Patent Application
20080038836
The present invention relates to medical diagnostic equipment. The invention has particular utility in connection with the automated staining of biological samples on microscope slides, and will be described in connection with such utility, although other utilities are contemplated.
Many tissues do not retain enough color after processing to make their components visible under a bright-field microscope. Accordingly, it is a common practice to add color or dyes to tissues by staining them. The hematoxylin and eosin (“H&E”) stain is probably the most widely used histological stain. Its popularity is based on its comparative simplicity and ability to demonstrate clearly an enormous number of different tissue structures. Hematoxylin can be prepared in numerous ways and has a widespread applicability to tissues from different sites. Essentially, the hematoxylin component stains the cell nuclei blue/black, with good intranuclear detail, while the eosin stains cell cytoplasm and most connective tissue fibers in varying shades and intensities of pink, orange and red.
Accurate diagnosis depends on a pathologist or cytologist examining stained microscope slides, usually H&E paraffin sections, the H&E staining having been carried out in bulk by an automated staining machine. The need for consistency is vital to avoid difficult histological interpretation. In general, automated staining machines allow accurate and consistent staining, differentiation and dehydration by adjusting the times of each step.
Certain standard procedures usually apply to the staining of tissues on the slides. Paraffin sections first must be de-paraffinized, because most stains are applied in either aqueous or alcoholic solutions and will not penetrate paraffin-infiltrated tissues. After the slides are de-paraffinized, the slides typically are baked in an oven or other heated chamber to drive off de-paraffinizing solvent, and adhere the tissues to the slides. The tissues may then be stained using, for example, standard stains such as hematoxylin and eosin. Finally, coverslipping is performed by adhering a thin glass coverslip to the stained tissue section, and then sealing it with a mounting agent, thereby creating a hermetically sealed environment suitable for archiving. Heretofore, all of these steps have been manually performed by a histotechnologist, a vanishing breed of laboratory technician dedicated to the art of preparing and staining of human tissue samples for reading and interpretation by a Pathologist.
There exists a need to automate all of the steps from de-paraffinizing through coverslipping in histotechnology.
The present invention provides an automated slide-staining system for application of stains to biological tissue sections mounted on microscope slides. More particularly, the present invention provides an automated apparatus for deparaffinizing, staining and coverslipping a plurality of biological specimen bearing slides, in a fully automated and integrated system. In a preferred embodiment, the present invention provides an automated apparatus comprising a plurality of stacked work stations wherein specimen carrying slides may be dried, baked, de-waxed and prepped for staining, stains applied, and the slides sealed or covered so that the slides may then be stored for future analysis and study or as a permanent record of the analysis performed, and a transport elevator for moving a slide tray bearing a plurality of specimen slides between the plurality of work stations. In yet a further embodiment, the invention is directed to a method of automatically preparing tissue samples on microscope slides for pathological analysis, comprising baking the tissue sample onto the slide by having the instrument apply heat to the tissue sufficient to adhere it to the slide; deparaffinizing the tissue sample by contacting it with deparaffinizing fluid at a temperature above the melting point of the paraffin, and subsequently rinsing the liquefied paraffin away; staining the tissue sample by contacting it with a staining reagent; and coverslipping the slide by contacting the stained tissue sample on the slide with a pre-glued coverslip and an adhesive activating fluid.
Further features and advantages of the present invention will be seen from the following detailed description of the invention, taken in conjunction with the following drawings wherein:
FIG.7 is a view, similar to
The staining system of the present invention performs all the steps of processing, staining and coverslipping of slide mounted biological samples in an efficient high-speed input operation. More particularly, slides bearing biological samples are placed on a slide tray, and the slide tray bearing the sample slides are loaded into the system in accordance with the present invention wherein the slides are conducted through a sequence of steps in which the slides are baked, de-waxed, stained and finally coverslipped. A method of the present invention is directed to a method of automatically preparing tissue samples on microscope slides for pathological analysis, comprising baking the tissue sample onto the slide by having the instrument apply heat to the tissue sufficient to adhere it to the slide; deparaffinizing the tissue sample by contacting it with deparaffinizing fluid at a temperature above the melting point of the paraffin, and subsequently rinsing the liquefied paraffin away; staining the tissue sample by contacting it with a staining reagent; and coverslipping the slide by contacting the stained tissue sample on the slide with a pre-glued coverslip and an adhesive activating fluid.
