WikiPatents - Community Patent Review
Create Free Account  |  License or Sell Your Patent  |  WikiPatents Marketplace  |  WikiPatents Blog
Username:  Password:  
    
Advanced Search
Rapid assay processor    
United States Patent4806313   
Link to this pagehttp://www.wikipatents.com/4806313.html
Inventor(s)Ebersole; Richard C. (Wilmington, DE); Forsythe, Jr.; Jesse G. (Media, PA); Gelormini; Frank T. (Gibbstown, NJ)
AbstractA system and method is disclosed for the rapid detection and (or) purification of analytes in a sample. The system makes use of a fluid receptacle containing a capture reagent and a manifold having two ports. A sample containing an analyte disposed within the fluid receptacle is subjected to a capture reagent and processed by inserting the open end of the receptacle in one port. Vacuum, gas, reagents, and wash fluids are then applied to the second port to effect rapid interaction between the capture reagent and analyte, efficient washing of the capture reagent and detection and/or collection of the analyte. The system and method provide a rapid safe, uncomplicated means of automating processes based on affinity complexation principles. Encompassed within this category of processes are immunoassays, nucleic acid hybridization tests and affinity separations.
   














 Title Information Submit all comments and votes
 
Patent Text Patent PDF Print Page Summary File History
Plain text PDF images Print Summary File History
Drawing from US Patent 4806313
Rapid assay processor - US Patent 4806313 Drawing
Rapid assay processor
Inventor     Ebersole; Richard C. (Wilmington, DE); Forsythe, Jr.; Jesse G. (Media, PA); Gelormini; Frank T. (Gibbstown, NJ)
Owner/Assignee     E. I. Du Pont de Nemours and Company (Wilmington, DE)
Patent assignment
All assignments
Publication Date     February 21, 1989
Application Number     06/858,628
PAIR File History     Application Data   Transaction History
Image File Wrapper   Patent Term   Fees
Litigation
Filing Date     May 2, 1986
US Classification     422/61 422/69 422/100 422/101 422/102
Int'l Classification     G01N 033/551 G01N 035/00 B01L 003/00
Examiner     Marcus; Michael S.
Assistant Examiner    
Attorney/Law Firm    
Address
Parent Case     This is a division of application Ser. No. 722,373, filed Apr. 12, 1985 now U.S. Pat. No. 4,753,775.
Priority Data    
USPTO Field of Search     436/177 422/100 422/101 422/102 422/55 422/56 422/57 422/58 422/61 422/69
Patent Tags     rapid assay processor
   
Enter a comma (,) or semicolon (;) between multiple tag words/phrases.
Describe this patent:
 Amusing   
 Clever   
 Complex   
 Efficient   
 Historic   
 Important   
 Innovative   
 Interesting   
 Practical   
 Simple   
[no votes]
Patent WIKI

Share information and news about this patent, including information and news about the technology, inventors, company, ligation and licensing.

 References Submit all comments and votes
 
*references marked with an asterisk below are user-added references
 U.S. References
 
Add a new US reference:  
ReferenceRelevancyCommentsReferenceRelevancyComments
3437206



[0 after 0 votes]
3449081



[0 after 0 votes]
3552925



[0 after 0 votes]
3620677



[0 after 0 votes]
3768978



[0 after 0 votes]
3864979



[0 after 0 votes]
4588555
Provonchee
422/72
May,1986

[0 after 0 votes]
4542131
Chakrabarti
514/220
Sep,1985

[0 after 0 votes]
4515889
Klose
435/4
May,1985

[0 after 0 votes]
4483825
Fatches
422/100
Nov,1984

[0 after 0 votes]
4477578
Miles
436/518
Oct,1984

[0 after 0 votes]
4458020
Bohn
435/287.2
Jul,1984

[0 after 0 votes]
4434235
Rabi
436/110
Feb,1984

[0 after 0 votes]
4424279
Bohn
436/534
Jan,1984

[0 after 0 votes]
4248830
Kallies
422/59
Feb,1981

[0 after 0 votes]
4234317
Lucas
436/71
Nov,1980

[0 after 0 votes]
4225558
Peterson
422/72
Sep,1980

[0 after 0 votes]
4212204
St. Amand
73/864.11
Jul,1980

[0 after 0 votes]
4210418
Brown
436/532
Jul,1980

[0 after 0 votes]
4071315
Chateau
436/518
Jan,1978

[0 after 0 votes]
4059020
Avakian
73/863.25
Nov,1977

[0 after 0 votes]
3985032
Avakian
73/863.25
Oct,1976

[0 after 0 votes]
3748909
Kuo
73/864.11
Jul,1973

[0 after 0 votes]
 Foreign References
 Other References
 Market Review Submit all comments and votes
   
