Systems and Methods of Sample Processing and Fluid Control in a Fluidic System

Information

  • Patent Application
  • 20070224084
  • Publication Number
    20070224084
  • Date Filed
    October 30, 2006
    18 years ago
  • Date Published
    September 27, 2007
    17 years ago
Abstract
This invention is in the field of medical devices. Specifically, the present invention provides portable medical devices that allow real-time detection of analytes from a biological fluid. The methods and devices are particularly useful for providing point-of-care testing for a variety of medical applications.
Description

BRIEF DESCRIPTION OF THE DRAWINGS

The novel features of the invention are set forth with particularity in the appended claims. A better understanding of the features and advantages of the present invention will be obtained by reference to the following detailed description that sets forth illustrative embodiments, in which the principles of the invention are utilized, and the accompanying drawings of which:



FIG. 1 is one embodiment showing multiple components of the present system.



FIG. 2 shows different layers of an exemplary fluidic device prior to assembly.



FIG. 3 and 4 illustrate the fluidic network within an exemplary fluidic device.



FIG. 4A illustrates an exemplary sample collection unit of the present invention.



FIG. 4B illustrates an exemplary sample collection well in fluidic communication with a metering channel, and a metering element.



FIG. 4C shows an exemplary fluidic network between a metering channel, a mixing chamber and a filter.



FIG. 5 shows a top, side, and bottom view of exemplary reagent chambers of the present invention.



FIG. 6 illustrates an exemplary side view of a reagent chamber in fluidic communication with a fluidic device.



FIG. 7 illustrates exemplary reagent chambers being filled with reagents.



FIGS. 8 and 9 illustrate a side view of an exemplary fluidic device is combination with actuating elements of the reader assembly.



FIG. 9A illustrates an exemplary fluidic device including pump valves and vent modules



FIGS. 9B-9I illustrates exemplary actuatable valve assemblies of the present invention.



FIG. 10 compares a two-step assay with a competitive binding assay.



FIG. 11 shows an exemplary two-step chemiluminescence enzyme immunoassay.



FIG. 12 shows the increased sensitivity of the two-step chemiluminescence enzyme immunoassay.



FIG. 13 shows the ability of TOSCA to assay less than ideal samples and maintain desired sensitivity.



FIGS. 14A-C illustrate exemplary fluidic channels between reaction sites.



FIGS. 15A and 15B illustrate reactions sites to reduce the signal from unbound conjugates remaining in reaction sites.



FIG. 16A shows an exemplary bubble trapper or remover to prevent bubbles from entering the reaction sites.



FIG. 16B illustrates exemplary fluidic communication between a duckbill valve and a waste chamber.



FIGS. 16C-16E show an exemplary duckbill valve



FIG. 16F illustrates reaction sites that are adapted for smooth flow of the reagents and for minimal boundary layer effects.



FIG. 16G shows a perspective view of various layers of an exemplary fluidic device of the present invention.



FIG. 17 shows the sensitivity enhancement achieved using TOSCA as compared with competitive binding.



FIG. 18 shows two analytes, prostacyclin metabolite and thromboxane metabolite, which have been identified and quantified and their concentrations are different by more than 3 orders of magnitude.



FIG. 19 shows an exemplary flow chart of a business method of monitoring a clinical trial of a therapeutic agent.



FIG. 20 shows simultaneous sharing of the information detected with a fluidic device with various interested parties.



FIG. 21 shows a typical assay dose-response data for a two-step assay for T×B2.



FIG. 22 shows dose responses computed with and without errors in calibration parameters.



FIG. 23 shows computed concentration errors produced by 1% mis-estimation of A and D calibration values.



FIG. 24 illustrates calibration using a “differential” approach.



FIG. 25 shows the verification of calibration using the “1-point spike” method (log scale).



FIG. 26 shows the verification of calibration using the “1-point spike” method (linear scale).



FIG. 27 shows dose-response of assays calibrated against a plasma sample with a very low T×B2 concentration.



FIG. 28 shows use of spike recovery to eliminate calibration errors of the “C” parameter.



FIG. 29 illustrates calculating differences in concentration between two samples.



FIG. 30 illustrates an assay of plasma samples.



FIG. 31 shows the time course of assay signal generation.



FIG. 32 shows the impact of change in calibration parameter “A” on assay calibration.



FIG. 33 shows how a reference therapeutic index would be computed.



FIG. 34 illustrates computing the therapeutic index.



FIG. 35 shows multiple regression analysis of the computed therapeutic index.



FIG. 36 is an illustration of the relationship between measured drug, analyte and biomarker concentration and therapeutic index.



FIG. 37 is an illustration of the application of this invention to minimize adverse drug reactions.



