The invention relates generally to an automated tissue staining system and reagent containers for use with the system.
Laboratories routinely stain tissue specimens for the purpose of detecting and/or monitoring tissue abnormalities. An automated tissue staining system allows batch staining of large numbers of tissue specimens for subsequent examination. Automation of the staining process significantly reduces the time required to stain tissue specimens, reduces the incidence of human error incipient in manual staining, and allows processing parameters to be altered in an efficient manner.
The staining process requires various types of reagents that are added to a slide carrying a tissue specimen. Reagents are expensive expendable commodities. In a typical automated staining apparatus, the reagents are typically aspirated with a reagent probe from a reagent container and delivered to the tissue specimen on each slide. For accurate reagent dispensing, the reagent container contains an excess volume of a reagent beyond a volume required for the staining process. The excess volume is required so that the reagent probe can aspirate the required volume from the reagent container. Conventional reagent containers are not configured to optimize the amount of reagent that the reagent probe successfully can withdraw and, thereby, to minimize the amount of reagent wasted.
A conventional automatic staining apparatus typically requires a set-up sequence to enter reagent parameters such as lot number, reagent identity, expiration date, reagent volume, reagent incompatibilities, and the like. Some reagent containers have a one-dimensional bar code that contains this or a subset of this reagent information. Reading the reagent information with a bar code reader and providing that information to the control system operating the staining apparatus results in the reduction of time required to program a staining run. However, one-dimensional bar codes capable of holding a complete set of reagent parameters are too large to be placed on the reagent containers commonly used in automatic staining apparatus.
The automated staining apparatus has a processing space in which the environment is tightly controlled during the staining run. If additional slides are to be added to the pending slides in a staining run, the user must pause the staining run and breach the controlled environment of the processing space to add the new slides. The reagent containers are also positioned within the processing space. If new slides are added, the user must modify the types and/or quantities of reagents to satisfy the requirements of the global staining protocols of all slides by again breaching the processing space. Therefore, the lab technician compromises or otherwise disrupts the integrity of the controlled environment in the processing space when slides are added to a currently executing staining run.
During a staining run, the tissue specimens are exposed to a series of well-defined processing steps or a protocol that ultimately produces a properly stained specimen for examination. Conventionally, the automated staining apparatus may store the protocol or, in the alternative, may memorialize the protocol by a printed hard copy. Conventional automated staining devices cannot provide or export the protocol directly to a patient record database or laboratory information system so that, should a question arise regarding the protocol used to stain a specific tissue specimen, the complete association is readily available in a single database.
According to the present invention, apparatus and methods are provided for staining tissue specimens using an autostainer. A reagent container capable of containing a volume of a reagent for use with the automated staining apparatus, which container includes an upper wall, a base wall and a tubular side wall interconnecting the upper and base walls to collectively define an internal reagent holding chamber, the upper and base walls being spaced from each other along an imaginary line intersecting the upper and base walls. The base wall includes a cavity communicating with the lowermost portion of the holding chamber. The upper wall has an access opening in the upper wall aligned with the cavity along the imaginary line so that a reagent probe entering the opening parallel in a direction to said imaginary line will travel toward said cavity bottom, the lowermost portion of said holding chamber.
In another aspect of the invention, the reagent container may include a two-dimensional data element containing reagent information. In yet another aspect of the invention, the staining apparatus may include a removable drawer for holding a reagent rack filled with reagent containers and a separate removable drawer holding slide racks.
The invention is also directed to a tissue staining apparatus having a tray for holding slides containing a tissue specimen, a rack for holding, reagent containers, a robotic delivery system, and a control system. The robotic delivery system has a selectively and controllably moveable probe, and an optical reader. The optical reader is capable of both imaging the tissue specimen on the slide, and reading encoded information related to the staining protocol and/or the tissue sample. The optical reader may contain a charge coupled device (CCD) camera or scanner, and may be moveable with the probe. The encoded information is on the slide, for example, on a label containing a two-dimensional bar code, but may also be on the reagent container. The control system is programmable for conducting the staining protocol, and is operatively coupled to the robotic delivery system for controlling the probe, and to the optical reader for retrieving and analyzing the image for programming the staining protocol.
