DIAGNOSTIC MANIFOLD APPARATUS AND METHOD OF USING

Abstract: Apparatus for immunoassay of multiple samples of biological fluids (e.g., AIDS antibodies), the apparatus being capable of mounting for rocking during incubation. A frame (11) receives plural test vessels (14) so that the vessels are interconnected for circulation through all the vessels of buffers, de-ionized water and air and for discharge of waste. Each vessel is transparent and contains nitrocellulose test paper (64) impregnated with antigens to the antibodies. Valved ports (53) in each vessel accept sequential insertion of the biological fluids, an enzyme conjugate and color developer. Color changes in the individual test papers are observed through the transparent vessels and identify presence of antibodies in the samples.

Description: DIAGNOSTIC MANIFOLD APPARATUS AND METHOD OF USING BACKGROUND OF THE INVENTION Field of the Invention This invention relates to a new and improved diagnostic manifold apparatus. A diagnostic procedure for analysis of certain antigens/antibodies in human blood sera, including particularly Acquired Immune Deficiency Syndrome (AIDS) is described by Tsang, V.C. . et al. "Enzyme-Linked Immunoelectrotransfer Blot Technique (EIBT) (Western Blot) for HTLV-III/LAV Antibodies" (1985) . Developmental Procedure. U.S. Department of Health and Human Services, Public Health Service, Center for Disease Control, Atlanta, Georgia, March 1985. Antigens derived from a virus are derived from the protein component of the virus and are a mixture of proteins, or oligopeptides, resulting from denaturing the protein component of the virus. The antigens which give rise to antibodies produced by the human host affected by the virus are included in the oligopeptides. Antigen mixtures are available from the National Cancer Institute, National Institutes of Health, Biological Modifier Program, Washington, D.C. as well as commercial sources. The antigen mixture is separated into its components by electrophoresis onto a gel. The antigens in the gel are transferred to a paper strip such as nitrocellulose paper and are immobilized on the paper. To detect the presence of the virus in the human host, the paper is treated with human serum/plasma by an immunoassay method. The present invention is useful in rapid, mass analysis such as would occur in a blood bank. SUMMARY OF THE INVENTION According to one aspect of the invention, there is provided apparatus for diagnosis comprising a frame having a rectangular open area bounded by opposed side rails, a manifold at one end and a second end, the manifold having an inlet and an outlet; a plurality of transparent, hollow, transversely extending test vessels each having a rectangular cross-section chamber; each test vessel having a rectangular impregnated test paper lying flat on the bottom of the chamber and observable through the vessel; an inlet port at one end of the chamber; an outlet port at the opposite end of the chamber, and at least one injection inlet to the chamber; check valve means for the inlet port and the injection inlet; a plurality of fittings, one fitting being attached to each end of one test vessel r each fitting having a first connector port to receive one port of one test vessel; a second connector port communicating with the first connector port to receive the second connector port of an adjacent fitting and cooperating means on the fittings and the rails for supporting the fittings and the test vessels for longitudinal movement along the rails, the second connector ports of the fittings on the endmost of the test vessels being received by the inlet and the outlet of the manifold. According to another aspect of the invention, there is provided a test vessel comprising a transparent, hollow body having a rectangular cross- section chamber, an inlet port at one end of the chamber, an outlet port at the end of the chamber opposite the inlet port, at least one injection inlet into the chamber and check valve means for the inlet port and the injection inlet. . According to yet another aspect of the invention, there is provided a method for simultaneously testing a plurality of test fluid samples comprising a plurality of test vessels, one for each sample to be tested, the inlet ports of all the vessels communicating with a common inlet port, the outlet ports of all the vessels communicating with a common outlet port, the method further comprising the steps of individually injecting a sample into the injection port of each vessel and incubating the sample in the vessel, discharging samples from all the vessels by injecting pressurized air into the common inlet port, injecting enzyme conjugate into each injection port and incubating the enzyme in the vessel, discharging enzyme from all the vessels by injecting pressurized air into the common inlet port, injecting color developer into each injection port of each vessel and incubating the developer in the vessel, discharging developer from all the vessels by injecting pressurized air into the common inlet port, rinsing each vessel by