BACKGROUND OF THE INVENTION
Field of the Invention
[0001] The present invention relates to a device for collecting and testing a liquid sample,
in particular, a device for collecting and testing an analyte in a liquid sample in
the field of rapid diagnosis, such as a urine and saliva collection and testing device.
Description of the Related Art
[0002] The following description is merely an introduction of some background general knowledge
and does not constitute any limitation to the present invention.
[0003] At present, the test device for detecting the presence or absence of an analyte in
sample is widely used in hospitals or homes, and such test device for rapid diagnosis
includes one or more detection reagent strips, such as early pregnancy detection and
drug abuse detection. Such test device for rapid diagnosis is very convenient, and
can obtain a test result from the detection reagent strips after one minute or no
at most about ten minutes. Drug test is widely used by the drug control department,
the Public Security Bureau, drug rehabilitation centers, physical examination centers,
physical examination offices of national conscription, etc. The drug test is diverse
and frequent. Some detections are required to collect samples and then samples are
detected in professional testing agencies or testing laboratories, and some detections
need to be completed in the site in time, for example, roadsides, for example, persons
who drive after drug use need to be tested on the spot (referred to as "Drug Driving"),
to obtain the test results in time.
[0004] For example, the detection of saliva samples is gradually accepted and favored by
testing agencies or testing personnel due to convenient collection. In some literatures,
various sample collection and test devices for clinical and domestic uses have been
described. For example, the
US Patent No. 5,376,337 discloses a saliva sampling device in which a piece of filter paper is used to collect
saliva from the mouth of a subject and deliver saliva to an indicator reagent.
US patents US 5,576,009 and
US 5,352,410 each disclose a syringe-type liquid sampling device.
[0005] For another example, a
US patent application with the application number of 14/893,461 and publication number of
US2016/0121322A1 discloses a test device for a sample; the patent only discloses some basic detection
schemes and principles, and appears more difficult in the actual implementation of
a specific product. For example, how to compress the pipet tip for absorbing saliva
and how to move it if the cover body combination is matched with the detection combination,
as well as how to mix with liquid effectively, the practical effects are undesirable.
[0006] At present, the in vitro detection of early pregnancy has been relatively mature,
but still has many disadvantages, such as long detection time. In addition, such detection
is usually operated by a test subject himself/herself, and still has many disadvantages,
for example, inaccurate test results arising from proneness of mis-operation. It is
desired that the existing OCT products are improved, so that the test results are
generated in a short time, and the products fit with the operating habits of different
operators.
[0007] In view of the above technical problems in some conventional products, it is necessary
to improve them and provide an alternative approach to solve the drawbacks of the
prior art.
BRIEF SUMMARY OF THE INVENTION
[0008] In view of the above situation, in order to overcome the disadvantages of the prior
art, the object of the present invention is to provide a device for testing an analyte
in a liquid sample. The device is especially suitable for testing HCG and LH in women,
which can obtain test results quickly and reduce the inaccuracy of the test results
due to the large amount of liquid. In addition, the device is suitable for operation
by different operators.
[0009] This is because women directly urinate on a test device when tested for early pregnancy
or ovulation, especially for a diversion element, which allows the diversion element
to divert urine to the testing element for testing. Generally, women urinate directly
on the diversion element. In this case, the testing element is held in the hand and
the diversion element is placed under the urethra, so that urine directly drips onto
the diversion element. Due to different operation habits and holding angles of operators,
the amount of urine collected on the diversion element ranges from 1 ml to 200 ml,
or more, for example, 500 ml. In addition, urine may also drip onto places beyond
the diversion element, for example, the surface of the device. Generally, the amount
of urine required for the testing element is not very large and much smaller than
the amount of urine collected on the diversion element, and therefore the above many
factors can affect the accuracy of the final test results.
[0010] In order to solve this problem, the present invention provides a test device. Especially
when analytes such as HCG and LH in urine are tested, an operator can urinate directly
on the test device for detecting them.
[0011] In one aspect, the present invention provides a test device for detecting an analyte
in a liquid sample. The device includes a label-containing label pad, a lateral flow
testing element having a nitrocellulose membrane in a testing area, and a housing
having an upper housing and a lower housing, where one end of the label pad is overlapped
on the nitrocellulose membrane, the testing element is located between the upper housing
and the lower housing, one end of the housing is provided with an opening in which
a part of a diversion element is located, and one end of the diversion element is
in contact with the label area so that the liquid sample from the diversion element
is capable of directly flowing to the label area.
[0012] In some embodiments, the other end of the diversion element is used for receiving
a urine sample. In some embodiments, the other end of the diversion element is directly
placed near the female urethra to receive the urine sample directly therefrom.
[0013] In some embodiments, the testing element is located in the lower housing in which
a groove is disposed to accommodate the testing element. In some embodiments, the
upper housing is provided with a liquid retention chamber which is capable of accommodating
the liquid sample from the surface of the diversion element. Here, the liquid retention
chamber has an opening covered by the diversion element, so that the liquid on the
surface of the diversion element can flow to the liquid retention chamber. Therefore,
in some embodiments, the chamber is one or more grooves with openings covering the
surface of the diversion element. In some embodiments, these liquid retention chambers
are non-capillary structured chambers, and the liquid sample is retained in the chamber
depending on surface tension between the liquid and the chamber, rather than flowing.
Therefore, the surfaces of the liquid retention chambers are treated with a hydrophilic
material. Of course, if the liquid retention chambers have capillary force, the liquid
sample is retained by them, rather than flowing, thereby reducing the level or volume
of liquid on the surface of the diversion element. In some embodiments, the liquid
retention chambers or the grooves are formed by spacing press strips, and the surface
of the press strip covers the surface of the diversion element, so that excessive
liquid flows to the liquid retention chambers. One function of the press strip is
to limit the flow rate of the liquid on the surface of the diversion element, and
the other function thereof is to allow the liquid to enter the liquid retention chambers.
In this case, the liquid retention chambers may be non-capillary. Typically, the diversion
element has an upper surface for receiving a liquid sample, a part of the diversion
element is located inside the housing, and the other part thereof externally extends
to receive the liquid.
[0014] In some embodiments, the device further includes a blocking element for blocking
liquid at an end portion of the liquid outlet end of the diversion element from flowing
to the label area, where the blocking element is disposed in the housing, and an end
portion of the liquid outlet end of the diversion element is in contact with the blocking
element. The blocking element may be any shape structure, for example, a sheet structure.
The sheet structure is in contact with the liquid outlet end of the diversion element.
In this way, the liquid from the diversion element is blocked by the blocking element,
lowering the flow rate of the liquid flowing from the end portion and allowing the
liquid to flow from the side of the diversion element, which decreases the flow of
liquid and reduces the amount of the liquid. In some embodiments, the blocking element
is disposed at an end portion of the liquid retention chamber or an end portion of
the area where the liquid retention chamber is located, so as to block liquid on the
diversion element from directly flowing to the label pad on the testing element and
to allow the liquid to flow to the liquid retention chamber. In some embodiments,
the blocking element is disposed on the upper housing, and the lower housing is provided
with a recess, and the recess is provided with a blank area for a part of the label
pad, and the end portion of the diversion element is located on the blank area and
in direct contact with the blank area. In some embodiments, when the upper housing
and the lower housing are assembled together, the blocking element is inserted into
the recess and in contact with the end portion of the diversion element.
[0015] In some embodiments, the testing element further includes a sample application pad
partially overlapped on the blank area on the label pad, the diversion element is
overlapped on the sample application pad, and the flow rate of liquid on the diversion
element is greater than that of liquid on the sample application pad.
[0016] In some embodiments, the testing element further includes a sample application pad
partially overlapped on the blank area on the label pad, and the diversion element
is overlapped on the sample application pad, where a part of liquid from the diversion
element flows to the sample application pad, and a part of liquid from the diversion
element directly flows to the label pad; and the time when the liquid from the diversion
element directly flows to the label pad is earlier than the time when the liquid from
the sample application pad flows to the label pad. In this way, the liquid from a
detection reagent strip has two flow paths. One is the liquid sample directly from
the diversion element, and the other is the liquid sample from the sample application
pad. We hope that the liquid sample from the diversion element firstly contacts the
label pad, and the liquid sample from the sample application pad is used as a subsequent
liquid sample, so that there are test results in a short time, and the occurrence
of false negatives can be reduced. Of course, if only the liquid from the diversion
element directly flows to the label pad without the sample application pad, the structural
design of the present invention can also result in obtaining the test results as soon
as possible and reducing the number of false negatives or invalid test results.
[0017] In some embodiments, the label pad includes a first label pad and a second label
pad, where the first label pad is located upstream of the second label pad, and the
liquid outlet end of the diversion element is overlapped on the first label pad. In
the present invention, two label pads are used to detect a same analyte, which can
improve the detection sensitivity and shorten the detection time as compared with
the conventional use of one label pad. In some embodiments, the first label pad includes
a label-free blank area and a label-containing area, the second label pad includes
a label-free blank area and a label-containing area, and the end portion of the diversion
element is overlapped on the blank area of the first label pad. In some embodiments,
the nitrocellulose membrane includes a test result area on which a second antibody
specifically binds to the analyte is immobilized, and the label-containing area includes
a first antibody that is conjugated with latex particles or/and gold particles and
specifically binds to the analyte.
