The present invention pertains to a fluid handling and sample collection apparatus for directing small amounts of fluid into the tip of a microsyringe. The present invention also pertains to a device for controlled loading of a microsyringe with a small amount of sample fluid for use in automated analysis of the fluid.
Biological fluids for laboratory testing are generally collected in the minimal volume necessary to carry out the test required. For blood tests in particular, it is desirable to be able to provide diagnostic results using small amounts of blood such to limit the exposure and technical requirement for phlebotomy needed for collecting larger amounts of blood. For quantitative tests in particular, collection of a sufficient amount as well as standardizing the measured aliquot of blood volume for the quantitative test improves the accuracy of the test. In cases where the quantitative testing is automated, accurate delivery of a known volume of blood ensures less error in the quantitative results and higher overall accuracy.
In the preparation of small volumes of fluid for testing in an automated device such as a point-of-care device, the injection of a reliably known volume of biological fluid contributes to the overall quality and reproducibility of the quantitative test. To ensure that the small volume of biological fluid to be tested is standardized, the fluid should be free of bubbles and air pockets in the injection device, otherwise the results of the test will be quantitatively lower than otherwise would have observed with the full amount of fluid. To ensure standardized fluid injection at low volumes of fluid, such as that in the 0.1-50 microlitre range, the automated injection device should be loaded to prevent disturbance of fluid flow to prevent volume injection inaccuracies. Small scale whole blood handling can also be advantageous for point-of-care testing devices used to provide an efficient and quick blood component analysis at or near the patient to make immediate and expedient decisions about patient care. Point-of-care testing is generally performed by untrained or limitedly trained laboratory personnel, and simplicity of sample preparation can limit errors and enable improved results. An easy and reproducible fluid preparation process facilitates rapid blood analysis and improves operating conditions for point-of-care devices which generally require only small amounts of fluid volume.
Various devices are available for obtaining very small amounts of plasma at the Point of Care (PoC) by separating plasma from whole blood by means of filtering. In one example, United States patent U.S. Pat. No. 9,283,313 to Huemer describes a multi-part device for separating plasma from whole blood having a filter unit for extracting plasma and a pumping unit for creating a partial vacuum in the filter unit.
Other devices are available for small volume fluid handling, such as United States patent U.S. Pat. No. 9,833,382 to Lin et al. which describes a needle filter apparatus needle seal stopper and needle stop to create a substantially airtight chamber to facilitate fluid aspiration through an enclosed filter and into the syringe. In this case, the syringe is used for aspiration of fluid such as medicament or drug-laden solutions up into a syringe in an airtight manner for filtering solution to effectively eliminate fluid contaminants from being drawn into a syringe.
There remains a need for a device for preparing small volume fluid samples which is simple, safe, and economical to handle and provides a fluid sample suitable for small volume injection into an automated analyzer.
This background information is provided for the purpose of making known information believed by the applicant to be of possible relevance to the present invention. No admission is necessarily intended, nor should be construed, that any of the preceding information constitutes prior art against the present invention.
An object of the present invention is to provide a sample collection apparatus which can process small amounts of sample fluid to fill a syringe. Another object of the present invention is to provide a sample collection apparatus and method for preparing a syringe for small volume fluid injection in an automated analyzer.
In an aspect there is provided a sample collection apparatus comprising: a filling assembly comprising: an inlet port for receiving a sample fluid; an outlet port fluidly connected to the inlet port by a fluid channel; a receiving syringe having a first end with an aperture for engaging with the filling assembly and a second end comprising an injection needle; a fluid conducting element extending from the outlet port of the filling assembly toward the second end of the receiving syringe adjacent the injection needle; and a pressure release structure in the receiving syringe to release pressure in the receiving syringe as sample fluid flows via the fluid conducting element. In another aspect there is provided a syringe loading apparatus comprising: a housing comprising: an inlet port comprising a fluid channel for receiving biological fluid; an outlet port fluidly connected to the inlet port; a fluid channel structure fluidly connecting the inlet port and the outlet port; and a syringe engagement feature; a receiving syringe having a first end with a flange for releasably attaching and aligning with the syringe engagement feature of the housing and a second end comprising a syringe needle; a microtube extending from the outlet port of the housing to the second end of the receiving syringe adjacent the syringe needle; and a pressure release structure in the receiving syringe.
