Spaceflight blood diagnostics need innovation. Few demonstrations have been published illustrating in-flight, reduced-gravity health diagnostic technology. Here we present a method for construction and operation of a parabolic flight test rig for a prototype point-of-care flow-cytometry design, with components and preparation strategies adaptable to other setups.
Until recently, astronaut blood samples were collected in-flight, transported to earth on the Space Shuttle, and analyzed in terrestrial laboratories. If humans are to travel beyond low Earth orbit, a transition towards space-ready, point-of-care (POC) testing is required. Such testing needs to be comprehensive, easy to perform in a reduced-gravity environment, and unaffected by the stresses of launch and spaceflight. Countless POC devices have been developed to mimic laboratory scale counterparts, but most have narrow applications and few have demonstrable use in an in-flight, reduced-gravity environment. In fact, demonstrations of biomedical diagnostics in reduced gravity are limited altogether, making component choice and certain logistical challenges difficult to approach when seeking to test new technology. To help fill the void, we are presenting a modular method for the construction and operation of a prototype blood diagnostic device and its associated parabolic flight test rig that meet the standards for flight-testing onboard a parabolic flight, reduced-gravity aircraft. The method first focuses on rig assembly for in-flight, reduced-gravity testing of a flow cytometer and a companion microfluidic mixing chip. Components are adaptable to other designs and some custom components, such as a microvolume sample loader and the micromixer may be of particular interest. The method then shifts focus to flight preparation, by offering guidelines and suggestions to prepare for a successful flight test with regard to user training, development of a standard operating procedure (SOP), and other issues. Finally, in-flight experimental procedures specific to our demonstrations are described.
The inadequacy of current space-ready health diagnostics presents a limiting factor to deeper manned space exploration. Diagnostics need to be comprehensive, easy to use in reduced gravity, and relatively unaffected by the stresses of launch and spaceflight (e.g., high g-forces, vibration, radiation, temperature changes, and cabin pressure changes). Developments in point-of-care testing (POCT) may translate to effective spaceflight solutions through the use of smaller patient specimens (e.g., a finger prick), simpler and smaller fluidics (i.e., microfluidics), and reduced electrical power requirements, among other advantages. Flow cytometry is one attractive approach for in-space POC because of the broad utility of the technology, including toward cell counting and biomarker quantification, as well as significant miniaturization potential. Previous space-relevant flow cytometers include the ‘nuclear packing efficiency’ (NPE) instrument that utilized simultaneous arc-lamp induced fluorescence and electronic volume (Coulter volume) measurement 1-4, a relatively small benchtop flow cytometer representing the ‘first generation of real-time flow cytometry data during zero gravity’ 5, a ‘sheathless microflow cytometer’ capable of 4- and 5-part white blood cell (WBC) differential count using pretreated 5 µl whole blood samples 6-9, and a ‘fiber-optic-based’ flow cytometer recently tested onboard in the International Space Station 10.
Evaluating diagnostic technology for potential space applications is typically performed onboard reduced-gravity aircraft that use an approximately parabolic flight trajectory to simulate a chosen level of weightlessness (e.g., zero-gravity, martian-gravity) 11. Evaluation is challenging because flight opportunities are limited, repetitive short windows of microgravity can make it difficult to assess methodologies or processes that normally require uninterrupted periods longer than 20-40 sec, and demonstrations may require additional equipment not easily utilized in-flight 12-15. Furthermore, previous demonstrations of in vitro diagnostic (IVD) technologies used in, or designed for, reduced gravity are limited and much work remains unpublished. In addition to the above flow cytometers, other space-relevant IVD-technologies described in the literature include a whole blood staining device for immunophenotyping applications 16, an automated camera-based cytometer 12, a handheld clinical analyzer for integrated potentiometry, amperometry, and conductometry 12,17, a microfluidic ‘T-sensor’ device for analyte quantitation that relies on diffusion-based mixing and separation 18, and a rotating ‘lab on a CD’ diagnostics platform 19,20. Newcomers to reduced gravity testing may also look to parabolic flight demonstrations unrelated to in vitro diagnostics when attempting to make device evaluation possible (or figuring out what is possible). Demonstrations from other previous medical or biological experimentation with well-documented flight preparation, in-flight strategies, and flight test equipment are included in Table 115, 21-35. These may be informative due to inclusion of manual in-flight tasks, use of specialized equipment, and experimental containment.
