The present invention is directed to the collection and processing of liquid specimens for subsequent testing or analysis, e.g., biological fluid specimens, such as used in cytology or molecular diagnostic protocols, or non-biological specimens, such as drinking water containing impurities.
US 2003/0087443 A1 discloses an example of an automated (computer-controlled) apparatus for handling specimen vials. The apparatus may be referred to as an “LBP” processor (for liquid-based preparation), and can be integrated into a complete automated laboratory system.
The containers first pass a bar code reader 230 (at a data acquisition station), where the vial bar code is read, and then proceed stepwise through the following processing stations of the LBP processor: an uncapping station 400 including a cap disposal operation; a preprocessing station 500; a filter loading station 600; a specimen acquisition and filter disposal station 700; and a re-capping station 800. These six stations are structured for parallel processing, meaning that all of these stations can operate simultaneously on different specimens in their respective containers, and independently of the other. The conveyor will not advance until all of these operating stations have completed their respective tasks.
The preprocessing station is the location at which preprocessing operations, such as specimen dispersal within its container, are performed prior to the container and its specimen moving on for further handling. The preprocessing station typically performs a dispersal operation. In the preferred embodiment, the dispersal operation is performed by a mechanical mixer (stirrer), which rotates at a fixed speed and for a fixed duration within the specimen container. The mixer serves to disperse large particulates and microscopic particulates, such as human cells, within the liquid-based specimen by homogenizing the specimen. Alternatively, the specimen may contain subcellular sized objects such as molecules in crystalline or other conformational forms. In that case, a chemical agent may be introduced to the specimen at the preprocessing station to, for example, dissolve certain crystalline structures and allow the molecules to be dispersed throughout the liquid-based specimen through chemical diffusion processes without the need for mechanical agitation. Such a chemical preprocessing station introduces its dispersing agent through the preprocessing head.
There is also an integrated system 900 that includes additional bar code readers, slide cassettes, handling mechanisms for slide cassettes and individual slides, and a slide presentation station 702 at which the specimen acquisition station transfers a representative sample from a specimen to a fresh microscope slide. An optional auto loading mechanism 300 automatically loads and unloads specimen vials onto and from the transport mechanism. All stations and mechanisms are computer-controlled.
In the preferred embodiment of this LBP processor, the vial uncapping station 400 has a rotary gripper that unscrews the cover from the vial, and discards it into a biosafety disposable waste handling bag. Before discarding the cover, however, the uncapping head presses on the center of the cover as described above to detach the internal processing assembly (stirrer) from the cover. The preprocessing (mixing) station 500 has an expanding collet that grips the processing assembly, lifts it slightly and moves (e.g., spins) it in accordance with a specimen-specific stirring protocol (speed and duration). The filter loading station 600 dispenses a specimen-specific filter type into a particulate matter separation chamber (manifold) at the top of the processing assembly. The specimen acquisition station 700 has a suction head that seals to the filter at the top of the processing assembly and first moves the processing assembly slowly to re-suspend particulate matter in the liquid-based specimen. Then the suction head draws a vacuum on the filter to aspirate the liquid-based specimen from the vial and past the filter, leaving a thin layer of cells on the bottom surface of the filter. Thereafter the thin layer specimen is transferred to a fresh slide, and the container moves to the re-capping station, where a foil-type seal is applied.
The LBP processor shown in
As illustrated in
The invention disclosed in the present application concerns liquid sample collection in general. It also concerns a liquid sampling draw station that may be used in an LBP processor, and the liquid collection receptacles (cuvettes) that may be employed at that station. The invention further concerns operation of an LBP processor, which may be controlled with respect to an individual vial, depending on protocol, so as to draw a liquid sample from the vial at the liquid sampling draw station, and/or to draw liquid at the specimen acquisition station to make a slide-mounted sample, in either order.
