1. Field of the Invention
The present invention relates to an automatic analyzer that performs a qualitative/quantitative analysis of a biological sample such as blood and urine, and more particularly to an automatic analyzer that is capable of monitoring the reactions of an analyzer for clinical examination.
2. Description of the Related Art
An automatic analyzer for clinical examination operates so that specific amounts of reagent and sample are dispensed to causing mixing and reaction. After the absorbance of the resulting reaction solution is measured for a predetermined period of time, the concentration of an analysis target component is determined in accordance with the results of measurements.
Disclosed in JP-A-2005-201843 is a method of approximating the relationship between reaction time and reaction product to determine the degree of reaction progress and whether a reaction rate is high or low. An expression called a logistic curve is generally used as an approximate expression for the reaction rate. The logistic curve is such that a reaction itself approaches a certain limit when the reaction time elapses to some extent, and converges to a certain measured value in infinite time. General chemical reaction is basically the same as described above.
The expression represented by the logistic curve is as follows:
ABS=A
0
+A
1(1−e−kt)
For the calculation of the approximate expression, a solution formula based on the least-squares method is used.
The measurement methods for clinical examination can be classified into two types (rate analysis and endpoint. analysis) depending on reaction. Rate analysis and endpoint analysis will now be described.
A rate analysis is performed to measure the activity of an enzyme component contained in a sample. As measuring the concentration of an enzyme is meaningless, measurements are made to determine its activity value. The employed measurement method is such that a certain amount of substrate is added as a reagent to measure an element that changes when the enzyme consumes the substrate. Therefore, the resulting reaction is such that the measured value varies with temporal changes in increments of a fixed amount as shown in
When protein, lipid, or other component of a sample is measured, the component of the sample reacts with a reagent. When a binding reaction is quick, the reaction terminates within a short period of time so that the concentration of a reaction product becomes fixed. If the reaction time is long, it takes a certain amount of time for the reaction product to reach a fixed concentration.
Described in JP-A-6-194313 is a method of accurately determining the concentration of a measurement target for biochemical analysis purposes. This method determines the concentration of a measurement target substance by performing approximation with the equation y=A+(B−A)/eKt through the use of the least-squares method while using time and absorbance data, which is obtained when the relationship between chromogenic reaction absorbance and time is measured by the rate method and endpoint method.
Analyses for clinical examination require not only an apparatus such as an automatic analyzer, but also various other items such as a reagent for each analysis, a standard solution for reagent calibration, a currently analyzed apparatus, and an accuracy control sample to be measured for reagent status checkout. When these items are combined, the final performance is obtained.
Existing factors to be combined are a plurality of performance determining factors such as the dispensing amount accuracy of apparatus, uniformity in reagent bottle, storage stability, the degree of chemical reaction, and more particularly, reagent-sample mixing efficiency, reaction vessel rinsing, and standard solution stability.
Major apparatus/reagent factors occurring during analyses are enumerated below.
When an automatic analyzer is to be used daily, the following confirmation procedures are followed to verify the above factors and check whether normal clinical examinations can be conducted.
(1) Calibration with Standard Solution
Each item-specific reagent bottle is calibrated. A blank solution and a standard solution are measured to determine the origin, calculate the absorbance per unit concentration, and calculate a conversion factor (hereinafter referred to as the K factor). In general, a clinical technologist determines the magnitude of absorbance and temporal changes in the K factor to judge whether the results of calibration are acceptable.
An accuracy control sample having a known concentration is calibrated and then measured to verify the difference from a reference value. Further, while a patient specimen is being measured, the accuracy control sample is measured periodically at regular time intervals to check for deviation from a permissible value. If the permissible value is exceeded, an inspection is conducted on the assumption that there is a problem with either the reagent or apparatus.
