According to certain embodiments of this disclosure, there is provided a liquid specimen collection device. Various embodiments implement oral fluid collection, extraction, storage, and/or testing. The device can be used to collect fluid, and to then extract and prepare the fluid for analysis, which can eliminate human error in collection and reduce complexity in diagnostic analysis. The disclosed device may be used to collect any liquid specimen. Any instance when liquid should be collected, stored, and tested may benefit from use of this disclosure.
Oral fluid collection devices are widely used in the medical diagnostics industry for safe and convenient sample collection and disease identification. For examples, U.S. Pat. Nos. 9,198,641; 5,339,829; and 8,025,851 disclose devices that use a plunger, a collection pad, an adequacy indicator buffer, a compression seal, a filter, and a cartridge in various forms and combinations. There are also saliva collection systems manufactured by DNA Genotek, Ancestry, Oasis Diagnostics Corp., and Saliva Diagnostic Systems. These devices all have drawbacks and there remains significant room for improvement of this technology.
We describe in this patent several examples of liquid sample collection devices, systems, and methods configured to combine a collected liquid sample with a reagent, stabilizer, buffer, and/or additive (for brevity, all of which are referred to as a “reagent” in this patent) that has been retained in the device in a sealed condition prior to use. In some examples, the reagent is retained in the device in a sealed condition in the device's cap. In other examples, the reagent is retained in a collection chamber of the device in a sealed condition. In still other examples, the reagent is retained in the device's body in a sealed condition.
In one example, a liquid sample collection system may include a liquid collection device; a cap for the liquid collection device; a sealed reagent liquid container installed in the cap; in which depression of the cap relative to the liquid collective device unseals the reagent liquid container.
In some implementations of this example, the liquid collection device may include a collection pad and a collection chamber that is configured such that unsealing the reagent liquid container causes a reagent liquid to flow through the collection pad and into the collection chamber.
In some implementations of this example, the system may be configured such that depression of the cap compresses the collection pad against the sealed reagent liquid container to unseal the reagent liquid container.
In some implementations of this example, the system may be configured such that the collection pad collapses as it compresses against the sealed reagent liquid container.
In some implementations of this example, the sealed reagent liquid container may include a membrane, with the system configured such that compression of the collection pad against the sealed reagent liquid container dislodges the membrane.
In some implementations of this example, the cap may have a first open end for receiving the liquid collection device and a second open end for connecting to the sealed reagent liquid container.
In some implementations of this example, the system may be configured such that compression of the collection pad against the sealed reagent liquid container translates the sealed reagent liquid container vertically inside the cap.
In some implementations of this example, the sealed reagent liquid container may be held inside the cap by a friction fit between the sealed reagent liquid container and the cap.
In some implementations of this example, the cap may include an internal protrusion extending downward towards the sealed reagent liquid container, with the system configured such that compression of the collection pad against the sealed reagent liquid container translates the sealed reagent liquid container upward into contact with the internal protrusion to unseal the reagent liquid container.
In some implementations of this example, the sealed reagent liquid container may include a container body, a first membrane at one end of the container body facing the collection pad, and a second membrane at another end of the container body facing the internal protrusion, with the system configured such that depression of the cap onto the liquid collection device dislodges the first and second membranes.
In some implementations of this example, the sealed reagent liquid container may instead be an ampule.
In another example, a liquid sample collection system may include a liquid collection device having a liquid collector, and a collection chamber, the liquid collector configured to receive a liquid sample and to dispense the received liquid sample into the collection chamber; with the system configured such that the liquid collector is couplable and de-couplable from the collection chamber; and such that a sealing membrane seals the collection chamber; and such that the collection chamber holds a reagent; and such that the liquid collector is actuatable to disrupt the sealing membrane.
In some implementations of this example, the system may be configured such that actuation of the liquid collector to disrupt the sealing membrane takes the form of engaging or further engaging the liquid collector to the collection chamber.
In some implementations of this example, the liquid collector may have a liquid sample channel that is configured to pierce the sealing membrane when the liquid collector is engaged to or further engaged to the collection chamber.
In some implementations of this example, the liquid collector may additionally or instead have a cutting member configured to penetrate the sealing member along an arcuate path as the liquid collector is engaged to or further engaged to the collection chamber by rotating the liquid collector relative to the collection chamber.
In some implementations of this example, the cutting member may be configured to cut a hanging disk from the sealing member as the liquid collector rotates relative to the collection chamber.
In some implementations of this example, the sealing membrane may be sealed across an opening of the collection chamber.
In some implementations of this example, the system may instead include an adapter mounted to an opening of the collection chamber, with the sealing member sealed across an opening of the adapter.
