The present invention relates to an automatic analysis device that analyzes a sample (specimen) such as blood or urine.
In the automatic analysis device that analyzes biological samples such as blood and urine, the number of specimens to be analyzed per unit time and the number of tests available for analysis are important. In an analysis cycle of the automatic analysis device, a single specimen or single reagent, or a mixed liquid of multiple specimens or a mixed liquid of specimens and reagents is held for a prescribed time and temperature before analysis. However, depending on a type of analysis, it may be necessary to freely shorten or extend a holding time or temperature.
For this reason, PTL 1 discloses that a device is provided with an incubation function for maintaining a temperature, and a container after a lapse of a prescribed temperature-controlled time is transferred to a detection position.
When the automatic analysis device is provided with the incubation function and a transfer mechanism for the incubation function as in PTL 1, the device may be increased in size or processing capability may be reduced.
An object of the invention is to provide a compact automatic analysis device having the incubation function.
In order to solve the above problem, an automatic analysis device according to one embodiment of the invention includes: a reaction vessel storage section where a reaction vessel storage container that stores a reaction vessel is to be provided; and a dispensing mechanism configured to dispense a specimen or a reagent into a reaction vessel removed from the reaction vessel storage container. The reaction vessel storage section has a temperature-controlled area where at least a portion of the reaction vessel storage section is adjusted to a prescribed temperature. The reaction vessel into which the specimen or the reagent is dispensed by the dispensing mechanism is placed in a reaction vessel 1 storage container provided in the temperature-controlled area for a prescribed period.
Provided is an automatic analysis device having an incubation function. Problems, configurations, and effects other than those described above will be clarified by the description of the following embodiments.
Hereinafter, an embodiment of the invention will be described with reference to the drawings.
An arm capable of gripping a reaction vessel 31 is attached to the transfer device 32. The transfer device 32 can move among the reaction vessel storage section 30, a coagulation specimen dispensing unit 43, and the coagulation time measurement unit 40, and can transfer and place the reaction vessel 31 to a prescribed location. The reaction vessel 31 is a vessel that mixes a specimen with a reagent and reacts the mixed liquid.
The sample disk 11 can be intermittently rotated clockwise and counterclockwise, and a plurality of sample vessels 12 storing biological samples such as blood are placed on the sample disk 11. The sample dispensing mechanism 10 is disposed near the sample disk 11. The sample dispensing mechanism 10 can rotate clockwise and counterclockwise between the sample disk 11 and the coagulation specimen dispensing unit 43. The sample dispensing mechanism 10 aspirates a sample (specimen) in the sample vessel 12 using a probe attached to a distal end of the sample dispensing mechanism 10, and discharges the sample to the reaction vessel 31 on the coagulation specimen dispensing unit 43.
A plurality of reagent vessels 22 corresponding to analysis items of the automatic analysis device 1 are placed on the reagent disk 21. The coagulation reagent dispensing mechanism 20 aspirates a reagent in the reagent vessel 22 and discharges the reagent into the reaction vessel 31. A reagent heating mechanism 23 is built into the coagulation reagent dispensing mechanism 20, and the reagent aspirated by the coagulation reagent dispensing mechanism 20 is heated to a prescribed temperature (appropriate temperature) by the reagent heating mechanism 23.
One or more reaction vessel storage containers 30a that store the reaction vessel 31 are provided in the reaction vessel storage section 30. The reaction vessel storage container 30a is formed with a large number of through holes (reaction vessel storage positions), and the reaction vessel 31 is inserted into the through holes.
The coagulation specimen dispensing unit 43 is formed with a recess on which the reaction vessel 31 is placed, and the reaction vessel 31 is inserted into the recess.
The coagulation time measurement unit 40 includes a coagulation time detection unit 41 formed with the recess on which the reaction vessel 31 is placed. A light source 42 irradiates the reaction vessel 31 placed on the coagulation time detection unit 41 with light. The light emitted from the light source 42 is scattered in the reaction vessel 31, and the scattered light is received by a photodiode provided in the coagulation time detection unit 41. An analog signal of the measured scattered light is input to an A/D converter 56. A coagulation time is measured based on a digital signal output from the A/D converter. In this way, a coagulation time of a mixed liquid in the reaction vessel 31 placed on the coagulation time measurement unit 40 can be measured.