A first aspect of the invention concerns methods and systems for obtaining a liquid sample containing size-restricted particulate matter from a particulate matter-containing liquid in a container. A receptacle is used that has an inlet and a chamber for collecting the liquid sample. A discharge passage accommodates upward flow of liquid from the container. The discharge passage preferably has an upper discharge port, and at least one intake submerged in the liquid in the container. A flow-metering passage prevents particulate matter above a predetermined size from passing into the receptacle chamber. The receptacle inlet is placed in liquid-fight communication with the discharge port, and particulate matter-containing liquid is caused to flow from the container upwardly through the discharge passage, through the receptacle inlet and into the receptacle chamber. The flowing liquid also passes through the flow-metering passage so that the liquid sample collected in the receptacle contains only size-restricted particulate matter.
The discharge passage, the discharge port and the intake may be in a discharge element that is associated with the container, i.e., is in, is insertable into, or is part of the container. For example, the discharge element may be the tubular portion of a processing assembly that is already in the container, or a tube that is inserted into the container just prior to sample collection, or part of the container wall. The flow-metering passage may be associated with the discharge passage or the receptacle. For example, the intake may act as the flow-metering passage; or the flow-metering passage may be a filter in the receptacle located between the inlet and the chamber for collecting the liquid sample.
Another aspect of the invention concerns a method for optionally obtaining a liquid sample and/or a particulate matter sample from a particulate matter-containing liquid specimen in a container. The method uses an apparatus comprising a liquid sampling station for collecting a liquid sample in a receptacle having a resilient tip with an inlet, and a specimen acquisition station having an aspiration head for collecting a sample layer of particulate matter separated from the liquid on a surface of a filter. The container has therein a processing assembly comprising an upper separation chamber adapted to receive a filter and a tube extending downwardly from the separation chamber into the specimen liquid in the container. The tube has a vent hole above the level of specimen liquid in the container. The method involves optionally performing one or both of the following series of steps (a) and/or (b) in either order:
(a) inserting the resilient tip of the receptacle into the upper end of the tube to form a seal with the upper end of the tube and seal off the vent hole, and applying a vacuum to the receptacle to withdraw liquid from the container through the inlet and into the receptacle;
(b) placing a filter in the separation chamber, sealing the aspiration head to the upper portion of the separation chamber, and applying a vacuum to aspirate liquid from the container through the tube and aspirate air into the tube through the vent hole, whereby particulate matter is separated from the aspirated liquid, and a sample layer of particulate matter is formed on a surface of the filter.
A further aspect of the invention concerns a method and apparatus for handling receptacles at a liquid sampling station. Each receptacle has a bottom inlet adapted to dock with an upwardly facing port through which liquid can flow. At least one carrier is used to removably hold a plurality of receptacles. The carrier is advanced along a path that extends toward and away from a liquid transfer location. One receptacle at a time is removed from the carrier. The removed receptacle is moved so as to dock the inlet of the receptacle with the port. Then the receptacle is moved so as to undock the inlet from the port, and the receptacle is returned to the carrier.
Embodiments that incorporate the best mode for carrying out the invention are described in detail below, purely by way of example, with reference to the accompanying drawing, in which:
It is to be understood that the invention is not limited in its application to the details of construction and the arrangement of components of the preferred embodiments described below and illustrated in the drawing figures. Various modifications will be apparent to those skilled in the art without departing from the scope of the invention. Further, while the preferred embodiment is disclosed as primarily useful in the automated collection and processing biological fluids for cytology examination and/or analysis, it will be appreciated that the invention has manual or automated application in any field in which liquid specimens are sampled.
Referring to
A thermoplastic elastomer stopper 20 permanently seals the upper end 16. Stopper 20 is molded with an integral membrane 22, which can be pierced by a cannula for both specimen aspiration and for subsequent sample withdrawal for testing or analysis. Membrane 22 is self-sealing so that it will not leak after the cannula is withdrawn.
