This invention is directed to biohazard detection systems and more particularly to a biohazard detection system for detecting biological agents, such as bacillus anthracis, in pieces of mail.
The current state of the art in biological agent detection systems includes: (1) automated systems used, for example, by the military that utilize a form of immunoassay technology; and (2) manual systems including bio-identifier apparatus used in laboratories by skilled laboratory technicians. The automated immunoassay systems used by the military have not demonstrated sufficient sensitivity or specificity to be acceptable for use in civilian applications such as mail screening within the United States Postal Service (USPS). Likewise, manual systems that require skilled technicians to perform sample preparation and to interpret test results are impractical in an industrial environment.
A typical bio-detection system in accordance with the known prior art is comprised of the following subsystems: (a) a trigger to detect the presence of a bio-agent and start the sample collection process; (b) an aerosol collector for collecting samples from the air; and, (c) an identifier to identify the specific bio-agent.
In the USPS environment, various bio-detection systems have been tested in connection with Mail Processing Equipment (MPE) but have been found to be unreliable in distinguishing between letters spiked with bacterial spores from uncontaminated letters or letters containing hoax powders.
Accordingly, it is the primary object of the subject invention to detect an aerosolized biological agent in an aerosol sample.
It is a further object of the subject invention to detect an aerosolized biological agent originating from a piece of mail.
It is another object of the subject invention to provide a biological agent detection system which achieves higher sensitivity and lower false positives (false alarm) rates than current technology.
The subject invention utilizes the polymerase chain reaction (PCR) technology that is particularly adapted for USPS application. The limit of detection for immunoassay based technology is in the range of 10,000 to 100,000 spores per ml of sample. PCR has demonstrated the ability to detect less than 200 spores per ml of sample. This difference in sensitivity is critical, and may make the difference between detecting and missing a lethal threat in the USPS application. Since PCR detects the actual DNA sequence of an agent, it is also, much less likely to cause false positives than the systems based on immunoassay techniques.
This is achieved by a point source biohazard detection system (BDS) which combines automated fluidic transport apparatus with aerosol collector apparatus and biological agent identifier apparatus. The invention includes means for implementing the following features: particle collection and pre-separation using a collection hood or other means capable of collecting emitted particulates from items and dry cyclone passive filtration system; continuous particle collection into a liquid sample; automated fluid transfer to a sample analysis cartridge; and polymerase chain reaction (PCR) type bio-agent identifier apparatus for detecting an actual DNA sequence so as to identify a bio-agent when a collected liquid sample is manually taken from an aerosol collector, prepared, and introduced manually into the bio-agent identifier. The system also provides for automatic retesting upon various error conditions; automatic confirmation testing upon preliminary positive results; automated fluid transfer to archive containers at the completion of analysis; and automated notification/reporting system to alert designated personnel/organizations upon the occurrence of selected events.
The biological agent detection system in accordance with the subject invention is not limited to, but is of particular importance to the US Postal Service (USPS) due to the fact that it would enhance the safety of its work force by quickly detecting the presence of toxic biological agents in a mail processing facility. The system would notify facility personnel so that appropriate actions may be taken quickly to contain a threat from biological agents, such as bacillus anthracis, in mail being processed at the facility, thereby preventing dispersion of biological agents between USPS facilities and the general public.
The subject approach makes the system operation independent of an optical trigger input. When desirable, however, an optical trigger device may still be used, for example, to create a record of particle concentration spikes that occur during the mail processing window. This record will permit one to identify the contaminated machine and the approximate time the contaminated letter passed the machine after the identifier indicates that a biological agent is present. In the future, if optical trigger reliability improves, the subject system is compatible with the integration of a trigger that operates in parallel with the continuous collection process. In such an implementation, the trigger would be used to alert an operator to transfer a sample for analysis, resulting in a more timely response to an incident.
Further scope of applicability of the present invention will become apparent from the detailed description provided hereinafter. It should be understood, however, that the detailed description and specific example, while disclosing the preferred embodiment of the invention, is provided by way of illustration only, since various changes and modifications within the spirit and scope of the invention will become apparent to those skilled in the art.