Next, a control system and a signal processing system in the automatic analysis device 1 in
A printer 53 for printing, a memory 55 as a storage device, a keyboard 51 for inputting an operation command and the like, and a display device 54 for displaying a screen such as a CRT display or a liquid crystal display are connected to the interface 50. The memory 55 includes, for example, a hard disk memory or an external memory. The memory 55 stores information such as analysis parameters, analysis item requests, a calibration result, and an analysis result.
Next, blood coagulation measurement will be described. When an operator requests analysis from the computer 52, the transfer device 32 transfers the reaction vessel 31 stored in the reaction vessel storage section 30 to the coagulation specimen dispensing unit 43 and places the reaction vessel 31 thereon. Subsequently, the sample dispensing mechanism 10 suctions the specimen to be used for analysis from the sample vessel 12 on the sample disk 11, and discharges the specimen to the reaction vessel 31 on the coagulation specimen dispensing unit 43. The reaction vessel 31 into which the specimen has been dispensed is transferred and placed on the coagulation time detection unit 41 by the transfer device 32. Thereafter, when the reagent is discharged into the reaction vessel 31 on the coagulation time detection unit 41 by the coagulation reagent dispensing mechanism 20, the specimen and the reagent are mixed, and a blood coagulation reaction starts.
The reaction vessel 31 on the coagulation time detection unit 41 is irradiated with light from the light source 42. The coagulation time measurement unit 40 receives the scattered light, and an A/D-converted measurement value is taken into the computer 52 through the interface 50. A measurement result is outputted by the printer 53 or the display device 54.
The reaction vessel storage section 30 of the automatic analysis device 1b includes a temperature-controlled area in which a temperature of the reaction vessel storage section 30 is adjusted to a prescribed temperature, and two reaction vessel storage containers are provided. Although a configuration of the reaction vessel storage section 30 will be described later, the temperature-controlled area may be the entire reaction vessel storage section 30 or may be only a part thereof. The reaction vessel storage container is formed with a large number of through holes (reaction vessel storage positions) into which the reaction vessel 31 is inserted, and the empty reaction vessel 31 used for the blood coagulation measurement is placed in advance. The reaction vessel storage container is detachable from the reaction vessel storage section 30, for example, when the reaction vessel storage container becomes empty, the operator removes the empty reaction vessel storage container from the reaction vessel storage section 30 and provides a new reaction vessel storage container in which the reaction vessel 31 is stored in advance.
Here, an operation sequence of the transfer device 32 when blood coagulation time measurement accompanied by applying prescribed temperature control to a specimen is performed will be described in one embodiment of the invention.
The transfer device 32 stops with the upper left of the reaction vessel storage section 30 as a transfer device initial position (S01,
Thereafter, the transfer device 32 grips a specimen-containing reaction vessel 35 on the coagulation specimen dispensing unit 43 (S05,
The above operations of the transfer device 32 are performed by being controlled by the transfer device control unit 59 from the computer 52 via the interface 50.
The operation sequence in
Hereinafter, a configuration of the reaction vessel storage section 30 will be described. A temperature at which a specimen is held during incubation in the reaction vessel storage section 30 is higher than room temperature, and there is a risk that the specimen evaporates from the reaction vessel, resulting in a high specimen concentration. Therefore, the reaction vessel storage section 30 is provided with a lid mechanism for preventing evaporation of the specimen. It is contemplated to provide a lid for preventing evaporation for each reaction vessel, but in order to make the configuration as simple as possible, in the present embodiment, a lid mechanism for covering at least an area (incubation area) used for incubation in the reaction vessel storage section 30 is provided in the reaction vessel storage section 30.
A storage section lid 70 moves between a lid standby position and an incubation area of the reaction vessel storage section 30 via a slide rail 71 one of which is connected to the automatic analysis device and the other of which is connected to the storage section lid 70.