The lower end 14 of the cuvette preferably is shaped to mate with the upper end of the processing assembly 40 of a specimen vial, and is fitted with a tapered, one-way valve 24 molded of a thermoplastic elastomer. The resilient nature of the valve material normally keeps the small flow passage 26 therein squeezed tightly shut without the potential for leakage. The valve has an exposed, tapered surface 28, the purpose of which is to act as a gasket when it is coupled to the suction tube 43 of the processing assembly (stirrer) 40 in the specimen container 30 (which is in a receptacle 246 on the conveyor of the LBP processor). The exposed surface 28 of the valve enters and positively seals against the upper end (discharge port) of the stirrer suction tube 43. It also seals off a vent hole 44 near the upper end of the suction tube so that the vacuum applied to the cuvette will work effectively to draw specimen liquid up through the lumen 43a of the suction tube, and so that air will not be entrained in the liquid sample.
A small percentage of patient specimens, as may be found in gynecological Pap test and other specimen types, contain large clusters of cells, artifacts, and/or cellular or noncellular debris. Some of these large objects, if collected and deposited with a slide-mounted cellular sample, can obscure the visualization of diagnostic cells and, consequently, result in a less accurate interpretation or diagnosis of the slide sample. Since most of these features are not of diagnostic relevance, their elimination from the sample is, in general, desirable. It is also desirable to eliminate such large objects from liquid specimens collected in cuvettes. To achieve this result, close control of the bottom inlets to the suction tube 43 is maintained, as follows.
Referring to
While the inlets 54 have a thin (low) passage section as illustrated and a small metering area, clogging is not an issue due to the relatively wide dimension. Having a plurality of inlets ensures that liquid flow will not be interrupted because, should one inlet become clogged, others will accommodate the flow. Further, because the bottom end of the tube is flared outwardly at 56, a net larger inlet area is formed to help the liquid bypass any clogged inlets. Eight feet (defining eight inlets) are shown in the figures, but a different number of feet may be used—two at a minimum. Although squared-off feet are shown, the feet could have rounded inside corners, and/or could have rounded outside corners. Regardless of the number or shape of the feet, minimum inlet size preferably should fall within the above cross-section range of about 0.004 in. to about 0.020 in for cytology specimens.
Substantial contact of the tube with the bottom wall 23 of the container is important. To that end, aspiration tube 43 is dimensioned such that, when the aspiration head engages the stirrer with a downward force, the feet 52 will firmly contact bottom wall 23, which can flex downwardly if necessary depending on manufacturing tolerances.
The objective is to draw specimen liquid from the lowest part of the container, where particulates may settle even after vigorous mixing, while metering to prevent the passage of particulates larger than a specified threshold. Other inlet-defining structural arrangements at the interface between the bottom end of suction tube 43 and bottom wall 23 may be used to accomplish this. For example, the bottom end of tube 43 may be smooth (i.e., have no feet), while the bottom wall 23 may have standoffs against which the end of tube 43 rests.
Alternatively, standoffs could be provided on both the bottom end of the suction tube and the bottom of the container, the standoffs cooperating to define a plurality of inlets of the required size. However, inasmuch as such an arrangement could interfere with rotation of the processing assembly (stirrer) during mixing, it is better left to embodiments in which the processing assembly does not rotate, with mixing effected by some other instrumentality (see below).
In lieu of structures that define inlets between the bottom end of the suction tube and bottom wall 23 of the container, the suction tube may have a plurality of peripherally spaced orifices located immediately adjacent the bottom end of the tube.
