Skip to main content
Log in

A thin whole blood smear prepared via pumpless microfluidics

  • Research Paper
  • Published:
Microfluidics and Nanofluidics Aims and scope Submit manuscript

Abstract

Automated generation of a thin blood smear with a pumpless, capillary-driven, microfluidic would overcome the limitations of manually prepared smears and enable potential point-of-care (POC) applications. Herein, this was accomplished with microfluidic design that leveraged an amphiphilic silicone and channel pillars. The silicone (Sylgard 184) was combined with a surface-modifying additive (SMA), an amphiphilic poly(ethylene oxide) (PEO)-silane at varying concentrations (3, 5, and 7 wt%). The channels were formed with dimensions of 4.7 µm, 250 µm, and 16 mm (height × width × length, respectively). Pillar sections were added at the inlet, outlet and two interior sections to not only prevent channel collapse but to improve flow and cell distribution. After deposition of blood (0.3, 1, and 2 µL) to the channel inlet, the flow time and flow stop times were recorded and the channels imaged to assess smear uniformity and for automated cell counting. A thin blood smear was generated for microfluidic chips prepared with 5 wt% SMA and provided with 0.3 µL of blood.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  • Adewoyin AS, Nwogoh B (2014) Peripheral blood film—a review. Ann Ib Postgrad Med 12(2):71–79

    Google Scholar 

  • Bain BJ (2005) Diagnosis from the blood smear. N Engl J Med 353(5):498–507

    Google Scholar 

  • Benattar L, Flandrin G (1999) Comparison of the classical manual pushed wedge films, with an improved automated method for making blood smears. Hematol Cell Ther 41(5):211–215

    Google Scholar 

  • Biadglegne F, Belyhun Y, Ali J, Walle F, Gudeta N, Kassu A, Mulu A (2014) Does the practice of blood film microscopy for detection and quantification of malaria parasites in northwest ethiopia fit the standard? BMC Health Serv Res 14:529

    Google Scholar 

  • Ceelie H, Dinkelaar RB, van Gelder W (2007) Examination of peripheral blood films using automated microscopy; evaluation of diffmaster octavia and cellavision Dm96. J Clin Pathol 60(1):72–79

    Google Scholar 

  • Chantiwas R, Park S, Soper SA, Kim BC, Takayama S, Sunkara V, Hwang H, Cho YK (2011) Flexible fabrication and applications of polymer nanochannels and nanoslits. Chem Soc Rev 40(7):3677–3677

    Google Scholar 

  • Clodfelter RL Jr (1986) The peripheral smear. Emerg Med Clin N Am 4(1):59–74

    Google Scholar 

  • Comar SR, Malvezzi M, Pasquini R (2017) Evaluation of criteria of manual blood smear review following automated complete blood counts in a large University Hospital. Rev Bras Hematol Hemoter 39(4):306–317

    Google Scholar 

  • Dogbevi KS, Ngo BKD, Blake CW, Grunlan MA, Coté GL (2020) Pumpless, “Self-Driven” microfluidic channels with controlled blood flow using an amphiphilic silicone. ACS Appl Polym Mater. https://doi.org/10.1021/acsapm.0c00249

    Article  Google Scholar 

  • Dowling MA, Shute GT (1966) A comparative study of thick and thin blood films in the diagnosis of scanty malaria parasitaemia. B World Health Organ 34(2):249–267

    Google Scholar 

  • Du X, Zhang P, Liu Y, Wu Y (2011) A passive through hole microvalve for capillary flow control in microfluidic systems. Sens Actuators A Phys 165(2):288–293

    Google Scholar 

  • Fatona A, Chen Y, Reid M, Brook MA, Moran-Mirabal JM (2015) One-step in-mould modification of pdms surfaces and its application in the fabrication of self-driven microfluidic channels. Lab Chip 15(22):4322–4330

    Google Scholar 

  • Fuentes-Arderiu X, García-Panyella M, Dot-Bach D (2007) Between-examiner reproducibility in manual differential leukocyte counting. Accredit Qual Assur 12(12):643–645

    Google Scholar 

  • Green JE, Weintraub HA, Donnelly BS, Mordecai BG (1979) Sample preparation variation and its effects on automated blood cell differential analysis. Anal Quant Cytol 1(3):187–201

