WO1991009295A1 - Procede et dispositif de determination du taux de sedimentation du sang - Google Patents
Procede et dispositif de determination du taux de sedimentation du sang Download PDFInfo
- Publication number
- WO1991009295A1 WO1991009295A1 PCT/SE1990/000824 SE9000824W WO9109295A1 WO 1991009295 A1 WO1991009295 A1 WO 1991009295A1 SE 9000824 W SE9000824 W SE 9000824W WO 9109295 A1 WO9109295 A1 WO 9109295A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- electrodes
- tube
- blood
- impedance
- signal
- Prior art date
Links
- 210000004369 blood Anatomy 0.000 title claims abstract description 70
- 239000008280 blood Substances 0.000 title claims abstract description 70
- 238000004062 sedimentation Methods 0.000 title claims abstract description 39
- 238000000034 method Methods 0.000 title claims abstract description 33
- 239000013049 sediment Substances 0.000 claims abstract description 19
- 238000012360 testing method Methods 0.000 claims abstract description 14
- 230000008859 change Effects 0.000 claims abstract description 11
- 238000005259 measurement Methods 0.000 claims description 7
- 230000008569 process Effects 0.000 description 9
- 230000004044 response Effects 0.000 description 3
- 230000001360 synchronised effect Effects 0.000 description 3
- 210000000601 blood cell Anatomy 0.000 description 2
- 230000000875 corresponding effect Effects 0.000 description 2
- 210000003743 erythrocyte Anatomy 0.000 description 2
- 238000010521 absorption reaction Methods 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 238000009534 blood test Methods 0.000 description 1
- 230000001112 coagulating effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 206010025482 malaise Diseases 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000002381 plasma Anatomy 0.000 description 1
- 230000035945 sensitivity Effects 0.000 description 1
- 239000006228 supernatant Substances 0.000 description 1
Classifications
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N15/00—Investigating characteristics of particles; Investigating permeability, pore-volume or surface-area of porous materials
- G01N15/04—Investigating sedimentation of particle suspensions
- G01N15/05—Investigating sedimentation of particle suspensions in blood
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/483—Physical analysis of biological material
- G01N33/487—Physical analysis of biological material of liquid biological material
- G01N33/49—Blood
- G01N33/491—Blood by separating the blood components
Definitions
- the present invention relates to a method and to a device for determining the sedimentation rate of blood.
- the determination of the blood sedimentation rate, or erythrocyte sedimentation rate, is the most common of blood tests carried out.
- the blood cells tend to agglomerate in the so-called rouleau formation of erythrocytes. If the blood is prevented from coagulating, the blood cells will therewit sink more rapidly down to the tottom of an upstanding tube.
- the supernatant liquid consists of plasma and the height or thickness of this clear layer in millimeters provides a value of the sedimentation rate. This value is read-off precisely one hour after having placed th tube in a measuring stand.
- the Swedish Patent Specification No. 8009126-7 describes a method of obt aining an automatic indication of the interface between plasma and blood sediment after one hour. According to this patent specification, there is placed in a sedimentation test tube a body which absorbs blood and plasma and swells as a result of this absorption:
- the body has a density which lies between the density of blood sediment and plasma and will therefore float at said interface layer.
- the body is configured so that after one hour, it will have swollen to such an extent as to fasten in the test tube.
- the present invention thus relates to a method for determining the sedimentation rate of blood, in which a so-called blood sedimentation tube is filled with whole blood, which is allowed to settle for one hour, whereafter the height of a plasma column above the blood sediment is read-off, said method being characterized by inserting the blood sedimentation tube into a reading location in which a plurality of electrodes are disposed along the vertical extension of the tube, by applying a signal of varying voltage to the electrodes, by determining the impedance of the blood present in the tube between pairs of electrodes, with the aid of a detector; by determining the location along the length of the tube at which a change in impedance takes place while utilizing the fact that an impedance difference prevails between plasma and blood sediment, and by determining the height or distance from said location to the upper surface of the plasma column.
- the invention also relates to apparatus of the kind described in the preamble of Claim 9 and having the characterizing features set forth in the characterizing clause of said Claim.
- FIG. 1 is a block schematic of apparatus according to a first embodiment of the invention
- - Figure 2 illustrates a pattern of electrodes
- - Figure 3 illustrates a second embodiment of the invention
- - Figure 4 illustrates an output signal obtained in accordance
- Figure 1 illustrates apparatus for carrying out the inventive method.
