US20220280141A1 - Method and apparatus for collecting and preparing biological samples for testing - Google Patents

Abstract

A kit and a method are disclosed for collecting and preparing a biological sample for testing where the sample is to be mixed with a buffer prior to being tested.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS
• This application is related to co-owned U.S. Pat. No. 7,189,522, entitled “Dual Path Immunoassay Device,” the complete disclosure of which is hereby incorporated by reference herein.
BACKGROUND OF THE INVENTION1. Field of the Invention
• This invention relates broadly to the testing of biological samples such as blood, oral fluids, epithelia, urine, stool, etc. More particularly, this invention relates to methods and apparatus for collecting and preparing such samples prior to testing.
2. State of the Art
• Many types of ligand-receptor assays have been used to detect the presence of various substances, often generally called ligands, in body fluids such as blood, urine, or saliva. These assays involve antigen antibody reactions, synthetic conjugates comprising radioactive, enzymatic, fluorescent, or visually observable polystyrene or metal sol tags, and specially designed reactor chambers. In all these assays, there is a receptor, e.g., an antibody, which is specific for the selected ligand or antigen, and a means for detecting the presence, and in some cases the amount, of the ligand-receptor reaction product. Some tests are designed to make a quantitative determination, but in many circumstances all that is required is a positive/negative qualitative indication. Examples of such qualitative assays include blood typing, most types of urinalysis, pregnancy tests, and AIDS tests. For these tests, a visually observable indicator such as the presence of agglutination or a color change is preferred.
• U.S. Pat. No. 6,485,982 discloses what may be called a single path immunoassay device. The device has an elongate outer casing which houses an interior permeable material, e.g., glass fiber, capable of transporting an aqueous solution by capillary action, wicking, or simple wetting. The casing defines a sample inlet, and interior regions which, for ease of description, can be designated as a test volume and a reservoir volume. The reservoir volume is disposed in a section of the test cell spaced apart from the inlet, and preferably is filled with sorbent material. The reservoir acts to receive liquid transported along a flow path defined by the permeable material and extending from the inlet and through the test volume. In the test volume is a test site comprising a first protein having a binding site specific to a first epitope of the ligand immobilized in fluid communication with the flow path, e.g., bound to the permeable material or to latex particles entrapped in or bonded to the permeable material. A window such as a hole or transparent section of the casing permits observations of the test site through the casing wall. The method requires that the test sample be mixed with a conjugate or buffer before it is dispensed into the inlet.
• Previously incorporated U.S. Pat. No. 7,189,522 discloses both dry and liquid conjugate immunoassay device systems. The systems include test cells with a first sorbent having a first location for receiving a buffer solution (in the case of a dry conjugate system) or a conjugate solution (in the case of a liquid conjugate system) with the first sorbent defining a first horizontal flow path, a second sorbent having a second location for receiving a sample with the second sorbent defining a second horizontal flow path distinct from the first flow path, and a test line or test site with immobilized antigens or antibodies or other ligand binding molecules such as aptamers, nucleic acids, etc. located in a test zone at a junction of the first and second sorbents.
• Where the test cell is provided in a housing, such as the housing1 show in prior artFIG. 1, the housing is provided with a first opening2 adjacent the first location and a second opening3 adjacent the second location. A viewing window4 is provided in the housing above thetest line5.
• In the preferred embodiment, the first sorbent and second sorbent are separate pieces which overlie one another and the test line is printed on one or both of the sorbent materials at the junction. Alternatively, although not preferred, the first and second sorbents can be integral with each other. The systems preferably also include acontrol line6 or site which may be seen from the viewing window4.
• According to one set of embodiments, the sorbents (and the housing in which the sorbents are provided) are laid out in a T shape, where the first location2 for receiving the buffer or buffer-conjugate solution is located near one end of the top bar of the T, thesecond location3 for receiving the sample is located near the end of the stem of the T, and the sorbents overlie each other at the intersection.
• According to one disclosed method, a sample of interest is provided to the second opening orlocation3. After a desired amount of time, a liquid such as a buffer solution is added to the first opening or location2. If the sorbent is supporting a conjugate (i.e., in a dry conjugate system), the liquid is preferably simply a buffer solution. If the sorbent is not supporting a conjugate (i.e., in a liquid conjugate system), the liquid is preferably a buffer-conjugate liquid subsystem. In any event, after sufficient time to permit the conjugate to migrate to the test site5 (andcontrol site6 if provided), the test site (and control site if provided) is inspected in order to determine whether the sample is “positive” or not.
• The disclosed system can be used in conjunction with different types of samples such as blood, urine, saliva, and feces, and can be used to test for the presence of any ligand. Where blood, saliva or feces is to be provided, the blood, saliva or feces may be diluted or mixed with buffer prior to being added through thesecond hole3. Alternatively, in some cases, the sample may be added through the hole and then a diluent may be added through thesame hole3.
SUMMARY OF THE INVENTION
