CA1296976C - Blood serum test strip - Google Patents
Blood serum test stripInfo
- Publication number
- CA1296976C CA1296976C CA000520622A CA520622A CA1296976C CA 1296976 C CA1296976 C CA 1296976C CA 000520622 A CA000520622 A CA 000520622A CA 520622 A CA520622 A CA 520622A CA 1296976 C CA1296976 C CA 1296976C
- Authority
- CA
- Canada
- Prior art keywords
- blood
- reactive
- semipermeable membrane
- surfactant
- components
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
Classifications
-
- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q1/00—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
- C12Q1/26—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving oxidoreductase
-
- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q1/00—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
- C12Q1/26—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving oxidoreductase
- C12Q1/28—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving oxidoreductase involving peroxidase
-
- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q1/00—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
- C12Q1/58—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving urea or urease
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/5002—Partitioning blood components
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/52—Use of compounds or compositions for colorimetric, spectrophotometric or fluorometric investigation, e.g. use of reagent paper and including single- and multilayer analytical elements
-
- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q2326/00—Chromogens for determinations of oxidoreductase enzymes
- C12Q2326/10—Benzidines
- C12Q2326/12—3,3',5,5'-Tetramethylbenzidine, i.e. TMB
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S435/00—Chemistry: molecular biology and microbiology
- Y10S435/805—Test papers
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T436/00—Chemistry: analytical and immunological testing
- Y10T436/25—Chemistry: analytical and immunological testing including sample preparation
- Y10T436/25375—Liberation or purification of sample or separation of material from a sample [e.g., filtering, centrifuging, etc.]
- Y10T436/255—Liberation or purification of sample or separation of material from a sample [e.g., filtering, centrifuging, etc.] including use of a solid sorbent, semipermeable membrane, or liquid extraction
Abstract
ABSTRACT OF THE DISCLOSURE
Single or multiple blood plasma component concentrations are measured by a disposable stick having one or more blood plasma component reactive areas covered by a semipermeable membrane which is permeable by blood plasma or serum components and impermeable by blood cellular and particulate matter. A
second overlay may be superposed with the semipermeable membrane over the reactive area to receive a blood sample and meter and distribute that sample uniformly to the semipermeable membrane which in turn passes the plasma components uniformly to the reactive areas. The overlays are subsequently separable from the reactive area to remove the cellular components and particulate matter exposing the reactive area to inspection as, for example, color comparison to standard charts.
Single or multiple blood plasma component concentrations are measured by a disposable stick having one or more blood plasma component reactive areas covered by a semipermeable membrane which is permeable by blood plasma or serum components and impermeable by blood cellular and particulate matter. A
second overlay may be superposed with the semipermeable membrane over the reactive area to receive a blood sample and meter and distribute that sample uniformly to the semipermeable membrane which in turn passes the plasma components uniformly to the reactive areas. The overlays are subsequently separable from the reactive area to remove the cellular components and particulate matter exposing the reactive area to inspection as, for example, color comparison to standard charts.
Description
7~.
BhOOr SER~JM TE'`T STRI~
S UMMARY OF THE I NVENT I ON
The present il~ventioll relates generally to diagnostic devices and technique~ an~!nore particularly to arrancJements for testing the blood of humans or other animals to determine the conce}ltratlon of selectecl plasma components.
Test strips or stic~s which are to be immersed in or subjected to a sample and which include an indicator which changes coior in response to the presence of a particular substance in the sample are old and well ~nown, including, for example, the familiar litmus or other indicator papers for determining the pH or hydro~en ion concentration of solutions as well as other somewhat more sophisticated test devices for detecting clinically significant substances in biological fluids such as glucose or protein in blood or urine samples.
A rather complete discussion of test strips as to both their chemistry and techniques of manufacture and use may be found in United States Patents 4,361,648 and ~,362,697, with both patented arrangements suggesting among others the use of 3,3',5,5'tetramethylbenzidine as an indicator material which exhibits a color change in response to an enzyme catalyzed reaction. '~hese commonly owned patented schemes are concerned with testing a wide variety of body fluids for cholesterol, glucose and other materials, and include the suggestion of pero~idase and peroxidase-like substances as catalysts in promoting the color change reaction on the indicator. Many of the techniques disclosed in these patents are limited to laboratory environments.
Test strips or sticks of the general type illustrated in the two aforementioned patents have been used under other than laboratory conditions. For example, United States Patent 3,092,465 co-invented by one of the co-inventors herein employs a double enzyme reaction for determining the concentration of glucose in blood. In this patented arrangement which i~ suitable for lndividual home use, a drop of blood is placed on a semipermeable membrane and after a specified time interval the surface of that membrane is wiped or washed to remove the , ~, .
~.?~ '3'~
cellular and particulate blood components that did not pass through the semipermeable membrane so that the reaction induced by the glucose which did pass through the membrane may be observed through the membrane. Tests employing this patented arrangement yield fairly accurate results, however, the degree of washing or wiping and thus the degree to which the colored blood stains are removed from the membrane, may have a significant effect on the color interpretation of the test results. Further, the blood serum or plasma contacts different portions of the enzyme treated reactive area at different times due to the mechanical distributing of the serum both through the semipermeable membrane and spreading laterally, thus producing color variations within the reactive area. Thus, in making the color comparison, one is not sure whether the central portion of the reactive area or the periphery should be compared to the standard color chart.
One of the co-inventors herein has recently developed an alcohol concentration test stick in which human saliva is the body fluid sampled. This test stick as disclosed in co-pending Canadian Patent Application Serial No. 512,955, filed Jul~ 2, 1986, and assigned to the assignee of the present invention, employs a double enzyme reaction and resulting concentration indicative color change. Some of the manufacturing hardware and techniques in this co-pending application find applicability herein.
Among the several objects of the present invention may be noted the provision of a blood serum test strip of enhanced reliability; the provision of a blood testing strip wherein the cellular and particulate blood components are initially blocked and subsequently stripped away allowing unimpeded visual inspection of a reactive area; the provision of a blood testing strip wherein a multiplicity of serum components may be simultaneously concentration tested; the provision of a unique semipermeable membrane arrangement for separating plasma components from whole blood for testing purposes; the provision of a disposable blood component level measuring arrangement with enhanced spreading and metering of the blood sample; anc overall .?'~ 7 improvements in blood component concelltratisll testiny techr;iq Also amon~ the severa] object-s of t~le pre!,ent in~ert O~l ma-~be noted the unique phy~ical properties of the removable membranes" enhanced accllracy alld reproducibili-ty, and capability of further processing.
Membranes described in patent 3,092,465 beGome a permanent part of the reactive pad. The thinness and/or permanence of these membranes do not facilitate removal of the membrane;
therefor, they must be washed or wiped.
Unlike the above-mentioned membranes, expanded polytetrafluoroethylene (PTFE) and the spun bonded polyester, but not necessarily limited to these materials, have the strength to allow them to be pulled away from the reactive pad while retaining the thinness necessary to allow efficient passage of analytes.
Attempting to meet the suggested thoroughness of removal of blood cells by washing or wiping, inaccurate and variable timing is introduced, which leads to inaccurate values as well as poor reproducibility.
The present invention of stripping away the membrane along with cellular and particulate components facilitates an accurate timing and thus leads to more accurate and reproducible values.
This capability of membrane removal allows further processing of the pad with reagents containing molecules which cannot penetrate a semipermeable membrane.
These as well as other objects and advantageous features of the present invention will be in part apparent and in part pointed out hereinafter.
In general a process of testing whole 'olood for certain plasma component concentrations includes the superimposition of a semipermeable membrane and a blood plasma component reactive area and the subsequent subjecting of the semipermeable membrane to a whole blood sample so that plasma components pass through the membrane and onto the reactive area while cellular and particulate components are blocked by the membrane. Thereafter, separation of the membrane from the reactive area allows measurement of the extent of a plasma component induced change ''?~ `3'~
in t'ne react:ive ~l`ea.
Also in (~eneral and irl one form of the inverltiorl, a hlc-o~i component level determil-atio2l sticl; has a supporting matri.-~, a reactive pad and a hydrophobic semipermeable membrane with hydrophilic pores formed of an expanded polytetrafluoroethylene material. This material is normally hydrophobic and its pores are made hydrophilic by treatment with a surfactant.