- the reference 1 identifies a so-called blood sedimentation tube, which is normally a glass or plastic tube having a length of 200 mm, a diameter of 10 mm and a wall thickness of 0.5 mm.
- the reference 2 identifies plasma and the reference 3 identifies blood sediment.
- a reading location or reading station is generally referenced 4.
- the apparatus may include solely one reading location to which mutually different test tubes are moved automatically with the aid of known devices, which is standard routine when carrying out automatic test analyses within the medical field, or may comprise one reading location or station for each tube.
- the reading location includes electrodes 5, 6 which are disposed along the length extension of a tube 1 inserted in the reading location.
- the apparatus also includes an oscillator 7 which functions to produce a signal which is applied successively to the electrodes 5.
- switch network 8 which includes a number of electronic switches.
- the switching network 8 is constructed to connect one or more electrodes 5 at a time to the oscillator 7 in a successive order, in response to instructions from a control unit or data processor 9.
- Ihe switch network 8 is also constructed to connect, at the same time, one or more electrodes 6 to a detector 10 included in the apparatus.
- the oscillator 7 is intended to produce a signal having a frequency between 100 Hz and 10 kHz, preferably about 1 kHz. However, any suitable frequency whatsoever may be used.
- the electrodes may have a drive voltage of 50 mV, for instance.
- the oscillator signal is preferably a square-wave signal.
- the DC-component of the signal is equal to 0 volts, so as not to affect the blood.
- the oscillator 7 also delivers the signal to the detector 10, which is a synchronous detector.
- the detector 10 is intended to measure the impedance between pairs of electrodes.
- the impedance is measured between mutually opposing electrodes 5, 6 in relation to the tube 1.
- the present invention is based on the understanding that whole blood, plasma and blood sediment exhibit mutually different electrical properties of a magnitude such as to enable the impedance difference to be measured in order to determine the presence of the interface between blood sediment and plasma.
- a blood svedimentation tube is present in or is inserted into the reading location. After one hour has passed from the time of taking the blood sample, the data processor begins a measuring cycle.
- the data processor controls the switch network 8 such that, for instance, the oscillator signal is applied to the uppermost electrode 5.
- the electrode 6 positioned on the opposite side of the tube is connected by the switch network 8 to an amplifier 11, which amplifies the signal of the receiver electrode 6.
- This amplified signal is detected in the detector 10 and is low-pass filtered in a low-pass filter 12.
- the amplitude of the signals arriving from the lew-pass filter constitute a measurement of the impedance across the plasma column 2.
- the detector 10 is a synchronous detector intended to maximize system sensitivity or response.
- the low-pass filter 12 may be given a large time constant, for instance a constant of severa seconds.
- the combination of a synchronous detector and a narrow-band low-pass filter enables very long measuring signals to be measured.
- the lew-pass filtered analogue signal is digitalized in an A/D-con- verter 13 and delivered to the data processor 9.
- the detector thus compares the signal applied on an electrode to the signal received by the receiver electrode.
- the switch network is able to connect the electrodes in any desired sequence.
- the next electrode 5 in line, counting from the top of the electrode array is connected to the oscillator and the opposing electrode 6 is connected to the amplifier 11. Ihere is then obtained a new value after the A/D-converter 13.
- the third electrode 5 from the top of said electrode array is used to measure impedance together with the opposite electrode 6, there will be established a change in impedance will be established in cemparision with the impedance exhibited by the plasma 2, since both plasma and blood sediment influence the measuring process.
- these electrodes will indicate an impedance across the blood sediment which differs from the two impedances mentioned above.
- the detector is arranged to measure the capacitance immediately across pairs of electrodes 5, 6.
- the accuracy of the method is contingent on the size of the electrodes 5, 6.
- the electrodes shown in Figure 1 have been purposely enlarged for the sake of clarity.
- Figure 2 is a top view of a preferred electrode pattern or array.
- the electrodes 5, 6 are mutually parallel and are positioned so as to extend along the longitudinal axis of a blood sedimentation test tube 1 inserted in the measuring location.
- the longitudinal axis of the electrodes extend perpendicularly to the longitudinal axis of the tube.
- the electrodes are placed equidistant from one another, with a centre distance of 1 mm.
- This provides very good resolution, with an accuracy of 1 mm, which is the accuracy applied when reading the sedimentation value manually.