• The present invention provides a kit and a method for collecting and preparing a biological sample for use with an immunoassay device where the sample is to be mixed with a buffer prior to being added to the device. The kit includes a sterile swab and a dropper bottle assembly containing the buffer solution to which the sample is added. In one embodiment, the dropper bottle assembly includes a dropper cap having a hinged cover and a threaded base and a bottle having a threaded neck. When the kit is delivered for use, the dropper cap is threadably connected to the threaded neck of the bottle and the hinged cover is closed. The sterile swab includes a sorbent mounted on the end of a stick. The stick is preferably long enough so that a sample can be obtained without the person taking the sample contaminating it. The stick is provided with a weakened portion where the stick can be readily broken.
• A method according to one embodiment of the invention includes opening the dropper bottle assembly by unscrewing the cap, inserting the swab into the bottle, snapping the swab stick to break it, and screwing the cap back on the bottle. The bottle containing the sorbent end of the swab is then agitated by shaking it. Now the mixed sample and buffer are ready to dispense into the testing device. This is done by opening the hinged cover of the dropper cap, inverting the bottle and dispensing the appropriate number of drops onto the device by gently squeezing the bottle.
• From the foregoing, it will be appreciated that the location of the weakened portion of the swab stick is such that when the swab is placed into the bottle and touching the bottom of the bottle, the weakened portion of the stick is directly adjacent to the upper lip of the bottle neck. In this manner, the stick can be broken simply by bending it against the bottle neck with the sorbent end in the bottle.
• According to a presently preferred embodiment, the hinged cover on the dripper cap has a lock which prevents it from being inadvertently opened. This prevents contamination and loss of buffer solution. The kit according to the invention preferably also contains a second bottle of buffer solution for use with a test device employing a dual path immunoassay system. Optionally, the kit includes an alcohol swab, a safety lancet, and a bandage. The kit may, and preferably does contain an immunoassay device, preferably a dual path immunoassay device. A blood collection loop is also optionally provided.
• A method of testing a blood sample according to one embodiment of the invention includes using the alcohol swab to clean the area of the skin from which the sample will be taken, pricking the skin with the safety lancet, and collecting blood using the collection swab. The method then proceeds as described above.
• Additional objects and advantages of the invention will become apparent to those skilled in the art upon reference to the detailed description taken in conjunction with the provided figures.
BRIEF DESCRIPTION OF THE DRAWINGS
• FIG. 1 is a plan view of a prior art immunoassay test device;
• FIG. 2 is a side elevation view of a swab according to the invention;
• FIG. 3 is a side elevation view of a dropper bottle assembly according to the invention;
• FIG. 4 is a front elevation view of the dropper bottle assembly;
• FIG. 5 is a rear elevation view of the dropper bottle assembly;
• FIG. 5ais a front elevation view of an alternative dropper bottle assembly;
• FIG. 6 is a side elevation view of the dropper bottle assembly with the cap removed and the swab inserted into the bottle;
• FIG. 7 is a side elevation view of the dropper bottle with the sorbent end of the swab and the stick broken;
• FIG. 8 is a side elevation view of the dropper bottle assembly with the sorbent end of the swab contained therein and the hinged cover opened;
• FIG. 9 is a flow chart illustrating the method steps of the invention; and
• FIG. 10 is a plan diagram of an expanded kit containing a dual path test device and related sampling items.
DETAILED DESCRIPTION OF THE PRESENTLY PREFERRED EMBODIMENTS
• Turning now toFIGS. 2-5, a kit according to the invention includes asterile swab10 and adropper bottle assembly12 containing thebuffer solution14 to which the sample is to be added. Thesterile swab10 includes asorbent16 mounted on the end of astick18. Thestick18 is preferably long enough (e.g., six inches long) so that a sample can be obtained without contaminating it. The stick is provided with a weakenedportion20 where thestick18 can be readily broken. Thedropper bottle assembly12 includes adropper cap22 having adropper spout23, a hingedcover24 and a threadedbase26 and abottle28 having a threaded neck30 (FIGS. 6 and 7). When the kit is delivered for use, the dropper cap is threadably connected to the threaded neck of the bottle and the hinged cover is closed as shown inFIGS. 3-5.
• Referring now toFIGS. 3-5 and 8, thedropper cap22 includes a forward projectingfinger32 and two rearward projectingfingers34,36. Thecover24 has a rear slot which is bifurcated by across member38 and a front slot which is either bifurcated or terminated by across member40. As seen best inFIGS. 5, 6, and 8, the rearward projecting fingers extend into the rear slot and embrace thecross member38 thereby forming a hinge. As seen best inFIG. 4, when the cover is closed, the forward projectingfinger32 engages the front slot above thecross member40 and thereby prevents the cover from accidentally opening. Thecover24 is made of resilient material which can be deformed by squeezing the sides of the cover. Squeezing the sides of the cover deforms it in a manner that causes thecross member40 to move forward and out from under thefinger32 thereby unlocking the cover and allowing it to be hingedly rotated aboutcross member40 thereby opening the cover to the position shown inFIG. 8 with thespout23 exposed. A dropper bottle assembly of the type described above is also described in U.S. Pat. No. 5,328,058, the complete disclosure of which is incorporated by reference herein.
• An alternative dropper bottle assembly12auseful in lieu ofbottle assembly12 is seen inFIG. 5a. Dropper bottle assembly12aincludes a bottle28ahaving a threadedneck30, adropper cap22 having internal threads (not shown) for mating with threadedneck30 and aspout23ahaving a neck23bwith external threads, and a cover24awith internal threads (not shown) for mating with the threads of neck23b. As will be appreciated, cap22aand cover24acan be removed together from bottle28a, and cover24acan be removed separately from cap22a.
