to transfer the bodily fluid to a container, receptacle, or an analysis device, multiple steps are required that are time consuming, error prone and/or cumbersome.
Patients without easy access can be located in rural areas, underserved urban and sub-urban areas, low resource areas, or generally do not have time or means to visit a laboratory, creating significant barriers to accessing diagnostic services. In order to reach patients in all locations, and connect them with suitable laboratories, robust systems for bodily fluid sample acquisition, stabilization, and shipping are required.
Thus, there is a need in the art for improved bodily fluid collection devices that can be self-applied at the convenience of the patient and utilize simple, cost-effective methods to handle bodily fluid samples, prepare and stabilize samples for transportation, and allow the robust transport to an analysis laboratory. More specifically, there is a need for simple and robust methods and devices to extract components of a blood sample, add reagents to the samples, and package the sample for safe and reliable transport. The disclosed methods and devices are simple to operate in any environment without additional equipment and/or any specific training.
Thus, there is a need in the art for improved apparatus, systems, and methods for bodily fluid sample preparation.
Discussed herein are various devices, systems and methods relating to a centrifugal separation system that is contained within a shipping container.
In one Example, a system of one or more computers can be configured to perform particular operations or actions by virtue of having software, firmware, hardware, or a combination of them installed on the system that in operation causes or cause the system to perform the actions. One or more computer programs can be configured to perform particular operations or actions by virtue of including instructions that, when executed by data processing apparatus, cause the apparatus to perform the actions.
In Example 1, a system for sample preparation and transportation comprising an openable shippable container and a centrifuge frame comprising a rotor, the centrifuge frame being disposed within the shipping container, wherein the centrifuge frame is constructed and arranged to centrifuge and ship a biological sample.
In Example 2, the centrifuge frame of Example 1 is constructed and arranged so that the rotor is actuated by closing the openable shipping container.
In Example 3, the system of Example 1, wherein the rotor contains an opening for a biological sample and an integrated counter-balancing weight.
In Example 4, the system of Example 1, comprising electronics, and wherein the rotor is constructed and arranged so as to be a single-use rotor.
In Example 5, the system of Example 1, wherein the centrifuge frame comprises at least one switch constructed and arranged to control the operation of the rotor.
In Example 6, the system of Example 5, further comprising a battery in operational communication with the at least one switch.
In Example 7, the system of Example 6, wherein the shipping container comprises a lid, the lid being in operational communication with the at least one switch.
In Example 8, the system of Example 1, wherein the centrifugation frame comprises at least one battery and a PCB that is operationally coupled to the rotor, wherein the PCB is constructed and arranged to be pre-programmed for a variety of sample types.
In Example 9, the system of Example 8, wherein the PCB is operationally integrated with communications components that are constructed and arranged to wirelessly communicate with a receiver.
In Example 10, the system of Example 9, wherein the receiver is constructed and arranged to detect the success of a centrifugation event.
In Example 11, the system of Example 10, wherein the receiver measures and communicates temperature and time data with the PCB.
In Example 12, the system of Example 1, wherein the system is constructed and arranged to separate into reusable sub-components.
In Example 13, the system of Example 1, wherein the shippable container is constructed and arranged to absorb biological samples in the event of a spill.
In Example 14, a method for preparing and shipping biological samples comprising centrifuging a sample with a rotor disposed within a shippable container, stabilizing the sample for shipping with a gel and/or a chemical reagent, and shipping the sample by mail or courier.
In Example 15, the method of Example 14, wherein centrifugation occurs exactly once.
In Example 16, the method of Example 15, wherein centrifugation parameters are pre-set.
In Example 17, the method of Example 14, wherein a wireless communications component within the shippable container communicates sample data.
In Example 18, a device for sample preparation and shipping comprising a shippable container, a centrifugation mechanism disposed within the shippable container that is constructed and arranged to accept and centrifuge a biological sample, a temperature control system and a communications component
In Example 19, the device of Example 18, wherein the centrifugation mechanism further comprises: a rotor, wherein the biological sample and a counter-weight is housed; a motor in mechanical communication with the rotor; a PCB in electrical communication with the motor and a battery; and a battery in electrical communication with at least two switches.
In Example 20, the device of Example 18, wherein the temperature control system is in thermodynamic communication with the sample.
Other embodiments of this aspect include corresponding computer systems, apparatus, and computer programs recorded on one or more computer storage devices, each configured to perform the actions of the methods.
In various implementations, the system allows for rapid collection and shipping of biological samples, including meeting shipping and transportation requirements regarding the containment of biological samples, including double hulled containment, packaging labeling, and the like.