Even when the above checks are conducted, the cause of the problem cannot easily be determined. The reason is that a plurality of factors are involved. An experienced technologist examines the reaction process absorbance and previously recorded data as well as the currently obtained calibration results and accuracy control results, and then identifies the problem cause, remedies the problem, makes repairs, replaces the reagent, effects recalibration, and performs other relevant tasks.
Recent improvements in the performance of automatic analyzers have made it possible to perform high-accuracy analyses of various items through the use of a trace amount of specimen and reagent. In some cases, however, high-accuracy analyses cannot be accomplished due, for instance, to slight abnormality in an apparatus component or slight deterioration of a specimen or reagent. Automatic analyzers for clinical examination measure, at regular intervals, the absorbance of a solution in which a sample has reacted with a reagent, and determine an absorbance change rate and final absorbance from the measured time-series data about absorbance. The obtained data is then used to calculate concentration and enzyme activity. In a reaction process, the automatic analyzers perform sampling, reagent dispensing, and mixing processes. These processes contain a plurality of error factors. Previously, in particular, the execution and level of the mixing process have not been quantitatively evaluated. Further, judgment criteria have not been defined. Therefore, the degree of reproducibility and the presence of blunders (indicated by discontinuous measured values or other measured values that are obviously affected by some abnormality) have been vaguely evaluated. When, for instance, a reagent is diluted by reagent-probe rinsing water, an irrelevant solution is inadvertently mixed with the reagent by a user, or some other factor arises to directly affect a reaction, it is necessary that the automatic analyzers detect such an abnormality, inform the user of the abnormality, and prompt for reexamination or apparatus maintenance. Particularly, when the endpoint method is employed to calculate a measured value through the use of one photometric point, it is impossible to check the measured value for slow reaction or other reaction abnormality, thereby making it difficult to recognize that the measured value is increased due to reagent dilution. It is difficult for a clinical technologist, who is the user of an automatic analyzer, to visually check all reaction processes during routine examination work. Especially when a measured value is within a normal value range, the clinical technologist tends to overlook reaction abnormalities and may produce low-accuracy results.
The present invention uses an approximate expression that is based on a theoretical chemical reaction formula derived from reaction process data, and provides an index that makes it possible to check for apparatus abnormalities, reagent deterioration, and improper accuracy control during each continuous or individual inspection. According to a chemical reaction theory, the rate at which substance concentration varies during a reaction is determined by a reaction rate constant that is specified for each reaction. Further, it is known that substance concentration is proportional to absorbance. The present invention is characterized in that it uses absorbance changes in a reaction process, which are measured by an automatic analyzer, as the results of chemical reaction, approximates the reaction process to calculate a reaction rate on an individual reaction basis, and monitors the reaction status by using the calculated reaction rate as an index.
The reaction process data, which is measured when an automatic analyzer determines the relationship between reaction absorbance and time, is approximated to ABS=A0+A1 (1−e−kt) by the least-squares method. The resulting reaction start point absorbance A0, final reaction absorbance A1, reaction rate constant k, and residual error, which is the aggregate sum of differences between approximate values and measured values, are then used as the index of reaction status.
Index candidates are the following calculation parameters:
Parameters other than the reaction rate constant k in the above approximate expression, such as A0 and A1, can be various parameter values upon approximate expression deformation. However, the method according to the present invention can be applied to an approximate expression that uses the reaction rate constant k.
The evaluation method according to the present invention makes it possible to use daily examination data for the purpose of checking for abnormalities in factors related to apparatus abnormalities affecting the reaction rate, thereby contributing to the maintenance of apparatus performance.
The influence of mixing is such that the reaction rate changes when mixing is stopped. Calculating and monitoring the reaction rate in a control specimen, standard solution, or other specimen having a known concentration is checking for temporal changes in the performance of a mixer. This enables the automatic analyzer to positively inform an apparatus user of the necessity for mixer maintenance and replacement. The execution and level of the mixing process, which have been vaguely evaluated, can then be quantified. This makes it possible to verify and determine the optimum parameters for each mixer abnormality detection and reagent.
