The present invention relates to a method of pre-treatment and staining of a biological sample and a device for support of a biological sample, such as a microscope slide. The invention further relates to various uses for such device.
It has already become a well-known feature to provide readable (and/or write-able) labels to microscope slides. Such labels may typically bear a bar code or clear text, indicating information, such as a name of a patient, relating to one or more samples on a microscope slide.
For example, U.S. Pat. No. 5,561,556 (Weissman; Oct. 1, 1996) discloses a slide analysis system with slide having self-contained microscope analysis information. A microscope slide having a pathology specimen thereon includes a machine-readable high density recording medium in the form of a magnetic strip, optical reading strip or the like. The read-write system further embodies elements for operative connection to a microscope system whereby a computer generated representation of the screening history of a pathology specimen is recorded and maintained during pathology analysis of the slide showing the mode and parameters of the analysis as well as position related events of interest. The computer generated screening representation is written to the recording medium by the read-write system, for constant proximate availability with the slide. The recording medium comprises sufficient capacity for encoding with patient identification and medical history information, and slide diagnostic information and analysis for pathological review of the particular pathology specimen on the slide. Compatible read-write systems permit reading and editing of recording media encoding for slide analysis at any time or place without requirements of correlative external files. The slide may comprise a label having some information written or printed in clear text and a magnetic strip or other machine-write-able and readable recording medium either directly below the label or arranged on the opposite side of the slide. This cited document does not consider the pre-treatment and staining process.
In another example, PCT Patent Publication WO 99/10763 A1 discloses a sample holder, which can process data and a method for analysing samples. The samples in question are biological samples such as tissue or body fluids to be examined by use of a microscope, and typically for diagnostic purposes, such as substantiating a cancer diagnosis. The sample holder has two areas; a first area for receiving the sample and a second area for identifying the sample. Said second area is provided with a writeable, readable, non-volatile memory, for example a smart chip, including an electronic circuit and a memory. The electronic circuit may comprise contacts or enable reading and writing of data by other means e.g., by inductive, capacitive or optical means.
In the above cited publication WO 99/10763 A1, it is also suggested to store information relating to the requested/specified sample examination, the manner, technique and execution steps of examination, report data, organisation data, and graphic data that are generated during the examination under a microscope and during a subsequent image processing, e.g., coordinates of reference points for the microscope on the sample surface, coordinate specific relations between examinations and examination results (multidimensional mapping information) e.g., cell maps, nucleic maps, gene maps, or protein maps, images of the samples.
The European Patent Application Publication EP 637 750 A2 (Feb. 8, 1995) discloses a method for analysis of liquid samples whereby data of high information density are arranged on containers with reagent solutions. The data serves to execute and control the analysis. Further disclosed in the above-cited European Patent Application Publication is a method for providing reagent containers with code carriers and a system for analysis of liquid samples using the reagent containers having code carriers. The code may be a bar code or a chip card, e.g., a contact free chip card applying a receiving/transmitting antenna coil.
Further, PCT Patent Application Publication WO 03/040697 relates to and considers the problems of cross-referencing identification of object supports for microtomed analytical samples and the generation of identification.
Also, articles having RF antennas are well known, e.g. from U.S. Pat. No. 6,353,420; inventor, Kevin Kwong-Tai Chung, titled “Wireless article including a plural-turn loop antenna.”
The present invention includes a variety of aspects, which may be combined in different ways. The following descriptions are provided to list elements and describe some of the embodiments of the present invention. These elements are listed with initial embodiments; however it should be understood that they may be combined in any manner and in any number to create additional embodiments. The variously described examples and preferred embodiments should not be construed to limit the present invention to only the explicitly described systems, techniques, and applications. Further, this description should further be understood to support and encompass descriptions and claims of all the various embodiments, systems, techniques, methods, devices, and applications with any number of the disclosed elements, with each element alone, and also with any and all various permutations and combinations of all elements in this or any subsequent application.
The present invention provides a method of pre-treatment and staining of a biological sample and a device for support of a biological sample, the device further comprising a memory. Further the present invention provides a method of using the inventive device.
