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使用碳纳米管纸复合电容传感器进行全血同时多参数止血评估。

Simultaneous multiparameter whole blood hemostasis assessment using a carbon nanotube-paper composite capacitance sensor.

机构信息

Department of Mechanical Engineering, University of Washington, Seattle, WA, 98195, USA.

Wellman Center for Photomedicine, Division of Hematology and Oncology, Division of Endocrinology, Massachusetts General Hospital, VA Boston Healthcare System, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02115, USA.

出版信息

Biosens Bioelectron. 2022 Feb 1;197:113786. doi: 10.1016/j.bios.2021.113786. Epub 2021 Nov 14.

Abstract

Rapid and accurate clinical assessment of hemostasis is essential for managing patients who undergo invasive procedures, experience hemorrhages, or receive antithrombotic therapies. Hemostasis encompasses an ensemble of interactions between the cellular and non-cellular blood components, but current devices assess only partial aspects of this complex process. In this work, we describe the development of a new approach to simultaneously evaluate coagulation function, platelet count or function, and hematocrit using a carbon nanotube-paper composite (CPC) capacitance sensor. CPC capacitance response to blood clotting at 1.3 MHz provided three sensing parameters with distinctive sensitivities towards multiple clotting elements. Whole blood-based hemostasis assessments were conducted to demonstrate the potential utility of the developed sensor for various hemostatic conditions, including pathological conditions, such as hemophilia and thrombocytopenia. Results showed good agreements when compared to a conventional thromboelastography. Overall, the presented CPC capacitance sensor is a promising new biomedical device for convenient non-contact whole-blood based comprehensive hemostasis evaluation.

摘要

快速准确的止血临床评估对于管理接受有创操作、出血或接受抗血栓治疗的患者至关重要。止血包括细胞和非细胞血液成分之间的一系列相互作用,但目前的设备仅评估这个复杂过程的部分方面。在这项工作中,我们描述了一种新方法的开发,该方法使用碳纳米管-纸复合材料 (CPC) 电容传感器来同时评估凝血功能、血小板计数或功能以及血细胞比容。CPC 对 1.3 MHz 下的血凝块的电容响应提供了三个具有独特敏感性的传感参数,对多种凝血因子敏感。进行了基于全血的止血评估,以证明所开发的传感器在各种止血条件下的潜在用途,包括血友病和血小板减少症等病理状况。与传统的血栓弹性描记术相比,结果显示出良好的一致性。总的来说,所提出的 CPC 电容传感器是一种有前途的新的生物医学设备,可用于方便的非接触式全血综合止血评估。

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