Market Size
Estimate the gross annual revenues of the relevant market sector:
> $10B
$5B - $10B
$2B - $5B
$500M - $2B
$100M - $500M
$10M - $100M
$1M - $10M
$500K - $1M
$100K - $500K
< $100K
[No votes]
$0
 
$0   $2.5B   $5B   $7.5B   $10B
Market Share
Estimate the percentage of the relevant market sector this invention will capture:
75% - 100%
50% - 74.99%
25% - 49.99%
10 - 24.99%
5 - 9.99%
2 - 4.99%
1 - 1.99%
< 1%
[No votes]
0.0%
 
0%   25%   50%   75%   100%
Reasonable Royalty
What percentage of gross sales should the inventor or assignee be paid?
75% - 100%
50% - 74.99%
25% - 49.99%
10 - 24.99%
5 - 9.99%
2 - 4.99%
1 - 1.99%
< 1%
[No votes]
0.0%
 
0%   25%   50%   75%   100%
Public's "Guesstimation" of Royalty Value
Market SizeN/A[No votes]
xMarket ShareN/A[No votes]
xReasonable RoyaltyN/A[No votes]

N/A

License Availablity
If you are NOT the owner or assignee, answer here:
Yes, license is available for purchase

No, license is not currently available



[No votes]
License Availablity
If you ARE the owner or assignee, answer here:
Yes, license is available for purchase

No, license is not currently available



[No votes]
Competitive Advantage
Does this invention have a significant competitive advantage over similar technologies?
Yes

No



[No votes]
Most helpful competitive advantage comment
[No comments]

Commercial Alternatives
Are there viable commercial alternatives for this invention?
Yes

No



[No votes]
Most helpful commercial alternative comment
[No comments]

 Technical Review Submit all comments and votes
 Claims Submit all comments and votes
 


What is claimed is:

1. An article of manufacture for processing test liquids having analytes comprising

a closed, one piece container having an access port, the container being shaped to have a bulbous portion and an elongated passageway providing a path of two way liquid communication between the bulbous portion and the access port,

a first porous retainer positioned in the passageway adjacent the bulbous portion and occupying only a portion of the passageway such that the volume of the passageway between the retainer and the access port exceeds that of the test liquids,

a plurality of solid support beads, having a capture reagent for use in complexation reactions and affinity separations, immobilized on the surface thereof, disposed in the bulbous portion of the container, the passageway and the bulbous portion each defining volumes, the passageway volume being less than the bulbous portion volume, the porous retainer having pores large enough not to restrict the flow of liquids, cells, microorganisms, cellular fragments or particulates of interest for analysis and small enough to prevent the passage of the beads from the bulbous portion into the passageway, and

the bulbous portion of the container being collapsible, whereby test liquids may be passed back and forth through the retainer and about the support beads to achieve improved capture efficiency.

2. The receptacle set forth in claim 1 wherein the passageway includes a second porous retainer positioned therein, thereby defining a third chamber in the receptacle.

3. An article of manufacture for processing test liquids having analytes comprising

a closed one piece container having an access port, the container being shaped to have a bulbous portion and an elongated passageway providing a path of two way liquid communication between the bulbous portion and the access port,

a first porous retainer positioned in the passageway adjacent the bulbous portion and occupying only a portion of the passageway such that the volume of the passageway between the retainer and the access port exceeds that of the test liquids,

a capture reagent immobilized on the retainer, the passageway and the bulbous portion each defining volumes, the passageway volume being less than the bulbous portion volume, the porous retainer having pores large enough not to restrict the flow of fluids, cells, microorganisms, cellular fragments or particulates of interest of analysis,

the bulbous portion of the container being collapsible, whereby test liquids may be passed back and forth through the retainer to achieve improved capture efficiency.

4. The article of manufacture set forth in claim 3 wherein the passageway has a second porous retainer having the same characteristics as the first porous retainer disposed in the passageway.