pumping de-ionized water into the inlet port, and observing color band patterns on each test paper through the test vessels. Narrow elongate strips of nitrocellulose or other suitable material impregnated with antigens to the antibodies to be tested are sealed in a rectangular cross-section transparent test vessel. This vessel has ports for the inlet and outlet of compressed air and various agents used during the tests. The inlets and outlets of adjacent identical test vessels interlock so that when the adjacent vessels are assembled in a frame they are interconnected for circulation of various agents from a manifold at one end of the frame through all of the vessels in the assembly and back to a discharge port in the manifold of the frame. Each vessel is also provided with readily accessible ports for the individual insertion of the serum to be tested, enzyme conjugates and color developer or other reagents. Preferably some or all of the ports are provided with check valves to permit only ingress of agents. All of the test vessels are received in an open rectangular frame which may be mounted on a rocker to rock the contents of the vessels during incubation. At one of the frame is the manifold heretofore described. Extending along either side are side members formed with longitudinal grooves into which tongues of connectors for the individual test vessels fit so that the vessels may slide longitudinally along the frame from an insert set position toward the manifold. A lead screw forces the test vessels toward the manifold and insures that the connections between adjacent vessels are fluid tight. BRIEF DESCRIPTION OF THE DRAWINGS The various aspects of the present invention will be discussed in more detail hereinafter in - conjunction with the drawings wherein: FIG. 1 is a top plan view of the device partially broken away in section to reveal internal construction. FIG. 2 is an enlarged fragmentary sectional view taken substantially along the line 2-2 of FIG. 1. FXG . 3 is a sectional view taken substantially along the ' line 3-3 of FIG. 1. FIG. 4 is a sectional view taken substantially along the- line 4-4 of FIG. 3. FIG. 5 is an enlarged sectional view taken substantially along the line 5-5 of FIG. 2. FIG. 6 is an enlarged sectional view taken substantially along the line 6-6 of FIG. 1. FIG. 7 is a schematic flow diagram. DESCRIPTION OF PREFERRED EMBODIMENT An open rectangular frame is provided suitable for mounting in a conventional rocking mechanism of the general type commonly used during incubation of blood samples. The frame has a left end 11, a right end or manifold 12 and side rails 13 on either side. The ends and rails may be screwed together or otherwise connected. Removably received in the frame are a plurality of test vessels 14 which are inserted in the rails at the left end as viewed in FIG. 1 and forced towards the manifold end by a plug support 17 driven by a longitudinally extended, centrally disposed lead screw 16. Each test vessel 14 is provided at either end with a connector 18 which engages the rails 13 all as hereinafter explained. Lead screw 16 extends through a hole 19 in left frame end 11. The opposite end of screw 16 fits ' through hole 21 in manifold 12. Manifold 12 is formed with an inlet port 22 connected by duct 23 to an inlet receptor 24. Manifold 12 also has at its end opposite port 22 an outlet port 26 connected by duct 27 to outlet receptor 28. As hereinafter explained, fluids are applied to the inlet port 22, circulate through the test vessels 14 and are discharged back out of the outlet port 26 and into a waste receptacle. Directing attention to FIG. 2, each rail 13 is formed with a longitudinally extending rectangular cross-section groove 31. Spaced to the right of the left end of each rail 13 is formed an insert slot 32 into which tongues of sliding parts 17 and 18 fit. Directing attention once again now to FIG. 1, the screw 16 has a threaded part 36 extending most of its length. At its left end it has a reduced diameter part 37 which fits through hole 19 in end 11 with a running fit and on its exterior it has a knob 38 which is used to turn the screw 16. At the right hand end of screw 16 is another reduced diameter portion 39 which fits into hole 21 in manifold 12 with a running fit. A conventional retainer 41 snaps into a groove (not shown) on the end of screw 16 to hold the parts assembled. Plug support 17 has a rectangular cross- section transversely extending body 46 formed with a threaded hole 47 mating with the threaded portion 36 of screw 16. Plugs 48 in line with ports 22, 26 are formed extending to the right on one side of body 46. Projecting into slots 31 in side rails 13 are tongues 49 which fit into the slots 31 with a sliding fit. The insert slots 32 are located so that support 17 may be retracted to the left thereof making it possible for the tongues 49 to be inserted in insert slots 32. Each test vessel 14 is formed of two molded parts formed of a transparent plastic material. The two parts are ultrasonically welded together after the paper strip 