The present invention pertains to analyzers and particularly to flow metering in analyzers. More particularly, the invention pertains to flow metering in hematology analyzers and flow cytometers.
Patents and applications related to the present invention may include: U.S. Pat. No. 6,382,228, issued May 7, 2002, and entitled “Fluid Driving System for Flow Cytometry”; U.S. Pat. No. 6,597,438, issued Jul. 22, 2003, and entitled “Portable Flow Cytometry”; U.S. Pat. No. 6,970,245, issued Nov. 29, 2005, and entitled “Optical Alignment Detection System; U.S. Pat. No. 6,549,275, issued Apr. 15, 2003, and entitled “Optical Detection System for Flow Cytometry”; U.S. Pat. No. 5,836,750, issued Nov. 17, 1998, and entitled “Electrostatically Actuated Mesopump Having a Plurality of Elementary Cells”; U.S. patent application Ser. No. 11/027,134, filed Dec. 30, 2004, and entitled “Optical Detection System with Polarizing Beamsplitter; U.S patent application Ser. No. 10/908,543, filed May 16, 2005, and entitled “Cytometer Analysis Cartridge Optical Configuration”; and U.S. patent application Ser. No. 10/908,014, filed Apr. 25, 2005, and entitled “A Flow Control System of a Cartridge”; all of which are hereby incorporated by reference.
The present invention may involve direct flow monitoring and measuring of portions of hematology analyzers and cytometers improving the accuracy of certain items such as blood counts per unit volume. Also, various checks of the analyzers or cytometers may be effected.
The present invention generally relates to sample analyzers, and in particular, to sample analyzers with removable and/or disposable cartridges for use at the point of care of a patient such as in a doctor's office, in the home, or elsewhere in the field. By providing a removable and/or disposable cartridge with all of the needed reagents and/or fluids, the sample analyzer can be reliably used outside of the laboratory environment, with little or no specialized training. This may, for example, help streamline the sample analysis process, reduce the cost and burden on medical or other personnel, and increase the convenience of sample analysis for many patients, including those that require relatively frequent blood monitoring/analysis.
An approach which permits rapid and efficient particle discrimination in a particle-suspension sample is flow cytometry. In this approach, a suspension of particles, typically cells in a blood sample, may be transported through a flow channel where the individual particles in the sample are illuminated with one or more focused light beams. The interaction of the light beam(s) with the individual particles flowing through the flow channel may be detected by one or more light detectors. Commonly, the detectors may be designed to measure light absorption or fluorescence emission, at specific beam or emission wavelengths, and/or light scattering at specific scattering angles. Thus, each particle that passes through the flow channel may be characterized as to one or more features related to its absorption, fluorescence, light scattering or other optical or electrical properties. The properties that are measured by the detectors may allow each particle to be mapped into a feature space whose axes are the light intensities or other properties which are measured by the detectors. In an ideal approach, the different particles in the sample map into distinct and non-overlapping regions of the feature space, allowing each particle to be analyzed based on its mapping in the feature space. Such analysis may include counting, identifying, quantifying (as to one or more physical characteristics) and/or sorting of the particles.
In one illustrative example may be a sample analyzer which is provided that has a removable cartridge that receives a collected sample, such as a collected whole blood sample, and once the removable cartridge is installed and the analyzer is activated, the analyzer and cartridge may automatically process the sample and the analyzer may provide sufficient information for the user to make a clinical decision. In some examples, the analyzer displays or prints out quantitative results (e.g., inside and/or outside of a predefined range), such that no further calculations or interpretation is required by the user.
The sample analyzer may be used to, for example, determine the number and/or types of white blood cells in a blood sample. In one illustrative example, the analyzer includes a housing and a removable fluidic cartridge, wherein the housing is adapted to receive the removable fluidic cartridge. In some cases, the removable fluidic cartridge is a disposable cartridge. In an illustrative example, the removable fluidic cartridge may include one or more reagents (e.g., sphering agents, lysing reagents, stain, and/or diluents, one or more analysis channels, one or more flow sensors, one or more valves, and/or a fluidic circuit that is adapted to process (e.g., sphere, lyse, stain, or other) a sample and deliver processed sample(s) to the appropriate analysis channel on the cartridge. To support the card, the housing may include, for example, a pressure source, one or more light sources, one or more light detectors, a processor and a power source. The pressure source may provide appropriate pressure(s) to the removable fluidic cartridge ports to drive the fluids as required through the fluidic circuit. The one or more light sources of the analyzer may be used to interrogate the prepared sample in at least selected analysis channels of the removable cartridge, and the one or more light detectors of the analyzer may detect the light that passes through, is absorbed by and/or is scattered by the sample. The processor may be coupled to at least some of the light sources and detectors, and may determine one or more parameters of the sample. In some examples, the one or more analysis channels on the removable fluidic cartridge may include one or more flow cytometry channels. In some illustrative examples, a whole blood sample may be provided to the removable fluidic cartridge, and the removable cartridge may be adapted to perform a blood analysis.
