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Point-of-care electrochemical sensor enables real-time detection of analgesics from blood without extensive sample treatment, improving test result wait time.
November 12, 2020
By: Anthony Locicero
Canatu Carbon NanoBud (CNBTM)-based electrochemical sensor is designed for fast detection of analgesics in blood, saliva and urine.Â
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Developed within Fast Electrochemical Point-of-Care Diagnostics FEDOC project, the new CNB -based point-of-care (POC) testing offers caregivers rapid detection at lower cost, ease of use, and convenience with portability.Â
Because of its compact size, the sensor can be used in several settings, which can cut the detection time from hours to minutes. The sensor is now being evaluated with clinical samples from the Helsinki University Hospital.Â
Opioid analgesic misuse has risen significantly over the past two decades. According to WHO estimates, approximately 115 000 people died of opioid overdose in 2017 alone.Â
Fast detection of concentrations of analgesics is critical for safe patient care. Currently, intoxication is diagnosed based on clinical signs and the concentrations are measured afterwards in a laboratory from blood samples drawn via venipuncture.Â
Obtaining whole blood samples can be challenging and requires high level of expertise. Samples are then sent away from the point of care, and hours or even days can pass before the results are ready while the care must continue without the needed information.Â
Testing is confined to the laboratory because this standard mass spectrometry method requires bulky equipment and sample treatment that cannot be done elsewhere.
The new portable electrochemical device can detect a range of analgesics (such as opioids and acetaminophen) with high sensitivity and selectivity from small samples, such as a single blood drop.Â
This enables the use of non-invasive capillary blood, urine and saliva in testing the concentrations of the analgesics. Because of its small size, the test can also be conducted at the point of care, such as at clinics, at home and remote areas where on-site testing and rapid results are critical for well-informed patient care.
“The new portable POC electrochemical sensor enables timely clinical decision making and better patient care. With fast test results, the physician can update the individual care plan and the medication on a timely manner,” said Prof. Eija Kalso, Faculty of Medicine, University of Helsinki.
Canatu Carbon NanoBuds are ideal for the detection of analgesics because of their clean surface, large contact area with the analyte and high conductivity which contribute to strong signal and low detection limit.Â
They are extremely versatile, which means the molecular structure can be tuned to maximize selectivity.Â
Thanks to the self-filtering structure, CNBs have high resistance to fouling, which helps prevent electrode contamination by large molecules, such as proteins. Contamination can risk reliability by preventing contact with the analyte.
“Our Carbon NanoBud material innovation delivers value across industries. We are continuously on the lookout for new domains to help solve the world’s most critical challenges and enhance the process with our solutions,” said Ilkka Varjos, CTO, Canatu Oy. “CNBs are amazingly versatile with virtually infinite application potentials. With medical diagnostics, we are embarking on an exciting journey with a meaningful purpose; to help cure the global opioid overdose crisis and save lives.”
The clinical study design includes two phases.Â
The first clinical study aims to validate test reliability and equivalence with a standard mass spectrometry laboratory method.Â
200 laboratory samples are collected from patients with suspected acetaminophen intoxication and tested for concentration applying both the new FEPOD method and the standard chromatographic method.Â
The second clinical study compares test results of alternative sampling methods, namely venipuncture, capillary blood, urine, and saliva.
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