DISPOSABLE TEST DEVICES FOR PERFORMING NUCLEIC ACID AMPLIFICATION REACTIONS

Abstract: A unit dose test device for a nucleic acid amplification reaction has the form of an elongate disposable test strip. The test strip includes a dual-chamber reaction vessel pre-loaded with nucleic acid amplication reaction agents, a plurality of wells for processing a reaction occuring in the reaction vessel, and a hinge cover above a membrane, sealing both reaction chambers. A desiccant is loaded in proximity to and in communication with first or second reaction chamber.

Description: DISPOSABLE TEST DEVICES FOR PERFORMING NUCLEIC ACID AMPLIFICATION REACTIONS BACKGROUND OF THE INVENTION A. Field of the Invention This invention relates to the field of methods and devices for performing nucleic acid amplification reactions. B. Description of Related Art Nucleic acid based amplification reactions are now widely used in research and clinical laboratories for the detection of genetic and infectious diseases. The currently known amplification schemes can be broadly grouped into two classes, based on whether, after an initial denaturing step (typically performed at a temperature of > 65 degrees C) for DNA amplifications or for RNA amplifications involving a high amount of initial secondary structure, the reactions are driven via a continuous cycling of the temperature between the denaturation temperature and a primer annealing and amplicon synthesis (or polymerase activity) temperature ("cycling reactions"), or whether the temperature is kept constant throughout the enzymatic amplification process ("isothermal reactions"). Typical cycling reactions are the Polymerase and Ligase Chain Reaction (PCR and LCR, respectively). Representative isothermal reaction schemes are NASBA (Nucleic Acid Sequence Based Amplification), Transcription Mediated Amplification (TMA), and Strand Displacement Amplification (SDA). In the isothermal reactions, after the initial denaturation step (if required), the reaction occurs at a constant temperature, typically a lower temperature at which the enzymatic amplification reaction is optimized. Prior to the discovery of thermostable enzymes, methodologies that used temperature cycling were seriously hampered by the need for dispensing fresh polymerase into an amplification tube (such as a test tube) after each denaturation cycle, since the elevated temperature required for denaturation inactivated the polymerase during each cycle. A considerable simplification of the PCR assay procedure was achieved with the discovery of the thermostable Taq polymerase (from Thermophilus aquaticus). This improvement eliminated the need to open amplification tubes after each amplification cycle to add fresh enzyme. This led to the reduction of both the contamination risk and the enzyme-related costs. The introduction of thermostable enzymes has also allowed the relatively simple automation of the PCR technique. Furthermore, this new enzyme allowed for the implementation of simple disposable devices (such as a single tube) for use with temperature cycling equipment. TMA requires the combined activities of at least two (2) enzymes for which no optimal thermostable variants have been described. For optimal primer annealing in the TMA reaction, an initial denaturation step (at a temperature of > 65 degrees C) is performed to remove secondary structure of the target. The reaction mix is then cooled down to a temperature of 42 degrees C to allow primer annealing. This temperature is also the optimal reaction temperature for the combined activities of T7 RNA polymerase and Reverse Transcriptase (RT), which includes an endogenous RNase H activity or is alternatively provided by another reagent. The temperature is kept at 42 degrees C throughout the following isothermal amplification reaction. The denaturation step, which precedes the amplification cycle, however forces the user to add the enzyme to the test tube after the cool down period in order to avoid inactivation of the enzymes. Therefore, the denaturation step needs to be performed separately from the amplification step. In accordance with present practice, after adding the test or control sample or both to the amplification reagent mix (typically containing the nucleotides and the primers), the test tube is subject to temperatures > 65 degrees C and then cooled down to the amplification temperature of 42 degrees C. The enzyme is then added manually to start the amplification reaction. This step typically requires the opening of the amplification tube. The opening of the amplification tube to add the enzyme or the subsequent addition of an enzyme to an open tube is not only inconvenient, it also increases the contamination risk. An alternative approach to amplification of a DNA sample is described in Corbett et al., U.S. Patent 5,270,183. In this technique, a reaction mixture is injected into a stream of carrier fluid. The carrier fluid then passes through a plurality of temperature zones in which the polymerase chain reactions take place. The temperature of the different zones and the time elapsed aked for the carrier fluid to traverse the temperature zones is controlled such that three events occur: denaturation of the DNA strands, annealing of oligonucleotine primers to complemetary sequences in the DNA, and synthesis of the new DNA strands. A tube and associated temperature zones and pump means are provided to carry out the '183 patent process. The present invention avoids the inconvenience and contamination risk described above by providing a novel test device in the form of a strip that includes a dual chamber or "binary" reaction vessel, and a manner of using the device. The invention achieves the integration of the denaturation step with the amplification step without the need for a manual enzyme addition and without exposing the amplification chamber to the environment. The contamination risks from sample to sample contamination within the processing station are avoided since the amplification reaction chamber is sealed and not opened to introduce the patient sample to the enzyme. Contamination from environmental sources is avoided since the amplification reaction chamber remains sealed. The risk of contamination in nucleic acid amplification reactions is especially critical since large amounts of the amplification product are produced. The present invention provides a reaction chamber design that substantially eliminates these risks. The preferred test strip embodiment allows the test device to be used in a currently installed instrument base after the performance of the amplification reaction, namely the VTDAS ® instrument manufactured and distributed by the assignee of the present invention, bioMerieux, Inc. Thus, providing test devices in a size and configuration to be readily used in an existing instrument base allows the devices