In some implementations of this example, the liquid collector may further include a penetrating element that penetrates the sealing member and engages the liquid collector to the adapter such that removal of the liquid collector from the collection chamber also pulls the adapter out of the collection chamber.
In some implementations of this example, the penetrating element may include an expandable distal end that expands to engage the adapter after penetrating the sealing member.
In some implementations of this example, the liquid collector may include a lock that locks to the adapter as the liquid collector is engaged to or further engaged to the collection chamber such that disengagement of the liquid collector from the collection chamber also disengages the adapter from the liquid collection chamber.
In some implementations of this example, the lock may be part of a ratchet mechanism.
In some implementations of this example, actuation of the liquid collector may take the form of depressing a portion of the liquid collector relative to the collection chamber.
In some implementations of this example, the portion of the liquid collector may take the form of a plunger that is translatable relative to a body of the liquid collector.
In some implementations of this example, the plunger may include a fluid path for the collected sample extending from a proximal end of the plunger to a distal end of the plunger.
In some implementations of this example, the proximal end of the plunger may be in fluid communication with a collection pad configured to collect the collected sample.
In some implementations of this example, the plunger and the body may include a seal extending between the plunger and an interior wall of the body.
In some implementations of this example, the liquid collector may include a cap translatable relative to the body, and the plunger and the cap may further include a seal extending between the plunger and an interior wall of the cap.
In some implementations of this example, the body may include a liquid chamber proximal to the plunger, with the system configured such that collected sample in the liquid chamber of the body causes the plunger to translate distally to disrupt the membrane.
In some implementations of this example, the body includes a flow channel along an exterior of the plunger that opens when the plunger translates distally relative to the body.
In some implementations of this example, the liquid chamber of the body is fluidly connected to a reduced size fluid conduit extending proximally from the liquid chamber.
In some implementations of this example, the liquid collector has a body including a first body portion and a second body portion, with the system configured such that actuation of the liquid collector takes the form of depressing the first body portion relative to the second body portion from a first condition in which the sealing membrane is not disrupted and a second condition in which the sealing membrane is disrupted.
In some implementations of this example, the first and second body portions are rotationally fixed relative to one another at least when the first and second body portions are in the second condition.
In some implementations of this example, the first and second body portions are rotationally fixed relative to one another when the first and second body portions are in the first and second conditions.
In another example, a liquid sample collection system may include a liquid collection device with a liquid collector, and a collection chamber, the liquid collector configured to receive a liquid sample and to dispense the received liquid sample into the collection chamber; with the system configured such that the liquid collector is couplable and de-couplable from the collection chamber; with the system configured such that the liquid collector holds a reagent in a reagent cavity of the liquid collector in a sealed condition; and with the system configured such that the liquid collector is actuatable to unseal the reagent such that the reagent drains from the reagent cavity to the collection chamber.
In some implementations of this example, actuation of the liquid collector takes the form of coupling or further coupling the liquid collector to the collection chamber.
In some implementations of this example, the liquid collector includes a translatable body, with the system configured such that coupling or further coupling the liquid collector to the collection chamber translates the translatable body to open a drain and unseal the reagent cavity.
In some implementations of this example, coupling or further coupling the liquid collector to the collection chamber causes a proximal end of the collection chamber to push the translatable body in a proximal direction.
In some implementations of this example, the reagent cavity is defined by the translatable body and an additional interior surface of the liquid collector, and the liquid collector includes a first sliding seal between the translatable body and the additional interior surface, and the liquid collector includes a second sliding seal between the translatable body and an interior fluid channel of the liquid collector.
In some implementations of this example, the interior fluid channel includes a ramped surface; with the system configured such that coupling or further coupling the liquid collector to the collection chamber causes the ramped surface to unseal the second sliding seal such that the reagent drains from the reagent cavity to the collection chamber.
In some implementations of this example, coupling or further coupling the liquid collector to the collection chamber translates the translatable body to uncover the drain and unseal the reagent cavity.
In some implementations of this example, coupling or further coupling the liquid collector to the collection chamber pushes the translatable body past the drain.
In some implementations of this example, actuating the liquid collector to unseal the reagent such that the reagent drains from the reagent cavity takes the form of translating a first portion of the liquid collector relative to a second portion of the liquid collector.
In some implementations of this example, the liquid collector includes a plunger and a membrane, the membrane sealing the reagent cavity, with the system configured such that actuating the liquid collector causes the plunger to translate and disrupt the membrane such that the reagent can drain into the collection chamber.
In some implementations of this example, disrupting the membrane also opens a flow path for the liquid sample to flow into the collection chamber.