Again in general, a process according to the present invention includes the separating of analyte components from parti~ulate and~or celllllar components using a matrix of pli~ble hydrophobic interconnecting fibrils which are sufficiently thin to allow the passage of the analyte with the m.aterial having a pore size to keep particulate and/or cellular components from passing through when the material has been treated with a surfactant. The process includes the subsequent step of removing the matrix so that the particle free analyte can be processed or a reaction caused by it can be directly viewed.
Still further in general and in one form of the invention, a disposable blood component level measuring arrangement has a blood level component reactive area and an overlay which is permeable by the blood plasma or serum components and impermeable by blood cellular components. The overlay is superposed over the reactive area to receive the blood sample and subsequently separable therefrom to expose the reactive area for visual inspection. The overlay is formed of a hydrophobic material which has been treated with a surfactant to make its pores hydrophilic and a further overlay also surfactant treated may be employed to more uniformly distribute the blood sample to the reactive area.
BRIEF DESGRIPTION OF THE DRAWING
Fig. 1 is a simplified partially schematic view of apparatus for fabricating test strips in accordance with the present invention;
Fig. 2 is an exploded edge view of a test strip manufactured in accordance with the techniques of the present invention;
Fig. 3 is a plan view of partially completed test strips in accordance with the present invention;
Fig. 4 is a plan view of a completed test strip;
Fi~. 5 is a view in cross-section along lines 5-5 of Fig. 3;
Figs. 6a through 6e illustrate in exa~gerated form a portion of a test strip and migration of a blood sample therein;
Fig. ~ is a perspective view of the test strip of Fig. 4 during use; and Fig. 8 is a view similar to Fig. 7 but illustrating a multiple component test strip in use.
Corresponding reference characters indicate corresponding parts throughout the several views of the drawing.
The exemplifications set out herein illustrate a preferred embodiment of the invention in one form thereof and such exemplifications are not to be construed as limiting the scope of the disclosure or the scope of the invention in any manner.
DESCRIPTION OF THE PREFERRED EMB_DIMENT
Referring briefly to Figs. 2 and 7, the product which is the object of the manufacturing portion of the present invention has a carrier matrix 30 impregnated with a composition of matter thereby forming a reactive pad 31 for performing the desired testing function. Reactive pad 31 is bonded to a support strip 11 such as a polyester or other paper or plastic material which is inert as far as any reactions are concerned and functions simply as a means for manipulating the reactive pad 31. Strip 11 may, for example, be on the order of 3 inches (7.62 cm.) in length and 3/16ths of an inch (0.47625 cm.) in width and of any convenient thickness such as five to ten thousandths of an inch (0.0127 to 0.0254 cm.). The carrier matrix forming the reactive pad may be of any of a wide variety of materials as, for example, suggested in the aforementioned United States patent 4,362,697.
Simple chemical filter paper has been successfully used. The reactive pad 31 is covered by a semipermeable membrane 13 and by a further overlay 21 with the overlay 21 and semipermeable memb,rane 13 being stripped off or torn away during use of the test stick.
The reactive pad 31 and strip 11 are fabricated somewhat in accordance with the aforementioned Canadian Application Serial Number 512,955 as depicted in the lower portion of Fig.
1. A roll source of filter paper 30 is illustrated at 15 and ,A 5 ~.~.'?~;97f~;
will ultimately be the source of the sou.rce of the reactive pads 31. A two stage dippiny process at 17 and 19 is employed to appropriately impregnate the carrier matrix or filter paper.
However, this impregnation may in some cases be accomplished by a single dipping step. The strip of filter paper is passed through the bath or dip 17 to impregnate the filter paper with certain of the compoIlents of the present inventive composition of matter and, subsequent to that dipping, the filter paper strip is dried at 23 by a stream of hot air. For example, the strip may pass over a series of driven and idle rollers such as 25 and 27 so as to execute a lengthy circuitous path through a comparatively tall oven through which hot air is passed as indicated by the arrows 33 and 35. Thereafter, the strip passes around further rollers such as 34 and 37 and through a second dip process 19 to absorb additional composition of matter components. The strip is then subjected to a second tunnel drying operation 43, similar to 23 at the output of which the strip now carries in a dry state all of the components required of the reactive pad. This dried pad is now adhered to the support strip by a pair of pinch rollers 49 and 51. For example, the support material may come from roll 45 and receive an adhesive coating at 47 preparatory to being squeezed with the reactive pad by the pinch rollers. Mounting of the reactive pad on the polyester backing or strip may also be accomplished employing a transfer tape and generally speaking other than the constituents of the dips 1~ and 19, the process as thus far discussed in conjunction with Fig. 1 parallels that disclosed in the aforementioned co-pending application Serial Number 703,335.
The first overlay 13 of Figs. 2, 6 and 7 is a semipermeable membrane to be superposed over the blood plasma component reactive area 31. This semipermeable membrane may, for example, be of a naturally hydrophobic material treated to make the pores hydrophilic by a surfactant. An expanded polytetrafluoroethylene material such as Gore-Tex*, available from W. L. Gore and Associates of Elkton, Maryland and having pore sizes ranging from 0.2 to 15 microns has been found suitable. A reel supply of th s semipermeable membrane material 39 is in Fig. 1 fed through A* trade mark `3 7~
a di~ of a sur~actallt ~r s~ap~ e material which ~unctions ~enerally as a wett:ing a~Jent to c~nvert the pores ~,f th~
naturally hydrophoblc material to hydrophilic ones. Subsequent to the dip 41r strip 13 may he air dried or passed throuyh a tunnel dryer 53, similar to dryer 23.
A~ further overlay 21 which is a polyester, cellulose or similar material sheet and which functions to distribute or spread and meter a blood sample is supplied from roll 53 and passed through a surfactant bath 55 and then air dried or dried in a still further tunnel dryer 57. A final coversheet 29, which li~e the base or support sheet 11 is primarily for manipulative purposes, is supplied from roll 65 past a wick-like adhesive applicator 67 similar to wick 47 and the strips 29, 21 and 13 joined by pinch rollers 69 and 71. The composite sheets 73 and 75 are further joined passing through pinch rollers 48 and 77 providing the overall composite ribbon at 79 in the form depicted in Fig. 3. Subsequent cutters 61 and 59 sever sheet 79 into individual test strips 63, for example, as illustrated in Figs.
4 and 7. Such severing by the cutters 59 and 61 of course occurs along dotted lines such as 81 and 83 in Fig. 3. Also preferably an edge of strip 29 is folded under as illustrated at 85 to facilitate a user subsequently removing strip 29 and those overlays adhering thereto. Strip 29 may be double stranded or otherwise perforated so as to also provide a tip strip 37 which may be desirable in some versions of the present invention.
The process cf testing whole blood to determine the concentration of certain plasma components thereof is illustrated in Figs. 6, 7 and 8. The superposed semipermeable membrane 13 and blood plasma component reactive area 31 are subjected to a whole blood sample in the form of blood drop 89 applied thereto as in Fig. 6a. Overlay 21, having been treated by a surfactant in bath 55 absorbs and distributes blood sample 89 so that the sample rapidly spreads throughout the width and length of the overlay above the reactive area 31 very rapidly, as illustrated in Figs. 6a and 6b. As the sample reaches semipermeable membrane 13, plasma components 90 of the sample pass through the semipermeable membrane 13 while that membrane blocks the cellular 'i~
.'?~ '7~
and particulate blood components. Thus, plasma is uniformly presented to the reactive area 31 as illustrated in the transition between Figs. 6b and 6c. After a specified time interval, the user grasps support sheet 11 and the folded over tab 85 tearing the component level determination stick apart, as illustrated in Figs. 6c, 7 and 8, removing semipermeable membrane 13 and the cellular and particulate blood components trapped thereby and clearly exposing the reactive area 31 for visual inspection such as color comparison to a standardized color chart. Any of several other colorimetry techniques such as use of a densitometer or reflectometer may also be employed.
E AM LE
The following examples illustrate suitable components which may be employed generally in accordance with the apparatus illustrated in Fig. 1 or in some cases in a somewhat more simplistic manner to provide the test strips and accomplish the blood plasma component testing as heretofore described.
Peroxidase and other suitable peroxidatively active substances as well as the indicators employed in some of these examples are more completely described in United States Patent 4,361,648 as well as the abovementioned co-pending application.