The invention is still further directed to an automated slide staining method. In the method, slides holding tissue specimens and containing a two-dimensional data element encoding staining protocol information are provided on a staining rack in an autostainer. The autostainer contains an optical reader which decodes the staining protocol information and image the tissue specimen on the slide. A program analyzes the image to determine modifications to the staining protocol based upon the image. The program can also modify the staining protocol, for example, by modifying the volume of reagent dispensed, the location of reagent dispensed, the reagent incubation time, the rinse time, and/or the reagent volume.
These and other advantages, objectives, and features of the invention will be apparent in light of the following figures and detailed description.
To remedy the aforementioned deficiencies of conventional automated tissue staining devices, the present invention provides an apparatus for automatically staining tissue specimens carried by slides according to various staining protocols and a reagent container that significantly reduces the amounts of wasted reagents. As used hereinafter, the term “staining” includes, but is not limited to, reagent uptake, chemical reaction, localization (e.g., antigen-antibody associations), radioactive activation, and the like.
With reference to
A plurality of slides 12 are held by a plurality of, for example, three slide racks 20 mounted in the processing space 18. Each of the three slide racks 20 holds, for example, twelve individual slides 12 so that the automatic staining apparatus can stain one or more tissue specimens mounted on a total of thirty-six slides 12. Typically, the clips (not shown) for holding the slides 12 contact only an unused region thereof, such as a frosted marginal region.
With continued reference to
The operation of the autostainer 10, including the operation of the robotic delivery system 22, is controlled by an autostainer control program implemented by the software of a control system 28. The hardware of the control system 28 is integrated into the chassis 14 of the autostainer 10 and includes a touch screen display 30. Touchscreen display 30 is a computer input device for viewing information and inputting information, as understood by those of ordinary skill in the art. Alternatively, various items of information may be viewed and entered remotely from the chassis 14. Because the control system 28 is integrated into the chassis 14, the autostainer 10 does not require an external microprocessor, such as a conventional personal computer, for operation and constitutes a self-contained stand-alone unit.
The control system 28 includes a data storage unit or medium for storing information, such as staining protocols, and retrieving that stored information on demand. The control system 28 is interfaced by a communication link 31, such as a local area network, so that the autostainer 10 may exchange information with another information storage device 32, such as another laboratory instrument or a remote computer system. For example, the control system 28 may be capable of exporting a staining record containing information such as the staining protocol, reagent information, and the like to the information storage device 32 over the communications link 31. The information storage device 32 would associate the staining record with existing patient information in a patient record database or a laboratory information system and provide, associate, and/or store the staining record with that information for future report generation. The information storage device may also perform statistical analysis on multiple staining records to, for example, determine compliance with regulatory standards.
The control system 28 is also capable of importing or retrieving information from the information storage device 32 via communications link 31. The imported information may comprise a staining record containing protocol information that the control system 28 can use as a template for staining one or more of the slides 12. The ability to import the staining protocol from device 32 precludes manually inputting the information using touch screen display 30. The imported information, may also include patient information, which may be associated with the staining protocol and/or stored by the control system 28. One use for the associated patient record and staining protocol, whether residing on control system 28 or on information storage device 32, is quality control and quality assurance documentation.
With reference to
The Z-head 24 of the robotic delivery system 22 is equipped with a vertical drive assembly (not shown) operably coupled with the reagent probe 38 for controllably and selectively moving the probe 38 up and down in the vertical Z-direction. The vertical positions of the air blade 40 and the bulk fluid dispensing tube 36 are independently movable in the vertical Z-direction using a different vertical drive assembly (not shown) also disposed within the Z-head 24. The vertical drive assemblies are utilized to position the bulk fluid dispensing tube 36, reagent probe 38, and air blade 40 relative to the slides 12 and to position the reagent probe 38 relative to a wash bin 52 (
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The autostainer control system 28 implements software that accepts and effectuates a series of process steps or staining protocol for staining the tissue specimen mounted on each slide 12. The autostainer 10 optimizes the order of protocol execution and executes the staining protocols by providing a series of instructions to the robotic delivery system 22. The execution may be paused to add slides 12 carrying prioritized or “stat” tissue specimens to the slide racks 20 and to integrate their staining protocols with the staining protocols of the slides 12 pending when the staining process was paused. Such protocol programming is described in U.S. Pat. Nos. 6,349,264 and 5,839,091, and in commonly assigned U.S. patent application Ser. No. 09/483,248, entitled “Method and Apparatus for Automatic Tissue Staining,” each being expressly incorporated by reference herein in its entirety.
