Screening for kidney malfunction using injection moulded plastic urinalysis cartridge

We have designed and fabricated an injection moulded plastic urinalysis cartridge and its reader to measure the concentrations of albumin and creatinine in the same sample and calculate the ACR (albumin/creatinine ratio) value for detecting kidney failure. A COC (Cyclic Olefin Copolymer) cartridge with a sample gathering pipette, pneumatic inlet, a needle to transfer pneumatic pressure to the sample gathering pipette, and two measurement modules to measure the albumin and creatinine levels in a urine sample were fabricated. A cartridge reader with LEDPD optics, pneumatic pump, and solution mixing motors was also fabricated. This system also has a sample solution-measurement / reagent-mixing mechanism using iron balls and permanent magnet with attached DC motors. We perform CV (coefficient of variation) testing for creatinine and albumin, with resulting CV values of less than 11%, which makes this process potentially suitable for commercial applications.

[1]  G. Jerums,et al.  Detection of microalbuminuria in diabetic patients by urinary dipstick. , 1997, Diabetes research and clinical practice.

[2]  R. Fair,et al.  An integrated digital microfluidic lab-on-a-chip for clinical diagnostics on human physiological fluids. , 2004, Lab on a chip.

[3]  C. S. Snively,et al.  Chronic kidney disease: prevention and treatment of common complications. , 2004, American family physician.

[4]  Yo Han Choi,et al.  Magnetically-actuated blood filter unit attachable to pre-made biochips. , 2012, Lab on a chip.

[5]  H. Taussky,et al.  ON THE COLORIMETRIC DETERMINATION OF CREATININE BY THE JAFFE REACTION , 1945 .

[6]  E. Verpoorte Microfluidic chips for clinical and forensic analysis , 2002, Electrophoresis.

[7]  Chan Woo Park,et al.  Detection of uncharged or feebly charged small molecules by field-effect transistor biosensors. , 2012, Biosensors & bioelectronics.

[8]  A. Teppo Immunoturbidimetry of albumin and immunoglobulin G in urine. , 1982, Clinical chemistry.

[9]  Alan G. R. Evans,et al.  Two simple micromixers based on silicon , 1998 .

[10]  Bong Kyu Kim,et al.  Response to cardiac markers in human serum analyzed by guided-mode resonance biosensor. , 2010, Analytical chemistry.

[11]  J Woo,et al.  Radioimmunoassay for urinary albumin. , 1978, Clinical chemistry.

[12]  M. Marre,et al.  Laser immunonephelometry for routine quantification of urinary albumin excretion. , 1987, Clinical chemistry.

[13]  R. Schasfoort,et al.  TUTORIAL REVIEW , 2001 .

[14]  F. Haaf,et al.  Polymers of N-Vinylpyrrolidone: Synthesis, Characterization and Uses , 1985 .

[15]  Darwin R. Reyes,et al.  Micro total analysis systems. 1. Introduction, theory, and technology. , 2002, Analytical chemistry.

[16]  C. Mogensen,et al.  Microalbuminuria predicts clinical proteinuria and early mortality in maturity-onset diabetes. , 1984, The New England journal of medicine.