The present application claims priority from Australian provisional patent application no. 2013901449 filed on Apr. 26, 2013, the contents of which are incorporated herein by reference in their entirety.
The present disclosure relates to test devices such as immunoassays.
Devices for testing biological samples routinely, employ a lateral flow medium that allows transfer of a sample through the device as part of the testing process.
For example, immunoassays are commonly used to test for the presence or absence of an antigen in a biological sample. The sample, such as urine, blood or mucus, is supplied to a sampling portion of a lateral, flow medium and flows by capillary action through a label-holding substance which contains a soluble and labelled antibody specific to a particular antigen. If that particular antigen is present in the sample, an antigen-antibody (labelled) complex is formed which then continues to permeate by capillary action through the device to a test site where the complex is captured by a second antibody attached to the test site. This results in an increase in the density of captured antigen-antibody (labelled) complexes at the test site which can result in a visible mark (usually a line) on the test site being formed to indicate the presence of the antigen in the sample.
It can be desirable to increase the fluidity of the biological sample to improve flow of the sample through a test device. Increasing fluidity may be particularly important where the sample is relatively viscous. To increase fluidity, a liquid such as a buffer solution, may be combined with the sample.
The liquid may be introduced from an external source by placing the liquid onto the test device, e.g. using a dropper such as a pipette, etc. The liquid may be combined with the sample prior to, or after, placement on the test device. As an alternative to dropping the liquid, onto the test device, a liquid reservoir can be included with the test device that is releasable to allow liquid contained in the reservoir to combine with the sample.
Any discussion of documents, acts, materials, devices, articles or the like which has been included in the present specification is not to be taken as an admission that any or all of these matters form part of the prior art base or were common general knowledge in the field relevant to the present disclosure as it existed before the priority date of each claim of this application.
According to one aspect, the present disclosure provides a test device including a sampling portion, the sampling portion including absorbent material forming a sample flow path having a series of bends.
The sampling portion may have a sample receiving surface adapted to receive a sample, deposited thereon. The arrangement may be such that sample can be placed anywhere on the sampling portion including directly on bends of the flow path. The receiving surface may be formed by the absorbent material such that sample deposited thereon can be drawn into the sample flow path.
The test device may comprise a liquid transfer portion that is connected or is configured to be connected to the sampling portion such that liquid is transferable from the liquid transfer portion to the flow path.
Liquid may travel through the liquid transfer portion, by capillary action, and the liquid, and a liquid and sample combination, may travel through the sample flow path by capillary action. The liquid transfer portion and the sampling portion may be formed from a unitary lateral flow medium or may be provided by separate lateral flow mediums that are connected or configured to be connected together. The liquid transfer portion and the sampling portion may be connected together prior to receipt of the sample or connected together only after receipt of the sample, e.g. as part of a sample processing step. In one embodiment, connecting together of the liquid transfer portion and the sampling portion, may cause liquid to be released from the reservoir.
The lateral flow medium may comprise nitrocellulose, glass fibre, paper, or other suitable wicking material that enables transfer of the liquid and sample therethrough.
The device may be configured such, that liquid transferred to the sample flow path combines with the received sample. The series of bends may ensure that liquid that, is transferred to the sampling portion is forced to follow a route through the sampling portion that will necessarily navigate past or through, substantially any position on the sampling portion at which the sample is received. The flow path may be considered to take a substantially circuitous, winding and/or meandering route though the sampling portion. The flow path may traverse substantially backwards and forwards and/or side to side across the sampling portion. The flow path may include at least two bends, at least three bends or four or more bends.
The width of the flow path at any point along the flow path may be substantially narrower than the width of the area over which the path taken by the fluid flow path extends, e.g. narrower than the width of the sampling portion. For example, the flow path may have a maximum width that is less than, half or less than one third of less than, one quarter of the maximum width of the area over which the flow path extends. Thus, while the flow path may be relatively narrow at any point, the area over which the flow path extends, i.e. the area covered by the flow path, may be relatively large. By providing a relatively narrow, bent flow path, rather than a flow path that has a width extending across the entire sampling portion, liquid may be prevented from travelling through the flow path in such a way that it does not combine with the sample. In essence, the possibility for liquid to find a route through the flow path that circumvents or bypasses the deposited sample can be reduced or eliminated.
