In this study, we designed a highly
integrated microfluidic
chip
for nucleic acid extraction, amplification, and detection. Magnetic
beads, which are used to capture nucleic acids on the chip, are trapped
in the microwell arrays in a one-well-one-bead manner after local
surface modification of the inner faces of the microwells. On-chip
liquid introduction, delivery, and mixing are all carried out manually
with one syringe and no other equipment. A hand-held device with precise
temperature control and high-quality imaging is developed, which is
only 2.3 cubic decimeters in volume and 1.2 kg in weight. Via the
use of the Internet for wireless communication, the experiment and
data analysis after inserting the chip into the device can be conducted
by a smartphone anywhere there is an Internet connection. We carried
out reverse transcription loop-mediated isothermal amplification (RT-LAMP)
on the chip with the hand-held device. SARS-CoV-2 pseudoviruses are
extracted, reverse transcribed, amplified, and detected on the chip
with the hand-held device with satisfactory results. Thus, a highly
integrated, easy-to-operate, and rapid nucleic acid detection microfluidic
chip with a hand-held smartphone-controlled device is proposed, and
this new platform for nucleic acid detection shows great potential
for mobile point-of-care testing (POCT).