- the electrode pattern may be configured so that the centre distance 1 of the electrodes shown in Figure 2 is 1 mm, as before mentioned, wherein the distance between the electrodes c is approximately 0.3 mm and the vertical extension a of the electrodes is approximately 0.7 mm.
- the width b of the electrodes may be approximately 5 mm.
- the total vertical extension of the electrode array L may, of course, correspond to the vertical extension or length of a blood sedimentation tube, i.e. 200 mm although said total vertical extension is preferably longer, so that the electrode array will include the range within which blood sedimentation values occur.
- the electrode pattern or array may, for instance, be etched on one side of a double-sided, flexible laminate, with connecting wires to each electrode on the other side of the laminate.
- the distance from each of the electrodes to the upper surface 14 of the sample is known, because the length of the tube is known, because the position of the bottom surface 15 relative to the electrodes is known, and because the tube is filled to a predetermined level.
- the position of the upper surface of the sample can, of course, be determined by the present capacitive method, with the aid of electrodes positioned in the region of the upper surface of the sample. Subsequent to having noted an impedance change after a measuring cycle, the location of the impedance change is known, because the data processor has registered at which electrode or electrodes the change has taken place.
- the data processor is programmed to calculate the height or vertical distance from the location at which the impedance change occurred, i.e. the location of the interface between blood sediment and plasma, to the upper surface of the plasma column.
- This distance i.e. the height of the plasma column, is the blood sedimentation value, as before mentioned.
- This value is stored in the data processor.
- Figure 4 illustrates schematically a curve which shows the signal amplitude obtained from the A/D-converter against the position of respective electrodes along the tube.
- a number of discrete measurement values are found stored in the data processor.
- Figure 4 illustrates the continuous curves through these discrete measurement values. As will be seen from the curve, there is a clear change in amplitude at the interface.
- the data processor is intended to establisi the location of the interface along the tube, for instance by interpolation or inflection-point determination.
- one electrode 5 and one electrode 6 have been used at a time.
- several electrodes 5 and several electrodes 6 can be used in one and the same measuring process.
- FIG. 3 is a schematic illustration of a second embodiment in which of the electronic circuits used only one switch network 80, correspon ding to the switch network 8, is shown.
- the electrodes 16-21 have been purposely enlarged for illustration purposes, similar to the case in Figure 1.
- an electrode pattern or array with associated text there is preferably used an electrode pattern or array with associated text.
- the switch network 80 is intended to connect successively one or more electrodes at a time to the oscillator 7, in response to instructions from the data processor, and to connect to the detector 10, via the amplifier 11, those two electrodes which surround the electrode connected to the oscillator.
- the electrode 17 is connected to the oscillator, the electrodes 16 and 18 are connected to the detector.
- the detector is intended to compare the signal between two electrode pairs, i.e. 16, 17 and 17, 18 respectively.
- the amplitude of the signal obtained from the A/D-converter will therefore be constant and low, for instance equal to zero, when the measuring electrodes measure the same part of the sample.
- the signals from the respective electrode pairs 16, 17; 17, 18 will be different, and hence the signal obtained from the A/D-converter will have an amplitude which corresponds to the difference between said signals.
- several electrodes may be supplied with a signal and several electrodes may be used on both sides of the electrodes supplied with said signal.
- Figure 5 illustrates schematically a curve which shows the signal amplitude obtained from the A/D-converter against positions along a blood sedimentation tube, in a manner corresponding to that illustrated in Figure 4. The interface is thus found at the amplitude maximum.
- the apparatus is calibrated immediately after filling the tube with whole blood.
- the impedance which then prevails is used later as a reference when measurements are taken on blood sediment and plasma respectively.
- a keyboard 30 or the like is connected to the data processor 9, so that data, etc. relating to the patient can be entered into the processor.
- the data processor will preferably include a clock which shows the time and the date concerned.
- the sedimentation rate of a blood sample can, for instance, be determined in the following manner.
- a blood sedimentation tube is filled with whole blood, by a nurse.
- the nurse places the tube in the apparatus and enters the personal identification number of the patient into the data processor through the keyboard.
- a sensor (not shown), preferably a photocell, may be positioned at the reading location, in order to initiate the time measuring process. Alternatively, the time measuring process may be initiated as a result of entering the personal identification number of the patient in the data processor.
- the data processor instructs the apparatus to detect the position of the interface, as before described. The sedimentation value is stared in the data processor, together with the personal identification number of the patient.
- a display and/or a printer 31 may be connected to the data processor.
- the data processor is preferably programmed to print successively completed blood sedimentation tests through the printer 31.