Liquid may be combined with the sample for the purpose of increasing its fluidity. This may allow the sample to be subjected to further processing though the test device more easily. For example, it may enable, or at least improve, transfer of the sample through the sample flow path and other portions of the device.
Nonetheless, liquid may be combined with the sample for additional, or alternative reasons. For example, it may be desired to chemically treat the sample and as such, the liquid may have a particular chemical composition that induces a chemical reaction and/modifies physical properties of the sample, other than fluidity, when combined with the sample.
The test device may comprise a liquid reservoir connected to the liquid transfer portion. Once a sample has been received by the sampling portion, the liquid may be released from the reservoir and may transfer automatically to the sampling portion. Alternatively, liquid may be delivered to the liquid transfer portion by other means. For example, a dropper such as a pipette may be used to deposit liquid on the liquid transfer portion, or the liquid transfer portion may be dipped in a receptacle containing the liquid.
The liquid reservoir may be a sealed reservoir containing the liquid and which is breakable and/or has a removable portion so that the liquid can be released. For example, the reservoir may take the form of a capsule, bubble or blister containing the liquid, or container having at least one thin wall, which is capable of breaking or bursting to release the liquid. The reservoir may have a weakened part to facilitate easier breaking or bursting of the reservoir, and this may be at a predetermined position so that released liquid is distributed to an appropriate part of the device. An element may be provided in the device that is actuatable to break, or burst the reservoir, which element may comprise a sharp point, for example.
The test device may comprise a test portion that is connected to or configured to be connected to the sampling portion. The test device may be configured such that liquid that combines with the sample in the sampling portion is transferred to the test portion, e.g. by capillary action. The test portion may be configured to test for the presence or absence of a biological entity in the sample using immunochromatography or other techniques. The sampling portion may be connected directly to the test portion or connected to the test portion via another liquid transfer portion. The liquid transfer portion(s), the sample flow path and the test portion may be provided by a unitary lateral flow medium or may be provided by separate lateral flow mediums that are connected or configured to be connected together. The separate lateral flow mediums may be connected together prior to receipt of the sample or connected together only after receipt of the sample, e.g. as part of a sample processing step.
The series of bends of the sample flow path may include a plurality of bends of at least 90 degrees. In one embodiment, the series of bends may include a plurality of bends of approximately 180 degrees, in one embodiment, the series of bends may include a plurality of bends of approximately 90 degrees and a plurality of bends of approximately 180 degrees. The bends may be configured in some embodiments such that the flow path effectively doubles back on itself. Therefore different, portions of the flow path may travel in substantially opposite directions.
The sampling portion may be flat and the series of bends of the flow path may lie in a single plane only. The direction of the flow path as it travels through, the sampling portion may therefore change in two dimensions only. However, in alternative embodiments the sampling portion may have a more three dimensional shape and the direction of the flow path may change in three dimensions.
The flow path may have a substantially sinusoidal shape or a substantially square or rectangular wave shape. The series of bends may include one or more bends that are curved and/or one or more bends that are sharp or angled bends. In some embodiments, curved bends may be preferable to prevent the formation of corner areas of the flow path where the liquid may pool and/or be less likely to pass through. By providing curved bends, the flow path may maintain the same width along its entire length, improving the predictability of liquid flow.
The flow path may comprise a plurality of substantially straight sections connected to each other via one or more bend sections. A plurality of the substantially straight sections may be substantially parallel, to each other and adjacent/substantially straight sections may be separated from each other by a gap. The gap may be from about 0.5 mm to 5 mm, e.g. from 1 mm to 3 mm. In one embodiment, the gap may be about 2 mm.
Selecting the appropriate size of gaps between adjacent sections of the sample flow path may be a balance between (i) having small gaps so that the flow path provides a relatively complete region of the sampling portion, e.g. so that sample is more likely to be absorbed into the flow path rather than falling through or sitting across gaps in the flow path; and (ii) having large gaps that prevent liquid jumping between adjacent sections of the flow path in such a manner that the liquid could bypass a location at which the sample has been received. Within these confines, the appropriate size of the gaps may vary depending on the viscosity of the sample to be tested and the properties of the medium forming the flow path.