The present invention will become more fully understood from the detailed description provided hereinbelow and the accompanying drawings which are given by way of illustration only, and wherein:
Referring now to the various drawing figures where like reference numerals refer to like components throughout, shown thereat is a biohazard detection system (BDS) 10 for a mail processing facility, such as, but not limited to a United States Postal Service (USPS).
In
In addition to the monitor unit 12, the subject BDS 10 as shown in
Alternate sampling systems have also been designed for other pieces of mail processing equipment. In particular, a manifold system 35 has been designed for a flats canceller.
The first time that a letter, for example, is pinched at pinch point location 30, air is pushed out of the envelope. If there are particles inside the envelope, some will come out of the envelope at that point. Sampling is performed within the hood 28 situated at the location of the pinch point 30 by capturing the particles that are emitted at the pinch point. The design of the hood 28 and the sampling rate of the air collector are matched so that the air inside the hood is sampled at a rate that will evacuate virtually all of the particles present along this portion of the transport. This has two benefits, namely: it reduces the dust that is created by the mail processing operation, thereby reducing the cleaning maintenance required, and it ensures that as many target particles as possible are captured for analysis.
After the particles are captured, they are sent via a hose 32 through a dry cyclone 34, that utilizes the particle aerodynamic size to separate out larger particles, from those that are in the inhalable size range, and therefore pose the highest threat to human health. This cleans up the aerosol sample, and prevents large dust and fibrous particles from clogging the downstream equipment and interfering with the bio-detection process. The large particles are captured in a container, not shown, and disposed of. No filter media that can become clogged with dust is utilized.
The air from the pinch point 30 can, when desired, be continuously monitored by an optional particle counter, not shown, which determines the number of particles per second in a number of size ranges passing by the air sample point. Such an option would provide a historical record of particle count that may be useful in assisting someone in identifying the contaminated mail sorting machine and the approximate time a contaminated letter passed through the machine in the event the monitor unit described below detects a biological agent. If a spike is detected in the counted particles with characteristics that match the target of interest, such as bacillus anthracis, the system can also use this event to automatically trigger a sample analysis process to be described hereinafter. Particle characteristics evaluated can include count, size, shape, and fluorescence signature, among others. It is also possible to use a mass spectrometer, not shown, as a trigger.
As noted, a BDS system 10 in accordance with the subject invention normally operates without a particle counter 28.
Referring now to
An operator then manually transfers and inserts the cartridge 38 in the door 42 of the bio-identifier apparatus 24, preferably comprising a GeneXpert™ instrument that implements a (PCR) analysis capable of determining with a high degree of reliability if any particles in the liquid sample comprise a biological agent. The GeneXpert™ apparatus 24 automatically processes the sample and performs a PCR analysis to determine if one or more biological agents are present. If the test result is either positive for the agent(s) under test, or non-determinate, indicating that certain internal controls included in the PCR analysis did not perform correctly, an additional test is performed using an additional fraction of the original sample and a new cartridge 38. At the completion of the analysis, the remaining sample is transferred from the reservoir into a waste bottle 44, or to archive bottles 46 for later laboratory confirmatory analysis and retention as evidence. The system can optionally individually archive all samples or only those that generate a positive test result. The bio-identifier apparatus 24 is controlled by the central site command and control system 14 (
The BDS 10 continuously collects aerosol particles from the pinch point 30 along the mail transport path 31 of the MPE as shown in
If the result of the test is a “preliminary positive”, the system will automatically perform a confirmation (Reflex)-test, optionally utilizing a criteria that is independent from the Screening Test, such as a secondary gene sequence from the target organism. Preliminary positive and confirmation test results are reported to a Visibility/Incident Response network. The results can be used to make the most appropriate decisions regarding personnel evacuation and emergency response scenarios, and further analysis of the archived sample using an outside laboratory.
Site Control
Considering the subject invention in greater detail, the site command and control system 14 (
Machine Control
The monitor unit 12 also contains a machine control processor 20 that sends and receives commands to and from the control computer of site command and control system 14. The control processor 20 performs machine control functions which: (a) controls the fluid interface between the collector/concentrator sub-system 22 and the bio-identifier sub-system 24; and (b) responds to any faults or alarms therefrom. Machine control functionality provided by the processor 20 has been separated from the command and control 14 because the machine control processor 20 handles time critical commands that affect the operation of the system components in the monitor unit 12.