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Tray 80 includes a specimen slide supporting rack 90 for holding specimen slides in a substantially horizontal position in the same plane. Holding all the slides in the same plane facilitates baking and drying, as will be described below, and also prevents cross-contamination of slides during de-paraffinizing and staining as will be described below. Rack 90 includes a plurality of slide spring supports 92 that limit the axial, lateral and vertical movement of specimen slides 56 once placed on the slide tray. Rack 90 is supported above tray bottom 80 at sufficient height to discourage or prevent the formation of films or bubbles forming between the specimen slide bottom and the tray bottom. Slide spring supports 92 hold the individual specimen slides in position by exerting force on opposing edges 96 of the specimen slides. The floor of the slide tray is sloped towards the middle to facilitate drainage to a central location 104 for evacuation of de-waxing fluids and stains, as will be described in detail hereinafter. Tray 80 permits the automated handling of a plurality of specimen slides through of the steps of drying/baking, de-paraffinizing, staining and coverslipping. In a preferred embodiment, tray 80 includes splash rails 106 and is arranged to accommodate 16 specimen slides arranged in a generally horizontal grid two slides wide and eight slides tall.
In the illustrated embodiment, the staining system comprises a drying/baking station or module 120, a de-paraffinizing station or module 140, a staining station or module 160 and a coverslipping station or module 180 vertically arranged in tower 50 and controlled by a computer.
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Various de-paraffinizing agents may be used, and preferably comprise aqueous-based fluid such as disclosed in co-pending U.S. patent application Ser. No. 09/721,096 filed Nov. 22, 2000 and U.S. Pat. No. 6,544,798, issued Apr. 8, 2003, including deionized water, citrate buffer (pH 6.0-8.0), tris-HCl buffer (pH 6-10), phosphate buffer (pH 6.0-8.0), FSC buffer, APK wash™, acidic buffers or solutions (pH 1-6.9) basic buffers or solutions (pH 7.1-14), which are given as exemplary. If desired, the aqueous-based fluid may also contain one or more ionic or non-ionic surfactants such as Triton X-100™, Tween™, Brij, Saponin and Sodium Dodecylsulfate. Typically, the de-paraffinizing fluid is heated. For example, if the embedding medium is paraffin, which has a melting point between 50-57 degrees C; the fluid should be heated to a temperature greater than the melting point of paraffin, e.g. between 60-70 degrees C. Typically, the fluid is heated in the fluid supply.
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A feature and advantage of the present invention, particularly as compared to conventional bath-type de-paraffinizing stations is that the potential of cross-contamination between slides, e.g. from the possibility of cell carryover from one slide to another is eliminated since the specimen slides are subjected only to fresh-filtered de-paraffinizing fluid, and the horizontal, co-planar, spaced orientation of the specimen slides in the tray prevents possible cross-contamination by cell carryover between slides during the paraffinizing process. Moreover, the de-paraffinizing process is made more efficient by the use of heated de-paraffinizing agent.
Referring in particular to
A fluid aspirating nozzle 170, similar to fluid aspirating nozzle 150, is provided in staining station 160 and is pivotally movable between a working position in which the distal end 172 of the nozzle is adjacent central location 104 of a tray in staining station 160, and a parked position above the tray and slides so as to not interfere with movement of a tray and slide into and out of the staining station 160. Aspirating nozzle 170 is connected through tubing (not shown) and an aspirating pump (not shown) to a waste container 38. As in the case of the de-paraffinizing station, the horizontal, co-planar spaced orientation of the slides in the tray prevents cross-contamination of slides during the staining process.
The cover slipping station 180 which also comprises a modular unit may comprise a fluid coverslip dispenser for applying a conventional fluid coverslipper such as described in U.S. Provisional Patent Application Ser. No. 60/375,925, filed Apr. 26, 2002, entitled “Automated Coverslipper” and incorporated herein by reference.
Alternatively, and in a preferred embodiment as illustrated in
The glass plate coverslips 210 each have a substantially planar top and bottom surface and a substantially rectangular configuration, with a length and a thickness slightly less than the specimen slide 56.
In a particularly preferred embodiment, each of the glass plate coverslips 210 are coated, on their bottom surface, with a dry activatable adhesive. In such case, a fluid dispensing nozzle 232 is carried by drive 228 in advance of the glass plate coverslip 210 for applying an adhesive activating fluid over the surface of the specimen slide. Preferred adhesives include Permount™ (Fisher Scientific, Pittsburgh, Pa.) or ShurMount™ (Triangle Biomedical, Durham, NC), which may be activated by a low viscosity fluid such as toluene or xylene. An advantage to employing adhesive coated glass coverslips and low viscosity adhesive activating fluid such as xylene is that air pockets, i.e., between the specimen slides 56 and the glass plate coverslips 210 are largely avoided. U.S. application ser. No. 09/716,344, filed Nov. 20, 2000 further described the pre-glued coverslip, and is incorporated herein by reference in its entirety.
The slide tray 54 is transported between the aforesaid work stations by means of an X-Y-Z transport and elevator mechanism. Referring in particular to
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In order to ensure each tray is appropriately positioned in a work station, the transport/elevator mechanism includes proximity sensors such as optical sensors 118 or micro-switch sensors (not shown). Hall-effect sensors may also be used.