The flow path may be defined by opposing outer edges of material. In the same plane or planes as the series of bends of the flow path, gaps between adjacent sections of the flow path may be absent of any material. However, alternatively, the gaps between adjacent sections of the sample flow path may be partially or entirely filled with material. For example, the flow path may be defined by a first material surrounded by a second material, the second material being less absorbent than the first material. The second material may provide a liquid repellent barrier that surrounds the first material. As an example, a wax printing technique may be employed to form the flow path in which hot wax is applied to a surface of absorbent material and penetrates to define hydrophobic barriers that define the flow path.
The flow path of the sampling portion, including the series of bends may be provided over an area having a size that provides a suitable target region for deposition of the particular type of a sample under test. In some embodiments, the area may be greater than 10 cm2 and in other embodiments the area may be less than 10 cm2 e.g., less than 8 cm2, less than 6 cm2 or otherwise. Similarly, the maximum dimension of the area over which the sampling portion is provided, including the series of bends, may be greater than 5 cm in some embodiments, while in other embodiments the maximum dimension may be less than 5 cm. e.g., less than 4 cm or less than 3 cm, for example.
The sampling portion may be adjustably conformable to a part of a human or animal body for receiving a biological sample directly from the body. In this regard, the test device may be configured substantially in accordance with a test device as disclosed in PCT publication no. WO 2011/091473 A1, the content of which is incorporated herein by reference. The sampling portion may comprise flexible material that is sufficiently supple to bend or fold freely or repeatedly in order to conform to a variety of different shapes of body parts to receive a biological sample. The flexible material may be bent or folded repeatedly without being substantially damaged, cosmetically and/or and functionally. In one embodiment, the device may take, generally, a butterfly configuration. The device may include two flexible wings at least partially forming the sampling portion, and a central housing (spine) located between the two wings. The wings may be relatively pivotable or flexible about the housing.
The device, may detect the presence or absence of one or more specific biological entities, such as antigens. The antigens may be found in common respiratory viruses including but not limited to Influenza A (including the H1N1 virus subtype), Influenza B, Respiratory Synctial Virus, parainfluenza viruses, adenoviruses, rhinoviruses, coronaviruses, coxsackie viruses, HIV viruses and/or enteroviruses. The device may also detect specific biological antigens found in bacteria, fungi, protozoa, Helminths, Mycoplasma and prions. The device may also be capable of detecting specific proteins produced by the human or animal body; including but not limited to immunoglobulin, hormone molecules, inflammatory or malignant proteins. The test portion of the device may comprise a plurality of different test zones so that the presence or absence of different biological entities such as antigens can be tested simultaneously.
The test device may comprise a cover layer and/or a backing layer. The cover layer may be attached to, and extend over, one side of the sampling portion. A hole or absorbent portion of the cover layer may be provided over the sampling portion to allow transfer of the sample through the cover layer to the flow path. The flow path including its series of bends, may thus be provided underneath a target region in the cover layer at which, sample is to be received. Where the cover layer is at least partially absorbent, the cover layer may be considered a dressing layer. The backing layer may provide a hydrophobic or liquid repellent surface on an opposite side of the sampling portion. The backing layer may ensure that the sample, received by the sampling portion does not leak from the sampling portion, e.g., onto a hand or other surface, and is instead directed through the flow path of the sampling portion.
A housing may be provided in the device and arranged to at least partially enclose and/or protect one or more components of the device. For example, the housing may enclose at least partially the test portion of the device, the liquid reservoir and/or other elements discussed herein. The housing may be substantially rigid and may prevent or reduce the likelihood of damage to the test portion, liquid reservoir and/or other elements enclosed at least partially enclosed therein. When the housing at least partially encloses the test portion, the housing may include one or more openings or transparent portions to permit observation of indicia showing the results of testing.
In one embodiment, the device may comprise one or more lateral flow test strips, in the form of relatively rigid elongate layered strips of the type commonly used for pregnancy testing, etc. The lateral flow test strips may comprise the test portion. The sampling portion may be integrated into the test strip or may be provided separately from the test strip and connected to the test strip by a liquid transfer portion.
