1. Field of the Disclosure
The present disclosure relates generally to devices, assemblies, and systems adapted for use with vascular access devices. More particularly, the present disclosure relates to devices, assemblies, and systems adapted for collecting biological samples.
2. Description of the Related Art
Blood sampling is a common health care procedure involving the withdrawal of at least a drop of blood from a patient. Blood samples are commonly taken from hospitalized, homecare, and emergency room patients either by finger stick, heel stick, or venipuncture. Blood samples may also be taken from patients by venous or arterial lines. Once collected, blood samples may be analyzed to obtain medically useful information including chemical composition, hematology, or coagulation, for example.
Blood tests determine the physiological and biochemical states of the patient, such as disease, mineral content, drug effectiveness, and organ function. Blood tests may be performed in a clinical laboratory or at the point-of-care near the patient. One example of point-of-care blood testing is the routine testing of a patient's blood glucose levels which involves the extraction of blood via a finger stick and the mechanical collection of blood into a diagnostic cartridge. Thereafter, the diagnostic cartridge analyzes the blood sample and provides the clinician a reading of the patient's blood glucose level. Other devices are available which analyze blood gas electrolyte levels, lithium levels, and ionized calcium levels. Some other point-of-care devices identify markers for acute coronary syndrome (ACS) and deep vein thrombosis/pulmonary embolism (DVT/PE).
Despite the rapid advancement in point-of-care testing and diagnostics, blood sampling techniques have remained relatively unchanged. Blood samples are frequently drawn using hypodermic needles or vacuum tubes attached to a proximal end of a needle or a catheter assembly. In some instances, clinicians collect blood from a catheter assembly using a needle and syringe that is inserted into the catheter to withdraw blood from a patient through the inserted catheter. These procedures utilize needles and vacuum tubes as intermediate devices from which the collected blood sample is typically withdrawn prior to testing. These processes are thus device intensive, utilizing multiple devices in the process of obtaining, preparing, and testing blood samples. Each additional device increases the time and cost of the testing process.
Point-of-care testing devices allow for a blood sample to be tested without needing to send the blood sample to a lab for analysis. Thus, it is desirable to create a device that provides an easy, safe, reproducible, and accurate process with a point-of-care testing system.
The present disclosure provides a biological fluid separation system, such as a blood separation system, for a blood sample. The biological fluid separation system includes a biological fluid collection device, such as a blood collection device, adapted to receive a blood sample and a centrifuge. The centrifuge is adapted to receive the biological fluid collection device such that with the biological fluid collection device received within the centrifuge and a rotational force applied to the biological fluid collection device, a plasma portion of the blood sample is separated from a cellular portion of the blood sample. The biological fluid collection device is only receivable within the centrifuge in one orientation.
Some of the advantages of the biological fluid collection device and the biological fluid separation system of the present disclosure over prior systems are that it is a closed system which reduces blood sample exposure and it provides passive and fast mixing of the blood sample with a sample stabilizer. Also, a blood sampling transfer device of the present disclosure incorporates the concepts of lancing, blood collection, and blood separation.
In accordance with an embodiment of the present invention, a biological fluid collection device includes a housing having an inlet port and a serpentine flow channel in fluid communication with the inlet port. The device also includes a puncturing element disposed within the housing which is adapted for movement between a pre-actuated position, wherein the puncturing element is retained within the housing, and a puncturing position, wherein the puncturing element extends through the inlet port of the housing and establishes flow communication with the serpentine flow channel.
In certain configurations, when the puncturing element is in the puncturing position, the biological fluid collection device is adapted to generate a vacuum in communication with the inlet port. The device may also include a second flow channel in fluid communication with the serpentine channel, with the second flow channel oriented in a plane that is offset from a plane defining a flow axis of the serpentine channel. The biological fluid collection device may also be adapted to receive a multi-component blood sample having a cellular portion and a plasma portion. When rotational force is applied to the biological fluid collection device, the plasma portion may be separated from the cellular portion through the flow channel.
In certain configurations, the device also includes an indicator element which is transitionable between an initial setting and a complete setting. The indicator element may automatically transition to the complete setting when collection of the blood sample is complete. Optionally, the puncturing element is a micro-needle array. The housing may also include a push button and actuation of the push button may move the puncturing element from the pre-actuated position to the puncturing position. In certain configurations, at least a portion of the serpentine flow channel includes a sample stabilizer. The housing may also include an electric contact for engagement with a corresponding electric contact of a centrifuge.