In one example, the sample preparation unit can be programmed to allow the preparation of various types of sample including, without limitation: serum separation; plasma separation; the acquisition of platelet rich plasma; the acquisition of platelet poor plasma; the separation of specific cell types; the mixing of stabilization chemistries in the sample; the release of a reagent into the sample when the centrifuge starts; centrifugal-induced mixing of the sample or reagents to mix, thus preventing sedimentation during transportation.
In certain implementations, the stabilization of the sample can be enhanced through additional means contained in a secondary sub-unit, and can include phase change wax compartments contained within the unit; a micro-cooling system to refrigerate samples; and/or centrifugal force-induced release of a second liquid into the sample for stabilization.
In other examples, a sample preparation sub-unit can also include analysis components to provide direct readout of certain metrics of the sample(s), including spectrometry readouts, that can be used alone or in conjunction with future, additional analysis in a laboratory. Immediate analysis readouts can be accomplished in various ways including, without limitation: spectrometry or infrared readouts of certain components of a sample including, without limitation, hemoglobin, oxygen, etc.
In certain implementations, a centrifugation step can be followed by the release of plasma/serum into an analyzer module.
While multiple embodiments are disclosed, still other embodiments of the disclosure will become apparent to those skilled in the art from the following detailed description, which shows and describes illustrative embodiments of the disclosed apparatus, systems and methods. As will be realized, the disclosed apparatus, systems and methods are capable of modifications in various obvious aspects, all without departing from the spirit and scope of the disclosure. Accordingly, the drawings and detailed description are to be regarded as illustrative in nature and not restrictive.
The various embodiments disclosed or contemplated herein relate to preparing biological specimens, such as blood, for shipment or transport. In various implementations, the sample preparation system is embodied as a centrifuge, using a motor to create a defined centrifugal force on the sample contained within the rotor in order to separate specimen components using gravity. When used in conjunction with a tube containing particular gels or reagents known in the art, the centrifuge separates the individual components of the sample, as would be well appreciated in the art.
It is understood that the various embodiments or devices, methods, and systems disclosed herein can be incorporated into or used with any other known medical devices, systems, and methods. For example, the various embodiments disclosed herein may be incorporated into or used with any of the medical devices and systems disclosed in co-pending U.S. Pat. No. 9,289,763, filed Jul. 23, 2013, entitled “Methods, Systems, and Devices Relating to Open Microfluidic Channels,” U.S. Pat. No. 9,987,629, filed Feb. 25, 2016, entitled “Methods, Systems, and Devices Relating to Open Microfluidic Channels,” U.S. application Ser. No. 13/750,526, filed Jan. 25, 2013, entitled “Handheld Device for Drawing, Collecting, and Analyzing Bodily Fluid,” U.S. application Ser. No. 14/816,994, filed Aug. 3, 2015, entitled “Devices, Systems, and Methods for Gravity-Enhanced Microfluidic Collection, Handling and Transferring of Fluids,” and U.S. application Ser. No. 15/387,177, filed on Dec. 21, 2016, entitled “Devices, Systems and Methods for Actuation and Retraction in Fluid Collection,” all of which are hereby incorporated herein by reference in their entireties.
Turning to the drawings in greater detail,
In these and other implementations, the rotor 24 has at least one opening 26 constructed and arranged to accept a biological sample (such as in a sample tube discussed below at 36) for centrifugation and transport. As such, it is understood that simple usability has been contemplated in the design to make the device and centrifuge system 10 as easy-to-operate as possible enabling use of the system 10 in the home, basic clinic, field, and/or retail settings.
It is understood that the rotor 24 contains the biological sample(s) and spins at a defined RPM to perform separation of subcomponents of a sample. As shown in the implementations of
In the implementations of
According to these implementations, after a sample 26 is processed and is ready to be transported and/or shipped for analysis, the tab 22 can be affixed to the device housing 12 with adhesive 14 to prevent the centrifuge 16 from being re-opened. In various implementations, the adhesive 14 is single usage tape. It is understood that in other embodiments, the lid 22 can be closed with other methods or mechanisms known in the art.
The centrifuge system 10 according to these implementations has been constructed and arranged to meet or exceed the requirements of shipping and/or transporting biological samples, in particular to achieve a compact size, low cost, disposal of elements that may be contaminated by biological samples, and include all necessary components to meet the regulations of biological sample transportation set forth in UN Recommendation 3733 and International Air Transport Association Rule 3.6.2.
