一种应用于分子诊断的护理点装置的研制与构建

D. Presti, Julián Bergier, Jeffry H. Martínez Valdiviezo, M. Bilen, G. Torchia
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引用次数: 0

摘要

近年来,阿根廷和该地区国家遭受了与虫媒病毒相关的流行病,主要是登革热,最近还有寨卡病毒和基孔肯雅热。另一方面,新冠肺炎全球大流行以来,各国人民健康和经济保障受到严重影响。有必要拥有经济和快速的诊断工具,以便对有症状的患者样本进行评估。为了实现这一目标,最近开发了称为“护理点”的诊断系统。这些系统被定义为在护理点或其附近(即在患者护理的时间和地点)进行的医疗诊断测试。具体来说,在这项工作中,开发了一种生物光子器件。这台仪器能够通过发光光谱分析来检测某些疾病。该方法适用于唾液样品。该系统由目标病毒基因组的特定探针产生的荧光信号检测,与等温扩增反应相结合,允许检测样品中的病原体。该装置用光(具有特定波长的led或半导体激光器)激发待分析样品,从而触发与特定探针结合的荧光团的自发发射。发射的荧光用干涉滤光片适当地过滤。这些滤波器限制了光谱区域,并允许区分分析波段。在这些条件下,信号在内置检测器中注册,并根据信号电平将情况定义为正或负。所有的分析都是通过集成控制系统在开发的设备内自主完成的,并与便携式设备相连,以无线方式显示结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Development and construction of a point of care device for application to molecular diagnostics
In recent years, Argentina and countries of the region, have suffered epidemics associated with arboviruses, mainly Dengue and more recently Zika and Chikungunya. On the other hand, since the worldwide pandemic of SARS-CoV-2 (COVID-19), people’s health and the economic support of their countries have been seriously affected. It is necessary to have economic and faster diagnostic tools that allows evaluating samples of patients with symptoms. With this objective, diagnostic systems called point of care have been recently developed. These systems are defined as medical diagnostic testing at or near the point of care (that is, at the time and place of patient care). Specifically, in this work, a bio-photonic device has been developed. This instrument is able to detect certain diseases by means of a luminescence spectral analysis. This method can be conducted for saliva samples. The system consists in the fluorescence signal detection generated by a specific probe of the target viral genome, that coupled to isothermal amplification reaction, allowing the detection of the pathogen in the sample. The device excites the sample to be analyzed with light (led or semiconductor lasers with specific wavelengths) thus it triggers a spontaneous emission of the fluorophore bound to the specific probe. The emitted fluorescence is suitably filtered using interferential filters. These filters limit the spectral regions and allow discriminating the analysis band. Under these conditions, a signal is registered in a built-in detector and, depending on the signal level, define the case as positive or negative. All the analysis is done autonomously inside the developed device through an integrated control system and it is connected to a portable device to show the results wirelessly.
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