If the reagent is deteriorated or diluted by rinsing water in a reagent probe, the reaction rate becomes affected. As the present invention can digitize the degree of slowness of reaction, it makes it possible to detect reaction abnormalities. Consequently, the performance of the reagent can be evaluated to detect a reagent deterioration caused by a human mistake during a daily examination and prevent an erroneous data output from being overlooked.
The evaluation method according to the present invention makes it possible to use daily examination data for the purpose of checking for abnormalities in factors related to apparatus abnormalities affecting the reaction rate, thereby contributing to the maintenance of apparatus performance.
An automatic analyzer according to an embodiment of the present invention will now be described.
Referring to
As described in detail below, an analysis section sequentially performs sampling, reagent dispensing, mixing, photometric measurement, reaction vessel rinsing, and concentration conversion and other data processing operations in the order named.
A plurality of units of the sample vessel 16, which each contain a sample, are mounted on the sample disk 1. The control section 13 controls the sample disk 1 through the display section 10.
The sample disk moves to a location beneath a sampling probe 24 in accordance with the order of samples to be analyzed. A specified amount of specimen in the specified sample vessel 16 is dispensed into the reaction vessel 21 by a sample pump that is coupled to the specimen sampling mechanism 5.
The reaction vessel 21, into which the sample is dispensed, moves to a first reagent addition position in the reaction tank 4. A reagent pump (not shown), which is coupled to a reagent dispensing probe 6, adds a specified amount of reagent, which is suctioned from a reagent vessel 18, to the moved reaction vessel 16.
After completion of first reagent addition, the reaction vessel 21 moves to the mixer 7 in which initial mixing occurs.
The above-described reagent addition and mixing operations are performed for the first to fourth reagents.
The reaction vessel 21, in which the contents are mixed, passes through a beam of light emitted from a light source so that the prevailing absorbance is detected by the photometry mechanism 8 of a multiwavelength photometer. A signal representing the detected absorbance enters the control section 13 and is converted to the concentration of the specimen.
The data obtained upon conversion to concentration is stored in the storage section 12 and displayed on the display section.
After completion of photometry, the reaction vessel 21 is transported to the rinsing mechanism 9, rinsed, and used for the next analysis.
This analyzer is used to make the following three types of measurements.
A reagent is used for each item. However, each reagent is calibrated with a standard solution.
Two types of solutions (standard solution and blank solution) are generally used. The blank solution has a concentration of zero (0). It does not react in most cases and represents the origin. The standard solution contains components of various items. Its concentration or activity or other similar value is measured and guaranteed by a manufacturer. Numerical values vary from one manufacturing lot to another.
Electrical circuit and mechanism abnormalities in an apparatus.
Measurement results of control specimens, reagent lot, control specimen lot, etc.
Various measurements of a biological sample are taken in accordance with the calculation parameters for the previously measured standard solution.
The evaluation method according to the present invention makes it possible to use daily examination data for the purpose of checking for abnormalities in factors related to apparatus abnormalities affecting the reaction rate, thereby contributing to the maintenance of apparatus performance.
The evaluation method according to the present invention makes it possible to conduct a quantitative outgoing inspection of the mixer. As regards a plurality of inspection items, a predetermined sample is measured to acquire a reaction process. The approximate expression in the acquired reaction process is calculated to determine the calculation parameters. Similar reagents and samples are used to make measurements a number of times to confirm the numerical values and variations of the calculation parameters. The confirmed numerical values and variations can be compared against predefined reference values to verify the performance of the mixer. Not only the measured value variations but also the variations and magnitudes of approximate expression calculation parameters serve as the reference for evaluating whether normal mixing is being performed. Formerly, whether mixing was done could not be evaluated. In addition, no judgment criteria were defined. Therefore, the degree of reproducibility and the presence of blunders were vaguely evaluated.