Category | Examples |
Emergency medical care | Tracheal intubation (laryngoscope-guided, on manikin) 21, cardiac life support (anesthetized pigs) 22 |
Surgical care | Laparoscopic surgery (video simulated 23, on anesthetized pigs 24,25) |
Medical imaging or physiology assessment | Ultrasound with lower body negative pressure chamber 26, Doppler flowmeter (head mounted) 27, central venous pressure monitor 28 |
Specialized biological equipment | Microplate reader (and in-flight glove box) 29, temperature control system for cell cycle experiments 30, microscope (brightfield, phase contrast, and multi-channel fluorescence capable) 15, capillary electrophoresis unit coupled to video microscope 31 |
Andere | Plant harvesting with forceps 32, contained rats 33,34 and fish 35 for observation |
Table 1. Parabolic Flight Demonstration Examples with Well Described Methods/Experiments
To expand on previous examples and provide greater insight into successful in-flight demonstrations, we are presenting a modular and adaptable procedure for construction and operation of a prototype flow cytometer with related microfluidic mixing technology as part of a parabolic flight test rig. The rig enables demonstrations of sample loading, microfluidic mixing, and fluorescent particle detection, and was tested onboard the 2010 NASA Facilitated Access to the Space Environment (FAST) parabolic flights, flown from September 29 to October 1, 2010. These demonstrations pull from the beginning, middle, and end, respectively of a potential device workflow in which fingerstick-sized blood samples are loaded, diluted or mixed with reagents, and analyzed via optical detection. Scaling a flow cytometer into a compact unit requires innovation and careful part selection. Custom and off-the-shelf components are used here, chosen as best early approximations of final component choices, and may be adaptable to the designs of other innovators. Following an outline of prototype component choices, setup is described on a support structure serving as a skeleton for rig assembly. Prototype components are assigned locations, secured, and accompanied by additional components necessary for successful experimentation. Attention then shifts to more abstract procedures involving standard operating procedure (SOP) development, training, and other logistics. Finally, demonstration-specific procedures are described. The strategies described here and the choices of supporting rig components (e.g., microscope, acrylic box, etc.), although implemented here for specific prototype, speak to the general issues and challenges relevant to testing any blood diagnostic equipment in a reduced-gravity environment.
In the 2010 flights, two lunar-gravity (achieving approximately 1/6 earth gravity)and two micro-gravity flights were scheduled across 4 days, although ultimately these were rescheduled across 3 days. Demonstrations were performed onboard a modified privately operated, narrow-body jet airliner 36. Each flight provided 30-40 parabolas, each yielding about 20 sec of high-gravitation (roughly 1.8 g) followed by 20-25 sec of reduced-gravity conditions. After half of the parabolas were executed, the plane paused for a period of about 5-10 min in level flight to enable the plane to turn around and head back toward the landing site while performing the remainder of the parabolas.
The method described here enabled effective demonstration of the major technology components (sample loading, microfluidic mixing, and optical detection) during the 2010 FAST parabolic flights, with comparable results to ground testing. Training and SOP methods described here were particularly effective, and helped to illuminate tools and other ‘crutches’ being relied on for practice demonstrations that would not be available onboard the parabolic flight.
Areas for improvement incl…
The authors have nothing to disclose.
Hardware development was supported by the NASA SBIR Contracts NNX09CA44C and NNX10CA97C. Data analysis for the optical block and sample loader demonstrations was supported by NASA Phase III Contract NNC11CA04C. The human blood collection was performed using NASA IRB Protocol # SA-10-008. Control/acquisition software provided through the National Instruments Medical Device Grant Program. Molds for the microchips were made at the Johns Hopkins microfabrication facility and the Harvard Center for Nanoscale Systems. Otto J. Briner and Luke Jaffe (DNA Medicine Institute) aided in rack assembly during summer 2010. NASA flight video staff provided video footage during flight week. Carlos Barrientos (DNA Medicine Institute) provided photograph and figure assistance. Special thanks to the Facilitated Access to the Space Environment for Technology 2010 Program, the NASA Reduced Gravity Office, the Human Adaptation and Countermeasures Division, NASA Glenn Research Center, ZIN Technologies, and the Human Research Program.