In another aspect there is provided a syringe loading apparatus comprising: a housing comprising: an inlet port comprising a fluid channel for receiving biological fluid; an outlet port fluidly connected the inlet port; a fluid channel structure fluidly connecting the inlet port and the outlet port; and a flange locking feature; a receiving syringe having a first end with a flange for releasably attaching and aligning with the flange locking feature of the housing and a second end comprising a syringe needle; a microtube extending from the outlet port of the housing to the second end of the receiving syringe adjacent the syringe needle; and a pressure release structure in the receiving syringe.
In an embodiment, the inlet port is sized to fluidly connect with a diluent syringe for receiving diluent under pressure.
In another embodiment the apparatus further comprises a filter in the housing disposed between the inlet port and the outlet port.
In another embodiment, the receiving syringe volume is 1 mL or less.
In another embodiment, the receiving syringe diameter is 4 mm or less.
In another embodiment, the inlet port is tapered.
In another embodiment, the fluid channel structure in the housing is non-linear.
In another embodiment, the microtube is made from polymer, metal, or a combination thereof.
In another embodiment, the fluid channel structure in the housing further comprises a flow restrictor.
In another embodiment, the fluid conducting element comprises a hollow shaft.
In another embodiment, the fluid conducting element comprises a channel guide which, together with a sidewall of the receiving syringe, forms a fluid channel.
In another embodiment, the microtube bore size is between about 0.05 and 3.0 mm.
In another embodiment, the filling assembly engages with the receiving syringe via a friction fit feature, snap-fit feature, a flange-locking feature, or a combination thereof.
In another aspect there is provided a kit comprising: a sample collection apparatus comprising: a housing comprising: an inlet port comprising a fluid channel for receiving biological fluid; an outlet port fluidly connected the inlet port; a fluid channel structure fluidly connecting the inlet port and the outlet port; and a syringe engagement feature; a receiving syringe having a first end with a flange for releasably attaching and aligning with the syringe engagement feature of the housing and a second end comprising a syringe needle; a microtube extending from the outlet port of the housing to the second end of the receiving syringe adjacent the syringe needle; and a pressure release structure in the receiving syringe; and diluent syringe comprising diluent.
In another aspect there is provided a sample collection kit comprising: a filling assembly comprising: an inlet port for receiving a sample fluid; an outlet port fluidly connected to the inlet port by a fluid channel; a receiving syringe having a first end with an aperture for engaging with the filling assembly and a second end comprising an injection needle, and an inside wall; a fluid conducting element extending from the outlet port of the filling assembly toward the second end of the receiving syringe adjacent the injection needle; and a pressure release structure in the receiving syringe to release pressure in the receiving syringe as sample fluid flows via the fluid conducting element; and a microplunger having a plunger tip for creating a fluid-tight seal with the inside wall of the receiving syringe.
In an embodiment, the kit further comprises a fluid sample transfer pipette having a tip configured to fit inside the inlet port of the filter housing.
In another embodiment, the kit further comprises a lancet.
In another aspect there is provided a method of separating plasma from whole blood comprising: applying a blood sample to a filter; applying a diluent to the filter under pressure; directing diluted plasma downstream the filter through a microtube; and collecting the diluted plasma in a receiving syringe adjacent a syringe needle in the receiving syringe.
In an embodiment, the method further comprises ejecting the diluted plasma through the syringe needle into a diagnostic device.
For a better understanding of the present invention, as well as other aspects and further features thereof, reference is made to the following description which is to be used in conjunction with the accompanying drawings, where:
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs.
As used in the specification and claims, the singular forms “a”, “an” and “the” include plural references unless the context clearly dictates otherwise.
As used herein, the terms “comprising.” “having.” “including” and “containing.” and grammatical variations thereof, are inclusive or open-ended and do not exclude additional, unrecited elements and/or method steps, and that that the list following is non-exhaustive and may or may not include any other additional suitable items, for example one or more further feature(s), component(s) and/or element(s) as appropriate. A composition, device, article, system, use, process, or method described herein as comprising certain elements and/or steps may also, in certain embodiments consist essentially of those elements and/or steps, and in other embodiments consist of those elements and/or steps and additional elements and/or steps, whether or not these embodiments are specifically referred to.