The device may be any kind of support for a biological sample to be prepared for an analysis. Typically the support will be a microscope slide for In-Situ Hybridization (ISH), Immunohistochemistry (IHC), PAP, H/E, and/or special stains. Further, the support may be a tissue array, a micro array, a dot array, a tray, a Petri dish, or at least similar to these items.
The memory may be any kind of memory able to store data, and even possibly a kind belonging to the group comprising electronic, electromagnetic, magnetic, optical or mechanical information storage components. The memory may be of the type “read only”, “read and write” and “read, write and rewrite” or combinations thereof. In embodiments, the memory is a “read and write” type able to be updated for every processing step the sample is subjected to.
The memory may be attached to the upper or lower surface of the sample-supporting device. In another embodiment, the memory is embedded in the sample-supporting device.
The memory may be embedded in a label to be attached to the sample-supporting device.
The memory may be permanently or even semi permanently attached to the sample-supporting device. For example, the memory may be embedded in or attached to a rack, clamp, chamber or frame to be attached to one or more slides. In an embodiment, the memory may be detached and prepared for re-use later on a new set of slides.
In other embodiments, the memory is an electronic memory that is readable and write-able. The electronic memory may be part of an electronic device of the kinds used in chip cards. In an embodiment, the electronic device may include a data processing unit, such as a CPU or microprocessor.
The memory and/or electronic device may be accessible through solid electrically conducting contacts arranged in the surface or at an edge of the device. However, in an embodiment, it may be accessed through a wireless connection such as a combination of transmitters and receivers for electromagnetic waves, e.g., using RF antennas, such as coils, or optical, e.g., infrared communication.
The memory may be accessible only through an RF antenna embedded in the device. This configuration is advantageous, as the memory, attached electronic circuitry and RF antenna may be totally embedded in the device. In this manner, the chemically active reagents used for processing the sample in order to prepare the biological sample for the final examination by use of a microscope or electro-optical imaging system cannot get in touch with any parts of the memory, and/or attached electronic circuitry and/or RF antenna.
In an extremely simple version of an embodiment in accordance with the present invention, the storage of information might be in the form of a mechanical printing or punching of symbols or holes, representing events, such as specific steps during a processing and/or identification numbers, representing persons, equipment and/or processing steps. Such systems are known e.g., from punch cards which may be read manually or by mechanical or optical scan systems. The memory could be as simple as a label carrying a plurality of printed or punched symbols and a plurality of blank fields for adding further symbols.
However, a data memory having a high data capacity able to store and add data a plurality of times and even images may be preferred.
According to the invention, this device may be used for reading and writing data relating to the sample. The data can be data relating to the person from whom the sample originates. Further, the data may be data occurring during the sample preparation as well as during any storage time, as well as data occurring during and/or after the analysis of the sample. When using a memory of high capacity, a large plurality of new possibilities, such as storage of images, are provided.
The Owner (e.g., a scientific institution) of a sample or the person from whom the sample originates may provide personal information as well as specific directions for who may access and use the sample, or for which purposes the sample may be used. The memory may contain a plurality of information arranged in hierarchic layers, requiring specific authorisation, in such manner that only a few trusted persons can access certain confidential layers.
During processing in a sample processing instrument, such as an automatic stainer, the instrument could be programmed to read data from the memory every time the new processing step may become initiated or at least when initiating one or more specified steps.
In this manner, an instrument could read in the memory information indicating the processing protocol to be followed and the processing steps already passed and thereby control at which time this device (microscope slide) is ready for this next step. It would be possible to enter data for the time when this next step is initiated, and e.g. a temperature if relevant to the process. When the step is finished, the time could again be written into the memory, e.g. together with a code indicating the newly executed processing step, and possibly a code indicating any reagent container providing a chemical reagent for the process step. If this writing into the memory is done for every step, it could be possible to verify that the instrument is working properly. This could also be applied for trouble shooting if an instrument appears to provide failures. Such a feature could highly improve the safety and quality of the staining and the final analysis result.