The storage section lid 70 is driven by a motor 72. When the transfer device 32 grips the empty reaction vessel 31 on the reaction vessel storage section 30, when the transfer device 32 places the specimen-containing reaction vessel 35 to the reaction vessel storage section 30, or when the transfer device 32 grips the specimen-containing reaction vessel 35 in the reaction vessel storage section 30, the motor 72 drives the storage section lid 70 to store the storage section lid 70 in the lid standby position. When the transfer device 32 is separated from the reaction vessel storage section 30, the motor 72 is driven such that the storage section lid 70 covers the incubation area.
It is not desirable that dew condensation occurs on the storage section lid 70 during incubation of the specimen-containing reaction vessel 35. Therefore, a heat insulating material may be provided on a surface of the storage section lid 70 facing the incubation area of the reaction vessel storage section 30, or a heating mechanism that heats the storage section lid 70 to the same temperature as the temperature of a temperature-controlled area of the reaction vessel storage section 30 may be provided.
A drive mechanism of the storage section lid 70 is not limited to a motor, and may be driven by a cylinder 73 as shown in
With a further simple mechanism for preventing the evaporation of the specimen during incubation, the transfer device 32 can also grip the empty reaction vessel 31 placed on the reaction vessel storage container 30a and stack the empty reaction vessel 31 on the specimen-containing reaction vessel 35 to prevent the evaporation of the specimen during the incubation. The reaction vessel 31 used as a simple lid is likely to have dew condensation on the outer wall thereof, and is discarded after use to prevent contamination.
Next, a temperature-controlled mechanism of the reaction vessel storage section 30 will be described. The temperature-controlled mechanism in
The temperature-controlled mechanism of the reaction vessel storage section 30 may be provided independently of the thermostatic chamber 80. In this case, a temperature of the reaction vessel storage section 30 can be adjusted to a temperature different from a temperature of the thermostatic chamber 80. Further, when heating of a reaction vessel is unnecessary, that is, when the incubation is not performed, it is possible not to perform temperature control. Further, an independent temperature-controlled mechanism may be provided instead of the temperature-controlled mechanism in
As described above, the reaction vessel storage container 30a is formed with through holes that are storage positions for reaction vessels. Therefore, when a temperature of a part of the reaction vessel storage section 30 is controlled, even if the temperature-controlled area is heated, the warmed air in the reaction vessel storage container 30a escapes from the through holes, and thus heat retention efficiency is lowered.
In the present embodiment, a temperature-controlled area is formed in a sample disk. Embodiment 2 is the same as Embodiment 1 except for a position where the temperature-controlled area is formed, the same components as those of Embodiment 1 are denoted by the same reference signs, and redundant description thereof will be omitted. A configuration of an automatic analysis device may be the configuration of the automatic analysis device 1 capable of performing blood coagulation measurement described with reference to
A structure of the sample disk is the same as that of Embodiment 1. As shown in
The sample dispensing mechanism 10 aspirates a sample (specimen) in the sample vessel 12 placed on the sample disk 11 using a probe attached to a distal end of the sample dispensing mechanism 10, and discharges the sample to another empty sample vessel 12 on the sample disk 11. The sample dispensing mechanism 10 aspirates the sample (specimen) in the sample vessel 12 placed on the sample disk 11 using the probe attached to the distal end of the sample dispensing mechanism 10, and discharges the sample to the reaction cell 62 provided in the reaction disk 60 or the reaction vessel 31 on the coagulation specimen dispensing unit 43.
The sample disk 11 of the automatic analysis device 1 (1b) includes a temperature-controlled area in which a temperature of the sample disk 11 is adjusted to a prescribed temperature. A configuration of the sample disk 11 including the temperature-controlled area will be described later. Alternatively, the temperature-controlled area may be formed in the entire sample disk 11 or may be formed in a part of the sample disk 11.