As used herein, the term “about” refers to an approximately +/−10% variation from a given value. It is to be understood that such a variation is always included in any given value provided herein, whether or not it is specifically referred to. The recitation of ranges herein is intended to convey both the ranges and individual values falling within the ranges, to the same place value as the numerals used to denote the range, unless otherwise indicated herein.
The use of any examples or exemplary language, e.g. “such as”, “exemplary embodiment”, “illustrative embodiment” and “for example” is intended to illustrate or denote aspects, embodiments, variations, elements or features relating to the invention and not intended to limit the scope of the invention.
As used herein, the terms “connect” and “connected” refer to any direct or indirect physical association between elements or features of the present disclosure. Accordingly, these terms may be understood to denote elements or features that are partly or completely contained within one another, attached, coupled, disposed on, joined together, in communication with, operatively associated with, etc., even if there are other elements or features intervening between the elements or features described as being connected.
The term “plasma” as used herein refers to the liquid component of blood that normally holds the blood cells in whole blood in suspension. When separated from blood cells, plasma comprises dissolved and suspended substances including gasses, biochemicals and inorganic salts and minerals. In contrast, the term “serum” refers to plasma from which the clotting proteins have been removed.
As used herein, the “sample fluid” refers to any fluid desired for downstream use, for example in an analytical method. Non-limiting example of fluids which may be processed using the present device include biological fluids such as human or animal bodily fluids like blood, plasma, serum, lymph, urine, saliva, semen, amniotic fluid, gastric fluid, phlegm, sputum, mucus, tears, stool, etc. Other types of samples that can be processed can be derived from human or animal tissue samples where the tissue sample has been processed into a liquid, solution, or suspension to reveal particular tissue components for examination. Other non-limiting examples of samples that can be processed as sample fluid are environmental fluid samples, food industry fluid samples, and agricultural fluid samples.
Herein is described a sample collection apparatus which can be used for fluid handling of small amounts of sample fluid and loading of a syringe. Sample injected into the present sample collection device through a transfer pipette is directed adjacent to a small diameter, low volume injection needle in a substantially air-free manner such that the process substantially eliminates introduction of bubbles and air pockets which can later interfere with quantitative sample injection. This is particularly important in the standardized dispense of accurate and repeatable microlitre-scale sample volumes. The present sample collection apparatus can thereby be utilized as a precise dispense device within an accompanying instrument, such as an input to an analytical instrument, point-of-care device, or automated analyzer. The input to the accompanying instrument can be either diluted or non-diluted based on the required or desired input of the instrument and analytical process desired for sample preparation. It is also understood that the present sample collection apparatus can be used to filter particulate and cells from other biological fluids and samples where filtration and dilution are desired.
The present invention also provides a device and method for separating cells from the plasma fraction of blood without centrifugation by separating and isolating plasma from the cellular components of whole blood. Small amounts of blood can be separated, providing diluted or non-diluted plasma for laboratory testing. Diluted plasma obtained using the present device can be utilized for small scale point-of-care laboratory testing for the detection of the presence of chemicals, nutrients, proteins, biological molecules, and particulate less than cellular size which is normally dissolved or suspended in plasma. The diluted plasma collected is substantially cell-free, and cells from the collected whole blood are retained by the filter. For small amounts of blood, the present device can be used to achieve separation of the blood components in a short time and with an apparatus of minimum complexity that can be used safely by a relatively unskilled person, while obtaining diluted plasma-carried molecules suitable for immediate use in a point-of-care diagnostic.
Receiving syringe 4 has a syringe flanges 6 which can optionally engage with the filling assembly 10. The attachment between receiving syringe 4 and filling assembly 10 can be a permanent or releasable connection, and the filling assembly 10 can optionally comprise one or more syringe syringe engagement feature s for secure and releasable attachment and engagement of the receiving syringe 4 with the filling assembly 10. In other embodiments, the filling assembly 10 assembly can be releasably attached to the filling syringe 4 via friction fit or other engagement feature.