to be commercialized and used with a reduced capital expenditure and without having to develop a new instrument for processing the reaction and detecting the resulting amplicons. It will be apparent, however, from the following detailed description that the invention can be practiced in other configurations from the presently preferred embodiment described in detail herein. SUMMARY OF THE INVENTION In a preferred form of the invention, a dual chamber reaction vessel is provided which comprises a single or unit dose of reagents for a reaction requiring differential heat and containment features, such as a nucleic acid amplification reaction (for example, TMA reaction) packaged ready for use. The dual chamber reaction vessel is designed as a single use disposable unit. The reaction vessel is preferably integrally molded into a test device, such as a strip, having a set of wash and reagent wells for use in a amplification product detection station. Alternatively, the reaction vessel can be made as a stand alone unit with flange or other suitable structures for being able to be installed in a designated space provided in such a test device. In the dual chamber reaction vessel, two separate reaction chambers are provided in a preferred form of the invention. The two main reagents for the reaction are stored in a spatially separated fashion. One chamber has the heat stable sample/amplification reagent (containing primers, nucleotides, and other necessary salts and buffer components in a reaction solution), and the other chamber contains the heat labile enzymatic reagents, e.g., T7 and RT. Alternatively, the heat labile enzymatic reagents may be stored in an intermediate chamber or well in fluid communication with the second chamber, such that a reaction solution from the first chamber flows through the intermediate chamber en route to the second chamber. A fluid channel extending from the first chamber to the second chamber links the two chambers to each other. A means is provided for controlling or allowing the flow of fluid through the fluid channel from the first chamber to the second chamber. Various fluid flow control means are contemplated, such as providing a valve in the fluid channel, as described in the application serial no. 09/053,823 filed April 2, 1998, now U.S. Patent No. and U.S. Patent 5,786,182. Several different valve embodiments are described therein. In use, the fluid sample is introduced into the first chamber and the first chamber is heated to a denaturation temperature (e.g., 95 degrees C). After the amplification reagents in the first chamber have reacted with the fluid sample and the denaturation process has been completed, the first chamber is cooled to 42 degrees C for primer annealing. The two chambers of the reaction vessel are not in fluid communication with each other prior to completion of the denaturation and cooling step. After these steps are complete, the means for controlling the flow of fluid is operated to allow the reaction solution to pass through the fluid channel from the first chamber to the second chamber. For example, the valve in the fluid channel is opened and the fluid sample is directed into the second chamber either by pressure or vacuum techniques. The reaction solution is then brought into contact with the amplification enzyme(s) (e.g., T7 and/or RT) and the enzymatic amplification process proceeds in the second chamber at 42 degrees C. In a preferred embodiment, after completion of the amplification reaction, an SPR® (a fluid transfer, pipette-like device that functions as solid phase receptacle) is introduced into the second chamber. The test strip contains a plurality of wells arranged in an array. Hybridization, washing and optical analysis then proceeds in the wells in accordance with well known techniques in order to detect the amplification products. Such processes may occur in the adjacent wells of a test strip embodiment of the dual chamber reaction vessel automatically in an automated instrument, such as the VIDAS ® instrument of bioMerieux, Inc. Thus, a preferred form the present invention comprises a test strip for performing a nucleic acid amplification reaction. The test strip includes an integral, elongate housing formed in a strip having a first end and a second end, with the housing having a portion thereof defining a plurality of wells arranged in a linear array disposed in the strip between the first and second ends. The wells will be typically used for hybridization, washing or other detection and decontamination steps after the nucleic acid amplification reaction has been completed. The test strip housing includes a dual chamber reaction vessel for a nucleic acid amplification reaction to be carried out therein, positioned adjacent to the first end of the test strip. The dual chamber reaction vessel comprises (1) a first chamber in which a first portion of a nucleic acid amplification reaction is performed (e.g., denaturation and primer annealing), (2) a second chamber in which a second portion of a nucleic acid amplification reaction is performed, (e.g., amplification of nucleotides by an amplification enzyme), and (3) an openable connecting conduit linking the first chamber to the second chamber. In manufacture of the test strip, a first reagent (e.g., primers and/or nucleotides) is inserted into the first chamber for the first portion of the nucleic acid amplification reaction, and a second reagent (e.g., an amplification enzyme) is either inserted into or placed in fluid communication with the second chamber. After the reagents are loaded into the two chambers of the dual chamber reaction vessel (and any required reagent(s) inserted into the remaining wells of the test strip), a membrane is affixed to the test strip housing. The membrane is applied to the housing to cover the first and second chambers and the wells. Separate reagent loading steps and covering may be provided. Such other reagents can be used in other reaction steps for analysis of the test sample. In order to prolong the shelf life of the test strips and reagents contained therein, a desiccant may be placed into the test strip, preferreably in communication with either the first or second chambers of the dual chamber reaction vessel. Alternatively, the desiccant may be molded into the material forming the test strip housing. In order to provide a means for decontaminating the test strip be fore removing it from the instrument, a decontamination solution or bleach wash is provided in one of the sealed wells. BRIEF DESCRIPTION OF THE DRAWINGS A presently preferred embodiment of the invention is described below in conjunction with the appended drawing figures, wherein like reference numerals refer to like elements in the various views, and in which: Figure 1 is a perspective view of a test strip incorporating a dual chamber reaction