Continuing with the drawings,
As shown in the implementation of
In certain implementations, the lid 20 may serve as the only covering, whereas in alternate implementations like that of
In the implementation of
In exemplary embodiments, the biological specimen can be in a container such as a HemoLink tube 36 from the user. In other embodiments, the rotor opening 26 is constructed and arranged to accept a tube in only one direction, ensuring correct processing of the sample. It is understood that many configurations are possible.
It is understood that these implementations of the cover opening 18A and rotor opening 26 are constructed and arranged so as to allow for the ease of use, that is, passage of the biological specimen into the rotor 24 for use. It will be appreciated that the cover 18 can be constructed from any number of materials, some non-limiting examples being plastic, Tyvek® and cardboard.
As the centrifuge may be re-utilized it is beneficial to discard any part that may have come in contact with biological samples. A possible embodiment is to place the electronics and re-useable parts on a frame made of metal or hard plastic. The outer parts of the centrifuge can be made of easily discardable materials, such as cardboard. These parts would mostly be used to shield the electronics from sample spills as well as improve the usability of the device by hiding undesirable elements.
Various implementations of the system 10 are constructed and arranged to have automated actuation and safety stop features. In these implementations, the centrifugation process must be started only when the sample has been placed in the rotor without requiring the operation of any manual switch. In one embodiment a switch that is actuated when the lid is closed that can initiate the centrifugation process as well as operate as a safety switch. In these implementations, the switch must be protected from being actuated during shipping such that the centrifuge will only operate after the user places the sample in the rotor.
Continuing with the implementation of
The lid is designed to interface with the frame and actuate switches to start or stop the process. The lid must have sufficient rigidity to avoid coming in contact with the spinning rotor. In use according to these implementations, when the user removes the tube 36 or tube cap from the locking switch 19 opening, the locking switch 19 is disabled. Subsequently, when the lid is returned to the closed position, the activation switch 21 is able to start the centrifuge 16, such as via a magnet disposed within the lid 20 that is constructed and arranged to activate the switch 21 and initiate centrifugation.
In the implementations, the switches 19, 21 are secured to the frame 16 and in operational communication with the rotor 24. That is, the rotor 24 is in operational communication with a motor 25 disposed within the housing 12, as well as with a printed circuit board (PCB) 28 via a PCB mount 29 and motor mount 31. In various implementations, the PCB 28 is constructed and arranged to operate and control of the timing and speed of the centrifuge rotor 24.
In various implementations, such as that of
Further, the PCB (or other microcontroller) 28 of these implementations is in operational communication with the switches 19, 21 and other electronic components such as memory, processors or other electronic devices known in the art. In exemplary implementations, they can be housed in a first cavity 37 defined within the frame.
Continuing with the switches 19, 21, in various implementations, the system 10 can be programmed such that the activation switch 21 initiates a timer on the PCB 28 or other control component to ensure that the sample has sufficient time to absorb reagent, clot, come to a specified temperature and/or meet some other condition or criteria understood by the skilled artisan.
That is, many different types of blood-related samples can be needed depending on the clinical analysis being performed. Typically, a centrifuge would have rotation speed controls and switches. In contrast, an aim of the shippable centrifuge system 10 is simplicity, and as such can be pre-programmed for execution of a specified assay, such as that which would be based on a prescription.
In various implementations, the PCB 28 or other microcontroller can be programmed to achieve a number of other objectives. For example, in order to ensure a quality sample upon reception, it is important to track the time at which the sample was acquired and the environment through which the sample was subjected. Accordingly, in certain implementations the PCB 28 or other microcontroller can be constructed and arranged to log time and temperature in order to reject samples that may have been subjected to out-of-specification conditions.
In various implementations of the system 10, the electronic components such as the PCB 28 are constructed and arranged to allow the system 10 to test the power supply to ensure sufficient voltage for operation. Because the rotor speed will vary depending on the voltage, it is important to have an internal test of the power supply onboard the shippable sample preparation system or as an included part of the system. If the power supply has insufficient voltage, an advantage of the system is that the power supply can be recharged or removed and replaced.
The electronic components also allow for several safety and consistency features. For example, redundant batteries or other power sources can be provided within the frame 16. That is a primary larger capacity battery 33 can be provided to power the rotor 24, and another smaller capacity battery disposed, for example, on the PCB 28 or elsewhere within the frame 16. This secondary battery (shown generally in the cavity at 37) can operate basic tasks with the onboard electronics/PCB 28. In certain implementations the larger capacity primary battery is a removable lithium ion battery or another battery with a larger capacity and density with a smaller footprint while the secondary battery is be a non-lithium ion battery to comply with shipping regulations.