The filling assembly can optionally be fitted with a filter element disposed between the inlet port 12 and outlet port 14 of the filling assembly 10, or between the inlet port 12 and the fluid conducting element 22, to filter the sample fluid prior to filling the receiving syringe 4 through the fluid conducting element 22. The dimensions of the filling assembly can vary, and can accommodate an optional filter disc diameter in the range of from, for example, 1 mm-40 mm. The inlet port 12 in the filling assembly 10 is configured for receiving and/or engaging with a micropipette, pipette, or other syringe for delivering biological fluid to the filling assembly. The inlet port 12 can further comprise a releasable locking mechanism to engage a pipette or syringe, such as, for example, a friction fit mechanism, snap fit mechanism, screw-type lock, or luer-lok®.
Different configurations of the fluid channel 30 between the inlet port 12 and outlet port 14 of the filling assembly 10 can be designed to adjust the fluid path-length and fluid path direction through the filling assembly 10 to achieve a substantially air-free filling. The fluid channel 30 can be, for example, a straight channel, non-linear channel, or can have any suitable configuration for directing biological fluid toward the microtube 22. In one configuration a non-straight fluid channel directs fluid to prevent sample fluid and/or diluent from being applied to or sprayed into the filling assembly 10 with a high pressure stream which can embed coagulated or large particulate into the filter and impede flow and damage any filter in the filling assembly 10. A flow restrictor or channel having a flow restricting feature can be any device and/or structure that provides a non-straight fluid path in the fluid channel, such as a bend or channel narrowing, for example. The flow restrictor can enable application of the sample fluid to a sidewall of the fluid channel instead of the main body of the filling assembly. By controlling the flow rate and flow direction, the integrity of the sample fluid can also be controlled and the introduction of air during the filling can be limited. In addition, controlling the rate, direction, and pressure of flow of the sample fluid prevents damage to any filter membrane in the filling assembly as filtration rate can affect the quality of the filtrate. Narrowing the liquid path or fluid channel also forces limited and controlled mixing in the case of diluent use, resulting in more consistent fluid mixing conditions and more standardized mixing. In the use of the present device for separation of plasma from blood, narrowing the fluid path or providing a flow restricted fluid path can limit mixing of the blood with any buffer or diluent loaded after and provide a more concentrated plasma output.
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In the embodiment shown in
The receiving syringe 4 receives fluid through the microtube into syringe tip 8. As shown, the microtube is attached to and in fluid communication with the outlet port 14 of the filling assembly 10 for receiving fluid or diluted fluid from the filling assembly 10. The receiving syringe 4 has a barrel length that is the same length or slightly longer than the end of the fluid conducting element 22 or microtube such that effluent fluid from the microtube is received in the syringe tip 8 adjacent the injection needle 26 to limit inclusion of air in the sample fluid collected near the injection needle 26. The receiving syringe 4 preferably ranges in volume from about 0.3 mL to 10 mL.
Syringe tip 8 receives optionally diluted sample fluid which has been directed through the fluid channel 30 in the filling assembly 10 and the microtube. An injection needle 26 on syringe tip 8 serves as an injection device for the micro-injection of collected fluid into an automation apparatus for analysis. The injection needle 26 can be beveled or unbeveled and is preferably made from plastic or metal with a diameter of between about 0.05 mm and 3 mm. The receiving syringe 4 through injection needle 26 can be fitted onto a point-of-care, automation apparatus, or laboratory device, to apply microlitre amounts of sample fluid to an assay device. An optional needle cap for the injection needle 26 can be provided to protect the injection needle 26 from damage during sample processing and also to protect the technician from accidental injury from the injection needle.
The filling assembly 10 preferably comprises at least one syringe engagement feature 18 for secure attachment to the syringe to provide a fluid connection from the fluid channel to the fluid conducting element 22. The one or more syringe engagement feature 18 on the filling assembly 10 can releasably or permanently secure the syringe flanges 6 to the filling assembly 10. Two syringe engagement features 18 are shown, which in this embodiment engage with the syringe flanges to create a tight friction fit between the filling assembly 10 and receiving syringe 4, however other configurations of syringe engagement features are conceivable including snap and friction fit engagement features.