The test portion of the device may be provided with antigens or antibodies to allow testing for the presence of one or more biological, entities using existing principles of lateral flow immunochromatography. One or more label-holding areas, e.g. coloured label-holding areas containing specific antibodies bound to light visible molecules, may be provided in the test portion. The label-holding areas may be located at the edge or adjacent the edge of the test portion at the boundary between the test portion and the sampling portion, for example. The sample received by the sampling portion may travel via capillary action through the sampling portion and into the test portion where it mixes with the label-holding areas and may form antigen-antibody (labelled) complexes. The test zones may comprise stripes (lines); crosses, squares or other shaped regions of the test portion that have been impregnated with, antibodies or antigens. Depending, upon the biological antigens present in the sample, and the antibodies or antigens at the label-holding areas and the test zones, the sample may become bound at one or more of the test zones, causing a colour change at the test zones. The change in colour may be observable by a user and indicative of the presence or absence of a specific biological entity in the sample, such as, but not limited to, influenza A or influenza B. In alternative embodiments, however, an electronic reader may be provided to analyse changes at the test portion and results of testing may be presented to the user through an electronic display, e.g. an LCD or LED display, etc.
Although the device may use principles of immunochromatography, it is conceived, however, that alternative means of testing could be incorporated into the device.
The device may provide a rapid diagnosis test device, permitting testing in less than one hour, less than 30 minutes, less than 10 minutes, less than 5 minutes, or less than 2 minutes, for example. The device may be disposable, configured for single-use only. The device may be provided in sterile packaging prior to use. The device may provide a means for entirely non-invasive testing for the presence or absence of one or more biological entities. The device may be used for testing in the veterinary field as well as in the field of human medicine. The device may provide a home use or point-of-care test device.
By way of example only, embodiments are now described with reference to the accompanying drawings, in which:
A portion of a test device according to a first embodiment of the present disclosure is now discussed with reference to
The sampling portion is adapted to receive a biological sample, such as mucus, blood or urine, that is deposited on a top surface of the sampling portion. The sample can be at least partially absorbed into the sampling portion. The first arm 111 is configured to deliver liquid such as buffer solution, as represented by arrow 113, to the sampling portion where it combines with the sample and causes dilution of the sample. The second arm 112 is configured to deliver the combined sample and liquid, as represented by arrow 114, to a test portion of the test device for further processing.
The first and second arms 111, 112 define substantially straight flow paths either side of the sampling portion. In alternative embodiments, the first and second arms may define curved or bent flow paths; however, they may still extend along a reasonably direct route to connect to the sample flow path. The sampling portion 11 provides a sample flow path that takes a meandering, circuitous route from one end of the sampling portion 11 to another. The sample flow path has a series of bends 11a so that the sample flow path effectively doubles back on itself. The sample flow path includes bends 11a of approximately 180 degrees, for example.
In this embodiment, the bends 11a of the sample flow path connect substantially parallel, substantially straight sections 11b of the sample flow path together, providing the sample flow path with a substantially square wave shape. By taking a meandering, circuitous route, between the first and second arms 111, 112, the sample flow path extends across a relatively wide area, an area that provides a target region for receipt of a sample, as identified by broken line 11c. The target region 11c is sufficiently large to allow relatively straightforward deposition of sample thereon.
While the flow path of the sampling portion 11 has a substantially square wave shape, in an alternative embodiment, as shown in
The flow path is not limited, however, to any particular meandering pattern or shape. Examples of flow paths of sampling portions 14-18 according to other embodiments of the present disclosure are represented in
In each of the sampling portions represented in
The appropriate size of gaps between adjacent sections of the sample flow path is selected in these embodiments as a balance between (i) having small gaps so that the flow path provides a relatively complete target region of the sampling portion, e.g. so that sample is more likely to be absorbed into the flow path rather than falling through or sitting across gaps in the flow path; and (ii) having large gaps that prevent liquid jumping between adjacent sections of the flow path in such a manner that the liquid could bypass a location at which the sample has been received. Within these confines, the appropriate size of the gaps is varied depending on the viscosity of the sample to be tested and the properties of the medium forming the flow path.