• A method according to the invention is illustrated inFIG. 9. The method is preferably performed in a clean room which is free from food, drink, and smoke as illustrated at100. Optimally, the person performing the method may don protective clothing such as a face mask and rubber gloves as indicated at102. Before beginning the method, the kit should be examined at104 to determine whether it has expired or been contaminated through a broken package. The method then proceeds by opening up the kit and then opening the dropper bottle assembly at106 by unscrewing the cap22 (or cap22aplus cover24a) and preferably placing the bottle and the cap (or cap plus cover) on a sterile surface. The swab is then removed from its sterile package (not shown) at108 and is used to obtain a sample at110 which may be oral fluid (e.g., saliva or sputum), blood, urine, stool (feces), epithelia, etc. The sorbent end of the swab is then placed into the open bottle (FIG. 6) and the stick is broken at112 (FIG. 7) typically by leveraging the stick against the edge of the threadedneck30 of thebottle12 so that the weakenedportion20 of the stick is near the leveraged point and snaps. Thus, the weakened portion of the stick is preferably selected to be located at a distance from the end of the sterile swab which is approximately (i.e., plus or minus 10%) the same height as the dropper bottle assembly without its cap. The cap (or cap plus cover) is then screwed back onto the bottle at114 with the broken-stick-swab therein and the bottle is agitated at116, preferably by shaking it a number of times, e.g. ten. The hinged cover is then opened (FIG. 8) at118 (or the cover24ais removed from the cap22a) and the bottle inverted at120 so that the buffer reaches the spout (the bottle may be held at an angle). The bottle is positioned over the test apparatus which has been removed from its sterile package (see11 inFIG. 10) and an appropriate number of drops are dispensed at122 through the dropper spout23 (or23a) by gently squeezing the bottle. When a dual path immunoassay device is used, at124, pure buffer from a separate bottle (discussed below) is added to another location of the test apparatus.
• The apparatus of the invention was tested on one hundred patients known to be infected with HIV. The tests involved collecting oral fluid and performing the procedure described above. Ninety-seven positive test results were obtained and one indeterminate result. This compared favorably with a currently (at the time of the tests) FDA approved test which obtained ninety-eight positive test results from the one hundred patients. The apparatus of the invention was tested on twenty-five patients known to be not infected with HIV. The tests involved collecting oral fluid and performing the procedure described above. All twenty-five patients tested negative for HIV. The FDA approved test achieved the same results.
• The above described kit (withbottle12 or bottle12a) and method can be used with a single path assay device or with a dual path assay device.FIG. 10 shows a kit which is specifically intended for use with a dual path assay device (1 inFIG. 1) which is shown in a sterile package11. The kit includes theswab10 which is preferably contained in a sealed sterile package (not shown) and bottle assembly12 (which can be replaced with bottle assembly12a). The kit may also include the assay device1 and a second dropper bottle41 containing the buffer solution to be added to hole2 inFIG. 1 and as shown in phantom at124 inFIG. 9. The kit preferably further includes a safety lancet42, a packagedalcohol swab44 and abandage46. Thus, the kit contains all that is needed to test several different kinds of samples, including blood. If desired, the kit may also include a blood collection loop48. All elements of the kit may be provided in a container or bag50.
• A method of testing a blood sample includes using thealcohol swab44 to clean the area of the skin from which the sample will be taken, pricking the skin with the safety lancet42, collecting blood using thecollection swab10, and bandaging the collection site with thebandage46. The method then proceeds as described above with reference toFIG. 9. While the presently preferred embodiment of the kit and method are designed for use with a dual path immunoassay device, a kit and method for use with a single path device are also contemplated by the invention. When applied to a single path device, the kit need not contain the second dropper bottle41.
• As previously mentioned, if desired the kit ofFIG. 10 may also include a blood collection loop48. If a blood collection loop is used to collect a blood sample, the blood sample in the loop may be transferred to the assay device by touching the loop with blood collected therein to the sample pad at the sample opening. One or more drops of buffer may then be added. If the assay device is a dual path assay device, the blood sample is applied at thesample opening3. Buffer from the second dropper bottle41 (i.e., the pure or “running” buffer) is then added to the sample pad at thesample opening3. After a period of time, a desired number of drops of buffer from bottle41 are then added to opening2 of the assay device1.
• There have been described and illustrated herein methods and apparatus for the collection and preparation of biological samples for testing. While particular embodiments of the invention have been described, it is not intended that the invention be limited thereto, as it is intended that the invention be as broad in scope as the art will allow and that the specification be read likewise. Thus, depending upon the assay device which is included in the kit, or with which the kit is to be used, different numbers of bottles of buffer, and different types of buffers or different types of solutions might be utilized, and the methods of use might vary. Also, depending upon the technique of the technician using the kit, it will be appreciated that different steps can performed in different order. It will therefore be appreciated by those skilled in the art that yet other modifications could be made to the provided invention without deviating from its spirit and scope as claimed.