Aerosol Collector/Concentrator
Several different types of aerosol collector/concentrators 22 can be used with the subject system, however, the preferred embodiment of this equipment comprises a proprietary SpinCon® system developed by Midwest Research Instititute (MRI). The SpinCon® apparatus 22 is an efficient device proven to be ideally suited for a broad range of advanced air sampling requirements, including the collection of bio-aerosols, particulate matter, and soluble vapors. The primary sample collection component of the SpinCon® system 22 consists of a vertical glass tube, not shown, open on the top end, with a nearly tangential, vertical slit cut into the side and is called the contactor. Fluid is placed in the contactor and air is drawn through the slit and out through the open top end of the contactor. The slit acts like a venturi/air blast atomizer; as the air passes through the slit, it speeds up and then impacts the spinning fluid in the contactor forming a wet cyclone. The collection fluid then atomizes into many small droplets, greatly increasing the surface area in contact with the air. These droplets then begin to follow the air path. The slit is only nearly tangential so the air path is across a chord of the contactor's circular cross-section. At this time, particles in the air are picked up by the fluid. As the air and droplets reach the other side of the contactor, the droplets impinge on the wall and the fluid flow is re-formed. The same fluid is re-atomized over and over, thus causing the concentration of particles in the fluid to increase linearly with time. The spinning fluid in the contactor only covers 30 to 40 percent of the slit, which is why only 30 to 40 percent of the air is sampled that is pulled into the unit.
The SpinCon® system 22 is very effective in collecting biologicals (sizes 1-10 microns) as well as many types of smaller particles and even chemicals (agglomerated sizes <1 micron.) This is due to the atomized state of the fluid at the point of collection; the massive surface area collects the larger particles, while Brownian motion, which governs the motion of small particles, enables the smaller particles to be picked up in the fluid.
Bio Identifier:
As noted above, two technologies are commonly used in the detection of biological warfare agents: namely, (1) immunoassay and (2) polymerase chain reaction (PCR). Immunoassay technology is based on the specific interaction of antibodies with pathogen. This interaction is usually detected optically or electrochemically. PCR, on the other hand, directly detects the DNA sequence of an agent.
PCR technology has been selected for the subject invention because of its superior sensitivity and specificity. The limit of detection for immunoassay based technology is in the range of 10,000 to 100,000 spores per ml of sample. PCR has demonstrated the ability to detect less than 200 spores per ml of sample. This difference in sensitivity is critical, and can make the difference between detecting and missing a lethal threat, for example, in a USPS application. Since PCR detects the actual DNA sequence of an agent, it is also much less likely to cause a false positive than the systems based on immunoassay techniques. Also, sequences associated with the actual virulence properties of the organism can be targeted. This will also be critical for a USPS application, since a false positive may result in a major financial loss if it causes an unnecessary shutdown of a mail processing facility.
PCR techniques have become recognized as one of the most reliable laboratory techniques, along with culture methods, to validate immunoassay and other field screening techniques. In recent years the development of real time PCR techniques have allowed the reaction to be performed in 30 minutes or less. This enables the use of PCR in field applications where rapid results are required. However, all current PCR methods require sample preparation to remove inhibitors (such as the humic acids from soil) from the sample that may result in a false negative and add reagents necessary to run PCR. This sample processing requires significant laboratory operations that USPS personnel could not reliably perform in the current mail processing facilities. For this reason, most PCR systems, cannot be used in the USPS application or similar industrial environments.
The subject invention uses a PCR bio-identifier system that completely automates both sample processing and detection processing and comprises a GeneXpert™ system developed by Cepheid of Sunnyvale, Calif. This system consists of two components, a disposable multi-chamber cartridge 38 such as shown in
The key advantages of the GeneXpert™ bio-identifier instrument 48 utilized in the subject invention are:
In current PCR methods, separate positive and negative controls must be run to assure reagent integrity or successful removal of inhibitors during sample preparation. A new internal control scheme that eliminates the need for these external controls is achieved by a unique combination of an internal control and probe integrity check called probe check. The internal control consists of a piece of DNA whose sequence is different than the target DNA and a corresponding probe that is included in the PCR bead. The internal control is co-amplified along with the test reaction and is used to assure that the reagent is functional and that PCR inhibitors have been successfully removed during sample preparation.
