Clinically intelligent diagnostic devices and mehtods
First Claim
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1. A method of determining a cause of one or more medical symptoms exhibited by a subject, the method comprising:
- (a) obtaining a biological sample from the subject;
(b) obtaining an array of different probes or different sets of probes, wherein each probe or set of probes selectively interacts with a target associated with a different known cause of the one or more medical symptoms;
(c) applying the biological sample to the probes in the array under conditions that enable all of the probes to selectively interact with any targets in the biological sample;
(d) detecting interactions; and
(e) analyzing interactions to determine a cause of the one or more medical symptoms.
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Abstract
The invention relates to the clinically intelligent design of diagnostic devices (such as microarrays) and methods of making and using such devices in differential diagnoses of specific clinical symptoms or sets of symptoms. In one aspect, the devices include various probes used to perform parallel screening of a number of analytes. The probes are clustered on the devices based on known clinical presentations of symptoms associated with specific diseases and disorders.
170 Citations
34 Claims
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1. A method of determining a cause of one or more medical symptoms exhibited by a subject, the method comprising:
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(a) obtaining a biological sample from the subject;
(b) obtaining an array of different probes or different sets of probes, wherein each probe or set of probes selectively interacts with a target associated with a different known cause of the one or more medical symptoms;
(c) applying the biological sample to the probes in the array under conditions that enable all of the probes to selectively interact with any targets in the biological sample;
(d) detecting interactions; and
(e) analyzing interactions to determine a cause of the one or more medical symptoms. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 19, 20)
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18. A method of determining the susceptibility of a subject to a cause of one or more medical symptoms, the method comprising:
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(a) obtaining a biological sample from the subject;
(b) obtaining an array of different probes or different sets of probes, wherein each probe or set of probes selectively interacts with a target associated the susceptibility of the subject to a different cause of the one or more medical symptoms;
(c) applying the biological sample to the probes in the array under conditions that enable all of the probes to selectively interact with any targets in the biological sample;
(d) detecting interactions; and
(e) analyzing interactions to determine the susceptibility of the subject to a cause of the one or more medical symptoms.
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21. A method of determining a cause of one or more medical symptoms in a subject and assessing the suitability of one or more therapeutic agents to treat the cause of the symptoms, the method comprising:
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(a) obtaining a biological sample from the subject;
(b) obtaining an array of different probes or different sets of probes, wherein a first probe or set of probes selectively interacts with a target associated with a known cause of the one or more medical symptoms, and wherein a second, different probe selectively interacts with a target associated with a therapeutic optimization factor;
(c) applying the biological sample to the probes in the array under conditions that enable all of the probes to selectively interact with any targets in the biological sample;
(d) detecting interactions; and
(e) analyzing interactions to determine a cause of the one or more medical symptoms and to determine the suitability of a therapeutic agent to treat a cause of the one or more symptoms. - View Dependent Claims (22, 23, 25, 27, 28, 30, 31, 32, 33, 34)
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24. A device comprising:
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(a) a substrate having a surface, wherein the surface comprises a plurality of protrusions having top surfaces; and
(b) an array of probes or sets of probes, wherein each probe or set of probes selectively interacts with a unique target, and is attached to the top surface of one of the protrusions.
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26. A device comprising:
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(a) a substrate having a surface, wherein the surface comprises multiple wells, each well comprising a micromixer;
(b) a micromotor connected to each micromixer; and
(c) an array of probes or sets of probes, wherein each probe or set of probes in the array selectively interacts with a unique target and is attached within one of the wells.
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29. A device comprising:
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(a) a substrate having a surface;
(b) an array of probes or sets of probes, wherein each probe or set of probes in the array specifically binds to a unique target; and
(c) an set of linkers, wherein the linkers bind the probes to the surface, and wherein the linkers have different lengths.
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Specification