    Google Scholar 

  • Gulati G, Song J, Florea AD, Gong J (2013) Purpose and criteria for blood smear scan, blood smear examination, and blood smear review. Ann Lab Med 33(1):1–7

    Google Scholar 

  • Hale RS, Bonnecaze RT, Hidrovo CH (2014a) Optimization of capillary flow through square micropillar arrays. Int J Multiphas Flow 58:39–51

    MathSciNet  Google Scholar 

  • Hale RS, Ranjan R, Hidrovo CH (2014b) Capillary flow through rectangular micropillar arrays. Int J Heat Mass Tran 75:710–717

    Google Scholar 

  • Horning MP, Delahunt CB, Singh SR, Garing SH, Nichols KP (2014) A paper microfluidic cartridge for automated staining of malaria parasites with an optically transparent microscopy window. Lab Chip 14(12):2040

    Google Scholar 

  • Houwen B (2002) Blood film preparation and staining procedures. Clin Lab Med 22(1):1–14

    Google Scholar 

  • Kaminaga M, Ishida T, Kadonosono T, Kizaka-Kondoh S, Omata T (2015) Uniform cell distribution achieved by using cell deformation in a micropillar array. Micromachines (basel) 6(4):409–422

    Google Scholar 

  • Kaminaga M, Ishida T, Kadonosono T, Kizaka-Kondoh S, Omata T (2019) Microfluidic device for screening for target cell-specific binding molecules by using adherent cells. Micromachines (basel). https://doi.org/10.3390/mi10010041

    Article  Google Scholar 

  • Kull JA, Krawczel PD, Pighetti GM (2018) Short communication: evaluation of an automated method for assessing white blood cell concentrations in holstein dairy cows. Vet Immunol Immunopathol 197:21–23

    Google Scholar 

  • Lehmann M, Wallbank AM, Dennis KA, Wufsus AR, Davis KM, Rana K, Neeves KB (2015) On-Chip Recalcification of citrated whole blood using a microfluidic herringbone mixer. Biomicrofluidics 9(6):064106–064106

    Google Scholar 

  • Li H, Jayamohan H, Lambert C, Mohanty S, Gale BK (2013) Automated whole blood processing with a portable microfluidic device for point-of-care diagnosis (October). pp 1758–1760

  • Maria MS, Rakesh PE, Chandra TS, Sen AK (2017) Capillary flow-driven microfluidic device with wettability gradient and sedimentation effects for blood plasma separation. Sci Rep UK 7:43457–43457

    Google Scholar 

  • Marimuthu M, Kim S (2013) Pumpless steady-flow microfluidic chip for cell culture. Anal Biochem 437(2):161–163

    Google Scholar 

  • Melin J, Quake SR (2007) Microfluidic large-scale integration: the evolution of design rules for biological automation. Annu Rev Biophys Biomol 36:213–231

    Google Scholar 

  • Mielczarek WS, Obaje EA, Bachmann TT, Kersaudy-Kerhoas M (2016) microfluidic blood plasma separation for medical diagnostics: is it worth it? Lab Chip 16(18):3441–3448

    Google Scholar 

  • Moen ST, Hatcher CL, Singh AK (2016) A centrifugal microfluidic platform that separates whole blood samples into multiple removable fractions due to several discrete but continuous density gradient sections. PLoS ONE 11(4):e0153137

    Google Scholar 

  • Nourbakhsh M, Atwood JG, Raccio J, Seligson D (1978) An evaluation of blood smears made by a new method using a spinner and diluted blood. Am J Clin Pathol 70(6):885–892

    Google Scholar 

  • Organization WH (2016) Malaria microscopy quality assurance manual-version 2. World Health Organization

    Google Scholar 

  • Park S, Shabani R, Schumacher M, Kim Y-S, Bae YM, Lee K-H, Cho HJ (2016) On-chip whole blood plasma separator based on microfiltration, sedimentation and wetting contrast. Microsyst Technol 22(8):2077–2085

    Google Scholar 

  • Riedl J (2018) Digital imaging/morphology is the next chapter in hematology. Med Lab Obs 50(3):28–32

    MathSciNet  Google Scholar 

  • Roland L, Drillich M, Iwersen M (2014) Hematology as a diagnostic tool in bovine medicine. J Vet Diagn Invest 26(5):592–598