EXAMPLE I_ _ __ A. First Dip Mix 1~
Algin 100 mg in 4 ml H20 Glucose Oxidase (126 U/mg)8 mg in 1 ml H20 Peroxidase (114 U/mg)4 mg in 1 ml H2O
Gelatin (100 mg/ml) 2 ml Buffer (lM, pH 4.8 citrate10 ml Triton X-100*(1%) 2 ml (Isooctyl phenyl poly(9-lO)ethoxy ethanol) Filter paper strips were impregnated with the above and dried in a tunnel dryer.
B. Second Dip Mix 19 Tetramethylbenzidine 400 ml in 20 ml xylene The impregnated filter strips were immersed in the second dip mix and dried in a tunnel dryer. The strips were mounted on a polyester backing with a transfer tape.
* trade ma~k C. Preparation of membrane 3 A 3 micron 2ore si~e exparlded Polytetrafluoroethylene (PTFE) membrane (Gore-Tex*) was dipped into a 1% Triton X-67*
(Al~yl polyether alcohol) in isopropyl alcohol and air dried.
D. Preparation of overlay 21 A polyester sheet such as Hollytex 3257*or a cellulose acetate sheet such as a Celanese development product or cellulose sheet such as Rimwipes*was dipped into the 1% Triton X-67*and air dried.
E. Assembly of stick The assembly of the blood glucose s~ick is shown in Fig. 2.
F. Use of stic~
A drop of blood is placed on the overlay shown in Fig. 6a.
The blood rapidly spreads throughout the overlay 21. The glucose, water and other components from the blood are transferred through the membrane 13 to the reactive pad 31. At a suitable time, such as 1 or 2 minutes, the membrane and overlay are stripped off, carrying the blood stain away and leaving a blue color proportional to the blood glucose level on the pad.
E A PLE_II
Same as Example I, but omitting the overlay. The blood is placed directly on the membrane.
EXAMPLE II T
Same as Example I, but the overlay is not treated with surfactant.
EXAMPLE IV
Same as Example I, but the surfactant is 5% Triton X-67 in isopropyl alcohol.
E AMPLE V
Same as Example I, but the surfactant may range up to 50%.
EXAMPLE VI
Same as any of Examples I-V, except the surfactant may be Tween 80*(Polysorbate 80), BRIJ 35 (Polyoxyethylene 23-Lauryl Ethyr), IGEPAL C0-630 (nonylphenoxypoly(9)ethyleneoxy ethanol), IGEPAL CO-710 (nonylphenoxypoly(10-ll)ethyleneoxy ethanol), EMULPHOGENE DA 630 (poly(6)oxyethylated decyl alcohol), ANTAROX
BL 236 (modified linear aliphatic polyether), RENE" 698 ~, 9 .;~ * trade mark (nonylphenoxyl poly(9)ethyleneo~y ethanol), Triton ;-lOO, Triton X-45*(Isooctyl phenyl poly(5)ethoxy ethallol), or other nonionlc surfactants.
E.YAMFLE_VII
Same as any of Examples I-V, except the surfactant may be lauryl sulfates, Ter~itol (Sodium tetradecyl sulfate), GAFAC
RA600 or GAFAC RE610 (aliphatic polyethyleneoxy phosphate esters), soap or any other anionic surfactant.
EXAMP E VIII
Same as any one of Examples I-V, except the surfactant may be a cationic one, such as HYAMINE 1622 (Paradiisobutyl phenoxy ethyl dimethyl benzyl ammonium chloride).
EXAMPLE IX
Same as Examples I-V, except the surfactant may be an amphoteric one such as ZONYL FSK (modified linear aliphatic polyethoxy dimethyl ammonium acetic acid).
E~AMPLE X
Same as Examples I-V, except the surfactant may be chosen from the fluorosurfactants known as ZONYL FSN, FS~., FSO, and UR
(i.e., polytetrafluoroethylene polyethoxy ethanol) E AMPLE XI
A. First Dip Mix 17 Algin 1000 mg in 40 ml H20 Alcohol oxidase 10,000 units in 16 ml H20 Peroxidase (188 U/mg) 214 mg in 10 ml H20 H20 14 ml Gelatin (100 mg/ml) 20 ml Buffer (Tris-malonate lM, pH7.2) 100 ml Filter paper strips were impregnated with the mix and dried in a tunnel dryer.
B. Second Dip Mix 19 Tetramethylbenzidine 4000 mg in 200 ml xylene The impregnated strips were dipped in this mix and dried in a tunnel dryer. The strips were mounted on polyester backing with transfer tape.
C. Preparation of membrane 13 as in Example I.
D. Preparation of overlay 21 as in Example I.
' O
l * trade mark E. Assembly of stic~s as in Examp~e 1.
F. Use o~ stic~ as ;rl r'XalllpLt` I, e~rcept this sti~ meas-lres blood alcohol.
EXAMPLES Xil~ X
Same as Examples II-X using the alcohol sti~k of Example XI.
EXAMPLE XXI
A. Fir~t Dip Mi~ 17 Algin 10 mg in .4 ml X20 Cholesterol oxidase (~8.6 U/mg) 4.8 mg in .2 ml H20 Cholesterol esterase (90 U~mg) 2 mg in .2 ml H20 Peroxidase (114 U/mg) 2 mg in .1 ml H20 Gelatin (100 mg/ml) .2 ml Buffer (lM, pH7.5 Tris Malonate) 1 ml Filter paper strips were impregnated and dried.
B. Second Dip Mix 19 Tetramethylbenzidine 40 mg in 2 ml xylene The impregnated strips were dipped into the mix and dried in a tunnel dryer.
C. Preparation of the membrane 13 as in Example I.
D. Preparation of the overlay 21 as in Example I.
E. Assembly of stick as in Example I.
F. Use of stick A drop of blood is placed on the overlay. After 2 minutes, the overlay together with the membrane is stripped off leaving a blue color proportional to the total cholesterol level of the blood.
EXAMPLES X II-XXX
Same as Examples II-X using the Cholesterol stick of Example XXI.
EXAMPLE Y,XXI
___ _ ___._ Urease 1000 units in 25 ml H20 Algin 500 mg in 2 ml H20 Phenol Red 100 mg in 23 ml H20 Buffer (.2M pH 5 Citrate) 50 ml Strips are dipped in the mix and dried in a tunnel dryer.
The membranes of the previous examples are applied. When a drop of blood is placed on the stick, a yellow to orange to red color ~, . ~
',~
9~6 develops proportional to the urea level of the blood.
EXAMPLES_X.YXII-,YL
Same as Examples II-X using the blood urea stick of Example ~XXI.
EXAMPLE XLI
Uric Acid Determination A. First Dip Mix Algin 100 mg in 4 ml H20 Uricase 800 units in 1 ml H20 Peroxidase (114 U/mg) 4 mg in 1 ml H20 Gelatin (100 ~g/ml) 1 ml Buffer (lM, pH7 Phosphate) 10 ml Triton X-100 (1~) 2ml Filter paper strips were impregnated and dried.
B. Second Dip Mix as in Example I.
C. Membrane preparation as in Example I.
D. Overlay as in Example I.
E. Assembly as in Example I.
EXAMPLES XLII-L
Same as Examples II-X using the uric acid stick of Example XLI.
EXAMPLE LI
For any of the sticks cited in Examples I-L, the membrane is nitrocellulose supported on a thin open weave polyester material.
EXAMPLE_LII
For any of the sticks cited in Examples I-L, the membrane is cellulose acetate supported on a thin open weave polyester material.
EXAMPLE LIII
For any of the sticks cited in Examples I-L, the membrane is ethylcellulose supported on a thin open weave polyester material.
E.YAMPLE LIV
For any of the sticks cited in Examples I-L, the membrane is regenerated cellulose supported on a thin open weave polyester material.
A~
* tr~ m~rk EXAMPLE_LV
a calcium ion pad is prepared from the calcium indicator o-cresolphthalein complexone, a buffer of pH 10-12 and 8-hydro~yquinoline~ The pad is covered with the treated membrane and overlay of the previously described examples.