It should be understood that a slide with the capacity of the invention might accommodate a reference sample or standard biological sample to be treated. Thereby the slide may be used for validation of specific aspects of the staining process.
A memory attached to a sample-supporting device may be helpful in the management of storage facilities wherein the slides or carriers with biological samples are kept, may be for a short period of a few minutes, may be for a long period of several days, weeks or years. Proximity-sensitive sensors may locate the sample-supporting devices in the storage facility. Furthermore, the memory may hold information about the history of the sample, e.g., when and who examined the sample on the device and when it has been inserted and removed from the storage facility and at which location or equipment the examination occurred.
Information regarding the actual reagent containers providing the chemical reagents used for staining of the sample could also be stored in the memory of the device. Such information could reveal any faulty reagent container providing a poor staining.
A memory could also allow for storing digital images of the sample. The digital image storing could be done both at the very beginning of the sample processing when the image could be used for deciding the required amount and location of reagents, and at the end when the image may be used for a (preliminary) analysis and evaluation of the sample as well as a computer programmed “counting” of stained cells providing a computerized “score” for final analysis.
In embodiments, every process step could be registered in the memory of the slide. Thereby the robot or a computer controlling the instrument may check the identity of the slide and check which type of processing the slide is subjected to, how far this slide has come during the processing, or which step the slide has reached, and the computer (or operator) in control of the instrument can then conclude what should be the next process step—according to the specified protocol for the processing—e.g. in a dialog between the memory chip in the slide and the computer controlling the instrument. In a particularly advantageous embodiment, the computer in the instrument may provide for a dialog between slides in a plurality of slides in a section of an instrument. Instead of a scheduling system in the processing instrument itself, the decision regarding which slide to process first may be taken as a result of a communication between the memories of the slides, by requesting their priority and their need for heating, dipping in specific baths, rinsing etc. Such solution may require that the slide contain the full protocol specifying the processing. The processing instrument may then be an automatic instrument providing heat, wash or rinsing, and dispensing reagents on demand from the slide.
Information and/or data may either be “written” to the memory or microprocessor or extracted from it by using an external “reader/writer” 16.
In a second preferred embodiment according to the present invention, a microcircuit with memory may be “embedded” into a slide, that is, a glass (or alternatively plastic) slide could be fabricated around the circuit with no part of the circuit exposed. This could make it impervious to chemicals, corrosion and the like.
Further, an electrical interface between a slide and a reader could be RF (radio frequency). In embodiments, RF antennas might be imbedded along with the microcircuit and memory into the slide.
Alternatively, a tray may comprise a recessed or grooved area or field 22 of a size adapted to receive a standard glass microscope slide. In a second field 24, a memory may be embedded in the tray 20. The memory may be part of an electronic chip or electronic circuit 28.
An interface between memory and a reader and/or writer may comprise a wireless connection, e.g. comprising an RF circuit 28 and an RF-loop antenna 26 embedded in the tray along the edges of the tray, or an optical connection, such as an infrared port.
A memory device (microscope slides having a memory chip) may be processed on many types of sample processing instruments provided with reading and writing capabilities for accessing the memory in the memory device. Such instrument could be a rectangular box like instrument having drawers or racks with slide holders, such as shown in
An instrument in
A carousel-instrument, e.g. as known from several US patents e.g. U.S. Pat. No. 6,183,693, incorporated by reference herein in its entirety, may also be provided with a reading and writing facility typically arranged at the periphery of the carousel carrying the slides and, by rotation of the carousel, any specific slide may be arranged close to the reading and writing facility. In an alternative embodiment, a reading and writing facility may include a rotate-able directional antenna or a controllable phased array antenna able to direct a signal to a location of a specific slide in an instrument, e.g. an instrument without robotic arm or movable carousel.