An optional filter 16 can be placed inside the fluid channel 30 or adjacent the outlet port of the filling assembly 10 comprising a filter membrane for retaining particulate or cells desired for exclusion from the fluid which enters fluid conducting element 22. When the sample collection apparatus is being used for separating whole blood, the filter membrane in the filter housing receives the whole blood, and then the filter membrane is washed with diluent or buffer to extract the plasma and small molecules dissolved and suspended therein that are not retained by the filter. Other sample fluids which benefit from pre-filtering include environmental samples to filter out insoluble particulate. The filter membrane may be woven or non-woven and having pore sizes selected to separate undesirable particulate from the desired sample fluid for downstream assay or analysis. For example, blood cells can be separated from other blood components, such as cells from plasma, to collect the plasma only for analysis. The filtration means can also be selected to filter out a particular molecule size range so that only a particular size range of molecule is present in the filtrate. Blood cells are generally 3 μm or larger, so as long as cell lysis is minimized and cells are substantially stabilized the filter will substantially exclude cellular matter from the collected diluted plasma. As plasma also comprises lysed cell matter, isolating all cellular matter from the collected diluted plasma is not possible, however limiting the amount of cellular matter in the collected plasma can improve the quality of analytical testing, especially in the case of testing for presence and levels of plasma-carried antibodies. The filter should be made from a suitable membrane material with an appropriate pore size and membrane thickness to retain the desired particulate matter or cells. The filter 16 may also comprise multiple membrane types with the same or different thickness and the same or different fibre. Suitable membrane fibers can include naturally derived materials as well as synthetic materials including but not limited to polytetrafluoroethylene (PFTE), Polyvinylidene fluoride (PFDF), polycarbonate, nylon, polysulfone, cellulose, and nitrocellulose. Various filter structures can also include amorphous fibrous filters, crystalline filters, graphene, and other filter types.
The relatively small size of the present sample collection apparatus provides portability for the technician preparing a sample as well as minimizes waste produced in the sample preparation process. The sample collection apparatus is also preferably sized and shaped and dimensioned so as to be convenient to hold and manipulate by the technician. The apparatus will normally be a single-use disposable item, though it is also conceivable to have the sample collection apparatus fitted with parts that can be swapped out and/or sterilized and cleaned for multiple uses. Devices to secure the sample collection apparatus, such as a holding device to maintain the sample collection device upright while loading can also be envisaged and provided.
In use with preparation of a blood sample, a sample of blood, preferably between about 0.01 mL and 2.0 mL, is applied through the inlet port into the fluid channel 30 and received into the body of filling assembly 10. The blood is then pushed through the fluid channel 30 structure under pressure and/or diluent is applied to the inlet port 12 under pressure to push diluent through the filter, directing plasma through the microtube and into the bottom end of receiving syringe 4 and retaining cells on the filter. Receiving syringe 4 along with fluid conducting element 22 is then removed from the filter housing and a piston or microplunger is put into the syringe to eject collected plasma or diluted plasma through injection needle 26, preferably under precise control using an automated diagnostic device. Consistent delivery of a known small volume of fluid to the analytical device under precise ejection control provides improved accuracy and reproducibility to enable quantitative concentration measurements of components in the fluid.
The closed transfer of fluids in the sample collection apparatus provides substantially leak-proof sealing and pressure equalization during engagement of the device while shielding biological and other sample fluids from contamination and providing protection to technicians using the device. Transfer of blood or other biological fluids from a collector through the inlet port 12 can be accomplished with minimal manipulation and minimal exposure of the sample fluid to air or laboratory. The leak-proof sealing of the system substantially prevents inadvertent leakage of both air and liquid during use of the system. Containment of biological fluid once collected can be entirely contained within the sample collection apparatus, preventing contamination of sample, technician, and laboratory.
The system of the present disclosure can also permit pressure equalization in the syringe between an attached diluent syringe, sample pipette, or sample syringe when the sample collection apparatus is attached. In one embodiment, a pressure relief hole or aperture can be located in the syringe device to provide air release during pressurization. The location of the pressure equalization feature or pressure release structure can be changed based on the volume of the sample collection apparatus and on the volume of fluid being filtered. In this way, a fluid column can be pushed down by the plunger in the device to void the air under the column of liquid without pressure buildup in the device.