[0018] In some embodiments, the length of the label pad composed of the first label pad
and the second label pad is 15 mm, the liquid outlet end of the diversion element
is spaced from the label area of the first label pad by 2 mm, and the second label
pad is spaced from the testing area by 7 mm. In this way, the distance that the liquid
flows on the detection reagent strip is 24 mm, and the test results can be obtained
within a very short distance, and are substantially controlled within 2 minutes. In
some embodiments, the length of the diversion element is 40 mm, the length of the
diversion element located in the housing is 13 mm, and the thickness of the diversion
element is 3 mm.
[0019] In some embodiments, the second antibody specifically captures an HCG antigen, the
first antibody specifically binds to the HCG antigen, and the sample is a urine sample.
In some embodiments, the label on the first label pad is the first antibody that is
conjugated with gold particles and binds to HCG in urine, and the label on the second
label pad is the first antibody that is conjugated with latex particles and specifically
binds to HCG in urine. These labels are dry and can flow with the liquid onto the
test result area, and bind to the antibody immobilized on the test result area.
[0020] In some embodiments, the label pad includes a first label pad and a second label
pad, where the first label pad is located upstream of the second label pad, and the
liquid outlet end of the diversion element is overlapped on the first label pad. In
some embodiments, the first label pad includes a label-free blank area and a label-containing
area, the second label pad includes a label-free blank area and a label-containing
area, and the end portion of the diversion element is overlapped on the blank area
of the first label pad. In some embodiments, the length of the label pad composed
of the first label pad and the second label pad is 15 mm, the liquid outlet end of
the diversion element is spaced from the label area of the first label pad by 2 mm,
the second label pad is spaced from the testing area by 7 mm, the length of the sample
application pad is 15 mm, and the length of the diversion element is 40 mm, where
the length of the diversion element in the housing is 13 mm.
Beneficial effect
[0021] The above structure can reduce the impact of excessive liquid samples on the accuracy
of test results and obtain the test results quickly, which is especially suitable
for women at home to self-test the concentration or level of HCG or LH in urine.
BRIEF DESCRIPTION OF THE DRAWINGS
[0022]
FIG. 1 is a schematic diagram showing the position relationship between a testing
element and a diversion element in a housing of a test device according to an embodiment
of the present invention (including a sample application pad 201).
FIG. 2A is a schematic structural diagram of a diversion element and a testing element
according to the present invention, where a blocking element 900 is located at an
end portion of the diversion element, and the end portion of the diversion element
directly overlaps with a blank area of a first label pad 202.
FIG. 2B is a schematic diagram showing an assembling structure of each pad according
to the present invention.
FIG. 3 is a schematic diagram showing a three-dimensional structure of a test device
according to an embodiment of the present invention.
FIG. 4 is a schematic diagram of a lower housing including a testing element and an
upper housing according to an embodiment of the present invention.
FIG. 5 is a schematic diagram showing a longitudinal cross-section structure of a
test device in an assembly state according to an embodiment of the present invention.
FIG. 6 is a schematic diagram showing a longitudinal cross-section structure of a
test device in an assembly state according to an embodiment of the present invention.
FIG. 7 is a schematic structural diagram of an upper housing and a lower housing according
to an embodiment of the present invention.
FIG. 8 is a schematic diagram showing an enlarged structure of a liquid retention
chamber of an upper housing or an area where the liquid retention chamber is located
according to an embodiment of the present invention.
FIG. 9 is a schematic diagram showing an operation state of a test device for receiving
a urine sample and a diversion element for receiving a urine sample according to an
embodiment of the present invention.
FIG. 10 is a schematic diagram showing an operation state of a test device for receiving
a urine sample and a diversion element for receiving a urine sample according to another
embodiment of the present invention.
FIG. 11 is a schematic diagram showing a longitudinal cross-section structure of an
assembled test device according to an embodiment of the present invention.
FIG. 12 is a schematic diagram showing an exploded three-dimensional structure of
a test device according to another embodiment of the present invention.
FIG. 13 is a schematic diagram showing an exploded three-dimensional structure of
a lower housing including a testing element and an upper housing of a test device
according to another embodiment of the present invention.
FIG. 14 is a schematic structural diagram of an upper housing and a lower housing
according to another embodiment of the present invention.
FIG. 15 is a schematic diagram showing an enlarged structure of a liquid retention
chamber of an upper housing according to an embodiment of the present invention.
FIG. 16 is a top view of an assembled test device and a schematic diagram showing
a cross-section structure thereof according to an embodiment of the present invention.
DETAILED DESCRIPTION OF THE INVENTION
[0023] The following further describes the structures involved in the present invention
or the technical terms used therein. Unless otherwise specified, they shall be understood
and explained according to the general terms commonly used in the prior art.
Detection
[0024] Detection means assaying or testing presence or absence of a substance or material,
including but not limited to, chemical substance, organic compound, inorganic compound,
metabolite, drug, drug metabolite, organic tissue, metabolite of organic tissue, nucleic
acid, protein or polymer. In addition, detection means that the amount of a substance
or material is tested. Further, assay also means immunoassay, chemical assay, enzyme
assay, and the like.
Sample
[0025] The samples detected by the test device of the present invention include biological
liquid (for example, case liquid or clinical sample). Liquid samples or fluid samples
may be derived from solid or semi-solid samples, including feces, biological tissues
and food samples. The solid or semi-solid samples may be converted to liquid samples
by any appropriate methods, such as mixing, mashing, macerating, incubating, dissolving,
or digesting the solid samples by enzymolysis in suitable solutions, such as water,
phosphate solutions, or other buffer solutions. "Biological samples" include animal,
plant, and food derived samples, including, for example, human or animal derived urine,
saliva, blood and components thereof, spinal fluid, vaginal secretions, sperm, feces,
sweat, secretions, tissues, organs, tumors, cultures of tissues and organs, cell cultures,
and media. Preferably, the biological sample is urine, and preferably, the biological
sample is saliva. Food samples include food processed materials, final products, meat,
cheese, wine, milk, and drinking water. Plant samples include samples derived from
any plants, plant tissues, plant cell cultures, and media. "Environmental samples"
include samples derived from the environment (e.g., liquid samples from lakes or other
bodies of water, sewage samples, earthen samples, groundwater, seawater, and waste
liquid samples). The environmental sample may further include sewage or other waste
water.
[0026] An appropriate test device according to the present invention can be used to detect
any analyte. Preferably, the test device of the present invention is used to detect
small drug molecules in saliva and urine. Of course, the samples detected by the test
device of the present invention may be any samples of the above forms, regardless
of being solid or liquid at the beginning, provided that these liquids or liquid samples
can be absorbed by the sample application area of the testing element. Generally,
the sample application area is made of a water absorbent material, and liquid samples
or fluid samples can be absorbed by the capillary or other characteristics of the
material of an absorption element, so that the liquid sample can flow in the sample
application area. The material of the sample application area may be any material
capable of absorbing liquid, such as sponge, filter paper, polyester fiber, gel, non-woven
fabric, cotton, polyester film, and yarn. Of course, the sample application area may
be made of a water absorbent material or a non-water absorbent material. However,
the absorption element is provided with holes, screw threads, and caves on which the
samples can be collected. Generally, the samples are solid or semi-solid samples,
and filled between screw threads and in the holes or caves for collection. Of course,
optionally, the sample application area may be composed of some non-absorbent fibers
and hairs, and these materials are used to scrape a solid, semi-solid or liquid sample,
so that these samples can be retained on the sample application area. If detection
is needed, a buffer solution is applied to the sample application area to dissolve
the sample, so that the dissolved sample flows on the testing element or the detection
element.
[0027] In some embodiments, the liquid sample contacts the diversion element, instead of
being manually applied to the sample application area of the testing element of the
present invention, so that the liquid sample diverted by the diversion element flows
to the sample application area and the label area sequentially, followed by being
assayed or tested. The following further gives a detailed description with reference
to the specific embodiments. In some embodiments, the liquid sample diverted by the
diversion element flows directly onto the label area, without passing through the
sample application area. In some embodiments, a part of liquid sample flowing to the
label area is from the sample application area, while s a part of liquid sample is
directly from a diversion area. In some embodiments, the samples in the sample application
area are from the diversion element. In some embodiments, the diversion element is
used to receive the liquid sample. For example, during detection, women urinate directly
on the diversion element, and then the test results are observed.
Downstream and upstream
[0028] Downstream or upstream is divided according to a flow direction of a liquid, generally,
a liquid or fluid flows to a downstream area from an upstream area. The downstream
area receives the liquid from the upstream area, and a liquid also may flow to a downstream
area along an upstream area. Here, downstream or upstream is generally divided according
to a flow direction of a liquid, for example, on some materials where capillary force
is utilized to promote the flow of a liquid, a liquid may overcome gravity to flow
towards an opposite direction to the gravity; and in this case, downstream or upstream
is divided according to a flow direction of the liquid. For example, in the test device
of the present invention, after the diversion element receives a liquid sample, for
example, a urine sample directly from a test subject, fluid can flow from the diversion
element to the label area, for example, a first gold particle label area, to a second
latex label area, and then to a testing area, for example, a test result area and
a test result control area. In this case, the liquid on the diversion element flows
to the first label area, the second label area, and then the test result area. Flow
from a diversion area to a testing area is from upstream to downstream. In a flow
process, the liquid passes through the first label area and the second label area
sequentially, and the testing area includes a test result area and a test result control
area. The testing area may be a polyester fiber film, and the diversion element may
be a glass fiber, a polyester chip, and a polyester film. In this case, the diversion
element is located at the upstream of the label area of the testing element. The specific
structure of the testing element 20 isas shown in FIGs. 1-2.