The inventive device may be used as a carrier, such as a microscope slide, in apparatus for the processing of biological samples on carriers, and the memory of the device may be applied for storage of information such as, but not limited to:
Regarding the history of the slide, the following data may Appear to be Relevant for storage:
Later, after the staining has been completed and a pathologist has analysed the slide, it would be advantageous to enter information from the report prepared by the pathologist, e.g., but not limited to:
Below is listed as non-limiting examples a plurality of various information which may be stored on the device:
In an embodiment, a method of the action of execution of at least one step of a series of steps in the processing (including pre-treatment and staining) of a biological sample on a carrier may be registered, recorded, and stored in the memory on the carrier.
In other embodiments, a plurality (and perhaps even all) of the execution actions are registered, recorded, and stored in the memory. Further, environmental conditions during at least one processing step, such as temperature, pressure and humidity, may advantageously be stored together with the registration of the execution of a step. In this manner, any faulty condition occurring during a processing may be revealed.
This may be accomplished, for instance, by having sensors connected to data processing equipment, which has been adapted to send relevant data to a data reading and writing device, which may be mounted on a robotic arm, such as robotic arm 38 (
The type of data to be stored may belong to a group consisting of but certainly not limited to: time of occurrence data, number of occurrence data, part of operation data, amount of usage data, amount of material used data, type of material used data, substance identifier data, individual movement data, robotic action data, individual robotic movement data, individual operation data, individual usage data, actual date data, actual time data, precise time data, relative time data, absolute time data, initiation time data, completion time data, subject sample data, sample image data, individual sample process data, individual slide log data, system image data, substance image data, type of protocol data and the like.
A method according to the present invention may comprise systematically storing, in a slide memory, important details of a significant number of said plurality of sample process operations in real time as such sample process operations occur, and perhaps even systematically storing precise time data and/or systematically storing relative time data, systematically storing temperature data, systematically storing image data, and even systematically storing sample image data.
Generally, all data in a memory on a sample carrier according to the invention should be copied to a database connected to the computer in control of the sample processing instrument and/or the microscope used for analysis. Thereby, the data will be ready for any further data processing and the data can be saved in safe manner. A microscope slide may break and in certain cases the memory could be inaccessible or lose the contents.
Also, in view of the fact the size of memory is limited, it could be relevant after a successful completion of the staining process to transfer to a remote database—or possibly delete—all data relating to the staining, so that the pathologist analysing the slide may have an almost empty memory with plenty of space for adding his report.
As an alternative, it may be advantageous to let the data relating to the staining process become replaced by a shortened version, saving important information in a short summary. Such summary could be created by an assisting operator or automatically from a controlling computer, or even by a program in a CPU (data processing unit/computer) in the device.
In a new method of processing biological samples, the new memory slide can be very useful. By use of the readable and writeable memory it is possible to register a number (or perhaps even all) process steps in a reading/writing action included in the actions related to a specific execution of a specific processing step in a processing instrument.
In embodiments, every process step could be registered in the memory of the slide. Thereby the robot or a computer controlling the instrument may check the identity of the slide and check which type of processing the slide is subjected to, how far this slide has come during the processing, or which step the slide has reached, and the computer (or operator) in control of the instrument can then conclude what should be the next process step—according to the specified protocol for the processing—e.g. in a dialog between the memory chip in the slide and the computer controlling the instrument.
The memory will enable a better security for providing the correct treatment to the correct slide, thereby increasing the percentage of true positive results and true negative results—and lowering the number of faulty negative and faulty positive results obtained by the pathologists.
Furthermore, the memory slide can enable a particularly advantageous new type of automatic sample processing apparatus, which can operate as a fully continuous apparatus, enabling an insertion of a high-priority slide (e.g. coming from a patient still under surgery). Such high-priority slide can then become included in a new scheduling allowing the high-priority slide to pass through all processing steps as fast as possible while the routine slides will have to spend a few more minutes in a washing bath or similar type of wet condition which will not deteriorate their treatment, but simply allow them to wait until the high-priority slide has received the newly scheduled fast treatment.
The transport mechanism 42 within the automated biological sample processing apparatus 40 (
The treatments administered by the sample treatment apparatuses 48 could comprise, for instance, administration of chemical reagent, administration of heat, administration of a cleaning solution, a buffer solution, rinse water or a jet of air or other gas, cooling of the sample, among others. More broadly understood, a sample “treatment” could comprise a re-routing of a sample carrier device 41 to a second transport mechanism 42 so as to be directed to a particular sample processing station having the required capabilities for performing a particular protocol step.