vessel for a nucleic acid amplification reaction and associated cover member in accordance with a presently preferred embodiment of the invention, showing the cover member prior to attachment to the test strip in the vicinity of the dual chamber reaction vessel; Figure 2 is another perspective view of the test strip and cover member of Figure 1, showing the cover member attached to the test strip and with a portion of the cover member in a raised or elevated position, allowing access to the first reaction chamber of the dual chamber reaction vessel therein; Figure 3 is another perspective view of the test strip of Figure 2; Figure 4 is an isolated, perspective view of the cover member of Figures 1-3 shown from below; Figure 4A and 4B are perspective views of an alternative embodiment of the cover member; Figures 4C and 4D are views of still another alternative embodiment of the cover member; Figures 4E, 4F, and 4G are detailed views of the button of Figures 4C and 4D; Figure 5 is a top plan view of the test strip of Figures 1-3; Figure 6 is a cross-sectional view of the test strip of Figure 5, shown along the lines 6-6 of Figure 5; Figure 7 is a cross-sectional view of the test strip of Figure 5, shown along the lines 7-7 of Figure 5; Figure 8 is a side elevational view of the test strip of Figure 5; Figure 9 is a detailed elevational view of the upper portion of the test strip in the region adjacent to the second reaction vessel, showing the features on the side of the test strip that are securely gripped by the resilient legs of the cover member to lock the cover member to the test strip; Figure 10 is a detailed cross-sectional view of test strip, partially broken away, illustrating the locking features shown in Figure 9; Figure 11 is a cross-sectional view of the test strip of Figure 5 taken along the lines 11-11 of Figure 5, shown partially broken away, illustrating the desiccant well and enzyme pellet wells; Figure 12 is a detailed plan view of the desiccant well and adjacent structures in the test strip of Figure 5; Figure 13 is a detailed sectional view of the desiccant well and a portion of the second reaction chamber of the test strip of Figure 5; Figure 14 is a perspective view of a cap member shown in Figure 3 that closes off the bottom of the first reaction chamber and provides a fluid path to link the first reaction chamber to the vertically-disposed connecting conduit leading to the second reaction chamber; Figure 15 is a plan view of the cap member of Figure 14; Figure 16 is a detailed plan view of the top of the test strip of Figure 5 in the region of the connecting conduit linking the first reaction chamber to the second reaction chamber; Figure 17 is a cross-sectional view of a portion of the test strip of Figures 5 and 16, taken along the lines 17-17 of Figure 16, that is, along the long axis of the test strip in the region of the connecting conduit linking the first reaction chamber to the second reaction chamber, showing the placement of a ball inside the connecting conduit that acts as a valve to close off the connecting conduit; Figure 18 is a cross-sectional view of a portion of the test strip of Figure 5 taken in a direction orthogonal to the long axis of the capsule, along the lines 18-18 of Figures 16 and 17; Figure 19 is a perspective view of a test strip of the kind shown in Figure 5 with a fork implement used to open up the connecting conduit, with the arrow indicating the relative motion of the fork with respect to the test strip and the dotted lines indicating the insertion of the prongs of the fork into the test strip to open the ball valve in the connecting conduit; Figure 20 is a schematic illustration of a vacuum station incorporating a thermoelectric cooling (TEC)/heat sink thermal control system for the test strip and having a housing that engages a support structure to form a vacuum enclosure around the test strips, with each test strip associated with a fork for opening the connecting conduit when the vacuum chamber housing moves down and engages the support structure; Figure 21 is a cross-sectional view of the test strip of Figure 5 taken in a direction transverse to the long axis of the test strip in the vicinity of the connecting conduit, showing the action of the forks of Figures 19 and 20 in deforming the material of the connecting conduit to thereby open the valve; Figure 22 is a cross-sectional view of the test strip of Figure 22, showing the deformation of the connecting conduit and the flow of fluid through the connecting conduit; and Figure 23 is a perspective view of an alternative embodiment of a test strip in which the walls of the test strip forming the first and second reactions chambers have exterior surfaces configured to engage heated surfaces in a nucleic acid amplification station processing the test strips to assist in maintaining the two chambers at desired temperatures. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT A prefeπed form of the invention provides for a dual chamber or "binary" reaction vessel embodied in a test strip or other configuration. The term "binary" refers to the characteristic of the vessel of storing in a spatially separated fashion at least two different reagents, for example a heat stable sample/amplification reagent(s) containing, for example, primers and nucleotides in one chamber and heat labile enzyme(s) such as T7 and RT in the second chamber. The reagents within the two chambers are not in contact prior to completion of the denaturation and cooling steps. The first chamber is accessible via a cap closure overlying a pierceable membrane or other means so as to permit an analytical or clinical or control sample(s) in liquid form to be added into the first chamber. The second chamber is sealed and contains the enzymatic components of the amplification reaction. The reagents may be in several physical forms, such as liquid, pelletized, lyophilized, etc. in unit dose amounts. After the contents of the first chamber is brought into contact with the second chamber, the amplification reaction can then take place, such as in the second chamber. In one possible form of the invention, the two chambers may be part of an integrated disposable unit. In another possible embodiment, the two chambers may be two distinct units, which have complementary engaging surfaces, or features that allow the two units to be combined into a single unit. In the first embodiment, where the two chambers are part of a unitary article, the unit must be made to prohibit the exchange of materials between the two chambers during shipping and prior to the denaturation (heating) step. In both embodiments, a mechanism is required by which the contents of the first chamber (a solution containing the patient or test sample and amplification reagent(s) mix after denaturation and primer annealing) is brought into contact