Another safety feature within the device is to have a program or switch within the device that ensures the sample is only centrifuged at least and no more than one time. This means that if for some reason the centrifuge is interrupted mid-cycle, the centrifuge will be able to re-start to spin one time. If the device is opened after centrifugation is completed, it will not re-centrifuge the contents.
In other embodiments, the shippable sample preparation system 10 can contain wireless communication capabilities, such as but not limited to, NFC or Bluetooth® systems allowing for the transmission of data from the system to a user's smartphone device or a dedicated reader. In various implementations, these are disposed within the electronics housing 37 and in operational communication with the battery 33, PCB 28 and/or any other modules or processors and sensors necessary to perform the contemplated functions.
In certain implementations, the system 10 is constructed and arranged to record information about the sample processing, such as the activation time, the duration of the processing, the centrifugation speed, as well as the shipping conditions through time. In various implementations, a data storage device such as memory or a drive (not shown) are provided to store data. Additional information on the success of the centrifugation, geolocalization of the sample when the system was actuated and through time can be recorded from sensors (not shown) interconnected with the PCB and/or other components, such as GPS sensors and the like.
In various implementations, recorded data can be transmitted to the user or laboratory to assess quality metrics or other statistics about the patient or sample. Reversibly, information can be transmitted to the shippable sample preparation system via wired or wireless connections, thereby allowing the storage of the list of analytes that will be measured on the sample, which can replace or complement a laboratory requisition form, as well as the sample preparation parameters, such as centrifugation time, speed, and the like. It is understood that a further suite of known electronic components can be stored within the frame and placed into operational communication with the battery 33 and/or other electronic components so as to be constructed and arranged to effectuate the data collection and communication functions contemplated here.
As also shown in
As shown in
In the implementation of
As shown in
In implementations such as that of
Turning to the implementation of
In exemplary embodiments, the tube 36 comprises a gel 48 and a chemical reagent 50. In various implementations, the gel 48 can have thixotropic properties and become more liquid under shear, thus allowing the passage of certain bodily fluid components when the centrifugation occurs.
It is understood that in various implementations the chemical reagent 50 can be any of several reagents such as protease or nuclease inhibitors for preventing the degradation of proteins of RNA/DNA. The chemical reagent 50 may also contain various other known inhibitors, pHs, and/or salt concentrations that will prolong the preservation of the sample 32 as is known to an ordinary artisan. It is further understood that in use, the various components 48, 50, and a sample 32 can be disposed within the tube 36 so as to interact in a prescribed manner during centrifugation of the tube 36.
As shown in
Following separation, as shown in
In the implementations of
In another embodiment shown in
In addition to the aforementioned temperature control techniques, in various implementations of the centrifuge system 10 a temperature logging module is integrated into the electronics of the device, thereby allowing for the tracking of temperatures throughout the operation and shipping process described herein. Samples that have been subjected to out-of-specification conditions, either due to harsh conditions or a failure of the temperature control methods can thus be rejected.
In various implementations, the temperature history of a sample can be read wirelessly upon reception of the device and a decision to accept or reject the sample can be made based on that knowledge and the type of sample that was requested by the clinician.
The second sub-unit 62 contains a sample preparation and shipping unit. Once the sample is collected, it is placed in a receptacle in the second sub-unit 62. In these implementations, the sample preparation is actuated upon closing which can include centrifugation, time and temperature logging, refrigeration, tamper proofing, and recording to account for chain of custody.
In order to make the whole process achievable at home, the centrifuge is only one element of a larger kit. The centrifuge must be placed in a simple to understand workflow that the user can go through.
Although the disclosure has been described with reference to preferred embodiments, persons skilled in the art will recognize that changes may be made in form and detail without departing from the spirit and scope of the disclosed apparatus, systems and methods.
This application is a continuation of U.S. patent application Ser. No. 17/752,310, titled “APPARATUS, SYSTEMS AND METHODS FOR PREPARING AND SHIPPING SAMPLES,” and filed May 24, 2022, which is a continuation of U.S. patent application Ser. No. 16/037,038, titled “APPARATUS, SYSTEMS AND METHODS FOR PREPARING AND SHIPPING SAMPLES,” and filed Jul. 18, 2018, now abandoned, which claims priority to U.S. Patent Application No. 62/533,323, filed Jul. 17, 2017, each of which is herein incorporated by reference in its entirety.
This invention was made with government support under Contract R44DK108689, awarded by the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health. The government has certain rights in the invention.
Number | Date | Country | |
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62533323 | Jul 2017 | US |
Number | Date | Country | |
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Parent | 17752310 | May 2022 | US |
Child | 18311347 | US | |
Parent | 16037038 | Jul 2018 | US |
Child | 17752310 | US |