As shown in
As seen in
By providing a relatively narrow, bent, flow path, rather than a flow path that has a width extending across the entire sampling portion (e.g., where w1=w2), liquid may be prevented from travelling through the flow path, in such a way that it does not combine with sample that has been received by the sampling portion. The possibility for liquid to find a route through the flow path that circumvents or bypasses deposited sample can be reduced or eliminated. This is now discussed in more detail with reference to
As can be seen in
As can he seen in
An embodiment of a test device 200 according to the present disclosure is now discussed with reference to
The device 200 may be considered to take, generally, a butterfly shape, due to the inclusion in the device of two wings 201, 202, provided by two substantially flat and flexible sampling elements, and a spine 203, provided by an elongate central body, the wings 201, 202 extending from, and being relatively pivotable about, the spine 203. The wings 201, 202 are designed to have a sufficiently large surface area, and to be sufficiently pliable, to flex around a person's nose 204, permitting the person to deposit a nasal mucus sample in a region between the two wings 201, 202, using a nose blowing technique. A simplified drawing of the device 200, with the wings 201, 202 in an open configuration, showing how the device 200 may be brought into a position with a nose 204, is provided in
The first inner layer 209 includes a hole 219 which is slightly smaller than, and located directly over, the target sampling portion 218. The arrangement is such that, with the device 200 correctly located, with respect to the nose of a user, through appropriate use of the finger locators, when the user deposits a nasal sample between the wings 201, 202, the nasal sample may pass through the hole 219 and contact the sampling portion 218. Notably, even if the user were to deposit the sample on the second inner layer 210 of the wing 202 only, by virtue of closing the wings 201, 202 together, the sample may, nevertheless, contact, the sampling portion 218. To ensure that the sample may contact only the sampling portion 218 immediately after deposition, and not other elements of the device underneath the inner layers 209, 210, the inner layers 209, 210 may be formed of substantially fluid resistant material.
First and second lateral flow test strips 220, 221 are mounted on the backing layer 208 such as to be in fluid engagement with the pad 215. Once deposited on the target sampling portion 218 of sample pad 215, the device is configured such that the sample is transferrable by capillary action, from the target sampling portion 218 via a first arm 216a of the v-shaped portion 216, to a first end of each lateral flow test strip 220, 221 adjacent a head end 200a of the device 200. In this embodiment, the lateral flow test strips 220, 221 are conventional test strips, although other test strips or testing means applying the principles of immunochromatography or otherwise may be utilised in this or alternative embodiments. The first and second test strips 220, 221 may be considered to provide a test portion of the device 200.
Referring to
In addition to the test strip 220e, a control stripe 220f in the lest zone 220 can be provided to indicate that a testing procedure has been performed. The control stripe 220f can be located downstream of the test stripe 220e and is operable to bind and retain the labelling substance. Visible colouring of the control stripe 220f indicates the presence of the labelling substance resulting from the fluid sample flowing through test zone 220c. When the target analyte is not present in the sample, the test stripe 220e shows no visible colouring, but the accumulation of the label in control stripe 220f indicates that the sample has flown through test zone 220c. The sink (absorbent) zone 220d can then capture any excess sample. In this embodiment, the sample pad 215 is directly connected to the sample receiving zone 220a of each strip 220, 221, However, in other embodiments, the sample receiving zone 220a may be omitted, and the sample pad 218 may be configured to fluidly connect directly to the label-holding zone.
The test strips 220, 221 are arranged with their elongation directions configured substantially parallel to the fold lines 212, such that the strips can be enclosed by the elongate body of the spine 203 when the tacking layer 208 is folded along the fold lines 212. By enclosing the test strips 220, 221 in the spine 203, the strips, which can be relatively rigid and/or brittle in comparison to the pad 215, may be prevented from breaking. So that the user can see the control and capture lines 220e, 220f of the strips 220, 221 when the fold region 212 is enclosed by the spine 203, a window 222 is provided in the backing layer 208, and two windows 223, one for each test strip, are provided in the top plate 213. In this embodiment, the two test strips 220, 221 are configured to test for the presence of the influenza A and influenza B virus in the sample. However, in the present embodiment or other embodiments, testing for the presence of one of these viruses only, or testing of additional or alternative biological entities, is possible. The device 200 may be modified to include only one test strip, or to include more than two test strips.