64 is installed on the bottom of the vessel. Thus, top 51 is formed with a longitudinally extending top groove 52. Extending upward from top 51 at the left end as viewed in FIG. 3 are three nipples 53. At the left end of top 51 is a downward " projecting tip 54. Bottom 56 is formed with a bottom groove 57. At the left end of bottom 56 is a downward extending nipple 58 and at the right end is a similar downward projecting nipple 59. Nipple 58 is aligned with tip 54. Upward extending tips 61 on bottom 56 are aligned with nipples 53. Valve disks 62 are installed at the inner ends of each of the nipples 53 and 58 and bear against the tips 54 and 61. The disks 62 are preferably formed of a silicon rubber of 50 durometer and are approximately .010 inches thick. Hence the disks operate as check valves so that they permit ingress of fluid through the nipples 53 and 58. As viewed in FIG. 4, the cross-section of the vessel 14 is rectangular and on the flat bottom thereof is a longitudinal extending test strip 64 of nitrocellulose paper or the like which has been suitably impregnated as heretofore described. At each end of each test vessel 14 is a connector 18 best shown in FIGS. 2 and 5. Thus, at the top of connector 18 is an upward facing port 66 which receives either nipple 58 or 59 depending upon which end of the vessel 14 the connector 18 is installed. Projecting to the right as viewed in FIG. 1 on one side of each connector 18 is a nipple 68 which is connected by duct 67 to port 66. In alignment with nipple 68 is a receptor 70 which is positioned and shaped to receive either the nipple 68 of an adjacent test vessel 14 or one of the plugs 48 of plug support 17. To assemble the device, the plug support 17 is retracted to the left as viewed in FIG. 1, clearing > the insert slots 32. Test vessels 14 each having on its bottom a suitably impregnated paper 64 are attached at either end to a connector 18, the nipples 58 or 59 fitting into the port 66 of the connector. Each connector 18 has a tongue 69 shaped to be received in slot 31 of side rails 13 with a sliding fit. Thus, one after the other, the test vessels 14 are inserted in the frame through insert slots 32, the tongues 69 of the connectors being dropped into insert slots 32. As each vessel 14 is thus inserted in the slot 31, it is moved to the right. When the total number of vessels 14 to be tested have been thus inserted in the frame, they are moved to the right with the right most nipples 68 being received in the receptors 24, 28 and the corresponding nipple 68 of each vessel 14 being received in the receptor 70 of the next adjacent connector 18. Knob 38 is then turned, forcing plug support 17 towards the right as viewed in FIG. 1 until the plugs 48 enter the receptors 70 of the nearest vessel 14. Continued turning of the knob 38 forces all of the vessels 14 to the right, ensuring tight fits of the nipple 68 in the receptors 24 and 28 as well as in the receptor 70 of the adjacent connectors. With the completion of this operation, the apparatus is ready for the commencement of the assay process. Directing attention to FIG. 7, containers of solution designated in the drawing as PBS TWEEN buffer, PBS buffer and DI (de-ionized) water as well as a source of compressed air are connected through solenoid controlled valves SV to a pump which leads to the inlet port 22 of manifold 12. Because the connectors 18 of all of the vessels 14 are. interconnected, whatever fluid is being pumped by the pump passes through all of the vessels 14. It will be understood that the pressure supplied by the pump causes the disks 62 to bend around the tips 54, permitting the fluid to flow into the left end (as viewed in FIG. 3) ' of each vessel 14 and then out the nipple 59 into the connector 18 and thence to the next connector 18 until the liquid passes back through the outlet port 26 of manifold 12 and thence to waste. The various solenoid valves of the pump are controlled by the logic controller electronics indicated in FIG. 7. Thus more specifically, assuming that PBS buffer has been previously inserted in each vessel 14, the buffer is removed by opening the valve for the air inlet for approximately 30 seconds. The next step in the procedure is to flush all of the vessels 14 with 25 ml of PBS TWEEN for 30 seconds. Air is then used to empty the PBS TWEEN buffer from each chamber by applying air for 30 seconds. Directing attention now to FIG. 6, 1 ml of diluted serum is introduced into the test chamber through one of the nipples 53 from a syringe 71 which has a nipple 72 fitting into the nipple 53. Plunger 73 discharges the desired quantity of serum into the vessel, the pressure applied to the serum causing the valve disks 62 to bend as shown in FIG. 6 and permitting the serum to enter the test chamber. The serum is introduced through the check valve until the chamber is almost filled (the chamber should contain an air bubble about 5 mm long) . The serum is then incubated in the chamber with the test strip for between 30 and 60 minutes at room temperature, the frame being rocked