Agglomeration control substances can also be added to the syringe filling device 2 or sample fluid either prior to or during operation of the device to control agglomeration and/or coagulation of components in the sample fluid. In one example, agglomeration control can prevent clogging of the fluid conducting element 22, in this example a microtube, and injection needle 26 and provide consistency in fluid volume delivery to an analytical device. In another example in the use of blood, it has been found that controlled agglomeration of blood matter into particle sizes large enough not to be able to process through a filter during filtration but small enough so as not to clog the membrane or fluid channels can be useful to exclude cells and large molecules and obtain improved samples of plasma containing smaller and lower molecular weight molecules found in blood, such as proteins, sugars, mineral ions, hormones, suspended and dissolved biochemicals, IgE antibody molecules, and nutrients. In some uses, it is desirable that particulates larger than 3 μm, or between 3 μm-200 μm will preferably be retained by the filter in a form that it does not clog up the filter. Agglomeration control substances can be added or embedded into elements of the sample collection apparatus 2 itself, such as to the filling assembly 10 such as to the fluid flow channels, or to the optional filter, to control coagulation or agglomeration of the fluid during fluid handling. Various types and concentrations of anticoagulant can be used. Some agglomeration control substances that may be used include but are not limited to sodium citrate, ethylene diamine tetraacetic acid (EDTA), thrombin, coumarins, heparin and heparin-like compounds, and anti-glycophorin A (which is used to agglutinate red blood cells).
Although use of the present device is described as primarily being applied to biological fluid handling including whole and separated blood, it is understood that the presently described sample collection apparatus can be used on a wide variety of biological and non-biological sample fluids to separate large particulate or cells from dissolved and suspended smaller matter which can pass through the filter membrane. Some examples of fluids which may be processed using the present device include but are not limited to human or animal bodily fluids such as blood, plasma, serum, lymph, urine, saliva, semen, amniotic fluid, gastric fluid, phlegm, sputum, mucus, tears, stool, etc. Other types of samples that can be processed are derived from human or animal tissue samples where the tissue sample has been processed into a liquid, solution, or suspension to reveal particular tissue components for examination. Other non-limiting examples of samples that can be used are environmental samples, food industry samples, and agricultural samples.
A kit can be provided comprising one or more a sample collection apparatus, pipette or other appropriate collection device, syringe plunger end or microplunger, and diluent syringe. The kit can optionally further be provided with, for example, a lancet for performing a fingerprick to obtain a blood sample, an alcohol wipe for cleaning off the finger prick site, and a bandage or cotton ball for closing the prick after the procedure. The kit could also further be provided with a control or test such that a full diagnostic kit can be provided as a complete diagnostic for one or more markers or the presence of one or more substances in the biological material.
The presently described sample collection apparatus and kit can be used in a method for separating and fluid handling of low volumes of components from low volumes of blood or other biological materials or sample fluids. In one example, the present apparatus and kit can be used for the separation of cells and large particles from plasma in whole blood. To obtain blood to be separated, the finger of a patient is cleaned, preferably using an alcohol swab, and the clean finger is then pricked with a provided lancet. Pressure is then applied to the pricked finger and blood is collected blood with a transfer pipette which is then placed inside the top of the sample collection apparatus housing. Preferably the transfer pipette is aligned with the fluid channel in the inlet port of the filling assembly housing. The sample is then dispensed vertically into the filling assembly of the sample collection apparatus and the diluent syringe is attached to the filling assembly. The plunger is then depressed to inject diluent onto the filter, and pressure is applied to the diluent syringe to push buffer-diluted plasma through filter and needle shaft into syringe tip. The diluent syringe is then removed from the filling assembly and the sample collection apparatus, and the syringe is separated from the microtube and filling assembly. A small microplunger can then be inserted into the syringe barrel such that the plunger can be used to inject small amounts of diluted plasma from the syringe into an analyzer. The syringe can also be used as is and loaded directly onto an analyzer for automated analysis of the diluted plasma sample.