An object of incubation on the sample disk 11 is a specimen or mixed specimen in the sample vessel 12 placed on the sample disk 11, or a specimen or mixed specimen discharged by the sample dispensing mechanism 10. Alternatively, a reagent or a mixed liquid of a reagent and a specimen may be subjected to incubation. In this case, similarly, after dispensing the reagent or the specimen, the sample vessel 12 containing the reagent or the mixed liquid of the reagent and the specimen may be left on the temperature-controlled sample disk 11 for a prescribed temperature control period.
Next, a temperature-controlled mechanism of the sample disk 11 will be described. The temperature-controlled mechanism in
The temperature-controlled mechanism of the sample disk 11 may be provided independently of the thermostatic chamber 80. In Embodiment 2, an independent temperature-controlled mechanism may also be provided instead of the temperature-controlled mechanism in
By providing such an independent temperature-controlled mechanism, a temperature of the sample disk 11 can be adjusted to a temperature different from the temperature of the thermostatic chamber 80. Further, when heating of the sample vessel 12 is unnecessary, that is, when the incubation is not performed, it is possible not to perform temperature control.
The temperature-controlled area may be formed in a part of the sample disk 11 or in the entire sample disk 11. Further, one or more temperature-controlled areas may be formed in the sample disk 11, and when a plurality of temperature-controlled areas are formed, a size of the area may be changed for each temperature-controlled area. When a plurality of temperature-controlled areas are formed, a temperature may be changed for each temperature-controlled area.
The sample disk 11 shown in
A method for controlling a temperature of the entire or a part of the sample disk 11 has been described above with reference to
Next, a flow from specimen dispensing to measurement by the coagulation time measurement unit 40 in the case where the temperature-controlled mechanism is provided in the reaction vessel storage section 30 in Embodiment 1, and a flow from specimen dispensing to the measurement by the coagulation time measurement unit 40 in the case where the temperature-controlled mechanism is provided in the sample disk 11 in Embodiment 2 will be described using a cross-mixing test requiring incubation of a specimen as an example. The cross-mixing test is a method for discriminating a cause of extension of blood coagulation time by addition of normal plasma. In the cross-mixing test, a mixed plasma is prepared by adding normal plasma to a test plasma as a specimen and mixing the test plasma and the normal plasma such that a ratio of the normal plasma becomes a plurality of patterns (0%, 10%, 20%, 50%, 80%, 90%, and 100%). A degree of correction of the blood coagulation time of the test plasma by addition of the normal plasma is determined by creating a graph in which a relation between a measurement result (blood coagulation time) and a proportion of the normal plasma is plotted. In a defective type, prolongation of APTT is corrected by addition of the normal plasma, and a downward convex pattern is shown. On the other hand, in an inhibitor type, the prolongation of APTT is hardly corrected even when the normal plasma is added, and an upward convex pattern is shown. However, a reaction of an inhibitor to a VIII factor has a dependence on a time and a temperature. Therefore, a shape protruding upward is not clearly shown in the reaction (hereinafter, referred to as “immediate reaction”) immediately after mixing (mix), and a shape protruding upward may be shown in a reaction (hereinafter, referred to as “delay reaction”) after incubation at 37° C. for a certain period of time. Therefore, in the cross-mixing test, it is recommended to measure both the immediate reaction and the delay reaction.
The flow from specimen dispensing to measurement by the coagulation time measurement unit 40 in the case (Embodiment 1) where the temperature-controlled mechanism is provided in the reaction vessel storage section 30 will be described with reference to a flowchart in
The automatic analysis device 1 (1b) receives a cross-mixing test request (S11). First, from sample preparation to analysis for immediate measurement for measuring the immediate reaction are performed (S12 to S14). First, a normal plasma is aspirated by the sample dispensing mechanism 10 from the sample vessel 12 containing a normal plasma placed on the sample disk 11, and the normal plasma is discharged from a reaction vessel storage container to the empty reaction vessel 31 transferred to the coagulation specimen dispensing unit 43. At this time, the required amount of mixed plasma and the normal plasma are discharged (S12). Next, a test plasma is aspirated by the sample dispensing mechanism 10 from the sample vessel 12 containing a test plasma placed on the sample disk 11, and the test plasma is discharged to the reaction vessel 31 to which the normal plasma is discharged in step S12 so as to form a mixed plasma having a prescribed proportion of the test plasma (S13). Next, the reaction vessel 31 in which the mixed plasma is prepared is transferred to the coagulation time measurement unit 40 by the transfer device 32, the reaction vessel 31 in which the mixed plasma prepared for the immediate measurement is contained is irradiated with light from the light source 42, and the light scattered in the reaction vessel 31 is detected by the coagulation time detection unit 41 (S14).