The illustrative cover 12 may include a pressure source (e.g., pressure-chambers with control microvalves), a first light detector 24a, a second light detector 22b, and a third light detector 22c, each with associated optics and electronics. There may be more or less detectors. Each of the light detectors may also be a single light detector or multiple light detectors, depending on the application. Polarizers and/or filters may also be incorporated, depending on the application.
The illustrative removable cartridge 14 may be adapted to receive a sample fluid via a sample collector port, which in the illustrative example, includes a lancet 32. The lancet 32 may be retractable and/or spring loaded, in some examples. A cap 38 may be used to protect the sample collector port and/or lancet 32 when the removable cartridge 14 is not in use.
In the illustrative example, the removable cartridge 14 may perform a blood analysis on a whole blood sample. The lancet 32 may be used to prick the finger of the user to produce a sample of blood, which through capillary action, may be drawn into an anti-coagulant coated capillary in the removable cartridge 14. The removable cartridge 14 may be constructed with fluidic circuits, some of which are fabricated using a laminated structure with etched channels. However, it is contemplated that the removable cartridge 14 may be constructed in any suitable manner including by injection molding or any other suitable manufacturing process or method.
During use, and after a blood sample has been drawn into the removable cartridge 14, the removable cartridge may be inserted into the housing when the cover 18 is in the open position. In some cases, the removable cartridge 14 may include holes 26a and 26b for receiving registration pins 28a and 28b in the base 16, which may help provide alignment and coupling between the different parts of the instrument. The removable cartridge 14 may also include a first transparent flow stream window 30a, a second transparent flow stream window 30b and a third transparent window 30c, which are in alignment with the first, second and third light sources 22a, 22b and 22c, and the first, second and third light detectors 24a, 24b and 24c, respectively.
When the cover is moved to the closed position, and the system is pressurized, the cover 18 may provide controlled pressures via pressure providing ports 36a, 36b, 36c, and 36d to pressure receiving ports 34a, 34b, 34c and 34d, respectively, in the illustrative removable cartridge 14. It is contemplated that more or less pressure providing and pressure receiving ports may be used, depending on the application. Alternatively, or in addition, it is contemplated that one or more micro-pumps, such as electrostatically actuated meso pumps, may be provided on or in the removable cartridge 14 to provide the necessary pressures to operate the fluidic circuit on the removable cartridge 14. Some illustrative electrostatically actuated meso pumps may be described in, for example, U.S. Pat. Nos. 5,836,750, 6,106,245, 6179,586, 6,729,856, and 6,767,190, all of which are hereby incorporated by reference. Once pressurized, the illustrative instrument may perform a blood analysis on the collected blood sample.
The present system may provide a complete blood count (CBC) card based on a micro-scale flow cytometer or hematology analyzer for obtaining one or more of the following items including red blood cell (RBC) counts, sphering RBCs, platelet counts, lysis of RBCs, multi-part differential counts of white blood cells (WBCs), hemoglobin absorbence-based measurements, various additional indices of RBCs, platelets, WBCs, hemoglobin, and so forth, plus hydrodynamic focusing to create single-file streams of cells, and a pneumatic fluid driver system. Additional items may be provided by and/or be a part of the present system. A cytometer and a hematology analyzer might be regarded as the same or similar systems.
Hematology analyzers and flow cytometers (viz., analyzers) may use syringe pumps in open loop and do not measure flow rates of the various reagents and drive fluids. The use of a flow sensor in such analyzers may be useful to improve overall analyzer system accuracy. Direct and local measurements of flow may provide a basis for obtaining more precise and accurate flow rates and blood counts per unit volume with the present system. Miniaturized hematology analyzers that use disposable analysis cards may need flow sensors to allow for flow rate volume error compensation. This would be essential towards developing a hematology analyzer for providing tests that may be waived under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) law. An analyzer capable of providing such waived tests will need self-diagnostics capabilities to check, detect and correct for bubbles, flow leaks, occlusions, and so on.