A fluid conducting element 22 in receiving syringe 4 is fluidly connected to the fluid channel 30 in the filling assembly 28 and configured to accommodate the passage of sample fluid through the receiving syringe 4 and toward the injection needle 26. In the present embodiment, the fluid conducting element 22 is a channel guide that sits snugly inside the channel of receiving syringe 4 such that surfaces of the channel guide or fluid conducting element 22 make continuous contact with the inside wall of the receiving syringe 4. The inside wall of the receiving syringe 4 together with the fluid conducting element 22 creates a substantially fluid-tight fluid flow channel where sample can flow from the fluid channel 30 down the receiving syringe 4. This embodiment of the fluid flow channel is formed primarily from curvatures along the fluid conducting element 22, which in this embodiment is a connected and contiguous extension of the fluid channel 30 of the filling assembly 28. However, other fluid conducting elements may be adapted to this region of the device and are considered to be within the scope of the present invention. For example, tubes having a complete channel as well as elongated devices that form a channel together with the sides of the receiving syringe can serve as fluid conducting elements and can be of varying lengths and diameters to accommodate fluid flow into the receiving syringe 4. The fluid conducting element can also be connected or reversibly connectable to the fluid assembly 28. The fluid conducting element acts by facilitating the passage of biological fluid from the filling assembly fluid channel 30 through the receiving syringe 4 and toward the injection needle 26. In another example, the fluid conducting element 22 may consist of a simple barrier that traverses a substantive length of the receiving syringe 4 and separates it into two or more channels. A needle cap 20 covers the injection needle 26 to enhance safety when the sample collection apparatus is not in use. The needle cap 20 may be screwed into position or secured over the injection needle 26 by a friction fit with along a circumference of the receiving syringe 4. Needle cap protects injection needle 26 during loading of sample into the filling assembly 28 and receiving syringe 4 and is removed prior dispensing of sample from the receiving syringe. A pressure release structure 48 extends along the inside of receiving syringe 4 to facilitate the escape of air that would otherwise accumulate as biological fluid is guided along the fluid conducting element within the receiving syringe.
The sample collection apparatus can also be supplied with a microplunger 74 which is used in compressing biological fluid within the receiving syringe 4 when the fluid assembly 28 and fluid conducting element 22 is disengaged from the receiving syringed. The microplunger 74 can be provided in a kit with the sample collection apparatus, or as shown as releasably secured to the sample collection apparatus by means of an attachment clip 72. The microplunger 74 may be comprised of any solid material that is strong enough to withstand the pressures associated with pushing compressed air and viscous biological fluids, such as blood, through the receiving syringe 4 and injection needle 26. The length of the microplunger 74 should be at least long enough that it can be engaged by a rod or other device inserted into the inside barrel of the receiving syringe, but may be shorter than the length of the syringe barrel as shown, or longer than the syringe barrel as desired. The diameter of the plunger tip 78 of the microplunger 74 should be wide enough that a fluid seal can be created between the plunger tip 78 and the inside of receiving syringe 4 and sufficient that the plunger tip 78 can be slid down the syringe body to eject sample through injection needle 26.
The pressure release structure 48 separates the filling assembly 28 from the receiving syringe at a location along the point of engagement to facilitate the escape of air that would otherwise pressurize within the receiving syringe as the microplunger is depressed. In the depicted embodiment, the pressure release structure 48 is comprised of a thin wire that encircles the circumference of the top of the receiving syringe 4 and extends along the inside of the receiving syringe and terminates at a location above the injection needle. The pressure release structure 48 should terminate at a high sufficiently above the injection needle such that a microplunger can clear the end of the injection needle without substantially interacting with the sample fluid that has collected at the bottom of the receiving syringe. In one example, the pressure release structure 48 terminate between 1 mm and 10 mm above the sample fluid level at the bottom of the syringe, or above the level of the maximum sample volume that the syringe is designed to hold. Other pressure release structures that can be used to generate a small gap between the engaged filling assembly 28 and receiving syringe 4 are also contemplated to be within the scope of the present invention.
