Disclosed is an assay device for the determination of the presence and/or extent if an analyte in a liquid sample over an extended concentration range comprising a first assay and a second assay, wherein the first assay for an analyte comprises a first flow-path having a sole detection zone capable of immobilizing a labelled binding reagent and the second assay for said analyte comprises a second flow-path having a sole detection zone capable of immobilizing a labelled binding reagent, wherein the presence of labelled binding reagent at the detection zones provides an indication of the presence and/or extent of analyte in said liquid sample.
1. An assay device for the determination of hCG in a liquid sample over an extended concentration rang, comprising a first assay and a second assay,
wherein the first assay comprises a first flow-path having a sole first assay detection zone and a mobilisable, labeled, hCG-binding reagent provided upstream from the first assay detection zone; and the second assay comprises a second flow-path having a sole second assay detection zone, a mobilisable, labeled, hCG-binding reagent provided upstream from the second assay detection zone, and a mobilisable scavenger binding reagent for hCG provided upstream from the second assay detection zone;
wherein the first and second assay detection zones each independently comprise an immobilised reagent that is capable of immobilising the respective labeled, hCG-binding reagent in the presence of hCG;
wherein said first and second assays are provided on separate substrates, or on a common substrate but with the first and second flow-paths fluidically isolated from one another;
wherein the immobilisation of the labeled, hCG-binding reagents at the detection zones provides an indication of hCG in said liquid sample; and wherein the first assay provides an indication of hCG in a first concentration range and the second assay provides an indication of hCG in a second, higher concentration range.
2. The device according to claim 1 wherein the first and/or second flow-path comprises a porous carrier.
3. The device according to claim 2 wherein the porous carrier is a lateral flow porous carrier.
4. The device according to claim 1 wherein for the second assay, the scavenger binding reagent has a higher binding affinity for hCG than the mobilisable, labeled, hCG-binding reagent.
5. The device according to claim 1 wherein the mobilisable, labeled, hCG-binding reagent and the scavenger binding reagent of the second assay bind to respectively a first and second binding region of hCG, and the second assay detection zone comprises an immobilised binding reagent for a second binding region of hCG.
6. The device according to claim 1 wherein the mobilisable, labeled, binding reagent and the scavenger binding reagent of the second assay are provided in the same region.
7. The device according to claim 1 wherein the labelled binding reagent is labelled with an optically detectable particle.
8. The device according to claim 1 , comprising a common porous sample receiver.
9. The assay device according to claim 1 , wherein the first assay is a high sensitivity assay and the second assay is a low sensitivity hCG assay.
10. The device according to claim 1 , comprising a housing wherein the first and second assays are provided within said housing.
11. The device according to claim 1 for the detection of hCG analyte in urine wherein the device comprises:
a) an illumination and detection means for illuminating and detecting labelled binding optical reagent at the detection zones;
b) a computation means for calculating a level of hCG or a value corresponding to the level of hCG;
c) a display means for displaying a result of the assay test;
d) a stored base threshold value, wherein a level of hCG corresponding to a value below the stored base threshold is indicative of being not pregnant and wherein a level of hCG corresponding to a value at or above the stored base threshold is indicative of being pregnant;
e) two further first and second stored threshold values wherein a level of hCG corresponding to a value less than or equal to a first threshold value is indicative of a level of pregnancy in a first range, a level of hCG corresponding to a value greater than the second threshold is indicative of a level of pregnancy in a third range, and a level of hCG corresponding to a value greater or equal to the first threshold but less than the second threshold is indicative of a level of hCG in a second range, wherein the display means is capable of indicating either a not pregnant condition, or a pregnant condition and the extent of pregnancy.
12. The device according to claim 1 , wherein the scavenger binding reagent is unlabelled.
13. The device according to claim 1 , wherein the scavenger binding reagent of the second assay is capable of binding to the beta subunit of hCG, and the mobilisable, labeled, hCG-binding reagent of the second assay is capable of binding to the alpha subunit of hCG.
14. The device according to claim 1 , which is for the determination of the extent of pregnancy of a subject in time based units.
15. The device according to claim 14 , wherein the extent of pregnancy is determined in units of weeks.
16. The device according to claim 14 , wherein the determination of the extent of pregnancy is based upon stored reference values.
17. The device according to claim 1 , wherein said extended concentration range is the range of about 10 to about 250,000 mIU/ml hCG.
18. The device according to claim 1 , which does not contain more than two hCG assays.
19. The device according to claim 1 , wherein the immobilised reagents in the first and second assay detection zones are immobilised hCG-binding reagents.
20. The device according to claim 19 , wherein the immobilised reagents in the first and second assay detection zones are independently streptavidin or anti-biotin.
21. The device according to claim 1 , wherein the first and second concentration ranges overlap.
22. A method of determining the extent of pregnancy in a pregnant woman subject, the method comprising the step of analysing a urine sample from the subject using an assay device in accordance with claim 1 .
23. A method of determining pregnancy as well as the extent of pregnancy in a pregnant woman subject, the method comprising the step of analysing a urine sample from the subject using an assay device in accordance with claim 1 .