Gas flow or liquid flow
[0029] Gas flow or liquid flow means that liquid or gas can flow from one place to another
place. In a flow process, the liquid or gas may pass through some physical structures
to play a guiding role. The "passing through some physical structures" here means
that liquid passes through the surface of these physical structures or their internal
space and flows to another place passively or actively, where passivity is usually
caused by external forces, such as flow under the capillary action and the action
of air pressure. The flow here may also be a flow due to self-action (gravity or pressure)
of the liquid or gas, and also may be a passive flow. The fluid under the action of
air pressure may be a forward flow, or also a reverse flow; or a fluid is urged to
flow to another position from a position under the action of air pressure. Here, the
flow does not mean that a liquid or a gas is necessarily present, but indicates a
relationship or state between two objects under some circumstances. In case of presence
of liquid, it can flow from one object to another. Here it means the state in which
two objects are connected. In contrast, if there is no gas flow or liquid flow state
between two objects, and liquid exists in or above one object but cannot flow into
or on another object, it is a non-flow, non-liquid or non-gas flow state.
Testing element
[0030] The "testing element" used herein refers to an element that can be used to detect
whether a fluid sample or a fluid specimen (a liquid sample or a liquid specimen)
contains an interested analyte. Such testing can be based on any technical principles,
such as immunology, chemistry, electricity, optics, molecular science, nucleic acids,
and physics. The testing element can be a lateral flow detection reagent strip that
can detect a variety of analytes. Of course, other suitable testing elements can also
be used in the present invention.
[0031] Various testing elements can be combined for use in the present invention. One form
of the testing elements is a test paper. The test papers used for analyzing the analyte
(such as drugs or metabolites that show physical conditions) in samples can be of
various forms such as immunoassay or chemical analysis. The analysis mode of non-competition
law or competition law can be applied for test papers. A test paper generally contains
a water absorbent material that has a sample application area, a reagent area, and
a testing area. Fluid or liquid samples are added to the sample application area and
flow to the reagent area under the capillary action. If analyte exists in the reagent
area, samples will bind to the reagent. Then, samples continue to flow to the testing
area. Other reagents such as molecules that specifically bind to analyte are immobilized
on the testing area. These reagents react with the analyte (if any) in the sample
and bind to the analyte in this area, or bind to a reagent in the reagent area. Label
used to display the detection signal exists in the reagent area or the detached label
area.
[0032] Typical non-competition law analysis mode: if a sample contains analyte, a signal
will be generated; and if not, no signal will be generated. Competition law: if no
analyte exists in the sample, a signal will be generated; and if analyte exists, no
signal will be generated.
[0033] The testing element can be a test paper, which can be water absorbent material or
non-water absorbent material. The test paper can contain several materials used for
delivery of liquid samples. One material can cover the other material. For example,
the filter paper covers the nitrocellulose membrane. One or more materials may be
used in one area of the test paper, and one or more other different materials may
be used in the other area thereof. The test paper can stick to a certain support or
on a hard surface for improving the strength of holding the test paper.
[0034] Analyte is detected through a signal generating system. For example, one or more
enzymes that specifically react with this analyte is or are used, and the above method
of fixing a specific binding substance on the test paper is used to fix the combination
of one or more signal generating systems in the analyte testing area of the test paper.
The substance that generates a signal can be in the sample application area, the reagent
area or the testing area, or on the whole test paper, and one or more materials of
the test paper can be filled with this substance. The solution containing a signifier
is added onto the surface of the test paper, or one or more materials of the test
paper is or are immersed in a signifier-containing solution. The test paper containing
the signifier solution is made dry.
[0035] Various areas of the test paper can be arranged as follows: sample application area
201, reagent area 202, 204, and testing area 207, where the testing area includes
a test result area 206 and a test result control area 210. The test result control
area is located behind the testing area. All areas can be arranged on a test paper
that is only made of one material. Alternatively, different areas may be made of different
materials. Each area can be in direct contact with the liquid sample, or different
areas are arranged according to the flow direction of liquid sample; and a tail end
of each area is connected and in overlapped with the front end of the other area.
Materials used can be those with good water absorption such as filter papers, glass
fibers or nitrocellulose membranes. The test paper can also be in other forms.
[0037] detection reagent strips used in the present invention may be commonly referred as
lateral flow detection reagent strips. The specific structure and detection principle
of the detection reagent strips are well known to a person skilled in the art in the
prior art. A common detection reagent strip (as shown in FIGs. 1-2) includes a sample
collection area or a sample application area 201, a label area (202, 204), and a testing
area 207; the sample collection area includes a sample receiving pad, the label area
includes a label pad, and a water absorbent area may include a water absorbent pad,
where the testing area includes necessary chemical substances for detecting the presence
or absence of analyte, such as immunoreagents or enzyme chemical reagents. The sample
application area or application pad 201 of the present invention is in contact with
the diversion element to receive liquid sample diverted by g it, rather than directly
receiving the sample. Therefore, the sample application area of the present invention
is covered by the diversion element (as shown in FIG. 1). Of course, as shown in FIG.
2A, the detection reagent strip has no a sample application area. The nitrocellulose
membrane detection reagent strip is commonly used, that is, the testing area 207 includes
a nitrocellulose membrane, and an area 206 (T-line) on which a specific binding molecule
is immobilized to display the test result; and other detection reagent strips such
as cellulose acetate membrane or nylon membrane detection reagent strips can also
be used. Of course, in the downstream of the testing area, there may also be a test
result control area 210 (C-line); generally, detection reagent strips appear on the
test result control area and the testing area in the form of a horizontal line, namely,
a test line or a control line. Such detection reagent strips are conventional. Of
course, they can also be other types of detection reagent strips for detection under
the capillary action. In addition, there are dry chemical reagent components on common
detection reagent strips, for example, an immobilized antibody or other reagents.
When the detection reagent strip contacts liquid, the liquid flows along the detection
reagent strip under the capillary action, and the dry reagent components are dissolved
in the liquid and treated in a next area, and the dry reagents react in the area for
necessary detection. The liquid flow mainly relies on the capillary action. Here,
all of the detection reagent strips can be applied to the test device of the present
invention or can be disposed in contact with the liquid samples in a detection chamber
or used to detect the presence or absence of analyte in the liquid samples that enter
a detection chamber, or the quantity thereof.
[0038] In addition to the foregoing detection reagent strip or lateral flow detection reagent
strip which is used to contact with the liquid sample to test whether the liquid samples
contain analytes. The testing element of the present invention may be used as a test
device by itself to detect an analyte in a sample. Therefore, the test device here
is equal to a testing element. For example, after being mixed with a treatment solution,
the fluid sample is detected with a testing element directly, specifically described
as follows: when a receiving device is described to treat a fluid sample, the testing
element may be used for detection alone. In the present invention, the detection reagent
strip only includes the label area and the testing area, without the sample application
area 201. In some embodiments, the label area of the testing element of the present
invention includes a first label area and a second label area both which have a label,
for example, a color particle label or a conjugated antibody, where the antibody can
specifically bind to an analyte in a sample. In some embodiments, the first label
area is located upstream of the second label area, and color particles conjugated
with the antibody in each label area are different. In some embodiments, the color
particles may be latex particles, gold particles, or dye particles.
Analyte
[0039] Examples that can use an analyte related to the present invention comprise small-molecule
substance, including drugs (such as drug of abuse). "Drug of Abuse" (DOA) refers to
using a drug (playing a role of paralyzing the nerves usually) not directed to a medical
purpose. Abuse of these drugs will lead to physical and mental damage, dependency,
addiction and/or death. Examples of drug abuse include cocaine; amphetamine (AMP)
(e.g., Black Beauty, white amphetamine tablets, dexamphetamine, dexamphetamine tablets,
and Beans); methamphetamine (MET) (crank, meth, crystal and speed); barbiturate (BAR)
(such as Valium, Roche Pharmaceuticals, Nutley, and New Jersey); sedatives (i.e.,
a sleep aid medicine); lysergic acid diethylamine (LSD); inhibitors (downers, goofballs,
barbs, blue devils, yellow jackets, and methaqualone); tricyclic antidepressants (TCAs,
i.e. imipramine, amitriptyline, and doxepin); dimethylenedioxymethylaniline (MDMA);
phencyclidine (PCP); tetrahydrocannabinol (THC, pot, dope, hash, weed, etc.); opiates
(i.e., morphine (MOP) or opium, cocaine (COC), heroin, and hydroxydihydrocodeinone);
and anxiolytic drugs and sedative-hypnotic drugs. The anxiolytic drugs are mainly
used for relieving anxiety, tension, and fear, and stabilizing emotion, and have hypnotic
and sedative effects. The anxiolytic drugs include benzodiazepines (BZO), atypical
benzodiazepines (BZ), fused dinitrogen NB23C, benzodiazepines, ligands of BZ receptors,
open-ring BZ, diphenylmethane derivatives, piperazine carboxylates, piperidine carboxylates,
quinazolinones, thiazine and thiazole derivatives, other heterocycles, imidazole-type
sedative/analgesic drugs (e.g., oxycodone (OXY) and methadone (MTD)), propylene glycol
derivatives-carbamates, aliphatic compounds, anthracene derivatives, and the like.