The presently described syringe filter was used to collect diluted plasma from a whole blood sample. Two aliquots of blood were collected from three separate donors. The first aliquot was processed using the sample collection apparatus as follows. To collect the sample using the blood collection device, whole blood was collected from the donor via a finger prick to the ring-finger of the non-dominant hand. The tip of a blood collection device or pipette used to collect the blood and the collection device was placed into the entry port of the sample collection apparatus. The whole blood sample was then dispensed into the sample collection apparatus and the whole blood was allowed to incubate within the sample collection apparatus for a couple of minutes. A diluent syringe was then engaged with the entry port of the sample collection apparatus. The diluent syringe contains the buffer used to elute the plasma/serum from the sample collection apparatus, while it leaves the hematocrit within the sample collection apparatus. The plunger on the diluent syringe was depressed until the entirety of the buffer was dispensed into the sample collection apparatus. The resulting filtrate collected from the other side of the filter is clear and slightly pinkish in colour and devoid of any visible hematocrit. The resulting filtrate and the second collected aliquot of whole blood were then centrifuged at 1300×g for 10 mins to pellet the hematocrit. The centrifuged samples were then compared to evaluate the level of hematocrit depletion achieved by the sample preparation protocol using the sample collection apparatus. The results are shown in Table 1. In all three cases, substantial hematocrit remains in the samples that did not undergo sample preparation protocol using the sample collection apparatus.
A total hematocrit in each sample was determined by measuring the volume percentage (vol %) of red blood cells (RBC) in blood. The total height is the total height of the column of filtered sample or centrifuged sample; both samples had the same volume and therefore have the same height within the sample tube. The height of the red blood cells (RBCs) is the height of the column of the hematocrit within the total height of the column. For example, if the total height of the column is 8 mm and the RBC height is 4 mm, then there is approximately 50% hematocrit within the sample. If the total height of the column is 8 mm and the RBC height is 0 mm, then there is no visible hematocrit within the sample. As shown in Table 1, whole blood filtered with the presently described device is substantially free of blood cellular material.
A comparison of total IgE levels in plasma samples was compared between plasma collected from blood using the presently described device and protocol and plasma samples collected by centrifugation. Two blood Donors were sampled, Donors 2 and 7. Blood collected using a finger prick collection (between 20-200 μl is typical), samples (2F, 7F), was processed using the presently described device by using a pipette to collect the blood and placing the collected blood into the entry port and fluid channel of the sample collection apparatus. The whole blood was allowed to incubate inside the fluid channel of the sample collection apparatus for two minutes. A diluent 1X phosphate buffered saline (PBS) buffer syringe was then engaged with the entry port of the sample collection apparatus during which the operator and diluent was ejected into the sample collection apparatus to elute the plasma/serum from the sample collection apparatus, while leaving the majority of the hematocrit within the sample collection apparatus. The entirety of the buffer in the diluent syringe was depressed until the contents of the diluent syringe was dispensed into the sample collection apparatus, which resulted in a predetermined volume of filtrate to be dispensed into the receiving syringe. The resulting filtrate was clear and slightly pinkish in colour. Blood was also collected in a venous blood draw, samples (2S, 7S). Venous-collected blood was centrifuged at 2.5 Xg for 10 minutes to provide clear plasma, which was then diluted with 1×PBS to produce a titration curve (1:4, 1:5, 1:6, 2:3). Diluted plasma samples were applied to the assay platform, read on a laboratory reader and then analyzed using the research software. Total IgE levels for Donor 2 (199 kU/L) and Donor 7 (32 kU/L) were identified by a reference laboratory.
All publications, patents and patent applications mentioned in this specification are indicative of the level of skill of those skilled in the art to which this invention pertains and are herein incorporated by reference. The invention being thus described, it will be obvious that the same may be varied in many ways. Such variations are not to be regarded as a departure from the scope of the invention, and all such modifications as would be obvious to one skilled in the art are intended to be included within the scope of the following claims.
This application claims priority to United States provisional patent application U.S. 63/105,415 filed 26 Oct. 2020, and is a PCT National Entry of PCT/CA2021/051498 filed on 25 Oct. 2021, both of which are hereby incorporated by reference herein in their entirety.
Filing Document | Filing Date | Country | Kind |
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PCT/CA2021/051498 | 10/25/2021 | WO |