causing the bubble in the chamber to move up and down. The liquid is emptied from the chambers by opening the air inlet for about 30 seconds. The next step is to rinse each chamber with 50 ml of PBS TWEEN buffer for about two minutes. Thereupon the liquid is emptied from the chambers using air for 30 seconds. Enzyme conjugate (1 ml) is introduced into each chamber individually through the second of the nipples 53 until the chamber is almost filled but contains an air bubble about 5 ml long. Thereupon the frame is rocked allowing the conjugate to incubate for between 30 and 60 minutes at room temperature. The air inlet valve is opened emptying the liquid from the chambers for about 30 seconds. Next, each chamber is rinsed with about 50 ml of PBS TWEEN buffer for about two minutes. The liquid is then emptied from the chamber using air for about 30 seconds. Another rinse of each chamber with about 50 ml of PBS buffer for about two minutes is performed and the liquid is emptied from the chambers with air for about 30 seconds. Next, a 1 ml solution of diaminobenzedine with hydrogen peroxide (a color developer) is injected into each chamber individually through the third of the nipples 53. The color developer is allowed to incubate for 5 to 10 minutes at room temperature with rocking. Then the liquid is emptied from the chambers using air for about 30 seconds. Finally, each chamber is rinsed with about 100 ml of de-ionized water for about four minutes. Observation of the paper 64 in each chamber for band patterns identifies which particular antibodies are present in the serum which was injected into the system. After the various vessels have been examined, the apparatus is disassembled and the frame is reused. The individual test vessels 14 and connectors 18 may be discarded after use. The volumes of fluids pumped through inlet 22 is sufficient so that the fluid opens valves 62 of all the test vessels 14 and completely fills all the vessels, any excess being discharged through nipple 59. Upon cessation of pumping, valves 62 close. Fluid in the test vessel chamber is trapped therein and does not run out since there would otherwise be a vacuum in the vessel. There is no cross-contamination because no back-flow differential occurs. Flushing the chamber causes a positive pressure in each vessel, again preventing cross-contamination. Because the system is closed, there is no risk of contamination of operators or technicians, nor cross-contamination of samples. It is believed that the invention is applicable not only in testing serum for AIDS but also for one or more of the following: LYMES (arthritis) HTLV-I (T-cell leukemia) HTLV-II (multiple sclerosis) HTLV-IV LAV-II Retroviruses Autoimmune diseases.

Claims: CLAIMS 1. Apparatus for diagnosis comprising a frame having a rectangular open area bounded by opposed side rails, a manifold at one end and a second end, said manifold having an inlet and an outlet, a plurality of transparent, hollow, transversely extending test vessels each having a rectangular cross-section chamber; each said test vessel having a rectangular impregnated test paper lying flat on the bottom of the chamber and observable through said vessel, an inlet port at one end of said chamber; an outlet port at the opposite end of said chamber, and at least one injection inlet to said chamber; check valve means for said inlet port and the injection inlet, a plurality of fittings, one said fitting being attached to each end of one said test vessel, each said fitting having a first connector port to receive one said port of one said test vessel, a second connector port communicating with said first connector port to receive the second connector port of an adjacent fitting and cooperating means on said fittings and said rails for supporting said fittings and said test vessels for longitudinal movement along said rails, the second connector ports said fittings on the endmost of said test vessels being received by said inlet and said outlet of said manifold. 2. Apparatus according to claim 1 in which each said check valve means comprises a flexible disk normally sealing off said port and means on the interior of said vessel bearing against the middle of said disk on the side of said disk opposite said port, whereby fluid pressure in said port bends said disk inward about said last-named means. 3. Apparatus according to claim 1 in which said test vessel is formed with at least one said injection inlet spaced along the length of said test vessel and said check valve means includes separate check valves for each said injection inlet. 4. Apparatus according to claim 1 in which said cooperating means comprises longitudinal, inward facing grooves in said side rails, and outward facing tongues on said fittings slidable in said grooves. 5. Apparatus according to claim 4 in which at least one said rail is formed with an insert slot communicating with said longitudinal slot and shaped to receive one said tongue. 