with the enzyme(s) in the second chamber. The mechanism operates to introduce the contents of the first chamber into the second chamber, following the completion of the denaturation step in the first reaction chamber at a temperature of > 65 degrees C, and the cooling of the patient sample/amplification mix to the appropriate temperature for the enzymatic amplification reaction, e.g., 42 degrees C. Several different mechanisms are described in detail in U.S. Patent 5,786,182. Figure 1 is a perspective view of a test strip 10 incorporating a dual chamber reaction vessel 12 for a nucleic acid amplification reaction, a plurality of wells 13, and associated cover member 14 in accordance with a presently preferred embodiment of the invention. The test strip 10 of Figure 1 is preferably made from a molded polymeric material, such as polypropylene. A sealing membrane(s) is applied to the upper surface 15 of the test strip to cover the wells and dual chamber reaction vessel 12, after the wells and vessel 12 have been pre- loaded with the appropriate enzyme, reagents, wash or buffer solution, decontamination solution, etc. The membrane is not shown in Figure 1 in order to better illustrate the structure of the test strip 10. The cover member 14 is shown prior to attachment to the test strip in the vicinity of the dual chamber reaction vessel 12. The test strip of Figure 1 can be used to perform a nucleic acid amplification reaction, e.g.., a TMA reaction, in accordance with one possible embodiment of the invention. Chamber A of the dual chamber reaction vessel 12 contains the amplification reagents or mix, namely nucleotides, primers, MgCl 2 and other salt and buffer components. Chamber B is in fluid communication with a enzyme pellet well 52 that contains the amplification enzyme(s) that catalyzes the amplification reaction, e.g., T7 and/or RT. In an alternative embodiment, the amplification enzyme is loaded directly into chamber B. After addition of the targets (or test sample) into chamber A, heat is applied to chamber A to denature the DNA nucleic acid targets and/or minimize RNA secondary structure. The temperature of chamber A is then cooled down to allow primer annealing. Subsequently, the solution of chamber A is brought into contact with an enzyme pellet in the pellet well 52 and the solution is introduced into chamber B. Chambers A and B, now in fluid communication with each other, are then maintained at the optimum temperature for the amplification reaction, e.g., 42 degrees C. By spatially separating chamber A from chamber B, and applying the heat for denaturation to chamber A only, the thermolabile enzymes are protected from inactivation during the denaturation step. The controlled heating of dual chamber reaction vessel 12 in the test strip described above, and transfer of solution from Chamber A to Chamber B, is preferably performed in an amplification station or instrument designed to process the test strip 10. A prefeπed amplification station is described in U.S. Patent 5,786,182. After the reaction is completed, the test strip 10 is then processed in a machine such as the VIDAS ® instrument commercially available from bioMerieux, Inc. The test strip 10 of Figure 1 is given a particular form factor (e.g., shape, length, width, height, end features 18A and 18B, etc.) so as to enable the test strip to be compatible with an existing or selected instrument base having a solid phase receptacle or other fluidic transfer means and other equipment for processing the results of the nucleic acid amplification reaction in the test strip per se. Thus, the prefeπed embodiment of the test strip 10 has a size and shape suitable for the VIDAS ® instrument base of the inventors' assignee bioMerieux, Inc. It will appreciated that a different size, shape, configuration, and other physical characteristics of the test device incorporating the dual chamber reaction vessel can be arrived at to suit other analytic instruments, and other instruments that would conduct the nucleic acid amplification reaction in the dual chamber reaction vessel. Thus, the inventors do not consider the invention limited to the particular test strip form illustrated in the drawings. Figures 2 and 3 are additional perspective views of the test strip 10 and cover member 14 of Figure 1. Figure 4 is an isolated perspective view of the cover member. Referring to Figures 2-4, the cover member 14 has a pair of resilient legs 20 with a wedge feature 21 that snap onto corresponding ledges formed in the upper edge of the test strip, as will be explained later in conjunction with Figures 7-10. The legs 20 allow the rear portion 22 of the cover 14 to be firmly and securely attached to the test strip 10, while allowing a second or forward portion 24 of the cover 14 to be raised and lowered relative to the rear portion 22. The cover 14, made of a molded polymeric material, includes an integral hinge portion 26 linking the portions 22 and 24 together. The cover also includes a central aperture 28 having a porous mesh filter placed therein to allow air to enter into or be removed from chamber A (after removal of the sealing membrane from the top of chamber A), while substantially blocking the escape of fluids or reagents from chamber A or the entry of foreign matter into chamber A. The purpose of the cover 14 is to control access by the user to chamber A and to provide a protective barrier from the environment during the performance of the nucleic acid amplification reaction. During manufacture of the test strip, the reagents are loaded into chambers A and B (and to the wells 13), and then a sealing membrane is applied to the surface 15 of the test strip 10, covering all the wells 13 and the chambers A and B. In one possible embodiment, the membrane is given a perforation or tear line adjacent to chamber A. Then, the cover member 14 is installed on the test strip 10. When the technician is ready to use the test strip 10, the user lifts up the front portion 24 of the cover to the position shown in Figure 2. The edge 30 has a curved recess feature for the user's finger to assist in lifting up portion 24. Then, the technician grasps the free edge 32 of the membrane (shown broken away in Figure 2 to illustrate the structure of the test strip), and pulls away the membrane such that the membrane separates at the perforation, indicated at 34. This action exposes chamber A of the dual chamber reaction vessel 12. Then, the technician introduces the fluid sample into chamber A and closes the cover member 14. The cover member 14 has additional pairs of resilient gripping legs 36 and 38 that snap onto rim features on opposite edges of the test strip, resulting in the secure engagement of the cover 14 to the test strip 10. Referring to Figures 4 A and 4B, optimally, and in the prefeπed embodiment, the film or membrane remains in place over