Real-Time Monitoring of Platelet Activation Using Quartz Thickness-Shear Mode Resonator Sensors

Application of Shear Horizontal Surface Acoustic Wave (SH-SAW) Immunosensor in Point-of-Care Diagnosis

Point-of-care testing (POCT), also known as on-site or near-patient testing, has been exploding in the last 20 years. A favorable POCT device requires minimal sample handling (e.g., finger-prick samples, but plasma for analysis), minimal sample volume (e.g., one drop of blood), and very fast results. Shear horizontal surface acoustic wave (SH-SAW) biosensors have attracted a lot of attention as one of the effective solutions to complete whole blood measurements in less than 3 min, while providing a low-cost and small-sized device. This review provides an overview of the SH-SAW biosensor system that has been successfully commercialized for medical use. Three unique features of the system are a disposable test cartridge with an SH-SAW sensor chip, a mass-produced bio-coating, and a palm-sized reader. This paper first discusses the characteristics and performance of the SH-SAW sensor system. Subsequently, the method of cross-linking biomaterials and the analysis of SH-SAW real-time signals are investigated, and the detection range and detection limit are presented.

Kinetics of platelet adhesion to a fibrinogen-coated surface in whole blood under flow conditions

Aim

To test a novel method of assessment of platelet adhesion to a fibrinogen‐coated surface in whole blood under flow conditions.

Methods

We developed a fluidic device that mimics blood flow in vessels. The method of detection of platelet adhesion is based on recording of a scattered laser light signal from a fibrinogen‐covered surface. Testing was performed in platelet‐rich plasma (PRP) and whole blood of healthy volunteers. Control measurements were performed, followed by tests with inhibition of platelet GPIIa/IIIb and GPIb receptors. Then, the same testing sequence was performed in whole blood of persons with autoimmune thrombocytopenia and type 3 von Willebrand disease.

Results

The change in intensity of scattered light was 2.7 (2.4; 4.1) times higher in whole blood (0.2 ± 0.08V, n = 7) than in PRP (0.05 ± 0.02 V, n = 7), p < 0.01. The blocking of GP IIb/IIIa receptors decreased the intensity of scattered light to 8.5 (6.5;12)%; the blocking of GPIb receptors decreased it to 34 (23;58)%, p < 0.01. In the whole blood of a person with autoimmune thrombocytopenia, the inhibition of GPIb receptors decreased platelet adhesion, but no effect was observed in type 3 von Willebrand disease. Inhibition of platelet GPIIb/IIIa receptors alone or combined inhibition of GPIb and GPIIb/IIIa receptors resulted in almost total suppression of adhesion in both cases.

Conclusion

Our system effectively registers platelet adhesion to a fibrinogen‐coated surface under controlled‐flow conditions and may successfully be applied to the investigation of platelet adhesion kinetics.

Non-Destructive Evaluation Device for Monitoring Fluid Viscosity

There is an increasing need for non-destructive, low-cost devices for real-time fluid viscosity monitoring. Therefore, in this study, a method based on structural health monitoring is adapted for monitoring fluid properties. A device is built such that an inexpensive and disposable viscosity probe be possible. The design incorporates a sensor/actuator pair using a piezoelectric material layered with copper/brass and capable of monitoring viscosity changes in low volume liquids (e.g., vacutainer vial). Experiments performed with the new device show a definite pattern of wave propagation in viscous solutions. A numerical model is built to investigate the wave propagation in the fluid. For experimental measurements, the sensor part of the device detects the generated pressure wave in fluid (e.g., air, water, glycerin) by the actuator part. The phase shift between the actuator and the sensor signals is then recorded and plotted for different concentrations of glycerin and water at room temperature. The results of this study show a direct correlation between the phase shift and varying viscosity in the ultrasonic frequency range from 6 to 9 MHz. The numerical simulation, performed utilizing acoustic modal and harmonic response analysis, results also demonstrate the same trend as the experimental results: a phase shift increases with the viscosity of the fluid.

A quartz crystal microbalance sensor for endotoxin assay by monitoring limulus amebocyte lysate protease reaction

Endotoxin is able to trigger strong innate immune responses by interacting with specific receptors on immune cells. Therefore, accurate and rapid detection of endotoxin is of primary importance. In this study, endotoxin induced viscosity variation of limulus amebocyte lysate (LAL) reagent is monitored by a quartz crystal microbalance (QCM) sensor with enhanced signal. Based on the analysis of the relationship between endotoxin concentration and QCM frequency shift with time, an effective sensing strategy is developed for endotoxin assay, which shows excellent sensitivity and specificity in the linear detection range from 0.005 to 10 EU mL^-1. Moreover, this QCM sensor could be reused after a simple regeneration procedure. Therefore, it has potential practical utility for endotoxin determination in various applications.

Micro-electromechanical film bulk acoustic sensor for plasma and whole blood coagulation monitoring

Monitoring blood coagulation is an important issue in the surgeries and the treatment of cardiovascular diseases. In this work, we reported a novel strategy for the blood coagulation monitoring based on a micro-electromechanical film bulk acoustic resonator. The resonator was excited by a lateral electric field and operated under the shear mode with a frequency of 1.9GHz. According to the apparent step-ladder curves of the frequency response to the change of blood viscoelasticity, the coagulation time (prothrombin time) and the coagulation kinetics were measured with the sample consumption of only 1μl. The procoagulant activity of thromboplastin and the anticoagulant effect of heparin on the blood coagulation process were illustrated exemplarily. The measured prothrombin times showed a good linear correlation with R²=0.99969 and a consistency with the coefficient of variation less than 5% compared with the commercial coagulometer. The proposed film bulk acoustic sensor, which has the advantages of small size, light weight, low cost, simple operation and little sample consumption, is a promising device for miniaturized, online and automated analytical system for routine diagnostics of hemostatic status and personal health monitoring.