In accordance with another embodiment of the present invention, a biological fluid separation system for a blood sample having a cellular portion and a plasma portion includes a biological fluid collection device adapted to receive the blood sample. The blood collection device includes a housing having an inlet port and a flow channel in fluid communication with the inlet port, and a puncturing element disposed within the housing. The puncturing element is adapted for movement between a pre-actuated position, wherein the puncturing element is retained within the housing, and a puncturing position, wherein the puncturing element extends through the inlet port of the housing and establishes flow communication with the flow channel. The system also includes an electric contact disposed on an exterior portion of the housing.
In certain configurations, the system also includes a centrifuge having a receiving port adapted to receive the blood collection device. The electric contact of the biological fluid collection device is engaged with a corresponding portion of the centrifuge. The flow channel may be a serpentine flow channel. In some configurations, the biological fluid collection device is only receivable within the centrifuge in one orientation. When the blood collection device is received within the centrifuge and a rotational force applied to the blood collection device, the plasma portion of the blood sample may be separated from the cellular portion through the flow channel.
The above-mentioned and other features and advantages of this disclosure, and the manner of attaining them, will become more apparent and the disclosure itself will be better understood by reference to the following descriptions of embodiments of the disclosure taken in conjunction with the accompanying drawings, wherein:
Corresponding reference characters indicate corresponding parts throughout the several views. The exemplifications set out herein illustrate exemplary embodiments of the disclosure, and such exemplifications are not to be construed as limiting the scope of the disclosure in any manner.
The following description is provided to enable those skilled in the art to make and use the described embodiments contemplated for carrying out the invention. Various modifications, equivalents, variations, and alternatives, however, will remain readily apparent to those skilled in the art. Any and all such modifications, variations, equivalents, and alternatives are intended to fall within the spirit and scope of the present invention.
For purposes of the description hereinafter, the terms “upper”, “lower”, “right”, “left”, “vertical”, “horizontal”, “top”, “bottom”, “lateral”, “longitudinal”, and derivatives thereof shall relate to the invention as it is oriented in the drawing figures. However, it is to be understood that the invention may assume alternative variations and step sequences, except where expressly specified to the contrary. It is also to be understood that the specific devices and processes illustrated in the attached drawings, and described in the following specification, are simply exemplary embodiments of the invention. Hence, specific dimensions and other physical characteristics related to the embodiments disclosed herein are not to be considered as limiting.
Various point-of-care testing devices are known in the art. Such point-of-care testing devices include test strips, glass slides, diagnostic cartridges, or other testing devices for testing and analysis. Test strips, glass slides, and diagnostic cartridges are point-of-care testing devices that receive a blood sample and test that blood for one or more physiological and biochemical states. There are many point-of-care devices that use cartridge based architecture to analyze very small amounts of blood bedside without the need to send the sample to a lab for analysis. This saves time in getting results over the long run but creates a different set of challenges versus the highly routine lab environment. Examples of such testing cartridges include the i-STAT® testing cartridge from the Abbot group of companies. Testing cartridges such as the i-STAT® cartridges may be used to test for a variety of conditions including the presence of chemicals and electrolytes, hematology, blood gas concentrations, coagulation, or cardiac markers. The results of tests using such cartridges are quickly provided to the clinician.
However, the samples provided to such point-of-care testing cartridges are currently manually collected with an open system and transferred to the point-of-care testing cartridge in a manual manner that often leads to inconsistent results, or failure of the cartridge leading to a repeat of the sample collection and testing process, thereby negating the advantage of the point-of-care testing device. Accordingly, a need exists for a system for collecting, transferring, and testing a sample that provides safer, reproducible, and more accurate results.
Some of the advantages of the blood collection device and the biological fluid separation system of the present disclosure over prior systems are that it is a closed system which reduces blood sample exposure and it provides passive and fast mixing of the blood sample with a sample stabilizer. Also, a biological fluid sampling transfer device of the present disclosure incorporates the concepts of lancing, blood collection, and blood separation.
Referring to
The blood collection device 10 is adapted to receive a blood sample 12 having a cellular portion 14 and a plasma portion 16. In one embodiment, the indicator element 56 is transitionable between an initial setting and a complete setting and the indicator element 56 automatically transitions to the complete setting when collection of the blood sample 12 within the blood collection device 10 is complete.