Development of a miniaturized, low cost, ultrasensitive and stable liquid flow sensor may permit the measurement of flow rates and flow volume (dose) in hematology analyzers. The use of a flow sensor in conjunction with a closed loop pumping system may permit compensation for flow rate errors and changes. The flow sensor may also be as an instrumentation diagnostics sensor for detecting bubbles, occlusions, and flow leaks by being appropriately positioned in the instrument or in the disposable card. A flow sensor capable of measuring very slow flow rates, having a small volume and using little power for the present invention is noted herein.
There has been an increasing need for accurate measurement of the flow rates of fluids (i.e., liquids and gases) for medical, industrial, life sciences and commercial applications. The desired flow rates may range from nL/min for drug delivery, life sciences analytical instrumentation, and robotic liquid handling systems to mL/min or even liters/min for dialysis machines and other industrial applications. The present microfluidics applications may use some form of precision fluid metering or fluid dosing that needs to be accomplished by sensors that are ultra small (chip size less than 25 mm2), that consume low power (less than 75 mW), with high accuracy (better than 2 percent), and fast response speeds (faster than 1 millisecond).
Flow rate may be measured using either a direct or indirect measurement technique. Flow rate has been measured indirectly usually by measuring static properties and then making a calculation. A classic method is to measure the amount of time required to fill a known volume. The greatest advantage of this approach is that the static properties may be known with great precision and be traceable to international standards. The calculations are simple and based on proven physical laws, so confidence in the result is high. There are disadvantages of this approach. A significant one may be the inability to know much about flow rates that vary with time. Additionally, faster measurements may have poorer precision. Thus, this technique is best suited where flow rates are constant (or where average flow is the desired output) and where response time/speed is not an issue.
Another method of indirect flow measurement may use the principle that flow in a confined space is proportional to a pressure drop. A differential pressure sensor may be used to measure pressure drop over a constriction, which includes the restriction due to a length of pipe. This method may overcome the limitations (in time-volume methods) of varying flow rates and long response times but at the expense of more complex calculations, larger potential external errors and larger perturbations of the media. Greater precision may be obtained by smaller restriction, but that directly changes flow characteristics.
There has been increasing interest in measuring very low flows on a practical, outside the laboratory, basis. For gases this may be less than 1 Liter per minute and for liquids less than 1 μL per minute. The errors inherent to the indirect methods may be greatly magnified at these low flows while the signals are reduced. To avoid such issues, direct measurement of flow rate may be provided in the present system.
A liquid flow sensor may use proven micro electromechanical systems (MEMS) technology to deliver fast and accurate flow rate measurements, including those of very small rates, in a very small package size. As shown in
An example flow sensor may be specifically designed for applications requiring accurate flow measurements at extremely low flow rates from 1 nL/min to 50 μL/min. This sensor may be used for feedback control loops operating in this region. The sensor may feature fast response time and automatic temperature compensation. This flow sensor may use MEMS-based thermal anemometry technology to measure the mass flow rate of liquids of an isolated flow channel. Such sensor may be available from Honeywell International Inc. of Morristown, N.J. Other similar flow sensors and also appropriate pressure sensors may be available from this company.
A purpose of the present system, 60 and 70, with the local and direct measurements of the flow sensor, is to obtain accurate counts per unit volume. For instance, an optical portion of the system may provide a number of cells per second from a sample. This datum may be divided by the present flow sensor output, for instance, in microliters per second to obtain cells per microliter.
As to a flow temperature limit, the temperature fuse 145 may involve water or other suitable material, such as a material that shrinks, which does not return to its original size when exposed to a temperature below the low temperature limit. When the cartridge 141 is exposed to such temperature, the fuse 145 may be affected so as to open up the bypass channel 145. This opening of the bypass channel 145 may cause an error detectable by a cartridge analyzer when the cartridge 141 is inserted into the analyzer.
In the present specification, some of the matter may be of a hypothetical or prophetic nature although stated in another manner or tense.
Although the invention has been described with respect to at least one illustrative example, many variations and modifications will become apparent to those skilled in the art upon reading the present specification. It is therefore the intention that the appended claims be interpreted as broadly as possible in view of the prior art to include all such variations and modifications.
The present invention claims the benefit of U.S. Provisional Patent Application No. 60/696,162, filed Jul. 1, 2005. U.S. Provisional Patent Application No. 60/696,162, filed Jul. 1, 2005, is hereby incorporated by reference.
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Number | Date | Country | |
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60696162 | Jul 2005 | US |