EXAMPLE_LV T
A. An unimpregnated ~ilter paper backed with an adhesive transfer tape was mounted on a polyester backing.
B. Preparation of membrane as in Example I(C).
C. Preparation of overlay as in Example I(D).
D. The assembly of the stick as shown in Fig. 2.
E. Use of Stick.
A drop of blood is placed on the overlay shown in Fig. 6a.
The blood rapidly spreads throughout the overlay 21. The glucose, water and other components from the blood are transferred through the membrane 13 to the unreactive pad 31. At a suitable time such as 2 to 3 minutes, the membrane and overlay are stripped off, carrying the blood stain away and leaving the transferred components in this pad. The pad end of the stick was immersed in a Trinder reagent for measuring glucose. The stick and reagent were incubated for 20 minutes. This reagent was read spectrophotometrically at 505 nm against a blank reagent, and the difference in absorbance proportional to the blood glucose level was noted.
EXAMPLE LVII
Same as Example X, but a surfactant of 1% ~ONYL FSN in isopropyl alcohol is applied to the filter paper pad.
EXAMPLE LVIII
A. A tablet was made by mixing plaster of paris and water to form a working paste. The paste was applied to a polyester backing strip and allowed to air dry at room temperature.
B. Preparation of membrane as in Example I(C).
C. Preparation of overlay as in Example I(D).
D. The assembly of the stick is shown in Fig. 2 with the dried plaster of paris tablet taking the place of the reactive pad 31.
E. Use of Stick.
A drop of blood is placed on the overlay shown in Fig. 6a.
1 ~
~ .
~* trade mark The blood rapidly spreads throughout the overlay 21. The glucose, water and other componellts from the blood are transferred through the membrane 13 to the unreactive tablet. At a suitable time, such as 2 to 3 minutes, the membrane and overlay are s~ripped off, carrying the blood stain away and leaving the transferred components in the tablet.
The tablet end of the stick was immersed in a Trinder reagent for measuring glucose and stirred until the tablet was dissolved. The reagent was incubated at room temperature for twenty minutes, allowing the plaster of paris to precipitate and the reaction to go to completion. The clear reagent was read spectrophotometrically at 505 nm against a blank reagent and the difference in absorbance proportional to the blood glucose level was noted.
EXAMPLE LIX
Treated filter paper 8/16 x 3/16 (1.27 cm x .47625 cm) Glucose - Mfg. same as Example I (A & B) Urea - Mfg. same as Example XXXI
Alcohol - Mfg. same as Example XI (A & B) Uric Acid - Mfg. same as Example XLI
Calcium - Mfg. same as Example LV
Cholesterol - Mfg. same as Example XXI (A & B) Transfer tape as in several previous examples Polyester backing as in several previous examples Gore-Tex 5/16 x 5/16 (.79375 cm x .79375 cm) 5 micron membrane wetted with Triton X-67 (1% in isopropyl alcohol) and dried 1/2 x 1/2 (1.27 cm x 1.27 cm) replaceable label stocX with a centered 3/16 x 3/16 (.47625 cm x .47625 cm) cutout 5/16 x 5/16 (.79375 cm x .79375 cm) spun polyester wetted with Triton X-67 (1% in isopropyl alcohol) and dried The dried overlay attached to label stock to form a window.
The membrane element was applied so the membrane window was over each pad. After each pad was covered, the overlay element was also put so that the overlay window was over the pad. A tab was then attached so that the two elements could be pulled from the polyester bac~ing and the reactive pad. Whole blood was '~. .~
~, ~
* trade mark ?r~376 applied to each pad overlay and two minute~ were allowed to elapse and the two element assembly was removed by use of the tab. Color development in relation to concentration of analyte was observed on each pad.
EXAMPLE L,~
Same as Example I, but the membrane is a spun bonded polyester material (Filtration Services Hollytex 3252) and was rubbed on both sides with Triton X-67 surfactant and pressed to obtain the original material thickness.
EXAMPLE LXI
Same as Example LX, but the surfactant is ZONYL YR.
The forgoing examples illustrate techniques for forming a blood component level determination stick having a supporting strip 11, a reactive pad 31 and a hydrophobic semipermeable membrane 13 with hydrophilic pores formed, for example, of an expanded polytetrafluoroethylene material and suitable for testing for a wide variety of blood plasma components. A single disposable blood component level measuring arrangement may, as illustrated in Fig 8, be employed to test for more than one plasma component at a time. In Fig. 8, the supporting strip 11 has a reactive pad 31 treated in accordance with one of the forgoing examples while reactive pad 91 is treated in accordance with a different one of the forgoing examples, thus giving rise to a disposable blood component level measuring arrangement wherein the reactive area comprises a plurality of discrete subareas each having a different chemical composition and reacting with different blood plasma components. The overlay 13 in Fig. 8 is as heretofore described impermeable by blood cellular components and superposed over the reactive area initially to receive a blood sample and subsequently separable therefrom to expose the several reactive areas 31 and 91 for inspection.
From the foregoing, it is now apparent that a novel test strip fabrication and use technique as well as a unique composition of matter suitable for use in such techniques have been disclosed meeting the objects and advantageous features set out hereinbefore as well as others, and that numerous L_` =;
* trade mark s~ 7~
modifications as to the precise shape~, components arld details may be made by those having ordinary skill in the art withvut:
departing from the spirlt of the inventiorl or the scope thereof as set out by the claims which follow.
BhOOr SER~JM TE'`T STRI~
S UMMARY OF THE I NVENT I ON
The present il~ventioll relates generally to diagnostic devices and technique~ an~!nore particularly to arrancJements for testing the blood of humans or other animals to determine the conce}ltratlon of selectecl plasma components.
Test strips or stic~s which are to be immersed in or subjected to a sample and which include an indicator which changes coior in response to the presence of a particular substance in the sample are old and well ~nown, including, for example, the familiar litmus or other indicator papers for determining the pH or hydro~en ion concentration of solutions as well as other somewhat more sophisticated test devices for detecting clinically significant substances in biological fluids such as glucose or protein in blood or urine samples.
A rather complete discussion of test strips as to both their chemistry and techniques of manufacture and use may be found in United States Patents 4,361,648 and ~,362,697, with both patented arrangements suggesting among others the use of 3,3',5,5'tetramethylbenzidine as an indicator material which exhibits a color change in response to an enzyme catalyzed reaction. '~hese commonly owned patented schemes are concerned with testing a wide variety of body fluids for cholesterol, glucose and other materials, and include the suggestion of pero~idase and peroxidase-like substances as catalysts in promoting the color change reaction on the indicator. Many of the techniques disclosed in these patents are limited to laboratory environments.
Test strips or sticks of the general type illustrated in the two aforementioned patents have been used under other than laboratory conditions. For example, United States Patent 3,092,465 co-invented by one of the co-inventors herein employs a double enzyme reaction for determining the concentration of glucose in blood. In this patented arrangement which i~ suitable for lndividual home use, a drop of blood is placed on a semipermeable membrane and after a specified time interval the surface of that membrane is wiped or washed to remove the , ~, .
~.?~ '3'~
cellular and particulate blood components that did not pass through the semipermeable membrane so that the reaction induced by the glucose which did pass through the membrane may be observed through the membrane. Tests employing this patented arrangement yield fairly accurate results, however, the degree of washing or wiping and thus the degree to which the colored blood stains are removed from the membrane, may have a significant effect on the color interpretation of the test results. Further, the blood serum or plasma contacts different portions of the enzyme treated reactive area at different times due to the mechanical distributing of the serum both through the semipermeable membrane and spreading laterally, thus producing color variations within the reactive area. Thus, in making the color comparison, one is not sure whether the central portion of the reactive area or the periphery should be compared to the standard color chart.
One of the co-inventors herein has recently developed an alcohol concentration test stick in which human saliva is the body fluid sampled. This test stick as disclosed in co-pending Canadian Patent Application Serial No. 512,955, filed Jul~ 2, 1986, and assigned to the assignee of the present invention, employs a double enzyme reaction and resulting concentration indicative color change. Some of the manufacturing hardware and techniques in this co-pending application find applicability herein.
