Patent Application
20050025670
The present invention relates generally to clinical diagnostic testing devices and, more particularly, to such devices as utilized by physicians in their offices.
It is recognized that in the case of many pathological conditions, early identification and treatment can substantially reduce subsequent patient suffering. In this regard, testing of female vaginal samples has become recognized as important to the health of a patient.
The problem of vaginitis is one of the most common complaints bringing patients to physician's offices or clinics. The diagnosis is made after examination of vaginal fluid and testing of fluid pH, and a microscopic examination of the fluid.
In order for the test be competently performed, the pH of the fluid should be measured. Changes in pH can be, visually observed. For example, a vaginal pH sampler, having pH paper mounted at the end of a plastic stick can be used to sample the vagina directly. While the stick has some utility, it presents a waste management problem after use, as the clinician attempts to dispose of it. In addition, the stick is limited in use solely for pH detection.
“Wet mount” tests follow as microscopic examination follows pH determination. The fluid is treated with potassium hydroxide (KOH) and the fluid/reagent mix is examined under the microscope for the presence of yeast cells or hyphae.
A fluid sample is also treated with saline solution and microscopically examined for the possible presence of clue cells (epithelial cells obscured by an overgrowth of bacterial cells), white blood cells and, among other things, motile organisms, spores and trichomonads.
The combination of pH determination plus the KOH and saline microscopic examination is the most widely accepted and clinically used method in determining the cause of vaginitis.
At the present time, there is a lack of inexpensive, convenient techniques for supporting performance of the diagnostic steps. The use of the pH stick, and the need to dispose of after use has been mentioned. Performance of the wet mount tests complicates the matter since handling of fluid and reagents of samples for microscopic examination can be cumbersome. It can involve, for example, tearing off a piece of pH paper from a roll and wetting it with a vaginal sample. It may also involve the use of a separate container or vial, for transporting the sample to a laboratory either in an office or at a clinic for microscopic examination. Drops of the sample are then placed on two sites of a microscope slide. In some cases, a wax line is drawn down the center of a diagnostic device in an attempt to keep the saline treated fluid separate from the KOH treated fluid during the microscopic examination. At other times, two separate microscope slides are used to avoid mixing the two solutions. After microscopic examination, of course, the waste management problem is presented once again as disposal of wet slides, pH paper, pH sticks and transport containers or vials becomes necessary.
The above-mentioned conventional techniques are awkward to perform, time consuming and can present a problem in disposal of wet materials, possibly carrying pathogens. Accordingly, there has been a need for a diagnostic technique that provides a quick, relatively inexpensive and reliable way to perform the three tests on vaginal fluid samples in a more convenient, economical fashion. Desirably, such a technique would help ameliorate the waste disposal and handling problems. Many clinicians, therefore, skip one or more of these diagnostic steps and try to rely on guesswork to make a diagnosis here and this has been shown in studies to result in diagnostic and treatment errors.
In a preferred embodiment, the invention provides a diagnostic device for use in performing clinical tests on a fluid, including a light transmitting plate and a panel adhered to and substantially covering the plate. The panel has an opening therein formed and a strip of pH testing material, substantially smaller than the panel, is fixed between the plate and the panel to fill substantially the opening, wherein the pH testing material produces a color indicative of fluid pH upon contact with the fluid. A window formed in the panel exposes a portion of the plate wherein the panel forms a wall on the perimeter of the window to confine fluid applied to the plate, within an area defined by the window.
A diagnostic device embodying the invention is easy and convenient to use and mechanically simple. It enables the grouping of components in a relatively small, easily reached countertop area and helps improve safe waste management by reducing the number of contaminated implements requiring disposal.
Other aspects and advantages of the present invention will become apparent from the following detailed description, taken in conjunction with the accompanying drawings, illustrating by way of example the principles of the invention.
The present invention may be embodied in other specific forms without departing from its spirit or essential characteristics. The described embodiments are to be considered in all respects only as illustrative and not restrictive. The scope of the invention is, therefore, indicated by the appended claims rather than by the foregoing description. All changes that come within the meaning and range of equivalency of the claims are to be embraced within their scope.
In the following detailed description and in the several figures of the drawings, like elements are identified with like reference numerals.
As shown in the drawings for purposes of illustration, the invention is embodied in a novel diagnostic device for enabling effective and efficient real time diagnosis of a medical condition. The diagnosis comprises both gross examination and microscopic examination of a bodily fluid by means of a device that is simple and convenient to use and, as one piece, is relatively safer from a waste management viewpoint.
Referring now to the drawings, and in particular to
Considering now the diagnostic device 10 in greater detail with reference to
As best seen in
A pair of adjacent cutouts or windows 31 and 41 respectively, is disposed in the panel 14 in its lower right quadrant. Another cutout or opening 18 is also disposed in a lower left quadrant of the panel 14. A strip of pH testing material, here in the form of pH indicator paper 19, is fixed between the plate 12 and the panel 14 to fill substantially the opening 18. The panel 14 is sufficiently thick to form a step or a wall 22 circumscribing the opening 18. The wall 22 helps confine any fluid placed in the opening 19. As in the case of the opening 18, the windows 31 and 41 are circumscribed by steps or wals 35 and 45, respectively, that serve to retain fluids within the respective areas therein defined. In this manner, after examination is completed, effective elimination of possibly contaminated fluid can be accomplished.
To help facilitate retaining any vaginal fluids deposited in the window areas 31 and 41, the diagnostic device 10 includes a pair of cover slips, such as the cover slips 58 and 59 respectively. The cover slips are adapted to be attached to the top surface of the panel 14 by a flexible adhesive hinge, such as the hinge 60. In this manner, after a vaginal fluid sample has been deposited into either window area, the slip cover can be attached to the plate 14 as indicated allowing the cover to close the fluid receiving area of the window. In the preferred embodiment of the present invention, the slip covers 58 and 59 are separated from the panel 14. It will be understood however, by those skilled in the art, that the slip covers could also be initially attached by their respective hinges, such as the hinge 60, rather than be separated.
Considering now the method of using the diagnostic device 10 for testing vaginal fluids, the clinician in testing for fluid pH, first places a drop of fluid (not shown) onto the pH indicator paper 19 and observes any color change in the paper. The resultant color is indicative of the fluid pH and this can be determined readily by reference to the colored chart 28. Thus, by simple visual matching, and without need to resort to other tools or separate reference color charts, the clinician can determine the pH of the fluid.
As set forth above, microscopic analysis is appropriate, along with a determination of fluid pH. Such analysis is facilitated by use of the windows 31 and 41 formed in the label 14. As in the case of the opening 18, the windows are circumscribed by steps or walls 35 and 45, respectively, that serve to retain fluids within the respective areas therein defined.
In use of the diagnostic device 10, microscopic examination of both the KOH and saline preparations are preferred. In this regard, upon determination of the type of microscopic examination desired, the clinician chooses the KOH window 31 and then after examination the saline window 41. As best seen in
After the suitable reagents have been added to the fluids in the windows 31 and 41, cover slips 58 and 59, respectively, cover the windows for the microscopic examination. One skilled in the art will recognize at this step of the diagnostic process that subsequent disposal of the diagnostic device 10 and its contents is simplified by having all the reactants compartmentalized on the single plate 10.
It will be evident that there are additional embodiments and applications that are not disclosed in the detailed description but which clearly fall within the scope of the present invention. The specification is, therefore, intended not to be limiting, and the scope of the invention is to be limited only by the following claims.
| Number | Date | Country | |
|---|---|---|---|
| Parent | 10244133 | Sep 2002 | US |
| Child | 10934805 | Sep 2004 | US |
