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A device for dried blood microsampling in quantitative bioanalysis Methodology


Gravimetric determination of blood volume absorbed Prior


to performing the blood absorption experi-


ments, the balance and weighing areas were cleaned and dried to ensure there was no loose liquid on the balance plate, as evaporation would lead to poor bal- ance stability. Moreover, to improve precision during weighing, vials were placed in the same place on the balance. Finally, to increase humidity and reduce the rate of evaporation, a wet tissue was placed in a beaker and placed within the balance enclosure, but not on the balance plate. Before weighing, each balance was set to zero and a


2-ml aliquot of the 20, 45 or 65% (including 60 and 69% for two laboratories) HCT blood was placed in a scintillation vial, which was capped and placed in the center of the balance plate. To determine the weight of an accurately pipet-


ted volume (control protocol) at each HCT level, the initial weight of a capped vial containing 2 ml of blood was recorded. The vial was then uncapped and 10 μl of blood was removed using a pipette. The vial was then recapped, reweighed and the weight was recorded. This procedure was conducted six times per HCT at each laboratory. Once completed, the average density of each HCT at each laboratory was calculated as follows:


Blood density(ng/ml) 10


=


Mean weight of blood in 10 laliquot (g) 1000 µ


# To determine the weight of the blood absorbed by


the VAMS tip at each HCT level (VAMS protocol), the initial weight of a capped vial containing 2 ml of blood was recorded. The vial was then uncapped and a fresh VAMS was carefully ‘dipped’ into the blood such that only the tip was exposed to the blood. The tip was held in the blood until it appeared to be full (i.e., no white portions were observed) and then for an extra approximately 2 s before being removed. Care was taken when filling the tips not to immerse the tip past the shoulder, as this could result in excess blood being retained and hence introduce a positive bias to any measurements. Furthermore, upon removing the tip after filling, care was taken to ensure the sampler or tip had not contacted the walls of the vial, as this could have caused errors in the result. The VAMS was then discarded. As in the control experiment, each vial was recapped, reweighed and the weight was recorded. This procedure was conducted six times per HCT at each laboratory. The blood volume absorbed on the VAMS tip for each HCT at each laboratory was calculated as follows:


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Tip shoulder


Handle Absorbant tip


Figure 1. Volumetric absorbtive microsampler before (left) and after (right) filling with blood.


Volume of bloodinVAMSTip (µl) Mean weight of bloodin10l aliquot(g)


=


Mean weight of blood absorbed by VAMS Tip(g) µ


Laboratories 1, 4, 5 and 6 performed the operation to


determine the mean weight of blood in a 10-μl aliquot for the above experiments as described earlier, while laboratories 2 and 3 performed the operation by weigh- ing a vial containing 2 ml of blood and then dispensed 10-μl aliquots of blood into it from a separate vial con- taining blood at the same HCT as that being weighed, and reweighing the target vial after each addition.


Results & discussion Volume of blood absorbed at different HCTs The volume of human and rat blood with different HCTs absorbed by the VAMS was investigated in six different laboratories by determining changes in weight after dipping the device into control blood (Figure 2). The average volume of human or rat blood collected across the approximate HCT range of 20–65% was 10.6 ± 0.4 μl (error determined as [2 × standard devia- tion]/square root of the count). This is in good agree- ment with the 10.5 ± 0.1 μl determined using radio- active 14


by measurement of CO2


C caffeine spiked into human blood followed after oxidation of the dried


tip [26]. Furthermore, the slope of the blood volume against HCT plot is close to zero, demonstrating that the blood volume collected by the tip showed little variance with different blood HCT values. The variability in the blood volume collected across


laboratories and HCTs was minimal (CV: 8.7%) and well within the 15% that is routinely accepted for the validation of quantitative bioanalyical methods. However, there was notable variance in the minimum and maximum volumes absorbed (between 9.1 and 13.1 μl). While the reasons for this variance are not


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