Bioimpedance Technique for Point-of-Care Devices Relying on Disposable Label-Free Sensors – An Anemia Detection Case

In this chapter, the development of a point-of-care device for bio-medical applications has been discussed. Our main objective is to research new electronic solutions for the detection, quantification, and monitoring of important biological agents in medical environments. The proposed systems and technologies rely on label-free disposable sensors, with portable electronics for user-friendly, low-cost solutions for medical disease diagnosis, monitoring, and treatment. In this chapter, we will focus on a specific point-of-care device for cellular analysis, applied to the case of anemia detection and monitoring. The methodology used for anemia monitoring is based on hematocrit measurement directly from whole blood samples by means of impedance analysis. The designed device is based on straightforward electronic standards for low power consumption and low-cost disposable sensor for low volume samples, resulting in a robust and low power consumption device for portable monitoring purposes of anemia. The device has been validated through different whole blood samples to prove the response, effectiveness, and robustness to detect anemia.

[1]  Liju Yang,et al.  Electrical impedance spectroscopy for detection of bacterial cells in suspensions using interdigitated microelectrodes. , 2008, Talanta.

[2]  Su-Moon Park,et al.  Novel instrumentation in electrochemical impedance spectroscopy and a full description of an electrochemical system , 2006 .

[3]  Laurent Francis,et al.  State of the Art in Biosensors - General Aspects , 2013 .

[4]  Márcio Pinto,et al.  The new noninvasive occlusion spectroscopy hemoglobin measurement method: a reliable and easy anemia screening test for blood donors , 2013, Transfusion.

[5]  Varinder Singh,et al.  Anemia in severe acute malnutrition. , 2014, Nutrition.

[6]  O. Arias,et al.  Electrochemical impedance spectroscopy: An effective tool for a fast microbiological diagnosis , 2009 .

[7]  Karine Reybier,et al.  Electrochemical impedance spectroscopy to study physiological changes affecting the red blood cell after invasion by malaria parasites. , 2009, Biosensors & bioelectronics.

[8]  Giovanni Chiorboli,et al.  A CMOS vector lock-in amplifier for sensor applications , 2010, Microelectron. J..

[9]  Robert P Patterson,et al.  Bioelectric impedance measurements , 2006 .

[10]  Mart Min,et al.  Lock-in measurement of bio-impedance variations , 2000 .

[11]  R. Thompson A Short Textbook of Haematology , 1966 .

[12]  H P Schwan,et al.  Cellular membrane potentials induced by alternating fields. , 1992, Biophysical journal.

[13]  Elizabeth Walter,et al.  Impact from point-of-care devices on emergency department patient processing times compared with central laboratory testing of blood samples: a randomised controlled trial and cost-effectiveness analysis , 2013, Emergency Medicine Journal.

[14]  W. Lam,et al.  Disposable platform provides visual and color-based point-of-care anemia self-testing. , 2014, The Journal of clinical investigation.

[15]  P. Pagliaro,et al.  Noninvasive methods for haemoglobin screening in prospective blood donors , 2013, Vox sanguinis.

[16]  D Matteuzzi,et al.  An embedded portable biosensor system for bacterial concentration detection. , 2010, Biosensors & bioelectronics.

[17]  Jia Shin Ho,et al.  Impedimetric microbial sensor for real-time monitoring of phage infection of Escherichia coli. , 2013, Biosensors & bioelectronics.

[18]  Ling Lin,et al.  A novel algorithm combining oversampling and digital lock-in amplifier of high speed and precision. , 2011, The Review of scientific instruments.

[19]  A. Detsky,et al.  Do blood tests cause anemia in hospitalized patients? , 2005, Journal of General Internal Medicine.

[20]  C. Slager,et al.  Blood Electrical Impedance Closely Matches Whole Blood Viscosity as Parameter of Hemorheology and Inflammation , 2003 .

[21]  T. Sabharwal,et al.  Bleeding pseudoaneurysm of the internal iliac artery after extended resection for advanced rectal cancer: report of two cases , 2014, International Journal of Colorectal Disease.

[22]  Soumen Das,et al.  Impedimetric characterization of human blood using three-electrode based ECIS devices , 2012 .

[23]  R. Silverstein,et al.  A novel broadband impedance method for detection of cell-derived microparticles. , 2010, Biosensors & bioelectronics.

[24]  Y. Aydinok Thalassemia , 2012, Hematology.

[25]  J. Kulys,et al.  Chronoamperometric and cyclic voltammetric study of carbon paste electrodes using ferricyanide and ferrocenemonocarboxylic acid , 1994 .

[26]  Nan Li,et al.  Disposable immunochips for the detection of Legionella pneumophila using electrochemical impedance spectroscopy. , 2012, Analytical chemistry.

[27]  Josep Samitier,et al.  Fuel cell-powered microfluidic platform for lab-on-a-chip applications. , 2012, Lab on a chip.

[28]  Mahmoud Almasri,et al.  Specific and targeted detection of viable Escherichia coli O157:H7 using a sensitive and reusable impedance biosensor with dose and time response studies. , 2012, Talanta.

[29]  D. Thurnham,et al.  Biomarkers for the differentiation of anemia and their clinical usefulness , 2013, Journal of blood medicine.

[30]  Xiliang Luo,et al.  The label free picomolar detection of insulin in blood serum. , 2013, Biosensors & bioelectronics.

[31]  D. Rockey,et al.  The Syndrome of a Large Drop in Hematocrit in Hospitalized Patients , 2014, Journal of Investigative Medicine.

[32]  F. Thompson,et al.  The effect of haematocrit on the resistivity of human blood at 37°C and 100 kHz , 1975, Medical and biological engineering.

[33]  Fernando Seoane,et al.  A novel approach for removing the hook effect artefact from Electrical Bioimpedance spectroscopy measurements , 2010 .

[34]  C Argote-Olivera,et al.  [Sickle-cell anemia]. , 1977, La Prensa medica mexicana.

[35]  Matthew Thompson,et al.  Primary care clinicians’ attitudes towards point-of-care blood testing: a systematic review of qualitative studies , 2013, BMC Family Practice.

[36]  Robert Puers,et al.  Omnidirectional Inductive Powering for Biomedical Implants , 2008 .

[37]  Yu Sun,et al.  High-throughput biophysical measurement of human red blood cells. , 2012, Lab on a chip.

[38]  Siyang Zheng,et al.  Microfluidic device and system for point-of-care blood coagulation measurement based on electrical impedance sensing , 2013 .

[39]  J. G. van der Hoeven,et al.  On-line blood viscosity monitoring in vivo with a central venous catheter, using electrical impedance technique. , 2013, Biosensors & bioelectronics.

[40]  D. Pletcher,et al.  A microelectrode study of the mechanism and kinetics of the ferro/ferricyanide couple in aqueous media: The influence of the electrolyte and its concentration , 1993 .

[41]  Steven C. Petrovic,et al.  Cyclic Voltammetry of Hexachloroiridate(IV): An Alternative to the Electrochemical Study of the Ferricyanide Ion , 2000 .

[42]  J. Górriz,et al.  The development of anemia is associated to poor prognosis in NKF/KDOQI stage 3 chronic kidney disease , 2013, BMC Nephrology.