FIG. 38 shows exemplary patient input values.



FIG. 39 shows use of a therapeutic index to follow treatment progression in an autism patient.


Claims
  • 1. A fluidic device for detecting the presence or absence of an analyte in a bodily fluid from a subject, comprising a cartridge, said cartridge comprising a sample collection unit and an assay assembly, wherein: (a) said sample collection unit is configured to: (i) collect a sample of bodily fluid from said subject, and(ii) deliver a predetermined portion of said sample to said assay assembly; and(b) said assay assembly comprises at least one reaction site containing a reactant that reacts with said analyte to yield a detectable signal indicative of the presence of said analyte.
  • 2. The fluidic device of claim 1, wherein said sample collection unit comprises: a sample collection well in fluid communication with a metering channel, configured so that a collected sample flows from said sample collection well into said metering channel; anda metering element, wherein said metering element is adapted to close the fluid communication of said sample collection well to said metering channel, thereby isolating a specific volume of said sample in said metering channel.
  • 3. The fluidic device of claim 2, wherein said metering element comprises a pin configured to be movable from an open position to a closed position.
  • 4. The fluidic device of claim 3, wherein said pin in said closed position blocks the metering channel.
  • 5. The fluidic device of claim 3, wherein said pin is moved from said open position to said closed position by an actuator in a device in which the cartridge can be inserted.
  • 6. The fluidic device of claim 2, wherein said sample collection unit further comprises: a dilution chamber in fluidic communication with said metering channel, wherein said dilution chamber is configured to store a diluent and comprises a port for engaging pressure means for transferring said diluent from the dilution chamber into the metering channel.
  • 7. The fluidic device of claim 6, wherein said sample collection unit further comprises a mixing chamber in fluidic communication with said metering channel, said mixing chamber is configured to mix said predetermined portion of the sample with said diluent to yield a diluted sample.
  • 8. The fluidic device of claim 7, wherein the mixing chamber comprises a movable mixing element that causes the mixing of said predetermined portion of the sample with the diluent.
  • 9. The fluidic device of claim 7, wherein the sample collection unit further comprising a filter configured to filter the diluted sample before it is assayed.
  • 10. The fluidic device of claim 8, wherein the movable mixing element is magnetically controlled.
  • 11. The fluidic device of claim 1, wherein said predetermined portion of said sample is less than about 50 ul.
  • 12. The fluidic device of claim 11, wherein said predetermined portion of said sample is less than about 20 ul.
  • 13. The fluidic device of claim 12, wherein said predetermined portion of said sample is about 10 ul.
  • 14. The fluidic device of claim 1, wherein said assay assembly is adapted to ran an immunoassay.
  • 15. The fluidic device of claim 14, wherein said assay assembly comprises at least one reagent chamber in fluidic communication with said at least one reaction site, wherein said reagent chamber is configured to store an assay reagent.
  • 16. A fluidic device for detecting an analyte in a bodily fluid from a subject, comprising: a cartridge, said cartridge comprising a sample collection unit, wherein said sample collection unit is configured to collect a sample of bodily fluid from said subject; andan assay assembly, wherein said assay assembly comprises:at least one reaction site in fluidic communication with said sample collection unit, said reaction site containing a reactant that reacts with said analyte to yield a signal indicative of the presence of said analyte;at least one reagent chamber in fluidic communication with said at least one reaction site, wherein said reagent chamber is configured to store an assay reagent;a fluidic channel connecting the reagent chamber with the reaction site; andan actuatable valve assembly configured to control the flow of reagent through said fluidic channel, wherein the valve assembly comprises a sealing element and actuator element, wherein: said channel comprises first and second locations, wherein the sealing element positioned in the first location obstructs the flow of fluid through the channel and the sealing element positioned in the second location allows the flow of fluid through the channel; and wherein the actuator element is adapted to move the sealing element from the first location to the second location.
  • 17. The fluidic device of claim 16 wherein the actuator element is not adapted to move the sealing element from the second location to the first location.
  • 18. The fluidic device of claim 15, wherein the actuator element is adapted to be actuated by an actuator in a device in which the cartridge can be inserted.
  • 19. The fluidic device of claim 18, wherein the actuator element is adapted to be mechanically actuated by said actuator.
  • 20. The fluidic device of claim 15, wherein said second location has a larger cross section than said first location.
  • 21. The fluidic device of claim 15, wherein said sealing element is substantially sphere shaped and said actuator element is substantially pin-shaped.
  • 22. The fluidic device of claim 15, wherein said actuator element comprises a sealing member such that when said actuator element moves said sealing element the sealing member forms a substantially air tight seal such that said fluid can only flow through said channel.
