The present invention relates to the transfer of an amount of liquid from one container to another, and more particularly, to a method for aspiration of whole blood from a sample tube using a vacuum actuated pipette.
Clinical analyzers that automatically perform chemical assays and immunoassays of biological fluids such as urine, blood serum, plasma, cerebrospinal liquids and the like are in widespread commercial use. Generally, chemical reactions between an analyte in a patient sample and reagents used during analysis generate some sort of signal that can be measured by the analyzer. The concentration of analyte in the patient sample may be determined from this signal.
Clinical analyzers generally use aspirating means such as a hollow sampling probe or needle to transfer predetermined volumes of liquid samples or liquid reagents between receptacles, such as between sample containers, reagent containers and reaction cuvettes disposed on the analyzer. The aspirating means typically includes an elongated, needle-like pipette member having a hollow passage whereby liquid may be aspirated into and/or dispensed from the sample probe. The pipette is carried by a transport mechanism conventionally adapted to provide horizontal and vertical movement enabling the pipette tip to be lowered into a liquid for aspiration of the liquid, and for transporting the liquid to a site whereat the pipette is lowered to an optimal position for dispensing the liquid into another container. Some type of aspirating means, such as a piston and/or vacuum assembly, is controlled to aspirate liquid into the pipette and to dispense liquid from the pipette. Hereinafter, variations of the term aspirate refer to all of such processes for extracting liquid from one container and depositing at least some of the liquid into the same or another container and further includes the supporting devices required to complete the liquid handling operations.
U.S. Pat. No. 4,794,085 describes a method which permits the detection of penetration of liquid by an apertured container used for aspirating and dispensing the liquid. The apparatus has control means for advancing the container an increment of the maximum possible distance to the liquid, means to generate a pressure differential within the dispensing container that is sufficient to generate a signal that is indicative of whether the container aperture is closed by the liquid, and devices to detect and signal the pressure produced within the container by such a pressure differential.
U.S. Pat. No. 4,926,701 describes a pipetting device comprising a probe for dipping into a reservoir, reaction vessel or the like, a metering pump connected to the probe and a shutoff valve disposed between the probe and the pump are provided. In the intake phase of the pump with the valve open, first air and then a predetermined quantity of liquid is taken in.
U.S. Pat. No. 4,951,512 provides for providing access to a sealed container which temporarily provides an opening in the closures of the containers, and either removes contents, senses properties of the contents, or dispenses material into the container. A lift assembly moves each sample container upward against a puncture tube to produce an opening in the closure of the container. The system takes a sample through this opening or inserts a probe through the opening to measure the properties of the sample.
U.S. Pat. No. 5,163,582 covers an apparatus and method for dispensing a predetermined volume of liquid from a closed, liquid-containing blood collection tube. The apparatus includes a dual conduit providing a passageway for liquid to be dispensed from a closed blood collection tube and a gas conduit providing a passageway for gas to be introduced into the blood collection tube. Included in the apparatus is insertion of the dual conduit into the blood collection tube, turning the tube away from a vertical, upright orientation, connecting and disconnecting the gas passageway from a gas supply, displacing a volume of gas through the gas passageway, and controlling the operation of the apparatus.
U.S. Pat. No. 5,413,246 discloses a disposable apparatus to dispense an amount of liquid from a closed container using a stopper piercing means to access the interior of a closed blood collection tube, a gas passage means to allow a metered amount of gas to be forced into the blood collection tube, and a liquid passage means to allow fluid to be dispensed from the tube in proportion to the amount of gas forced into the tube.
U.S. Pat. No. 5,499,545 is a method for improving measurement accuracy by eliminating the influence of changes in the atmospheric and internal pressures on the quantity of a liquid absorbed or discharged. A pipetting device inducts a specified quantity of liquid into a tip portion or discharges a specified quantity of liquid from the tip portion by controlling the pressure inside a cylinder portion including a cylinder and a piston.
From the above art, it is evident that much attention has been given to extracting liquid samples from containers, without addressing another critical factor in obtaining accurate analytical measurements, that being aspiration of a uniform and representative aliquot portion of a patient sample from a sample container. This is an especially critical factor when the liquid to be analyzed is one of several body fluids as these frequently have a non-uniform composition. In particular, when the sample to be analyzed is a sample of whole blood that has not been preprocessed, a natural sedimentation occurs during a 30 minute period after the sample has been mixed, for instance by inversion of a primary whole blood tube. To compensate for such sedimentation, automated analyzers may be adapted with an automatic mixing mechanism, thereby adding complexity and cost as well as decreasing the reliability of an analyzer.
It is therefore an object of this invention to provide a method for aspirating a uniform aliquot of liquid into a pipette tip when the liquid has been at rest for a sufficient period of time so that sedimentation has occurred. This invention is accomplished by aspirating partial aliquots of liquid at a number of different depths of penetration of the pipette tip into the liquid. The different depths are selected so that equal-volume, partial aliquot segments are obtained throughout the entire depth of sample, optionally excluding the extreme top and bottom levels. In an alternate embodiment, the aspiration may be a continuous aspiration process between the uppermost and lowermost levels of fluid within the container. This invention then integrates the number of partial aliquot segments into a single full aliquot representative of a uniform sample, thereby avoiding the expense and complexity of an automatic mixing mechanism.