Name of Material/ Equipment | Company | Catalog Number | Comments/Description |
Micro air pump | Smart Products, Inc. | AP-2P02A | Max pressure = 6.76 psi; 1.301” x 0.394” x 0.650” , 0.28 oz (8 g); available direct from Smart Products |
Differential pressure sensor | Honeywell International, Inc. | ASDX015D44R | Range of 0-15psi; 0.974" x 0.550" x 0.440", 0.09 oz (2.565 g); suppliers include Digi-Key and Mouser Electronics |
Rigid plastic vial (small size) | Loritz & Associates, Inc. | 55-05 | Polystyrene; ID 0.81" (20.6 mm), IH 2.06" (52.4 mm); available direct from LA Container Inc.; similar product available from Dynalab Corp. |
Rigid plastic vial (larger size) | Loritz & Associates, Inc. | 55-140 | Polystyrene; ID 1.88" (47.6 mm), IH 3.31" (84.1 mm); available direct from LA Container Inc.; similar product available from Dynalab Corp. |
latex examination gloves | dynarex corporation | 2337 | Middle finger used for latex diaphragm in fluid source vial. Other brands (e.g., Aurelia ® Vibrant ™) acceptable. |
Optical glue | Norland Products | NOA 88 | Low outgassing adhesive; available direct from Norland; Also available from Edmund Optics Inc. |
3-way solenoid valves | The LEE Company | LHDA0531115H | Gas valves, but can function with liquid; 1.29 " L, 0.28 " D. Discontinued product. Similar products available from The LEE Company. |
Volumetric water flowmeter | OMEGA Engineering inc. | FLR-1602A | Non-contacting flow rate meter strongly preferred. We recommend SENSIRION LG16 OEM Liquid Flow Sensor for flow rates from nl/min up to 5 ml/min. |
PCD-mini photon detector | Sensl | PCDMini-00100 | For fluorescence detection; available direct from Sensl |
Accelerometer | Crossbow Technology, Inc. | CXL02LF3 | 3-demensional force detection. Supplied to DMI by NASA. Similar product available from Vernier Software & Technology, LLC. |
Stereomicroscope | AmScope | SE305R-AZ-E | |
CCD Camera | Thorlabs | DCU223C | 1024 x 768 Resolution, Color, USB 2.0; available direct from Thorlabs |
USB and Trigger Cable (In/Out) for CCD Camera | Thorlabs | CAB-DCU-T1 | Available direct from Thorlabs |
Microbore tubing | Saint-Gobain Corporation | AAD04103 | Tygon®; ID 0.02", OD 0.06", 500ft, 0.02" wall. Suppliers: VWR, Thermo Fisher Scientific Inc. |
Hollow steel pins | New England Small Tube | (Custom) | 0.025" OD, 0.017" ID, 0.500” L, stainless steel tube, type 304, cut, deburred, passivated; enable microbore tubing connections, chip tubing connections |
Slide clamp | World Precision Instruments, Inc. | 14042 | Available direct from World Precision Instruments |
Leur adaptor pieces | World Precision Instruments, Inc. | 14011 | Available direct from World Precision Instruments |
Silicon wafer | Addison Engineering, Inc. | 6" diameter; for SU-8 mold fabrication | |
Polydimethylsiloxane (PDMS) elastomer base | Dow Corning | 3097366-1004 | Supplier: Global Industrial SLP, LLC |
Polydimethylsiloxane (PDMS) elastomer curing agent | Dow Corning | 3097358-1004 | Supplier: Global Industrial SLP, LLC |
Needle (23 gauge), bevel tip | Terumo Medical Corporation | NN-2338R | Ultra thin wall; 23G x 1.5"; 22G also usable; suppliers: Careforde, Inc., Port City Medical |
Dispensing needle (23 gauge), blunt tip | CML Supply | 901-23-100 | 23Gx 1"; available from CML Supply |
Rotary tool | Robert Bosch Tool Corporation | 1100-01 | Dremel® 1100-01 Stylus™ |