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The drawers 68, 70 facilitated the exchange of slides 12 while limiting the impact of the exchange on the controlled environment within the processing space 18. In particular, the drawers 68, 70 permit the addition of slides 12, such as slides 12 carrying “stat” tissue specimens, quantities of reagent, and reagent containers 50 to the processing space 18, while limiting the impact of the exchange on the controlled environment within the processing space 18. It is appreciated that lid 16 is maintained in a closed condition, including instances in which the drawers 68, 70 are withdrawn from chassis 14, except for exceptional circumstances such as performing maintenance on autostainer 10. As a result, the lid 16 participates in isolating the processing space 18 from the environment surrounding the autostainer 10.
With reference to
The platform 72 of the reagent rack 67 is elevated by the spaced-apart supports 74, 75 so that each reagent container 50 is suspended above the underlying and confronting upper surface of the bottom of the autostainer 10. The elevation of reagent container 50 prevents application of a force that would otherwise displace the container 50.vertically relative to its aperture 76. Specifically, a base wall 90 (
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With continued reference to
The reagent chamber 105 of reagent container 50, including well 102, holds a specific maximum volume of a reagent, typically about 15 ml, or any volume less than the maximum volume, which includes the excess volume described above. As the reagent is dispensed from the reagent container 50 by the autostainer 10, the fluid level or residual volume of the reagent in the interior 105 gradually drops. Eventually, enough reagent is dispensed from the interior 105 such that only the residual reagent with reagent container 50 is confined in well 102 and has a volume greater than or equal to the excess volume. Because of the presence of well 102 and in one embodiment, reagent can be aspirated successfully from the reagent container 50 for an excess volume of residual reagent as small as about 0.1 ml. Therefore, reagent container 50 requires an excess volume of reagent in well 102 of only about 0.1 ml.
With continued reference to
With reference to
In one embodiment, the reagent containment section 80 and neck 82 are integrally formed as a single-piece of a polymeric material by a conventional manufacturing process, such as blow molding, so that the reagent containment section 80 has a degree of flexibility and is either optically translucent or transparent. In other embodiments, the reagent containment section 80 may also be fabricated from a relatively inflexible material, such as a glass, which is usually optically translucent or transparent. A portion of the front wall 98 includes a series of vertically spaced, horizontally disposed, volume indicia or graduations 108, which permit a visual determination of the approximate volume of reagent held by the reagent containment section 80 in those embodiments in which the reagent containment section 80 is not opaque. However, the invention is not so limited and the reagent containment section 80 may be opaque for those reagent dispensing applications in which visual determination of the fluid level of reagent is unnecessary or in which photosensitive reagents are stored.
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In a preferred embodiment and with reference to
The reagent container 50 may also be used to deliver or dispense reagent manually from the reagent containment section 80 and, when not in use, container 50 would rest in an upright position on planar surface 110 supported thereupon by protrusions 134, 136 and seam 107. For manual delivery of reagent, the reagent container 50 is held in a tilted or an inverted orientation. In embodiments in which the reagent containment section 80 is flexible, a compressive force applied to the reagent containment section 80 reduces the volume of the reagent containment section 80 and urges a volume of reagent to enter fluid-directing passageway 122 for delivery from orifice 132. For those embodiments in which the reagent containment section 80 is not flexible, gravity causes a volume of reagent to be delivered from the dispensing orifice 132 of the inverted reagent container 50.
In an alternative embodiment and with reference to
With reference to
As known to one skilled in the art, reagent information that may be encoded into the two-dimensional bar code 140 includes, but is not limited to, the lot number of the reagent, the identity of the reagent, the expiration date, reagent volume, reagent incompatibilities, and the like, with abbreviations as necessary. The information may be both encoded, for example, in a Data Matrix bar code, and limited information may also be in human readable text. There is also a unique numerical code that corresponds to the catalog number from the desired reagent vendor. Such reagent information may be utilized for quality control and quality assurance documentation, for ease in inventories and ordering reagents, etc. It is further understood that two-dimensional bar codes 140a, similar to two-dimensional bar codes 140, may be applied to the reagent rack 67 adjacent to the appropriate reagent container 50, as shown in
With reference to
The optical reader 144 is able to read reagent information associated with the two-dimensional bar code 140. The optical reader 144 electro-optically scans the two-dimensional bar code 140 and generates a corresponding signal. The signal is provided to the control system 28 where the signal is decoded and the reagent information is stored for future use. The ability to retrieve and decode information relating to the reagent from the two-dimensional bar code 140 eliminates the need to manually enter the reagent information when prompted by the control system 28.