In some implementations of this example, translating a first portion of the liquid collector relative to a second portion of the liquid collector causes the liquid sample to flow into contact with the plunger such that the plunger translates distally to disrupt the membrane.
In some implementations of this example, translating the plunger distally opens a flow channel along an exterior of the plunger such that the liquid sample can flow past the plunger and into the collection chamber.
In some implementations of this example, actuating the liquid collector also opens a fluid path through the plunger for the collected liquid sample to flow into the collection chamber.
The device body 14 incorporates a collection pad 12 that is in fluid communication with the collection container 18. In a specific example, the collection pad 12 may be connected to one end of the device body 14 and the collection container 18 may be connected to the other end of the device body. Other connection options are possible, such as a direct connection or an indirect connection between the collection pad 12/device body 14 and/or the device body 14/collection container 18.
In the examples illustrated by
In one example, the filter 20 may have an outer diameter (OD) that closely matches the inner diameter (ID) of the upper open end 22 such that it is press fit into place. It is also possible for the OD of the upper open end 22 to have external grooves that can receive the one or more O-rings 24 for a liquid tight seal with the cap 16.
In the examples shown in
The collection container 18 is secured at a second end 28 of the device body 14. The collection container 18 may be secured to the device body 14 in any appropriate manner. Threaded connections are illustrated in the examples of
A cap 16 is provided to cover and protect the collection pad 12 prior to use of the device 10. In use, the cap 16 is removed and fluid is collected. Once the fluid has been collected, the cap 16 is replaced over the collection pad 12, as shown in
When the collection pad 12 is compressed via the cap 16, fluid contained therein is released from the collection pad 12, passes through the optional filter 20 if provided, and into the collection container 18. Because compression of the collection pad 12 takes place in the closed environment of the device 10, it may be helpful to provide a venting option to achieve a good compression.
After collection of the fluid from the collection pad 12 takes place and is delivered to collection container 18, the collection container 18 may be removed from the device body 14, such that the fluid can be transported elsewhere for subsequent testing/processing. A collection container cap 30 (see
Reference will now be made to specific features/options of the disclosed collection devices 10 of
The fluid that may be absorbed by collection pad 12 may be any appropriate fluid to be collected and/or tested. Non-limiting examples include but are not limited to oral fluid, saliva, urine, blood, diarrhea/feces, sweat, vaginal fluids, semen, or any other appropriate fluid. Although described in connection with healthcare, it should be understood that the disclosed device may be used for a myriad of other fluid collection uses. The collection pad may be associated with a sufficiency indicator that can change color or otherwise provide a visual indication that the collection pad is sufficiently wet with the fluid to be collected.
The collection pad is intended to absorb and hold liquid, but to also release the held liquid upon compression. The material of collection pad could comprise of fibers, foams or particulate materials made from polyesters, polyurethanes, polyethylene, polypropylene, PTFE, PVDF, elastomeric materials, thermoplastic polyurethane, thermoplastic polyethylene, nylon, cellulose, cellulose acetate, natural fibers, fabric, paper, polymer hydrogel (dry form and/or wet form) such as HEMA, NIPAM, etc., a natural or man-made material, sponge, cotton, or any combination thereof. The collection pad may be treated with dried buffer, saliva-production stimulants such as citrates, materials that prevent target analyte binding to the material, surfactants to help collect and release liquid, or any other appropriate material, or any combination thereof. It is also possible to provide a hollow collection pad, such that the collection pad is a tube that has a hollow tubular length.
A cap 16 may be provided that can protect the collection pad 12 during transport and that can be pressed against the collection pad in order to force collected liquid sample out of the pad 12 and into the collection container 18. In some instances, the collected liquid sample travels through a filter on its way into the collection container 18. In a specific example, the cap 16 is designed and positioned such that it covers the collection pad 12. Pressure or force against the cap 16 can consequently apply pressure or force against the collection pad 12. This can squeeze the collected liquid through the filter (if provided) and into the collection container 18. In another specific example, the cap can form a seal with the outside of the collection device to ensure all fluid is directed through the collection pad (and optional filter) and into the collection container and prevent leaking of fluid to the outside of the device. For example, when the cap 16 is pressed, a seal between the O-rings 24 of the side of the device body 14 and the inner diameter of the cap 16 can create a liquid-tight seal.