- the data processor may also be programmed to store the blood sedimentation values for short or longer periods of time, for instance far one or more weeks, wherein the data processor can be instructed through the keyboard to print-out a series of blood sedimentation values for one and the same patient.
- the data processor can be instructed through the keyboard to print-out a series of blood sedimentation values for one and the same patient.
- the printer will illustrate variations in the blood sedimentation value with time, in a graphic form.
- measuring can be effected at two or more different frequencies in successive stages.
- the electrodes may be arranged in a different pattern or array.
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Engineering & Computer Science (AREA)
- Hematology (AREA)
- Biomedical Technology (AREA)
- Physics & Mathematics (AREA)
- Immunology (AREA)
- Analytical Chemistry (AREA)
- General Physics & Mathematics (AREA)
- Biochemistry (AREA)
- Pathology (AREA)
- General Health & Medical Sciences (AREA)
- Dispersion Chemistry (AREA)
- Ecology (AREA)
- Biophysics (AREA)
- Molecular Biology (AREA)
- Urology & Nephrology (AREA)
- Food Science & Technology (AREA)
- Medicinal Chemistry (AREA)
- Investigating Or Analysing Biological Materials (AREA)
- Investigating Or Analyzing Materials By The Use Of Electric Means (AREA)
Abstract
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SE8904207-1 | 1989-12-13 | ||
SE8904207A SE465140B (sv) | 1989-12-13 | 1989-12-13 | Foerfarande och anordning foer att bestaemma blods saenkningsreaktion |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1991009295A1 true WO1991009295A1 (fr) | 1991-06-27 |
Family
ID=20377762
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/SE1990/000824 WO1991009295A1 (fr) | 1989-12-13 | 1990-12-12 | Procede et dispositif de determination du taux de sedimentation du sang |
Country Status (3)
Country | Link |
---|---|
EP (1) | EP0505432A1 (fr) |
SE (1) | SE465140B (fr) |
WO (1) | WO1991009295A1 (fr) |
Cited By (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1993018395A1 (fr) * | 1992-03-10 | 1993-09-16 | Christopher Barnes | Appareil permettant de determiner les proprietes physiques et/ou chimiques d'un echantillon et plus particulierement un echantillon de sang |
WO1995014224A1 (fr) * | 1993-11-15 | 1995-05-26 | Swelab Instrument Ab | Appareil pour determiner la vitesse de sedimentation des eryhtrocytes |
US5533011A (en) * | 1990-12-07 | 1996-07-02 | Qualcomm Incorporated | Dual distributed antenna system |
US5583432A (en) * | 1994-04-11 | 1996-12-10 | Sci-Nostics Limited | Electrical method and apparatus for non-contact determination of physical and/or chemical properties of a sample, particularly of blood |
WO1998023943A1 (fr) * | 1996-11-28 | 1998-06-04 | Zakrytoe Aktsionernoe Obschestvo Tsentr 'analiz Veschestv' | Procede et appareil destines a enregistrer la sedimentation du sang |
WO2005039767A2 (fr) * | 2003-10-28 | 2005-05-06 | Diesse Diagnostica Senese S.P.A. | Dispositif pour la conduite d'analyses sur des fluides biologiques, et procede connexe |
US7509861B2 (en) | 2003-10-08 | 2009-03-31 | Actis Active Sensors S.R.L. | Method and device for local spectral analysis of an ultrasonic signal |
CN105675460A (zh) * | 2016-03-08 | 2016-06-15 | 重庆理工大学 | 一种利用电压加快血沉的方法 |
JP2016197131A (ja) * | 2011-08-29 | 2016-11-24 | アムジェン インコーポレイテッド | 流体中の非溶解粒子の非破壊的検出のための方法および装置 |
EP3173777A4 (fr) * | 2014-07-24 | 2018-02-14 | Sony Corporation | Cartouche pour mesure électrique, dispositif de mesure électrique pour échantillon biologique, système de mesure électrique pour échantillon biologique et procédé de mesure électrique pour échantillon biologique |
JP2019015735A (ja) * | 2018-09-18 | 2019-01-31 | ソニー株式会社 | 電気的測定用容器、並びに電気的測定装置および電気的測定方法 |
