Universal molecular processor for precision medicine

1. A device comprising:

a biomolecular processor, each biomolecular processor comprising:

a bioreactor chamber defined by a solid substrate;

a plurality of spaced support structures within said bioreactor chamber and attached to the solid substrate;

one or more capture molecules immobilized to some or all of said plurality of spaced support structures, said one or more capture molecules suitable to bind to a portion of a target nucleic acid molecule in a sample;

one or more nanotubes defined by the solid substrate and fluidically coupled to the bioreactor chamber, each of said one or more nanotubes having a passage extending between an input end proximate to said bioreactor chamber and an output end distal to said bioreactor chamber and comprising one or more nanopores within the passage with each nanopore having a reduced diameter relative to the passage; and

one or more units defined by the solid substrate and upstream of said biomolecular processor and one or more nanotubes, said one or more units being configured to carry out sample preparation.

2. The device according to claim 1 further comprising:

a separator unit defined by the solid substrate and upstream of said biomolecular processor and one or more nanotubes, said separator unit comprising:

a separation chamber including solid surfaces defining channels between them with cell specific capture agents attached to the solid surfaces;

an inlet to the chamber; and

an outlet from the chamber.

3. The device according to claim 1 further comprising:

a sensor unit defined by the solid substrate and upstream of said biomolecular processor and one or more nanotubes, said sensor unit comprising:

an inlet;

an outlet; and

a cell counter positioned to count cells passing from the inlet to the outlet of said sensor unit.

4. The device according to claim 1 further comprising:

an extractor unit defined by the solid substrate and upstream of said biomolecular processor and one or more nanotubes, said extractor unit comprising solid supports and passages between them, wherein the solid supports are provided with a material suitable to immobilize nucleic acids or exosomes or vesicles.

5. The device according to claim 1 further comprising:

a longitudinally-extending plasma isolation unit defined by the solid substrate and upstream of said biomolecular processor and one or more nanotubes, said longitudinally-extending plasma isolation unit comprising:

an entrance passage;

a discharge passage which is wider and shallower than the entrance passage;

a transition passage connecting the entrance passage and the discharge passage, said transition passage becoming wider and shallower as the transition passages progresses from the entrance passage to the discharge passage;

primary side channels extending laterally away from the entrance passage, wherein a separator, positioned between the entrance passage and each primary side channel, is sized to permit plasma, but not cells, to pass from the entrance passage to the primary side channels; and

secondary side channels extending laterally away from the discharge passage, wherein a separator, positioned between the discharge passage and each secondary side channel, is sized to permit plasma, but not cells, to pass from the entrance passage to the secondary side channels.

6. The device according to claim 5 further comprising:

a separator unit defined by the solid substrate, said separator unit comprising:

a separation chamber including solid surfaces defining channels between them with cell specific capture agents attached to the solid surfaces;

an inlet to the chamber; and an outlet from the chamber;

a first extractor unit defined by the solid substrate and fluidically coupled to said longitudinally extending plasma isolation unit, said first extractor unit comprising solid supports and passages between them, wherein the solid supports are provided with a material suitable to immobilize nucleic acids or exosomes or vesicles;

a sensor unit defined by the solid substrate and upstream of said biomolecular processor and one or more nanotubes, said sensor unit comprising:

an inlet;

an outlet; and

a cell counter positioned to count cells passing from the inlet to the outlet of said sensor unit; and

a second extractor unit defined by the solid support and fluidically coupled to said sensor unit, said second extractor unit comprising solid supports and passages between them, wherein the solid supports are provided with a material to immobilize nucleic acids;

one or more reactor units defined by the solid substrate and fluidically coupled to said second extractor unit, said one or more reactors comprising a reaction channel with a heater; and

a flow purification unit defined by the solid substrate and fluidically coupled to the one or more reactor units and said biomolecular processor, said flow purification unit comprising:

a housing defining a chamber,

one or more inlets connected to the chamber,

a product outlet connected to the chamber,

a waste outlet connected to the chamber, and

a plurality of obstacles positioned within the chamber and oriented to preferentially direct product, in the chamber, to the product outlet and to direct waste, in the chamber, to the waste outlet.

7. A device comprising:

a longitudinally-extending plasma isolation unit defined by a solid substrate, said longitudinally-extending plasma isolation unit comprising:

an entrance passage;

a discharge passage which is wider and shallower than the entrance passage;

a transition passage connecting the entrance passage and the discharge passage, said transition passage becoming wider and shallower as the transition passages progresses from the entrance passage to the discharge passage;

primary side channels extending laterally away from the entrance passage, wherein a separator, positioned between the entrance passage and each primary side channel, is sized to permit plasma, but not cells, to pass from the entrance passage to the primary side channels; and

secondary side channels extending laterally away from the discharge passage, wherein a separator, positioned between the discharge passage and each secondary side channel, is sized to permit plasma, but not cells, to pass from the entrance passage to the secondary side channels.