In the system 40 shown in
In a particularly advantageous embodiment, the computer in the instrument may provide for a dialog between slides in a plurality of slides in a section of an instrument. Instead of a scheduling system in the processing instrument itself, the decision regarding which slide to process first may be taken as a result of a communication between the memories of the slides, by requesting their priority and their need for heating, dipping in specific baths, rinsing etc. Such solution may require that the slide contain the full protocol specifying the processing. The processing instrument may then be an automatic instrument providing heat, wash or rinsing, and dispensing reagents on demand from the slide.
As can be easily understood from the foregoing, the basic concepts of the present invention may be embodied in a variety of ways. It involves both staining techniques as well as devices to accomplish the appropriate stain device. In this application, the staining techniques are disclosed as part of the results shown to be achieved by the various devices described and as steps which are inherent to utilization. They are simply the natural result of utilizing the devices as intended and described. In addition, while some devices are disclosed, it should be understood that these not only accomplish certain methods but also can be varied in a number of ways. Importantly, as to all of the foregoing, all of these facets should be understood to be encompassed by this disclosure.
The discussion included in this application is intended to serve as a basic description. The reader should be aware that the specific discussion may not explicitly describe all embodiments possible; many alternatives are implicit. It also may not fully explain the generic nature of the invention and may not explicitly show how each feature or element can actually be representative of a broader function or of a great variety of alternative or equivalent elements. Again, these are implicitly included in this disclosure. Where the invention is described in device-oriented terminology, each element of the device implicitly performs a function. Apparatus claims may not only be included for the device described, but also method or process claims may be included to address the functions the invention and each element performs. Neither the description nor the terminology is intended to limit the scope of the claims.
It should also be understood that a variety of changes may be made without departing from the essence of the invention. Such changes are also implicitly included in the description. They still fall within the scope of this invention. A broad disclosure encompassing both the explicit embodiment(s) shown, the great variety of implicit alternative embodiments, and the broad methods or processes and the like are encompassed by this disclosure.
Further, each of the various elements of the invention and claims may also be achieved in a variety of manners. Additionally, when used or implied, an element is to be understood as encompassing individual as well as plural structures that may or may not be physically connected. This disclosure should be understood to encompass each such variation, be it a variation of an embodiment of any apparatus embodiment, a method or process embodiment, or even merely a variation of any element of these. Particularly, it should be understood that as the disclosure relates to elements of the invention, the words for each element may be expressed by equivalent apparatus terms or method terms—even if only the function or result is the same. Such equivalent, broader, or even more generic terms should be considered to be encompassed in the description of each element or action. Such terms can be substituted where desired to make explicit the implicitly broad coverage to which this invention is entitled. As but one example, it should be understood that all actions may be expressed as a means for taking that action or as an element which causes that action. Similarly, each physical element disclosed should be understood to encompass a disclosure of the action which that physical element facilitates. Regarding this last aspect, as but one example, the disclosure of a “treatment” should be understood to encompass disclosure of the act of “treating”—whether explicitly discussed or not—and, conversely, were there effectively disclosure of the act of “treating”, such a disclosure should be understood to encompass disclosure of a “treatment” and even a “means for treating” Such changes and alternative terms are to be understood to be explicitly included in the description.
As to each term used it should be understood that unless its utilization in this application is inconsistent with such interpretation, common dictionary definitions should be understood as incorporated for each term and all definitions, alternative terms, and synonyms such as contained in the Random House Webster's Unabridged Dictionary, second edition are hereby incorporated by reference.
This application claims, under 35 U.S.C. 119(e), the benefit of the filing date of U.S. Provisional Application No. 60/583,680, filed Jun. 29, 2004 and titled “A Method of Pre-Treatment and Staining of a Biological Sample and Device for Support of a Biological Sample and Methods of Using such Device”, said provisional application being incorporated by reference herein in its entirety.
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