Subsequently, from sample preparation to analysis for delayed measurement for measuring the delay reaction are performed (S15 to S18). Similarly to the immediate measurement, a normal plasma is aspirated by the sample dispensing mechanism 10 from the sample vessel 12 containing a normal plasma placed on the sample disk 11, and the normal plasma is discharged from a reaction vessel storage container to the empty reaction vessel 31 transferred to the coagulation specimen dispensing unit 43. At this time, the normal plasma is discharged in an amount corresponding to the required amount of mixed plasma (S15). Next, a test plasma is aspirated by the sample dispensing mechanism 10 from the sample vessel 12 containing a test plasma placed on the sample disk 11, and the test plasma is discharged to the reaction vessel 31 to which the normal plasma is discharged in step S15 so as to form a mixed plasma having a prescribed proportion of the test plasma (S16). In a case of the delayed measurement, the mixed plasma is incubated at 37° C. for a certain period of time. Therefore, the reaction vessel 31 in which the mixed plasma is prepared is transferred to the reaction vessel storage section 30 having the temperature-controlled mechanism by the transfer device 32, and the reaction vessel 31 is provided in the reaction vessel storage container. Accordingly, the mixed plasma in the reaction vessel 31 is incubated (S17).
When a certain period of time elapses after the reaction vessel 31 is transferred to the reaction vessel storage section 30 and the incubation of the mixed plasma is completed, the delayed measurement is performed. Since a control unit 52 detects that the incubation has been performed for a certain period of time, it is possible to automatically perform the delayed measurement after the incubation without requiring any action from a user. Alternatively, although this requires some action from the user, the delayed measurement may be performed in response to a user instruction as a trigger. In this case, the control unit 52 may notify that the required incubation time has elapsed. The reaction vessel 31 in which the incubation is completed is transferred from the reaction vessel storage section 30 to the coagulation time measurement unit 40 by the transfer device 32, the reaction vessel 31 containing a mixed plasma prepared for the delayed measurement and for which incubation has been completed is irradiated with light from the light source 42, and the light scattered in the reaction vessel 31 is detected by the coagulation time detection unit 41 (S18).
In the present flowchart, an example has been described in which the mixed plasma for delayed measurement is prepared after preparation of the mixed plasma for the immediate measurement and measurement of the immediate reaction are performed. The invention is not limited thereto, and the mixed plasma for the delayed measurement may be prepared at the timing of preparation of the mixed plasma for the immediate measurement.
In comparison, the flow from specimen dispensing to measurement by the coagulation time measurement unit 40 in the case (Embodiment 2) where the temperature-controlled mechanism is provided in the sample disk 11 will be described with reference to a flowchart in
The automatic analysis device 1 (1b) receives a cross-mixing test request (S21). When incubation is performed in the sample disk 11, the mixed plasma for the immediate measurement and the delayed measurement is prepared in the same vessel. The normal plasma is aspirated by the sample dispensing mechanism 10 from the sample vessel 12 containing the normal plasma placed on the sample disk 11, and the normal plasma for the immediate measurement and the delayed measurement is discharged to the empty sample vessel 12 placed on the sample disk 11. At this time, the normal plasma is discharged to the empty sample vessel 12 in an amount corresponding to the required amount of mixed plasma (S22). Next, a test plasma is aspirated by the sample dispensing mechanism 10 from the sample vessel 12 containing a test plasma placed on the sample disk 11, and the test plasma is discharged to the sample vessel 12 to which the normal plasma is discharged in step S22 so as to form a mixed plasma having a prescribed proportion of the test plasma (S23). The mixed plasma prepared in the sample vessel 12 is aspirated from the sample vessel 12 by the sample dispensing mechanism 10 and discharged from the reaction vessel storage container to the empty reaction vessel 31 transferred to the coagulation specimen dispensing unit 43 (S24). Next, the reaction vessel 31 to which the mixed plasma has been discharged is transferred to the coagulation time measurement unit 40 by the transfer device 32, the reaction vessel 31 is irradiated with light from the light source 42, and the light scattered in the reaction vessel 31 is detected by the coagulation time detection unit 41 (S25).