Among the several objects of the present invention may be noted the provision of a blood serum test strip of enhanced reliability; the provision of a blood testing strip wherein the cellular and particulate blood components are initially blocked and subsequently stripped away allowing unimpeded visual inspection of a reactive area; the provision of a blood testing strip wherein a multiplicity of serum components may be simultaneously concentration tested; the provision of a unique semipermeable membrane arrangement for separating plasma components from whole blood for testing purposes; the provision of a disposable blood component level measuring arrangement with enhanced spreading and metering of the blood sample; anc overall .?'~ 7 improvements in blood component concelltratisll testiny techr;iq Also amon~ the severa] object-s of t~le pre!,ent in~ert O~l ma-~be noted the unique phy~ical properties of the removable membranes" enhanced accllracy alld reproducibili-ty, and capability of further processing.
Membranes described in patent 3,092,465 beGome a permanent part of the reactive pad. The thinness and/or permanence of these membranes do not facilitate removal of the membrane;
therefor, they must be washed or wiped.
Unlike the above-mentioned membranes, expanded polytetrafluoroethylene (PTFE) and the spun bonded polyester, but not necessarily limited to these materials, have the strength to allow them to be pulled away from the reactive pad while retaining the thinness necessary to allow efficient passage of analytes.
Attempting to meet the suggested thoroughness of removal of blood cells by washing or wiping, inaccurate and variable timing is introduced, which leads to inaccurate values as well as poor reproducibility.
The present invention of stripping away the membrane along with cellular and particulate components facilitates an accurate timing and thus leads to more accurate and reproducible values.
This capability of membrane removal allows further processing of the pad with reagents containing molecules which cannot penetrate a semipermeable membrane.
These as well as other objects and advantageous features of the present invention will be in part apparent and in part pointed out hereinafter.
In general a process of testing whole 'olood for certain plasma component concentrations includes the superimposition of a semipermeable membrane and a blood plasma component reactive area and the subsequent subjecting of the semipermeable membrane to a whole blood sample so that plasma components pass through the membrane and onto the reactive area while cellular and particulate components are blocked by the membrane. Thereafter, separation of the membrane from the reactive area allows measurement of the extent of a plasma component induced change ''?~ `3'~
in t'ne react:ive ~l`ea.
Also in (~eneral and irl one form of the inverltiorl, a hlc-o~i component level determil-atio2l sticl; has a supporting matri.-~, a reactive pad and a hydrophobic semipermeable membrane with hydrophilic pores formed of an expanded polytetrafluoroethylene material. This material is normally hydrophobic and its pores are made hydrophilic by treatment with a surfactant.
Again in general, a process according to the present invention includes the separating of analyte components from parti~ulate and~or celllllar components using a matrix of pli~ble hydrophobic interconnecting fibrils which are sufficiently thin to allow the passage of the analyte with the m.aterial having a pore size to keep particulate and/or cellular components from passing through when the material has been treated with a surfactant. The process includes the subsequent step of removing the matrix so that the particle free analyte can be processed or a reaction caused by it can be directly viewed.
Still further in general and in one form of the invention, a disposable blood component level measuring arrangement has a blood level component reactive area and an overlay which is permeable by the blood plasma or serum components and impermeable by blood cellular components. The overlay is superposed over the reactive area to receive the blood sample and subsequently separable therefrom to expose the reactive area for visual inspection. The overlay is formed of a hydrophobic material which has been treated with a surfactant to make its pores hydrophilic and a further overlay also surfactant treated may be employed to more uniformly distribute the blood sample to the reactive area.
BRIEF DESGRIPTION OF THE DRAWING
Fig. 1 is a simplified partially schematic view of apparatus for fabricating test strips in accordance with the present invention;
Fig. 2 is an exploded edge view of a test strip manufactured in accordance with the techniques of the present invention;
Fig. 3 is a plan view of partially completed test strips in accordance with the present invention;
Fig. 4 is a plan view of a completed test strip;
Fi~. 5 is a view in cross-section along lines 5-5 of Fig. 3;
Figs. 6a through 6e illustrate in exa~gerated form a portion of a test strip and migration of a blood sample therein;
Fig. ~ is a perspective view of the test strip of Fig. 4 during use; and Fig. 8 is a view similar to Fig. 7 but illustrating a multiple component test strip in use.
Corresponding reference characters indicate corresponding parts throughout the several views of the drawing.
The exemplifications set out herein illustrate a preferred embodiment of the invention in one form thereof and such exemplifications are not to be construed as limiting the scope of the disclosure or the scope of the invention in any manner.
DESCRIPTION OF THE PREFERRED EMB_DIMENT
Referring briefly to Figs. 2 and 7, the product which is the object of the manufacturing portion of the present invention has a carrier matrix 30 impregnated with a composition of matter thereby forming a reactive pad 31 for performing the desired testing function. Reactive pad 31 is bonded to a support strip 11 such as a polyester or other paper or plastic material which is inert as far as any reactions are concerned and functions simply as a means for manipulating the reactive pad 31. Strip 11 may, for example, be on the order of 3 inches (7.62 cm.) in length and 3/16ths of an inch (0.47625 cm.) in width and of any convenient thickness such as five to ten thousandths of an inch (0.0127 to 0.0254 cm.). The carrier matrix forming the reactive pad may be of any of a wide variety of materials as, for example, suggested in the aforementioned United States patent 4,362,697.
Simple chemical filter paper has been successfully used. The reactive pad 31 is covered by a semipermeable membrane 13 and by a further overlay 21 with the overlay 21 and semipermeable memb,rane 13 being stripped off or torn away during use of the test stick.
The reactive pad 31 and strip 11 are fabricated somewhat in accordance with the aforementioned Canadian Application Serial Number 512,955 as depicted in the lower portion of Fig.
1. A roll source of filter paper 30 is illustrated at 15 and ,A 5 ~.~.'?~;97f~;
will ultimately be the source of the sou.rce of the reactive pads 31. A two stage dippiny process at 17 and 19 is employed to appropriately impregnate the carrier matrix or filter paper.
However, this impregnation may in some cases be accomplished by a single dipping step. The strip of filter paper is passed through the bath or dip 17 to impregnate the filter paper with certain of the compoIlents of the present inventive composition of matter and, subsequent to that dipping, the filter paper strip is dried at 23 by a stream of hot air. For example, the strip may pass over a series of driven and idle rollers such as 25 and 27 so as to execute a lengthy circuitous path through a comparatively tall oven through which hot air is passed as indicated by the arrows 33 and 35. Thereafter, the strip passes around further rollers such as 34 and 37 and through a second dip process 19 to absorb additional composition of matter components. The strip is then subjected to a second tunnel drying operation 43, similar to 23 at the output of which the strip now carries in a dry state all of the components required of the reactive pad. This dried pad is now adhered to the support strip by a pair of pinch rollers 49 and 51. For example, the support material may come from roll 45 and receive an adhesive coating at 47 preparatory to being squeezed with the reactive pad by the pinch rollers. Mounting of the reactive pad on the polyester backing or strip may also be accomplished employing a transfer tape and generally speaking other than the constituents of the dips 1~ and 19, the process as thus far discussed in conjunction with Fig. 1 parallels that disclosed in the aforementioned co-pending application Serial Number 703,335.
The first overlay 13 of Figs. 2, 6 and 7 is a semipermeable membrane to be superposed over the blood plasma component reactive area 31. This semipermeable membrane may, for example, be of a naturally hydrophobic material treated to make the pores hydrophilic by a surfactant. An expanded polytetrafluoroethylene material such as Gore-Tex*, available from W. L. Gore and Associates of Elkton, Maryland and having pore sizes ranging from 0.2 to 15 microns has been found suitable. A reel supply of th s semipermeable membrane material 39 is in Fig. 1 fed through A* trade mark `3 7~
a di~ of a sur~actallt ~r s~ap~ e material which ~unctions ~enerally as a wett:ing a~Jent to c~nvert the pores ~,f th~
naturally hydrophoblc material to hydrophilic ones. Subsequent to the dip 41r strip 13 may he air dried or passed throuyh a tunnel dryer 53, similar to dryer 23.
A~ further overlay 21 which is a polyester, cellulose or similar material sheet and which functions to distribute or spread and meter a blood sample is supplied from roll 53 and passed through a surfactant bath 55 and then air dried or dried in a still further tunnel dryer 57. A final coversheet 29, which li~e the base or support sheet 11 is primarily for manipulative purposes, is supplied from roll 65 past a wick-like adhesive applicator 67 similar to wick 47 and the strips 29, 21 and 13 joined by pinch rollers 69 and 71. The composite sheets 73 and 75 are further joined passing through pinch rollers 48 and 77 providing the overall composite ribbon at 79 in the form depicted in Fig. 3. Subsequent cutters 61 and 59 sever sheet 79 into individual test strips 63, for example, as illustrated in Figs.