  • 23. The fluidic device of claim 22 wherein said actuator element is substantially pin shaped and said sealing member is an O-ring adapted to be placed around said actuator element.
  • 24. The fluidic device of claim 16, wherein said assay assembly is adapted to run an immunoassay.
  • 25. The fluidic device of claim 16, wherein said sample of bodily fluid is less than 50 ul.
  • 26. The fluidic device of claim 25, wherein said sample of bodily fluid is less than 20 ul.
  • 27. The fluidic device of claim 26, wherein said sample of bodily fluid is about 10 ul.
  • 28. A system for detecting an analyte in a bodily fluid from a subject, comprising: a) the fluidic device of claim 1 or 16;b) a reader assembly comprising a detection assembly for detecting said signal; andc) a communication assembly for transmitting said signal to an external device.
  • 29. The system of claim 28, wherein said assay assembly is adapted to run an assay based on an assay protocol transmitted from said external device.
  • 30. The system of claim 29, wherein said assay protocol is transmitted wirelessly from said external device.
  • 31. The system of claim 29, wherein said fluidic device further comprises an identifier to provide the identity of said fluidic device that is adapted to trigger the transmission of said assay protocol.
  • 32. The system of claim 31 wherein said assay protocol varies depending on the identify of said fluidic device that is recognizable by an identifier detector.
  • 33. The system of claim 28, wherein said predetermined portion of said sample is less than 50 ul.
  • 34. The system of claim 33, wherein said predetermined portion of said sample is less than 20 ul.
  • 35. The system of claim 34, wherein said predetermined portion of said sample is about 10 ul.
  • 36. The system of claim 27, wherein said assay assembly is adapted to run an immunoassay.
  • 37. The system of claim 27, wherein said system is adapted to monitor more than one pharmacological parameter useful for assessing efficacy and/or toxicity of a therapeutic agent.
  • 38. The system of claim 27, wherein said system is adapted to automatically monitor patient compliance with a medical treatment involving a therapeutic agent.
  • 39. The system of claim 28, wherein the assay assembly comprises a waste chamber, said waste chamber comprising an optical quenching agent that reduces interfering signals generated from unbound reactants.
  • 40. A method of detecting an analyte in a bodily fluid from a subject, comprising: a) providing a fluidic device comprising a cartridge, said cartridge comprising a sample collection unit and an assay assembly, wherein said sample collection unit is configured to collect a sample of bodily fluid from said subject, and wherein said assay assembly comprises at least one reaction site containing a reactant adapted to reacts with said analyte;b) metering a predetermined portion of said sample to be assayed in said sample collection unit;c) allowing said predetermined portion of sample to react with assay reagents contained within said assay assembly to yield a signal indicative of the presence of said analyte in said sample; andd) detecting said signal generated from said analyte collected in said sample of bodily fluid.
  • 41. The method of claim 40, further comprising mixing said predetermined portion of said sample with a diluent in said fluidic device after the metering step.
  • 42. The method of claim 41, wherein said mixing comprises diluting said predetermined portion of said sample with said diluent to yield a diluted sample.
  • 43. The method of claim 42, further comprising filtering said diluted sample before allowing said predetermined portion of sample to react with assay reagents.
  • 44. The method of claim 42, wherein said assay assembly comprises at least one reagent chamber and an actuatable valve assembly configured to control flow of the reagents out of said reagent chamber and into said at least one reaction site.
  • 45. The method of claim 44, further comprising actuating said actuatable valve assembly to permit said reagent to flow from said reagent chamber to said reaction site.
  • 46. The method of claim 45, wherein said actuatable valve assembly comprises an actuator pin and a sealing ball, and said actuating comprising actuating said actuator pin to displace said sealing ball.
  • 47. The method of claim 40, further comprising the step of quantifying the amount of said analyte present in said bodily fluid after said detecting step.
  • 48. The method of claim 47, further comprising the step of comparing the amount of said analyte present in said biologic fluid to a predetermined amount of said analyte.
  • 49. The method of claim 40, wherein said fluidic device communicates data relating to said signal via a wireless transmitter to an external device.
  • 50. The method of claim 40, wherein the analyte detected is indicative of at least one pharmacological parameter.
  • 51. The method of claim 50, further comprising cross-referencing medical records of said subject with the at least one pharmacological parameter to assistant a clinician in providing an individualized medical treatment.
Continuation in Parts (6)
Number Date Country
Parent 11389410 Mar 2006 US
Child 11554509 US
Parent 11388415 Mar 2006 US
Child 11389410 US
Parent 11388824 Mar 2006 US
Child 11388415 US
Parent 11388723 Mar 2006 US
Child 11388824 US
Parent 11389409 Mar 2006 US
Child 11388723 US
Parent 11388823 Mar 2006 US
Child 11389409 US