chamber A and there is no tear line as just described. The cover member includes a manually actuated button 41 that has a projecting point or surface 41B on the underside thereof such that when the cover member 14 is closed by the user, the user may actuate and depress the button 41 and thereby cause the projecting point 41B to pierce the membrane covering the top of the test strip above Chamber A to provide a small opening for the introduction of the test sample. In this embodiment, the foil membrane is not removed by the technician but rather is left in place. The action of the button/projecting point is the mechanism by which chamber A is accessed at the time of use. This embodiment reduces the likelihood that any fluid or reaction solutions may unintentionally wick or migrate out of the chamber B and into the environment. As seen in Figure 4A, the button 41 is connected to the rest of the cover by means of resilient legs 41 A which allow the button 41 and projecting point 41B to move relative to the cover member and thereby pierce the membrane. Once moved the lower position, the side wall 4 ID of the button snugly fits within the coπesponding circular wall portion 41E of the cover member 14, shown best in Figure 4B. These figures also show the central aperture 28 that receives a porous mesh filter. Another alternative embodiment for the cover member 14 is shown in Figures 4C and 4D. The button 41 is moveable from an upper position shown in Figure 4C, in which the projecting cutting surface 41B is above the membrane (not shown) covering chamber A, to a lower position, shown in Figure 4D, in which the projecting cutting surface 41B cuts through the membrane. The user then lifts up the end 30 of the cover member, and inserts the test sample into the small hole formed in the membrane by the cutting feature 4 IB. A resilient snap rim feature 41F at the lower portion of the button 41 engages a projecting shelf at the top of chamber A, as shown in Figure 4D, thereby giving positive feel of the engagement of the button with the membrane. The user can still readily lift up the end of the cover member 14 to introduce the sample into chamber A. Referring in particular to Figures 2 and 4, the cover member 14 has a void region 40 that provides access for a fork that reciprocates relative to the test strip in a processing station for the test strip. The fork, discussed subsequently in conjunction with Figures 19- 22, operates to open a ball valve in a connecting conduit provided in the test strip that links chambers A and B of the dual chamber reaction vessel 12. Figure 5 is a top plan view of the test strip of Figures 1-3, with the cover member removed in order to better illustrate the features of the test strip per se. Referring to the right hand side of Figure 5, a sealing membrane such as an aluminum film 42 is applied to the top surface of the test strip 10. The membrane 42, shown partially broken away, extends from the position shown in the right hand side of Figure 5 to the left across the entire top surface of the test strip. The membrane terminates in a free end 32 adjacent to the chamber A of the dual chamber reaction vessel 12 in the vicinity of end 18 A. The membrane 42 thus completely covers and seals the wells 13 of the test strip. The right hand end 18B of the test strip includes an aperture 44 for receiving an optical cuvette for the purposes of optical analysis of a detection of reaction products used in an analytical procedure for the test strip in known manner. The reaction products result from hybridization reaction(s) utilizing a solid support to capture by capture probe the reaction product, i.e., hybridization complex of amplicon and detector probe. Additional types of competitor probes may also be utilized but not detected in the hybridization reaction(s). Referring now to the left hand side of Figure 5, the test strip 10 includes chamber A of the dual chamber reaction vessel, a vertically-disposed connecting conduit 50 leading from the base of the test strip 10 up to the upper region thereof, and an enzyme pellet well 52 containing the amplification enzyme(s). A valve, described subsequently in conjunction with Figures 19-22, is located in the connecting conduit 50 and is selectively opened to allow a solution to pass from chamber A up through the connecting conduit 50 and into the enzyme pellet well 52. The passage of the solution through the enzyme pellet well dissolves the enzyme pellet. The solution enters chamber B and amplification takes place in chamber B. The test strip 10 further includes a pair of desiccant wells 54 and 56 which are placed in air or fluid communication with chamber B. The desiccant well 54 is also shown in Figure 6, which is a cross-sectional view of the test strip taken along the lines 6-6 of Figure 5. The desiccant wells 54 and 56 are designed to hold a single or plurality of small desiccant pellets stacked on top of each other in the wells. During assembly of the test strip, machine inspection of the desiccant wells will confirm the quantity of desiccant pellets in the wells 54 and 56. The purpose of the desiccant is to extend the shelf life of the amplification enzyme loaded into the test strip, particularly where the amplification enzyme is in a pellet form and susceptible to degradation in the presence of a moist environment. Desiccant is particularly important to the tolerance of reagent or enzyme pellets to moisture for the extremely critical scale of enzyme and reagent concentrations provided in a gas permeable material, e.g., a test strip. In the event that the nucleotides, MgCl 2 , primers and other reagents loaded into chamber A are in liquid form, then the desiccant wells 54and 56 need not be placed in direct air or fluid communication with chamber A. However, in the event that the reagents in chamber A are also in pellet form or otherwise susceptible to degradation in a moist environment, then the desiccant wells will be designed and constructed to communicate with chamber A in addition to chamber B, or, alternatively, a second set of desiccant wells can be provided adjacent to chamber A to service the reagents in chamber A. Referring in particular to Figures 6 and 13, the extreme lateral portion of the desiccant well 54 includes a passageway indicated by the aπows 58 in Figure 13, indicating the air communication with the chamber B (and ultimately air communication with the enzyme pellet placed in the enzyme pellet well 52). The passageway 58 is provided above a wall 60 separating the lateral portion of the desiccant well 54 from chamber B. The two desiccant wells may accommodate different desiccant compositions having for different absorptive characteristics. Three desiccant balls 63 placed in the desiccant well 54 are indicated in phantom in Figure 13. Alternatively, the desiccant could be in the form of a single