While a rotatable processing assembly 40 with mixing vanes 45 has been disclosed, it will be appreciated that specimen mixing could be accomplished without rotation of the processing assembly by using other known types of agitating arrangements. For example, vibratory energy could be applied to the upper portion of a processing assembly having mixing elements that are suitably designed to impart such energy efficiently to the specimen liquid. As another example, vibratory energy could be imparted to the container 20 when appropriately supported, and the processing assembly may be devoid of mixing elements or have mixing elements that enhance the vibrational mixing. As yet another example, ferromagnetic beads could be incorporated in the vial (e.g., at the factory), and these beads would be caused to move throughout the specimen under the influence of a moving magnetic field imposed, e.g., by a rotating magnet located beneath the vial. Such beads would remain in the vial during sampling because the metering feature of the invention, described above, would prevent the beads from becoming entrained in the liquid sample as it is removed from the container. In such an embodiment, the processing assembly could have no mixing elements, or small mixing elements that cooperate with the beads to enhance mixing. Regardless of the type of mixing arrangement used, the processing assembly, in order to be useful for making slide-mounted samples, would have an upper portion with a manifold 46 for receiving a filter assembly F (see
Additional metering for liquid samples optionally may be provided by at least one flow-metering passage in the cuvette itself. This may be needed if, for example, the flow metering afforded at the bottom of the processing assembly is not restrictive enough for liquid sampling purposes. The flow-metering passage can take any suitable form. As an example, a filter 27 of any suitable type (shown in dashed lines in
In terms of liquid sampling as a separate operation, it should be noted that the invention in its broadest aspects does not require specimen premixing, or any type of specimen preprocessing. Nor does it require the use of specimen vials that come prepackaged with the special internal processing assembly (stirrer) 40 shown in
For example, the discharge passage can be the lumen of a tube that is placed in the specimen container at or shortly before the time the liquid sampling operation is to take place. Such a tube optionally may be provided with stabilizing/positioning elements; and it may be provided with any type of flow-metering arrangement, such as an internal restriction or any of the arrangements described above; or with no flow-metering arrangement at all. In either case, the cuvette may be provided with its own flow-metering arrangement, as described above, as either the sole or a supplemental metering arrangement. As another example, the discharge passage could be associated with the container wall. It could be a separate tubular element supported by the container wall, or an integral part of the container itself, such as hollow tubular boss or other tubular structure formed as part of the container wall, with or without a flow-metering arrangement (which in any case may be provided in the cuvette).
The liquid sampling draw station 100 is shown in
Referring to
Portions of the transport mechanism 110 are shown in
Portions of the docking mechanism 120 are shown in
In operation, the robotic arm 122 will move to the clip position where the gripper 124 engages and locks on the cuvette to be processed. Cannula 128 will then pierce the stopper membrane 22 to a fixed distance. At this point, the Z axis motor will extract the cuvette from the clip 50 and transfer it to the aspiration position, where it will come into contact with the processing assembly (stirrer) 40 in the specimen vial. A seal will be formed between the stirrer suction tube 43 and the cuvette's one-way valve 24. Liquid will then be aspirated into the cuvette by vacuum forces. Aspiration will continue until a liquid-level sensor indicates a programmed acceptance level. At that point, aspiration will be suspended and the cuvette will be returned to the clip.
The capacity of feeder tray 102 can be tailored to suit processing needs. Additional clips of cuvettes can be added to the feeder tray 102 at any time in the processing operation. Clips are processed on a first-in, first-out sequence. Seamless integration with the LBP processor ensures efficient and reliable operation.
The invention thus provides an efficient, convenient, safe and effective system and method for collecting, handling and processing biological specimens and other specimens of particulate matter-containing liquid. Although not restricted to automated use, it is ideally suited for use in automated equipment that provides consistently reliable processing tailored to sample-specific needs. Such equipment may be part of a complete diagnostic laboratory system.
This application claims the benefit of U.S. provisional application No. 60/626,441, filed Nov. 10, 2004. This application also is a continuation-in-part of international application No. PCT/US04/37249, filed Nov. 9, 2004; and is a continuation-in-part of U.S. application Ser. No. 10/274,381, filed Oct. 21, 2002 (US 2003/0087443 A1). These three applications are incorporated herein by reference.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/US2005/040764 | 11/10/2005 | WO | 00 | 3/26/2008 |
Number | Date | Country | |
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60626441 | Nov 2004 | US |