Claims (13)

1.-15. (canceled)

16. A kit for collecting and preparing a biological sample for testing, the kit comprising:

a sterile swab separate and distinct from a dropper bottle assembly;

wherein the sterile swab has a stick with a sorbent fixed to the stick at one end of the stick, the stick having a weakened portion at a pre-selected location to facilitate breaking the stick; and

wherein the dropper bottle assembly comprises a dropper cap having a spout and a base, a squeezable bottle with a neck, and a cover that is manually removable from the dropper cap to expose the spout of the dropper cap, the bottle containing a liquid buffer, the base of the dropper cap being coupled to the neck of the bottle, and the dropper cap configured to dispense at least one drop from contents of the bottle when the bottle is squeezed, wherein length of the sterile swab is greater than height of the bottle without the dropper cap, and wherein the weakened portion of the stick is located a distance from the end of the sorbent, the distance being 90% to 100% of the height of the bottle without the dropper cap.

17. A kit according toclaim 16, further comprising:

an alcohol swab, a safety lancet, and a bandage.

18. A kit according toclaim 16, further comprising:

a blood collection loop.

19. A kit according toclaim 16, wherein:

the cover is connected to the dropper cap by a hinge that permits the cover to rotate about the hinge relative to the dropper cap

20. A kit according toclaim 16, wherein:

the cover is connected to the dropper cap by a thread interface.

21. A kit according toclaim 16, wherein:

the base of the dropper cap is connected to the neck of the bottle by a thread interface.

22. A kit according toclaim 16, wherein:

the biological sample is a blood sample.

23. A kit according toclaim 16, wherein:

the biological sample is one of oral fluid, blood, urine, stool, and epithelia.

24. A kit for collecting and testing a biological sample, the kit comprising;

an immunoassay device;

a sterile swab separate and distinct from a dropper bottle assembly;

wherein the sterile swab has a stick with a sorbent fixed to the stick at one end of the stick, the stick having a weakened portion at a pre-selected location to facilitate breaking the stick;

wherein the dropper bottle assembly comprises a dropper cap having a spout and a base, a squeezable bottle with a neck, and a cover that is manually removable from the dropper cap to expose the spout of the dropper cap, the bottle containing a liquid buffer, the base of the dropper cap being coupled to the neck of the bottle, and the dropper cap configured to dispense at least one drop from contents of the bottle when the bottle is squeezed, wherein length of the sterile swab is greater than height of the bottle without the dropper cap, and wherein the weakened portion of the stick is located a distance from the end of the sorbent, the distance being 90% to 100% of the height of the bottle without the dropper cap; and

wherein the immunoassay device has a first opening identified for receiving drops dispensed from the bottle.

25. A kit according toclaim 24, further comprising:

an additional dropper bottle containing a liquid buffer;

wherein the immunoassay device has a second opening identified for receiving drops dispensed from the additional bottle.

26. A kit according toclaim 24, wherein:

the biological sample is a blood sample.

27. A kit according toclaim 24, wherein:

the biological sample is one of oral fluid, blood, urine, stool, and epithelia.

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