unified desiccant body. Alternatively, the desiccant balls could be placed directly in chamber B without adverse effect on the amplification reaction, or molded into the material forming the dual chamber reaction vessel 12. Referring to Figures 5 and 6, the top surface 15 of the test strip 10 includes a aperture 70 designed to accommodate the forks of Figures 19-21 during the process of opening the connecting conduit 50. The cover member 14 of Figures 3 and 4 is installed over the test strip 10 such that the aperture 40 of the cover member is directly over the aperture 70 of the test strip. Figure 5 also shows the ledge features 72 that enable the resilient legs 20 of the cover member 14 to lock onto the test strip when the cover member is installed onto the test strip. These features are also shown in Figures 8-12. Referring to Figures 9 and 10, the test strip has a slanted portion 74 over which the wedge feature 21 (Figure 4) of the cover member slides until the wedge feature 21 snaps under the ledge 76 and presses against the wall portion 78. The resilient nature of the legs 20 of the cover member and the action of the wedge 21 against the shelf 76 prevents the cover member 14 from becoming disengaged from the test strip during the operation of raising and lowering the front portion 24 of the cover member. The slanted surface 80 of Figure 9 assists in installing the cover member and aligning the legs 20 relative to the ledge feature 72. Referring to Figures 6 and 8, the test strip has a pair of transversely extending ridges 84 molded into the bottom of the test strip that allow the test strip to be placed in a stable, level attitude on a table top. Figures 2 and 8 illustrate a base cap 86 that is manufactured separately and ultrasonically welded to the base of the test strip 10. The cap 86 covers the extreme lowermost portion of chamber A, and provides a fluid pathway for solution to pass from chamber A to the base of the vertically-disposed connecting conduit 50 and provides close contact with a TEC/heat sink thermal control system. The cap 86 is shown in greater detail in Figures 14 and 15. Referring to Figures 8 and 14-15, the cap 86 includes a semicircular portion 88 that is bonded to the base of chamber A. A pair of opposed rim elements 90 are bonded to a web portion 87 (Figure 8) connecting chamber A to the connecting conduit 52. The cap includes another semicircular portion 92 that is bonded to a coπesponding semicircular surface at the base of the connecting conduit 50. Thus, the cap forms a passageway 94 allowing fluid to pass from the base of chamber A to the base of the connecting conduit 50, as indicated by the aπows in Figure 14. Figure 11 is a detailed cross-sectional view of the test strip of Figure 5 taken along the lines 11 of Figure 5, shown partially broken away, illustrating the desiccant well 56 and enzyme pellet well 52. Figure 16 is a detailed plan view of the test strip 10, showing the structures of the dual chamber reaction vessel 12. Referring to these figures, in conjunction with Figures 17 -22, the operation of the valve in the connecting conduit 50 and flow of solution from the reaction vessel A to the reaction vessel B will now be described in detail. After the denaturation and primer annealing of the fluid sample in reaction vessel A has taken place at the first reaction temperature, a ball valve, indicated generally by reference numeral 102 in Figures 17 and 18, is opened. The ball valve consists of a metal ball 104 that is disposed in the connecting conduit 50 in a cylindrically-shaped intermediate region 106. The ball 104 is sized such that its diameter is slightly greater than the diameter of the intermediate region 106, thus it normally forms a complete obstruction of the connecting conduit. The walls 108 of the connecting conduit 50 are made from a deformable material (and polypropylene is sufficiently deformable for the present purposes). This deformability of the walls 108 is such that when the walls 108 are squeezed on opposite sides of the ball 104, the wall 108 is deformed in the direction perpendicular to the squeezing force, on opposite sides of the ball, to thereby create a passage for fluid around the ball. To create this squeezing action on the walls 109 and ball 104, a fork 110 having two prongs 112 is lowered through the aperture 40 of the cover (as best shown in Figure 19), through the aperture 70 in the top of the test strip (shown best in Figure 16). The fork prongs 112 come into squeezing contact with the walls 108 of the connecting conduit 50 directly on opposite sides of the ball 104, as shown best in Figure 21. This squeezing action deforms the walls 108, as shown in Figure 22, to form passages 116 on opposite sides of the ball 104. Simultaneous with the opening of the ball valve as just described, a vacuum is drawn on the test strip, and particularly on the first reaction chamber A. This is achieved by placing the test strip in a reaction processing station that includes a vacuum enclosure around the test strip and evacuating the air in the vacuum enclosure. The drawing of the vacuum lowers the pressure in both the first and second chambers A and B, since they are now in air and fluid communication with one another. When the vacuum is released, a pressure gradient exists between chamber A and chamber B, with chamber A at a higher pressure. The pressure gradient forces the fluid solution in chamber A through the passage 94 in the cap 86 (see Figures 14 and 15), up and around the passages 1 16 in the connecting conduit 50 as indicated by the aπows in Figure 22, and up to the top of the connecting conduit 50. Once the fluid solution has reached the top of the connecting conduit 50, the fluid enters a channel 100 (see Figures 16 and 17) leading to the enzyme pellet well 52. The fluid dissolves the enzyme pellet 130 (Figure 17) in the well 52, and carries the amplification enzyme into chamber B. The amplification of the nucleic acid in the fluid sample occurs in chamber B at the specified temperature, e.g., 42 degrees C. Referring now to Figures 19 and 20, the reciprocating action of the fork 110 opening the ball valve in shown schematically. In Figure 19, the test strip 10 is shown with the sealing membrane 42 applied to the top surface of the test strip in the manner described previously, as it would be when the device is manufactured and ready for use. The membrane 42 carries a bar code identifying the type of test strip that is being used or other pertinent information. In Figure 20, the forks 20 are shown in conjunction with an amplification processing station of the type described in U.S. Patent no. 5,786,182. The station is shown in an end view, partially in section, with two test strips 10 installed in the station. The forks are shown integral to a cross-member 132 that is in turn bolted to the top of a vacuum cover