Operation of the above-described apparatus will now be provided.
Referring to
The aspirating nozzle 150 is retracted, the slide tray 54 carrying the de-paraffinized specimen slides is then removed from the de-paraffinizing station 140, and transported, as before, by the transport/elevator to staining station 160, wherein a selected stain is applied to individual slides. Selected stains include hematoxylin, eosin, or any other chemical stain useful to highlight the morphology of the tissue sample. Excess stain and wash or rinsate is removed from the bottom of the tray by means of an aspirating nozzle, which is lowered into the center of the tray, and routed to waste. Thus, fresh stain is always employed, whereby prior art problems inherent in convention bath type stainers, including cross-contamination of slides, oxidation of stains and/or depletion of stain activity is eliminated.
The aspirating nozzle is retracted, and the stained slides are then removed from staining station 160, and the tray may be transported again to drying/baking station 120 for drying for a controlled period of time at a controlled temperature. Thereafter, the stained slides are withdrawn from baking station 120, and transported, as before, via the transport/elevator system to coverslipping station 180 wherein a glass coverslip is affixed to the top surface of the slides. The transport/elevator system then moves the coverslipped slides to a storage position in garage 60, or the tray may be returned to the portal position wherein the tray is removed.
Referring to
As in the case of the first embodiment, apparatus 220 includes a frame supporting a stack of workstations comprising, for example, one or more drying or baking stations or modules, a de-waxing or de-paraffinizing station or module, one or more staining stations or modules 260 and a coverslipping station or module 280 arranged in a tower 250. However, in the second embodiment the baking station and the de-paraffinizing station are combined in a single module 220. A transport and elevator mechanism 252, similar to transport and elevator mechanisms 52 previously discussed, is provided adjacent tower 250 for transporting a slide tray 54 (see
In the illustrated embodiment, the combined drying/baking and de-paraffinizing station or module 240, the staining station or module 260, and the coverslipping station or module 280 are vertically arranged in tower 250 and controlled by a computer.
Referring to
Various de-paraffinizing agents may be used, and preferably comprise concentrated solutions of aqueous-based fluids such as Collaterge™ (Colonial Chemical, S. Pittsburg, TN). Collaterge may be used as an effective de-paraffinizing agent over a wide range of concentrations, but preferably is used in a concentration of from about 3-30 volume percent. If desired, the concentrated aqueous-based solution may also contain one or more ionic or non-ionic surfactants such as Triton X-100™, Tween™, Brij, Saponin and Sodium Dodecylsulfate. In order to facilitate removal of the embedding medium, i.e., wax, the slides and the de-paraffinizing fluid should be heated. For example, if the embedding medium is paraffin, which has a melting point between 50-57 degrees C; the slides should be baked or pre-heated to a temperature of about 85 degrees C. A feature and advantage of the second embodiment of the invention is that pre-heating of the slides to sufficient temperature eliminates the need to separately pre-heat the de-paraffinizing fluid. Pre-heating the slides, i.e., to soften the paraffin, improves the efficiency of the de-paraffinizing step. Depending on ambient conditions and the amount and type of wax, it may be sufficient to apply the de-paraffinizing fluid to the pre-heated slides, let the fluid work for a few seconds or minutes, and then wash the fluid and wax from the slides using, e.g., deionized water from water nozzles 248. If necessary, the de-paraffinizing fluid covered slides may be baked, e.g., for several minutes, e.g., about 5 minutes, before being washed. Thus, the de-paraffinizing process is enhanced. Moreover, less de-paraffinizing fluid is required, and it is not necessary to filter and recycle de-paraffinizing fluid. Rather, the spent de-paraffinizing fluid may be passed directly to drain, or filtered, and then passed to drain.
Station 240 also includes a fluid aspirating probe 250 similar to 150 in the first embodiment, and arranged for pivotal movement of its distal end 252 to a central location of a tray when the latter is positioned in station 240. Probe 250 comprises a hollow tube connected via tubing (not shown) and an aspirating pump 257 wherein the spent de-paraffinizing fluid may be filtered in a filter (not shown) to remove cells as may have been dislodged during the de-paraffinizing process, and the fluid passed to waste. Probe 250 should have sufficient freedom of movement between a deployed position wherein the probe is located adjacent the central location of the tray, and a parked position above the tray and slide so as to not interfere with movement of the tray and slides into and out of the station 240.
A feature and advantage of the above-described second embodiment of the present invention, particularly as compared to conventional bath-type de-paraffinizing stations is that the potential of cross-contamination between slides, e.g. from the possibility of cell carryover from one slide to another is eliminated since the specimen slides are subjected only to fresh de-paraffinizing fluid, and the horizontal, co-planar, spaced orientation of the specimen slides in the tray prevents possible cross-contamination by cell carryover between slides during the paraffinizing process. Moreover, the de-paraffinizing process is made more efficient by the pre-heating of the slides and/or by heating the de-paraffinizing agent on the slides.