In use, the cap 16 is pressed onto the device body 14 and pressure causes the liquid collected in the collection pad 12 to be transferred through the device body 14, through the nozzle 15 (if provided), through an optional filter 20, and into the collection container 18. O-rings 24 positioned around an upper portion of the device body 14 can help create a liquid tight seal when the cap 16 is pressed down. Pressure from compressed air that is pressed through the device body can be released through an optional vent. In one example, the vent may be threads between the device body 14 and the collection container 18. There may also be a feature 17 on the inside of the cap that adds extra compression to extract the maximum amount of liquid from the collection pad. This may be an interior plunger, spikes inside the cap, or any other appropriate feature. When the cap 16 reaches the end of its completed travel, detent features can fit over the device body 14 and engage to ensure a completed lock and snap into place. Detent features may be positioned at the end/bottom of the cap flange 38 and can snap over the body flange 39 just above where the collection container 18 is secured to the device 10.
The cap 16 and lower flange 38 may also be provided with feedback features that allow a user to know that the cap has been secured to the device body 14. Feedback features also indicate that the cap 16 has reached its full travel distance and that the swab has been fully compressed, signaling that no further action is needed and that all collected fluid available to transfer has been transferred to the collection container. In one example, the feedback features are provided as a detent/protrusion system that gives a tactile click feeling. This may be provided by a small internal protrusion 86 on the cap 16 and a similarly-shaped detent 87 on the ledge 38, which is illustrated by
The filter 20 is generally positioned below (or downstream of) the collection pad 12 and functions to filter out unwanted media from the liquid collected. The filter 20 can filter out undesired particles or other contaminants in the collected sample. Providing a filter 20 can help eliminate later centrifuging steps that would otherwise be required during testing of the collected sample. Providing a filter 20 can help concentrate the sample. Providing a filter 20 can help provide sample homogenization. Bio junks such as mucin clusters can be eliminated or grinded by passing through the filter 20, thus reducing the sample viscosity and facilitating liquid handling.
Non-limiting examples of particles that may be filtered out of the sample include but are not limited to molecular particulates, cells, proteins, cellular debris, nucleic acids, mucins, glycoproteins, bacteria, viruses, large biomolecule clusters, large size bacterial particles, dust particles, fibers, other environment contaminates, or any combination thereof.
Non-limiting examples of materials that may comprise the filter include but are not limited to fiber components, track-etched-membranes, and sintered particles that can offer various porosities or void volume to the filter. Porex, the current assignee of this application, manufactures and holds patent protection on various filters and/or filtration systems that may be usable in connection with this disclosure. The filter may be used to mechanically and/or chemically filter out any of the above-described particles from the liquid sample. It is possible to incorporate reagents, additive, or buffers into the filter that can be mixed with the collected fluid as it passes through. Such reagents, additives, or buffers can be added in order stabilize the liquid sample/saliva or analytes and/or to allow more accurate detection and/or to provide for viral inactivation, viral lysis, to stop or prevent bacterial growth, or any other appropriate reason for use of reagents, additives, and/or buffers.
There is a tight seal made when the collection container 18 is screwed (or otherwise joined) onto the device body 14. The collection container 18 may be any type of container that can collect, hold, and/or transport a liquid sample. Embodiments include but are not limited to vials, centrifuge tubes, cryo vials, blood collection tubes, saliva collection tubes, syringes, dropper bottles with a lower dispenser tip or dropper that allows the sample to be squeezed out of the collection container once collected (and filtered, etc.), syringes, or any combination thereof.
The collection container 18 may be connected to the device body 14 in any appropriate manner. Non-limiting examples of various joining mechanisms include but are not limited to a threaded connection, a press fit connection, a cone-in-cone friction fit connection, a magnetic connection, side clip arms or fastener connection, or any other appropriate type of joining mechanism. In some implementations, the collection container may be made integral with the device body, such that the entire device is sent out for testing.
Mixing Collected Fluid with Reagent
In some implementations it may be desirable to mix the collected fluid in the device with a reagent, stabilizer, buffer, and/or additive (for brevity, all of which are referred to as a “reagent” in this patent). The reagent may be mixed with the collected fluid for sample preservation, diagnosis, or other reasons. Prior to use, the reagent may be maintained in a sealed condition in the device cap, body, and/or collection chamber, with the sealing preserving the reagent in an air tight or air free condition prior to use of the device.
In the particular example of
In the particular example of
In this example, the cap 66 has a first open end 70 that receives the liquid collection device and a second open end 72 that connects to the sealed reagent container 64. The sealed reagent container 64 includes a membrane 74 that will be dislodged by the collection pad 68 (e.g. by shearing under compression) during depression of the cap 66 relative to the liquid collection device, thereby allowing the liquid reagent to flow out of the container 64. The reagent container 64 may be connected to the cap 66 by heat welding, threading, adhesive, snap fit, ultrasonic welding, or any other manner that provides a liquid tight seal between the container 64 and the cap 66. The membrane 74 may be connected to the reagent container 64 by heat welding, adhesive, ultrasonic welding, or any other suitable manner to form a liquid tight sub-assembly.