The optical reader 144 is also able to capture the image of a tissue sample mounted on a slide. As known to one skilled in the art, parameters such as lighting, background, shading, contrast, exposure time, shutter speed, focal plane, pixel dimensions X and Y, etc. may be adjusted to optimize the resulting image. The image is then analyzed using an image analysis program as known to one skilled in the art, for example, Optimas (Media Cybernetics, Silver Spring Md.), to determine desirable specific staining parameters for that particular tissue sample. The analysis takes into account parameters which include, but are not limited to, the size of the tissue sample, its location on the slide, the thickness and uniformity (structural topography) of the tissue sample, the uniformity at the edges of the tissue (margin characteristics and/or patterns), etc.
The information is then used to calculate a property relating to the reagent, such as how and where reagents are to be dispensed on the slide, optimum reagent volume, etc. This information is used by the control system to modify the program of the staining protocol that is associated with the slide in question over the default program. As one example, the modified program may direct the reagent dispensing probe to be positioned in a certain location over the tissue contained on the slide, which differs from the standard location for the selected staining procedure. As another example, the modified program may increase or decrease the volume of reagent that is dispensed relative to the standard volume for the selected staining procedure.
The standard or default protocols and the reagents to be used for the selected staining procedure are identified by the two-dimensional bar codes. The bar codes may be positioned on a label on the slide and/or reagent container. The protocol may be modified one or more times to accommodate different parameters associated with different tissue samples that are identified with the same staining protocol.
Two-dimensional bar codes, such as two-dimensional bar code 140, may also be utilized in reagent packs (not shown) that contain various reagents in discrete containment wells. Such reagent packs for use with an autostainer, such as autostainer 10, are described in patent application Ser. No. 09/483,248, which has previously been expressly incorporated by reference.
A two-dimensional bar code, such as one that uses Data Matrix bar code symbols, may also be placed on a reagent container. A reagent container includes, but is not limited to, reagent vials and reagent packs. The label containing the bar code is applied to any surface of the reagent container that can be read by the optical reader, for example, a flat horizontal surface on top of a 12 ml plastic vial (not shown) in which the reagent is delivered. The label can be placed on the container either on-site, e.g., at the clinical laboratory, at the reagent manufacturing site, etc. The bar-coded container can be placed in the Autostainer in a reagent rack that is specifically designed to accommodate such containers. The user is thus informed if all the reagents required for a particular staining protocol are available, if they are contained in the reagent rack, and their position in the rack.
The two-dimensional bar code can also be printed on labels which additionally contain the name for an autoprogram. An autoprogram is a standard or a default program for a particular staining sequence, the entire sequence being accessed by initiating the autoprogram. This permits a protocol for one or more slides to be created and saved. For example, an autoprogram can be used to initiate protocols requiring one or more dyes to be applied, protocols in which an antibody/antigen reaction may occur, etc. Such protocols include the particular reagent or reagents to be used, the incubation time for each reagent, the sequence of incubation times, rinse times, etc. An autoprogram is referenced by a single name which is encoded in the two-dimensional bar code that is affixed to a slide. This encoded name corresponds to a file in the database, which contains all the programs required for every step and sequence in the particular protocol.
When the slides are placed in the slide racks, the autostainer can read the bar code to determine automatically which stored autoprogram to assign to each slide. Therefore, a bar code that directs a particular autoprogram to be initiated advantageously packages or bundles a number of discrete pieces of information into a single program, which eases scheduling, reduces errors, enhances turnaround, etc.
With reference to
With reference to
While the above description and accompanying drawings set forth various embodiments of the invention, it will be apparent to those skilled in the art that additions and modifications may be made without departing from the principles of the invention. Accordingly, what is claimed is:
This Is a Continuation-In-Part of U.S. application Ser. No. 09/994,458, filed Nov. 26, 2001 which is expressly incorporated by reference herein in its entirety.
Number | Date | Country | |
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Parent | 10299290 | Nov 2002 | US |
Child | 11079457 | Mar 2005 | US |
Number | Date | Country | |
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Parent | 09994458 | Nov 2001 | US |
Child | 10299290 | Nov 2002 | US |