housing 134 in the amplification processing station. The test strips 10 are installed on a TEC/heat sink assembly 136 that maintains the two chambers of the dual chamber reaction vessel in the test strips 10 at the proper temperature, as described in detail in U.S. Patent no. 5,786,182. The vacuum cover housing 134 is attached to a mechanical drive mechanism that raises and lowers the vacuum cover housing relative to a horizontal support member 138. The cover housing 134 and support member 138 define a vacuum enclosure or chamber 140. The vacuum cover housing 134 further includes ports (not shown) for withdrawing air from the vacuum enclosure 140 and introducing air back into the vacuum enclosure 140. When the vacuum cover housing 134 is lowered down onto the support member 138, it forms an air-tight seal with the support member 138 (using a suitable gasket structure in the region 139), enabling vacuum to be drawn in the enclosure. The drawing of vacuum in the enclosure 140 causes air to be withdrawn from the dual chamber reaction vessel via the aperture 28 in the cover member 14 and an air- permeable filter 142 placed therein (see Figure 19). Then, when the vacuum is released in the enclosure 140, with the housing 134 remaining in the lower position during the release of vacuum, the pressure differential between chambers A and B causes fluid solution in chamber A to migrate through the connecting conduit, opened by the action of the forks 110, and into the enzyme pellet chamber and chamber B, in the manner described previously. Further details on a presently prefeπed amplification station incorporating the vacuum and other features of Figure 20 are described in the application of Bryan Kluttz et al. filed concurrently, cited previously. While the above ball-valve embodiment is a presently prefeπed embodiment, it will be appreciated that numerous other equivalent and alternate mechanisms may be incorporated into a test device for purposes of allowing fluid to migrate or transfer from chamber A to chamber B. Several different mechanisms are described in the U.S. Patent no. 5,786,182. Still other different valve mechanisms may exist or may be developed by persons skilled in the art. The particular details of the valve mechanism are not considered particularly important to the present invention. Obviously, if a different valve mechanism is used, then the amplification reaction processing station that processes the test strip may have a different type of valve opening mechanism besides the forks of Figure 20. Accordingly, the details of the station processing the test device may have different operational features to work with the particular valve or connecting conduit mechanisms that are incorporated into the dual chamber reaction vessel. Figure 23 is a perspective view of an alternative embodiment of the test strip in which the chamber A of the dual chamber reaction vessel has an exterior surface aπangement designed to come into close proximity or contact with a TEC/heat sink asembly in an amplification reaction processing station in order to promote rapid heat transfer between chamber A and the TEC/heat sink assembly. In particular, the wall structure forming chamber A has opposed sides 200 which provide an extended surface area to contact and transfer heat from a heated surface in the amplification station into the interior of chamber A, Similarly, the wall structure 202 forming chamber B has extended planar surfaces 202 on opposite sides thereof to transfer heat into the interior of chamber B. Note that Figure 23 shows the test strip from below, prior to the securing of the base cap 86 (see Figures 8, 14 and 15) to the features connecting chamber A with the vertically disposed connecting conduit 50. From the above discussion, it will be readily apparent that the present invention is not intended to be limited to illustrated embodiment. Persons of skill in the art will appreciate that many variations may be made to the prefeπed and alternative embodiments described above without departure from the true spirit and scope of the invention. This true spirit and scope is to be determined by reference to the appended claims, interpreted in light of the foregoing specification.

Claims: CLAIMS 1 A test device for performing a nucleic acid amplification reaction, compπsmg a housing having a first end and a second end, said housing having a portion thereof defining a plurality of wells between said first and second ends, said housing further compπsmg a dual chamber reaction vessel for a nucleic acid amplification reaction to be earned out therein, said dual chamber reaction vessel compnsmg a first chamber in which a first portion of a nucleic acid amplification reaction is performed, a second chamber in which a second portion of a nucleic acid amplification reaction is performed, and an openable connecting conduit linking said first chamber to said second chamber, a membrane affixed to said housing, said membrane applied to said housing to cover said first and second chambers and said wells after insertion of reagents into said test device, and a cover member secured to said housing and overlying said membrane and said first chamber, wherein said cover member is moveable relative to said first chamber to thereby allow a user to access said membrane and introduce a sample into said first chamber 2 The test device of claim 1, wherein said membrane compnses a first portion covenng said first chamber and a second portion covenng said second chamber and a third portion separating said first and second portions, wherein said cover member is moveable relative to said first chamber to allow a user to tear or perforate said third portion and thereby remove said first portion of said membrane from said test device 3 The test device of claim 1, wherein said cover member further compnses a first portion, a hinge, and a second portion, said first portion coveπng said first chamber in a first position, said first portion moveable relative to said first chamber via said hinge to an elevated position enabling a user to access said first chamber, said second portion engaging said test device 4 The test device of claim 3, wherein said first portion of said cover member further compnses an aperture m said first portion placed in registry with said first chamber when said first portion is in said first position, and wherein an absorbent mesh filter is placed within said aperture. 5. The test device of claim 1, wherein said cover member further comprises a button moveable relative to said housing having said cutting surface, said button operable to pierce a membrane applied to said housing in a manner to cover said dual chamber reaction vessel. 6. The test device of claim 5, wherein said cover member further comprises an aperture for receiving therein a porous filter, said cover mountable to said housing such that said porous filter is in registry with said first chamber of said dual chamber reaction vessel. 