The blood collection device 10 is adapted to contain a sample stabilizer 46 to provide passive and fast mixing of a blood sample with the sample stabilizer 46. The sample stabilizer 46 can be an anticoagulant, or a substance designed to preserve a specific element within the blood such as, for example, RNA, protein analyte, or other element. In one embodiment, the sample stabilizer 46 is provided within a portion of the flow channel 36. In other embodiments, the sample stabilizer 46 is provided in other areas of the housing 30 such as the inlet port 34 or the first reservoir 38.
In one embodiment, a portion of the flow channel 36 comprises a serpentine shape to promote efficient mixing and separation of a blood sample 12 having a cellular portion 14 and a plasma portion 16. As discussed below, a centrifuge 22 provides a rotational force applied to the blood collection device 10 to separate the plasma portion 16 from the cellular portion 14 through the flow channel 36. In other embodiments, the flow channel 36 comprises other shapes to promote efficient mixing and separation of a blood sample.
The upper portion of the housing 30 includes a dome-shaped surface 50 and the lower portion of the housing 30 includes a bottom surface 52. Referring to
Referring to
The puncturing element 78 is adapted for movement between a pre-actuated position (
In one embodiment, with the puncturing element 78 in the puncturing position, the blood collection device 10 is adapted to generate a vacuum in communication with the inlet port 34 of the housing 30 of the blood collection device 10 to assist in pulling the blood sample 12 within the blood collection device 10.
In one embodiment, the housing 30 of the blood collection device 10 may include a self-sealing dock that would allow an external lancet or puncturing element to be removably received within the housing 30. The external lancet or puncturing element could be either pre-integrated into the packaged blood collection device 10 or introduced separately by a user before using the blood collection device 10 of the present disclosure.
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The exterior profile 60 and the key portion 62 of the blood collection device 10 and the interior profile 130 and the keyway portion 132 of the receiving port 120 of the centrifuge 22 can have any shape that provides a key portion and a keyway portion that only allow the blood collection device 10 to be received within the receiving port 120 of the centrifuge 22 in one orientation.
Referring to
Next, the push button 76 on the blood collection device 10 is depressed or actuated to move the puncturing element 78 from the pre-actuated position (
When the indicator element 56 turns to a complete setting or a specific color such as red, indicating that collection of the blood sample 12 has been completed, the user removes the blood collection device 10 from the patient's arm.
Referring to
The centrifuge 22 is designed to facilitate plasma separation by centrifugal force and to drive a blood sample through the flow channel 36 of the blood collection device 10. The blood sample 12 contained within the blood collection device 10 is quickly spun in the centrifuge 22 and due to the low volume is separated through the flow channel 36 of the blood collection device 10 within a few seconds such that the plasma portion 16 is collected within the second reservoir 42 of the blood collection device 10.
In one embodiment, the centrifuge 22 is adapted to receive the blood collection device 10 such that with the blood collection device 10 received within the centrifuge 22 and a rotational force applied to the blood collection device 10, a plasma portion 16 of the blood sample 12 is separated from a cellular portion 14 of the blood sample 12. The separated blood can then be analyzed by the centrifuge 22 without removing the blood collection device 10 from the centrifuge 22. The centrifuge 22 may be connected to a computer system and the results of the analysis can be viewed on a display screen of the computer system or sent wirelessly to a hand-held electronic device.
Some of the advantages of the blood collection device and the blood separation system of the present disclosure over prior systems are that it is a closed system which reduces blood sample exposure and it provides passive and fast mixing of the blood sample with a sample stabilizer. Also, the blood sampling transfer device of the present disclosure incorporates the concepts of lancing, blood collection, and blood separation.
While this disclosure has been described as having exemplary designs, the present disclosure can be further modified within the spirit and scope of this disclosure. This application is therefore intended to cover any variations, uses, or adaptations of the disclosure using its general principles. Further, this application is intended to cover such departures from the present disclosure as come within known or customary practice in the art to which this disclosure pertains and which fall within the limits of the appended claims.
The present application claims priority to U.S. Provisional Application No. 61/811,918, filed Apr. 15, 2013, entitled “Medical Device for Collection of a Biological Sample”, the entire disclosure of which is hereby incorporated by reference.
Number | Date | Country | |
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61811918 | Apr 2013 | US |