The detection device of the present invention may also be used for detecting drugs
belonging to a medical use but easy to be taken excessively, such as tricyclic antidepressants
(imipramine or analogues) and acetaminophen. These drugs are metabolized into micromolecular
substances after absorbed by human body. These micromolecular substances exist in
blood, urine, saliva, sweat and other body fluids or in some body fluids.
[0040] For example, the analyte detected by the present invention includes but is not limited
to creatinine, bilirubin, nitrite, (nonspecific) proteins, hormones (for example,
human chorionic gonadotropin, progesterone, follicle-stimulating hormone, etc.), blood,
leucocytes, sugar, heavy metals or toxins, bacterial substances (such as proteins
or carbohydrates against specific bacteria, for example,
Escherichia coli 0157:H7,
Staphylococcus, Salmonella, Fusiformis, Camyplobacter genus, L. monocytogenes, Vibrio, or
Bacillus cereus) and substances related with physiological features in a urine sample, such as pH
and specific gravity. Chemical analysis of any other clinical urine may be performed
by lateral flow detection in combination with the device of the present invention.
[0041] The sample of the present invention may be urine, and the analyte may be HCG, LH,
and other substances, which are used for testing ovulation or early pregnancy.
Housing including testing element
[0042] In some specific embodiments, the testing element may be also disposed on some carrier
elements; the carrier elements include the testing element to complete the detection
and assay of the analytes in fluid samples. Therefore, in some embodiments, the test
device includes a carrier, and the carrier is provided with a testing element. In
some embodiments, the carrier of the present invention is a housing used for bearing
or accommodating the testing element; the carrier element does not participate in
the detection directly by itself, but serves as a carrier or housing used for bearing
or accommodating the testing element. In some embodiments, the housing or carrier
of the present invention includes a groove structure 901, and the structure is used
for limiting the position of the testing element on the carrier. One or more groove
structures here may be available. Each groove is provided with a testing element,
and the testing element may be used for testing the number or presence of analytes
in a sample.
[0043] In some embodiments, as shown in FIGs. 3-8, the test device includes a testing element
20, an upper housing 40, and a lower housing 50, and the upper housing and the lower
housing can also be called an upper plate and a lower plate. As shown in FIG. 3, the
test device includes the upper housing 40 and the lower housing 50. The lower housing
is provided with a groove on which the testing element 20 is disposed, the groove
is provided with several support strips, the overall width of the groove is consistent
with the opening end of the testing element, and then the groove is covered with the
upper housing to form the test device. As shown in FIG. 5, when the width of the groove
516 in the lower housing 50 is the same as that of the testing element, and a plurality
of support strips are disposed on the groove and parallel to or perpendicular to the
detection reagent strip. For example, one end of the housing is provided with three
support strips 517, 518 and 519 perpendicular to the longitudinal direction of the
detection reagent strip. The three support strips are corresponding to three press
strips 480, 481 on the upper housing 40 (one of which is not shown), and press several
areas on the detection reagent strip or the overlapping places of several reagent
pads respectively, so that the reagents on the reagent pads can be released evenly
and the phenomenon of "flooding" can be prevented. This will be explained in detail
in combination with embodiments.
[0044] In some embodiments, the lower housing is further provided with an area for placing
the diversion element 10, one end of the diversion element is placed on the area,
and the other end thereof protrudes from the housing to receive a fluid sample. The
upper housing is further provided with an area 406, when pins 405, 402, 404, 403 of
the upper housing are combined with sockets 505, 502, 503, 504 of the lower housing
50, one end of the diversion element is located in the area. The area 406 of the upper
housing is located on the upper surface 108 of the diversion element, and the area
of the lower housing is located under the lower surface of the diversion element,
so that part of the diversion element is located in the housing, and the part protruding
from the housing is used to receive the liquid sample. When especially used for receiving
female urine directly, the diversion element has two functions, one is to directly
receive female urine, and the other is to transmit it to the testing element 10 to
detect and array the presence or absence or quantity of analytes in urine, such as
HCG and LH. Such an area on the lower housing 50 is also a sample application area
that can be used to place the testing element, and provided with support strips 506,
515 which are used to support the sample application area 201. A partition is disposed
between the support area of the sample application area and the reagent area or label
area 203, 204 for supporting the detection reagent strip. A groove or recess 509 is
arranged in the middle of the partition, to separate the label area from the sample
application area. The partition is divided into two parts 507, 508 by the recess 509.
The width of the recess or groove is consistent with that of the detection reagent
strip. The width of the sample application area on a support testing element 20 is
smaller than that of the diversion element. When the diversion element is placed in
the application area 201 of the support testing element, the diversion element 10
covers the sample application area or the sample application pad 201, but the liquid
outlet end of the diversion element is in overlapped contact with the label pad 202.
It can be understood that the testing element is of an integral structure. After assembly,
it is placed together in the groove 501 of the lower housing. A part of the testing
element passes through the recess 509, and the sample application pad 201 is located
in the area where the support strips 506, 515 of the lower housing are located. Then,
the diversion element 10 is placed at the front end of the partition, so that the
tail end 104 (liquid outlet end) of the diversion element is in contact with the front
surfaces of the partitions 507, 508. In some embodiments, the width of the recess
509 is the same as that of the testing element, but the width of the diversion element
is larger than that of the testing element. Therefore, the tail end 104 (liquid outlet
end) of the diversion element is limited by the partitions 507,508, so that the upper
surface 108 of the tail end of the diversion element is abutted against the partitions.
In this way, a part of liquid from the diversion element 10 flows to the sample application
area 201 of the testing element, and then flow to the label pad through the sample
application area, and the part of liquid flows directly from the diversion element
to the label pad. Therefore, when the detection reagent strip is placed in the groove
516 of the lower housing, and if the sample application pad 201 is absent, the blank
area of the label pad 202 slightly passes through the recess about 1-2 mm, so that
the liquid outlet end 104 of the diversion element is in contact with the label pad,
allowing the liquid to directly flow onto the label pad.
[0045] In this embodiment, because the aperture of the diversion element is relatively large
and liquid directly contacts the diversion element firstly, there is more liquid on
the diversion element. The liquid flows from the liquid outlet end 104 of the diversion
element to the label pad to contact and dissolve the label reagent thereon, and the
dissolved label reagent flows forward, and then the liquid from the sample application
area flows to the label area to contact and dissolve the label reagent thereon. The
liquid in the sample application pad 201 (if any) is also from the diversion element,
which can accelerate liquid flow and shorten the liquid flow distance. In this way,
for example, as shown in FIG. 1, the tail end 104 of the diversion element is also
overlapped on the label area, so that the liquid can flow in advance to quickly reach
the testing area (T line) and early obtain the test result. Therefore, in an embodiment,
the liquid from the diversion element 10 reaches the label area earlier than the liquid
from the sample application pad 201. In other words, the label pad receives the liquid
from the diversion element earlier than the liquid from the sample application pad.
One way to improve the above case is that the flow guide element has large aperture
and loose texture, and the sample application pad has small aperture and tight texture,
thereby causing difference in the flow rate of liquid. In some embodiments, the flow
rate of the liquid in the diversion element is greater than that of the liquid in
the sample application pad. The liquid herein may include a urine sample. In this
way, with two different liquids flowing to the testing element, the liquids can flow
on the testing element in advance, thereby accelerating moistening of a dry reagent
(label) under the action of a liquid sample and allowing the analyte in the liquid
sample to react with the label. It is well known in the art that surface reaction
can be carried out only under a moistening condition, for example, a label-conjugated
antibody can specifically bind to the analyte, such as HCG or LH.
[0046] In some embodiments, the testing element may only include the label area and the
testing area without the sample application area 201, and the tail end (label) of
the testing element is limited by the partition. Therefore, it can be understood that
the label area can reach the recess 509 at most or slightly extends out of it. For
example, the blank area 209 of a first label pad protrudes from the recess 509 by
1-3 mm, and the protruding part is covered by the diversion element. However, the
lower housing for supporting the tail end of the diversion element only includes diversion
element, without any components on the detection reagent strip and the liquid application
pad 201, and the tail end 104 of the diversion element is in contact with the blank
end 209 of the label area. In this way, the liquid from the diversion element can
flow onto the label pad directly to release the solution of the label on the label
pad, thus achieving detection. In this way, the liquid does not flow to the sample
application area on the detection reagent strip and the liquid on the diversion element
is not diverted. This shortens the distance that the liquid flows on the detection
reagent strip and accelerates the display of test results.