7. The test device of claim 5, wherein said cover member further comprises resilient snap means for releasably engaging said cover member to said housing. 8. A test device for performing a nucleic acid amplification reaction, comprising: a housing having a first end and a second end, said housing having a portion thereof defining a plurality of wells between said first and second ends; said housing further comprising a dual chamber reaction vessel for a nucleic acid amplification reaction to be carried out therein, said dual chamber reaction vessel comprising a first chamber in which a first portion of a nucleic acid amplification reaction is performed, a second chamber in which a second portion of a nucleic acid amplification reaction is performed, and an openable connecting conduit linking said first chamber to said second chamber; and a desiccant in communication with at least one of said first and second chambers, or both, of said dual chamber reaction vessel. 9. The test device of claim 8, wherein said test device comprises at least one desiccant chamber for containing said desiccant, said desiccant chamber located on said test device in close proximity to and in communication with at least one of said first and second chambers, or both, of said dual chamber reaction vessel. 10. The test device of claim 8, wherein said desiccant is in a pellet form. 11. The test device of claim 8, wherein said desiccant is loaded directly into at least one of said first and second chambers, or both, of said dual chamber reaction vessel. 12. The test device of claim 8, wherein said test device is made from a molded material and wherein a desiccant is molded into said test device in the region of at least one of said first and second chambers. 13. The test device of claim 8, wherein in said test devices is loaded with reagents in said first and second chambers and said dessicant. 14. A method of constructing a unit dose nucleic acid amplification reaction testing apparatus, comprising the steps of: forming a test device having (1) a dual chamber disposable reaction vessel comprising a first chamber, a second chamber, and a connecting conduit linking said first chamber with said second chamber, and (2) at least one intermediate processing well; adding a first reagent to said first chamber; adding a second reagent into said test device either in said second chamber or in an intermediate chamber in fluid communication with said second chamber; affixing a sealing membrane to said test device in a manner to cover said first and second chambers; and. affixing a cover member to said test device, said cover member moveable relative to first chamber to thereby allow access to said sealing film. 15. The method of claim 14, further comprising the step of affixing a base cap to said test device, said cap forming a channel between said first chamber and said connecting conduit. 16. The method of claim 15, further comprising the step of adding a desiccant into said test device in communication with either said first reagent or said second reagent, or both said first and second reagent. 17. A method of performing a nucleic acid amplification reaction, comprising the steps of: (1) providing a dual chamber reaction vessel ready for use in performing a nucleic acid amplification reaction, said vessel comprising a first reaction chamber, a second reaction chamber, and a connecting conduit linking said first reaction chamber to said second reaction chamber; comprising the steps of placing a first reagent in fluid communication with said first reaction chamber and a second reagent in fluid communication with said second reaction chamber; loading a desiccant into said dual chamber reaction vessel in close proximity to and in communication with at least one of said first and second reaction chambers, or both said first and second reaction chambers, and sealing said first and second reaction chambers and said reagents from the environment; and (2) conducting a nucleic acid amplification reaction in said vessel while maintaining a temperature differential between said first reaction chamber and the environment surrounding said second reagent, comprising the steps of: introducing a sample into said first reaction chamber; placing said first reaction chamber at a first temperature and conducting a first portion of said nucleic acid amplification reaction in said first reaction vessel at said first temperature; transferring a portion of the contents of said first reaction vessel to said second reaction chamber; and placing said second reaction chamber at a second temperature different from said first temperature and conducting a second portion of said nucleic acid amplification reaction in said section reaction chamber at said second temperature. 18. The method of claim 17, further comprising the step of affixing a cover to said dual chamber reaction vessel, wherein said cover is moveable relative to said first chamber to allow a user access to said first reaction chamber. 19. In a disposable test device comprising a dual chamber reaction vessel having first and second reaction chambers, the improvement comprising: a cover member affixed to said test device above said first reaction chamber, said cover member permitting access to said first reaction chamber. 20. The improvement of claim 18, wherein said cover member further comprises an aperture placed in registry with said first chamber, and wherein an absorbent mesh filter is placed within said aperture. 21. The improvement of claim 18, wherein said cover member further comprises a button moveable relative to said test device having said cutting surface, said button operable to pierce a membrane applied to said test device in a manner to cover said dual chamber reaction vessel. 22. The improvement of claim 18, wherein said cover member further comprises resilient snap means for releasably engaging said cover member to said test device. 23. The improvement of claim 18, further comprising a desiccant placed in close proximity and in communication with at least one of said first and second reaction chambers.

Inventors: BISHOP JAMES CLEMENT, BURG LAWRENCE, CATANZARITI LUIGI, COLIN BRUNO, COTTER CHRISTOPHER, GLASSFIELD ROBERT, GRAZIANO LOUIS, GREER JAMES, GUY MICHEL, KLUTTZ BRIAN, MCKINLEY GEOFF A, MORIN MICHAEL, PARIS CECILE, TEGELER GARRY, WANG THOMAS, BISHOP, JAMES, CLEMENT, BURG, LAWRENCE, CATANZARITI, LUIGI, COLIN, BRUNO, COTTER, CHRISTOPHER, GLASSFIELD, ROBERT, GRAZIANO, LOUIS, GREER, JAMES, GUY, MICHEL, KLUTTZ, BRIAN, MCKINLEY, GEOFF, A., MORIN, MICHAEL, PARIS, CECILE, TEGELER, GARRY, WANG, THOMAS
Applicants: BIO MERIEUX INC, BIOMERIEUX, INC.
Application year: 2000
Main classification: B01L3
IPC codes: B01J19, B01L3, B01L7, C12M1, C12N15, C12Q1, G01N35