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ClotChip: A Microfluidic Dielectric Sensor for Point-of-Care Assessment of Hemostasis

机译:ClotChip:用于止血的即时护理评估的微流体介电传感器

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摘要

This paper describes the design, fabrication, and testing of a microfluidic sensor for dielectric spectroscopy (DS) of human whole blood during coagulation. The sensor, termed ClotChip, employs a three-dimensional (3D), parallel-plate, capacitive sensing structure with a floating electrode integrated into a microfluidic channel. Interfaced with an impedance analyzer, the ClotChip measures the complex relative dielectric permittivity, εr, of human whole blood in a frequency range of 40Hz to 100MHz. The temporal variation in the real part of the blood dielectric permittivity at 1MHz features a time to reach a permittivity peak, Tpeak, as well as a maximum change in permittivity after the peak, Δεr,max, as two distinct parameters of ClotChip readout. The ClotChip performance was benchmarked against rotational thromboelastometry (ROTEM) to evaluate the clinical utility of its readout parameters in capturing the clotting dynamics arising from coagulation factors and platelet activity. Tpeak exhibited a very strong positive correlation (r = 0.99, p < 0.0001) with the ROTEM clotting time (CT) parameter, whereas Δεr,max exhibited a strong positive correlation (r = 0.85, p < 0.001) with the ROTEM maximum clot firmness (MCF) parameter. This work demonstrates the ClotChip potential as a point-of-care (POC) platform to assess the complete hemostatic process using <10μL of human whole blood.
机译:本文介绍了在凝结过程中用于人体全血介电谱(DS)的微流体传感器的设计,制造和测试。该传感器称为ClotChip,采用三维(3D)平行板电容式感应结构,其浮置电极集成在微流体通道中。与阻抗分析仪相连,ClotChip可在40Hz至100MHz的频率范围内测量人类全血的复数相对介电常数εr。血液介电常数的实部在1MHz处的时间变化具有到达介电常数峰值Tpeak的时间以及峰值之后的介电常数最大变化Δεr,max,这是ClotChip读数的两个不同参数。将ClotChip性能与旋转血栓弹力测定法(ROTEM)进行了基准比较,以评估其读数参数在捕获凝血因子和血小板活性引起的凝血动力学方面的临床实用性。 Tpeak与ROTEM凝结时间(CT)参数表现出非常强的正相关性(r = 0.99,p <0.0001),而Δεr,max与ROTEM最大凝结性表现出很强的正相关性(r = 0.85,p <0.001)。 (MCF)参数。这项工作证明了ClotChip作为即时医疗点(POC)平台的潜力,可以使用<10μL的人类全血评估完整的止血过程。

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