[0047] The label area of the detection reagent strip includes a first label pad 202 and
a second label pad 204, where the first label pad 202 has an area 203 with a label
reagent and a blank area 209 without a label reagent. When the diversion element covers
the sample application area 201, the tail end of the diversion element covers the
sample application area to indirectly cover the blank area 209 without a label reagent
(as shown in FIGs. 2A-2B). In this way, the liquid from the diversion element can
also flow directly to the blank area 209 on the label pad 202. The diversion element
covers the sample application area 201 (if any), and then one end of the sample application
area covers the blank area 209 without a label reagent. Therefore, one end 104 of
the diversion element 10 covers the sample application area 201 to indirectly cover
the blank area 209 of the label pad, so that a part of liquid from the diversion element
flows to the sample application area and a part of liquid from the diversion element
directly flows to the blank area 209 of the label area. As mentioned above, the flow
rate of the liquid from the diversion element is faster than that of the liquid from
the sample application area, and the diversion element firstly contacts the liquid.
Therefore, the liquid from the diversion element firstly flows to the label area.
[0048] In some embodiments, the detection reagent strip includes the sample application
area 201 that is overlapped with the blank area 209 of the first label area 202, the
first label area 206 of the first label area is overlapped with the blank area 208
of the second label pad 204, the area 205 including the second label on the second
label area is overlapped with the testing area 207 located on the nitrocellulose membrane.
The testing area includes a test result area 206 and a test result control area 210.
Generally, the test result area is linear, such as T line 206, and the control area
is also linear, abbreviated as C line 210. Antibodies are treated on the T line and
the C line and immobilized. The T line is used to capture an analyte, while the antibodies
on the area where the C line is located are used to capture a label. Generally, the
appearance of a line on the C line represent the effectiveness of the test result,
while the color depth of a line on the T line represents the amount of the analyte
and its presence or absence.
[0049] In some embodiments, a first label and a second label are an antibody marked with
gold particles and an antibody marked with latex particles, respectively. These antibodies
are specific to a same analyte. For example, if it is desired to test HCG in urine,
the first label is the first anti-HCG antibody conjugated with gold particles, and
the second label is the first anti-HCG antibody conjugated with latex particles HCG.
The antibody here may be mouse anti-HCG or goat anti-HCG, and the second anti-HCG
antibody is immobilized on the T line. The first antibody and the second antibody
bind to different sites on HCG respectively. Of course, it can be understood that
both the first label and the second label are marked with gold particles or latex
particles, but conjugated with the antibody of a same analyte.
[0050] In some embodiments, the label further includes a first anti-human IgG antibody,
and a second antibody capturing human IgG is immobilized on the C line. Regardless
of the presence or absence of the analyte in the urine, a line appears on the C line.
However, if there is a flooding phenomenon, no line appears on the C line sometimes.
To solve the flooding phenomenon, the test device of the present invention is structurally
improved and can quickly detect results within 2 minutes, for example, 1-2 minutes,
so that the test results can be known earlier.
[0051] There are generally several ways to obtain the test results quickly or make the color
lines appear in the T line area faster. For example, on the one hand, it is necessary
to shorten the distance that the liquid flows on the detection reagent strip (especially
the distance from the label area to the test result area (the position of the T line)
as short as possible), so that it is desired that the sample liquid reaches the label
area at the fastest speed. On the other hand, the large amount of liquid results in
accelerating the flow rate and obtaining the test results early. However, it is difficult
to achieve the actual situation. Due to the short distance of liquid flow, it is not
an easy thing to make the dry reagent quickly dissolved in the liquid sample and react
them fully in a short distance. Although the large amount of liquid results in accelerating
the flow rate, there is a flooding phenomenon, that is, the liquid quickly flows from
the surfaces of the label pads on the detection reagent strips to moisten the testing
area in advance, instead of materially flowing from the label pads, so that the label
subsequently dissolved is difficult to reach the testing area and no test results
are displayed on the testing area (which has been moistened). When the above two aspects
are needed, it is desired to find a balance to shorten the distance of liquid flow
without impact on the reagent reaction which should be sufficient. If the amount of
the liquid is increased, it should not be increased too much so as to avoid the flooding
phenomenon caused by too much liquid, which leads to the failure of effective detection.
This is exactly the problem that the present invention hopes to solve. If too much
liquid is present on the testing element and its flow rate is too fast, or the flow
rate of the liquid flowing onto the surface of the testing element is greater than
that of the liquid flowing into the testing element under the capillary action, the
test results are inaccurate.
[0052] During the detection of a lateral flow test, the liquid flows under the capillary
force, and reaction between reagents during liquid flow generates results, such as
binding reaction between an antibody and an antigen. When the liquid flows quickly
from the surface of the detection reagent strip (substantially not relying on the
capillary force), it moistens the downstream area in advance, without effectively
dissolving the dry reagent on the detection reagent strip. For example, if the liquid
on the label pad flows quickly from the surface of the label area (at the large amount
of liquid), it does not dissolve the dry reagent on the label area but reaches the
testing area, for example, the nitrocellulose membrane, thereby moistening the nitrocellulose
membrane in advance. As a subsequent reagent or solution in which the reagent is dissolved
cannot flow or reach the testing area, the desired reaction cannot be caused and accordingly
the detection cannot be effectively achieved. This is because, after the testing area
is moistened in advance, the capillary force therein disappears or decreases, so that
a subsequent liquid cannot continue to flow under the capillary action. If the nitrocellulose
membrane is moistened in advance, a label-containing solution cannot continue to flow
under its capillary action, so that it may not flow to the testing area, which eventually
leads to the failure of detection, for example, the T line does not display color
or has no color (when the sample is positive), and even the downstream C line has
no color with an invalid structure. This is caused by too much liquid instead of insufficient
liquid.
[0053] In order to shorten the distance of liquid flow, one solution of the present invention
is that the liquid outlet end 104 of the diversion element 10 is directly overlapped
with the blank area 209 of the label area (as shown in FIG. 2A), the length of the
label area is 10-20 mm, the label area is spaced from the T line area by 6-10 mm,
and the distance of liquid flowing on the detection reagent strip is about 16-30 mm,
so that the test results are quickly generated on the T line due to the relatively
short distance. This way has been explained above. If the testing element does not
include the sample application area, the liquid on the diversion element flows directly
to the label area so that the liquid can reach the detection reagent strip quickly.
If the testing element includes the sample application area 201, the sample application
area is shortened, for example, within 10 mm, and the tail end 104 of the diversion
element is in contact with the label pad, so that at least part of the liquid reaches
the label pad firstly. The liquid on a conventional testing element needs to flow
the label area from the sample application area, some sample application areas are
up to 20-80 mm long, and the total distance of the liquid flowing from the sample
application area to the label area is 40-120 mm. Test results can be determined usually
after 5 minutes.
[0054] Another solution of the present invention is that liquid is desired to flow in such
a short distance. If the label reagent is distributed in one area, its amount is relatively
large. When the liquid passes through the area, a dry label needs to be dissolved
in the liquid and accurate test results can be obtained with liquid flow. If the distance
of liquid flow is short, it is desired that the label is quickly dissolved by the
liquid. When the amount of the label is large, the dry label cannot be fully dissolved
in the liquid and fully bind to an analyte in a sample, thereby causing inaccurate
test results, for example, false negative results. In order to overcome this problem,
the labels of the present invention are respectively placed on two label pads 202,
204 overlapped with each other. Liquid flows on the label pads through a blank area
gap 208, for example, 2-3 mm. Because the labels are placed on the label pads, no
many labels are present in each area. The labels in one conventional label area are
shared by two label areas so that liquid can more fully contact a dry label in a flowing
process and a solution can dissolve more labels in a short time, thereby improving
the detection accuracy or sensitivity. Especially for the detection of HCG of early
pregnancy, it is desired that an early detection indicates a good detection effect,
so that the test result can be known in advance and the detection accuracy is not
affected.
[0055] In addition, it is desired that the liquid flowing to the testing element is maximized
and its flow rate also can be accelerated, without the flooding phenomenon, to ensure
that test results are generated in a short time. Otherwise, invalid test results are
generated. For example, for positive urine (HCG), no line appears on the T line, or
no line appears on the T line or C line, or a line appears only on the T instead of
the C line, and the test results are invalid.