In the example of
As shown in
In another example (not shown in the figures) the cap of the device may further include a disruptable membrane defining a chamber in the cap 16 for holding a reagent in a sealed condition. For example, the reagent container 64 and cap 66 shown in
In
In other examples, instead of a sealed ampule in the collection chamber, the collection chamber itself may be sealed to maintain a reagent in a sealed condition prior to use. For instance, a liquid sample collection system may include a liquid collector (e.g. the same as or similar to the liquid collector including body 14 in
In some implementations the liquid collector and collection chamber may be supplied in a partially disengaged or completely disengaged condition (e.g. may be provided as two disassembled pieces) such that engaging or further engaging the liquid collector to the collection chamber (e.g. screwing the liquid collector onto the collection chamber) results in the sealing membrane 96 on the collection chamber 94 being cut, pierced, or otherwise disrupted.
In one example, the liquid collector includes a liquid sample channel (e.g. the same as or similar to nozzle 15 in
In other implementations, the liquid collector may include a cutting member that is configured to penetrate the sealing member of the collection chamber along an arcuate path as the liquid collector is engaged to or further engaged to the collection chamber by rotating the liquid collector relative to the collection chamber.
The example systems of
In use, as the liquid collector 133 is engaged to the collection chamber 120 (e.g. by threading the liquid collector 133 onto the collection chamber 120) the walls of the opening 118 in adapter 114 will force the resilient arms 126 towards one another as the arms 126 move through the opening 118 of the adapter 114 until the piercing tips 128 pierce the sealing membrane 116 and the shoulders 130 pass the inner rim 132 of the adapter 114, allowing the resilient arms 126 to spring back outwards such that the shoulders 130 are in an abutting relationship with the inner rim 132. In this manner, when the liquid collector 122 is eventually removed from the collection chamber 120 (e.g. to prepare the collection chamber 120 to be capped for shipping to an analysis site or being eventually removed at the analysis site) the adapter 114 will be automatically removed from the collection chamber 120 as the liquid collector 122 is removed from the collection chamber 120.
In the example of
The plunger body 174 also includes a distal end 178 that is configured to pierce the sealing membrane such that, after depressing the translatable assembly 168, a fluid path will be formed from the collection pad 170, through a channel in the plunger body 174, to the collection chamber 164.
In this example, the first body portion 182 is slidably mounted on the second body portion 184 such that depression of the cap 186 and compression of the collection pad 188 causes the first body portion 182 to slide downwardly on the second body portion 184 such that the distal end of the liquid sample channel 190 of the first body portion 182 will pierce a sealing membrane extending across the opening of the collection chamber 192.
Ribs 194 on the exterior of the second body portion 184 interact with grooves 196 in the first body portion 182 such that the first and second body portions are allowed to slide relative to one another while remaining rotationally fixed relative to one another. Once the first body portion 182 has been slid to the second condition (shown in
In the example of
Prior to use, the liquid collector 210 holds a reagent in a reagent cavity 214 in a sealed condition. Actuation of the liquid collector 210 (in this example, coupling the liquid collector 210 to the collection chamber 212) unseals the reagent cavity 214 such that the reagent drains from the reagent cavity 214 into the collection chamber 212. More specifically, in this example, when the liquid collector 210 is threaded onto the collection chamber 212, the liquid collector will push a translatable body 218 in the liquid collector 210 from a first condition (shown in the bottom image in
In this example, there are sliding seals between the translatable body 218 and interior portions of the liquid collector 210. More particularly, in this example, resilient ribs 220 on the translatable body 218 form a sliding seal against an inner wall of the liquid collector 210, and a resilient opening 222 in the translatable body 218 forms another sliding seal with a fluid channel 224 in the liquid collector 210. When the translatable body 218 slides proximally inside the liquid collector 210, ramped ribs 226 on the fluid channel 224 will stretch the resilient opening 222 to open drains between each of the ribs 226, allowing the reagent to drain from the reagent cavity 214 into the collection chamber 212.
The above description includes numerous examples of liquid collection devices, systems, and methods. These examples are not intended to be limiting. Additions, deletions, substitutions, and other modifications may be made to the examples described above without departing from the scope or spirit of the inventions set out in the following claims.
This application claims priority to U.S. provisional patent application Ser. No. 63/265,079 filed Dec. 7, 2022, the entire contents of which are hereby incorporated by this reference.
Number | Date | Country | |
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63265079 | Dec 2021 | US |