5. The article of manufacture set forth in claim 4 wherein the capture reagents disposed on each of the first and second porous retainers are different.
 Description Submit all comments and votes
 


BACKGROUND OF THE INVENTION

This invention relates to a system, apparatus and method for processing samples and more particularly to performing (1) analytical procedures on samples based on complexation reaction principles and (2) affinity separations. Encompassed within this category of analytical procedures are tests based on immunoassay principles, nucleic acid hybridization principles, and affinity complexing principles. The complexation technology is applicable to a wide range of analytical applications including the detection of soluble antigens, cells, cellular fragments, microorganisms and their products. Encompassed within the category of affinity separations are the separations of biomolecules from complex mixtures.

Generally, the types of test within this category of analytical procedures are procedurally complex, frequently they involve multiple reagent additions, extensive wash steps, and prolonged incubation times. These procedural complexities diminish the testing convenience. Furthermore, such tests must afford high sensitivity. In order to achieve this sensitivity, long reagent equilibration times are required in order to capture the minute quantities of analytes in samples.

Analytically, complexation based test can be applied to a wide variety of analytes which are of diagnostic importance to clinical medicine and of investigative importance to life science research. The complexation tests are inherently sensitive and specific. However, as noted above, such tests can be labor intensive and require hours of analysis time to perform.

For example, a typical test can comprise the following generalized procedural steps. In the first step, sample fluids containing the analyte for testing is contacted with a solid phase "capture reagent"--prepared with a complexing reagent specific for the analyte of interest. The sample fluid is then equilibrated with the solid phase reagent for sufficient time to enable analyte attachment to the support. Following equilibration with the capture reagent, the sample fluid is removed and the solid phase reagent rinsed to remove excess sample materials. During this process the analyte attached to the capture support remains fixed on the surface of the capture support.

As a general rule for the analytical purposes the attached analyte cannot be detected directly. A second "amplifying complexing reagent" often must therefore be added and equilibrated with the solid phase support in order to detect or visualize the presence of analyte. This equilibration must also be carried out for sufficient time to insure effective reaction of analyte with the solid phase surface. Following equilibration, the excess "free" amplifying reagent must be separated from the "bound" amplifying reagent. This is accomplished by washing the solid phase support to eliminate the unfixed active elements. At this stage, depending on the nature of the amplifying reagent a direct reading of the active elements on the solid phase support can be taken. If a test is preferred using an enzyme or other tracer to amplify the test signal, one or more substrate reagents must first be added. Following an additional incubation period, color development can then be observed.

Unfortunately, the numerous manipulations required in performing the tests--notably during the successive reagent additions, rinsings, and incubations entail risk of errors in timing, reagent measurement, specimen identification, risk of user infection, and accidental loss of test samples. This is particularly true when the large numbers of samples are batched together at the same time. The problems encountered by diagnostic laboratories in carrying out these types of tests are thus many. Clinical laboratories must cope with large throughput of samples, interpret the significance of the results, provide a wide range of determinations, return results quickly, and ensure that each assay test is performed accurately. This must be done economically in spite of the difficulties encountered with techniques that are labor intensive, and complex when compared with other tests performed in clinical laboratory. (British Medical Bulletin, 30, 38-43, 1974).

While there are many variations by which such tests can be performed, a review of the practical and theoretical constraints are well documented and beyond the scope of this invention. To overcome these difficulties, numerous devices and automation approaches have been described in the prior art.

Currently, there are a number of automated machines which are commercially available. These types of machines make use of multi-well consumables such as microtiter plates or variations thereof. In general, these machines are useful in tests where quantitative information on analyte concentrations are required. Generally, these machines are complex and expensive.

To accommodate all of the testing functions mentioned above, the instrument designs make use of a multiple modules such as a sample application module, wash module, and plate reader or detector. Frequently, these systems are not fully automated requiring operator involvement to move the multi-well plate from one module to the next.

The most serious drawback to these types of systems results from their prolonged testing time and limited range of analytical application. Tests can require hours to days to perform. Prolonged equilibration times are required since the microtiter test wells provide relatively small surface area--consequently limiting the amount of complexing reagent available for reaction with the analyte. Furthermore, these systems tend to rely on simple diffusion or mechanical vibration to bring the analyte in contact with the surface of the test wells. As a consequence, equilibration generally requires hours to accomplish. Test results are therefore not readily available in case of medical emergency or during the patient/physician interview.