System Operation
In a United States Postal Service (USPS) installation, the biological agent detection system (BDS) in accordance with the subject invention is deployed on mail processing equipment (MPE). The operation of the subject bio-detection system is controlled by the machine control processor 20, and its operation is synchronized with the operation of the monitored MPE so that it is only allowed to operate when the BDS collector/concentrator is operational. The flow chart shown in
Prior to collecting samples, the BDS must be initialized and prepared for data collection. The following describes the tasks involved: (1) start-up of site command and control system; (2) set collection parameters. The collection parameters include the setup for each run in sequential order for the tour. The run setup will indicate the machine ID sample number, start time, stop time, and the assay description. The assay description is associated with a command sequence used by the GeneXpert™ instrument 48 to perform the PCR analysis. The command sequences are stored locally in the machine control processor 20 (
At the specified start time, the BDS initiates the air collection process. This enables the collector/concentrator sub-system 22 to start operation. An indicator 25 on the cabinet 26 (
Air is then sampled from the output of the air collection hood 28 where it is routed via tube 32 which is a grounded anti-static tube to the dry cyclone pre-separator 34 that is designed to eliminate particles that are larger than the inhalation threat range of 1-10 microns.
From the dry-cyclone 34, the sampled aerosol is routed to the SpinCon® collector/concentrator apparatus 22 which, as noted above, impinges the air into a small volume of liquid. The aerosol collector operates at a flow about 450 lpm. As air passes through the unit, cyclonic mixing transfers a high portion of the target particles into the liquid. The liquid medium remains in the collector/concentrator 22 to continuously concentrate the target particles into the liquid. At the start of the collection process, 10 ml of sterile water is injected into the system. During the collection, the water level is monitored, and evaporated water is replaced by injecting makeup water to maintain to 10 ml sample volume.
At a planned “stop time” or in response to a trigger input, the machine control processor 20 sends a signal to the collector/concentrator 22 to transfer a liquid sample out for analysis. The aerosol collection process and facer/canceller operation are paused while the sample is transferred into one or more bottles 52 of a collection reservoir 54 (
As the liquid sample is transferred into the reservoir 54, it is mixed with a solution containing additives that minimize PCR inhibition. The liquid sample is then allowed to sit in the reservoir for a time, e.g., approximately two minutes, to allow thorough mixing of the additive solution, and allow any large particles to settle to the bottom of the reservoir bottle(s) 52.
Before or after the liquid has settled, an operator places a PCR cartridge 38 in position at the “liquid fill” station 40 in the BDS cabinet 26 as shown in
Following insertion of the cartridge 38 into the GeneXpert™ instrument 48, an automated sample preparation process begins. The sample is concentrated, washed, sonicated, mixed with the PCR reagents, and moved into a reaction tube 50 (
Tests
After the sample preparation steps are complete, PCR thermal cycling analysis begins. The primary PCR test is called a Screening Test. This test targets one or more gene sequences for each of the organisms of interest. In addition to the target organisms, the Screening Test also includes an internal control signal that provides a built-in positive control that the PCR reaction has proceeded properly. As the PCR thermal cycles are performed, the fluorescence signals in the cartridge reaction chamber are monitored and analyzed on each thermal cycle using an algorithm that analyzes the shape of the PCR growth curve, including features such as its cycle threshold and endpoint to determine whether the PCR result indicates the presence of the target organism.
(Screening Negative)—In normal conditions, the test results of the Screening Test are negative (N). The test results are sent to the site command and control system 14 (
(Screening Positive/Preliminary Positive)—If the PCR bio-identifier instrument 48 detects a positive (Y) Screening Test result, the results are sent to the site command and control system 14, where notifications are sent out according to a prescribed notification and response scenario and a Reflex Test is next performed as will be described hereinafter.
(Screening Process Error/Inhibition)—If the PCR bio-identifier instrument 48 detects an invalid screening result, the test results are also sent to the site command and control system 14, where notifications are sent out again, according to a prescribed notification and response scenario. The system has the capability of utilizing an alternate assay for the repeat test based on the nature of the error on the original screening test. If, based on the background fluorescence, it appears as if there was a bead rehydration or other processing problem, a portion of the archived sample will be utilized to repeat the same assay in a new cartridge 38. If the error appears to be an inhibited sample, a portion of the archived sample will be utilized to perform a slightly modified assay. This assay will: (1) perform additional washes; (2) utilize a higher level of dilution; and (3) adjust the positive detection thresholds based on the modified dilution.
