Hematology Analyzer Flagging Lysis-Resistant Red Blood Cells
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Solution Overview
Problem
Hematology analyzers face challenges in accurately identifying and flagging lysis-resistant red blood cells (rRBCs) and fragile white blood cells (fWBCs, which can lead to incorrect cell count results and interference in leukocyte visualization due to their resistance to lysis agents.
Innovation Solution
A hematology analyzer system that includes a flow cell, light source, detectors for optical characteristics, and a data analysis workstation capable of enumerating blood cells and flagging samples by analyzing data from reference samples to identify characteristics that indicate the presence of rRBCs or fWBCs, using criteria based on statistical analysis and comparison with normal samples.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Difficulty of detecting and measuring
If lysis agents are used to break down red blood cells for white blood cell analysis, then white blood cell visualization is improved, but lysis-resistant red blood cells remain intact and interfere with cell counting and visualization
Solution Approach 1:
The patent applies preliminary action by performing multiple sequential lysis steps with different lysis agents of increasing strength. The first lysis agent (e.g., ammonium chloride) is applied to lyse normal red blood cells, followed by a second stronger lysis agent (e.g., saponin) to lyse lysis-resistant red blood cells. This staged approach allows normal RBCs to be removed first, then rRBCs are targeted in a subsequent step, preventing interference while preserving WBC integrity throughout the process.
Solution Approach 2:
The patent applies parameter changes by varying the lysis agent composition and strength across different lysis steps. The system transitions from a milder lysis agent to a stronger one, changing the chemical parameters of the lysis environment. This allows selective lysis of different cell types based on their resistance levels, enabling the differentiation and removal of rRBCs without affecting WBCs.
2Measurement precision
If multiple lysis steps are performed to remove lysis-resistant red blood cells, then cell count accuracy is improved, but analysis time increases
Solution Approach 1:
The patent applies preliminary action by performing the first lysis step with a milder agent to remove the majority of normal red blood cells before applying the second stronger lysis agent. This staged approach allows the system to address the bulk of RBC removal first, then target the remaining lysis-resistant population, improving efficiency by not wasting time or reagent on already-lysed cells.
Solution Approach 2:
The patent applies partial action by using a first lysis agent that partially lyzes red blood cells (normal RBCs) without completely eliminating all RBCs. This partial lysis is intentional, allowing the second lysis agent to then complete the task by targeting the resistant population. This approach is more efficient than applying the strongest lysis agent from the start, which would waste time and reagents on cells already susceptible to milder lysis.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The system effectively flags samples containing rRBCs or fWBCs, ensuring accurate cell count and differential analysis by distinguishing these cells from normal samples, thereby preventing false elevations in WBC concentration and lymphocyte percentage.
Implementation Method 1
the identification of those cells based on the use of light scattering and/or fluorescence detection
Implementation Method 2
the identification of those cells based on the use of light scattering and/or fluorescence detection
Data Source
AI summary
A hematology analyzer is provided. In certain embodiments, the hematology analyzer comprises: a) a flow cell; b) a light source for directing light to the flow cell; c) a plurality of detectors for detecting a plurality of optical characteristics of a blood cell passing through the flow cell; and d) a data analysis workstation programmed to: i. enumerate test blood cells passing through the flow cell; and ii. flag a blood sample as containing lysis-resistant red blood cells or fragile white blood cells.