A further limitation of these system is that they tend to be limited to immunoassay applications and not really adaptable to the newer complexation test based on DNA and RNA hydridization principles.

In order to overcome these limitations, a number of processor systems which make use of alternate test devices have been recently reported in the patent literature. For example, U.S. Pat. No. 4,071,315 issued Jan. 31, 1978 to G. Chateau disclosed a processor concept which makes use of a complexing capture reagent attached to roll of porous film which is fed sequentially through a series of operational modules.

The Chateau system suffers from many of the same disadvantages as mentioned above. The system is complex depending on the function of multiple independent modules and relies on simple diffusion to effect mixing and accomplish analyte equilibration with the film reagent. A further disadvantage of this system is that the system does not provide rapid turnaround time for test results. However, once engaged, large numbers of samples can be run with high throughput.

U.S. Pat. No. 4,225,558 issued Sept. 30, 1980 to Peterson et al. describes a centrifugal technique in which a plurality of fluid test cells arranged on the periphery of a motor driven rotor. The fluids to be tested and respective reagents are introduced separately into corresponding test cells and are subsequently mixed in a reaction chamber for analysis. Introduction of the fluids is accomplished by the use of vacuum and the fluids are mixed by centrifugal force. This system has a disadvantage of requiring the use of centrifugal force which reduces the throughput of the system and renders the system unnecessarily complicated.

Another system is described in U.S. Pat. No. 4,424,279 issued Jan. 3, 1984 to Bohn et al. and U.S. Pat. No. 4,458,020 issued July 3, 1984 to Bohn et al. These patents, both assigned to Quidel, describe an apparatus for processing a cylindrical tube having an open end into which a plunger filter assembly is fitted. Beads sensitized with complexing reagent such as an antibody can be used in conjunction with the device. The operation is centered around a plunger which is depressed to mix the sample with the sensitized beads. Thereafter the reagent is added and the plunger is raised to clear the chamber of the fluids. The beads are washed in much the same way by raising and lowering the plunger. Although the system is simple in design, it suffers from the requirement that the reagents and wash fluids be added manually and that a four chambered dispensing unit and the filter tube assembly be manually moved from one position to the next in order to accomplish the assay. Operator involvement is extensive. Furthermore since the tube and filter assembly remain open during handling, the devices are subject to spillage and thus subject the user to potential contact with infectious materials.

Michael Cais and Moshue Shimoni, in Analytical Biochemistry 18, 324-329 (1981) describes a tube device for performing immunoassays in which separation of "free" and "bound" analyte is claimed to be rapidly and safely accomplished by liquid extraction techniques. While it is not explicitly described they indicate that a simple automated instrument has been developed which processes up to 40 assay tubes simultaneously. This device suffers from the disadvantage of being complex in design requiring high precision parts, and is limited to application to only those analytes which can be separated by solvent partioning.

A device for separating plasma from a centrifugal blood sample is described in U.S. Pat. No. 4,483,825 issued Nov. 20, 1984 to Fatcher. This device includes a pipette having a filter disposed over one of the two open ends. The filter end is inserted into the tube holding the blood sample and operated like a piston to force the plasma through the filter into the pipette. Such device has not been used for complexation type testing. Furthermore, being open at both ends, the device would expose the operator to biohazardous materials.

In these prior art systems, auxiliary apparatus and equipment has been typically employed for the sequential exposure, equilibration and washing of the solid phase capture reagent. For example, a vibrator or shaker is useful to both maintain controlled uniform exposure of the reaction fluids with the capture reagent and to hasten the rate of analyte interaction with the support. In addition a centrifuge is useful and effective in the aggregation of suspended solid phase reagents following equilibration. An aspirator can then be used to facilitate the decantation of the reaction fluids from solid phase reagents. Peristaltic pumps or automated syringes are useful to add reagents and/or wash solutions. These many separate functions have not readily lent themselves to an uncomplicated single automation concept, at least in a single instrument.

A number of systems have been reported which make use of chromatographic principles to increase the efficiency of analyte capture and thus shortening the analysis time. German Patent Application DE No. 3217-032-A describes an immunoassay separation process using dry chromatographic column materials. In this type of application, no automated system is described.