4 and 7. Such severing by the cutters 59 and 61 of course occurs along dotted lines such as 81 and 83 in Fig. 3. Also preferably an edge of strip 29 is folded under as illustrated at 85 to facilitate a user subsequently removing strip 29 and those overlays adhering thereto. Strip 29 may be double stranded or otherwise perforated so as to also provide a tip strip 37 which may be desirable in some versions of the present invention.
The process cf testing whole blood to determine the concentration of certain plasma components thereof is illustrated in Figs. 6, 7 and 8. The superposed semipermeable membrane 13 and blood plasma component reactive area 31 are subjected to a whole blood sample in the form of blood drop 89 applied thereto as in Fig. 6a. Overlay 21, having been treated by a surfactant in bath 55 absorbs and distributes blood sample 89 so that the sample rapidly spreads throughout the width and length of the overlay above the reactive area 31 very rapidly, as illustrated in Figs. 6a and 6b. As the sample reaches semipermeable membrane 13, plasma components 90 of the sample pass through the semipermeable membrane 13 while that membrane blocks the cellular 'i~
.'?~ '7~
and particulate blood components. Thus, plasma is uniformly presented to the reactive area 31 as illustrated in the transition between Figs. 6b and 6c. After a specified time interval, the user grasps support sheet 11 and the folded over tab 85 tearing the component level determination stick apart, as illustrated in Figs. 6c, 7 and 8, removing semipermeable membrane 13 and the cellular and particulate blood components trapped thereby and clearly exposing the reactive area 31 for visual inspection such as color comparison to a standardized color chart. Any of several other colorimetry techniques such as use of a densitometer or reflectometer may also be employed.
E AM LE
The following examples illustrate suitable components which may be employed generally in accordance with the apparatus illustrated in Fig. 1 or in some cases in a somewhat more simplistic manner to provide the test strips and accomplish the blood plasma component testing as heretofore described.
Peroxidase and other suitable peroxidatively active substances as well as the indicators employed in some of these examples are more completely described in United States Patent 4,361,648 as well as the abovementioned co-pending application.
EXAMPLE I_ _ __ A. First Dip Mix 1~
Algin 100 mg in 4 ml H20 Glucose Oxidase (126 U/mg)8 mg in 1 ml H20 Peroxidase (114 U/mg)4 mg in 1 ml H2O
Gelatin (100 mg/ml) 2 ml Buffer (lM, pH 4.8 citrate10 ml Triton X-100*(1%) 2 ml (Isooctyl phenyl poly(9-lO)ethoxy ethanol) Filter paper strips were impregnated with the above and dried in a tunnel dryer.
B. Second Dip Mix 19 Tetramethylbenzidine 400 ml in 20 ml xylene The impregnated filter strips were immersed in the second dip mix and dried in a tunnel dryer. The strips were mounted on a polyester backing with a transfer tape.
* trade ma~k C. Preparation of membrane 3 A 3 micron 2ore si~e exparlded Polytetrafluoroethylene (PTFE) membrane (Gore-Tex*) was dipped into a 1% Triton X-67*
(Al~yl polyether alcohol) in isopropyl alcohol and air dried.
D. Preparation of overlay 21 A polyester sheet such as Hollytex 3257*or a cellulose acetate sheet such as a Celanese development product or cellulose sheet such as Rimwipes*was dipped into the 1% Triton X-67*and air dried.
E. Assembly of stick The assembly of the blood glucose s~ick is shown in Fig. 2.
F. Use of stic~
A drop of blood is placed on the overlay shown in Fig. 6a.
The blood rapidly spreads throughout the overlay 21. The glucose, water and other components from the blood are transferred through the membrane 13 to the reactive pad 31. At a suitable time, such as 1 or 2 minutes, the membrane and overlay are stripped off, carrying the blood stain away and leaving a blue color proportional to the blood glucose level on the pad.
E A PLE_II
Same as Example I, but omitting the overlay. The blood is placed directly on the membrane.
EXAMPLE II T
Same as Example I, but the overlay is not treated with surfactant.
EXAMPLE IV
Same as Example I, but the surfactant is 5% Triton X-67 in isopropyl alcohol.
E AMPLE V
Same as Example I, but the surfactant may range up to 50%.
EXAMPLE VI
Same as any of Examples I-V, except the surfactant may be Tween 80*(Polysorbate 80), BRIJ 35 (Polyoxyethylene 23-Lauryl Ethyr), IGEPAL C0-630 (nonylphenoxypoly(9)ethyleneoxy ethanol), IGEPAL CO-710 (nonylphenoxypoly(10-ll)ethyleneoxy ethanol), EMULPHOGENE DA 630 (poly(6)oxyethylated decyl alcohol), ANTAROX
BL 236 (modified linear aliphatic polyether), RENE" 698 ~, 9 .;~ * trade mark (nonylphenoxyl poly(9)ethyleneo~y ethanol), Triton ;-lOO, Triton X-45*(Isooctyl phenyl poly(5)ethoxy ethallol), or other nonionlc surfactants.
E.YAMFLE_VII
Same as any of Examples I-V, except the surfactant may be lauryl sulfates, Ter~itol (Sodium tetradecyl sulfate), GAFAC
RA600 or GAFAC RE610 (aliphatic polyethyleneoxy phosphate esters), soap or any other anionic surfactant.
EXAMP E VIII
Same as any one of Examples I-V, except the surfactant may be a cationic one, such as HYAMINE 1622 (Paradiisobutyl phenoxy ethyl dimethyl benzyl ammonium chloride).
EXAMPLE IX
Same as Examples I-V, except the surfactant may be an amphoteric one such as ZONYL FSK (modified linear aliphatic polyethoxy dimethyl ammonium acetic acid).
E~AMPLE X
Same as Examples I-V, except the surfactant may be chosen from the fluorosurfactants known as ZONYL FSN, FS~., FSO, and UR
(i.e., polytetrafluoroethylene polyethoxy ethanol) E AMPLE XI
A. First Dip Mix 17 Algin 1000 mg in 40 ml H20 Alcohol oxidase 10,000 units in 16 ml H20 Peroxidase (188 U/mg) 214 mg in 10 ml H20 H20 14 ml Gelatin (100 mg/ml) 20 ml Buffer (Tris-malonate lM, pH7.2) 100 ml Filter paper strips were impregnated with the mix and dried in a tunnel dryer.
B. Second Dip Mix 19 Tetramethylbenzidine 4000 mg in 200 ml xylene The impregnated strips were dipped in this mix and dried in a tunnel dryer. The strips were mounted on polyester backing with transfer tape.
C. Preparation of membrane 13 as in Example I.
D. Preparation of overlay 21 as in Example I.
' O
l * trade mark E. Assembly of stic~s as in Examp~e 1.
F. Use o~ stic~ as ;rl r'XalllpLt` I, e~rcept this sti~ meas-lres blood alcohol.
EXAMPLES Xil~ X
Same as Examples II-X using the alcohol sti~k of Example XI.
EXAMPLE XXI
A. Fir~t Dip Mi~ 17 Algin 10 mg in .4 ml X20 Cholesterol oxidase (~8.6 U/mg) 4.8 mg in .2 ml H20 Cholesterol esterase (90 U~mg) 2 mg in .2 ml H20 Peroxidase (114 U/mg) 2 mg in .1 ml H20 Gelatin (100 mg/ml) .2 ml Buffer (lM, pH7.5 Tris Malonate) 1 ml Filter paper strips were impregnated and dried.
B. Second Dip Mix 19 Tetramethylbenzidine 40 mg in 2 ml xylene The impregnated strips were dipped into the mix and dried in a tunnel dryer.
C. Preparation of the membrane 13 as in Example I.
D. Preparation of the overlay 21 as in Example I.
E. Assembly of stick as in Example I.
F. Use of stick A drop of blood is placed on the overlay. After 2 minutes, the overlay together with the membrane is stripped off leaving a blue color proportional to the total cholesterol level of the blood.