A remaining mixed plasma used for the immediate measurement is used for the delayed measurement. Therefore, a temperature of the sample vessel 12 containing the remaining mixed plasma is controlled by the sample disk 11 as it is, and the mixed plasma in the sample vessel 12 is incubated (S26). Regarding the temperature control in the sample disk 11, the temperature control of the temperature-controlled area may be started at a temperature control timing of the mixed plasma for the delayed measurement, or the sample vessel 12 may be manually provided in a temperature-controlled area controlled to 37° C. in advance by a transfer mechanism or a user. When the incubation of the mixed plasma is completed, in order to perform measurement, the incubated mixed plasma is aspirated from the sample vessel 12 by the sample dispensing mechanism 10, and is discharged from the reaction vessel storage container 30a to the empty reaction vessel 31 transferred to the coagulation specimen dispensing unit 43 (S27). In step S27, the control unit 52 detects that the incubation has been performed for a certain period of time, so that it is possible to automatically perform step S27 after the incubation without requiring any action from a user. Alternatively, although this requires some action from the user, step S27 may be performed in response to a user instruction as a trigger. In this case, the control unit 52 may notify that the required incubation time has elapsed.
Subsequently, the reaction vessel 31 to which the mixed plasma is discharged is transferred to the coagulation time measurement unit 40 by the transfer device 32, the reaction vessel 31 in which the mixed plasma for delayed measurement is contained is irradiated with light from the light source 42, and the light scattered in the reaction vessel 31 is detected by the coagulation time detection unit 41 (S28).
A graph of the immediate measurement and the delayed measurement is created using measurement results in the flows in
As described with reference to
In comparison, when the mixed plasma for the delayed measurement is incubated in the reaction vessel storage section 30, the mixed plasma is directly prepared in the reaction vessel 31. On the other hand, when the mixed plasma for the delayed measurement is incubated on the sample disk 11, the mixed plasma is once prepared in the sample vessel 12, and then the prepared mixed plasma is dispensed into the reaction vessel 31. Therefore, when controlling the temperature of the sample disk 11, more dispensing operations are required at one time and a larger amount of specimen is required, compared with when controlling the temperature of the reaction vessel storage section 30. That is, when the reaction vessel storage section 30 is provided with the temperature-controlled mechanism (Embodiment 1), cross mixing can be analyzed with a smaller amount of specimen than when the temperature of the sample disk 11 is controlled.
The temperature control of the sample disk 11 may be freely set by the user.
In order to clarify a correspondence relation between area names A to H of the sample disk schematic diagram 211 and the sample disk 11 of the automatic analysis device 1 (1b), it is desirable that the area number of the sample disk schematic diagram 211 is displayed on the sample disk 11 and the position number of the sample vessel 12 displayed on the sample disk 11 is also displayed on the sample disk schematic diagram 211.
Further, when the area names of the sample disk schematic diagram 211 in
Although
The invention is not limited to the embodiments described above, and includes various modifications. For example, the embodiments and the modification described above have been described in detail to facilitate understanding of the invention, and the invention is not necessarily limited to those including all the configurations described above. A part of the configuration of one embodiment and modification can be replaced with the configuration of another embodiment and modification, and the configuration of one embodiment and modification can be added to the configuration of another embodiment and modification. A part of a configuration in each of the embodiment and the modification may be added to, deleted from, or replaced with another configuration.
Number | Date | Country | Kind |
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2022-063923 | Apr 2022 | JP | national |
Filing Document | Filing Date | Country | Kind |
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PCT/JP2023/014261 | 4/6/2023 | WO |