US10466257B2 (en) | 2012-12-12 | 2019-11-05 | Sony Corporation | Measuring electrical properties of a sample using an electrical measuring container |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB2400669B (en) * | 2003-04-17 | 2005-12-14 | * Barnes Christopher | A method and device to obtain haematological parameters and indicators by means of harnessing the dynamics of erythrocyte and other aggregation |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3254527A (en) * | 1962-05-03 | 1966-06-07 | Noller Hans Gunter | Blood sedimentation apparatus |
DE2702557B2 (de) * | 1977-01-22 | 1979-02-08 | Labora Mannheim Gmbh Fuer Labortechnik, 6800 Mannheim | Vorrichtung zum Bestimmen der Blutsenkungsgeschwindigkeit |
-
1989
- 1989-12-13 SE SE8904207A patent/SE465140B/sv not_active IP Right Cessation
-
1990
- 1990-12-12 EP EP91900994A patent/EP0505432A1/fr not_active Withdrawn
- 1990-12-12 WO PCT/SE1990/000824 patent/WO1991009295A1/fr not_active Application Discontinuation
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3254527A (en) * | 1962-05-03 | 1966-06-07 | Noller Hans Gunter | Blood sedimentation apparatus |
DE2702557B2 (de) * | 1977-01-22 | 1979-02-08 | Labora Mannheim Gmbh Fuer Labortechnik, 6800 Mannheim | Vorrichtung zum Bestimmen der Blutsenkungsgeschwindigkeit |
Cited By (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5533011A (en) * | 1990-12-07 | 1996-07-02 | Qualcomm Incorporated | Dual distributed antenna system |
WO1993018395A1 (fr) * | 1992-03-10 | 1993-09-16 | Christopher Barnes | Appareil permettant de determiner les proprietes physiques et/ou chimiques d'un echantillon et plus particulierement un echantillon de sang |
WO1995014224A1 (fr) * | 1993-11-15 | 1995-05-26 | Swelab Instrument Ab | Appareil pour determiner la vitesse de sedimentation des eryhtrocytes |
US5583432A (en) * | 1994-04-11 | 1996-12-10 | Sci-Nostics Limited | Electrical method and apparatus for non-contact determination of physical and/or chemical properties of a sample, particularly of blood |
WO1998023943A1 (fr) * | 1996-11-28 | 1998-06-04 | Zakrytoe Aktsionernoe Obschestvo Tsentr 'analiz Veschestv' | Procede et appareil destines a enregistrer la sedimentation du sang |
US7509861B2 (en) | 2003-10-08 | 2009-03-31 | Actis Active Sensors S.R.L. | Method and device for local spectral analysis of an ultrasonic signal |
WO2005039767A3 (fr) * | 2003-10-28 | 2005-08-11 | Diesse Diagnostica Senese Spa | Dispositif pour la conduite d'analyses sur des fluides biologiques, et procede connexe |
WO2005039767A2 (fr) * | 2003-10-28 | 2005-05-06 | Diesse Diagnostica Senese S.P.A. | Dispositif pour la conduite d'analyses sur des fluides biologiques, et procede connexe |
US8211381B2 (en) | 2003-10-28 | 2012-07-03 | Diesse Diagnostica Senese S.P.A. | Device for performing analyses on biological fluids and related method |
JP2016197131A (ja) * | 2011-08-29 | 2016-11-24 | アムジェン インコーポレイテッド | 流体中の非溶解粒子の非破壊的検出のための方法および装置 |
US10466257B2 (en) | 2012-12-12 | 2019-11-05 | Sony Corporation | Measuring electrical properties of a sample using an electrical measuring container |
US10989722B2 (en) | 2012-12-12 | 2021-04-27 | Sony Corporation | Electrical measuring container, electrical measuring apparatus and electrical measuring method |
EP3173777A4 (fr) * | 2014-07-24 | 2018-02-14 | Sony Corporation | Cartouche pour mesure électrique, dispositif de mesure électrique pour échantillon biologique, système de mesure électrique pour échantillon biologique et procédé de mesure électrique pour échantillon biologique |
CN105675460A (zh) * | 2016-03-08 | 2016-06-15 | 重庆理工大学 | 一种利用电压加快血沉的方法 |
JP2019015735A (ja) * | 2018-09-18 | 2019-01-31 | ソニー株式会社 | 電気的測定用容器、並びに電気的測定装置および電気的測定方法 |
Also Published As
Publication number | Publication date |
---|---|
SE465140B (sv) | 1991-07-29 |
EP0505432A1 (fr) | 1992-09-30 |
SE8904207L (sv) | 1991-06-14 |
SE8904207D0 (sv) | 1989-12-13 |
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