EXAMPLES X II-XXX
Same as Examples II-X using the Cholesterol stick of Example XXI.
EXAMPLE Y,XXI
___ _ ___._ Urease 1000 units in 25 ml H20 Algin 500 mg in 2 ml H20 Phenol Red 100 mg in 23 ml H20 Buffer (.2M pH 5 Citrate) 50 ml Strips are dipped in the mix and dried in a tunnel dryer.
The membranes of the previous examples are applied. When a drop of blood is placed on the stick, a yellow to orange to red color ~, . ~
',~
9~6 develops proportional to the urea level of the blood.
EXAMPLES_X.YXII-,YL
Same as Examples II-X using the blood urea stick of Example ~XXI.
EXAMPLE XLI
Uric Acid Determination A. First Dip Mix Algin 100 mg in 4 ml H20 Uricase 800 units in 1 ml H20 Peroxidase (114 U/mg) 4 mg in 1 ml H20 Gelatin (100 ~g/ml) 1 ml Buffer (lM, pH7 Phosphate) 10 ml Triton X-100 (1~) 2ml Filter paper strips were impregnated and dried.
B. Second Dip Mix as in Example I.
C. Membrane preparation as in Example I.
D. Overlay as in Example I.
E. Assembly as in Example I.
EXAMPLES XLII-L
Same as Examples II-X using the uric acid stick of Example XLI.
EXAMPLE LI
For any of the sticks cited in Examples I-L, the membrane is nitrocellulose supported on a thin open weave polyester material.
EXAMPLE_LII
For any of the sticks cited in Examples I-L, the membrane is cellulose acetate supported on a thin open weave polyester material.
EXAMPLE LIII
For any of the sticks cited in Examples I-L, the membrane is ethylcellulose supported on a thin open weave polyester material.
E.YAMPLE LIV
For any of the sticks cited in Examples I-L, the membrane is regenerated cellulose supported on a thin open weave polyester material.
A~
* tr~ m~rk EXAMPLE_LV
a calcium ion pad is prepared from the calcium indicator o-cresolphthalein complexone, a buffer of pH 10-12 and 8-hydro~yquinoline~ The pad is covered with the treated membrane and overlay of the previously described examples.
EXAMPLE_LV T
A. An unimpregnated ~ilter paper backed with an adhesive transfer tape was mounted on a polyester backing.
B. Preparation of membrane as in Example I(C).
C. Preparation of overlay as in Example I(D).
D. The assembly of the stick as shown in Fig. 2.
E. Use of Stick.
A drop of blood is placed on the overlay shown in Fig. 6a.
The blood rapidly spreads throughout the overlay 21. The glucose, water and other components from the blood are transferred through the membrane 13 to the unreactive pad 31. At a suitable time such as 2 to 3 minutes, the membrane and overlay are stripped off, carrying the blood stain away and leaving the transferred components in this pad. The pad end of the stick was immersed in a Trinder reagent for measuring glucose. The stick and reagent were incubated for 20 minutes. This reagent was read spectrophotometrically at 505 nm against a blank reagent, and the difference in absorbance proportional to the blood glucose level was noted.
EXAMPLE LVII
Same as Example X, but a surfactant of 1% ~ONYL FSN in isopropyl alcohol is applied to the filter paper pad.
EXAMPLE LVIII
A. A tablet was made by mixing plaster of paris and water to form a working paste. The paste was applied to a polyester backing strip and allowed to air dry at room temperature.
B. Preparation of membrane as in Example I(C).
C. Preparation of overlay as in Example I(D).
D. The assembly of the stick is shown in Fig. 2 with the dried plaster of paris tablet taking the place of the reactive pad 31.
E. Use of Stick.
A drop of blood is placed on the overlay shown in Fig. 6a.
1 ~
~ .
~* trade mark The blood rapidly spreads throughout the overlay 21. The glucose, water and other componellts from the blood are transferred through the membrane 13 to the unreactive tablet. At a suitable time, such as 2 to 3 minutes, the membrane and overlay are s~ripped off, carrying the blood stain away and leaving the transferred components in the tablet.
The tablet end of the stick was immersed in a Trinder reagent for measuring glucose and stirred until the tablet was dissolved. The reagent was incubated at room temperature for twenty minutes, allowing the plaster of paris to precipitate and the reaction to go to completion. The clear reagent was read spectrophotometrically at 505 nm against a blank reagent and the difference in absorbance proportional to the blood glucose level was noted.
EXAMPLE LIX
Treated filter paper 8/16 x 3/16 (1.27 cm x .47625 cm) Glucose - Mfg. same as Example I (A & B) Urea - Mfg. same as Example XXXI
Alcohol - Mfg. same as Example XI (A & B) Uric Acid - Mfg. same as Example XLI
Calcium - Mfg. same as Example LV
Cholesterol - Mfg. same as Example XXI (A & B) Transfer tape as in several previous examples Polyester backing as in several previous examples Gore-Tex 5/16 x 5/16 (.79375 cm x .79375 cm) 5 micron membrane wetted with Triton X-67 (1% in isopropyl alcohol) and dried 1/2 x 1/2 (1.27 cm x 1.27 cm) replaceable label stocX with a centered 3/16 x 3/16 (.47625 cm x .47625 cm) cutout 5/16 x 5/16 (.79375 cm x .79375 cm) spun polyester wetted with Triton X-67 (1% in isopropyl alcohol) and dried The dried overlay attached to label stock to form a window.
The membrane element was applied so the membrane window was over each pad. After each pad was covered, the overlay element was also put so that the overlay window was over the pad. A tab was then attached so that the two elements could be pulled from the polyester bac~ing and the reactive pad. Whole blood was '~. .~
~, ~
* trade mark ?r~376 applied to each pad overlay and two minute~ were allowed to elapse and the two element assembly was removed by use of the tab. Color development in relation to concentration of analyte was observed on each pad.
EXAMPLE L,~
Same as Example I, but the membrane is a spun bonded polyester material (Filtration Services Hollytex 3252) and was rubbed on both sides with Triton X-67 surfactant and pressed to obtain the original material thickness.
EXAMPLE LXI
Same as Example LX, but the surfactant is ZONYL YR.
The forgoing examples illustrate techniques for forming a blood component level determination stick having a supporting strip 11, a reactive pad 31 and a hydrophobic semipermeable membrane 13 with hydrophilic pores formed, for example, of an expanded polytetrafluoroethylene material and suitable for testing for a wide variety of blood plasma components. A single disposable blood component level measuring arrangement may, as illustrated in Fig 8, be employed to test for more than one plasma component at a time. In Fig. 8, the supporting strip 11 has a reactive pad 31 treated in accordance with one of the forgoing examples while reactive pad 91 is treated in accordance with a different one of the forgoing examples, thus giving rise to a disposable blood component level measuring arrangement wherein the reactive area comprises a plurality of discrete subareas each having a different chemical composition and reacting with different blood plasma components. The overlay 13 in Fig. 8 is as heretofore described impermeable by blood cellular components and superposed over the reactive area initially to receive a blood sample and subsequently separable therefrom to expose the several reactive areas 31 and 91 for inspection.
From the foregoing, it is now apparent that a novel test strip fabrication and use technique as well as a unique composition of matter suitable for use in such techniques have been disclosed meeting the objects and advantageous features set out hereinbefore as well as others, and that numerous L_` =;
* trade mark s~ 7~
modifications as to the precise shape~, components arld details may be made by those having ordinary skill in the art withvut:
departing from the spirlt of the inventiorl or the scope thereof as set out by the claims which follow.
Claims (34)
1. The process of separating analyte components from particulate and/or cellular components using a matrix of pliable hydrophobic interconnecting fibrils sufficiently thin to allow passage of the analyte and of a pore size to keep particulate and/or cellular components from passilly through when treated with a surfactant.
2. The process of Claim 1 wherein the analyte components are those of plasma and the cellular component is that of whole blood.
3. The process of Claim 1 performed with the matrix juxtaposed with another surface and including the subsequent step of removing the matrix from the surface exposing the surface and analyte.
