Clinical Chemistry Laboratory Features Direct Readout Instruments

May 18, 2012 - Clinical Chemistry Laboratory Features Direct Readout Instruments. Anal. Chem. , 1964, 36 (4), pp 107A–109A. DOI: 10.1021/ac60210a799...
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LABORATORY OF THE MONTH

Analog computer is used to provide automatic integration of paper electrophoresis patterns and rapid calculations. The instrumental program worked out at t h e Clinical Chemistry Laboratory of the Yale-New Haven Medical Center after adequate on-the-job testing will be simplified into a single purpose instrument, an automatic densitometer

Clinical Chemistry Laboratory Features Direct Readout Instruments A CLINICAL CHEMISTRY LABORATORY which contains a ^*- number of direct readout analytical instruments is an outstanding feature of t h e Clinical Laboratories of the Yale-New H a v e n Medical Center in N e w H a v e n , Conn. T h e Clinical Laboratories, under t h e direction of Dr. D a v i d Seligson, provide analytical, consultative, and teaching services to t h e large complex of 800 p a t i e n t beds and to m a n y clinical research programs. T h e Clinical Chemistry L a b o r a t o r y is one of the four major divisions of t h e Clinical Laboratories' program and performs 200,000 tests per year. T h e n a t u r e of the analyses v a r y from t h e m e a s u r e m e n t of a few n a n o grams of iodine in serum t o t h e gas chromatographic measurement of kerosene in blood and from t h e m e a s urement of 0.2 microgram of free Cortisol in plasma t o the toxicological evaluation of a p a t i e n t in coma. A wide v a r i e t y of techniques and instruments are used to solve analytical problems rapidly. Analytical results m a y affect critical clinical decisions. T h e handling of a vast a m o u n t of analytical d a t a is now being approached by the development of instruments which provide a "direct r e a d o u t " of concentration. One of t h e direct r e a d o u t instruments recently d e veloped in t h e Clinical Chemistry L a b o r a t o r y is a n electrophoresis densitometer, which gives a direct readout of the weight a n d percentage of each of 5 proteins in a mixture. T h e voltage o u t p u t of these direct readout instruments is linear with concentration a n d in t h e future will be fed into a digital computer for further d a t a processing, storage, a n d retrieval. T h e Clinical Chemistry L a b o r a t o r y has a program of microchemistry which uses for analysis 0.1. ml. of body

fluids starting with a n automatic pipet a n d ending with a direct r e a d o u t instrument. Accuracy, speed of analysis, and small sample size are stressed in t h a t order. About 10 analytical procedures m u s t be available on a 24-hour basis to handle emergencies which come t o a large general hospital. T h e 10 procedures a r e : sodium a n d potassium b y flame photometry, chloride with a chloridimeter, bicarbonate by a microvolumetric method, urea by a colorimetric method, glucose by a colorimetric method, barbiturates b y differential spectrophotometry, amylase b y a n enzymatic method, carbon monoxide b y a spectrophotometric method, a n d porphyrin b y a fluorometric procedure. E v e r y bench has a complete analytical unit,—i.e., for sodium and potassium, iron, glucose, Cortisol, and t h e other determinations done in the laboratory. T h e design is to m a i n t a i n a large open laboratory with cubicles opening into the laboratory. I n s t r u m e n t s are designed or modified for a single purpose a n d placed where t h e analysis is done. T h e major large instruments, such as the recording spectrophotometer, spectrofluorometer, and atomic absorption spectrometer, a r e located centrally where they can be seen and used. Rooms adjacent t o the m a i n laboratory are used for contamination-free purposes and special research p r o j ects. One current research proj ect concerns the isolation and identification of compounds which circulate in t h e body fluids of uremic persons a n d contribute t o their signs a n d symptoms. T h e laboratory work provides the excitement and interest which surrounds a hospital l a b oratory dealing with young physicians caring for sick a n d sometimes unusual patients. VOL. 36, NO. 4, APRIL 1964



107 A

L A B O R A T O R Y OF THE M O N T H Layout of the Clinical Chemistry Laboratory of the Yale-New Haven Medical Center provides desks at the end of work benches. A large aisle allows movement of heavy traffic,

and the general laboratory design eases communication. A folding table (and table cloth) placed in this area serves for on-the-spot biweekly luncheon conferences and seminars

System for measuring protein-bound iodine provides for separation by continuous dialysis of 4 0 samples (board of siphons in the upper left corner), ashing, and photometry. The kinetics are monitored by the digital clock (center) and the measurement is carried out in a servo operated photometer. Measurement of 25 nanograms has an error of less than 1 and is made about 500 times per month Colorimeter, which was designed and partially constructed in the Clinical Chemistry Laboratory, provides a direct readout of concentration of total protein and albumin in serum

108 A

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ANALYTICAL CHEMISTRY

WACO POWER STIRRER

HIGH TORQUE FOR C O N T I N U O U S 24 HOUR SERVICE Automatic pipet measures 0.1 ml. of blood for glucose analysis and dilutes it to a final volume of 2.00 ml. with barium hydroxide solu­ tion. This instrument, de­ signed and partially con­ structed in the laboratory, has been found to be more economical and to have less down time than commercial instruments. It is used to pipet and dilute about 8 0 0 0 samples per month

Atomic absorption spectrometer ac­ curately measures calcium and magnesium in serum. The instru­ ment attachment on top of the monochromator gives a direct read­ out of concentration so that a sam­ ple of serum taken into an auto­ matic pipet and read in the instru­ ment could be analyzed from start to finish in 3 0 seconds Flame photometer provides direct readouts of sodium and potassium. On the left is an automatic pipet used to measure 80 microliters of serum and dilute it 200 times with a lithium reagent. The sample is aspirated into the flame (center), and the final concentrations are read (right). The entire analysis from sample to result takes 3 0 seconds

$OQ50 ONLY... ΔΌ No other stirrer made will give as m u c h service per dollar. Use the WACO Pow­ er Stirrer 2 4 hours a day, 7 days a week for m o n t h s at a t i m e . . . not a stock m o t o r converted to a stirrer, b u t a sparkless i n d u c t i o n type m o t o r spe­ cifically designed for laboratories . . . where long, continuous use is r e q u i r e d . Two shaft speeds, 3 0 0 and 6 0 0 R.P.M., cover the m a j o r i t y of applications. A built-in cooling fan allows contin­ uous operation w i t h o u t overheating or b u r n i n g out. 8 6 1 0 0 — W A C O Power Stirrer, w i t h t u ­ bular brass m o u n t i n g rod and 6 f o o t cord . . . only $ 2 9 . 5 0 . Stirrer chucks, $ 1 . 8 5 ea., set of t h r e e s t i r r i n g rods ( s m a l l , m e d i u m , large), $ 8 . 0 0 . Order direct or write for descriptive folder. LABORATORY SUPPLIES A N D EQUIPMENT

WILKENS-ANDERSON 4525 W . D I V I S I O N ST.

CO.

C H I C A G O 5 1 , ILL.

Circle Ne. 99 on Readers' Service Card

VOL. 36, NO. 4, APRIL 1964 ·

109 A