Automation & Immunochemical Techniques
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3 phases of analytic process
Preanalytic, analytic, post-analytic
The first continuous flow, single-channel, sequential batch analyzer capable of providing a single test result on approximately 40 samples/hr
AutoAnalyzer (AA)
It was the first noncontinuous flow, discrete analyzer as well as the first instrument to have random access capabilities, whereby stat specimens could be analyzed out of sequence on an as- needed basis.
Automatic Clinical Analyzer (ACA) (DuPont [now Siemens]).
This instrument was the first to use microsample volumes and reagents on slides for dry chemistry analysis and to incorporate computer technology extensively into its design and use.
Kodak Ektachem (now VITROS) Analyzer (now Ortho- Clinical Diagnostics)
The most recent milestone in chemistry analyzer development has been the combination of chemistry and immunoassay
Modular analyzer
liquids (reagents, diluents, and samples) are pumped through a system of continuous tubing.
Continuous flow analyzer
3 basic approaches with instruments
continuous flow, centrifugal analysis, and discrete analysis.
uses the force generated by centrifugation to transfer and then contain liquids in separate cuvettes for measurement at the perimeter of a spinning rotor.
centrifugal analysis
Major advantage of centrifugal analysis
Batch analysis
the separation of each sample and accompanying reagents in a separate container.
discrete analysis.
They are the most popular and versatile analyzers
discrete analysis.
Light source used in Reflectance spectrometry
Tungsten-halogen lamp
It has been and remains a manual process in most laboratories
Preparation of the sample for analysis
The most sophisticated approach that is commonly used today in specimen identification
Employing a bar code
These slides have microscopically thin layers of dry reagents mounted on a plastic support. The slides are approximately the size and thickness of a postage stamp.
dry chemistry slide
Most automated wet chemistry analyzers use ________ that dip into the reaction container for a few seconds to stir sample and reagents, after which they return to a wash reservoir
stirring paddles
causes major interference in many analyses.
Proteins
In the older continuous flow systems, a _____ was the separation or filtering module. It performed the equivalent of the manual procedures of precipitation, centrifugation, and filtration, using a fine-pore cellophane membrane.
dialyzer
are attached from multiple remote stations where the reaction mixtures reside to a centralized monochromator/detector unit that, in conjunction with the computer, sequences and analyzes a large volume of light signals from multiple reactions.
fiberoptic cables, or “light pipes”
refers to automated devices and robots integrated with existing analyzers to perform all phases of laboratory testing. Most attention to date has been devoted to development of the front-end systems that can identify and label specimens, centrifuge the specimen and prepare aliquots, and sort and deliver samples to the analyzer or to storage.
Total Laboratory Automation
Developed RadioImmunoAssay (RIA)
Dr. Rosalyn Yallow
Immunoprecipitation techniques: Gel-Passive
Double Diffusion (Ouchterlony technique) Single Diffusion (Radial Immunodiffusion)
Immunoprecipitation techniques: Gel-Electrophoresis
Counterimmunoelectrophoresis Immunoelectrophoresis Immunofixation Electrophoresis Rocket electrophoresis
Immunoprecipitation techniques: Soluble Phase
Turbidimetry & Nephelometry