The first and second test strips 220, 221 are located in a staggered arrangement, in particular, relative to the second test strip 221, the first test strip 220, which is located nearer to the pad 215 than the second test strip 221, is located inwardly from the edge of the backing layer 208 at the head end 200a of the device 200. The particular configuration is intended to ensure that the lengths of the fluid engagement, paths between the target portion 218 and the first and second test strips 220, 221 is substantially the same. Accordingly, during testing, sample can be expected to reach corresponding locations of the two strips 220, 221 at substantially the same time such that the results of testing indicated by the two test strips 220, 221 may be presented initially at substantially the same time. To bridge the additional gap between the first arm 216a and the first test strip 220, an inwardly extending projection 224 of the sample pad 215 is provided.
To assist in the transfer of the sample from the target portion 218 to the test strips 2201, 221, a liquid, e.g., a buffer solution is provided in the device 200. Initially, the liquid is sealed within a first reservoir. With reference to
In the bottom wall 226 of the main body 214, directly between the first and second reservoirs, an opening 230 is provided. The opening 230 is initially sealed by a pierceable film 231. The pierceable film 231 and opening 230 are designed such that, once the film 231 is pierced, liquid may travel from the first reservoir into the second reservoir. The tongue 217 of the pad 215 is configured to extend into the trough 228 of the second reservoir. Accordingly, when the liquid travels into the second reservoir, the liquid can be absorbed, over a period of time, by the tongue 217, whereupon the liquid will travel along the second arm 216b of the pad 215 to the target sampling portion 218 and combine with the deposited sample by travelling through the meandering flow path of the sampling portion 218. The combined sample and fluid will then travel along the first arm 216a of the pad 215 to the test strips 220, 221.
To pierce the film 231, an actuation mechanism is provided. The actuation element is intended to be operated after a sample has been deposited and the wings 201, 202 have been closed together. The actuation mechanism includes a slider 232, slidable along the elongation direction of the spine 203, and a piercing element 233, the piercing element projecting over the hole 230, adjacent the pierceable film 231. The slider 232 has a main body section 234, which is configured to partially surround the spine 203, and a flexible inner flange 235 extending from an inner surface of the main body section 234. The inner flange 235 has a projection 236 at its distal end, the projection 236 being biased by the flange 235 to press against the bottom wall 226 of the spine 203. The spine 203 may be considered to provide a track for controlled movement of the slider 232.
The operation of the actuation mechanism is now described in more detail with reference to
With reference to
With reference to
A test device 300 according to another embodiment of the present disclosure is now discussed with reference to
The test device 300 includes a lateral flow test strip 320 configured in a similar manner to the lateral flow test strip 220 described above with reference to
The test device 300 includes an electronic read apparatus 310. The read apparatus 310 includes a housing 311 with an opening 312 at one end though which the test strip 320, after receiving a sample, can be pushed into the housing 311 to a position at which it fluidly engages a reservoir 313 contained in the housing. Buffer solution contained in the reservoir 313 can travel along the meandering flow path of the sample receiving zone 320a, where the solution combines with deposited sample and then travels through subsequent zones 320b, 320c, 320d of the lateral flow test device, ultimately leading to a colour change at one or both of the test and control stripes 320e, 320f.
Read circuitry in the test device 300 includes LEDs 314 that illuminate the stripes 320e, 320f and photodetectors 315 that determine the amount of light reflected from the stripes 320e, 320f. A processor is configured to determine whether a biological entity is present, in the sample based on the amount of reflected light detected by the photodetectors 315 and configured to display the results of testing on an electronic screen 316.
It will be appreciated by persons skilled in the art that numerous variations and/or modifications may be made to the above described embodiments, without departing from the broad general scope of the present disclosure. The present embodiments are, therefore, to be considered in all respects as illustrative and not restrictive.
Number | Date | Country | Kind |
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2013901449 | Apr 2013 | AU | national |
Filing Document | Filing Date | Country | Kind |
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PCT/AU2014/000470 | 4/28/2014 | WO | 00 |