Other systems have been developed including those using manifold systems such as those offered by J. T. Baker and Waters, Inc. These systems are designed to speed up the flow and collection of column eluants by the use of vacuum. As such, these systems depend upon open columns in which fluid flows in only one direction. The processor consists simply of a vacuum source to suck the wash solution through the immunoreagents support. As a result, the test requires multiple tubes and considerable operator intervention to complete the test procedure.

Many flow-through type systems making use of a chromatographic type column bed for analyte capture and processing are well known in the immunoassay and bioseparation literature. However, the flow-through systems have the disadvantage that they make use columns which must be carefully packed in order to avoid both fluid channeling and the inclusion of trapped gas which may reduce fluid contact with the supports. This adds to the difficulty and cost to the manufacture of the column device. Furthermore during the process, analyte capture must be accomplished in a single pass necessitating a highly efficient column. This adds back pressure to the flow system frequently necessitating positive displacement pumps to compensate increased back pressure and insure positive fluid flow. Furthermore the simultaneous processing of multiple samples is not possible. In addition, during consecutive cycles, these systems are subject to contamination and plugging due to entrapment of particles and debris. Furthermore, reduced activity of capture reagent in the subsequent reprocessing is also observed. Sample and reagent mixing prior to equilibration with the capture support must be carried out prior to the reagents reaching the test device. This is frequently accomplished by using a long connecting tube which tends to result in contamination and requires considerable lengths of time for liquid to reach the reaction container.

Japanese Patent Application J58,223,758 published Dec. 26, 1983, filed in the name of Kokaietal, describes a flow-through system and circulatory reaction device which claims to overcome many of the disadvantages of flow-through systems. The reaction tube is an open tube, having an opening at both ends. A filter is used to provide a support for immobilization of antibodies or antigens in a nozzle. Positive pressure is used to force the material through the cell and to wash the solid phase capture reagents. The system is mechanically complex--requiring operation of numerous syringe pumps. The system is operated at positive pressure and therefore subject to emission or release of toxic and infectious aerosols. Furthermore, since the system makes use of a packed capture bed with fluid flow in one direction, diminished flow and increased back pressure will result from plugging.

SUMMARY OF THE INVENTION

It is therefore an object of this invention to provide an automated system which can perform many of the procedural steps required in tests based on complexation reactions (for example, antigen-antibody binding, nucleic acid hybridization, and surface adherence). Specifically, it is an object of this invention (1) to achieve test operations involving sample removal, sample equilibration with solid phase reagents, wash, reagent additions, and color development steps with no operator assistance; (2) to provide a means of actively promoting the interaction between analyte and complexing reagent. In this way, testing time can be substantially reduced without comprising the ultimate detection limit or sensitivity of the assay; (3) to provide for enhanced user safety by using a negative pressure closed system in which biohazardous materials can be collected and decontaminated without operator contact with sample materials; and (4) to provide an inexpensive test system which enables multiple tests to be performed simultaneously.

This invention finds use in a system for processing samples disposed in a fluid receptacle having an open end and containing an analyte to be processed and a capture reagent on a solid support, the system including means for subjecting the analyte to the capture reagent. The invention comprises the improvement in which: the system includes a manifold and receptacle defining a closed chamber and first and second ports communicating with the chamber, means to place the open end of the fluid receptacle in fluid communication with the first port, and means for selectively introducing to and removing from the chamber and hence the receptacle through the second port vacuum, air, reagents, and wash fluids, thereby to effect rapid interaction between the capture reagent and analyte, efficient washing of the capture reagent, and detection of the analyte.

The system of this invention applies coordinated pulses of vacuum and air to the chamber and hence to the receptacle. This permits fluids to be consecutively added to the receptacle and withdrawn. The system also provides for recycling the fluids within the receptacle back and forth through the capture reagent thus affording a means of rapid interaction between the capture reagent and the sample fluids. Once the analyte is attached to the capture reagent, the wash fluids may be introduced in the same manner into the receptacle and withdrawn. In a similar manner developing agents may be introduced into the receptacle and withdrawn again.

In one embodiment, the manifold has plural receptacle ports located at equal distances from the second port. In a preferred embodiment of the invention, the receptacle may be elongated and closed at one end and open at the other, with the open end being in fluid communication with the chamber. A porous retainer is positioned in the open end so as to retain the capture reagent trapped within the compartment. Although the capture reagent typically is disposed upon a solid support this solid support may be either particulates (beads) or it may be attached to the porous retainer itself or to the walls of the receptacle. In a preferred embodiment of the invention, the receptacle itself is collapsible.