    Google Scholar 

  • Rosenthal DS, Schrier S, Timauer J (2002) Evalutaion of the peripheral blood smear. UpToDate

  • Rufin MA, Ngo BKD, Barry ME, Page VM, Hawkins ML, Stafslien SJ, Grunlan MA (2017) Antifouling silicones based on surface-modifying additive amphiphiles. Green Mater 5(1):1–10

    Google Scholar 

  • Saha AA, Mitra SK, Tweedie M, Roy S, McLaughlin J (2009) Experimental and Numerical investigation of capillary flow in Su8 and Pdms microchannels with integrated pillars. Microfluid Nanofluid 7(4):451–465

    Google Scholar 

  • Saurabh V (2006) Manipulating fluids: advances in micro-fluidics, opto-fluidics and fluidic self assembly. Ph.D. Thesis, California Institute of Technology

  • Simson E, Gascon-Lema MG, Brown DL (2010) Performance of automated slidemakers and stainers in a working laboratory environment—routine operation and quality control. Int J Lab Hematol 32(1 Pt 1):e64–76

    Google Scholar 

  • Sio SWS, Sun W, Kumar S, Bin WZ, Tan SS, Ong SH, Kikuchi H, Oshima Y, Tan KSW (2007) Malariacount: an image analysis-based program for the accurate determination of parasitemia. J Microbiol Meth 68(1):11–18

    Google Scholar 

  • Smith S, Madzivhandila P, Sewart R, Govender U, Becker H, Roux P, Land K (2017) Microfluidic cartridges for automated, point-of-care blood cell counting. SLAS Technol 22(2):176–185

    Google Scholar 

  • Suk JW, Cho J-H (2007) Capillary flow control using hydrophobic patterns. J Micromech Microeng 17(4):N11–N15

    Google Scholar 

  • Thangawng AL, Swartz MA, Glucksberg MR, Ruoff RS (2007) Bond-detach lithography: a method for micro/nanolithography by precision PDMS patterning. Small 3(1):132–138

    Google Scholar 

  • Thorslund S, Larsson R, Bergquist J, Nikolajeff F, Sanchez J (2008) A Pdms-based disposable microfluidic sensor for Cd4+ lymphocyte counting. Biomed Microdevices 10(6):851–857

    Google Scholar 

  • Tripathi S, Varun Kumar YVB, Prabhakar A, Joshi SS, Agrawal A (2015) Passive blood plasma separation at the microscale: a review of design principles and microdevices. J Micromech Microeng 25(8):083001–083001

    Google Scholar 

  • Wang D, Chan HN, Liu Z, Micheal S, Li L, Baniani DB, Tan MJ, Huang L, Wang J, Wu H (2020) Recent developments in microfluidic‐based point‐of‐care testing (Poct) diagnoses. Microfluid Nanofluidics 239–280

  • World Health Organization, Regional Office for the Western (2016) Malaria microscopy standard operating procedures. WHO Regional Office for the Western Pacific, Manila

    Google Scholar 

  • Wongsrichanalai C, Barcus MJ, Muth S, Sutamihardja A, Wernsdorfer WH (2007) A review of malaria diagnostic tools: microscopy and rapid diagnostic test (Rdt). Am J Trop Med Hyg 77(6_Suppl):119–127

    Google Scholar 

  • Yao M, Fang J (2012) Hydrophilic peo-Pdms for microfluidic applications. J Micromech Microeng 22(2):25012

    Google Scholar 

  • Ye Z, Li S, Wang C, Shen R, Wen W (2016) Capillary flow control in nanochannels via hybrid surface. RSC Adv 6(4):2774–2777

    Google Scholar 

Download references

Acknowledgements

G.L.C. gratefully acknowledges support from the National Science Foundation (#1402846). K.S.D. gratefully acknowledges support from the National Science Foundation (#HRD-1502335). All authors acknowledge support from the Texas A&M Engineering Experiment Station (TEES).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gerard L. Coté.

Ethics declarations

Conflict of interest

The authors declare no competing financial interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (PDF 209 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dogbevi, K.S., Ngo, B.K.D., Branan, K.L. et al. A thin whole blood smear prepared via pumpless microfluidics. Microfluid Nanofluid 25, 59 (2021). https://doi.org/10.1007/s10404-021-02457-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s10404-021-02457-4

Keywords

Navigation