Cover glass | Thermo Fisher Scientific, Inc. | 12-518-105E | Gold Seal™ noncorrosive borosilicate glass; for PDMS chip cover; 24×60 mm; available from Thermo Fisher Scientific, Inc. |
Vacuum pump | Mountain | MTN8407 | For degassing PDMS; supplier: Ryder System, Inc. |
Vacuum chamber | Thermo Fisher Scientific, Inc. | 5311-0250 | Nalgene™ Transparent Polycarbonate; available from Thermo Fisher Scientific, Inc. |
Plasma cleaner | Harrick Plasma | PDC-32G | |
Hand magnifier | Mitutoyo | 183-131 | Use in reverse direction to enable viewing at ~15". |
Ethanol | CAROLINA | 861283 | For chip cleaning. Dilute to 70% using millipore water. |
Water purification system | Thermo Fisher Scientific, Inc. | D11901 | Available direct from Thermo Fisher Scientific, Inc. |
Optomechanical translation mounts | Thorlabs | K6X | 6-Axis Kinematic Optic Mount; discontinued product; new product (K6XS) available direct from Thorlabs |
Laptop | Hewlett-Packard | VP209AV | HP Pavilion Laptop running Windows 7 |
Laptop tray (spring loaded) | National Products, INC. | RAM-234-3 | RAM Tough-Tray™. Can accommodate 10 to 16 inch wide laptops. |
USB splitter | Connectland Technology Limited | 3401167 | |
USB Data Acquisition Cards (8 analog input, 12 digital I/O) | National Instruments | NI USB-6008 | 12-Bit, 10 kS/s Low-Cost Multifunction DAQ |
USB Data Acquisition Cards (16 analog input, 32 digital I/O) | National Instruments | NI USB-6216 | 16-Bit, 400 kS/s Isolated M Series MIO DAQ, Bus-Powered |
Control/acquisition Software | National Instruments | LabVIEW 2009 | Custom coded National Instruments (NI) LabVIEW |
3D Solid Modeling Software | Dassault Systèmes SolidWorks Corp. | SolidWorks 2011 | |
2D Modeling Software | AUTODESK | AutoCAD LT 2008 | |
Vertical equipment rack | (NASA provided) | N/A | |
Solid aluminum optical breadboard | Thorlabs | MB2424 | 24" x 24" x 1/2", 1/4"-20 Taps; available direct from Thorlabs |
Industrial grade steel and hardener | The J-B Weld Company | J-B Weld Steel Reinforced Epoxy Glue | |
Micro-hematocrit capillary | Fisher Scientific | 22-362-574 | inner diamter 1.1 to 1.2 mm |
1 mL syringes | Henke-Sass, Wolf | 4010.200V0 | NORM-JECT®; supplier: Grainger, Inc. |
Human red blood cells | Innovative Research | IPLA-WB3 | Tested and found negative by supplier for: HBsAg, HCV, HIV-1, HIV-2, HIV-1Ag or HIV 1-NAT, ALT, and syphilis by FDA-Approved Methods. Because no test methods can guarantee with 100% certainty the absence of an infectious agent, human derived products should be handled as suggested in the U.S. Department of Health and Human Services Manual on BIOSAFETY IN MICROBIOLOGICAL AND BIOMEDICAL LABORATORIES, FOR POTENTIALLY INFECTIOUS HUMAN SERUM OR BLOOD SPECIMENS |
Phosphate buffered saline concentrate | P5493 | SIGMA | 10x; diluted to 1x |
Tween | P9416 | SIGMA | TWEEN® 20 |
Centrifuge | LW Scientific | STRAIGHT8-5K | Swing-Out 8-place Centrifuge. Available through authorized dealers. Other centrifuges available direct from LW Scientific. |
HD video recorder | Sony | MHS-CM5 | |
Orange fluorescent nucleic acid stain | Invitrogen | S-11364 | SYTO® 83 Orange Fluorescent Nucleic Acid Stain. Stored in DMSO solvent. Always wear reccommended Personal Protective Equipment. No special handling advice required. |
Fluorescent counting beads | Invitrogen | MP 36950 | CountBright™ Absolute Counting Beads. Always wear reccommended Personal Protective Equipment. No special handling advice required. |