According to the method of this invention, samples having an analyte are processed by placing the sample in a closed receptacle, which has an access port, together with a capture reagent for the analyte. A porous retainer may be positioned in the receptacle to prevent the escape of the capture reagent. The method includes the steps of subjecting the access port and hence the receptacle to a vacuum and thereafter selectively subjecting the receptacle to reagent, vacuum, air and/or wash fluids thereby to capture, wash, and/or develop the analyte. Typically the receptacle is alternately subjected to vacuum and air to recycle the analyte and reagents back and forth across the capture reagent.

The method, apparatus and system of this invention are designed to perform a variety of tests or separations based on complexation reactions while enabling user safety is to be enhanced, operator involvement to be minimized and testing times to be substantially reduced. Complexation reactions include, antigen-antibody binding, nucleic acid hybridization and surface adherence. The test processes include sample removal, sample equilibration with a solid phase reagent, washing reagent additions, and color development steps. Testing time is reduced by providing a means of actively promoting the interaction between analyte and the complexing reagent. User safety is enhanced by employing a closed system in which biohazardous materials can be collected and decontaminated without operator contact with the sample materials. Test throughput is also enhanced by providing a system and apparatus that permits multiple tests to be performed simultaneously. The system described is one that is readily adaptable to a variety of different tests and analytical applications. These include immunoassays, DNA hybridization and affinity staining tests. Finally the method and system of this invention is adapted to perform automatically many of the tests and separations involving complexation reactions with minimal operator intervention.

These types of tests tend to be procedurally complex involving staged introduction and equilibration of sample, wash fluids, and amplifying and visualization reagents for a solid phase "capture" reagent. Some means for agitation, vibration or sonication is frequently employed during the equilibration steps to enhance the efficiency and rate of analyte interaction with the solid phase capture reagents.

Several embodiments of the receptacle are possible. They may take the form of either collapsible and non-collapsible types. In one form, the receptacle may constitute a pipette like device having a bulbous compartment at one end connected with an elongated tube. A porous plug can be positioned within the tube so as to retain certain types of solid phase capture reagents within the receptacles. Alternately the capture reagents may be attached to the porous plug itself, to particulates within the receptacle, to a packed bed disposed within the tubular portion of the receptacle, or to the walls of the tubular portion. In other forms of the invention the receptacle may constitute a hollow tube closed at one end or a flexible tube-like enclosure sealed at one end.

It has been found that the configuration and position of the porous septum in the rapid capture device is surprisingly important to achieve automated capture of sample analyte. A packed column configuration is ideally suited for maximum rate of analyte capture since molecular diffusion distances are minimized. In opposition, however, the back pressure and restricted flow created by the packed bed represents an important obstacle to effective movement of fluids and air in and out of the receptacle. A packed bed, thus, prolongs the time for recycling the sample through the capture beads. Further a packed bed hinders the rapid and efficient wash of the capture beads since the fluids cannot be effectively removed without air being in the pressure reservoir.

By placing the porous septum in close proximity to the pressure reservoir, i.e. so that the internal volume of the bulbous portion and the elongated passageway leading to the access port each exceed the volume of the test fluids, then the recycling process can be carried out totally within the confines of the receptacle. Furthermore the obstructions to fluid and air flow through the device are greatly reduced. This results from the fact that during the process cycle fluid moving into the device will lift and tend to break up the bed of packed capture reagent. The capture particulates therefore contribute little to the back pressure, and most importantly do not restrict the flow of air into the device. Furthermore, the capture efficiency achieved from the packed bed configuration tends to be retained, since as the fluid is withdrawn from the receptacle the loose capture particulates are quickly swept into the column chamber, and repacked, thus establishing an effective column bed. In this way, both restriction to flow is greatly reduced and the conditions for optimum analyte capture retained. The geometry of the bulbous portion also facilitates rapid funneling of the loose capture back into the column chamber, thus further facilitating the rapid information of a packed column by the capture beads during the recycling process.

In another embodiment, multiple different capture reagent supports can be integrated into the test receptacles. These can be used to simultaneously chec