(Reflex Test)—In response to a positive (Y) Screening Test result, (a) the site command and control system 14 will send out Preliminary Positive notifications to the designated contact list, (b) an operator will manually retrieve the cartridge to be used for the Reflex Test, and transport it to the fill station 40 where a fraction of the sample remaining in the reservoir and buffer solutions are transferred into it, and depending on the agents to be tested for, the Reflex Test may simply consist of a repeat of the Screening Test, or it may be performed on a special “reflex” cartridge 38′ containing primers for alternate genetic sequences, (c) the appropriate assay for the reflex cartridge is selected, and (d) the reflex cartridge 38′ will then be automatically loaded into the GeneXpert™ instrument 48 and a Reflex analysis will be performed.
(Reflex Negative)—The system will transfer the remaining liquid sample into an archive bottle 46. For a negative (N) Reflex Test result, no site alarms or emergency response action are initiated, the GeneXpert™ test results are sent to the site command and control system 14, where the results are logged and test result notifications are sent out. The original screening cartridge, the reflex cartridge, and the archive tube are manually retrieved from the system and saved in refrigerated storage for further analysis to determine the cause of the preliminary positive.
(Reflex Process Error/Inhibition)—For a Reflex Process Error/Inhibition result, no local alarms or emergency response actions are initiated, the test results are sent to the site command and control system 14, where the results are logged and notifications are sent out according to a prescribed notification and response scenario. Another reflex test can be performed, as long as sufficient sample is available.
(Reflex Positive)—The system will transfer the remaining liquid sample into an archive bottle 46. For a positive (Y) Reflex Test result, the GeneXpert™ test results are sent to the site command and control system 14, where the results are logged and test result notifications are sent out. The site emergency response plan is put into effect.
Thus what has been shown and described is a unique bio-hazard detection system for detecting toxic biological agents, particularly bacillus anthracis, in a facility which, for example, handles and processes items, such as mail.
The detailed description provided above, however, merely illustrates the principles of the invention. It will thus be appreciated that those skilled in the art will be able to devise various arrangements which, although not explicitly described or shown herein, embody the principles of the invention and are thus within its spirit and scope.
This is a Non-Provisional application which claims priority of the filing date of related Provisional Application Ser. No. 60/381,351, filed on May 20, 2002, and which is incorporated herein in its entirety by reference for any and all purposes. This application is related to the invention shown and described in U.S. Ser. No. 10/441,100, entitled “Automatic Point Source Biological Agent Detection System”, filed on May 20, 2003, and is assigned to the assignee of this invention.
Number | Name | Date | Kind |
---|---|---|---|
3942357 | Jenkins | Mar 1976 | A |
4213253 | Gudelis et al. | Jul 1980 | A |
4678752 | Thorne et al. | Jul 1987 | A |
4923491 | Lawless et al. | May 1990 | A |
5425263 | Davies et al. | Jun 1995 | A |
5849208 | Hayes et al. | Dec 1998 | A |
5855652 | Talley | Jan 1999 | A |
6015534 | Atwood | Jan 2000 | A |
6036831 | Bishop | Mar 2000 | A |
6331441 | Balch et al. | Dec 2001 | B1 |
6337213 | Simon et al. | Jan 2002 | B1 |
6851459 | Squirrell et al. | Feb 2005 | B2 |
6997374 | Stradley et al. | Feb 2006 | B2 |
20020124664 | Call et al. | Sep 2002 | A1 |
20020126008 | Lopez et al. | Sep 2002 | A1 |
20030004403 | Drinan et al. | Jan 2003 | A1 |
20030058099 | Lopez et al. | Mar 2003 | A1 |
20040010379 | Craig et al. | Jan 2004 | A1 |
20040028561 | Daugherty et al. | Feb 2004 | A1 |
Number | Date | Country |
---|---|---|
0 169 057 | Jan 1986 | EP |
02 29380 | Apr 2002 | WO |
Number | Date | Country | |
---|---|---|---|
20040063198 A1 | Apr 2004 | US |
Number | Date | Country | |
---|---|---|---|
60381351 | May 2002 | US |