[0056] In order to give the test results in a short time as soon as possible, liquid needs
to flow on the testing element as soon as possible. Another solution is to increase
the amount of liquid, which inevitably brings other negative effects. For example,
it is desired that amount of liquid is relatively large. In a conventional test device,
liquid diverted by the diversion element generally flows to a relatively long sample
application pad 201 through a testing element, and then flows to a label areadepending
on thecapillary action of the sample application pad, so that the amount of liquid
can be controlled. However, this needs to take a long time. In the present invention,
liquid can directly flow from the diversion element to the label pad, thus reducing
the flowing time of the liquid through the sample application pad and allowing it
to enter the label pad in advance. However, liquid from the diversion element has
much larger volume and faster flow rate than liquid from a conventional sample application
area, so that the amount of the liquid from the diversion element needs to be additionally
controlled and negative adverse factors are reduced. The test device of the present
invention is structurally improved, avoiding abnormal test results caused by the flooding
phenomenon generated by excessive liquid. In addition, the liquid from the diversion
element is blocked to gradually reduce its flow rate. Another problem is that at present,
an early pregnancy test is performed by women themselves at home. When using the diversion
element 10, women directly hold one end of the diversion element with their hands,
for example, a position 100 as shown in FIGs. 9-10. Then, the other end 103 (exposed)
of the diversion element 10 is used to receive a urine sample. Generally, the diversion
element is placed under or near the urethra, and women urinate directly thereon for
detection. Here, one end of the diversion element is located in the housing and directly
connected with the label pad, and the other end thereof protrudes from the housing
to receive the urine sample. For many domestic test devices, although operators have
operation instructions, they usually don't read the instructions carefully. Even after
reading the instructions, sometimes they still operate inappropriately. Further, for
such test, it is desired that women urinate directly on the diversion element. Firstly,
women hold the test device at different angles (FIGs. 9-10). For example, FIG. 9 shows
that the test device is located directly below the urethra, and FIG. 10 shows that
the test device is inclined and the diversion element is closer to the urethra. Secondly,
as the amount of urine directly dripping onto the diversion element is relatively
large, a test subject is difficult to control the amount when directly receiving the
urine. In fact, when the test subject releases the urine in a normal condition, there
is no special requirement for the amount of urine. Thirdly, the urinating duration
of each person is different. From the above aspects, the amount of liquid is usually
much larger than the required amount of liquid for detection. In addition, urine may
directly come to the inlet 701 of the housing in terms of different operation angles,
so that the urine directly enters the interior of the housing through the inlet. The
inlet here is a mechanical gap between the housing and the diversion element. Generally,
such gap is 1-2 mm and sometimes wider, so that urine directly enters the housing
from the gap without passing through the diversion element, and may directly flow
to the detection reagent strip at a relatively fast speed. In addition, the urine
can directly drip onto a shoulder 417 and then flows black into the gap 701, and is
gathered finally on the upper surface 108 of the diversion element 10.
[0057] Generally, the amount of urine is excessive. In this case, there is much liquid on
the diversion element. A part of liquid 301 flows into the diversion element (as shown
in FIG. 1) and then enters into the housing through the diversion element. The other
part of liquid 302 can directly flow through the surfaces of the diversion element
(upper surface 102, 108), directly enters into the housing (as shown in the schematic
diagram of FIG. 1) and flows to the label pad 202. The flow rate of liquid flowing
on the surface is fast due to the absence of resistance and faster than that of liquid
flowing inside the diversion element, and the liquid flowing on the surface can reach
the label area in advance. However, if too much liquid reaches the label area, the
flooding phenomenon on the detection reagent strip is caused. In addition, liquid
from the diversion element can flow from the liquid outlet end 104 of the diversion
element to the label pad or from the place contacting the tail end of the diversion
element to the label pad (FIGs. 2A-1B), as indicated by an arrow in FIG. 2B.
[0058] Therefore, in order to avoid negative impact on test results caused by the large
amount and fast flow rate of liquid under different conditions of operators, the test
device of the present invention is provided with spaces where excessive liquid can
be accommodated when the liquid from the diversion element enters the housing, so
that the excessive liquid can flow into the space, which reduces liquid from the surface
of the diversion element to the detection reagent strip. The spaces retained are beyond
the space where the detection reagent strips are located. If any detection reagent
strips or a part of detection reagent strips are absent in these liquid retention
chambers or spaces, retained liquid does not contact the detection reagent strips.
As shown in FIGs. 4, 5 and 6, the liquid retention spaces are disposed on the upper
housing (the detection reagent strip of the present invention is disposed on the lower
housing instead of the upper housing), transverse grooves 491, 470, 417, 418 are formed
in the upper housing through gullies between convex support strips 492, 450, 412,
451, 460. Specifically, there is a gap between thepress strip 492 and the press strip
450, thereby forming the groove 491. As the press strip 492 is located at outermost
and arched, the groove 491 has two parts. The groove 470 is formed between the press
strip 450 and the press strip 412, the groove 417 is formed between the press strip
412 and the press strip 451, and the groove 418 is formed between the press strip
451 and the press strip 460. These grooves are perpendicular to the longitudinal direction
of the diversion element, and the press strips all have flat surfaces. When the upper
housing is combined with the lower housing, the flat surface is in contact with the
upper surfaces 108 of the diversion element and the grooves with openings also cover
the surfaces of the diversion element (as shown in FIGs. 6, 11 and 7). These press
strips perpendicular to the diversion element (or arranged horizontally) cover the
upper surfaces 108 of the diversion element 10. The press strips are to mainly slow
down the flow rate of liquid on the diversion element, and the grooves formed by spacing
the support strips and the press strips are used to accommodate excessive liquid which
can enter the space partitioned by the press strips to be retained. The liquid does
not move in the groove or the chamber due to the present of surface tension, and is
difficult to flow due to limitation of the press strips. There may be one or more
of the grooves or spaces, and the spaces cover the upper surface 108 of the diversion
element. They are particularly useful for a case that urine directly drips into the
gap 701 between the housing and the diversion element. The urine can be trapped by
the liquid retention spaces, the liquid retention chambers, or the groove, thereby
reducing liquid directly flowing to the label pad 202. In some embodiments, in order
to enhance the fixation of the diversion element, a plurality of protruding pressing
nails 416 are also disposed in the grooves and directly pressed into the surface of
the diversion element, so that the diversion element is fixed and difficult to fall
off from the housing, the liquid flow is also limited, and the flow of liquid entering
into the groove is reduced due to the limitation of the pressing nails 416. After
many clinical trials, the volume of the liquid retention space being controlled at
0.5-1 ml is enough to reduce excessive liquid flowing to the label area. Under such
as volume, it is allowed to block a part of liquid from the surface of the diversion
element using the press strips 492, 450, 412, 451, 460 one by one, and then excessive
liquid is retained in the grooves. With the design of the above structure and the
blocking of the pressing nails 416, the flow rate of liquid is slowed down, so that
the liquid flows to the label pad and can contact substances on the label pad and
moisten them. Liquid passing through the interior of the diversion element can continuously
flow to the label pad due to its slow flow rate, so that the amount of the liquid
is appropriate and the liquid can fully moisten the labels and flow to the downstream
of the testing area. If the liquid retention space cannot retain more liquid due to
its small volume, liquid flows to the label pad. In case of excessive liquid, the
flooding phenomenon is caused, which leads to invalid detection. If the liquid retention
space is relatively large, a large housing space is needed. In addition, during many
clinical tests of the diversion element, liquid collected is about 1-2 ml, liquid
retained is 0.5-1 ml, and the liquid sample entering into the detection reagent strip
is about 0.5-1 ml, which can achieve the flow of liquid on the detection reagent strip
and the test.
[0059] In some embodiments, the upper housing further includes some grooves 415, 420 disposed
near the longitudinal edge of the diversion element 10. It can be seen from FIG. 6
that the width of the diversion element is equal to the distance defined by two sides
413, 414 of the housing, the width of the longitudinal groove is the width of sides
422, 421, and the distance between the widest sides of the longitudinal grooves is
greater than the width of the side defined by the diversion element. In this way,
liquid from the edge of the diversion element is accommodated or retained by the longitudinal
grooves. The areas where these transverse grooves and longitudinal grooves are located
are lower than the edge areas as a whole, and the edge areas are provided with bolts
405, 404, 402, 403 fitting with sockets on the edge areas of the lower housing, so
that the upper housing and the lower housing can be assembled together. In this way,
excessive liquid on the diversion element is accommodated by these accommodating chambers,
and the accommodating chambers retain the liquid through the capillary force or the
surface tension of liquid. The transverse grooves, small gaps, and longitudinal grooves
can be called capillary grooves or capillary spaces, and the capillary grooves can
retain the liquid without easy flow. Of course, many capillary channels can be provided
and also retain excessive liquid on the diversion element. However, the cost of providing
the capillary channels on the housing is relatively high, so it is feasible to provide
some non-capillary grooves, holes, and chambers to accommodate the excessive liquid.
[0060] The above is to reduce liquid on the surface of the diversion element flowing to
the label area of the detection reagent strip, and the following is to reduce liquid
from the diversion element flowing onto the label area of the detection reagent strip
or slow down its flow rate.
[0061] Therefore, in some embodiments, a blocking plate 409 is disposed on the housing and
used to block an end portion of the diversion element, thereby reducing liquid flowing
to the label area. Typically, the blocking plate 409 is convex and located on the
upper housing, and the diversion element 10 has a specified thickness as much as 2-3
times of the thickness of the testing element. As the diversion element has a large
aperture, liquid quickly flows thereon. However, as the label pad has a compact texture
and a small aperture, liquid slowly flows thereon. In this way, liquid directly flowing
from the liquid outlet end 104 of the diversion element has an impact force on the
label pad. Excessive liquid (if any) quickly flows directly from the surface of the
label pad to the testing area to moisten it in advance, thereby causing the flooding
phenomenon and affecting the testing accuracy. In order to avoid this problem, the
lower housing 50 is further provided with the recess 509 by which the partition is
divided into two parts, the blocking plate 409 is directly clamped at the recess to
abut against the liquid outlet end 104 of the diversion element, for example, the
blocking structure 900 as shown in FIG. 2 (FIG. 2 is a schematic structure). In this
way, the end portion of the diversion element is abutted against the surface of the
blocking plate 409. If excessive liquid flowing from the end portion of the diversion
element is blocked by the blocking plate 409, it flows into the accommodating area
of the lower housing 50, and a part of liquid flows into the chamber near the blocking
plate 409, for example, the chamber of the upper housing and the grooves 418, 417.