6. Apparatus " according to claim 1 which further comprises a transverse plug support, cooperating means on said plug support and said rails for supporting said plug support for longitudinal movement along said rails. 7. Apparatus according to claim 6 which further comprises plugs on said plug support each positioned to seal off an end of said second connector port of one of said fittings on the test vessel nearest said second end of said frame. 8. Apparatus according to claim 6 which further comprises a screw rotatably mounted in said manifold and said second end and threadedly engaging said plug support, whereby rotation of said screw moves said plug support longitudinally of said frame. 9. Apparatus according to claim 1 in which said inlet port of said test vessel comprises a vertically-extending first nipple and said outlet port comprises a vertically-extending second nipple, and in which each said fitting comprises a vertical facing port shaped to receive one of said nipples with al fluid tight fit, a third nipple horizontally extending in a first direction and a horizontally opening receptor aligned with said third nipple and shaped to receive the third nipple of an adjacent fitting with a fluid tight fit, said vertical facing port, third nipple and receptor inter-communicating. 10. A test vessel comprising a transparent, hollow body having a rectangular cross section chamber, an inlet port at one end of aid chamber, an outlet port at the end of said chamber opposite said inlet port, at least one injection inlet into said chamber and check valve means for said inlet port and said injection inlet. 11. A vessel according to claim 10 which further comprises a rectangular test paper impregnated with antigens or antibodies lying flat along the bottom of said chamber. 12. A vessel according to claim 10 in which said check valve means comprises a flexible disk normally sealing off said port and means on the interior of said vessel bearing against the middle of said disk on the side of said disk opposite said port, whereby fluid pressure in said port bends said disk inward about said last-named means. 13. A vessel according to claim 10 in which said test vessel is formed with at least three said injection inlets spaced along the length of said test vessel and said check valve means includes separate check valves for each said injection inlet. 14. A vessel according to claim 10 in which said inlet port comprises a vertically-extending first nipple and said outlet port comprises a vertically extending second nipple. 15. A vessel according to claim 14 which further comprises a first fitting at one end of said vessel, each said fitting comprising a vertical facing port shaped to receive one of said first and second nipples with a fluid-tight fit, a third nipple horizontally extending in a first direction and a > horizontally opening receptor aligned with said third nipple and shaped to receive the third nipple of an adjacent fitting with a fluid tight fit, said vertical facing port, third nipple and receptor inter¬ communicating. 16. A method for simultaneously testing a plurality of test fluid samples comprising a plurality of test vessels, one for each sample to be tested, each said vessel being in accordance with claim 11, the inlet ports of all said vessels communicating with a common inlet port, the outlet ports of all said vessels communicating with a common outlet port, said method further comprising the steps of individually injecting a sample into said injection port of each said vessel and incubating said sample in said vessel, discharging samples from all said vessels by injecting pressurized air into said common inlet port, injecting enzyme conjugate into each said injection port and incubating said enzyme in said vessel, discharging enzyme from all said vessels by injecting pressurized air into said common inlet port, injecting color developer into each said injection port of each said vessel and incubating said developer in said vessel, discharging developer from all said vessels by injecting pressurized air into said common inlet port, rinsing each said vessel, by pumping de- ionized water into said inlet port, and observing color band patterns on each said test paper through said test vessels. 17. A method according to claim 16 in which each said chamber is initially filled with buffer and which further comprises emptying said buffer by injecting pressurized air into said common inlet port. 18. A method according to claim 17 which further comprises the steps of rinsing each said vessel with a surfactant after each step of injecting into said injection port and emptying said surfactant from said vessels by injecting pressurized air into said common inlet port. 19. A method according to claim 16 in which each said test vessel is formed with three said injection inlets and each said injecting step is performed through a different injection inlet.

Inventors: CHANG CHU-AN, LITTLEHALES WILLIAM J, MARKS MARTIN E, CHANG, CHU-AN, LITTLEHALES, WILLIAM, J., MARKS, MARTIN, E.
Applicants: AMERICAN BIONETICS INC, AMERICAN BIONETICS, INC.
Application year: 1988
Main classification: G01N21
IPC codes: G01N33