4. The process of testing whole blood to determine the concentration of certain plasma components thereof comprising the steps of:
superposing a semipermeable membrane over a blood plasma component reactive area;
subjecting the semipermeable membrane to a whole blood sample so that the plasma components of the sample pass through the membrane and onto the reactive area while the cellular and particulate blood components are blocked by the membrane;
separating the membrane from the reactive area; and measuring the extent of a plasma component induced change in the reactive area.
superposing a semipermeable membrane over a blood plasma component reactive area;
subjecting the semipermeable membrane to a whole blood sample so that the plasma components of the sample pass through the membrane and onto the reactive area while the cellular and particulate blood components are blocked by the membrane;
separating the membrane from the reactive area; and measuring the extent of a plasma component induced change in the reactive area.
5. The process of Claim 4 wherein the step of measuring includes observing a color change in the reactive area.
6. The process of Claim 4 wherein the step of measuring includes at least one of:
visual comparison of the color of the reactive area with a calibrated color chart;
color comparison employing a reflectometer; and color comparison employing a densitometer.
visual comparison of the color of the reactive area with a calibrated color chart;
color comparison employing a reflectometer; and color comparison employing a densitometer.
7. The process of Claim 4 including the additional step of covering the semipermeable membrane with an absorbent overlay prior to the step of subjecting, the absorbent overlay functioning during the subsequent subjecting step to distribute the sample over the semipermeable membrane and therefore also distribute the plasma portion of the sample over the reactive area.
8. The process of Claim 7 wherein the absorbent overlay is treated with a surfactant prior to the step of subjecting.
9. The process of Claim 4 including the preliminary step of treating the semipermeable membrane with a surfactant.
10. The process of Claim 9 wherein the surfactant is nonionic, such as Triton X-67, Tween 80, Brij 35, IGEPAL CO-630, IGEPAL CO-710, Emulphogene DA630, Antarox BL 236, Renex 698, Triton X-100, Triton X-45.
11. The process of Claim 9 wherein the surfactant is anionic, such as lauryl sulphate, Tergitol, Gafac RA600, Gafac RE610, soap.
12. The process of Claim 9 wherein the surfactant is cationic such as Hyamine 1622.
13. The process of Claim 9 wherein the surfactant is amphoteric such as Zonyl FSK.
14. The process of Claim 9 wherein the surfactant may be chosen from the fluorosurfactants such as Zonyl-FSN, FSK, FSO
and UR.
and UR.
15. The process of Claim 4 wherein the semipermeable membrane is hydrophobic with pores made hydrophilic by treatment with a surfactant.
16. The process of Claim 4 wherein the semipermeable membrane is a spun bonded polyester.
17. The process of Claim 16 wherein the semipermeable membrane is an expanded polytetrafluoroethylene.
18. The process of Claim 17 wherein the semipermeable membrane has pores ranging in size from 0.2 to 15 microns.
19. The process of Claim 4 wherein the semipermeable membrane is a nitrocellulose supported on a thin open weave polyester material.
20. The process of Claim 4 wherein the semipermeable membrane is a cellulose acetate supported on a thin open weave polyester material.
21. The process of Claim 4 wherein the semipermeable membrane is a regenerated cellulose material.
22. A blood component level determination stick comprising a supporting strip, a reactive pad, a hydrophobic semipermeable membrane with hydrophilic pores formed of an expanded polytetrafluoroethylene material.
23. The stick of Claim 22 further including an absorbent overlay for receiving, spreading, and metering an applied blood sample to the semipermeable membrane.
24. The stick of Claim 22 wherein the reactive pad contains an enzyme for catalyzing a reaction converting the selected blood component and generating hydrogen peroxide as a result of that conversion, a peroxidatively active material, and an indicator material which is oxidized by the hydrogen peroxide in the presence of the peroxidatively active material providing a component indicative color change in the indicated material.
25. The stick of Claim 22 wherein the blood component is glucose, the reactive pad containing glucose oxidase, peroxidase, and an indicator material.
26. The stick of Claim 22 wherein the blood component is cholesterol, the reactive pad containing cholesterol oxidase, cholesterol esterase, peroxidase, and an indicator material.
27. The stick of Claim 22 wherein the blood component is uric acid, the reactive pad containing uricase, peroxidase, and an indicator material.
28. The stick of Claim 22 wherein the blood component is alcohol, the reactive pad containing alcohol oxidase, peroxidase, and an indicator material.
29. The stick of Claim 22 wherein the blood component is urea, the reactive pad containing urease, and a pH indicator material.
30. A disposable blood component level measuring arrangement comprising a blood plasma component reactive area, and an overlay permeable by blood plasma components and impermeable by blood cellular components, the overlay being superposed over the reactive area to receive a blood sample and subsequently separable therefrom to expose the reactive area or inspection.
31. The measuring arrangement of Claim 30 wherein the overlay is formed of a hydrophobic material which has been treated with a surfactant to make the pores hydrophilic.
32. The measuring arrangement of Claim 31 wherein the material is an expanded polytetrafluoroethylene.
33. The measuring arrangement of Claim 31 wherein the material is particle size discriminatory having pore sizes ranging from 0.2 to 15 microns.
34. The measuring arrangement of Claim 30 wherein the reactive area comprises a plurality of discrete subareas, each having a chemical composition different from the others and reacting with different blood plasma components.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US788,793 | 1985-10-18 | ||
US06/788,793 US4839296A (en) | 1985-10-18 | 1985-10-18 | Blood plasma test method |
Publications (1)
Publication Number | Publication Date |
---|---|
CA1296976C true CA1296976C (en) | 1992-03-10 |
Family
ID=25145572
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA000520622A Expired - Fee Related CA1296976C (en) | 1985-10-18 | 1986-10-16 | Blood serum test strip |
Country Status (12)
Country | Link |
---|---|
US (2) | US4839296A (en) |
EP (1) | EP0248037B1 (en) |
JP (1) | JPH0743374B2 (en) |
AT (1) | ATE80564T1 (en) |
AU (1) | AU594389B2 (en) |
CA (1) | CA1296976C (en) |
DE (1) | DE3686767T2 (en) |
DK (1) | DK166171C (en) |
FI (1) | FI89108C (en) |
NO (1) | NO872565L (en) |
RU (1) | RU1838782C (en) |
WO (1) | WO1987002267A1 (en) |
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- 1986-10-16 EP EP86906634A patent/EP0248037B1/en not_active Expired - Lifetime
- 1986-10-16 WO PCT/US1986/002192 patent/WO1987002267A1/en active IP Right Grant
- 1986-10-16 AU AU65240/86A patent/AU594389B2/en not_active Ceased
- 1986-10-16 CA CA000520622A patent/CA1296976C/en not_active Expired - Fee Related
- 1986-10-16 DE DE8686906634T patent/DE3686767T2/en not_active Expired - Fee Related
- 1986-10-16 JP JP61505556A patent/JPH0743374B2/en not_active Expired - Fee Related
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1987
- 1987-06-17 RU SU874203103A patent/RU1838782C/en active
- 1987-06-18 FI FI872741A patent/FI89108C/en not_active IP Right Cessation
- 1987-06-18 NO NO872565A patent/NO872565L/en unknown
- 1987-06-18 DK DK311187A patent/DK166171C/en not_active IP Right Cessation
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1989
- 1989-06-12 US US07/364,893 patent/US5130231A/en not_active Expired - Fee Related
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US4839296A (en) | 1989-06-13 |
JPH0743374B2 (en) | 1995-05-15 |
JPS63501594A (en) | 1988-06-16 |
NO872565L (en) | 1987-08-18 |
AU594389B2 (en) | 1990-03-08 |
DK166171C (en) | 1993-08-09 |
DK166171B (en) | 1993-03-15 |
WO1987002267A1 (en) | 1987-04-23 |
FI872741A0 (en) | 1987-06-18 |
DK311187D0 (en) | 1987-06-18 |
EP0248037B1 (en) | 1992-09-16 |
NO872565D0 (en) | 1987-06-18 |
AU6524086A (en) | 1987-05-05 |
EP0248037A1 (en) | 1987-12-09 |
EP0248037A4 (en) | 1989-07-11 |
RU1838782C (en) | 1993-08-30 |
DK311187A (en) | 1987-06-18 |
ATE80564T1 (en) | 1992-10-15 |
DE3686767D1 (en) | 1992-10-22 |
FI872741A (en) | 1987-06-18 |
FI89108C (en) | 1993-08-10 |
FI89108B (en) | 1993-04-30 |
DE3686767T2 (en) | 1993-02-11 |
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