With the design of the structure, the liquid on the diversion element flows from its
interior to the greatest extent, and then flows from the place where the liquid contacts
the label pad to the label pad to the greatest extent (as indicated by an arrow in
FIG. 2A). When the liquid flows the end portion, it is blocked to lower its flow rate,
so that it can reach the label area smoothly, which avoids inaccurate test results
caused by excessive liquid flowing to the detection reagent strip. This is because
the end portion of the diversion element is directly connected with the label pad,
and the distance between the end portion of the diversion element and the label area
of the label pad is very close, and urine flowing from the end portion of the diversion
element can directly flow to the label-containing area on the label pad. Therefore,
the amount and flow rate of the liquid flowing from the end portion of the diversion
element are also controlled.
[0062] In some embodiments, liquid directly flows from the diversion element to the label
area, and the distance between the label area and the T line area of the testing area
is relatively short. In order to improve the detection sensitivity, the liquid contacting
the dry label on the label area is relatively given more time, and the analyte in
the liquid reacts with the label. The upper housing is further provided with some
blocking sheet structures having a specified thickness such as 1-2 mm. When these
sheet structures are connected with the upper housing 40 and the lower housing, a
first blocking press strip 480 is respectively applied to the overlapping position
of the first label pad and the second label pad, anda second blocking press strip481
is applied to the overlapping position of the second label pad and the testing pad
(nitrocellulose membrane). With the blank area of the label pad being disposed at
the recess 509, the blocking plate 409 locally exerts a specified pressure on the
blank area of the label pad when blocking the end portion of the diversion element,
and the liquid on the label pad flows from the upstream to the downstream where the
blocking plate contacts the blank area, and the blocking plate 409 also has the function
of delaying the flow rate. When there is the sample application pad 201, the blocking
plate 409 is applied at the overlapping position of the sample application pad and
the first label pad. These blocking plates disposed on the label pad are used to delay
the flow of liquid and block excessive liquid, especially for liquid flowing rapidly
from the surface of the label pad (which cannot carry enough labels or dissolve few
labels), so that the testing area is as much as possible moistened by the label-containing
or label-dissolved solution instead of being moistened in advance, improving the detection
accuracy.
[0063] In other embodiments, for example, as shown in FIGs. 12-16, the testing element is
disposed between the upper housing 70 and the lower housing 80. A window 701 for displaying
the test results is disposed on the upper housing and corresponds to the testing area
of the testing element. The testing element further includes a first label area 202
and a second label area 204, and a sample application area 201, where the sample application
area is covered by the diversion element 10. One sample retention area 706 is disposed
on the upper housing and a recessed outlet corresponding to the side 710 with respect
to two sides 711, 712 and the side 710 covering the detection reagent strip. The entire
recessed area is a liquid accommodating chamber. When the upper housing and the lower
housing are assembled, two sides 711, 712 of the upper housing are combined with two
sides 811, 812 of the lower housing through bolts and sockets, so the sides are in
contact with each other and sealed. The diversion element is extruded between the
side 810 of the lower housing and the side 710 of the upper housing through the bolts
and the sockets, so that the liquid on the surface of the diversion element can be
blocked through the sides 810, 710. However, excessive liquid is kept in the recessedarea
706, to avoid it from entering the testing element 20. A plurality of small holes
708 are disposed in the recessed area 706 and can accommodate liquid. Of course, as
the small holes have surface tension, the liquid therein is not easy to flow.
Example 1 Fabrication of lateral flow test device for detecting HCG in urine by immunoassay provided in the present
invention
[0064] As shown in FIGs. 3-11, a lateral flow test device for detecting HCG in urine by
immunoassay according to this embodiment includes a detection reagent strip; from
upstream to downstream according to the liquid flow direction, it sequentially includes
a diversion element (a diversion pad 10 with a length of 40 mm, a thickness of 3 mm,
and a width of 11 mm, made of macroporous fiber absorbent paper), a first label area
(a first label pad), a second label area (a second label pad), and a testing area;
the testing area and the control area are located on a nitrocellulose membrane, where
the first label area and the second label area are made of a polyester film; the first
label area is sprayed with a first HCG antibody marked with gold particles, and the
second label area is sprayed with a second HCG antibody marked with latex particles;
and the label pads both have blank areas without any labels. The liquid outlet end
of the diversion element is spaced from the label-containing area of the first label
area by 2 mm; the overlapping length thereof is 2 mm; the length of the diversion
element is 40 mm and the width thereof is 11 mm; and the width of the label pad and
the testing pad is 7 mm. The length of the first label pad with the label is 9 mm
(the length of the label-containing area is 5 mm and the length of the blank area
is 4 mm), the length of the second label pad with the label is 8 mm (the length of
the label-containing area is 4 mm and the length of the blank area is 4 mm), and the
tail end of the second label pad is spaced from the testing area (T line) by 7 mm.
[0065] The label area is made into the label pad and includes an antibody conjugated with
label particles (for example, gold particles, latex particles or dyes, or other colored
labels). Then, a label mixture is sprayed on the polyester film by spraying equipment
to be made into the label pad; the label on the label pad can flow along with liquid;
the nitrocellulose membrane is used in the testing area, the antibody or antigen of
the test line is dissolved with a buffer solution PBS, and the nitrocellulose membrane
is scribed by a film-spotting device and then dried in an oven for later use. The
antibody treated on the membrane usually does not move.
[0066] The length of the diversion element in the housing is 13 mm, located under the groove
channel in the housing (upper housing) and covered by the channel of the upper shell,
covering the upper surface of the diversion element through the press strip. In addition,
grooves (415, 420) with a width of 2 mm and a length of 11 mm are formed in both sides
of the diversion element. These transverse grooves or bilateral grooves are also used
to store excessive samples. In short, it is desired that liquid flowing onto the testing
element is only the liquid flowing into the diversion element, and it is undesired
that liquid beyond the diversion element flows onto the testing element. This is because
too much liquid flowing to the testing element can cause flooding or inaccurate testing
and false negative results. The term "into the diversion element" means that liquid
flowing onto the diversion element flows into the diversion element. The term "beyond
the diversion element" means that liquid is applied to the diversion element, and
a part of liquid enters into the diversion element, while the part of liquid flows
on the specific surface of the diversion element.
[0067] The diversion pads, first and second label pads, and testing pads are fabricated
respectively, and then assembled according to the following method: overlapping the
label-containing area of the first label pad (gold particles) on the blank area of
the second label pad and directly overlapping the diversion element on the blank area
of the first label pad. Therefore, the length of the label area constituted by the
label pads is 15 mm, the length from the end of the diversion element to the T line
is approximately 24 mm, and the label-containing area of the second label pad is lapped
onto the nitrocellulose membrane. The upper housing and the lower housing are assembled
together according to manners as shown in FIGs. 4-5 to form a final product, as shown
in FIG. 9, where several press strips (such as two press strips) of the upper housing
are respectively pressed against the overlapping position of the first label pad and
the second label pad and the overlapping position of the second label pad and the
nitrocellulose membrane; and the blocking plate 409 of the diversion element is abutted
against the liquid outlet end 104 of the diversion element 10. Here, the sample application
area or the sample application pad 201 is absent.
[0068] Standard samples are used for testing, which include 20 ug/L, 30 ug/L and 50 ug/L
HCG (human chorionic gonadotropin), respectively. Here, if HCG is 20 ug/L, the test
result is negative, the T line is absent, and the test result is valid in the presence
of the C line. If HCG is 30 ug/L and 50 ug/L, the test result is positive, with the
T line, the test results are valid only when all samples have C lines.
[0069] Example 2: different from Example 1, the testing element further includes the sample
application pad 201 located below the diversion element, where the sample application
pad is 15 mm long, with 12 mm of the sample application pad covered by the diversion
element and 3mm of the sample application pad covering the second label pad. The liquid
outlet end 104 of the diversion element covers the sample application pad, but the
distance between the end portion and the first label pad is 2 mm as in Example 1.
In this way, a part of liquid from the diversion element flows to the label pad in
advance, and a part of liquid from the diversion element flows from the sample application
pad 201 to the label pad.
[0070] Example 3: no chamber is provided in the upper housing where the diversion element
is located, such portion is a flat structure covering the surface of the diversion
element, and the others are the same as those in Example 1.
[0071] Example 4: for the test device without the blocking plate 409, no blocking plate
is used to block the end portion of the diversion element, and other structures are
the same as those in Example 1.
[0072] Example 5: only one label pad is provided, its marked amount is the sum of two marked
amounts in the example, gold particles and latex can be mixed and sprayed on one label
pad, and the others are the same as those in Example 1.
[0073] Experimental process: in different experimental groups prepared, each 20 samples
are respectively provided for devices in Examples 1-5, and then standard samples prepared
are used for indoor test. The testing method is as follows: aspirate 50 ml sample
with a pipettor, quickly apply it to the diversion element, simulate the action of
female urination for testing, and observe the presence or absence of the T line and
the C line in 2 minutes.