The invention will be more fully understood from the following detailed description thereof taken in connection with the accompanying drawings which form a part of this application and in which:
Referring to
Pipette 12 is of conventional design and typically has an elongate central hollow lumen 18, shown in dashed lines and extending lengthwise between a tip 20 and a vacuum line 22. Tip 20 may have a conically narrowing nose shape terminating in a distal orifice through which liquid is aspirated into lumen 18, and through which liquid is dispensed out from lumen 18. Liquid aspiration system 10 is typical of many such systems and comprises a piston assembly 24 in vacuum communication with pipette 12 via vacuum line 22. A piston 26 extends into a vacuum chamber 28 and is controlled by motor 30 to increase or decrease the vacuum pressure level within chamber 28, vacuum line 22 and lumen 18. A pressure transducer 32, typically placed in vacuum communication with vacuum line 22, monitors vacuum pressure within liquid aspiration system 10 and is conventionally employed as a feedback means operated in conjunction with motor 30 responsive to commands from a system computer 24 in order to precisely control vacuum pressure within lumen 18. Such devices and operations are well known in the art. Commercially available pipettors 12 made from metals like stainless steel or plastics like polypropylene and similar materials, and tubing 26 made from vinyl, polypropylene, polyethylene, metal, etc, may used in the present invention. Pressure transducer 32 measures air pressure within the pipette 12 both continuously and periodically during the aspiration method of the present invention. An exemplary pressure transducer 32 is Model SCXL004DN from SenSym, Miltipas, Calif., and is interfaced to computer 15 to provide a measured air pressure within tubing 22 and lumen 18.
Aspiration system 10 further comprises a transport mechanism 34 of conventional type adapted for moving pipette 12 laterally (X-direction), vertically (Z-direction) and from front to back (Y-direction) to move pipette 12 to an aspirating location above container 16, aspirate liquid 14 into lumen 18 from container 16, and to dispense a desired aliquot of sample liquid into an assay cuvette (not shown). Generally, a stepper-motor and limit-switches are used within transport mechanism 34 for transporting pipette 12 and these are interfaced to system computer 15 adapted and programmed to practice the present invention. Conventional electronic drivers and interface circuits are used to interface transport mechanism 34 and liquid aspiration system 10 to computer 15.
As mentioned previously, the present invention is directed at a method for overcoming the previous necessity to mix liquid having liquid susceptible to sedimentation in a sample container prior to aspiration. Table 1 shows settling rates for red blood cells in whole blood samples from various types of patients.
In accordance with the present invention, pipette 12 is lowered into container 16 to ascertain the uppermost level of fluid 14. Various techniques are known in the art for such level determination, including capacitive, optical, and air pressure, and the choice is not critical in practicing this invention. Container 16 is supported so that the bottom of container 16 is at a known height, on an operating table for example, so that the overall total height or depth of liquid 14 may be determined by the difference between the uppermost level of fluid 14 and the known height of the bottom of container 16. According to one embodiment of this invention, seen in
The present invention is practiced by operating transport mechanism 34 in conjunction with piston assembly 24 so as to aspirate a partial aliquot of sample liquid 14 at each of several next adjacent aspiration levels, the volume of each partial aliquot being controlled to provide a final aliquot of desired volume. In an illustrative embodiment, container 16 is a whole blood primary tube, for example of the EDTA type, and it has been predetermined to employ eight aspiration levels at which eight constant volume aspirations of partial aliquots of 25 uL blood each are effected at each of the eight next adjacent aspiration levels, providing a final aliquot of 200 uL. In an alternate embodiment, the aspiration may be a continuous aspiration process between the uppermost and lowermost levels of fluid within the container by continuously operating transport mechanism 34 in conjunction with piston assembly 24 so as to continuously lower pipettor 12 into sample liquid 14 and continuously operate piston assembly 24 so as to continuously aspirate liquid 14 between the uppermost and lowermost levels.
Under control of computer 15, transport mechanism 34 positions pipette 12 at an aspirating location above tube L and lowers pipette 12 into tube L to ascertain the uppermost level of fluid 14 therein. From the known location of the bottom of tube L, computer 15 is programmed to calculate the eight different depths at which eight constant volume partial aliquots of sample liquid 14 are to be aspirated into lumen 18 from tube L. Computer 15 then operates transport mechanism 34 to lower pipette 12 to the first of the eight different depths and controls piston assembly 24 so as to aspirate the desired partial aliquot of sample liquid 14 into lumen 18. This process is repeated at each of the remaining seven different depths to produce the desired full aliquot of sample liquid 14. If desired, computer 15 may operate transport mechanism 34 and piston assembly 24 to dispense a desired amount of sample liquid 14 from lumen 18 into an assay cuvette.
This same process may be employed for aspiration of liquid from tubes M and R, except that, as explained above, the eight different depths at which eight constant volume partial aliquots of sample liquid 14 are aspirated will be smaller and larger, respectively, than the depths at which sample liquid 14 is from tube L.
This same process may be employed for aspiration of liquid from tubes M and R, except that, as explained above, the number of different depths at which constant volume partial aliquots of sample liquid 14 may be aspirated will be smaller and larger, respectively, than the number of depths at which sample liquid 14 is from tube L.
Those skilled in the art will appreciate that the embodiments of the invention disclosed herein are illustrative of the principles of the invention and that other modifications may be employed which are still within the scope of the invention. For example, as may be seen by comparison of tubes L and M in
The method also could also be used to aspirate a variable volume partial aliquot of sample liquid 14, for example a larger amount at the middle range than at the uppermost and lowermost ranges. Accordingly, the present invention is not limited to those embodiments precisely shown and described in the specification but only by the following claims.