2. Evaluating the Performance of the Mixer in Accordance with Daily Inspection Data
The evaluation method according to the present invention calculates an approximate expression from daily inspection data, accuracy control sample data, and patient data reaction process to determine the calculation parameters. The calculation parameters are recorded in the storage section to monitor daily calculation parameters. If a predefined inspection item deviates from a reference value, it is possible to indicate the possibility of the mixer being faulty. The present invention makes it possible to manage the performance of the mixer in accordance with temporal changes in the calculation parameters, thereby contributing to the maintenance of apparatus performance.
3. Detecting a Reagent that is Diluted by Reagent Probe Rinsing Water
Particularly when the endpoint method is used, the measured values are not enough to check for a slow reaction that is caused by reagent dilution, and it is difficult to recognize that the measured values are increased. It is difficult for a clinical technologist to visually check the reaction processes of all tests during routine work. Especially when a measured value is within a normal value range, the clinical technologist may overlook a slow reaction, thereby producing low-accuracy results. When the reagent is diluted by reagent probe rinsing water, the present invention makes it possible to numerically evaluate the degree of slowness of reaction by using the numerical values of approximate expression calculation parameters derived from the reaction processes. As the reaction status can be grasped by displaying an evaluated value concerning the degree of slowness together with the measured values, it is possible to make a report on accurate results. In addition, the approximate expression calculation parameters can be an evaluated value of the certainty factor of a normal reaction regarding individual test reactions.
When slow reactions can be detected, the following functions are implemented:
When the approximate expression calculation parameters are monitored in accordance with the results of accuracy control sample measurements and patient data derived from daily examinations, the present invention makes it possible to evaluate the responsiveness of a reagent. If an apparatus user has inadvertently made an improper reagent mixture or diluted a reagent in the reagent bottle, a slow reaction occurs. The present invention can detect such a slow reaction as a reagent deterioration. The approximate expression calculation parameters concerning various daily items are recorded in the apparatus. If a test reveals a deviation from the predetermined numerical value of an approximate expression calculation parameter, it is possible to detect a reagent deterioration and issue an alarm to notify the apparatus user of the detected reagent deterioration. Threshold values may be automatically determined from the approximate expression calculation parameters of various items for several days, and used instead of predetermined numerical values.
If the apparatus user performs reagent replenishment by using a reagent that is obtained from a lot other than the previous one, the responsiveness of the reagent changes. According to the present invention, such a change in the responsiveness of the reagent can be detected by using the approximate expression calculation parameters. If calibration is not effected when the reagent lot changes, it is probable that an incorrect measured value may be calculated. The apparatus according to the present invention automatically detects a change in the reagent lot, issues an alarm, if calibration is not effected, to prompt for calibration, thereby making it possible to prevent an incorrect measured value from being calculated. Reagent lot changes and calibrations are recorded in the storage section of the apparatus. Formerly, the apparatus user used a list external to the apparatus to manage the information about reagent lot changes. However, when the apparatus incorporates the functionality according to the present invention, the apparatus detects reagent lot changes. Therefore, a record of the detected reagent lot changes can be used to recognize the frequency of reagent use and facilitate the ordering of reagents and the understanding of inventory status.
When a reagent to be purchased is to be investigated, the evaluation method according to the present invention makes it possible to calculate approximate expression calculation parameters for the same item from a plurality of different types of reagents and make an evaluation of responsiveness. The evaluation method according to the present invention also makes it possible to evaluate the responsiveness of reagents during reagent development through the use of approximate expression parameters and establish a standard for highly responsive, stable reagents.
The evaluation method according to the present invention makes it possible to calculate an approximate expression parameter for various measurement items from a process of reaction between a standard solution and a control, monitor the approximate expression parameter, and use the result of monitoring as an accuracy control sample index.
The evaluation method according to the present invention makes it possible to investigate an optimum mixing level for the characteristics of individual reagents for various measurement items.
Number | Date | Country | Kind |
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2008-047033 | Feb 2008 | JP | national |