Table 1: Experimental results for 2 minutes
Example |
30 ug/L positive standard (positive result +/negative result -) |
20 ug/L (negative result - /invalid result) |
50 ug/L positive standard (positive result +/negative result -/invalid result) |
Example 1 |
20+/0 |
20-/0 |
20+/0/0 |
Example 2 |
19+/1- |
19-/1+ |
19+/1- |
Example 3 |
15+/2-/3 invalid results |
19-/1 invalid result |
16+/2-/2 invalid results |
Example 4 |
16+/2-/2 invalid results |
18-/2 invalid result |
17+/2-/1 invalid result |
Example 5 |
14+/6-/0 |
20-/0 |
18+/3-/0 |
Note: the negative result of the positive samples here means absence of the T line
and presence of the C line. An invalid result means absence of the C line. |
[0074] At the time of 2 minutes, the test results in Example 1 have 20 positive results.
This means that detection can be achieved in Example 1 when female urination is simulated
in the laboratory, only there is one false negative. However, the positive detection
rate in Example 2 has a slight decrease. This means that in the presence of the sample
application pad, the positive detection rate relatively decreases with one false negative
because there may be still more liquid. In Example 3, there is no structure for accommodating
redundant samples on the diversion element. For 30 ug/L positive standards, there
are 15 positive results, 2 false negative results, and 3 invalid results. This means
that too much liquid flowing to the label area causes flooding, 2 standards are absent
from the T line, other 3 standards are absent from the C line, and the label is not
fully dissolved. Therefore, no line visible to the naked eye appears on the T line.
In the absence of the blocking plate, the amount of liquid is also relatively large,
with 4 wrong results (Example 4). In Example 5, there are only 14 positive results,
meaning that the sensitivity is reduced. Compared with 50 ug/L positive standards,
the positive detection rate in Example 5 is increased, but there are still three false
negatives. This means that the detection sensitivity can be improved through two label
pads. For negative samples, there are invalid results in Examples 3-4. For positive
samples with high concentration, there are still invalid results and false negatives
in Examples 3-4. This may be caused by too much liquid flowing from the surface of
the label pad without fully dissolving the label.
[0075] The above five examples are used to conduct clinical trials, in which each 100 positive
pregnant women having HCG above 50 ug/L are selected. They normally urinate on the
diversion element according to the operating instructions. Results are read at 2 minutes
and 5 minutes as follows:
Example |
Pregnant women (positive/negative) |
Number of samples without C line displayed |
Example 1 |
99+/1 |
1 |
Example 2 |
95+/2- |
3 |
Example 3 |
75+/12- |
13 |
Example 4 |
80+/10- |
10 |
Example 5 |
90+/10- |
0 |
[0076] From the clinical trial, among positive women, the test device of the present invention
can correctly detect that only one result is invalid. In Example 2, there are 3 invalid
results, two of which are false negative results. In Examples 3-4, there are more
invalid results, and the number of false negative results increases. This means that
the amount of liquid is relatively large, and excessive urine flows from the detection
reagent strip to the label area, and then quickly flows to the downstream without
being fully dissolved on the label area, thereby resulting in false negative (no lines
or invisible lines on the T line). As for Example 5, in a case that there is one label
pad, 90 positive results and 10 negative results (false negatives) are obtained. In
this example, when HCG in urine is equal to or less than 20 ug/L, it should be a negative
result. Clinical results are all filled in by test subjects themselves, while laboratory
results are determined by experimenters according to the operating instructions.
[0077] These embodiments as these clauses are also including in this invention
- 1. A test device for detecting an analyte in a liquid sample, comprising a lateral
flow testing element having a label-containing label pad and a nitrocellulose membrane
in a testing area, and a housing having an upper housing and a lower housing, wherein
one end of the label pad is overlapped on the nitrocellulose membrane, the lateral
flow testing element is located between the upper housing and the lower housing, one
end of the housing is provided with an opening in which a part of a diversion element
is located, and a liquid outlet end of the diversion element is in contact with one
end of the label pad on the testing element in the housing so that the liquid sample
from the diversion element is capable of directly flowing to a label area of the label-containing
label pad.
- 2. The device according to clause 1, wherein the testing element is located in a groove
of the lower housing, and the upper housing comprises a liquid retention chamber configured
to receive a part of liquid sample from a surface of the diversion element.
- 3. The device according to clause 2, wherein the liquid retention chamber has an opening,
the diversion element has an upper surface for receiving the liquid sample, and the
opening is covered by an upper surface of the part of the diversion element.
- 4. The device according to clause 3, wherein the liquid retention chamber is composed
of compartment chambers formed by protruding plastic press strips set on an inner
surface of the housing, and a surface of the press strip is in contact with the upper
surface of the diversion element.
- 5. The device according to clause 4, wherein the liquid retention chamber comprises
one or more non-capillary grooves or non-capillary chambers.
- 6. The device according to clause 4, the device further comprising a blocking element
for blocking liquid at an end portion of the liquid outlet end of the diversion element
from flowing to the label area, wherein the blocking element is disposed in the housing,
and the end portion of the liquid outlet end of the diversion element is in contact
with the blocking element.
- 7. The device according to clause 6, wherein the blocking element is disposed at an
end portion of the liquid retention chamber, so as to block liquid on the diversion
element from directly flowing to the label pad on the testing element and to allow
liquid from the liquid outlet end to flow to the liquid retention chamber.
- 8. The device according to clause 7, wherein the blocking element is disposed on the
upper housing, and the lower housing is provided with a recess, and the recess is
provided with a blank area for a part of the label pad, and the end portion of the
diversion element is located on the blank area and in direct contact with the blank
area.
- 9. The device according to clause 8, wherein when the upper housing and the lower
housing are assembled together, the blocking element is inserted into the recess and
in contact with the end portion of the diversion element.
- 10. The device according to clause 5, wherein the testing element further comprises
a sample application pad partially overlapped on the blank area on the label pad,
the part of the diversion element covers the sample application pad, and the flow
rate of liquid on the diversion element is higher than that of liquid on the sample
application pad.
- 11. The device according to clause 5, wherein the testing element further comprises
a sample application pad partially overlapped on the blank area on the label pad,
and the part of the diversion element is overlapped on the sample application pad,
wherein a part of liquid from the diversion element flows into the sample application
pad, and a part of liquid from the diversion element directly flows to the label pad;
and the time when the liquid from the diversion element directly flows to the label
pad is earlier than the time when the liquid from the sample application pad flows
to the label pad.
- 12. The device according to clause 9, wherein the label pad comprises a first label
pad and a second label pad, wherein the first label pad is located upstream of the
second label pad, and the liquid outlet end of the diversion element is overlapped
on the first label pad.
- 13. The device according to clause 12, wherein the first label pad comprises a label-free
blank area and a label-containing area, the second label pad comprises a label-free
blank area and a label-containing area, and the end portion of the diversion element
is overlapped on the blank area of the first label pad.
- 14. The device according to clause 13, wherein the nitrocellulose membrane comprises
a test result area on which a second antibody specifically binds to the analyte is
immobilized, and the label-containing area comprises a first antibody that is conjugated
with latex particles or/and gold particles and specifically binds to the analyte.
- 15. The device according to clause 14, wherein the length of the label pad composed
of the first label pad and the second label pad is 15 mm, the liquid outlet end of
the diversion element is spaced from the label area of the first label pad by 2 mm,
and the second label pad is spaced from the testing area by 7 mm.
- 16. The device according to clause 15, wherein the second antibody specifically captures
an HCG antigen, the first antibody specifically binds to the HCG antigen, and the
sample is a urine sample.
- 17. The device according to clause 16, wherein the label on the first label pad is
the first antibody that is conjugated with gold particles and binds to HCG in urine,
and the label on the second label pad is the first antibody that is conjugated with
latex particles and specifically binds to HCG in urine.
- 18. The device according to clause 15, wherein the length of the diversion element
is 40 mm, the length of the diversion element located in the housing is 13 mm, and
the thickness of the diversion element is 3 mm.
- 19. The device according to clause 11, wherein the label pad comprises a first label
pad and a second label pad, wherein the first label pad is located upstream of the
second label pad, and the liquid outlet end of the diversion element is overlapped
on the first label pad.
- 20. The device according to clause 19, wherein the first label pad comprises a label-free
blank area and a label-containing area, the second label pad comprises a label-free
blank area and a label-containing area, and the end portion of the diversion element
is overlapped on the blank area of the first label pad.
[0078] All the patents and publications mentioned in the description of the present invention
indicate that these are public technologies in the art and can be used by the present
invention. All the patents and publications cited herein are listed in the references,
just as each publication is specifically referenced separately. The present invention
described herein can be realized in the absence of any one element or multiple elements,
one restriction or multiple restrictions, where the limitation is not specifically
described here. For example, the terms "comprising", "essentially consisting of" and
"consisting of" in each example herein may be replaced by the rest 2 terms. The so-called
"alan" herein merely means "one", but does not exclude including 2 or more instead
of including only one. The terms and expressions which have been employed herein are
descriptive rather than restrictive, and there is no intention to suggest that these
terms and expressions in this description exclude any equivalents, but it is to be
understood that any appropriate changes or modifications can be made within the scope
of the present invention and appended claims. It can be understood that the examples
described in the present invention are some preferred examples and features. A person
skilled in the art can make some modifications and changes according to the essence
of the description of the present invention. These modifications and changes are also
considered to fall within the scope of the present invention and the scope limited
by independent claims and dependent claims.