As in the case of the first embodiment, the second embodiment includes a staining station 260, which is similar in construction and operation to staining station 160 previously described, and a coverslipping station 280, similar to coverslipping station 180 previously described. The staining system in accordance with the second embodiment also includes an X-Y-Z transport and elevator mechanism similar to the X-Y-Z transport and elevator mechanism previously described. Of course, in the case of the second embodiment, the apparatus may have one less station or module, and thus timing and sequencing of movement between the several modules will be different as described below.
Operation of the above-described apparatus in accordance with the second embodiment will now be provided.
Referring to
The aspirating nozzle 250 is retracted, the slide tray 54 carrying the de-paraffinized specimen slides is then removed from the baking and de-paraffinizing station 240, and transported, as before, by the transport/elevator to staining station 260, wherein a selected stain is applied to individual slides, as described before.
Stained slides are then removed from staining station 260, and the tray may be transported again to baking station 220 for drying for a controlled period of time at a controlled temperature. Thereafter, the stained slides are withdrawn from baking station 220, and transported, as before, via the transport/elevator system to coverslipping station 280 wherein a glass coverslip is affixed to the top surface of the slides. Coverslipped slides may then be sent to the heating/drying station to accelerate curing. The transport/elevator system then moves the coverslipped slides to storage, or the tray may be removed from the system.
Software for operating the system is referred to as the “Run Tine Executive.” One of the responsibilities of the Run Time Executive (“RTE”) application is to sequence and schedule the operations performed by the various functional workstations on each tray of microscope slides. The system can handle 25 of these trays at one time with each tray requiring the operations performed by one or more workstation and perhaps multiple visits to the same workstation. Trays are moved within the instrument by a single elevator and a shuttle table. Together, this elevator and table combination can move a tray in the XYZ directions as needed. The instrument also contains a “parking garage” where trays can be placed while they are waiting for a workstation to become available or when all the operations on them are completed. The maximum number of trays, 25, matches the number of parking slots in the garage.
The basis of all actions performed on a tray is a user-selected protocol which, among other items, designates the required workstation operations and the priority of the tray as “STAT” or normal. Using this protocol, the RTE prepares an ordered sequence of workstations to be visited. Since there is only one elevator per table it can be viewed as a single server with multiple jobs to perform. Where the schedule for this problem could be calculated, it is necessary to know that the arrival of trays to the instrument cannot be predicted. Likewise, users can change the priority of a tray at any time. With these factors in mind, the schedule is determined dynamically each time the elevator/table becomes available for work. Elevator/table “work” consists of moving a tray from point A to point B. Thus, after completing a move, the elevator/table is available. At that time, the RTE examines each tray in the system and creates a list of possible moves. The process is as follows:
Once the list of all possible moves is prepared, the RTE selects the one move to perform. This selection is based on tray priority and in the event of a tie, the time of arrival (TOA) of the tray to the system (i.e. entry time at the portal) determines. The rules governing a tray's priority are as follows:
It is thus seen that the present invention provides an integrated system capable of high throughput staining of biological samples on slides. Amongst the advantages of the present invention are the elimination of conventional dip-and-dunking de-paraffinizing and/or staining baths, which tend to degrade through oxidation and/or contamination by biological cells dislodged during the de-paraffinizing process. Rather, the present invention employs clean, fresh or constantly filtered de-paraffinizing agent, or staining reagent, thus eliminating the possibility of cell carryover from slide to slide. Additionally, reagent utilization is approximately the same on a per slide basis (350 μl ) as the dip-and-dunker, a surprising fact. Moreover, the present invention provides for the first time a fully integrated high throughput system for staining slides from the baking step through the coverslipping step, a process that is not performed by any other commercially available system today.
Various changes from the above-described embodiments may be made without departing from the spirit and scope of the invention. For example, the apparatus may include two or more staining station modules, two or more baking station modules, two or more de-paraffinizing station modules and/or two or more combined baking and de-paraffinizing station modules, which may further increase through-put. A particular feature and an advantage of the present invention is that additional station modules may be added vertically without increasing the footprint of the system. Alternatively, two or more additional towers or stacks of work stations 50A, shown in phantom in
This is a continuation of U.S. patent application Ser. No. 10/414,804, filed Apr. 15, 2003, and claims the benefit of U.S. Provisional Application Ser. No. 60/372,506, filed Apr. 15, 2002, which applications are incorporated by reference herein.
| Number | Date | Country | |
|---|---|---|---|
| 60372506 | Apr 2002 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | 10414804 | Apr 2003 | US |
| Child | 11876059 | Oct 2007 | US |
